Information Collection

Publication Use Study

IC 43671 under ICR 200606-0938-010 · OMB 0938-0892.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0892 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Publication Use Study	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

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	CMS-10080				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,880	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,880	880	3,000
Annual IC Time Burden (Hours)	1,356	506	850
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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