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