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CFI 180 HHS OCS Assets for Independence, CFI 181 State BCA Passport Services
American Customer Satisfaction Index
OMB: 1090-0007
IC ID: 186907
OMB.report
DOI/ASPMB
OMB 1090-0007
ICR 200904-1090-001
IC 186907
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0007 can be found here:
2021-09-21 - Extension without change of a currently approved collection
2018-07-27 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form CFI 180
CFI 180 HHS OCS Assets for Independence, CFI 181 State BCA Passport Services
Form
CFI 180 HHS OCS Assets for Independence questionnaire
CFI 180 HHS OCS Assets for Independence.doc
Form
CFI 181 State BCA Passport Services questionnaire
CFI 181 State BCA Passport Services.doc
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
CFI 180 HHS OCS Assets for Independence, CFI 181 State BCA Passport Services
Agency IC Tracking Number:
CFI 180, CFI 181
IC Status:
New
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
CFI 180
HHS OCS Assets for Independence questionnaire
CFI 180 HHS OCS Assets for Independence.doc
Yes
Yes
Fillable Fileable
Form
CFI 181
State BCA Passport Services questionnaire
CFI 181 State BCA Passport Services.doc
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Records & Statistical Mgt
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
520
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
50 %
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
520
0
0
0
0
0
Annual IC Time Burden (Hours)
104
0
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.