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