Information Collection Request

Service Annual Survey

ICR 200907-0607-001 · OMB 0607-0422 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SA-516 Service Annual Survey Form Modified Available
supportingstatement PartB.wpd Supporting Statement B Uploaded 2009-07-23 Available
supportingstatement PartA.wpd Supporting Statement A Uploaded 2009-07-23 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
37149 Service Annual Survey Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2012 36 Months From Approved 10/31/2009
57,652 0 57,652
208,941 0 208,941
0 0 0





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table that charts list of burden
IC Title Form No. Form Name
Service Annual Survey SA-51114, SA-51213, SA-51219, SA-62TE, SA-51T, SA-54T, SA-56T, SA-62T, SA-51222, SA-51223, SA-54185, SA-51224, SA-51911, SA-51912, SA-5171, SA-623TE, SA-484, SA-81T, SA-71TE, SA-813, SA-56133, SA-5411TE, SA-5231T1, SA-54131, SA-51919, SA-54133, SA-5613T, SA-5622, SA-5629T, SA-6215, SA-518112, SA-7111TE, SA-7112, SA-51112, SA-7115, SA-51113, SA-71T, SA-81T1, SA-516, SA-624TE, SA-532T, SA-54181, SA-54182, SA-5112, SA-5121T, SA-5151, SA-5152, SA-5173, SA-5174, SA-5175, SA-5179, SA-5182, SA-5231T2, SA-5239T, SA-54161, SA-54162, SA-518111, SA-54183, SA-54184, SA-52T, SA-61TE, SA-53T, SA-22T, SA-48T, SA-5412, SA-5415, SA-5417TE, SA-54186, SA-56152, SA-56291, SA-71311, SA-511191, SA-511199, SA-517211, SA-517212, SA-532111, SA-5615T, SA-5621, SA-561591, SA-51111, SA-49 Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Surey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual Survey ,   Service Annual 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 57,652 57,652 0 0 0 0
Annual Time Burden (Hours) 208,941 208,941 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


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