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View Information Collection (IC)

541 Alzheimer's Questionnaire - 561 VA-eBenefits Questionnaire 541 - 561
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 543 543 Cahaba J10 MAC Survey 2012 543 Cahaba J10 MAC Survey 8.28.2012_UPDATED.xlsx Yes Yes Fillable Fileable
Form and Instruction 544 544 CMS Novitas JH MAC 2012 544 CMS - Novitas JH MAC 8-13-12_DOT.xlsx Yes Yes Fillable Fileable
Form and Instruction 545 545 CMS Cahaba J10 MAC 2012 545 CMS Cahaba J10 MAC 6-25-12.xlsx Yes Yes Fillable Fileable
Form and Instruction 546 546 CMS WPS J8 MAC Questionnaire 2012 546 CMS WPS- J8 MAC Questionnaire 7-19-2012.xlsx Yes Yes Fillable Fileable
Form and Instruction 547 547 CQs for OMB started 6-7-2012 2012 547 CQs for OMB started 6-7-2012.xlsx Yes Yes Fillable Fileable
Form and Instruction 548 548 CVC Tour 8-21-12 2012 548 CVC Tour 8-21-12_DOT.xlsx Yes Yes Fillable Fileable
Form and Instruction 549 549 Dept of State v2 8-17-12 2012 549 Dept of State v2 8-17-12_DOT.xlsx Yes Yes Fillable Fileable
Form and Instruction 550 550 DHHS PSC Offline v2 8-13-12 2012 550 DHHS - PSC Offline v2 8-13-12.xlsx Yes Yes Fillable Fileable
Form and Instruction 551 551 DOJ ATF 7-24-12 2012 551 DOJ ATF 7-24-12.xlsx Yes Yes Fillable Fileable
Form and Instruction 552 552 DOL Doors August 2012 2012 552 DOL Doors August 2012 8-9-12_DOT.xlsx Yes Yes Fillable Fileable
Form and Instruction 553 553 FDA Browse 6-27-12 2012 553 FDA Browse 6-27-12.xlsx Yes Yes Fillable Fileable
Form and Instruction 554 554 NHTSA 6.27.12 2012 554 NHTSA 6-27-12.xlsx Yes Yes Fillable Fileable
Form and Instruction 555 555 NHTSA 8.27.12 DOT 2012 555 NHTSA 8-27-12_DOT.xlsx Yes Yes Fillable Fileable
Form and Instruction 556 556 NIJ NIJ v2 9-1-12 2012 556 NIJ_NIJ+v2+8-01-12.xlsx Yes Yes Fillable Fileable
Form and Instruction 557 557 PBGC.gov v3 Questionnaire 8-15-12 2012 557 PBGC.gov v3 Questionnaire 8-15-2012_DOT.xlsx Yes Yes Fillable Fileable
Form and Instruction 558 558 PBGC Perception Questionnaire 2012 558 PBGC-Perception Qnaire 8-15-12_DOT.xlsx Yes Yes Fillable Fileable
Form and Instruction 559 559 Recreation.gov Questionnaire 8-28-12 2012 559 recreation.gov Qnaire 8-28-12_DOT.xlsx Yes Yes Fillable Fileable
Form and Instruction 560 560 SaferCar Questionnaire June 2012 2012 560 SaferCar Questionnaire June 19 2012.xlsx Yes Yes Fillable Fileable
Form and Instruction 561 561 VA eBenefits Questionnaire 8-29-12 2012 561 VA-eBenefits Questionnaire 8-29-12_DOT.xlsx Yes Yes Fillable Fileable
Form and Instruction 541 541 Alzheimers Questionaire 2012 541 Alzheimer's Questionaire July 2012cRev10.1.12.xlsx Yes Yes Fillable Fileable
Form and Instruction 542 Alzheimers AOA 2012 542 AOA Alzheimers.gov Rev10.1-12.xlsx Yes Yes Fillable Fileable

General Government Central Records & Statistical Mgt

 

75,600 0
   
Individuals or Households
 
   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 75,600 0 75,600 0 0 0
Annual IC Time Burden (Hours) 3,150 0 3,150 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.