Information Collection

313 CDC Mobile 314 CQs 5-3 to 5-19-10 315 DHS CBP 316 FCIC CQs

IC 192941 under ICR 200905-1090-001 · OMB 1090-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0008 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 313 CDC Mobile 313 CDC Mobile 314 CQs 5-3 to 5-19-10 315 DHS CBP 316 FCIC CQs	Form
313 CDC Mobile 313 Mobile Survey 313 CDC Mobile Survey Final 3.5.10.xls	Form
314 CQs 314 Custom Question 5-3 to 5-19-10 314 C ustom Qestions 5-3 to 5-19-2010.xls	Form
315 DHS CBP 315 DHS CBP Final 315 DHS CBP.xls	Form
316 FDIC CQs 316 FDIC Custom Questions 316 FDIC Custom Questions.xls	Form

IC Title:

313 CDC Mobile 314 CQs 5-3 to 5-19-10 315 DHS CBP 316 FCIC CQs

Agency IC Tracking Number:

313 - 316

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	313 CDC Mobile	313 Mobile Survey	313 CDC Mobile Survey Final 3.5.10.xls	Yes	Yes	Fillable Fileable
Form	314 CQs	314 Custom Question 5-3 to 5-19-10	314 C ustom Qestions 5-3 to 5-19-2010.xls	Yes	Yes	Fillable Fileable
Form	315 DHS CBP	315 DHS CBP Final	315 DHS CBP.xls	Yes	Yes	Fillable Fileable
Form	316 FDIC CQs	316 FDIC Custom Questions	316 FDIC Custom Questions.xls	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20,000	20,000
Annual IC Time Burden (Hours)	833	833
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.