Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
392 USTTB Custom Q's 11.29.10 v2, 393 CQs for OMB 11-29-2010 to 12-14-2010, 394 DHS CIS Citizenship Resource Center 11-18-10 Unchanged 15000 625 0 Form 392 USTTB Custom Q's 11.29.10 v2 392 USTTB Custom Q's 11.29.10 v2
Form 393 CQs for OMB 11-29-2010 to 12-14-2010 393 CQs for OMB 11-29-2010 to 12-14-2010
Form 394 DHS CIS Citizenship Resource Center 11-18-10FI 394 DHS CIS Citizenship Resource Center 11-18-10FINAL
283 Master, 285 DHS CIS eVfy, 286 HHS ONC, 287 CQs Unchanged 20000 833 0 Form 285 eVfy 285 DHS CIS eVerify Questionnaire
Form 283 Master 283 Master Questions List as of 11-17-09
Form 286 HHS ONC 286 HHS ONC Questions
Form 287 Custom 287 Custom Questions from 11-16-09 to 12-4-09
289 NIH Genome, 290 Cust. Ques for Clearance, 291 DHS CIS Eng, 292 DHS CIS Span, 293 DHS CIS Welcome Unchanged 25000 1042 0 Form 289 NIH 289 NIH Genome 1-6-2010
Form 290 Custom Questions 290 Custom Questions for Clearance
Form 291 DHS CIS 291 DHS CIS English
Form 292 DHS CIS Span 292 DHS CIS Spanish 11-30-09
Form 293 DHS CIS Welcome 293 DHS CIS Welcome to USA Custom Ques
299 IIP Embassies, 300 Custom Quest Unchanged 10000 417 0 Form and Instruction 299 IIP Embassy 299 State IIP Embassy
Form and Instruction 300 Mult CQs 300 Multiple Custom Questions 1-16-10 to 2-5-10
301 DoD AF 302 Cust Ques 2-5-10 thru 3-1-10 Unchanged 10000 417 0 Form and Instruction 301 DoD AF 301 DoD AF 1-28-10
Form and Instruction 302 CQs 302 Custom Questions 2-5-10 to 3-1-10
304 NHTSA 305 State Careers 306 Cust Ques Unchanged 15000 625 0 Form 304 DOT NHTSA 304 DOT NHTSA
Form 305 State Careers 305 State Careers
Form 306 Cust Ques 306 Cust Ques 3-2 to 3-28-10
310 RRB and 311 Custom Qs Unchanged 10000 417 0 Form 310 RRB Final 310 RRB Final
Form 311 Custom Qs 311 Custom Qs 3-29-10 to 4-13-10
312 CQs for OMB 4-14-2010 to 5-2-2010 Unchanged 5000 208 0 Form 312 CQs 4-14-2010 to 5-2-2010 312 CQs 4-14-2010 to 5-2-2010
313 CDC Mobile 314 CQs 5-3 to 5-19-10 315 DHS CBP 316 FCIC CQs Unchanged 20000 833 0 Form 313 CDC Mobile 313 Mobile Survey
Form 314 CQs 314 Custom Question 5-3 to 5-19-10
Form 315 DHS CBP 315 DHS CBP Final
Form 316 FDIC CQs 316 FDIC Custom Questions
322-324 CQs 5-19-2010 to 6-7-2010 SSA 5-19-10 VBA_5-17-10 Unchanged 15000 625 0 Form 322 322 CQs for OMB 5-19-2010 to 6-7-2010
Form 323 323 SSA Policy Pages Final 5-19-10
Form 324 324 VBA_Survey FINAL_5-17-10_FSR
333 CQs for OMB 6-8-2010 to 7-6-2010 334 NRC Questionnaire with Transparency 6.8.10 Unchanged 10000 417 0 Form 333 6-8-2010 333 CQs for OMB 6-8-2010 to 7-6-2010
Form 334 NRC 6.8.10 334 NRC Questionnaire with Transparency 6.8.10
343-347 Census Q's; CQ's 7-19-10 to 8-8-2010; NIH NIGMS; DOD Navy 7-22-2010; DOT Intranet 7-15-2010 Unchanged 25000 1042 0 Form 343 Census Questionnaire _Template 7-16-10proposed 343 Census Questionnaire _Template 7-16-10proposed
Form 344 CQs for OMB 7-19-2010 to 8-8-2010 344 CQs for OMB 7-19-2010 to 8-8-2010
Form 345 NIH NIGMS Questionnaire Template FINAL 345 NIH NIGMS Questionnaire Template FINAL
Form 346 Proposed Questionnaire Template DOD Navy 7-22- 346 Proposed Questionnaire Template DOD Navy 7-22-10
Form 347 DOT Intranet 7-15-2010 347 DOT Intranet 7-15-2010
362-366 Final Q's Medicare, NIH NIDCD, Survey Final Re & S-RE August, 2010, CPSC.gov Q's, Q's for OMB Unchanged 25000 1042 0 Form 362 Final Q's Medicare 09.07.2010 362 Final Q's Medicare 09.07.2010
Form 363 NIH NIDCD 363 NIH NIDCD
Form 364 Survey Final RE and S-RE August, 2010 364 Survey Final RE and S-RE August, 2010
Form 365 CPSC Q's 8-24-2010 365 CPSC Q's 8-24-2010
Form 366 Q's for OMB 8-25-2010 to 9-21-2010 366 Q's for OMB 8-25-2010 to 9-21-2010
369 GobiernoUSA Qs 370 MyMoney gov Qs 371NLM Exhibition Survey 372 PBGC My PAA v3 Qs 373 CQs for OMB 9-21-10-17-2010 Unchanged 25000 1042 0 Form 369 GobiernoUSA Questionnaire 9 28 10 369 GobiernoUSA Questionnaire 9 28 10
Form 370 MyMoney gov Questionnaire Template 9-17-10FINA 370 MyMoney gov Questionnaire Template 9-17-10FINAL
Form 371 NLM Exhibition Survey Template_9_10 371 NLM Exhibition Survey Template_9_10
Form 372 PBGC My PAA v3 Questionnaire 10-4-2010 372 PBGC My PAA v3 Questionnaire 10-4-2010
Form 373 CQs for OMB 9-21-2010 to 10-17-2010 373 CQs for OMB 9-21-2010 to 10-17-2010
377 USPTO 378 CQs for OMB 10-17-2010 to 11-3-2010 Unchanged 10000 417 0 Form 2010 377 Qnaire_USPTO_October_CB_Revised 2010 377 Qnaire_USPTO_October_CB_Revised
Form 2010 378 CQs for OMB 10-17-2010 to 11-3-2010 2010 378 CQs for OMB 10-17-2010 to 11-3-2010
382 FCA Draft Qs, 383 FedsHireVets Qs, 384 PSC Q's, 385 Capitol Visitor Center Q's, 386 DOJ - BJS Q's, 387 CQs for OMB 11-3-2010 to 11-29-2010 Unchanged 30000 1250 0 Form 382 FCA Draft Questionnaire 382 FCA Draft Questionnaire
Form 383 FedsHireVets FINAL Questionnaire 110810 383 FedsHireVets FINAL Questionnaire 110810
Form 384 PSC Questionnaire Draft customer approved 384 PSC Questionnaire Draft customer approved
Form 385 Capitol Visitor CenterQuestionnaire 385 Capitol Visitor CenterQuestionnaire
Form 386 DOJ - BJS Questionnaire 386 DOJ - BJS Questionnaire
Form 387 CQs for OMB 11-3-2010 to 11-29-2010 387 CQs for OMB 11-3-2010 to 11-29-2010
398CQs12-14-2010 to 1-11-2011,399NIDCR English 2011 Q,400Q's_NGSNOAA_12-16-2010,401CDC_New_Q's_12_27_2010_FINAL3,404VOA English V2 Q's _Temp,405CQs1-11-2011,406GSA Auctions1-12-11,407GSA Xcess,408Os R New 45000 1625 0 Form 398 VA CQs for OMB 12-14-2010 to 1-11-2011 398 VA CQs for OMB 12-14-2010 to 1-11-2011
Form 399 NIDCR English 2011 Q's 399 NIDCR English 2011 Q's
Form 400 Q's_NGSNOAA_12-16-2010 400 Q's_NGSNOAA_12-16-2010
Form 401 CDC_New_Questionnaire_12_27_2010_FINAL3 401 CDC_New_Questionnaire_12_27_2010_FINAL3
Form 404 VOA English V2 Qs 404 VOA English V2 Qs
Form 405 CQs for OMB 1-11-2011 405 CQs for OMB 1-11-2011
Form 406 GSA Auctions FINAL 1-12-11 406 GSA Auctions FINAL 1-12-11
Form 407 GSA Xcess FINAL 1-7-11 407 GSA Xcess FINAL 1-7-11
Form 408 Questionnaire RegInfo v2 408 Questionnaire RegInfo v2
414 ePSS, 415 FCIC 11Feb2011, 416 FCIC Pueblo 11Feb2011, 417 Howto.gov 3.7.2011 , 418 NLM Clinical Trials, 419 CMS Palmetto GBA J11 MAC, 420 Recreation.gov 2-4-2011 to 3-25-11, 421 DHHS-PSC , 422 DOT New 45000 1875 0 Form 414 ePSS Questionnaire Wave 1 Revised 414 ePSS Questionnaire Wave 1 Revised
Form 415 FCIC Consumer Action CQ revisions_11Feb2011 415 FCIC Consumer Action CQ revisions_11Feb2011
Form 416 FCIC Pueblo Survey revisions_11Feb2011 416 FCIC Pueblo Survey revisions_11Feb2011
Form 417 Howto.gov Survey 3.7.2011 - current 417 Howto.gov Survey 3.7.2011 - current
Form 418 NLM Clinical Trials Questionnaire _2-14-11 418 NLM Clinical Trials Questionnaire _2-14-11
Form 419 CMS Palmetto GBA J11 MAC Questionnaire 3-10-11 419 CMS Palmetto GBA J11 MAC Questionnaire 3-10-11
Form 420 CQs for OMB 2-4-2011 to 3-25-11 420 CQs for OMB 2-4-2011 to 3-25-11
Form 421 DHHS-PSC Offline Services Q's 02-25-11 421 DHHS-PSC Offline Services Questionnaire 02-25-11
Form 422 DOT FHWA Questionnaire 02-17-2011 422 DOT FHWA Questionnaire 02-17-2011
424 AHRQ Effective Health Care, 425 FEMA Mobile Survey Final 2.28.11, 426 NIST Sat Survey v2 03-28-11 427 CQs 3-25-2011 to 4-8-2011 New 20000 833 0 Form 424 AHRQ Effective Health Care 424 AHRQ Effective Health Care
Form 425 FEMA Mobile Survey Final 2.28.11 425 FEMA Mobile Survey Final 2.28.11
Form 426 NIST Sat Survey v2 03-28-11 426 NIST Sat Survey v2 03-28-11
Form 427 CQs for OMB 3-25-2011 to 4-8-2011 427 CQs for OMB 3-25-2011 to 4-8-2011
431 CQs for OMB 4-8-2011 to 4-28-2011; 432 FEMA Readygov_Template_4.13.11, 433 Benefits.gov New 15000 625 0 Form 431 CQs for OMB 4-8-2011 to 4-28-2011, 431 CQs for OMB 4-8-2011 to 4-28-2011
Form 432 FEMA Readygov_Template_4.13.11 432 FEMA Readygov_Template_4.13.11
Form 433 Benefits.gov 433 Benefits.gov
439 FMCSA Passenger Carrier, 440 FMCSA Protect your moveV2; 441FMCSA v2; 442FMCSA Share the Road; 443CQs for OMB started 4-28-2011 New 25000 1042 0 Form 439 FMCSA Passenger Carrier Satisfaction Survey 439 FMCSA Passenger Carrier Satisfaction Survey
Form 440 FMCSA Protect Your Move Satisfaction Survey V2 440 FMCSA Protect Your Move Satisfaction Survey V2
Form 442 FMCSA Share the Road 442 FMCSA Share the Road
Form 443 CQs for OMB started 4-28-2011 443 CQs for OMB started 4-28-2011
Form 441 FMCSA Satisfaction Survey v2 441 FMCSA Satisfaction Survey v2
457 CQs for OMB started 5-17-2011,458 NICHD Survey, 459 US Courts Survey New 15000 625 0 Form 457 CQs for OMB started 5-17-2011 457 CQs for OMB started 5-17-2011
Form 458 NICHD Survey 458 NICHD Survey
Form 459 US Courts Survey 459 US Courts Survey
460 US Embassies Entepr, 461 CMS Medicare Plan Finder, 462 CQs for OMB 6-14-2011, 463 DoD Enterprise Measure Q's New 20000 833 0 Form 460 US Embassies Enterprise Survey 460 US Embassies Enterprise Survey
Form 461 CMS Medicare Plan Finder 461 CMS Medicare Plan Finder
Form 462 CQs for OMB started 6-14-2011 462 CQs for OMB started 6-14-2011
Form 463 DoD Enterprise Measure Q's 463 DoD Enterprise Measure Q's
471 HealthIT+qnaire+for+dataload+final;472CQs for OMB started 7-8-2011; 473 SSA iClaim v2 New 15000 625 0 Form 471 HealthIT+qnaire+for+dataload+final 471 HealthIT+qnaire+for+dataload+final
Form 472 CQs for OMB started 7-8-2011 472 CQs for OMB started 7-8-2011
Form 473 SSA iClaim v2 473 SSA iClaim v2
478 FSIS Intranet Questionnaire_8-9-11, 479 CQs for OMB started 7-26-2011 New 10000 417 0 Form 2011 478 FSIS Intranet Questionnaire_8-9-11 2011 478 FSIS Intranet Questionnaire_8-9-11
Form 2011 479 CQs for OMB started 7-26-2011 2011 479 CQs for OMB started 7-26-2011
481 FBI V3 Questionnaire; 482 CQs for OMB started 8-22-2011 New 10000 417 0 Form 481 FBI V3 Questionnaire 481 FBI V3 Questionnaire
Form 482 CQs for OMB started 8-22-2011 482 CQs for OMB started 8-22-2011
483 CQs for OMB st. 9-15-201;484 Healthfinder -V2 10/ 2011;485 NIAID 10/ 2011;486 PBGC.gov V3;487 SSA Extra Help V2 (English Eqiv)483 New 25000 1042 0 Form 483 CQs for OMB started 9-15-2011 483 CQs for OMB started 9-15-2011
Form 484 Healthfinder -V2 - October 2011 484 Healthfinder -V2 - October 2011
Form 485 NIAID October 2011 485 NIAID October 2011
Form 486 PBGC.gov V3 486 PBGC.gov V3
Form 487 SSA Extra Help V2 (English Eqiv) 487 SSA Extra Help V2 (English Eqiv)
CQs 7-6-2010 to 7-18-2010 DOT VERSION_VHA_Medical_Centers Hoosier Lottery (State of Indiana) Unchanged 15000 625 0 Form 339 CQs for OMB 7-6-2010 to 7-18-2010 339 CQs for OMB 7-6-2010 to 7-18-2010
Form 340 DOT VERSION_VHA_Medical_Centers_Questionnaire_ 340 DOT VERSION_VHA_Medical_Centers_Questionnaire_Template
Form 341 Hoosier Lottery (State of Indiana) Questionnai 341 Hoosier Lottery (State of Indiana) Questionnaire Final 7.8.10
FSR 224 DOD Marine Corps Unchanged 5000 208 0 Form FSR 238 DOD Pentagon Channel questionnaire
Form FSR 239 OPM Job Seeker Completer Model questionnaire
Form FSR 240 OPM Job Seeker Abandoner questionnaire
Form FSR 241 OPM Job Seeker Post Completer questionnaire
Form FSR 242 State America.gov questionnaire
Form FSR 243 HHS SAMHSA Publications questionnaire
FSR 244 DOD Marine Corps Unchanged 5000 208 0 Form FSR 244 DOD Marine Corps questionnaire
FSR 245 HHS CMS NGS, FSR 246 DOD Navy Unchanged 10000 417 0 Form FSR 245 HHS CMS NGS questionnaire
Form FSR 246 DOD Navy questionnaire
FSR 247 DOD Air Force, FSR 248 HHS CMS FCSO J9 MAC, FSR 249 CitizenFeedback Unchanged 1300 54 0 Form FSR 247 DOD Air Force questionnaire
Form FSR 248 HHS CMS FCSO J9 MAC questionnaire
Form FSR 249 Citizen Feedback Questionnaire
FSR 250 GSA Regulations.gov, FSR 251 DOC NOAA NGS Unchanged 10000 417 0 Form FSR 250 GSA Regulations.gov questionnaire
Form FSR 251 DOC NOAA NGS questionnaire
FSR 252 State BECA Fulbright Unchanged 5000 208 0 Form FSR 252 State BECA Fulbright questionnaire
FSR 253, FSR 254, FSR 255, FSR 256, FSR 257, FSR 258, FSR 259 Unchanged 35000 1458 0 Form FSR 253 DHS FEMA questionnaire
Form FSR 254 VA eBenefits questionnaire
Form FSR 255 State BCA Travel.State.gov questionnaire
Form FSR 256 NIST Research.gov
Form FSR 257 HHS NLM OSA questionnaire
Form FSR 258 USDA CNPP questionnaire
Form FSR 259 HHS CMS questionnaire
FSR 260 Obama Directives Unchanged 5000 208 0 Form FSR 260 Obama Directives
FSR 261 DHS FEMA Disaster Assistance, FSR 262 Regulations.gov Unchanged 10000 417 0 Form FSR 261 DHS FEMA Disaster Assistance questionnaire
Form FSR 262 Regulations.gov questionnaire
FSR 263 Social Media, FSR 264 HHS AHRQ CAHPS Unchanged 520000 21667 0 Form FSR 263 Social Media questionnaire
Form FSR 264 HHS AHRQ CAHPS questionnaire
FSR 265 FTC Complaint Assistant, FSR 266 CFTC, FSR 267 HHS NIDCR, FSR 268 HHS NCI SEER, FSR 269 FDA Unchanged 25000 1042 0 Form FSR 265 FTC Complaint Assistant questionnaire
Form FSR 266 CFTC questionnaire
Form FSR 267 HHS NIDCR Spanish questionnaire
Form FSR 268 HHS NCI SEER questionnaire
Form FSR 269 HHS FDA questionnaire
FSR 270 DOD Defense.gov, FSR 271 Treas IRS, FSR 272 DHS USCIS, FSR 273 FTC OnGuard Online Unchanged 20000 833 0 Form and Instruction FSR 270 DOD Defense.gov questionnaire
Form and Instruction FSR 271 Treas IRS questionnaire
Form and Instruction FSR 272 DHS USCIS Welcome to USA questionnaire
Form and Instruction FSR 273 FTC On Guard Online questionnaire
FSR 279 DOI Main, FSR 280 CMS FCSO Unchanged 10000 417 0 Form FSR 279 DOI Main
Form FSR 280 HHS CMS FCSO
FSR 281 mobile Template Dept of State, 282 DHS Questionnaire New Model Unchanged 10000 417 0 Form FSR 281 Mobile Template Dept of State
Form FSR 282 DHS Questionnaire New Model
Form FSR 283 Current Master Element List
FSR CMS 274, NCI 275, EPA 276, FEMA Main 277, eRule 278 Unchanged 25000 1042 0 Form FSR 274 CMS Custom Questions
Form FSR 275 NCI Custom Questions
Form FSR 276 EPA New Model
Form FSR 277 FEMA Main Custom Questions
Form FSR 278 eRulemakng FDMS Custom Questions
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 1226300 50849 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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