Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
NHSC Participant Survey New 250 50 0 Form and Instruction 015
2015 749 AMS MN Customer Satisfaction Survey New 250 42 0 Form and Instruction 749
2015 750 VHA SB Survey New 250 42 0 Form and Instruction 750
2015 751 AFI_Grantee Satisfaction Survey Instrument New 250 42 0 Form and Instruction 751
2015 752 OCS_CSGB_ACSI Survey of Eligible Entitities New 250 50 0 Form and Instruction 752
2015 753 UDSA ACSI Webmoniter Survey New 3000 250 0 Form and Instruction 753
2015 754 HRSA HAB CAREWare Customer Satisfaction and User Questionnaire - 2015 756 VBA Insurance Overall Questionnaire New 750 188 0 Form and Instruction 754
Form and Instruction 755
Form and Instruction 756
2015 757 NIH NIAID Survey New 3000 250 0 Form and Instruction 757
2015 758 CMS OFM Provider Satisfaction Survey New 250 42 0 Form and Instruction 758
2015 759 Questionnaire Fogarty Webmonitor New 3600 300 0 Form and Instruction 759
2015 760 OCS_CSBG_ACSI Survey of States New 250 50 0 Form and Instruction 760
2015 761 USDA QAD - Customer Satisfaction Questionnaire - Final - 12.15.15 (2) New 250 50 0 Form and Instruction 761
2015 762 Final NCES Questionnaire 2016 New 250 50 0 Form and Instruction 762
2015 763 USDA New Farmers Program - Customer Satisfaction Questionnaire - Final New 250 50 0 Form 763
2015 764 NCA_Questionnaire_2016 (same as last year) New 250 50 0 Form 764
2015 764 NCA_Questionnaire_2016 (same as last year) New 250 50 0 Form 764
2015 765 FinCEN Compliance MOU Customer Survey 2_25_16 New 250 50 0 Form 765
2015 766 GSA WebMonitor Questionnaire - Final New 250 50 0 Form 766
2015 767 HRSA Grantee Satisfaction Survey_for CFI FCG v2 New 250 50 0 Form 767
2015 768 FEMA - BSB Printed Pubs Sat Survey_v0_20151124 New 250 50 0 Form 768
2015 769 FinCEN BSA E-Filing Customer Survey 2016_to OMB New 250 50 0 Form 769
2015 770 5ACSI E-Verify Questionnaire for OBM clearance New 250 50 0 Form 770
2015 771 Dept of ED CFO Grantee Questionnaire CORE + ALL CUSTOM_Final New 250 50 0 Form 771
2015 772 FinCEN Domestic Analytic Products Survey to OMB New 250 50 0 Form 772
2015 773 FinCEN Portal_Query Survey_to OMB New 250 50 0 Form 773
2016 774 MSI Questionnaire Final 04062016 New 250 50 0 Form 774
2016 775 FAA Website Questionnaire - Final - 5.6.16 New 250 50 0 Form and Instruction 775
2016 775 Foreign FIU Survey_v1_clean New 250 50 0 Form 775
2016 776 BPHC 2016 Stakeholder Satisfaction Survey Questionnaire Final New 250 50 0 Form and Instruction 776
2016 776 Resource Center Customer Survey_final_to OMB New 250 50 0 Form 776
2016 777 BCA Passport Survey FINAL_ to OMB New 250 50 0 Form and Instruction 777
2016 778 LBI ACSI Questionnaire - 7.11.2016 New 250 50 0 Form and Instruction 778
2016 779 SBSE ACSI Questionnaire - 7.11.2016 New 250 50 0 Form and Instruction 779
2016 780 WI ACSI Questionnaire - 7.11.2016 New 250 50 0 Form and Instruction 780
2016 781 NURSE Corps 2016 Participant Questionnaire_FINAL_20160721 New 250 50 0 Form 781
2016 782 NHSC 2016 Participant Questionnaire _FINAL_20160721 New 250 50 0 Form and Instruction 782
2016 783 SBA ODA Customer Satisfaction Survey 2016_FINAL New 250 50 0 Form and Instruction 783
2016 784 NASA LANCE Questionnaire New 250 50 0 Form 784
2016 785 EOSDIS Questionnaire New 250 50 0 Form 785
2016 786 DOI OST Call Center Questionnaire - Final New 250 50 0 Form 786
2016 787 DOE_WAP_ACSI Survey of States_Grantees_2016 Questionnaire_Final New 250 50 0 Form 787
2016 788 VHA_Inpatient 2016 Survey New 250 50 0 Form 788
2016 789 VHA_Outpatient 2016 Survey New 250 50 0 Form 789
2016 790 HRSA HAB Grantee Questionnaire - 2016 Final Edits for CFI RR Final Edits 9-26-16 OMB review New 250 50 0 Form 790
2016 791 ACSI E-Verify Questionnaire initial draft with USCIS CFI edits 20160510_NR changes accepted (1) New 250 50 0 Form 791
2016 792 HRSA HAB CAREWare Customer Satisfaction and User Questionnaire - 2016- OMB submission New 250 50 0 Form 792
2016 793 DOI OST Beneficiaries Questionaire_Final New 250 50 0 Form and Instruction 793
2016 793 NPS Contracting Office Customer Satisfaction Survey_Final to OMB New 250 50 0 Form and Instruction 793
2016 794 DOE_WAP_ACSI Survey of Local Agencies_2016 New 250 50 0 Form 794
2016 795 Questionnaire_climate.gov_CFI-Draft-1.3 New 250 50 0 Form 795
2016 796 Questionaire _CRT_Webmonitor _CFI -Draft-1.5 New 250 50 0 Form 796
2016 800 PBGC Premium Filer Questionnaire 2017_FINAL New 250 50 0 Other-Survey
2017 801 MSI Questionnaire_CMS Final _Approved 3-3-17 New 250 50 0 Form and Instruction 801
2017 802 E-Verify CCO Survey_2017 Proposed Revisions_20170315_c New 250 50 0 Form 802
2017 803 Dept of ED CFO Grantee Questionnaire_to OMB New 250 50 0 Form and Instruction 803
2017 804 FinCEN Domestic Analytic Products Survey_to OMB (1) New 250 50 0 Form and Instruction 804
2017 805 FinCEN BSA E-Filing Customer Survey 2017_to OMB New 250 50 0 Form and Instruction 805
2017 806 FinCEN Compliance MOU Customer Survey 2_1_16 to OMB New 250 50 0 Form and Instruction 806
2017 807 FinCEN Portal_Query Survey_to OMB New 250 50 0 Form and Instruction 807
2017 808 Foreign FIU Survey_to OMB New 250 50 0 Form and Instruction 808
2017 809 Resource Center Customer Survey_to OMB New 250 50 0 Form 809
2017 810 WI ACSI Questionnaire - 5.31 New 250 50 0 Form and Instruction 810
2017 811 LBI ACSI Questionnaire -5.31 New 250 50 0 Form and Instruction 811
2017 812 SBSE ACSI Questionnaire - 5.31 New 250 50 0 Form and Instruction 812
2017 813 FEMA HMA Survey Draft 6-20-17 V3.2 New 250 50 0 Form and Instruction 813
2017 814 HRSA Grantee Satisfaction Survey - 6-16-17 Final New 250 50 0 Form and Instruction 814
2017 815 BPHC 2017 Stakeholder Satisfaction Survey Questionnaire.v2 New 250 50 0 Form and Instruction 815
2017 816 NHSC Participant Satisfaction Survey - Updated_20170718-CLEAN New 250 50 0 Form and Instruction 816
2017 817 NHSC Site Satisfaction Survey - Updated_20170718-CLEAN New 250 50 0 Form and Instruction 817
2017 818 NURSE Corps Participant Satisfaction Survey - Updated_20170718-CLEA... New 250 50 0 Form and Instruction 818
2017 819 SBA ODA Customer Satisfaction Survey 2017_FINAL_20170815 New 250 50 0 Form and Instruction 819
2017 820 ACSI Survey Questions_BCA Passport (Final Aug 16 2017) New 250 50 0 Form and Instruction 820
2017 821 EOSDIS Questionnaire - Combined updated v2 clean New 250 50 0 Form and Instruction 821
2017 822 Questionnaire_USGS Webmonitor_CFI Group Final_8.24.17 New 250 50 0 Form and Instruction 822
2017 823 CSSurvey Questionnaire 2018_v4 New 250 50 0 Form and Instruction 823
2017 824 FY18Q1_PopupSurvey_Clean_FINAL_091117_to OMB New 250 50 0 Form and Instruction 824
2017 825 OCS_CSBG_ACSI Survey of States_2017 Instrument_v2 to OMB New 250 50 0 Form and Instruction 825
2017 826 VHA_Outpatient 2017 Survey to OMB New 250 50 0 Form and Instruction 826
2017 827 VHA_Inpatient 2017 Survey to OMB New 250 50 0 Form and Instruction 827
2017 828 BCA Call Center Survey 2017 v3.1 New 250 50 0 Form and Instruction 828
2017 829 CHAMPVA Survey 2017 v2 New 250 50 0 Form and Instruction 829
2017 830 Spina Bifida Survey 2017 v2 New 250 50 0 Form and Instruction 830
2017 831 SBA survey v5.0 New 250 50 0 Form and Instruction 831
2017 832 Benefits.gov - WebMonitor Questionniare - Final New 250 50 0 Form and Instruction 832
2017 833 ACSI E-Verify Questionnaire 20171102 to OMB New 250 50 0 Form and Instruction 833
2017 834 B CA Call Center Survey 2017 v3.0 Spanish New 250 50 0 Form and Instruction 834
2017 835 PBGC Premium Filer Questionnaire 2018_FINAL to OMB New 250 50 0 Form and Instruction 835
2017 836 NPS CSP - Satisfaction Pilot Questionnaire Draft to FCG New 250 50 0 Form and Instruction 836
2017 837 NCES Questionnaire 2017_to OMB New 250 50 0 Form and Instruction 837
2017 838 USCIS Welcome Booklet Survey_to OMB 12-14 New 250 50 0 Form and Instruction 838
2018 002 FinCEN Compliance MOU Customer Survey 2018_FINAL_to OMB New 250 50 0 Form and Instruction 002
2018 002 Products and Services_2018_FINAL New 250 50 0 Form and Instruction 002
2018 003 FinCEN Portal_Query Survey FINAL New 250 50 0 Form and Instruction 003
2018 004 FinCEN BSA E-Filing Customer Survey 2018_FINAL New 250 50 0 Form and Instruction 004
2018 004 Retiree ACSI Instrument 2018 New 250 50 0 Form and Instruction 004
2018 005 VA MOVE! Patient Experience Survey 2018_FINAL_3-23-18 -updated 6-22-18 New 250 50 0 Form and Instruction 005
2018 006 Foreign FIU Survey_to OMB New 250 50 0 Form and Instruction 006
2018 007 Questionnaire_NPS.gov_Final Draft (1) New 250 50 0 Form and Instruction 007
2018 011 Dept of ED CFO Grantee Questionnaire_to OMB_6.19.18 New 250 50 0 Form and Instruction 011
2018 012 LBI ACSI Questionnaire New 250 50 0 Form and Instruction 007
2018 013 SBSE ACSI Questionnaire New 250 50 0 Form and Instruction 013
2018 014 WI ACSI Questionnaire New 250 50 0 Form and Instruction 014
CMS Contractor Survey New 1800 360 0 Form and Instruction 744
CMS PCG Customer Satisfaction Survey New 250 50 0 Form and Instruction 019
DOJ COPS Questionnaire New 800 133 0 Form and Instruction 748
DOJ JAG Questionnaire New 350 70 0 Form and Instruction 747
Department of Ed Grantee Survey New 1600 320 0 Form and Instruction 718
Dept. of ED Call Center New 1000 83 0 Form and Instruction 723
E-Verify Customer Contact Center New 5000 417 0 Form and Instruction 722
E-Verify Customer Satisfaction Survey New 1000 200 0 Form and Instruction 735
ED NCES Survey New 350 70 0 Form and Instruction 741
FAA Air Traffic Control Quarterly Survey New 1400 233 0 Form and Instruction 712
FEMA BSB Printed Pubs Sat_Survey New 1000 200 0 Form and Instruction 703
FEMA Local Officials Questionnaire New 4800 960 0 Form and Instruction 720
FTC Questionnaire New 1000 83 0 Form and Instruction 724
FinCEN BSA E-Filing Customer Survey New 8000 1600 0 Form and Instruction 701
FinCEN Compliance MOU Customer Survey New 350 29 0 Form and Instruction 702
FinCEN Domestic Analytics Products Survey New 350 70 0 Form and Instruction 710
FinCEN Foreign FIU Questionnaire New 350 29 0 Form and Instruction 709
FinCEN Portal Query Survey New 350 70 0 Form and Instruction 711
FinCEN Regulatory Resource Center Survey New 250 50 0 Form and Instruction 008
FinCEN Resource Center Customer Survey New 350 29 0 Form and Instruction 719
FinCEN SAR Activity Review New 350 70 0 Form and Instruction 746
HRSA BPHC Health Care Program New 800 200 0 Form and Instruction 730
HRSA HAB Grantee Questionniare New 350 70 0 Form and Instruction 706
HRSA MCHB New 350 70 0 Form and Instruction 743
IRS LBI ACSI Questionnaire New 350 70 0 Form and Instruction 716
IRS SBE ACSI Questionnaire New 350 70 0 Form and Instruction 714
IRS WI ACSI Questionaire New 2000 400 0 Form and Instruction 715
NASA EOSDIS Questionnaire New 7500 1500 0 Form and Instruction 731
NASA Earthdata Survey New 250 50 0 Form and Instruction 007
NASA Lance Questionnaire New 1000 200 0 Form and Instruction 736
NCA Customer Satisfaction Survey New 350 29 0 Form and Instruction 745
NHSC Participant Survey New 3400 680 0 Form and Instruction 707
NOAA NWS General New 15000 3000 0 Form and Instruction 732
NWS Internet Panel New 1000 100 0 Form and Instruction 721
Nurse Corps Participant Survey New 1000 200 0 Form and Instruction 708
Nurse Corps Participant Survey New 250 50 0 Form and Instruction 016
PBGC Participant Caller ACSI Survey New 1800 360 0 Form and Instruction 705
PBGC Premium Filer Questionnaire New 350 70 0 Form and Instruction 713
PBGC Retiree ACSI Instrument New 350 70 0 Form and Instruction 704
RRB Rail Employers Survey New 350 70 0 Form and Instruction 740
Recreation Customer Service Survey New 8000 667 0 Form and Instruction 725
SBA ODA Customer Satisfaction Survey New 625 125 0 Form and Instruction 717
SBA ODA Customer Service Survey New 250 50 0 Form and Instruction 018
SEC OIEA Email Survey New 1000 83 0 Form and Instruction 726
SEC OIEA IVR Questionnaire New 350 29 0 Form and Instruction 727
State Passport Services Survey New 1500 125 0 Form and Instruction 733
U.S. Mint Call Center Questionnaire New 1800 150 0 Form and Instruction 728
USDA FSIS Call Center New 3000 250 0 Form and Instruction 729
USDA Forest Service R&D Satisfaction Survey New 350 58 0 Form and Instruction 734
USDA Forest Service RD Questionnaire New 1400 280 0 Form and Instruction 700
USDA Market News New 250 50 0 Form and Instruction 017
USDA NASS Customer Satisfaction Survey New 350 70 0 Form and Instruction 739
VHA Champ Questionnaire New 350 70 0 Form and Instruction 742
VHA Inpatient Survey New 350 70 0 Form and Instruction 738
VHA Outpatient Survey New 350 70 0 Form and Instruction 737
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 122275 20388 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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