View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Previously Cleared ICs from prior Generic ICR FSR 1-1-09 thru 10-17-11
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 398 CQs 398 CQs 2011 398 CQs for OMB 12-14-2010 to 1-11-2011.xlsx Yes Yes Fillable Fileable
Form and Instruction 399 NIDCR 399 NIDCR English 2011 2011 399 NIDCR English 2011 Questionnaire.xlsx Yes Yes Fillable Fileable
Form and Instruction 400 NGS NOAA 400 NGS NOAA 2011 400 Questionnaire_NGSNOAA_12-16-2010.xlsx Yes Yes Fillable Fileable
Form and Instruction 401 CDC 401 CDC 2011 401 CDC_New_Questionnaire_12_27_2010_FINAL3.xlsx Yes Yes Fillable Fileable
Form and Instruction 404 VOA 404 VOA 2011 404 VOA English V2 Questionnaire _Template.xls Yes Yes Fillable Fileable
Form and Instruction 405 CQs 1-11-11 405 CQs 1-11-11 2011 405 CQs for OMB 1-11-2011 to xxxx.xlsx Yes Yes Fillable Fileable
Form and Instruction 406 GSA 406 GSA Auctions 2011 406 GSA Auctions FINAL 1-12-11.xls Yes Yes Fillable Fileable
Form and Instruction 407 GSA 407 GSA Xcess 2011 407 GSA Xcess FINAL 1-7-11.xls Yes Yes Fillable Fileable
Form and Instruction 408 RegInfo 408 RegInfo 2011 408 Questionnaire RegInfo v2.xlsx Yes Yes Fillable Fileable
Form and Instruction 414 ePSS 414 ePSS Wave 1 2011 414 ePSS Questionnaire Wave 1 Revised.xlsx Yes Yes Fillable Fileable
Form and Instruction 415 FCIC 415 FCIC Cons Action CQs 2011 415 FCIC Consumer Action CQ revisions_11Feb2011.xlsx Yes Yes Fillable Fileable
Form and Instruction 416 FCIC 416 FCIC Pueblo 2011 416 FCIC Pueblo Survey revisions_11Feb2011.xlsx Yes Yes Fillable Fileable
Form and Instruction 417 HowTo 417 HowTo 2011 417 Howto.gov Survey 3.7.2011 - current.xlsx Yes Yes Fillable Fileable
Form and Instruction 418 NLM 418 NLM Clinical Trials 2011 418 NLM Clinical Trials Questionnaire _2-14-11.xls Yes Yes Fillable Fileable
Form and Instruction 419 CMS 419 CMS Palmetto GBA J11 MAC 2011 419 CMS Palmetto GBA J11 MAC Questionnaire 3-10-11.xlsx Yes Yes Fillable Fileable
Form and Instruction 420 CQs 420 CQs 2-4-11 2011 420 CQs for OMB 2-4-2011 to 3-25-11.xlsx Yes Yes Fillable Fileable
Form and Instruction 421 DHHS PSC 421 DHHS PSC Offline 2011 421 DHHS-PSC Offline Services Questionnaire 02-25-11.xlsx Yes Yes Fillable Fileable
Form and Instruction 422 DOT 422 DOT FHWA 2011 422 DOT FHWA Questionnaire 02-17-2011.xlsx Yes Yes Fillable Fileable
Form and Instruction 423 DOJ 423 DOJ COPS Pub Mo 2011 423 DOJ COPS Publication MonthlySurvey FY2011 UPDATED 3_18.docx Yes Yes Fillable Fileable
Form and Instruction 424 AHRQ 424 AHRQ Eff Health Care 2011 424 AHRQ Effective Health Care.xlsx Yes Yes Fillable Fileable
Form and Instruction 425 FEMA 425 FEMA Mobile 2011 425 FEMA Mobile Survey Final 2.28.11.xlsx Yes Yes Fillable Fileable
Form and Instruction 426 NIST 426 NIST Sat v 3-28-11 2011 426 NIST Sat Survey v2 03-28-11.xlsx Yes Yes Fillable Fileable
Form and Instruction 427 CQs 427 CQs 3-25-11 2011 427 CQs for OMB 3-25-2011 to 4-8-2011.xlsx Yes Yes Fillable Fileable
Form and Instruction 431 CQs 431 CQs 4-8-11 2011 431 CQs for OMB 4-8-2011 to 4-28-2011.xlsx Yes Yes Fillable Fileable
Form and Instruction 432 FEMA 432 FEMA ReadyGov 2011 432 FEMA Readygov_Template_4.13.11.xls Yes Yes Fillable Fileable
Form and Instruction 433 BenefitsGov 433 BenefitsGov 2011 433 Benefits.gov.xlsx Yes Yes Fillable Fileable
Form and Instruction 439 FMCSA 439 FMCSA Passenger Carrier 2011 439 FMCSA Passenger Carrier Satisfaction Survey.xlsx Yes Yes Fillable Fileable
Form and Instruction 440 FMCSA 440 FMCSA Protect Your Move 2011 440 FMCSA Protect Your Move Satisfaction Survey V2.xlsx Yes Yes Fillable Fileable
Form and Instruction 441 FMCSA 441 FMCSA v2 2011 441 FMCSA Satisfaction Survey v2.xlsx Yes Yes Fillable Fileable
Form and Instruction 443 CQs 443 CQs 4-28-11 2011 443 CQs for OMB started 4-28-2011.xlsx Yes Yes Fillable Fileable
Form and Instruction 457 CQs 457 CQs 5-17-11 2011 457 CQs for OMB started 5-17-2011.xlsx Yes Yes Fillable Fileable
Form and Instruction 458 NICHD 458 NICHD 2011 458 NICHD Survey.xlsx Yes Yes Fillable Fileable
Form and Instruction 459 US Courts 459 US Courts 2011 459 US Courts Survey.xlsx Yes Yes Fillable Fileable
Form and Instruction 460 US Embassies 460 US Embassies Enterprise 2011 460 US Embassies Enterprise Survey.xlsx Yes Yes Fillable Fileable
Form and Instruction 461 CMS 461 CMS Medicare Plan Finder 2011 461 CMS Medicare Plan Finder.xlsx Yes Yes Fillable Fileable
Form and Instruction 462 CQs 462 CQs 6-14-11 2011 462 CQs for OMB started 6-14-2011.xlsx Yes Yes Fillable Fileable
Form and Instruction 463 DoD 463 Dod Enterprise 2011 463 DoD Enterprise Measure Questionnaire.xlsx Yes Yes Fillable Fileable
Form and Instruction 471 Health IT 471 Health IT 2011 471 Copy of HealthIT+qnaire+for+dataload+final.xlsx Yes Yes Fillable Fileable
Form and Instruction 472 CQs 472 CQs 7-8-11 2011 472 CQs for OMB started 7-8-2011.xlsx Yes Yes Fillable Fileable
Form and Instruction 473 SSA 473 SSA iClaim v2 2011 473 SSA iClaim v2.xlsx Yes Yes Fillable Fileable
Form and Instruction 478 FSIS 478 FSIS Intranet 2011 478 FSIS Intranet Questionnaire_8-9-11.xls Yes Yes Fillable Fileable
Form and Instruction 479 CQs 479 CQs 7-26-11 2011 479 CQs for OMB started 7-26-2011.xlsx Yes Yes Fillable Fileable
Form and Instruction 481 FBI 481 FBI v3 2011 481 FBI V3 Questionnaire.xlsx Yes Yes Fillable Fileable
Form and Instruction 483 CQs 483 CQs 9-15-11 2011 483 CQs for OMB started 9-15-2011.xlsx Yes Yes Fillable Fileable
Form and Instruction 484 Healthfinder 484 Healthfinder v2 2011 484 Healthfinder -V2 - October 2011.xlsx Yes Yes Fillable Fileable
Form and Instruction 485 NIAID 485 NIAID 2011 485 NIAID October 2011.xlsx Yes Yes Fillable Fileable
Form and Instruction 486 PBGC 486 PBGC v3 2011 486 PBGC.gov V3.xlsx Yes Yes Fillable Fileable
Form and Instruction 487 SSA 487 SSA Extra Help v2 Eng Equiv 2011 487 SSA Extra Help V2 (English Eqiv).xlsx Yes Yes Fillable Fileable
Form and Instruction 394 DHS CIS 394 DHS CIS Citizenship Resource Center 2010 394 DHS CIS Citizenship Resource Center 11-18-10FINAL.xls Yes Yes Fillable Fileable
Form and Instruction 393 CQs 393 CQs 11-29-10 2010 393 CQs for OMB 11-29-2010 to 12-14-2010.xlsx Yes Yes Fillable Fileable
Form and Instruction 392 USTTB CQs 392 USTTB CQs 2010 392 USTTB Custom Questions 11.29.10 v2.xlsx Yes Yes Fillable Fileable
Form and Instruction 387 CQs 387 CQs 11-3-10 2010 387 CQs for OMB 11-3-2010 to 11-29-2010.xlsx Yes Yes Fillable Fileable
Form and Instruction 386 DOJ 386 DOJ BJS 2010 386 DOJ - BJS Questionnaire.xls Yes Yes Fillable Fileable
Form and Instruction 385 CVC 385 CVC 2010 385 Capitol Visitor CenterQuestionnaire.xlsx Yes Yes Fillable Fileable
Form and Instruction 384 PSC 384 DHHS PSC 2010 384 PSC Questionnaire Draft customer approved.xlsx Yes Yes Fillable Fileable
Form and Instruction 383 FedsHireVets 383 OPM FedsHireVets 2010 383 FedsHireVets FINAL Questionnaire 110810.xls Yes Yes Fillable Fileable
Form and Instruction 382 FCA 382 FCA 2010 382 FCA Draft Questionnaire.xls Yes Yes Fillable Fileable
Form and Instruction 378 CQs 378 CQs 10-17-10 2010 378 CQs for OMB 10-17-2010 to 11-3-2010.xlsx Yes Yes Fillable Fileable
Form and Instruction 377 USPTO 377 USPTO Revised 2010 377 Qnaire_USPTO_October_CB_Revised.xls Yes Yes Fillable Fileable
Form and Instruction 373 CQs 373 CQs 9-21-10 2010 373 CQs for OMB 9-21-2010 to 10-17-2010.xlsx Yes Yes Fillable Fileable
Form and Instruction 372 PBGC 372 PBGC My PAA v3 2010 372 PBGC My PAA v3 Questionnaire 10-4-2010.xlsx Yes Yes Fillable Fileable
Form and Instruction 371 NLM 371 NLM Exhibition 2010 371 NLM Exhibition Survey Template_9_10.xlsx Yes Yes Fillable Fileable
Form and Instruction 370 MyMoney 370 MyMoney 2010 370 MyMoney gov Questionnaire Template 9-17-10FINAL.xls Yes Yes Fillable Fileable
Form and Instruction 369 GobiernoUSA 369 GobiernoUSA 2010 369 GobiernoUSA Questionnaire 9 28 10.xlsx Yes Yes Fillable Fileable
Form and Instruction 366 CQs 366 CQs 8-25-10 2010 366 CQs for OMB 8-25-2010 to 9-21-2010.xlsx Yes Yes Fillable Fileable
Form and Instruction 365 CPSC 365 CPSC 2010 365 CPSC.gov Questionnaire 8-24-2010.xlsx Yes Yes Fillable Fileable
Form and Instruction 364 RE and S-RE 364 RE and S-RE 2010 364 Survey Final - RE and S-RE, August 2010.xls Yes Yes Fillable Fileable
Form and Instruction 363 NIH 363 NIH NIDCD 2010 363 NIH NIDCD.xlsx Yes Yes Fillable Fileable
Form and Instruction 362 Medicare 362 Medicare 2010 362 Final Questionnaire_Medicare.gov_09.07.2010.xls Yes Yes Fillable Fileable
Form and Instruction 350 FDA 350 FDA 8-11-10 2010 350 FDA Email Model - 8.11.10 FINAL.xlsx Yes Yes Fillable Fileable
Form and Instruction 349 CQs 349 CQs 8-9-10 2010 349 CQs for OMB 8-9-2010 to 8-25-2010.xlsx Yes Yes Fillable Fileable
Form and Instruction 348 CPSC 348 CPSC 2010 348 CPSC.gov Questionnaire 8-24-2010.xlsx Yes Yes Fillable Fileable
Form and Instruction 347 DOT Intranet 347 DOT Intranet 2010 347 DOT Intranet 7-15-2010.xls Yes Yes Fillable Fileable
Form and Instruction 346 DoD Navy 346 DoD Navy 2010 346 Proposed Questionnaire Template DOD Navy 7-22-10.xls Yes Yes Fillable Fileable
Form and Instruction 345 NIH NIGMS 345 NIH NIGMS 2010 345 NIH NIGMS Questionnaire Template FINAL.xls Yes Yes Fillable Fileable
Form and Instruction 344 CQs 344 CQs 7-19-10 2010 344 CQs for OMB 7-19-2010 to 8-8-2010.xlsx Yes Yes Fillable Fileable
Form and Instruction 343 Census 343 Census 2010 343 Census Questionnaire _Template 7-16-10proposed.xls Yes Yes Fillable Fileable
Form and Instruction 339 CQs 339 CQs 7-6-10 2010 339 CQs for OMB 7-6-2010 to 7-18-2010.xlsx Yes Yes Fillable Fileable
Form and Instruction 340 DOT 340 DOT 2010 340 DOT VERSION_VHA_Medical_Centers_Questionnaire_Template.xls Yes Yes Fillable Fileable
Form and Instruction 334 NRC 334 NRC 2010 334 NRC Questionnaire with Transparency 6.8.10.xlsx Yes Yes Fillable Fileable
Form and Instruction 333 CQs 333 CQs 6-8-10 2010 333 CQs for OMB 6-8-2010 to 7-6-2010.xlsx Yes Yes Fillable Fileable
Form and Instruction 324 VBA 324 VBA 324 VBA_Survey FINAL_5-17-10_FSR.xls Yes Yes Fillable Fileable
Form and Instruction 323 SSA 323 SSA Policy Pages 323 SSA Policy Pages Final 5-19-10.xls Yes Yes Fillable Fileable
Form and Instruction 322 CQs 322 CQs 5-19-10 322 CQs for OMB 5-19-2010 to 6-7-2010.xlsx Yes Yes Fillable Fileable
Form and Instruction 316 FDIC 316 FDIC CQs 316 FDIC Custom Questions.xls Yes Yes Fillable Fileable
Form and Instruction 315 DHS CBP 315 DHS CBP 315 DHS CBP.xls Yes Yes Fillable Fileable
Form and Instruction 314 CQs 314 CQs 5-3-10 314 C ustom Qestions 5-3 to 5-19-2010.xls Yes Yes Fillable Fileable
Form and Instruction 313 CDC Mobile 313 CDC Mobile 313 CDC Mobile Survey Final 3.5.10.xls Yes Yes Fillable Fileable
Form and Instruction 312 CQs 312 CQs 4-14-10 312 CQs for OMB 4-14-2010 to 5-2-2010.xls Yes Yes Fillable Fileable
Form and Instruction 310 RRB 310 RRB 310 RRB Final 4-13-10.xls Yes Yes Fillable Fileable
Form and Instruction 311 CQs 311 CQs 3-29-10 311 Custom Qs 3-29-2010 to 4-13-2010.xls Yes Yes Fillable Fileable
Form and Instruction 306 CQs 306 CQs 3-2-10 306 Cust Ques 3-2-2010 to 3-28-2010.xls Yes Yes Fillable Fileable
Form and Instruction 305 State Careers 305 State Careers v2 305 State Careers v2 Questionnaire Master.xls Yes Yes Fillable Fileable
Form and Instruction 304 DOT NHTSA 304 DOT NHTSA 304 DOT NHTSA 031910.xls Yes Yes Fillable Fileable
Form and Instruction 302 CQs 302 CQs 2-5-10 302 Custom Questions 2-5-2010 to 3-1-2010.xls Yes Yes Fillable Fileable
Form and Instruction 301 DoD AF 301 DoD AF v2 301 DOD Air Force v2 Questionnaire Template 1-28-10.xls Yes Yes Fillable Fileable
Form and Instruction 300 CQs 300 CQs 1-16-10 300 Multiple Custom Questions for OMB 1-16-2010 to 2-5-2010.xls Yes Yes Fillable Fileable
Form and Instruction 299 State IIP 299 State IIP Embassy 299 State - IIP - Embassy Questionnaire.xls Yes Yes Fillable Fileable
Form and Instruction 292 DHS CIS Spanish 292 DHS CIS Spanish 292 DHS CIS Spanish FINAL 11-30-09.xls Yes Yes Fillable Fileable
Form and Instruction 293 DHS CIS Welcome 293 DHS CIS Welcome 293 DHS CIS Welcome Questionnaire Custom Questions FINAL.xls Yes Yes Fillable Fileable
Form and Instruction 291 DHS CIS 291 DHS CIS 291 DHS CIS Questionnaire FINAL 11-30-09.xls Yes Yes Fillable Fileable
Form and Instruction 290 CQs 290 CQs 12-4-09 290 Custom Questions for OMB clearance 12-4-09.xls Yes Yes Fillable Fileable
Form and Instruction 289 NIH Genome 289 NIH Genome 289 NIH Genome 1-6-2010.xls Yes Yes Fillable Fileable
Form and Instruction 287 CQs 286 CQs 11-16-09 287 Custom Questions for OMB 11-16-09 to 12-4-09.xls Yes Yes Fillable Fileable
Form and Instruction 286 HHS ONC 286 HHS ONC 286 HHS ONC_Questions_FINAL 12-4-09.xls Yes Yes Fillable Fileable
Form and Instruction 285 DHS CIS E Vfy 285 DHS CIS E Vfy 285 DHS CIS eVerify Questionnaire FINAL 12-4-09.xls Yes Yes Fillable Fileable
Form and Instruction 283 Master Questions List 283 Master Questions List as of 11-17-09 283 Master Questions List as of 11-17-09.xls Yes Yes Fillable Fileable
Form and Instruction 281 State Mobile 281 State Mobile 281 Mobile Template Dept of State 11-6-09.xls Yes Yes Fillable Fileable
Form and Instruction 282 DHS New Model 282 DHS New Model 11-6-09 282 DHS Questionnaire Finalized New Model 11-6-09.xls Yes Yes Fillable Fileable
Form and Instruction 280 CMS FCSO CQs 280 CMS FCSO CQs 280 CMS FCSO Custom Questions for OMB 10-26-09.xls Yes Yes Fillable Fileable
Form and Instruction 277 FEMA Main 277 FEMA Main v2 277 FEMA Main V2 10-6-09.xls Yes Yes Fillable Fileable
Form and Instruction 276 EPA New Model 276 EPA New Model 276 EPA New Model 9.30.09 received 10-6-09.xls Yes Yes Fillable Fileable
Form and Instruction 275 CQs NCI 275 CQs NCI 275 Custom Qs NCI 10-6-09.xls Yes Yes Fillable Fileable
Form and Instruction 274 CQs CMS 274 CQs CMS 274 Custom Qs CMS 10-6-09.xls Yes Yes Fillable Fileable
Form and Instruction 309 ResearchGov 309 ResearchGov 3-09_Client Approved DRAFT Research gov Suggested Questions_FINAL.xls Yes Yes Fillable Fileable
Form and Instruction AHRQ CAHPS AHRQ CAHPS AHRQ CAHPS Questionnaire_Template FINAL.xls Yes Yes Fillable Fileable
Form and Instruction CFTC v2 CFTC v2 CFTC V2 questionnaire FINAL.xls Yes Yes Fillable Fileable
Form and Instruction CitizenFeedback CitizenFeedback CitizenFeedback Questionaire NEW 6.xls Yes Yes Fillable Fileable
Form and Instruction DHS CIS DHS CIS Welcome DHS CIS Welcome Questionnaire_Template FINAL.xls Yes Yes Fillable Fileable
Form and Instruction FEMA Dis Asst FEMA Disaster Assistance FEMA - DisasterAssistance Questionnaire for OMB Approval.xls Yes Yes Fillable Fileable
Form and Instruction 247 DoD AF 247 DoD Air Force FSR 247 DOD Air Force.xls Yes Yes Fillable Fileable
Form and Instruction 260 Obama Directive 260 Obama Directive FSR_260_Obama_Directive(1).xls Yes Yes Fillable Fileable
Form and Instruction 265 FTC Comp Asst 265 FTC Complaint Assistant FTC ComplaintAssistant questionnaire FINAL.xls Yes Yes Fillable Fileable
Form and Instruction 271 Treas IRS 271 Treas IRS IRS Questionnaire 8-5-09.xls Yes Yes Fillable Fileable
Form and Instruction 267 HHS NIDCR 267 HHS NIDCR Spanish CQs NIDCR Spanish custom questions for OMB.xls Yes Yes Fillable Fileable
Form and Instruction NLM OSA 4-1-09 NLM OSA 4-1-09 NLM OSA Questionnaire FINAL 040109.xls Yes Yes Fillable Fileable
Form and Instruction 273 OnGuardOnLine 273 FTC OnGuardOnLine OnGuardOnline final survey 081309.xls Yes Yes Fillable Fileable
Form and Instruction Redesign CQs Redesign CQs Redesign CQ's for OMB Approval.xls Yes Yes Fillable Fileable
Form and Instruction 263 Social Media Quest 263 Social Media Questions Social Media Q variations.doc Yes Yes Fillable Fileable
Form and Instruction State Travel State Travel Travel.State Questionnaire Template FINAL.xls Yes Yes Fillable Fileable
Form and Instruction VA e-Benefits VA e-Benefits VA-eBenefits_Questionnaire FINAL.xls Yes Yes Fillable Fileable

General Government Central Records & Statistical Mgt

 

660,000 0
   
Individuals or Households
 
   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 660,000 0 660,000 0 0 0
Annual IC Time Burden (Hours) 27,500 0 27,500 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.