Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
2013 523 HRSA HAB Grantee - 2013 524 FINCEN Portal_Query New 700 117 0 Form and Instruction 523 2013 523 HRSA HAB Grantee Questionnaire
Form and Instruction 524 2013 524 FinCEN Portal_Query
2013 525 HRSA Nurse Corp LRP and SP New 350 58 0 Form and Instruction 525 2013 525 HRSA Nurse Corp LRP and SP 2013 Participant Questionnaire
2013 526 NHSC Participant Questionnaire New 350 88 0 Form and Instruction 526 2013 526 NHSC 2013 Participant Questionnaire Final
2013 527 CMS MAC Questionniare - 2013 528 HRSA MCHB - MIECHV Questionnaire New 700 292 0 Form and Instruction 527 2013 527 CMS MAC Questionnaire FINAL
Form and Instruction 528 2013 528 HRSA MCHB - MIECHV Questionnaire
2013 529 FinCEN Domestic Analytic Products Survey - 2013 530 NASA EOSDIS Questionnaire New 700 210 0 Form and Instruction 529 2013 529 FInCEN Domestic Analytic Products Survey
Form and Instruction 530 2013 530 NASA EOSDIS Questionnaire
2013 531 HRSA Nurse Corp LRP and SP Critical Shortage Facilities - 2013 534 E-Verification Customer Satisfaction Survey New 1200 300 0 Form and Instruction 531 2013 531 HRSA Nurse Corp LRP and SP Critical Shortage Facilities
Form and Instruction 532 2013 532 NASA LANCE Questionnaire
Form and Instruction 533 2013 533 Customer Contact Center Survey E-Verify
Form and Instruction 534 2013 E-Verification Customer Satisfaction Survey
2013 535 ACSI CHAMPVA Questions - 2013 537 ACSI SB Questions New 750 125 0 Form and Instruction 535 2013 535 ACSI CHAMPVA Questions
Form and Instruction 536 2013 536 ACSI FMP Questions
Form and Instruction 537 2013 537 ACSI SB Questions
2013 538 Final NCES Questionniare New 300 50 0 Form and Instruction 538 2013 538 Final NCES Questionnaire
2014 539 FinCEN BSA E-Filing Customer Survey - 2014 540 FinCEN Compliance MOU Customer Survey New 500 83 0 Form and Instruction 539 2014 FinCEN BSA E-Filing Customer Survey
Form and Instruction 540 2014 540 FinCEN Compliance MOU Customer Survey
2014 541 FEMA BSB Printed Pubs Sat Survey New 250 63 0 Form and Instruction 541 2014 541 FEMA - BSB Printed Pubs Sat Survey
2014 542 PBGC Retiree Instrument - 2014 543 PBGC Participant Caller Instrument New 500 100 0 Form and Instruction 542 2014 542 PBGC Retiree ACSI Instrument
Form and Instruction 543 2014 543 PBGC Partcipant Caller ACSI Instrument
2014 544 HRSA HAB Grantee Questionnaire New 250 50 0 Form and Instruction 544 2014 544 HRSA HAB Grantee Questionnaire
2014 545 VA OI&TContinuous Survey (Large) - 2014 547 VA OI&T Continuous Survey (Small) New 750 188 0 Form and Instruction 545 2014 545 VA OI&T Continuous Survey - Large
Form and Instruction 546 2014 546 VA OI&T Continuous Survey - Medium
Form and Instruction 547 2014 547 VA OI&T Continuous Survey - Small
2014 549 NHSC Participant Questionnaire - 2014 550 Nurse Corps Participant Questionnaire New 500 125 0 Form and Instruction 549 2014 549 NHSC Participant Questionnaire
Form and Instruction 550 2014 NURSE Corps Participant Questionnaire
2014 556 PBGC Premium Filer Questionnaire - 2014 559 LBI ACSI Questionnaire New 1000 183 0 Form and Instruction 556 2014 556 PBGC Premium Filer Questionnaire
Form and Instruction 557 2014 557 SBSE ACSI Questionnaire
Form and Instruction 558 2014 558 WI ACSI Questionnaire
Form and Instruction 559 LBI ACSI Questionaire
2014 660 SBA ODA Customer Satisfaction Survey - 2014 661 Department of Ed CFO Grantee Satisfaction Survey New 2500 625 0 Form and Instruction 660 2014 660 SBA ODA Customer Satisfaction Survey
Form and Instruction 661 2014 661 Dept of ED CFO Grantee Satisfaction Questionnaire
2014 662 FinCEN Resource Center Customer Survey New 250 21 0 Form and Instruction 662 2014 662 FinCEN Resource Center Customer Survey
2014 673 HRSA BPHC Health Care Program Survey - 2014 674 EOSDIS Questionnaire New 4000 1200 0 Form and Instruction 673 2014 673 HRSA BPHC Health Center Program Survey
Form and Instruction 674 2014 674 EOSDIS Questionnaire
2014 675 NWS_General New 500 125 0 Form and Instruction 675 2014 675 NWS_General
2014 676 State Passport Services Survey New 500 83 0 Form and Instruction 676 2014 676 State Passport Services Survey
2014 677 USDA Forest Service RD Customer Satisfaction Questionnaire New 500 125 0 Form and Instruction 677 2014 677 USDA Forest Service RD Customer Satisfaction Questionnaire
2014 678 E-Verification Customer Satisfaction Survey New 250 63 0 Form and Instruction 678 2014 678 E-Verification Customer Satisfaction Survey
2014 679 NASA LANCE Questionnaire New 500 125 0 Form and Instruction 679 2014 679 NASA LANCE Questionnaire
2014 680 VHAOutpatient Survey = 2014 681 VHA Inpatient Survey New 500 83 0 Form and Instruction 680 2014 680 VHAOutpatient Survey
Form and Instruction 681 2014 681 VHAInpatient Survey
2015 682 NASS Customer Satisfaction Survey Final New 250 63 0 Form and Instruction 682 2015 682 NASS Customer Satisfaction Survey Final
2015 683 RRB Rail Employers Survey New 250 63 0 Form and Instruction 683 2015 683 RRB Rail Employers Survey
2015 684 FinCENC BSA E-Filing Customer Survey - 2015 686 Domestic Analytic Products Survey New 6200 1033 0 Form and Instruction 684 2015 684 FinCEN BSA E-Filing Customer Survey
Form and Instruction 685 2015 685 FinCEN Complilance MOU Customer Survey
Form and Instruction 686 2015 686 Domestic Analytic Products Survey
2015 687 FinCEN Portal_Query - 2015 692 NWS Quarterly Survey New 2750 413 0 Form and Instruction 687 2015 687 FinCEN Portal Query Survey
Form and Instruction 688 2015 688 Foreign FIU Survey
Form and Instruction 689 2015 689 Resource Center Customer Survey
Form and Instruction 690 2015 690 AFI Grantee Satisfaction Survey Instrument
Form and Instruction 691 2015 691 USDA Rural Development Customer Satisfaction State Pilot
Form and Instruction 692 2015 692 NWS QuarterlySurvey Winter 2015
298 HRSA MCHB Resource Center Satisfaction Survey New 350 70 0 Form and Instruction 298 298 HRSA MCHB Resource Center Questionnaire
329 FAA ATO Satisfaction Survey New 350 70 0 Form and Instruction 329 329 FAA ATO Satisfaction Survey
335 GSA State and Local Programs Survey New 350 70 0 Form and Instruction 335 335 GSA State and Local Programs Survey
342 SEC OIEA Jul 2010 Questionnaire Call Cente New 350 70 0 Form and Instruction 342 342 SEC OIEA Call Center Questionnaire
351 ED NCES Satisfaction Survey New 350 70 0 Form and Instruction 351 351 ED NCES Satisfaction Survey
353 EEOC Contact Center Customer Satisfaction Survey New 500 100 0 Form and Instruction 353 353 EEOC Contact Center Customer Satisfaction Survey
356 CNCS Learn and Serve America Grantees New 350 70 0 Form and Instruction 356 356 CNCS Learn and Serve America Grantee Satisfaction
357 CNCS Senior Corps Grantee Satisfaction Survey New 350 70 0 Form and Instruction 357 357 CNCS Senior Corps Grantee Satisfaction Surve
358 AmeriCorps State and National Grantees New 350 70 0 Form and Instruction 358 358 AmeriCorps State and National Grantees
359 CNCS Vista Program Survey New 350 70 0 Form and Instruction 359 359 CNCS Vista Program Satisfaction Survey
Form and Instruction 359 359 CNCS Vista Program Survey
360 AmeriCorps NCCC Survey New 350 70 0 Form and Instruction 360 360 AmeriCorps NCCC Satisfaction Survey
367 NCA Customer Satisfaction Survey New 350 70 0 Form and Instruction 367 367 NCA Customer Satisfaction Survey
368 GSA FCIC Customer Satisfaction Survey New 350 70 0 Form and Instruction 368 368 GSA FCIC Customer Satisfaction Survey
375 DTIC Customer Satisfaction Survey New 1500 375 0 Form and Instruction 375 375 DTIC Customer Satisfaction Survey
376 AFI Grantee Satisfaction Survey New 350 70 0 Form and Instruction 376 376 AFI Grantee Satisfaction Survey
380 VA VHA Inpatient Survey New 350 70 0 Form and Instruction 380 380 VA VAH Inpatient Survey
381 VA VHA Outpatient Survey New 350 70 0 Form and Instruction 381 381 VA VHA Outpatient Survey
389 Tricare Outpatient Survey New 350 70 0 Form and Instruction 389 389 Tricare Outpatient Survey
390 Tricare Inpatient Survey New 350 70 0 Form and Instruction 390 390 Tricare Inpatient Survey
391 UDSA Rural Development Survey Water-B&I-Multifamily New 350 70 0 Form and Instruction 391 391 UDSA Rural Development Survey Water-B&I-Multifamily
402 U.S. Mint Numismatic/Commemorative Coins Survey New 350 70 0 Form and Instruction 402 402 U.S. Min Numismatic/Cmmemorative Coin Survey
403 USDA FAS Survey New 350 70 0 Form and Instruction 403 403 USDA FAS Survey
409 VHA Champ VA Questionnaire New 350 70 0 Form and Instruction 409 409 VHA Champ VA Questionnaire
410 DOJ COPS TTA Recipients Quarterly New 1400 280 0 Form and Instruction 410 410 DOJ COPS TTA Recipient Quarterly Survey
413 U.S. Mint Collectible Coins Survey New 350 70 0 Form and Instruction 413 413 U.S. Mint Collectible Coins Survey
423 DOJ COPS Monthly Publication Survey New 350 70 0 Form and Instruction 423 423 DOJ COPS Monthy Publication Survey
429 VBA Insurance Claims Questionnaire New 350 70 0 Form and Instruction 429 429 VBA Insurance Claims Questionnaire
430 VBA 2011 Call Center Questionnaire New 3600 420 0 Form and Instruction 430 430 VBA Call Center Questionnaire
438 HRSA BCRS NHSC 2011 Partner Questionnaire New 350 70 0 Form and Instruction 438 438 HRSA BCRS NHSC Partner Questionnaire
444 Social Security Administration Call Center Questionnaire New 3600 420 0 Form and Instruction 444 444 Social Security Administration Call Center Questionnaire
449 USDA NRCS Nutrient Management Program Survey New 350 70 0 Form and Instruction 449 USDA NRCS Nutrient Management Program Survey
450 FAA Carriers Ops Mgt Questionnaire New 350 70 0 Form and Instruction 450 450 FAA Carriers Ops Mgmt Questionnaire
451 FAA Manufacturers Questionnaire New 350 70 0 Form and Instruction 451 451 FAA Manufacturers Questionnaire
452 FAA Repair Station Questionnaire New 350 70 0 Form and Instruction 452 452 FAA Repair Station Questionnaire
454 USDA RD FINAL Questionnaire RCD Grant RBS New 350 88 0 Form and Instruction 454 454 USDA RD RCD Grant RBS Survey
455 E-Verify Enrollment Customer Satisfaction Survey New 1000 200 0 Form and Instruction 455 455 USCIS E-Verify Enrollment Customer Satisfaction Survey
456 USDA Rural Development Questionnaire Rural Electrification Program New 350 70 0 Form and Instruction 456 USDA Rural Developmetnt Questionnaire Rural Electrification
470 USDA Rural Development Questionnaire Rural Housing and Community Facilities Loans New 350 88 0 Form and Instruction 470 470 USDA Rural Development Questionnaire Rural Housing and Community Facilities
475 USCIS Asylum Customer Satisfaction Survey New 350 70 0 Form and Instruction 475 475 USCIS Asylum Customer Satisfaction Survey
477 NIST Ambulance Design New 30 23 0 Form and Instruction 477 477 NIST Ambulance Design
480 US Mint Call Center Questionnaire New 2500 125 0 Form and Instruction 480 480 US Mint Call Center Questionnaire
481 RRB Unemployment and Sickness Benefits Questionnaire New 350 70 0 Form and Instruction 481 481 RBB Unemployment and Sickness Benefits Questionnaire
483 AMS MN Customer Satisfaction Survey New 350 700 0 Form and Instruction 483 483 AMS MN Customer Satisfaction Survey
484 GSA Federal Supplier Greenhouse Gas Emissions Inventory Pilot Questionnaire New 350 70 0 Form and Instruction 484 484 GSA Federal Supplier Greenhouse Gas Emissions Inventory
485 HRSA HAB Grantee Questionnaire New 350 70 0 Form and Instruction 485 485 HRSA HAB Grantee Questionnaire
486 FEMA - BSB Printed Pubs Sat_Survey New 350 70 0 Form and Instruction 496 496 FEMA BSB Printed Pubs Sat Survey
487 FinCEN Compliance MOU Customer Survey New 350 35 0 Form and Instruction 487 487 FinCEN Compliance MOU Customer Survey
488 FinCEN Regulatory Resource Center Customer Survey New 350 70 0 Form and Instruction 488 488 FinCEN Regulatory Resource Center Customer Survey
489 FinCEN Secure Outreach_WebCBRS Survey New 350 70 0 Form and Instruction 489 489 FinCEN Secure Outreach WebCBRS Survey
490 Recreation Customer Service Survey New 350 70 0 Form and Instruction 490 490 Rec.gov Call Center
491 CMS Contractor Satisfaction Survey New 350 70 0 Form and Instruction 491 491 CMS Contractor Satisfaction Survey
492 PBGC Retiree Instrument New 350 70 0 Form and Instruction 492 492 PBGC Retiree Instrument
493 PBGC Participant Caller Instrument New 350 70 0 Form and Instruction 493 493 PBGC Participant Caller Instrument
494 HRSA NELRP and NSP 2012 Participant Questionnaire New 350 70 0 Form and Instruction 494 494 HRSA NELRP and NSP Participant Questionnaire
495 DOJ JAG Questionnaire New 350 70 0 Form and Instruction 495 495 DOJ JAG Questionnaire
496 PBGC Premium Filer Questionnaire New 350 70 0 Form and Instruction 496 496 PBGC Premium Filer Questionnaire
497 USCIS IO Questionnaire New 1000 200 0 Form and Instruction 497 497 USCIS International Operations Survey
498 FinCEN BSA E-Filing Survey New 350 70 0 Form and Instruction 498 498 FinCEN BSA E-Filing Survey
499 FINCEN Domestic Analytic Products New 350 70 0 Form and Instruction 499 499 FinCEN Domestic Analytic Products Survey
500 FINCEN Foreign Analytical Case Reports New 350 70 0 Form and Instruction 500 500 FINCEN Foreign Case Reports Questionnaire
501 FINCEN SAR Activity Review New 350 70 0 Form and Instruction 501 FINCEN SAR Activity Review
502 HRSA BCRS NHSC Participant Survey New 350 70 0 Form and Instruction 502 HRSA BCRS NHSC Participant Survey
503 ED CFO Grantee Survey New 2000 400 0 Form and Instruction 503 503 ED CFO Grantee Questionnaire
504 FEMA Local Officials Questionnaire New 350 70 0 Form and Instruction 504 504 FEMA Local Officials Questionnaire
505 FEMA General Public Survey New 350 70 0 Form and Instruction 505 505 FEMA Public Questionnaire
506 OCS Grantee Satisfaction Survey New 350 70 0 Form and Instruction 506 506 OCS Grantee Satisfaction Survey
507 RRB Survivor Customer Satisfaction Survey New 350 70 0 Form and Instruction 507 507 RRB Survivor Customer Satisfaction Survey
508 SBA ODA Customer Satisfaction Survey New 350 70 0 Form and Instruction 508 508 SBA ODA Customer Satisfaction Survey
509 FAA Mechanics Customer Satisfaction Survey New 350 70 0 Form and Instruction 509 509 FAA Mechanics Customer Satisfaction Survey
510 FAA Carries Ops & Carriers Pilots New 350 70 0 Form and Instruction 510 510 FAA Carrier Ops - Air Carrier Pilots Survey
511 IRS LB&I Survey New 350 70 0 Form and Instruction 511 511 IRS LBI Survey
512 IRS SBSE Survey New 350 70 0 Form and Instruction 512 512 IRS SBSE Survey
513 IRS Individual Filers Survey New 350 70 0 Form and Instruction 513 IRS Individual Filers Survey
514 E-Verity Customer Contact Center New 350 70 0 Form and Instruction 514 514 E-Verify Customer Contact Center Surey
515 HRSA BPHC Grantee Survey New 350 70 0 Form and Instruction 515 515 HRSA BPHC Grantee Survey
516 FAA General Aviation Survey New 350 70 0 Form and Instruction 516 FAA General Aviation Survey
517 NASA EOSDIS Questionnaire New 6000 1200 0 Form and Instruction 517 517 NASA EOSDIS Questionnaire
518 DOJ COPS Survey New 350 70 0 Form and Instruction 518 Annual DOJ COPS Survey
519 National Weather Service New 5000 1000 0 Form and Instruction 519 519 NWS Survey Final 8-27-12
520 Forest Service R&D Program Questionnaire New 700 140 0 Form and Instruction 521 Forest Service R&D Program Questionnaire
520 State BCS Survey New 800 160 0 Form and Instruction 520 520 State BCS Survey
522 PBGC Participant Caller New 350 58 0 Form and Instruction 522 2013 522 PBGC Particpant Caller
551 HRSA HAB CAREWare Customer Satisfaction and User Questionnaire - 2014 555 FAA Air Traffic Control Organization Quarterly FSS Survey New 1250 229 0 Form and Instruction 551 2014 HRSA HAB CAREWare Customer Satisfaction and User Questionnaire
Form and Instruction 552 2014 552 Foreign FIU Survey
Form and Instruction 553 2014 553 Domestic Analytic Products Survey
Form and Instruction 554 2014 554 FinCEN Portal Query Survey
Form and Instruction 555 2014 555 FAA Air Traffic Control Organization FSS quarterly survey
663 2014 Local Officials Survey New 2000 500 0 Form and Instruction 663 2014 663 FEMA Local Official Questionnaire
664 NWS_Internet_Panel - 672 USDA FSIS Call Center New 19100 3183 0 Form and Instruction 664 2014 664 NWS InternetPanel DCY
Form and Instruction 665 2014 665 Customer Contact Center E-Verify
Form and Instruction 666 2014 666 Department of Ed Call Center Questionnaire
Form and Instruction 667 2014 667 FTC Questionnaire
Form and Instruction 668 2014 Recreation Customer Service Survey
Form and Instruction 669 2014 669 SEC OIEA Questonnaire Email
Form and Instruction 670 2014 SEC OIEA Questionnaire IVR
Form and Instruction 671 2014 671 US Mint Call Center Questionnaire
Form and Instruction 672 2014 672 USDA FSIS Call Center Questionnaire
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 103530 20388 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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