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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
20297 SEC Main Mobile_updated by Michelle_02022021_DOT
New
1114
241
0
Form and Instruction
20297 SEC Main Mobile_updated by Michelle_02022021
20297 SEC Main Mobile_updated by Michelle_02022021_DOT
20297 SEC Main Web Browse_updated by Michelle Feb 02 2021_DOT
New
4735
758
0
Form and Instruction
20297 SEC Main Web Browse_updated by Michelle Feb
20297 SEC Main Web Browse_updated by Michelle Feb 02 2021_DOT
20807 US Mint Desktop Survey 3-29-2022
New
8300
692
0
Form and Instruction
20807 US Mint Desktop Survey 3-29-2022
20807 US Mint Desktop Survey 3-29-2022
20807 US Mint Desktop survey
New
8300
692
0
Form and Instruction
20807 US Mint Desktop survey
20807 US Mint Desktop survey
20807 US Mint Mobile Survey 3-29-2022
New
6900
575
0
Form and Instruction
20807 US Mint Mobile Survey 3-29-2022
20807 US Mint Mobile Survey 3-29-2022
20807 US Mint Mobile survey
New
6900
575
0
Form and Instruction
20807 US Mint Mobile survey
20807 US Mint Mobile survey
30689 2020 TDC Appeals Secure Messaging Survey vfinal2
New
500
25
0
Form and Instruction
30689 2020 TDC Appeals Secure Messaging Survey vf
30689 2020 TDC Appeals Secure Messaging Survey vfinal2
30689 EITC Foresee survey questions 08182020
New
10000
333
0
Form and Instruction
30689 EITC Foresee survey questions 08182020
30689 EITC Foresee survey questions 08182020
30689 Field Assistance Taxpayer Experience Survey_Revised 1-20-22
New
10000
333
0
Form and Instruction
30689 Field Assistance Taxpayer Experience Survey_
30689 Field Assistance Taxpayer Experience Survey_Revised 1-20-22
30689Copy of IRS Free File survey
New
5000
167
0
Form and Instruction
30689Copy of IRS Free File survey
30689Copy of IRS Free File survey
30689TEOS Survey 2020-05-05 IRS
New
20000
667
0
Form and Instruction
30689TEOS Survey 2020-05-05 IRS
30689TEOS Survey 2020-05-05 IRS
30715 2021 Proposed-Revision_VHA_Medical_Centers_Questionnaire Nov_3_2021
New
2670
178
0
Form and Instruction
30715
30715 2021 Proposed-Revision_VHA_Medical_Centers_Questionnaire Nov_3_2021
30723 Q_NRC_Mobile_20210319_DOT
New
1000
42
0
Form and Instruction
30723 Q_NRC_Mobile_20210319_DOT
30723 Q_NRC_Mobile_20210319_DOT
30723 Q_NRC_Web_Browse_2019-10-23_DOT
New
925
39
0
Form and Instruction
30723 Q_NRC_Web_Browse_2019-10-23_DOT
30723 Q_NRC_Web_Browse_2019-10-23_DOT
30724 CMS - InsureKidsNow_20180910_DOT
New
3600
180
0
Form and Instruction
30724 CMS - InsureKidsNow_20180910_DOT
30724 CMS - InsureKidsNow_20180910_DOT
30724 2021 Medicaid.gov Feedback Survey
New
1300
22
0
Form and Instruction
30724
30724 2021 Medicaid.gov Feedback Survey
30724 Medicaid.gov Feedback Survey
New
1300
22
0
Form and Instruction
30724 Medicaid.gov Feedback Survey
30724 Medicaid.gov Feedback Survey
30724 Q_Medicaid.gov_updated by Michelle July 14 2020
New
1382
174
0
Form and Instruction
30724 Q_Medicaid.gov_updated by Michelle July 14 2
30724 Q_Medicaid.gov_updated by Michelle July 14 2020
30733 1090-0008 Feedback Survey Mapping Doc - Contact Us
New
50
3
0
Form and Instruction
Contact Us
30733 1090-0008 Feedback Survey Mapping Doc - Contact Us
30733 1090-0008 Feedback Survey Mapping Doc - Granicus
New
50
3
0
Form and Instruction
Granicus
30733 1090-0008 Feedback Survey Mapping Doc - Granicus
30733 1090-0008 Feedback Survey Mapping Doc - Webinars
New
50
2
0
Form and Instruction
Webinars
30733 1090-0008 Feedback Survey Mapping Doc - Webinars
30733 1090-0008 Feedback Survey Mapping Doc - datums - geospatial summit
New
50
2
0
Form and Instruction
geospatial summit
30733 1090-0008 Feedback Survey Mapping Doc - datums - geospatial summit
30733 1090-0008 Feedback Survey Mapping Doc - geodesy.noaa.gov
New
50
2
0
Form and Instruction
geodesy.noaa.gov
30733 1090-0008 Feedback Survey Mapping Doc - geodesy.noaa.gov
30736 NOAA Fisheries Mobile Informational_2020_12_17
New
800
67
0
Form and Instruction
30736 NOAA Fisheries Mobile Informational_2020_12_
30736 NOAA Fisheries Mobile Informational_2020_12_17
30739 FEMA NFIP_Claim Start Functional 02_08_2022_DOT
New
1000
83
0
Form and Instruction
30739 FEMA NFIP_Claim Start Functional 02_08_2022_
30739 FEMA NFIP_Claim Start Functional 02_08_2022_DOT
30739 NFIP Claim Adjustment_10_05_2021_DOT
New
1000
83
0
Form and Instruction
30739 NFIP Claim Adjustment_10_05_2021_DOT
30739 NFIP Claim Adjustment_10_05_2021_DOT
30739 Q_FEMA NFIP_Claim Examination_02072022_DOT
New
1000
83
0
Form and Instruction
30739 Q_FEMA NFIP_Claim Examination_02072022_DOT
30739 Q_FEMA NFIP_Claim Examination_02072022_DOT
30739 Q_FEMA_NFIP_Adjuster Claims Process_20211005_DOT (1)
New
1000
83
0
Form and Instruction
30739 Q_FEMA_NFIP_Adjuster Claims Process_20211005
30739 Q_FEMA_NFIP_Adjuster Claims Process_20211005_DOT (1)
30802 DLA Web Browse_updated by Michelle Jan 18 2022
New
2023
101
0
Form and Instruction
30802 DLA Web Browse_updated by Michelle Jan 18 20
30802 DLA Web Browse_updated by Michelle Jan 18 2022
30807 Q_NIH News in Health Survey_12-20-21_DOT
New
100
4
0
Form and Instruction
30807 Q_NIH News in Health Survey_12-20-21_DOT
30807 Q_NIH News in Health Survey_12-20-21_DOT
30807 NIH News in Health Survey_12.14.21
New
900
38
0
Form and Instruction
30807 NIH News in Health Survey_12.14.21
30807 NIH News in Health Survey_12.14.21
30807 Survey Change Draft-2.11.22
New
1363
57
0
Form and Instruction
30807 Survey Change Draft-2.11.22
30807 Survey Change Draft-2.11.22
30807, Salud.NIH.gov Desktop survey
New
1299
63
0
Form and Instruction
30807
30807, Salud.NIH.gov Desktop survey
30809 Q_ABMCv2_Web_Browse_20160411_DOT
New
806
67
0
Form and Instruction
30809 Q_ABMCv2_Web_Browse_20160411_DOT
30809 Q_ABMCv2_Web_Browse_20160411_DOT
30813 Q_NHLBI_Browse V2_20211007_DOT
New
3511
234
0
Form and Instruction
30813 Q_NHLBI_Browse V2_20211007_DOT
30813 Q_NHLBI_Browse V2_20211007_DOT
30818 EPA Web Browse_20210628_DOT
New
13151
2192
0
Form and Instruction
30818 EPA Web Browse_20210628_DOT
30818 EPA Web Browse_20210628_DOT
30820 Q VAMyHealtheVet Mobile_1-5-2022 by Chris Nelson
New
24000
1200
0
Form and Instruction
30820 Q VAMyHealtheVet Mobile_1-5-2022 by Chris Ne
30820 Q VAMyHealtheVet Mobile_1-5-2022 by Chris Nelson
30820 Q VAMyHealtheVet Web Browse_1-5-2022 by Chris Nelson
New
70000
3500
0
Form and Instruction
30820 Q VAMyHealtheVet Web Browse_1-5-2022 by Chri
30820 Q VAMyHealtheVet Web Browse_1-5-2022 by Chris Nelson
30825 Q_NIDCR_Web_Browse_updated_01042021_DOT
New
400
17
0
Form and Instruction
30825 Q_NIDCR_Web_Browse_updated_01042021_DOT
30825 Q_NIDCR_Web_Browse_updated_01042021_DOT
30825 Q_NIDCR_Mobile_Browse_ updated by Shawn_05-05-2022
New
80
3
0
Form and Instruction
30825 Q_NIDCR_Mobile_Browse_ updated by Shawn_05-0
30825 Q_NIDCR_Mobile_Browse_ updated by Shawn_05-05-2022
30825 Q_NIDCR_Web_Browse_updated by Shawn_05_05_2022
New
400
17
0
Form and Instruction
30825 Q_NIDCR_Web_Browse_updated by Shawn_05_05_20
30825 Q_NIDCR_Web_Browse_updated by Shawn_05_05_2022
30830 Copy of Q_USITC_02102021_DOT (1)
New
455
23
0
Form and Instruction
30830 Copy of Q_USITC_02102021_DOT (1)
30830 Copy of Q_USITC_02102021_DOT (1)
30838 Q_FBI_Web_Browse_20170206_DOT
New
5650
235
0
Form and Instruction
30838 Q_FBI_Web_Browse_20170206_DOT
30838 Q_FBI_Web_Browse_20170206_DOT
30841 Q_DOS Main Mobile_20210708_DOT
New
3000
150
0
Form and Instruction
30841 Q_DOS Main Mobile_20210708_DOT
30841 Q_DOS Main Mobile_20210708_DOT
30841 Q_DOS Main Web Browse V3_20210610_DOT
New
3700
185
0
Form and Instruction
30841 Q_DOS Main Web Browse V3_20210610_DOT
30841 Q_DOS Main Web Browse V3_20210610_DOT
30908 SSA Mobile Wages Questionnaire 1-27-2022
New
12000
300
0
Form and Instruction
30908 SSA Mobile Wages Questionnaire 1-27-2022
30908 SSA Mobile Wages Questionnaire 1-27-2022
30916 Q_NIDDK Mobile v2_updated 02-15-2022_DOT
New
100
4
0
Form and Instruction
30916 Q_NIDDK Mobile v2_updated 02-15-2022_DOT
30916 Q_NIDDK Mobile v2_updated 02-15-2022_DOT
30919 OJP BJA Website Feedback Survey
New
350
12
0
Form and Instruction
30919 OJP BJA Website Feedback Survey
30919 OJP BJA Website Feedback Survey
30919 OJP BJS.ojp.gov Website Feedback Survey
New
200
7
0
Form and Instruction
30919 OJP BJS.ojp.gov Website Feedback Survey
30919 OJP BJS.ojp.gov Website Feedback Survey
30919 OJP Crime Solutions Website Feedback Survey 3.10.22
New
89
3
0
Form and Instruction
30919 OJP Crime Solutions Website Feedback Survey
30919 OJP Crime Solutions Website Feedback Survey 3.10.22
30919 OJP JGII Team Site
New
8
0
0
Form and Instruction
30919 OJP JGII Team Site
30919 OJP JGII Team Site
30919 OJP JusticeGrants Rate This Page
New
150
5
0
Form and Instruction
30919 OJP JusticeGrants Rate This Page
30919 OJP JusticeGrants Rate This Page
30919 OJP NIJ Rate This Page
New
730
12
0
Form and Instruction
30919 OJP NIJ Rate This Page
30919 OJP NIJ Rate This Page
30919 OJP NamUs Website Feedback Survey
New
240
8
0
Form and Instruction
30919 OJP NamUs Website Feedback Survey
30919 OJP NamUs Website Feedback Survey
30919 OJP NationalGangCenter Website Feedback Survey
New
40
1
0
Form and Instruction
30919 OJP NationalGangCenter Website Feedback Surv
30919 OJP NationalGangCenter Website Feedback Survey
30919 OJP OJJDP Rate This Page
New
170
6
0
Form and Instruction
30919 OJP OJJDP Rate This Page
30919 OJP OJJDP Rate This Page
30919 OJP OJP Rate This Page
New
1190
40
0
Form and Instruction
30919 OJP OJP Rate This Page
30919 OJP OJP Rate This Page
30919 OJP OJPNet Rate This Page
New
10
0
0
Form and Instruction
30919 OJP OJPNet Rate This Page
30919 OJP OJPNet Rate This Page
30919 OJP OVC Rate This Page
New
120
4
0
Form and Instruction
30919 OJP OVC Rate This Page
30919 OJP OVC Rate This Page
30919 OJP Operational Lady Justice Rate This Page
New
10
0
0
Form and Instruction
30919 OJP Operational Lady Justice Rate This Page
30919 OJP Operational Lady Justice Rate This Page
30919 OJP SMART Rate This Page
New
50
2
0
Form and Instruction
30919 OJP SMART Rate This Page
30919 OJP SMART Rate This Page
30919 OJP VehicleHistory BJA Rate This Page
New
480
16
0
Form and Instruction
30919 OJP VehicleHistory BJA Rate This Page
30919 OJP VehicleHistory BJA Rate This Page
30919 data.ojp.usdoj.gov Feedback
New
1000
33
0
Form and Instruction
30919
30919 data.ojp.usdoj.gov Feedback
30923 ERS_Web_Browse_updated March 2022
New
595
50
0
Form and Instruction
30923 ERS_Web_Browse_updated March 2022
30923 ERS_Web_Browse_updated March 2022
32003 Q_USDA-NASS_Web_Browse_20180611_DOT
New
550
23
0
Form and Instruction
32003 Q_USDA-NASS_Web_Browse_20180611_DOT
32003 Q_USDA-NASS_Web_Browse_20180611_DOT
32006 Q_NHTSAmain_Web_Browse_2020_Feb_18_DOT
New
6430
429
0
Form and Instruction
32006 Q_NHTSAmain_Web_Browse_2020_Feb_18_DOT
32006 Q_NHTSAmain_Web_Browse_2020_Feb_18_DOT
32010 2021 DoDEA EAS Functional Desktop survey, updated by Michelle 11-3-2021
New
430
18
0
Form and Instruction
3210 2021
32010 2021 DoDEA EAS Functional Desktop survey, updated by Michelle 11-3-2021
32011 Feedback Survey - SBA 2021 Feedback survey
New
25424
636
0
Form and Instruction
32011 Feedback Survey - SBA 2021 Feedback survey
32011 Feedback Survey - SBA 2021 Feedback survey
32013 Feedback Survey Mapping Doc FTC IA#32013 Identity Theft Feedback survey
New
9595
160
0
Form and Instruction
32013 Feedback Survey Mapping Doc FTC IA#32013 Id
32013 Feedback Survey Mapping Doc FTC IA#32013 Identity Theft Feedback survey
32013 Complaint Assistant Feedback survey questions
New
12802
160
0
Form and Instruction
32013 Complaint Assistant Feedback survey question
32013 Complaint Assistant Feedback survey questions
32013 FTC.gov Consumer Desktop_updated by Michelle December 14 2021_DOT
New
3000
250
0
Form and Instruction
32013 FTC.gov Consumer Desktop_updated by Michelle
32013 FTC.gov Consumer Desktop_updated by Michelle December 14 2021_DOT
32013 FTC.gov Consumer Mobile_updated by Michelle Dec 15 2021_DOT
New
3000
250
0
Form and Instruction
32013 FTC.gov Consumer Mobile_updated by Michelle
32013 FTC.gov Consumer Mobile_updated by Michelle Dec 15 2021_DOT
32014 Feedback Survey Mapping Doc, PBGC IA 32014, Multi-topic Feedback survey
New
400
7
0
Form and Instruction
32014 Feedback Survey Mapping Doc, PBGC IA 32014,
32014 Feedback Survey Mapping Doc, PBGC IA 32014, Multi-topic Feedback survey
32101 Feedback Survey Mapping Doc Forest Service Mobile App Visitor Map Product Survey
New
1200
30
0
Form and Instruction
32101 Feedback Survey Mapping Doc Forest Service M
32101 Feedback Survey Mapping Doc Forest Service Mobile App Visitor Map Product Survey
32105 NIH-OAR HIVinfo_Survey_Dec 2021
New
1200
50
0
Form and Instruction
32105 NIH-OAR HIVinfo_Survey_Dec 2021
32105 NIH-OAR HIVinfo_Survey_Dec 2021
32105 NIH-OAR ClinicalInfo_Survey_Dec 2021
New
1200
50
0
Form and Instruction
32105 NIH-OAR ClinicalInfo_Survey_Dec 2021
32105 NIH-OAR ClinicalInfo_Survey_Dec 2021
32105 NIH-OAR ClinicalInfo_Survey_Dec 2021
New
1200
50
0
Form and Instruction
32105 NIH-OAR ClinicalInfo_Survey_Dec 2021
32105 NIH-OAR ClinicalInfo_Survey_Dec 2021
32105 NIH-OAR HIVinfo_Survey_Dec 2021
New
1200
50
0
Form and Instruction
32105 NIH-OAR HIVinfo_Survey_Dec 2021
32105 NIH-OAR HIVinfo_Survey_Dec 2021
IA30918 Q_CDC Web Browse_updated by Michelle 3-31-2021_DOT
New
13812
1913
0
Form and Instruction
IA30918 Q_CDC Web Browse_updated by Michelle 3-31
IA30918 Q_CDC Web Browse_updated by Michelle 3-31-2021_DOT
IA30918 Feedback Survey Mapping Doc - CDC Advanced Search Feedback survey
New
1000
50
0
Form and Instruction
IA30918 Feedback Survey Mapping Doc - CDC Advanced
IA30918 Feedback Survey Mapping Doc - CDC Advanced Search Feedback survey
IA30918 Feedback Survey Mapping Doc CDC Feedback survey - specific content pages
New
3168
211
0
Form and Instruction
IA30918 Feedback Survey Mapping Doc CDC Feedback s
IA30918 Feedback Survey Mapping Doc CDC Feedback survey - specific content pages
IA30918 Q_CDCCommGde_Web_Browse_20170807
New
51
4
0
Form and Instruction
IA30918 Q_CDCCommGde_Web_Browse_20170807
IA30918 Q_CDCCommGde_Web_Browse_20170807
IA30918 Q_CDCNPIN_Mobile_Browse_20170807 (1)
New
741
49
0
Form and Instruction
IA30918 Q_CDCNPIN_Mobile_Browse_20170807 (1)
IA30918 Q_CDCNPIN_Mobile_Browse_20170807 (1)
IA30918 Q_CDCNPIN_Web_Browse_20170807
New
87
4
0
Form and Instruction
IA30918 Q_CDCNPIN_Web_Browse_20170807
IA30918 Q_CDCNPIN_Web_Browse_20170807
IA32013 FTC.gov Feedback Survey Mapping Doc
New
3000
25
0
Form and Instruction
IA32013 FTC.gov Feedback Survey Mapping Doc
IA32013 FTC.gov Feedback Survey Mapping Doc
IA32013 FTC.gov desktop Engagement survey
New
3843
128
0
Form and Instruction
IA32013 FTC.gov desktop Engagement survey
IA32013 FTC.gov desktop Engagement survey
IA32013 Feedback Clearance Mapping Doc - FTC IA#32013 Consumidor Feedback survey
New
419
7
0
Form and Instruction
IA32013 Feedback Clearance Mapping Doc - FTC IA#3
IA32013 Feedback Clearance Mapping Doc - FTC IA#32013 Consumidor Feedback survey
IA32013 Feedback Survey Mapping Doc FTC IA 32013, Do Not Call Consumer Articles Feedback survey
New
1417
12
0
Form and Instruction
IA32013 Feedback Survey Mapping Doc FTC IA 32013,
IA32013 Feedback Survey Mapping Doc FTC IA 32013, Do Not Call Consumer Articles Feedback survey
IA32013 FTC ComplaintAssistant Web Browse_20201020_DOT
New
29000
2393
0
Form and Instruction
IA32013 FTC ComplaintAssistant Web Browse_20201020
IA32013 FTC ComplaintAssistant Web Browse_20201020_DOT
IA32013 FTC.gov mobile Engagement survey
New
10641
355
0
Form and Instruction
IA32013 FTC.gov mobile Engagement survey
IA32013 FTC.gov mobile Engagement survey
IA32014 Feedback Survey COLA August 2021
New
75
3
0
Form and Instruction
IA32014 Feedback Survey COLA August 2021
IA32014 Feedback Survey COLA August 2021
IA32014 Feedback survey PBGC Spanish August 2021
New
3
0
0
Form and Instruction
IA32014 Feedback survey PBGC Spanish August 2021
IA32014 Feedback survey PBGC Spanish August 2021
IA32014 Feedback Survey Worker Retiree Draft 12AUG2021
New
20
1
0
Form and Instruction
IA32014 Feedback Survey Worker Retiree Draft 12AUG
IA32014 Feedback Survey Worker Retiree Draft 12AUG2021
IA32014 My PBA v2_updated by Chris Feb 07 2022_DOT
New
3708
290
0
Form and Instruction
IA32014 My PBA v2_updated by Chris Feb 07 2022_DOT
IA32014 My PBA v2_updated by Chris Feb 07 2022_DOT
IA32014 PBGC.gov mobile draft 30NOV2020
New
300
10
0
Form and Instruction
IA32014 PBGC.gov mobile draft 30NOV2020
IA32014 PBGC.gov mobile draft 30NOV2020
IA32014 PBGCMyPAA_Web_Browse_updated by Chris Feb 04 2022_DOT
New
169
8
0
Form and Instruction
IA32014 PBGCMyPAA_Web_Browse_updated by Chris Feb
IA32014 PBGCMyPAA_Web_Browse_updated by Chris Feb 04 2022_DOT
IRS OMB submissions - IA 30689
New
550469
36698
0
Form and Instruction
30689 IRS Spanish Mobile v5_10012021_DOT (1)
30689 IRS Spanish Mobile v5_10012021_DOT (1)
Form and Instruction
30689 Q_IRS Mobile V5_12062021_DOT (1)
30689 Q_IRS Mobile V5_12062021_DOT (1)
Form and Instruction
30689 Q_IRS Online Account Web Browse_V3_20200422_
30689 Q_IRS Online Account Web Browse_V3_20200422_DOT
Form and Instruction
30689 Q_IRS Web Browse Spanish_20210625_DOT (1)
30689 Q_IRS Web Browse Spanish_20210625_DOT (1)
Form and Instruction
30689 Q_IRS Web Browse V4_20210611_DOT (1)
30689 Q_IRS Web Browse V4_20210611_DOT (1)
Form and Instruction
30689 US Treasury_IRS_Direct Pay_10212021_DOT
30689 US Treasury_IRS_Direct Pay_10212021_DOT
Total Burden Actually Used for Information Collections Under Currently Approved ICR:
936900
59039
0
Total Burden Currently Requested for Information Collections Under Currently Approved ICR:
0
0
0
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