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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
FSR 253, FSR 254, FSR 255, FSR 256, FSR 257, FSR 258, FSR 259
Agency IC Tracking Number:
FSR 253, 254, 255, 256, 257, 258, 259
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
FSR 253
DHS FEMA questionnaire
FSR 253 DHS FEMA.xls
Yes
Yes
Fillable Fileable
Form
FSR 254
VA eBenefits questionnaire
FSR 254 VA eBenefits.xls
Yes
Yes
Fillable Fileable
Form
FSR 255
State BCA Travel.State.gov questionnaire
FSR 255 State BCA Travel.State.gov.xls
Yes
Yes
Fillable Fileable
Form
FSR 256
NIST Research.gov
FSR 256 NIST Research.gov.xls
Yes
Yes
Fillable Fileable
Form
FSR 257
HHS NLM OSA questionnaire
FSR 257 HHS NLM OSA.xls
Yes
Yes
Fillable Fileable
Form
FSR 258
USDA CNPP questionnaire
FSR 258 USDA CNPP.xls
Yes
Yes
Fillable Fileable
Form
FSR 259
HHS CMS questionnaire
FSR 259 HHS CMS.xls
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Records & Statistical Mgt
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
35,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
35,000
0
0
0
0
35,000
Annual IC Time Burden (Hours)
1,458
0
0
0
0
1,458
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Justification for ICs to generic ICR 1090-0008
Justification for ICs to generic ICR 1090-0008.doc
05/20/2009
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.