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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Service Annual Survey
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
SA-484A
Service Annual Survey
Attach 1-484110TA.PDF
http://www.census.gov/svsd/www/services/sas/sas_forms/forms.htm
Yes
No
Printable Only
Form
SA-51111E
Service Annual Survey
Attach 1-511110TE.PDF
http://www.census.gov/svsd/www/services/sas/sas_forms/forms.htm
Yes
No
Printable Only
Form
SA-5171A
Service Annual Survey
Attach 1-517110TA.PDF
http://www.census.gov/svsd/www/services/sas/sas_forms/forms.htm
Yes
No
Printable Only
Form
SA-52311E
Service Annual Survey
Attach 1-523110TE.PDF
http://www.census.gov/svsd/www/services/sas/sas_forms/forms.htm
Yes
No
Printable Only
Form
SA-5411EE
Service Annual Survey
Attach 1-541110EE.PDF
http://www.census.gov/svsd/www/services/sas/sas_forms/forms.htm
Yes
No
Printable Only
Form
SA-56133A
Service Annual Survey
Attach 1-561330TA.PDF
http://www.census.gov/svsd/www/services/sas/sas_forms/forms.htm
Yes
No
Printable Only
Form
SA-623TA
Service Annual Survey
Attach 1-623312TA.PDF
http://www.census.gov/svsd/www/services/sas/sas_forms/forms.htm
Yes
No
Printable Only
Form
SA-712EA
Service Annual Survey
Attach 1-712120EA.PDF
http://www.census.gov/svsd/www/services/sas/sas_forms/forms.htm
Yes
No
Printable Only
Form
SA-8114A
Service Annual Survey
Attach 1-811430TA.PDF
http://www.census.gov/svsd/www/services/sas/sas_forms/forms.htm
Yes
No
Printable Only
Form
SA-8132A
Service Annual Survey
Attach 1-813212EA.PDF
http://www.census.gov/svsd/www/services/sas/sas_forms/forms.htm
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Records & Statistical Mgt
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
57,652
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
19 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
57,652
0
12,656
0
0
44,996
Annual IC Time Burden (Hours)
208,941
0
37,420
0
0
171,521
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Survey Form Descriptions
Attach 1-survey form descriptions.xls
08/21/2006
Burden Hours by Form
Attach 3--Burden Hours.xls
08/21/2006
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.