Information Collection Request

Quarterly Services Survey

ICR 200705-0607-013 · OMB 0607-0907 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form QSS-1A-PEO Quarterly Services Survey Form and Instruction Modified Available
Justification for nonmaterial change.pdf Justification for No Material/Nonsubstantive Change Uploaded 2007-05-29 Available
0907-Change Worksheet.pdf Justification for No Material/Nonsubstantive Change Uploaded 2007-03-08 Available
Attachment 3 Cover Letter.pdf Supplementary Document Uploaded 2006-08-21 Available
Attachment 1___QSS_Questionnaire_Matrix.wpd.wpd Supplementary Document Uploaded 2006-08-21 Available
QSS Justification PartB.wpd Supporting Statement B Uploaded 0000-00-00 Repair queued
QSS Justification PartA.wpd Supporting Statement A Uploaded 0000-00-00 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
37228 Quarterly Services Survey Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2009 10/31/2009 10/31/2009
52,000 0 52,000
11,922 0 11,922
0 0 0





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table that charts list of burden
IC Title Form No. Form Name
Quarterly Services Survey QSS-1E-PEO, QSS-1(A), QSS-1(E), QSS-2(A), QSS-2(E), QSS-3(A), QSS-3(E), Qss-4(A), QSS-4(E), QSS-1A-PEO, QSS-5(A), QSS-5(E) Quarterly Services Survey ,   Quarterly Services Survey ,   Quarterly Services Survey ,   Quarterly Services Survey ,   Quarterly Services Survey ,   Quarterly Services Survey ,   Quarterly Services Survey ,   Quarterly Services Survey ,   Quarterly Services Survey ,   Quarterly Services Survey ,   Quarterly Services Survey ,   Quarterly Services Survey

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 52,000 52,000 0 0 0 0
Annual Time Burden (Hours) 11,922 11,922 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


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