Information Collection

Cfi 190, Cfi 191, Cfi 192, Cfi 193, Cfi 194, Cfi 195, Cfi 196

IC 187976 under ICR 200707-1505-001 · OMB 1505-0191.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CFI 190 CFI 190, CFI 191, CFI 192, CFI 193, CFI 194, CFI 195, CFI 196	Form
CFI 190 USDA Forest Service questionnaire CFI 190 USDA Forest Service.doc	Form
CFI 191 TREAS FINCEN Compliance MOU questionnaire CFI 191 TREAS FINCEN Compliance MOU.doc	Form
CFI 192 TREAS FINCEN Foreign Technical Assistance CFI 192 TREAS FINCEN Foreign Technical Assistance.doc	Form
CFI 193 TREAS FINCEN Regulatory Resource Center questionnaire CFI 193 TREAS FINCEN Regulatory Resource Center.doc	Form
CFI 194 TREAS FINCEN Secure Outreach CFI 194 TREAS FINCEN Secure Outreach WebCBRS.doc	Form
CFI 195 HHS CMS IVR questionnaire CFI 195 HHS CMS IVR.doc	Form
CFI 196 HHS CMS Customer Representative questionnaire CFI 196 HHS CMS Customer Representative.doc	Form
Justification for ICs to generic ICR 1505-0191.doc Justification for ICs to generic ICR 1505-0191.doc	IC Document

IC Title:

CFI 190, CFI 191, CFI 192, CFI 193, CFI 194, CFI 195, CFI 196

Agency IC Tracking Number:

CFI 190, 191, 192, 193, 194, 195, 196

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CFI 190	USDA Forest Service questionnaire	CFI 190 USDA Forest Service.doc	Yes	Yes	Fillable Fileable
Form	CFI 191	TREAS FINCEN Compliance MOU questionnaire	CFI 191 TREAS FINCEN Compliance MOU.doc	Yes	Yes	Fillable Fileable
Form	CFI 192	TREAS FINCEN Foreign Technical Assistance	CFI 192 TREAS FINCEN Foreign Technical Assistance.doc	Yes	Yes	Fillable Fileable
Form	CFI 193	TREAS FINCEN Regulatory Resource Center questionnaire	CFI 193 TREAS FINCEN Regulatory Resource Center.doc	Yes	Yes	Fillable Fileable
Form	CFI 194	TREAS FINCEN Secure Outreach	CFI 194 TREAS FINCEN Secure Outreach WebCBRS.doc	Yes	Yes	Fillable Fileable
Form	CFI 195	HHS CMS IVR questionnaire	CFI 195 HHS CMS IVR.doc	No		Paper Only
Form	CFI 196	HHS CMS Customer Representative questionnaire	CFI 196 HHS CMS Customer Representative.doc	No		Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,820

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 70 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,820	1,820
Annual IC Time Burden (Hours)	364	364
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification for ICs to generic ICR 1505-0191.doc	Justification for ICs to generic ICR 1505-0191.doc	02/05/2009

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