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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Dept of Ed Call Center Questionnaire
New
250
50
0
Form and Instruction
019-20272 A3
Dept of Ed Call Center Questionnaire-019-20272 A3
FAA Website Questionnaire 2018-19-20313 A1
New
250
50
0
Form and Instruction
022-20313 A1
FAA Website Questionnaire-20313 A1
HRSA HHS NHSC Participant Stakeholder
New
250
50
0
Form and Instruction
023-20317 A1
NHSC HRSA Participant Survey-023-20317 A1
OSEOD Customer Touch Survey-035-20260 A3
New
250
50
0
Form and Instruction
035-20260 A1
OSEOD Customer Touch Survey
USGS Webmonitor Survey-021-20318 A1
New
250
50
0
Form and Instruction
021-20318 A1
USGS Webmonitor Survey-021-20318 A1
082 22002Dept of ED OGA Grantee Questionnaire_CORE+Adult Ed and Family Literacy(3)
New
250
50
0
Form and Instruction
082 22002
082 22002Dept of ED OGA Grantee Questionnaire_CORE+Adult Ed and Family Literacy(3)
083 22002 Dept of ED OGA Grantee Questionnaire_CORE+Carl Perkins Career&Technical(4)
New
250
50
0
Form and Instruction
083 22002
083 22002 Dept of ED OGA Grantee Questionnaire_CORE+Carl Perkins Career&Technical(4)
084 22002 Dept of ED OGA Grantee Questionnaire_CORE+Native Hawaiian Career and Technical Education(5)
New
250
50
0
Form and Instruction
084 22002
084 22002 Dept of ED OGA Grantee Questionnaire_CORE+Native Hawaiian Career and Technical Education(5)
085 22002 Dept of ED OGA Grantee Questionnaire_CORE+Native American Career and Technical Education(6)
New
250
50
0
Form and Instruction
085 22002
085 22002 Dept of ED OGA Grantee Questionnaire_CORE+Native American Career and Technical Education(6)
086 22002 Dept of ED OGA Grantee Questionnaire_CORE+IDEA-State Directors of Education(7)
New
250
50
0
Form and Instruction
086 22002
086 22002 Dept of ED OGA Grantee Questionnaire_CORE+IDEA-State Directors of Education(7)
087 22002 Dept of ED OGA Grantee Questionnaire_CORE+IDEA-Part C Infants and Toddlers(8)
New
250
50
0
Form and Instruction
087 22002
087 22002 Dept of ED OGA Grantee Questionnaire_CORE+IDEA-Part C Infants and Toddlers(8)
088 22002 Dept of ED OGA Grantee Questionnaire_CORE+RSA Vocational Rehabilitation Program(9)
New
250
50
0
Form and Instruction
088 22002
088 22002 Dept of ED OGA Grantee Questionnaire_CORE+RSA Vocational Rehabilitation Program(9)
089 22002 Dept of ED OGA Grantee Questionnaire_CORE+Rehabilitation Long Term Training Program(10)
New
250
50
0
Form and Instruction
089 22002
089 22002 Dept of ED OGA Grantee Questionnaire_CORE+Rehabilitation Long Term Training Program(10)
090 22002 Dept of ED OGA Grantee Questionnaire_CORE+IDEA National Centers(11)
New
250
50
0
Form and Instruction
090 22002
090 22002 Dept of ED OGA Grantee Questionnaire_CORE+IDEA National Centers(11)
091 22002 Dept of ED OGA Grantee Questionnaire_CORE+GEAR UP-State(12)
New
250
50
0
Form and Instruction
091 22002
091 22002 Dept of ED OGA Grantee Questionnaire_CORE+GEAR UP-State(12)
092 22002 Dept of ED OGA Grantee Questionnaire_CORE+GEAR UP-Partnerships(13)
New
250
50
0
Form and Instruction
092 22002
092 22002 Dept of ED OGA Grantee Questionnaire_CORE+GEAR UP-Partnerships(13)
093 22002 Dept of ED OGA Grantee Questionnaire_CORE+Childcare Access Means Parents In School(14)
New
250
50
0
Form and Instruction
093 22002
093 22002 Dept of ED OGA Grantee Questionnaire_CORE+Childcare Access Means Parents In School(14)
094 22002 Dept of ED OGA Grantee Questionnaire_CORE+Strengthening Institutions Program(15)
New
250
50
0
Form and Instruction
094 22002
094 22002 Dept of ED OGA Grantee Questionnaire_CORE+Strengthening Institutions Program(15)
095 22002 Dept of ED OGA Grantee Questionnaire_CORE+Alaskan Native and Native Hawaiian-Part A(16)
New
250
50
0
Form and Instruction
095 22002
095 22002 Dept of ED OGA Grantee Questionnaire_CORE+Alaskan Native and Native Hawaiian-Part A(16)
096 22002 Dept of ED OGA Grantee Questionnaire_CORE+Minority Science and Engineering(17)
New
250
50
0
Form and Instruction
096 22002
096 22002 Dept of ED OGA Grantee Questionnaire_CORE+Minority Science and Engineering(17)
097 22002 Dept of ED OGA Grantee Questionnaire_CORE+Developing Hispanic Serving Institutions(18)
New
250
50
0
Form and Instruction
097 22002
097 22002 Dept of ED OGA Grantee Questionnaire_CORE+Developing Hispanic Serving Institutions(18)
098 22002 Dept of ED OGA Grantee Questionnaire_CORE+Promoting Post Baccalaureate Opportunities(19)
New
250
50
0
Form and Instruction
098 22002
098 22002 Dept of ED OGA Grantee Questionnaire_CORE+Promoting Post Baccalaureate Opportunities(19)
099 22002 Dept of ED OGA Grantee Questionnaire_CORE+Tribally Controlled Colleges and Universities(20)
New
250
50
0
Form and Instruction
099 22002
099 22002 Dept of ED OGA Grantee Questionnaire_CORE+Tribally Controlled Colleges and Universities(20)
101 Dept of Ed Grantee Survey Program 22
New
250
50
0
Form and Instruction
101-22002
101 Dept of Ed Grantee Survey Program 22
2018 005 VA MOVE! Patient Experience Survey 2018
New
250
50
0
Form and Instruction
005-20321 A0
VA MOVE! Patient Experience Survey-005-20321 A0
2018 007 Questionnaire_NPS.gov
New
250
50
0
Form and Instruction
007-20327 A0
NPS.gov Webmonitor-007-20327
2019 015 NWS Webmonitor
New
250
50
0
Form and Instruction
NWS FY18 PopupAurvey Webmonitor
NWS FY18
2019 024 AMS Market News 2018
New
250
50
0
Form and Instruction
024-20261A2
USDA AMS Market News survey IA 20261
2019 027 NIH NIAID Webmonitor
New
250
50
0
Form and Instruction
027-20277 A3
NIH NIAID Survey
2019 028 Benefits.gov Webmonitor
New
250
50
0
Form and Instruction
028-20320A1
Benefits.gov Webmonitor
2019 029 FTC Continuous
New
250
50
0
Form and Instruction
029-50165A3
FTC Continuous Questionnaire
2019 031 US Mint IVR Continuous
New
250
50
0
Form and Instruction
031-2048A4
US Mint Call Center (IVR) Questionnaire
2019 036 PBGC Participants
New
250
50
0
Form and Instruction
036-20274 A3
PBGC Participants Survey-20274 A3
2019 036 USCIS E-Verify CCO
New
250
50
0
Form and Instruction
037-20325 A2
USCIS E-Verify CCO Survey-20325 A2
2019 041 PBGC Participant Caller Customer Satisfaction Survey
New
250
50
0
Form and Instruction
041
PBGC Participant Caller Customer Satisfaction
2019 230 DeCA CCSS Store Browser 20190529_DOT 6.13.19
New
250
50
0
Form and Instruction
230
2019 230 DeCA CCSS Store Browser 20190529_DOT 6.13.19
Form and Instruction
230
2019 230 DeCA Core Store Purchaser_06.13.19
2019 ED NCES Survey
New
250
50
0
Form and Instruction
070-20209 A4
2019 ED NCES Survey
2020 026 DeCA Store Purchaser Survey Questions 05.14.2020
New
9000
900
0
Form and Instruction
026
2020 026 DeCA Store Purchaser Survey Questions 05.14.2020
2020 027 Shopping Bag Feedback survey mapping file
New
9000
300
0
Form and Instruction
027
2020 027 Shopping Bag Feedback survey mapping file
2020 042 CFPB_Pubs_Customer Satisfaction Survey vFINAL
New
250
50
0
Form and Instruction
042
2020 042 CFPB_Pubs_Customer Satisfaction Survey vFINAL
2020 100 HRSA HAB CAREWare Customer Satisfaction and User Questionnaire - 10.13.20
New
300
60
0
Form and Instruction
100
2020 100 HRSA HAB CAREWare Customer Satisfaction and User Questionnaire - 10.13.20
2020 101 ARC Website Questionnaire - Final to OMB_rev
New
1400
280
0
Form and Instruction
101
2020 101 ARC Website Questionnaire - Final to OMB_rev
ACSI 2019 10 USCIS Welcome to US Pamphlet Survey
New
250
50
0
Form and Instruction
10-20325 A0
USCIS Welcome to US Pamphlet Survey-20325 A0
ACSI Survey 2019 022 FAA FSS (Phone)
New
250
50
0
Form and Instruction
022(2)-20313 A1
FAA FSS Phone Survey-022(2)-20313 A1
ACSI Survey HRSA BHW NURSE Corps
New
250
50
0
Form and Instruction
023-20317 A1 (2)
HRSA BHW Nurse Corps Participant Survey
ACSi 2019 014 NRRS Continuous
New
250
50
0
Form and Instruction
014-30531 A6
NRRS Customer Service Survey -30531 A6
BCA Passport Annual Survey
New
250
50
0
Form and Instruction
022
BCA Passport Annual Survey
BCA Passport IVR Call Center Survey
New
250
50
0
Form and Instruction
20322-A1
BCA Passport IVR Call Center Survey
CFPB Customer Satisfaction Survey-20910A0
New
250
50
0
Form and Instruction
062-20910A0
CFPB FinEx Customer Satisfaction Survey
DOI OST Survey 20907 A0
New
250
50
0
Form and Instruction
079-20907 A0
DOI OST Survey
DOI OSTCall Center Survey-052-20908 A0
New
250
50
0
Form and Instruction
052-20908 A0
DOI OST Call Center Survey
DOJ COPS Customer Satisfaction Survey-20903 A0
New
250
50
0
Form and Instruction
975-20903 A0
DOJ COPS Customer Satisfaction Survey-20903 A0
Department of ED Grantee Survey program 01
New
250
50
0
Form and Instruction
080-22002
Department of ED
Department of Ed Grantee Survey Program 46
New
250
50
0
Form and Instruction
125-22002
Dept of Ed Grantee Survey Program 46
Department of Ed. Grantee Survey Program 21
New
250
50
0
Form and Instruction
100-22002
Dept of Ed. Survey Program 21
Dept of Ed CFO Grantee Customer Satisfaction Survey-20267 A5-3
New
250
50
0
Form and Instruction
049-20267-A5-3
Dept of Ed CFO Grantee Customer Satisfaction Survey-20267 A5-3
Dept of Ed Grante Survey Program 36
New
250
50
0
Form and Instruction
115-22002
Dept of Ed Grantee Survey Program 36
Dept of Ed Grantee Survey - Program 113
New
250
50
0
Form and Instruction
113-22002
Dept of Ed Grantee Survey Program 34
Dept of Ed Grantee Survey - Program 24
New
250
50
0
Form and Instruction
103-22002
Dept of Ed Grantee Survey-Program 24
Dept of Ed Grantee Survey - Program 27
New
250
50
0
Form and Instruction
106-22002
Dept of Ed Grantee Survey Program 27
Dept of Ed Grantee Survey -Program 31
New
250
50
0
Form and Instruction
110-22002
Dept of Ed Grantee Survey Program 31
Dept of Ed Grantee Survey Program
New
250
50
0
Form and Instruction
130-22002
Dept of Ed Grantee Survey Program 51
Dept of Ed Grantee Survey Program 47
New
250
50
0
Form and Instruction
126-22002
Dept of Ed Grantee Survey Program 47
Dept of Ed Grantee Survey Program 48
New
250
50
0
Form and Instruction
127-22002
Dept of Ed Grantee Survey Program 48
Dept of Ed Grantee Survey Program 49
New
250
50
0
Form and Instruction
128-22002
Dept of Ed Grantee Survey Program 49
Dept of Ed Grantee Survey Program 50
New
250
50
0
Form and Instruction
129-22002
Dept of Ed Grantee Survey Program 50
Dept of Ed Grantee Survey Program 52
New
250
50
0
Form and Instruction
131-22002
Dept of Ed Grantee Survey Program 52
Dept of Ed Grantee Survey Program 53
New
250
50
0
Form and Instruction
132-22002
Dept of Ed Grantee Survey Program 53
Dept of Ed Grantee Survey Program 54
New
250
50
0
Form and Instruction
133-22002
Dept of Ed Grantee Survey Program 54
Dept of Ed Grantee Survey Program 55
New
250
50
0
Form and Instruction
134-22002
Dept of Ed Grantee Survey Program 55
Dept of Ed Grantee Survey Program 56
New
250
50
0
Form and Instruction
135-22002
Dept of Ed Grantee Survey Program 56
Dept of Ed Grantee Survey Program 57
New
250
50
0
Form and Instruction
136-22002
Dept of Ed Grantee Survey Program 57
Dept of Ed Grantee Survey Program 58
New
250
50
0
Form and Instruction
137-22002
Dept of Ed Grantee Survey Program 58
Dept of Ed Grantee Survey Program 59
New
250
50
0
Form and Instruction
138-22002
Dept of Ed Grantee Survey Program 59
Dept of Ed Grantee Survey Program 60
New
250
50
0
Form and Instruction
139-22002
Dept of Ed Grantee Survey Program 60
Dept of Ed Grantee Survey Program 61
New
250
50
0
Form and Instruction
140-22002
Dept of Ed Grantee Survey Program 61
Dept of Ed Grantee Survey Program 63
New
250
50
0
Form and Instruction
142-22002
Dept of Ed Grantee Survey Program 63
Dept of Ed Grantee Survey Program 64
New
250
50
0
Form and Instruction
143-22002
Dept of Ed Grantee Survey Program 64
Dept of Ed Grantee Survey Program 66
New
250
50
0
Form and Instruction
145-22002
Dept of Ed Grantee Survey Program 66
Dept of Ed Grantee Survey Program 67
New
250
50
0
Form and Instruction
146-67
Dept of Ed Grantee Survey Program 67
Dept of Ed Grantee Survey Program 68
New
250
50
0
Form and Instruction
147-22002
Dept of Ed Grantee Survey Program 68
Dept of Ed Grantee Survey Program 69
New
250
50
0
Form and Instruction
148-22002
Dept of Ed Grantee Survey Program 69
Dept of Ed Grantee Survey Program 70
New
250
50
0
Form and Instruction
149-22002
Dept of Ed Grantee Survey Program 70
Dept of Ed Grantee Survey Program 26
New
250
50
0
Form and Instruction
106-22002
Dept of Ed Grantee Survey Program 26
Dept of Ed Grantee Survey Program 28
New
250
50
0
Form and Instruction
107-22002
Dept. of Ed Grantee Survey Program 28
Dept of Ed Grantee Survey Program 29
New
250
50
0
Form and Instruction
108-22002
Dept of Ed Grantee Survey Program 29
Dept of Ed Grantee Survey Program 30
New
250
50
0
Form and Instruction
109-22002
Dept of Ed Grantee Survey Program 30
Dept of Ed Grantee Survey Program 32
New
250
50
0
Form and Instruction
111-22002
Dept of Ed Grantee Survey - Program 32
Dept of Ed Grantee Survey Program 33
New
250
50
0
Form and Instruction
112-22002
Dept of Ed Grantee Survey - Program 33
Dept of Ed Grantee Survey Program 35
New
250
50
0
Form and Instruction
114-22002
Dept of Ed Grantee Survey Program 35
Dept of Ed Grantee Survey Program 37
New
250
50
0
Form and Instruction
116-22002
Dept of Ed Grantee Survey Program 37
Dept of Ed Grantee Survey Program 38
New
250
50
0
Form and Instruction
117-22002
Dept of Ed Grantee Survey Program 38
Dept of Ed Grantee Survey Program 39
New
250
50
0
Form and Instruction
118-22002
Dept of Ed Grantee Survey Program 39
Dept of Ed Grantee Survey Program 40
New
250
50
0
Form and Instruction
119-22002
Dept of Ed Grantee Survey Program 119
Dept of Ed Grantee Survey Program 41
New
250
50
0
Form and Instruction
120-22002
Dept of Ed Grantee Survey Program 41
Dept of Ed Grantee Survey Program 42
New
250
50
0
Form and Instruction
121-22002
Dept of Ed Grantee Survey Program 42
Dept of Ed Grantee Survey Program 43
New
250
50
0
Form and Instruction
122-22002
Dept of Ed Grantee Survey Program 43
Dept of Ed Grantee Survey Program 44
New
250
50
0
Form and Instruction
123-22002
Dept of Ed Grantee Survey Program 44
Dept of Ed Grantee Survey Program 45
New
250
50
0
Form and Instruction
124-22002
Dept of Ed Grantee Survey Program 124
Dept of Ed Grantee Survey Program 62
New
250
50
0
Form and Instruction
141-22002
Dept of Ed Grantee Survey Program 62
Dept of Ed Grantee Survey Program 65
New
250
50
0
Form and Instruction
144-22002
Dept of Ed Grantee Survey Program 65
Dept of Ed Grantee Survey- Program 23
New
250
50
0
Form and Instruction
102-22002
Dept of Ed Grantee Survey Program 23
Dept of Ed Grantee Survey- Program 25
New
250
50
0
Form and Instruction
104-22002
Dept of Ed Grantee Survey - Program 25
Dept. of Educatuon OGA Grantee Survey-22002 A0
New
250
50
0
Form and Instruction
078-22002 A0
Dept. of Ed OGA Grantee Survey
FEMA HMA Grant Survey (20311 A1)
New
250
50
0
Form and Instruction
043
FEMA HMA Grant Survey
FinCEN E-Filing Survey -20265A5
New
250
50
0
Form and Instruction
045-20265A5
FinCEN BSA E-Filing Survey-20265A5
FinCEN Foreign FIU Survey-050-20265 A5
New
250
50
0
Form and Instruction
050-20265 A5
FinCEN Foreign FIU Survey-050-20265 A5
FinCEN Portal & Query Survey - 20265 A5
New
250
50
0
Form and Instruction
047-20265 A5
FinCEN Portal and Query Survey
FinCEN Products and Services Survey-20265 A5
New
250
50
0
Form and Instruction
048-20265 A5
FinCEN Products and Services Survey
HHS OCS CED Survey
New
250
50
0
Form and Instruction
040
HHS OCS CED Survey
HRSA BPHC 2018 Stakeholder Satisfaction Survey
New
250
50
0
Form and Instruction
020
HRSA BPHC 2018 Stakeholder Satisfaction Survey
HRSA HAB Recipeint Questionnaire-061 20316 A1
New
250
50
0
Form and Instruction
061-20316 A1
HRSA HAB Recipient Questionnaire
HRSA NHSC Site Survey
New
250
50
0
Form and Instruction
039
HRSA NHSC Site Survey
HRSA OPAE Grantee Satisfaction Survey-20914A0
New
250
50
0
Form and Instruction
063-20914 A0
2019 HRSA OPAE Grantee Satisfaction Survey
NASA DEVELOP End User Questionnaire - Survey #1
New
250
50
0
Form and Instruction
023
NASA DEVELOP End User Questionnaire - Survey #1
NASA DEVELOP Participant Questionnaire - Survey 2
New
250
50
0
Form and Instruction
024
NASA DEVELOP Participant Questionnaire - Survey 2
NASA EOSDIS Survey
New
250
50
0
Form and Instruction
025
NASA EOSDIS Survey Questionnaire
NASA Planetary Data System Survey-20901A0
New
250
50
0
Form and Instruction
072-20901 A0
NASA Planetary Data System Survey
National Weather Service (NWS) 20905 A0 rev
New
250
50
0
Form and Instruction
068-20905 A0 rev
National Weather Service (NWS) Survey
OCS LIHEAP Satisfaction Survey 20917 A1
New
250
50
0
Form and Instruction
066-20917 A1
OCS LIHEAP Satisfaction Survey
OMB Mapping Cover_ED Grantee 2020_02
New
250
50
0
Form and Instruction
081 22002
081 22002Dept of ED OGA Grantee Questionnaire_CORE+National Professional Development Program(02)
PBGC Premium Filer Questionnaire
New
250
50
0
Form and Instruction
042
PBGC Premium Filer Questionnaire
PBGC Retiree Survey-051-20253 A4-rev
New
250
50
0
Form and Instruction
051-20253 A4-rev
PBGC Retiree Survey 051-20253 A4-rev
SBA Lenders Satisfaction Survey
New
250
50
0
Form and Instruction
065-20328 A1
SBA Lenders Satisfaction Survey
SBSE ACSI Questionnaire-20275-A5-2
New
250
50
0
Form and Instruction
059-20275A5-2
SBSE ACSI Questionnaire 20275A5-2
USCIS SAVE Call Center Survey
New
250
50
0
Form and Instruction
021
USCIS SAVE Call Center Survey
USCIS SAVE Customer Satisfaction Survey-064-20325 A2
New
250
50
0
Form and Instruction
064-20325 A2
USCIS SAVE Customer Satifaction Survey
USDA FSIS Call Center Questionnaire-30614 A4
New
250
50
0
Form and Instruction
018-30614 A4
USDA FSIS Call Center Questionnaire-018-30614 A4
USDA NAL (Office of Comm) Survey #2-20909A0
New
250
50
0
Form and Instruction
069-20909A0
USDA NAL (Office of Comm) Survey #2-20909A0
USDA NAL NISIC Survey #4-20909 A0
New
250
50
0
Form and Instruction
077-20909 A0
USDA NAL NISIC Survey-20909 A0
USDA NAL Questionnaire 20909A0
New
250
50
0
Form and Instruction
067-20909A0
USDA NAL Questionnaire-20909
USDA NAL Questionnaire-20909 A0
New
250
50
0
Form and Instruction
076-20909 A0
USDA NAL Questionnaire
USDA NAL Survey #3-071-20909A0
New
250
50
0
Form and Instruction
071-20909A0
USDA NAL Survey #3
USDA NASS Customer Satisfaction Survery-20918 A0
New
250
50
0
Form and Instruction
150-20918 A0
USDA NASS Customer Satisfaction Survery
VA NCA Survey - 20226A3
New
250
50
0
Form and Instruction
046-20226A3
VA NCA Survey-20226A3
VA VBA Life Insurance Satisfaction Questionnaire -20266 A2
New
250
50
0
Form and Instruction
044
VA VBA Life Insurance Satisfaction Questionnaire (20266 A2)
VA VHA CHAMPVA Beneficiaries Survey #1-20923 A0
New
250
50
0
Form and Instruction
073-20923A0
VA VHA CHAMPVA Beneficiaries Survey #1-20923 A0
VA VHA Spina Bifida Survey #2-20923
New
250
50
0
Form and Instruction
074-20923 A0
VA VHA Spins Bifida Survey #2-20923
VHA Inpatient Customer Satisfaction Survey
New
250
50
0
Form and Instruction
037
NHA inpatient Customer Satisfaction Survey
VHA Outpatient Customer Satisfaction Survey
New
250
50
0
Form and Instruction
038
VHA Outpatient Customer Satisfaction Survey
Total Burden Actually Used for Information Collections Under Currently Approved ICR:
53700
8340
0
Total Burden Currently Requested for Information Collections Under Currently Approved ICR:
0
0
0
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