View Information Collection (IC)
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
N-SSATS
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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 and Instruction
N-SSATS 2013 full questionnaire
N-SSATS 2013 full questionnaire
Attachment B1 - N-SSATS 2013 full questionnaire.docx
Yes
Yes
Fillable Printable
Form and Instruction
N-SSATS 2013 web screens for on-line questionnaire
N-SSATS 2013 web screens for on-line questionnaire
Attachment B3 - N-SSATS 2013 web screens for on-line questionnaire.pdf
Yes
Yes
Fillable Printable
Form and Instruction
N-SSATS 2013 CATI Questionnaire
N-SSATS 2013 CATI Questionnaire
Attachment B4 - N-SSATS 2013 CATI Questionnaire.pdf
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
17,000
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
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
17,000
0
0
0
0
17,000
Annual IC Time Burden (Hours)
9,860
0
-1,530
0
0
11,390
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
N-SSATS 2013 Thank you reminder letter
Attachment B7 - N-SSATS 2013 Thank you reminder letter.docx
10/22/2012
N-SSATS 2013 Advance Letter
Attachment B5 - N-SSATS 2013 Advance Letter.docx
10/22/2012
N-SSATS 2013 Cover letter on-line instructions FAQ sheet
Attachment B6 - N-SSATS 2013 Cover letter on-line instructions FAQ sheet.docx
10/22/2012
N-SSATS 2013 2nd mailing cover letter
Attachment B8 - N-SSATS 2013 2nd mailing cover letter.docx
10/22/2012
N-SSATS 2013 Completion thank you letter
Attachment B9 - N-SSATS 2013 Completion thank you letter.docx
10/22/2012
Web pages for the 2013 N-SSATS information website
Attachment B11 - Web pages for the 2013 N-SSATS information website.pdf
10/22/2012
Expert panel - Nov 2011
Attachment C1 - Expert panel - Nov 2011.docx
10/22/2012
Expert panel - Nov 2011
Attachment C2 - Participant list - March 2011.doc
10/22/2012
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.