Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.
Quarterly Services Survey	Modified	94000	20900	0	Form and Instruction	Qss-0A
					Form and Instruction	QSS-0E
					Form and Instruction	QSS-1A
					Form and Instruction	QSS-1E
					Form and Instruction	QSS-1pA
					Form and Instruction	QSS-1pE
					Form and Instruction	QSS-2A
					Form	QSS-2E
					Form	QSS-3A
					Form	QSS-3E
					Form	QSS-3sA
					Form	QSS-3sE
					Form	QSS-4A
					Form	QSS-4E
					Form	QSS-4fA
					Form	QS-4fE
					Form	QSS-4sA
					Form	QSS-4sE
					Form	QSS-5A
					Form	QSS -5E
					Form	QSS -6A
					Form	QSS-6E
					Form	QSS -7A
					Form	QSS -7E
					Form	QSS -8A
					Form	QSS -8E
					Form	QSS -9A
					Form	QSS -9E
					Form	QSS-L5
Total burden requested under this ICR:		94000	20900	0
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