American Customer Satisfaction Index "Customer Satisfaction Surveys"

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 521 Forest Service R&D Program Questionnaire	Form and Instruction	New	Available
Form 520 State BCS ACSI Survey	Form and Instruction	New	Available
Form 519 519 NWS Survey Final 8-21-12	Form and Instruction	New	Available
Form 518 518 Annual Outcome Survey Questions Final	Form and Instruction	New	Available
Form 517 517 NASA EOSDIS Questionnaire Final July 23 2012	Form and Instruction	New	Available
Form 516 516 ACSI General Aviation Survey Final 7-26-12	Form and Instruction	New	Available
Form 515 2012 515 HRSA BPHC Grantee Survey 7-16-12.docx	Form and Instruction	New	Available
Form 514 2012 514 Customer Contact Center Survey E-Verify.docx	Form and Instruction	New	Available
Form 513 2012 513 WI ASCI Questionnaire FINAL.doc	Form and Instruction	New	Available
Form 512 2012 512 SCSE ACSI Questionnaire FINAL.docx	Form and Instruction	New	Available
Form 511 2012 511 LBI ACSI Questionnaire FINAL.docx	Form and Instruction	New	Available
Form 510 2012 510 FAA Carriers Ops - Air Carrier Pilots - Final	Form and Instruction	New	Available
Form 508 2012 508 SBA ODA Customer Satisfaction Survey.docx	Form and Instruction	New	Available
Form 507 2012 507 RRB Survivor Survey FINAL 6_13.docx	Form and Instruction	New	Available
Form 506 2012 506 OCS_ACSI_Survey_FINAL 2012.docx	Form and Instruction	New	Available
Form 509 2012 509 FAA Mechanics Customer Satisfaction Survey Final.doc	Form and Instruction	New	Available
Form 505 2012 505 FEMA_Questionnaire_Public	Form and Instruction	New	Available
Form 504 2012 FEMA Questionnaire Local Officials FINAL DRAFT	Form and Instruction	New	Available
Form 503 2012 503 Dept of ED CFI Grantee Questionnaire CORE + CUSTOM	Form and Instruction	New	Available
Form 502 2012 502 HRSA BCRS NHSC 2011 Participant Questionnaire FINAL	Form and Instruction	New	Available
Form 501 2012 501 SAR Activity Review Survey FINAL	Form and Instruction	New	Available
Form 500 2012 500 Foreign Case Reports Survey FINAL	Form and Instruction	New	Available
Form 499 2012 499 FInCEN Domestic Analytic Products Survey FINAL	Form and Instruction	New	Available
Form 498 2012 498 BSA E-Filing Survey FINAL	Form and Instruction	New	Available
Form 497 2012 497 USCIS IO Questionnaire 2012 FINAL 5-9-12	Form and Instruction	New	Available
Form 496 PBGC 496 PBGC Premium Filer Questionnaire 2012 Final.doc	Form and Instruction	New	Available
Form 495 DOJ 495 DOJ JAG Questionnaire Final 3-30-12	Form and Instruction	New	Available
Form 493 493 PBGC Participant Caller Instrument	Form and Instruction	New	Available
Form 492 492 PBGC Retirement Instrument Survey	Form and Instruction	New	Available
Form 494 NELRP and NSP 494 HRSA NELRP and NSP	Form and Instruction	New	Available
Form 491 CMS Contractor Satisfaction Survey	Form and Instruction	New	Available
Form 490 Rec.go IVR 490 Rec.gov Call Center IVR	Form and Instruction	New	Available
Form 489 FinCEN 489 FinCEN Secure Outreach Web CBRS	Form and Instruction	New	Available
Form 488 FinCEN 488 FinCEN Reg Res Cntr	Form and Instruction	New	Available
Form 487 FinCen 487 FinCen compliance mou	Form and Instruction	New	Available
Form 486 FEMA 486 FEMA Printed BSB Pubs	Form and Instruction	New	Available
Form 485 HRSA HAB 485 HRSA HAB Grantees	Form and Instruction	New	Available
Form 484 484 GSA Greenhouse Gas Emissions Pilot	Form and Instruction	New	Available
Form 483 483 AMS MN 2011 Cust Sat Survey	Form and Instruction	New	Available
Form 480 US Mint call c 480 US Mint call center Q's 2011	Form	New	Available
Form 477 NIST Ambulance 477 NIST Ambulance Design FINAL	Form	New	Available
Form 476 NASA CSI Surve 476 NASA CSI Survey 2011_Final	Form	New	Available
Form 475Asylum Customer 475 Asylum Customer Satisfaction Survey Draft - OPS 7 26 2011 FINAL	Form	New	Available
Form 474 BCA Customer S 474 BCA Customer Satisfaction Survey FINAL	Form	New	Available
Form 470 USDA Rural Dev 470 USDA Rural Development Questionnaire Rural Housing and Community Facilities Loans FINAL	Form	New	Available
Form 470 Rur Dev 470 Rur Dev Rural Hous and Comm Fac Loans	Form	New	Available
Form 469 HRSA BPHC Gran 469 HRSA BPHC Grantee Survey 2011_Final	Form	New	Available
Form 468 DOJ COPS Annua 468 DOJ COPS Annual Survey 2011 FINAL Questionnaire	Form	New	Available
Form 467 SBSE ACSI Ques 467 SBSE ACSI Questionnaire FINAL	Form	New	Available
Form 466 W&I ACSI Quest 466 W&I ACSI Questionnaire FINAL	Form	New	Available
Form 465 LBI ACSI Quest 465 LBI ACSI Questionnaire FINAL	Form	New	Available
Form 464 SBA ODA Custom 464 SBA ODA Customer Satisfaction Survey 2011_Final	Form	New	Available
Form 482 482 NIST Amb Design	Form and Instruction	New	Available
Form 481 481 RRB	Form and Instruction	New	Available
Form 456 USDA Rural Dev 456 USDA Rural Development Questionnaire Rural Electrification Prog	Form	New	Available
Form E-Verification Cus 455 E-Verification Customer Satisfaction Survey FINAL	Form	New	Available
Form 454 USDA RD FINAL 454 USDA RD FINAL Questionnaire RCD Grant RBS	Form	New	Available
Form 453 Dept of ED CFO 453 Dept of ED CFO Grantee Questionnaire CORE + CUSTOM Final JUN 10 11	Form	New	Available
Form 452 FAA Repair Sta 452 FAA Repair Station Questionnaire 2011 Final Version	Form	New	Available
Form 451 FAA Manufactur 451 FAA Manufacturers Questionnaire 2011 Final Version	Form	New	Available
Form 450 FAA Carriers O 450 FAA Carriers Ops Mgt Questionnaire 2011 Final Version	Form	New	Available
Form 449 Nutrient Manag 449 Nutrient Management Customer Satisfaction Questionnaire 2011 FINAL	Form	New	Available
Form 447 FinCEN Domesti 447 FinCEN Domestic Analytic Products 5-19-2011	Form	New	Available
Form 448 Foreign Case R 448 Foreign Case Reports 5-19-2011	Form	New	Available
Form 446 BSA E-Filing 5 446 BSA E-Filling 5-12-2011	Form	New	Available
Form 445 SAR 5-13-2011 445 SAR 5-13-2011	Form	New	Available
Form 444 Social Securit 444 Social Security Administration Call Center Questionnaire FINAL MAY 18	Form	New	Available
Form 438 HRSA BCRS NHSC 438 HRSA BCRS NHSC 2011 Partner Questionnaire_FINAL	Form	New	Available
Form 437 HRSA BCRS NHSC 437 HRSA BCRS NHSC 2011 Participant Questionnaire_FINAL	Form	New	Available
Form 436 NWS Overall Me 436 NWS Overall Measure 042211_FINAL	Form	New	Available
Form 435 FEMA_Questionn 435 FEMA_Questionnaire_Local_Officials_4_21_11	Form	New	Available
Form 434 FEMA_Questionn 434 FEMA_Questionnaire_Public_4_21_11	Form	New	Available
Form 430 VBA 2011 Call 430 VBA 2011 Call Center Q's Final	Form	New	Available
Form 429 VBA 2011 Insur 429 VBA 2011 Insurance Claims Q's Final	Form	New	Available
Form 428 PBGC Premium F 428 PBGC Premium Filer Q's 2011 F	Form	New	Available
Form 423 DOJ COPS Publi 423 DOJ COPS Publication MonthlySurvey FY2011 UPDATED 3_18	Form	New	Available
Form 413 MINT ACSI Annu 413 MINT ACSI Annual Customer Satisfaction Survey FINAL Mar9	Form	New	Available
Form 412 PBGC Retiree A 412 PBGC Retiree ACSI Instrument 2011 FINAL	Form	New	Available
Form 411 PBGC Participa 411 PBGC Participant Caller ACSI Instrument 2011 FINAL	Form	New	Available
Form 410 DOJ COPS TTA R 410 DOJ COPS TTA Recip_Quart_FY2011_FINAL	Form	New	Available
Form 409 VHA ChampVA 20 409 VHA ChampVA 2011 Q's	Form	New	Available
Form 403 Customer Satis 403 Customer Satisfaction Questionnaire.docx	Form	New	Available
Form 402 ACSI Annual Cu 402 ACSI Annual Customer Satisfaction Survey FINAL	Form	New	Available
Form 397 FinCEN Complia 397 FinCEN Compliance MOU Customer Survey 2011_draft	Form	New	Available
Form 2011 396 FinCEN Se 2011 396 FinCEN Secure Outreach_WebCBRS Survey 2011_FINAL.doc	Form	New	Available
Form 2011 395 Regulator 2011 395 Regulatory Resource Center Customer Survey 2011_FINAL.doc	Form	New	Available
Form 390 Tricare survey 390 Tricare survey Inpatient	Form	New	Available
Form 389 Tricare survey 389 Tricare survey Outpatient	Form	New	Available
Form 388 Dept of Labor 388 Dept of Labor EBSA Questionnaire FINAL	Form	New	Available
Form 381 VHAOutpatient_ 381 VHAOutpatient_Survey_10_Final	Form	New	Available
Form 380 VHAInpatient_S 380 VHAInpatient_Survey_10_Final	Form	New	Available
Form 379 IRS LB & I Que 379 IRS LB & I Questionnaire	Form	New	Available
Form 376 AFI 376 AFI Comm Svcs	Form and Instruction	New	Available
Form 374 IRS 374 IRS Wand I E and Paper Filers for 2010	Form and Instruction	New	Available
Form 375 DTIC 375 DTIC	Form and Instruction	New	Available
Form 368 FCIC Customer 368 FCIC Customer Satisfaction Questionnaire 2010	Form	New	Available
Form 367 NCA Customer S 367 NCA Customer Satisfaction Survey	Form	New	Available
Form 361 HRSA BCRS Part 361 HRSA BCRS Partner Q's final additional	Form	New	Available
Form 360 NCCC 2010 fina 360 NCCC 2010 final Wave with 2 additional Q's	Form	New	Available
Form 359 VISTA Q's fina 359 VISTA Q's final	Form	New	Available
Form 358 State and Nati 358 State and National Q's final	Form	New	Available
Form 357 Senior corps Q 357 Senior corps Q's_Final	Form	New	Available
Form 356 LSA Q's Final 356 LSA Q's Final	Form	New	Available
Form 355 SBA ODA Custom 355 SBA ODA Customer Satisfaction Survey 2010	Form	New	Available
Form 354 2010 IRS Small 354 2010 IRS Small and Self Employed Filers Survey	Form	New	Available
Form 353 EEOC Contract 353 EEOC Contract Customer Satisfaction Survey	Form	New	Available
Form 352 Passport Q's A 352 Passport Q's AUG 23	Form	New	Available
Form 351 final NCES Que 351 final NCES Questionnaire 2010	Form	New	Available
Form 350 FDA Email Mode 350 FDA Email Model - 8.11.10 FINAL	Form	New	Available
Form 349 CQs for OMB 8- 349 CQs for OMB 8-9-2010 to 8-25-2010	Form	New	Available
Form 348 CPSC.gov Quest 348 CPSC.gov Questionnaire 8-24-2010	Form	New	Available
Form 342 SEC OIEA Jul 2 342 SEC OIEA Jul 2010 Questionnaire Call Center Qs	Form	New	Available
Form 338 2010 FinCEN Do 338 2010 FinCEN Domestic Analytic Products Survey Final 3	Form	New	Available
Form 337 HRSA BCRS NHSC 337 HRSA BCRS NHSC Partner Questionnaire_Final	Form	New	Available
Form 336 HRSA BCRS NHSC 336 HRSA BCRS NHSC Participant Questionnaire_Final	Form	New	Available
Form 335 2010 State and 335 2010 State and Local Questionnaire - Final	Form	New	Available
Form 332 DOJ COPS 332 DOJ COPS 2010	Form	New	Available
Form 331 SEC 331 SEC OIEA Final	Form	New	Available
Form 329 FAA ATO 329 FAA ATO 2010	Form	New	Available
Form 330 FEMA 330 FEMA 2010 Questionnaire	Form	New	Available
Form 328 NASA CSI Surve 328 NASA CSI Survey 2010 Final	Form	New	Available
Form 327 IPD 5-27-2010 327 IPD 5-27-2010	Form	New	Available
Form 325 TSSD 6-2-2010 325 TSSD 6-2-2010	Form	New	Available
Form 326 RPPD 6-11-2010 326 RPPD 6-11-2010	Form	New	Available
Form 321 USCIS-EVerify 321 USCIS-EVerify 2010 Questionnaire_Final	Form	New	Available
Form 320 PBGC Premium F 320 PBGC Premium Filer Questionnaire 2010 Final	Form	New	Available
Form 318 2010 NWS Overa 318 2010 NWS Overall Measure FINAL	Form	New	Available
Form 317 2010 ED CFO FI 317 2010 ED CFO FINAL CORE AND CUSTOM QUESTIONS 5_26	Form	New	Available
Form 319 FEMA QS and Lo 319 FEMA QS and Local Officials FINAL	Form	New	Available
Form 2010 309 FAA Mecha 2010 309 FAA Mechanics	Form	New	Available
Form 2010 308 FAA Carri 2010 308 FAA Carrier Ops	Form	New	Available
Form 2010 307 FAA Gen A 2010 307 FAA Gen Av Pilots	Form	New	Available
Form 304 PBGC Retiree 304 PBGC Retiree Callers	Form and Instruction	New	Available
Form 303 PBGC Participa 303 PBGC Participant Caller	Form and Instruction	New	Available
Form 298 MCHB 298 HRSA MCHB Resource Center 2010	Form and Instruction	New	Available
Form 297 FinCEN Regulat 297 FinCEN Regulatory Resource Center	Form and Instruction	New	Available
Form 296 FinCEN Complia 296 FinCEN Compliance MOU Final	Form	New	Available
Form 295 FinCen Secure 295 FinCEN Secure Outreach WebCBRS	Form	New	Available
Form 294 FAA OoA 294 FAA Ofc of Airports	Form	New	Available
Form 290 CFI 2010 Rural Development	Form	New	Available
Form 289 CFI 2009 VHA Inpatient	Form	New	Available
Form 288 CFI 2009 VHA Outpatient	Form	New	Available
Form 284 CFI 2009 US Mint Treasury	Form	New	Available
Form CFI 203 DOC NOAA NWS CO-OPS questionnaire	Form and Instruction	New	Available
Form CFI 202 PBGC Retirees questionnaire	Form and Instruction	New	Available
Form CFI 201 DOT FAA Manufacturers qestionnaire	Form and Instruction	New	Available
Form CFI 200 DOT FAA Air Carrier and Repair Station questionnaire	Form and Instruction	New	Available
Form CFI 199 DOT FAA Carriers Ops questionnaire	Form and Instruction	New	Available
Form CFI 216 NASA EODIS questionnaire	Form and Instruction	New	Available
Form CFI 215 DOT FAA ATO questionnaire	Form and Instruction	New	Available
Form CFI 214 DHS USCIS Guide Booklet questionnaire	Form and Instruction	New	Available
Form CFI 213 DHS USCIS Guide CD questionnaire	Form and Instruction	New	Available
Form CFI 212 RRB Retirement Annuity questionnaire	Form and Instruction	New	Available
Form CFI 211 NRCS FRPP questionnaire	Form and Instruction	New	Available
Form CFI 210 FTC CallSat questionnaire	Form and Instruction	New	Available
Form CFI 209 TREAS FINCEN Foreign Investigative Case Reports questionnaire	Form and Instruction	New	Available
Form CFI 208 TREAS FINCEN BSA E-Filing questionnaire	Form and Instruction	New	Available
Form CFI 207 TREAS FINCEN Proactive Analytic Products questionnaire	Form	New	Available
Form CFI 206 TREAS FINCEN Domestic Case Reports questionnaire	Form and Instruction	New	Available
Form CFI 205 TREAS FINCEN SAR Activity Review questionnaire	Form and Instruction	New	Available
Form CFI 204 PBGC CallSat questionnaire	Form and Instruction	New	Available
ACSI Questionnaire for Government Services	Form and Instruction	New	Available
ACSI Questionnaire for Government Services	Form and Instruction	New	Available
ACSI Questionnaire for Government Services	Form and Instruction	New	Available
SS for 1090-0007 Part A 8.14.09.pdf	Supporting Statement A	Uploaded 2009-08-19	Available
FR 30 Day Notice Published 8.18.09.pdf	Supplementary Document	Uploaded 2009-08-18	Available
SS for 1090-0007 Part B 8.14.09.pdf	Supporting Statement B	Uploaded 2009-08-14	Available
CFI_ACSI Methodology.pdf	Supplementary Document	Uploaded 2009-08-14	Available
ACSI Methodology Paper.pdf	Supplementary Document	Uploaded 2009-08-13	Available
CTA Comparison for OMB.pdf	Supplementary Document	Uploaded 2009-08-10	Available
E.O. 12,862.htm	Supplementary Document	Uploaded 2009-08-05	Available
E.O. 13,450.pdf	Supplementary Document	Uploaded 2009-08-05	Available
Government Performance Results Act of 1993.pdf	Supplementary Document	Uploaded 2009-08-05	Available
FR 60 Notice Published 5.15.09.pdf	Supplementary Document	Uploaded 2009-08-05	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
203946	520 State BCS ACSI Survey - 521 Forest Service Program Questionnaire	Form and Instruction	New	Forest Service R&D Program Questionnaire
203946	520 State BCS ACSI Survey - 521 Forest Service Program Questionnaire	Form and Instruction	New	State BCS ACSI Survey
203749	516 ACSI General Aviation Survey - 519 NWS Survey Final	Form and Instruction	New	519 NWS Survey Final 8-21-12
203749	516 ACSI General Aviation Survey - 519 NWS Survey Final	Form and Instruction	New	518 Annual Outcome Survey Questions Final
203749	516 ACSI General Aviation Survey - 519 NWS Survey Final	Form and Instruction	New	517 NASA EOSDIS Questionnaire Final July 23 2012
203749	516 ACSI General Aviation Survey - 519 NWS Survey Final	Form and Instruction	New	516 ACSI General Aviation Survey Final 7-26-12
203404	511 LBI ACSI Questionnaire FINAL.docx - 515 HRSA BPHC Grantee Survey 7-16-12.docx	Form and Instruction	New	2012 515 HRSA BPHC Grantee Survey 7-16-12.docx
203404	511 LBI ACSI Questionnaire FINAL.docx - 515 HRSA BPHC Grantee Survey 7-16-12.docx	Form and Instruction	New	2012 514 Customer Contact Center Survey E-Verify.docx
203404	511 LBI ACSI Questionnaire FINAL.docx - 515 HRSA BPHC Grantee Survey 7-16-12.docx	Form and Instruction	New	2012 513 WI ASCI Questionnaire FINAL.doc
203404	511 LBI ACSI Questionnaire FINAL.docx - 515 HRSA BPHC Grantee Survey 7-16-12.docx	Form and Instruction	New	2012 512 SCSE ACSI Questionnaire FINAL.docx
203404	511 LBI ACSI Questionnaire FINAL.docx - 515 HRSA BPHC Grantee Survey 7-16-12.docx	Form and Instruction	New	2012 511 LBI ACSI Questionnaire FINAL.docx
202874	506 OCS_ACSI_Survey FINAL 2012.docx - 510 FAA Carriers Ops - Air Carrier Pilots - Final Questionnaire.docx	Form and Instruction	New	2012 510 FAA Carriers Ops - Air Carrier Pilots - Final
202874	506 OCS_ACSI_Survey FINAL 2012.docx - 510 FAA Carriers Ops - Air Carrier Pilots - Final Questionnaire.docx	Form and Instruction	New	2012 508 SBA ODA Customer Satisfaction Survey.docx
202874	506 OCS_ACSI_Survey FINAL 2012.docx - 510 FAA Carriers Ops - Air Carrier Pilots - Final Questionnaire.docx	Form and Instruction	New	2012 507 RRB Survivor Survey FINAL 6_13.docx
202874	506 OCS_ACSI_Survey FINAL 2012.docx - 510 FAA Carriers Ops - Air Carrier Pilots - Final Questionnaire.docx	Form and Instruction	New	2012 506 OCS_ACSI_Survey_FINAL 2012.docx
202874	506 OCS_ACSI_Survey FINAL 2012.docx - 510 FAA Carriers Ops - Air Carrier Pilots - Final Questionnaire.docx	Form and Instruction	New	2012 509 FAA Mechanics Customer Satisfaction Survey Final.doc
202512	504 FEMA Questionnaire Local Officials - 505 FEMA Questionnaire Public	Form and Instruction	New	2012 505 FEMA_Questionnaire_Public
202512	504 FEMA Questionnaire Local Officials - 505 FEMA Questionnaire Public	Form and Instruction	New	2012 FEMA Questionnaire Local Officials FINAL DRAFT
202250	497 USCIS IO Questionnaire - 503 Dept of ED CFO Grantee Questionnaire	Form and Instruction	New	2012 503 Dept of ED CFI Grantee Questionnaire CORE + CUSTOM
202250	497 USCIS IO Questionnaire - 503 Dept of ED CFO Grantee Questionnaire	Form and Instruction	New	2012 502 HRSA BCRS NHSC 2011 Participant Questionnaire FINAL
202250	497 USCIS IO Questionnaire - 503 Dept of ED CFO Grantee Questionnaire	Form and Instruction	New	2012 501 SAR Activity Review Survey FINAL
202250	497 USCIS IO Questionnaire - 503 Dept of ED CFO Grantee Questionnaire	Form and Instruction	New	2012 500 Foreign Case Reports Survey FINAL
202250	497 USCIS IO Questionnaire - 503 Dept of ED CFO Grantee Questionnaire	Form and Instruction	New	2012 499 FInCEN Domestic Analytic Products Survey FINAL
202250	497 USCIS IO Questionnaire - 503 Dept of ED CFO Grantee Questionnaire	Form and Instruction	New	2012 498 BSA E-Filing Survey FINAL
202250	497 USCIS IO Questionnaire - 503 Dept of ED CFO Grantee Questionnaire	Form and Instruction	New	2012 497 USCIS IO Questionnaire 2012 FINAL 5-9-12
201756	495 - 496 DOJ JAG Survey and PBGC Premium Filer	Form and Instruction	New	496 PBGC Premium Filer Questionnaire 2012 Final.doc
201756	495 - 496 DOJ JAG Survey and PBGC Premium Filer	Form and Instruction	New	495 DOJ JAG Questionnaire Final 3-30-12
201548	492 - 494 PBGC Retirement/Participant and HRSA NELRP/NSP	Form and Instruction	New	493 PBGC Participant Caller Instrument
201548	492 - 494 PBGC Retirement/Participant and HRSA NELRP/NSP	Form and Instruction	New	492 PBGC Retirement Instrument Survey
201548	492 - 494 PBGC Retirement/Participant and HRSA NELRP/NSP	Form and Instruction	New	494 HRSA NELRP and NSP
201482	CMS Contractor Satisfaction Survey	Form and Instruction	New	CMS Contractor Satisfaction Survey
201024	490 - Rec.gov Call Center IVR	Form and Instruction	New	490 Rec.gov Call Center IVR
200986	487 - 489 FinCEN	Form and Instruction	New	489 FinCEN Secure Outreach Web CBRS
200986	487 - 489 FinCEN	Form and Instruction	New	488 FinCEN Reg Res Cntr
200986	487 - 489 FinCEN	Form and Instruction	New	487 FinCen compliance mou
200886	485 HRSA HAB Grantees	Form and Instruction	New	486 FEMA Printed BSB Pubs
200886	485 HRSA HAB Grantees	Form and Instruction	New	485 HRSA HAB Grantees
200284	483 AMS MN and 484 GSA Fuel	Form and Instruction	New	484 GSA Greenhouse Gas Emissions Pilot
200284	483 AMS MN and 484 GSA Fuel	Form and Instruction	New	483 AMS MN 2011 Cust Sat Survey
199147	480 US Mint call center Q's 2011	Form	New	480 US Mint call center Q's 2011
198907	2011 477 NIST Ambulance Design FINAL	Form	New	477 NIST Ambulance Design FINAL
198663	470 USDA Rural Development Q's; 474 BCA; 475 Asylum - OPS 7 26 2011, 476 NASA CSI Survey 2011	Form	New	476 NASA CSI Survey 2011_Final
198663	470 USDA Rural Development Q's; 474 BCA; 475 Asylum - OPS 7 26 2011, 476 NASA CSI Survey 2011	Form	New	475 Asylum Customer Satisfaction Survey Draft - OPS 7 26 2011 FINAL
198663	470 USDA Rural Development Q's; 474 BCA; 475 Asylum - OPS 7 26 2011, 476 NASA CSI Survey 2011	Form	New	474 BCA Customer Satisfaction Survey FINAL
198663	470 USDA Rural Development Q's; 474 BCA; 475 Asylum - OPS 7 26 2011, 476 NASA CSI Survey 2011	Form	New	470 USDA Rural Development Questionnaire Rural Housing and Community Facilities Loans FINAL
198463	464 SBA ODA 2011_Final, 465 LBI ACSI Q's FINAL; 466 W&I ACSI Q's FINAL, 467 SBSE ACSI Q's FINAL, 468 DOJ COPS 2011 FINAL Q's; 469 HRSA BPHC Gr. Sur. 2011_Final	Form	New	470 Rur Dev Rural Hous and Comm Fac Loans
198463	464 SBA ODA 2011_Final, 465 LBI ACSI Q's FINAL; 466 W&I ACSI Q's FINAL, 467 SBSE ACSI Q's FINAL, 468 DOJ COPS 2011 FINAL Q's; 469 HRSA BPHC Gr. Sur. 2011_Final	Form	New	469 HRSA BPHC Grantee Survey 2011_Final
198463	464 SBA ODA 2011_Final, 465 LBI ACSI Q's FINAL; 466 W&I ACSI Q's FINAL, 467 SBSE ACSI Q's FINAL, 468 DOJ COPS 2011 FINAL Q's; 469 HRSA BPHC Gr. Sur. 2011_Final	Form	New	468 DOJ COPS Annual Survey 2011 FINAL Questionnaire
198463	464 SBA ODA 2011_Final, 465 LBI ACSI Q's FINAL; 466 W&I ACSI Q's FINAL, 467 SBSE ACSI Q's FINAL, 468 DOJ COPS 2011 FINAL Q's; 469 HRSA BPHC Gr. Sur. 2011_Final	Form	New	467 SBSE ACSI Questionnaire FINAL
198463	464 SBA ODA 2011_Final, 465 LBI ACSI Q's FINAL; 466 W&I ACSI Q's FINAL, 467 SBSE ACSI Q's FINAL, 468 DOJ COPS 2011 FINAL Q's; 469 HRSA BPHC Gr. Sur. 2011_Final	Form	New	466 W&I ACSI Questionnaire FINAL
198463	464 SBA ODA 2011_Final, 465 LBI ACSI Q's FINAL; 466 W&I ACSI Q's FINAL, 467 SBSE ACSI Q's FINAL, 468 DOJ COPS 2011 FINAL Q's; 469 HRSA BPHC Gr. Sur. 2011_Final	Form	New	465 LBI ACSI Questionnaire FINAL
198463	464 SBA ODA 2011_Final, 465 LBI ACSI Q's FINAL; 466 W&I ACSI Q's FINAL, 467 SBSE ACSI Q's FINAL, 468 DOJ COPS 2011 FINAL Q's; 469 HRSA BPHC Gr. Sur. 2011_Final	Form	New	464 SBA ODA Customer Satisfaction Survey 2011_Final
198462	481 RRB and 482 NIST Amb	Form and Instruction	New	482 NIST Amb Design
198462	481 RRB and 482 NIST Amb	Form and Instruction	New	481 RRB
198024	445SAR,446 BSA E-Filing,447FinCEN,448Foreign Case Rep,449 Nut Mgt Q's 2011,450 FAA Carriers Ops Mgt Q's;451 FAA Manuf. Q's;452FAA Qs;453Dep.Ed;454USDA RD Q's RCD Grant RBS;455E-Verif;456USDA R D	Form	New	456 USDA Rural Development Questionnaire Rural Electrification Prog
198024	445SAR,446 BSA E-Filing,447FinCEN,448Foreign Case Rep,449 Nut Mgt Q's 2011,450 FAA Carriers Ops Mgt Q's;451 FAA Manuf. Q's;452FAA Qs;453Dep.Ed;454USDA RD Q's RCD Grant RBS;455E-Verif;456USDA R D	Form	New	455 E-Verification Customer Satisfaction Survey FINAL
198024	445SAR,446 BSA E-Filing,447FinCEN,448Foreign Case Rep,449 Nut Mgt Q's 2011,450 FAA Carriers Ops Mgt Q's;451 FAA Manuf. Q's;452FAA Qs;453Dep.Ed;454USDA RD Q's RCD Grant RBS;455E-Verif;456USDA R D	Form	New	454 USDA RD FINAL Questionnaire RCD Grant RBS
198024	445SAR,446 BSA E-Filing,447FinCEN,448Foreign Case Rep,449 Nut Mgt Q's 2011,450 FAA Carriers Ops Mgt Q's;451 FAA Manuf. Q's;452FAA Qs;453Dep.Ed;454USDA RD Q's RCD Grant RBS;455E-Verif;456USDA R D	Form	New	453 Dept of ED CFO Grantee Questionnaire CORE + CUSTOM Final JUN 10 11
198024	445SAR,446 BSA E-Filing,447FinCEN,448Foreign Case Rep,449 Nut Mgt Q's 2011,450 FAA Carriers Ops Mgt Q's;451 FAA Manuf. Q's;452FAA Qs;453Dep.Ed;454USDA RD Q's RCD Grant RBS;455E-Verif;456USDA R D	Form	New	452 FAA Repair Station Questionnaire 2011 Final Version
198024	445SAR,446 BSA E-Filing,447FinCEN,448Foreign Case Rep,449 Nut Mgt Q's 2011,450 FAA Carriers Ops Mgt Q's;451 FAA Manuf. Q's;452FAA Qs;453Dep.Ed;454USDA RD Q's RCD Grant RBS;455E-Verif;456USDA R D	Form	New	451 FAA Manufacturers Questionnaire 2011 Final Version
198024	445SAR,446 BSA E-Filing,447FinCEN,448Foreign Case Rep,449 Nut Mgt Q's 2011,450 FAA Carriers Ops Mgt Q's;451 FAA Manuf. Q's;452FAA Qs;453Dep.Ed;454USDA RD Q's RCD Grant RBS;455E-Verif;456USDA R D	Form	New	450 FAA Carriers Ops Mgt Questionnaire 2011 Final Version
198024	445SAR,446 BSA E-Filing,447FinCEN,448Foreign Case Rep,449 Nut Mgt Q's 2011,450 FAA Carriers Ops Mgt Q's;451 FAA Manuf. Q's;452FAA Qs;453Dep.Ed;454USDA RD Q's RCD Grant RBS;455E-Verif;456USDA R D	Form	New	449 Nutrient Management Customer Satisfaction Questionnaire 2011 FINAL
198024	445SAR,446 BSA E-Filing,447FinCEN,448Foreign Case Rep,449 Nut Mgt Q's 2011,450 FAA Carriers Ops Mgt Q's;451 FAA Manuf. Q's;452FAA Qs;453Dep.Ed;454USDA RD Q's RCD Grant RBS;455E-Verif;456USDA R D	Form	New	447 FinCEN Domestic Analytic Products 5-19-2011
198024	445SAR,446 BSA E-Filing,447FinCEN,448Foreign Case Rep,449 Nut Mgt Q's 2011,450 FAA Carriers Ops Mgt Q's;451 FAA Manuf. Q's;452FAA Qs;453Dep.Ed;454USDA RD Q's RCD Grant RBS;455E-Verif;456USDA R D	Form	New	448 Foreign Case Reports 5-19-2011
198024	445SAR,446 BSA E-Filing,447FinCEN,448Foreign Case Rep,449 Nut Mgt Q's 2011,450 FAA Carriers Ops Mgt Q's;451 FAA Manuf. Q's;452FAA Qs;453Dep.Ed;454USDA RD Q's RCD Grant RBS;455E-Verif;456USDA R D	Form	New	446 BSA E-Filling 5-12-2011
198024	445SAR,446 BSA E-Filing,447FinCEN,448Foreign Case Rep,449 Nut Mgt Q's 2011,450 FAA Carriers Ops Mgt Q's;451 FAA Manuf. Q's;452FAA Qs;453Dep.Ed;454USDA RD Q's RCD Grant RBS;455E-Verif;456USDA R D	Form	New	445 SAR 5-13-2011
197855	444 SSA Call Center Q's FINAL MAY 18	Form	New	444 Social Security Administration Call Center Questionnaire FINAL MAY 18
197563	434 FEMA_Q's_Public_4_21_11; 435 FEMA_Q's_Local_Officials_4_21_11; 436 NWS Overall Measure 042211_FINAL; 437HRSA BCRS NHSC 2011 Partic Q's_FINAL; 438 HRSA BCRS NHSC 2011 Partner Q's_FINAL	Form	New	438 HRSA BCRS NHSC 2011 Partner Questionnaire_FINAL
197563	434 FEMA_Q's_Public_4_21_11; 435 FEMA_Q's_Local_Officials_4_21_11; 436 NWS Overall Measure 042211_FINAL; 437HRSA BCRS NHSC 2011 Partic Q's_FINAL; 438 HRSA BCRS NHSC 2011 Partner Q's_FINAL	Form	New	437 HRSA BCRS NHSC 2011 Participant Questionnaire_FINAL
197563	434 FEMA_Q's_Public_4_21_11; 435 FEMA_Q's_Local_Officials_4_21_11; 436 NWS Overall Measure 042211_FINAL; 437HRSA BCRS NHSC 2011 Partic Q's_FINAL; 438 HRSA BCRS NHSC 2011 Partner Q's_FINAL	Form	New	436 NWS Overall Measure 042211_FINAL
197563	434 FEMA_Q's_Public_4_21_11; 435 FEMA_Q's_Local_Officials_4_21_11; 436 NWS Overall Measure 042211_FINAL; 437HRSA BCRS NHSC 2011 Partic Q's_FINAL; 438 HRSA BCRS NHSC 2011 Partner Q's_FINAL	Form	New	435 FEMA_Questionnaire_Local_Officials_4_21_11
197563	434 FEMA_Q's_Public_4_21_11; 435 FEMA_Q's_Local_Officials_4_21_11; 436 NWS Overall Measure 042211_FINAL; 437HRSA BCRS NHSC 2011 Partic Q's_FINAL; 438 HRSA BCRS NHSC 2011 Partner Q's_FINAL	Form	New	434 FEMA_Questionnaire_Public_4_21_11
197228	428 PBGC Premium Filer Q's 2011 F, 429 VBA 2011 Insurance Claims Q's F, 430 VBA 2011 Call Center Q's F	Form	New	430 VBA 2011 Call Center Q's Final
197228	428 PBGC Premium Filer Q's 2011 F, 429 VBA 2011 Insurance Claims Q's F, 430 VBA 2011 Call Center Q's F	Form	New	429 VBA 2011 Insurance Claims Q's Final
197228	428 PBGC Premium Filer Q's 2011 F, 429 VBA 2011 Insurance Claims Q's F, 430 VBA 2011 Call Center Q's F	Form	New	428 PBGC Premium Filer Q's 2011 F
197069	423 DOJ COPS Publication MonthlySurvey FY2011 UPDATED 3_18	Form	New	423 DOJ COPS Publication MonthlySurvey FY2011 UPDATED 3_18
196721	409 VHA ChampVA 2011 Q's, 410 DOJ COPS TTA , 411PBGC Participant Caller ACSI Instrument 2011 FINAL, 412PBGC Retiree ACSI Instrument 2011 FINAL, 413MINT ACSI Annual Customer Satisfaction Survey FINAL	Form	New	413 MINT ACSI Annual Customer Satisfaction Survey FINAL Mar9
196721	409 VHA ChampVA 2011 Q's, 410 DOJ COPS TTA , 411PBGC Participant Caller ACSI Instrument 2011 FINAL, 412PBGC Retiree ACSI Instrument 2011 FINAL, 413MINT ACSI Annual Customer Satisfaction Survey FINAL	Form	New	412 PBGC Retiree ACSI Instrument 2011 FINAL
196721	409 VHA ChampVA 2011 Q's, 410 DOJ COPS TTA , 411PBGC Participant Caller ACSI Instrument 2011 FINAL, 412PBGC Retiree ACSI Instrument 2011 FINAL, 413MINT ACSI Annual Customer Satisfaction Survey FINAL	Form	New	411 PBGC Participant Caller ACSI Instrument 2011 FINAL
196721	409 VHA ChampVA 2011 Q's, 410 DOJ COPS TTA , 411PBGC Participant Caller ACSI Instrument 2011 FINAL, 412PBGC Retiree ACSI Instrument 2011 FINAL, 413MINT ACSI Annual Customer Satisfaction Survey FINAL	Form	New	410 DOJ COPS TTA Recip_Quart_FY2011_FINAL
196721	409 VHA ChampVA 2011 Q's, 410 DOJ COPS TTA , 411PBGC Participant Caller ACSI Instrument 2011 FINAL, 412PBGC Retiree ACSI Instrument 2011 FINAL, 413MINT ACSI Annual Customer Satisfaction Survey FINAL	Form	New	409 VHA ChampVA 2011 Q's
196152	403 Customer Satisfaction Questionnaire.docx	Form	New	403 Customer Satisfaction Questionnaire.docx
196041	397 FinCEN Compliance MOU Customer Survey 2011_draft, 402 ACSI Annual Customer Satisfaction Survey FINAL	Form	New	402 ACSI Annual Customer Satisfaction Survey FINAL
196041	397 FinCEN Compliance MOU Customer Survey 2011_draft, 402 ACSI Annual Customer Satisfaction Survey FINAL	Form	New	397 FinCEN Compliance MOU Customer Survey 2011_draft
195916	395 Regulatory Resource Center Customer Survey 2011_FINAL, 396 FinCEN Secure Outreach_WebCBRS Survey 2011_FINAL	Form	New	2011 396 FinCEN Secure Outreach_WebCBRS Survey 2011_FINAL.doc
195916	395 Regulatory Resource Center Customer Survey 2011_FINAL, 396 FinCEN Secure Outreach_WebCBRS Survey 2011_FINAL	Form	New	2011 395 Regulatory Resource Center Customer Survey 2011_FINAL.doc
195573	388 Dept of Labor EBSA Q's FINAL 389 Tricare survey Outpatient 390 Tricare survey Inpatient	Form	New	390 Tricare survey Inpatient
195573	388 Dept of Labor EBSA Q's FINAL 389 Tricare survey Outpatient 390 Tricare survey Inpatient	Form	New	389 Tricare survey Outpatient
195573	388 Dept of Labor EBSA Q's FINAL 389 Tricare survey Outpatient 390 Tricare survey Inpatient	Form	New	388 Dept of Labor EBSA Questionnaire FINAL
195191	379 IRS LB & I Q's, 380 VHAInpatient_Survey_10_Final, 381 VHAOutpatient_Survey_10_Final	Form	New	381 VHAOutpatient_Survey_10_Final
195191	379 IRS LB & I Q's, 380 VHAInpatient_Survey_10_Final, 381 VHAOutpatient_Survey_10_Final	Form	New	380 VHAInpatient_Survey_10_Final
195191	379 IRS LB & I Q's, 380 VHAInpatient_Survey_10_Final, 381 VHAOutpatient_Survey_10_Final	Form	New	379 IRS LB & I Questionnaire
194890	374 - 376 IRS DTIC AFI	Form and Instruction	New	376 AFI Comm Svcs
194890	374 - 376 IRS DTIC AFI	Form and Instruction	New	374 IRS Wand I E and Paper Filers for 2010
194890	374 - 376 IRS DTIC AFI	Form and Instruction	New	375 DTIC
194780	367 NCA , 368 FCIC Q's 2010	Form	New	368 FCIC Customer Satisfaction Questionnaire 2010
194780	367 NCA , 368 FCIC Q's 2010	Form	New	367 NCA Customer Satisfaction Survey
194569	351-361 NCES_ Passport Q's_ EEOC_ IRS Small and Self Employed Filers_ODA_ LSA_Senior Corps	Form	New	361 HRSA BCRS Partner Q's final additional
194569	351-361 NCES_ Passport Q's_ EEOC_ IRS Small and Self Employed Filers_ODA_ LSA_Senior Corps	Form	New	360 NCCC 2010 final Wave with 2 additional Q's
194569	351-361 NCES_ Passport Q's_ EEOC_ IRS Small and Self Employed Filers_ODA_ LSA_Senior Corps	Form	New	359 VISTA Q's final
194569	351-361 NCES_ Passport Q's_ EEOC_ IRS Small and Self Employed Filers_ODA_ LSA_Senior Corps	Form	New	358 State and National Q's final
194569	351-361 NCES_ Passport Q's_ EEOC_ IRS Small and Self Employed Filers_ODA_ LSA_Senior Corps	Form	New	357 Senior corps Q's_Final
194569	351-361 NCES_ Passport Q's_ EEOC_ IRS Small and Self Employed Filers_ODA_ LSA_Senior Corps	Form	New	356 LSA Q's Final
194569	351-361 NCES_ Passport Q's_ EEOC_ IRS Small and Self Employed Filers_ODA_ LSA_Senior Corps	Form	New	355 SBA ODA Customer Satisfaction Survey 2010
194569	351-361 NCES_ Passport Q's_ EEOC_ IRS Small and Self Employed Filers_ODA_ LSA_Senior Corps	Form	New	354 2010 IRS Small and Self Employed Filers Survey
194569	351-361 NCES_ Passport Q's_ EEOC_ IRS Small and Self Employed Filers_ODA_ LSA_Senior Corps	Form	New	353 EEOC Contract Customer Satisfaction Survey
194569	351-361 NCES_ Passport Q's_ EEOC_ IRS Small and Self Employed Filers_ODA_ LSA_Senior Corps	Form	New	352 Passport Q's AUG 23
194569	351-361 NCES_ Passport Q's_ EEOC_ IRS Small and Self Employed Filers_ODA_ LSA_Senior Corps	Form	New	351 final NCES Questionnaire 2010
194414	348 CPSC.gov 8-24-2010, 349 CQs for OMB 8-9-2010 to 8-25-2010, 350 FDA Email Model - 8.11.10 FINAL	Form	New	350 FDA Email Model - 8.11.10 FINAL
194414	348 CPSC.gov 8-24-2010, 349 CQs for OMB 8-9-2010 to 8-25-2010, 350 FDA Email Model - 8.11.10 FINAL	Form	New	349 CQs for OMB 8-9-2010 to 8-25-2010
194414	348 CPSC.gov 8-24-2010, 349 CQs for OMB 8-9-2010 to 8-25-2010, 350 FDA Email Model - 8.11.10 FINAL	Form	New	348 CPSC.gov Questionnaire 8-24-2010
194130	342 SEC OIEA Jul 2010 Questionnaire Call Center Questionnaire	Form	New	342 SEC OIEA Jul 2010 Questionnaire Call Center Qs
193840	335 State and Local Q's 336, 337 HRSA BCRS NHSC 338 FinCen	Form	New	338 2010 FinCEN Domestic Analytic Products Survey Final 3
193840	335 State and Local Q's 336, 337 HRSA BCRS NHSC 338 FinCen	Form	New	337 HRSA BCRS NHSC Partner Questionnaire_Final
193840	335 State and Local Q's 336, 337 HRSA BCRS NHSC 338 FinCen	Form	New	336 HRSA BCRS NHSC Participant Questionnaire_Final
193840	335 State and Local Q's 336, 337 HRSA BCRS NHSC 338 FinCen	Form	New	335 2010 State and Local Questionnaire - Final
193329	325 TSSD 6-2-2010 326 RPPD 6-11-2010 327 IPD 5-27-2010 328NASA	Form	New	332 DOJ COPS 2010
193329	325 TSSD 6-2-2010 326 RPPD 6-11-2010 327 IPD 5-27-2010 328NASA	Form	New	331 SEC OIEA Final
193329	325 TSSD 6-2-2010 326 RPPD 6-11-2010 327 IPD 5-27-2010 328NASA	Form	New	329 FAA ATO 2010
193329	325 TSSD 6-2-2010 326 RPPD 6-11-2010 327 IPD 5-27-2010 328NASA	Form	New	330 FEMA 2010 Questionnaire
193329	325 TSSD 6-2-2010 326 RPPD 6-11-2010 327 IPD 5-27-2010 328NASA	Form	New	328 NASA CSI Survey 2010 Final
193329	325 TSSD 6-2-2010 326 RPPD 6-11-2010 327 IPD 5-27-2010 328NASA	Form	New	327 IPD 5-27-2010
193329	325 TSSD 6-2-2010 326 RPPD 6-11-2010 327 IPD 5-27-2010 328NASA	Form	New	325 TSSD 6-2-2010
193329	325 TSSD 6-2-2010 326 RPPD 6-11-2010 327 IPD 5-27-2010 328NASA	Form	New	326 RPPD 6-11-2010
193128	317 2010 ED CFO CQ's 5_26 318 2010 NWS FINAL 319 FEMA QS FINAL 320 PBGC QS 2010 Final 321 USCIS-EVerify 2010 QS	Form	New	321 USCIS-EVerify 2010 Questionnaire_Final
193128	317 2010 ED CFO CQ's 5_26 318 2010 NWS FINAL 319 FEMA QS FINAL 320 PBGC QS 2010 Final 321 USCIS-EVerify 2010 QS	Form	New	320 PBGC Premium Filer Questionnaire 2010 Final
193128	317 2010 ED CFO CQ's 5_26 318 2010 NWS FINAL 319 FEMA QS FINAL 320 PBGC QS 2010 Final 321 USCIS-EVerify 2010 QS	Form	New	318 2010 NWS Overall Measure FINAL
193128	317 2010 ED CFO CQ's 5_26 318 2010 NWS FINAL 319 FEMA QS FINAL 320 PBGC QS 2010 Final 321 USCIS-EVerify 2010 QS	Form	New	317 2010 ED CFO FINAL CORE AND CUSTOM QUESTIONS 5_26
193128	317 2010 ED CFO CQ's 5_26 318 2010 NWS FINAL 319 FEMA QS FINAL 320 PBGC QS 2010 Final 321 USCIS-EVerify 2010 QS	Form	New	319 FEMA QS and Local Officials FINAL
192472	307 FAA Pilots 308 Carrier Ops 309 Mechanics	Form	New	2010 309 FAA Mechanics
192472	307 FAA Pilots 308 Carrier Ops 309 Mechanics	Form	New	2010 308 FAA Carrier Ops
192472	307 FAA Pilots 308 Carrier Ops 309 Mechanics	Form	New	2010 307 FAA Gen Av Pilots
192185	303 PBGC Participant Caller 304 PBGC Retiree Caller	Form and Instruction	New	304 PBGC Retiree Callers
192185	303 PBGC Participant Caller 304 PBGC Retiree Caller	Form and Instruction	New	303 PBGC Participant Caller
191991	298 MCHB	Form and Instruction	New	298 HRSA MCHB Resource Center 2010
191832	294 FAA Ofc of Airports, 295 FinCEN Secure Outreach, 296 FinCEN Compliance, 297 FinCEN Regulatory	Form and Instruction	New	297 FinCEN Regulatory Resource Center
191832	294 FAA Ofc of Airports, 295 FinCEN Secure Outreach, 296 FinCEN Compliance, 297 FinCEN Regulatory	Form	New	296 FinCEN Compliance MOU Final
191832	294 FAA Ofc of Airports, 295 FinCEN Secure Outreach, 296 FinCEN Compliance, 297 FinCEN Regulatory	Form	New	295 FinCEN Secure Outreach WebCBRS
191832	294 FAA Ofc of Airports, 295 FinCEN Secure Outreach, 296 FinCEN Compliance, 297 FinCEN Regulatory	Form	New	294 FAA Ofc of Airports
191711	288 VHA Outpatient 289 VHA Inpatient 290 Rural Dev	Form	New	2010 Rural Development
191711	288 VHA Outpatient 289 VHA Inpatient 290 Rural Dev	Form	New	2009 VHA Inpatient
191711	288 VHA Outpatient 289 VHA Inpatient 290 Rural Dev	Form	New	2009 VHA Outpatient
191314	284 CFI US Mint Treasury	Form	New	2009 US Mint Treasury
190292	CFI 199 - CFI 216: active surveys from previous ICR	Form and Instruction	New	DOC NOAA NWS CO-OPS questionnaire
190292	CFI 199 - CFI 216: active surveys from previous ICR	Form and Instruction	New	PBGC Retirees questionnaire
190292	CFI 199 - CFI 216: active surveys from previous ICR	Form and Instruction	New	DOT FAA Manufacturers qestionnaire
190292	CFI 199 - CFI 216: active surveys from previous ICR	Form and Instruction	New	DOT FAA Air Carrier and Repair Station questionnaire
190292	CFI 199 - CFI 216: active surveys from previous ICR	Form and Instruction	New	DOT FAA Carriers Ops questionnaire
190292	CFI 199 - CFI 216: active surveys from previous ICR	Form and Instruction	New	NASA EODIS questionnaire
190292	CFI 199 - CFI 216: active surveys from previous ICR	Form and Instruction	New	DOT FAA ATO questionnaire
190292	CFI 199 - CFI 216: active surveys from previous ICR	Form and Instruction	New	DHS USCIS Guide Booklet questionnaire
190292	CFI 199 - CFI 216: active surveys from previous ICR	Form and Instruction	New	DHS USCIS Guide CD questionnaire
190292	CFI 199 - CFI 216: active surveys from previous ICR	Form and Instruction	New	RRB Retirement Annuity questionnaire
190292	CFI 199 - CFI 216: active surveys from previous ICR	Form and Instruction	New	NRCS FRPP questionnaire
190292	CFI 199 - CFI 216: active surveys from previous ICR	Form and Instruction	New	FTC CallSat questionnaire
190292	CFI 199 - CFI 216: active surveys from previous ICR	Form and Instruction	New	TREAS FINCEN Foreign Investigative Case Reports questionnaire
190292	CFI 199 - CFI 216: active surveys from previous ICR	Form and Instruction	New	TREAS FINCEN BSA E-Filing questionnaire
190292	CFI 199 - CFI 216: active surveys from previous ICR	Form	New	TREAS FINCEN Proactive Analytic Products questionnaire
190292	CFI 199 - CFI 216: active surveys from previous ICR	Form and Instruction	New	TREAS FINCEN Domestic Case Reports questionnaire
190292	CFI 199 - CFI 216: active surveys from previous ICR	Form and Instruction	New	TREAS FINCEN SAR Activity Review questionnaire
190292	CFI 199 - CFI 216: active surveys from previous ICR	Form and Instruction	New	PBGC CallSat questionnaire
190178	Customer Satisfaction Surveys (State, Local and Tribal Governments)	Form and Instruction	New	ACSI Questionnaire for Government Services
190177	Customer Satistaction Surveys (Private Sector)	Form and Instruction	New	ACSI Questionnaire for Government Services
190176	Customer Satisfaction Surveys (Individuals and Households)	Form and Instruction	New	ACSI Questionnaire for Government Services

ICR Details

OMB Control No: 1090-0007	ICR Reference No: 200908-1090-001
Status: Historical Active	Previous ICR Reference No: 200904-1090-001
Agency/Subagency: DOI/ASPMB	Agency Tracking No:
Title: American Customer Satisfaction Index "Customer Satisfaction Surveys"
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/15/2009
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/19/2009
Terms of Clearance: This survey should be reviewed against any new statistical standards in light of new web technologies being utilized by Federal agencies the next time it comes in for extension or revision.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2012	36 Months From Approved	10/31/2009
Responses	112,500	0	117,000
Time Burden (Hours)	22,500	0	23,400
Cost Burden (Dollars)	0	0	0

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Abstract: The objectives of surveying citizen users of Federal Agencies as part of the American Customer Satisfaction Index are: (1) to make the agencies part of a national measure of customer satisfaction; (2) to benchmark against other agencies and companies; and (3) to provide information for improving customer satisfaction.

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Authorizing Statute(s): US Code: 31 USC 1116 Name of Law: Government Performance Results Act
   EO: EO 13450 Name/Subject of EO: Improving Government Program Performance
   EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 22954	05/15/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 41737	08/18/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 47

table that charts list of burden

IC Title	Form No.	Form Name
2011 477 NIST Ambulance Design FINAL	477 NIST Ambulance Design FINAL	477 NIST Ambulance Design FINAL
284 CFI US Mint Treasury	284 CFI	2009 US Mint Treasury
288 VHA Outpatient 289 VHA Inpatient 290 Rural Dev	290 CFI, 289 CFI, 288 CFI	2009 VHA Outpatient ,   2009 VHA Inpatient ,   2010 Rural Development
294 FAA Ofc of Airports, 295 FinCEN Secure Outreach, 296 FinCEN Compliance, 297 FinCEN Regulatory	296 FinCEN Compliance, 294 FAA OoA, 295 FinCen Secure, 297 FinCEN Regulatory	294 FAA Ofc of Airports ,   295 FinCEN Secure Outreach WebCBRS ,   296 FinCEN Compliance MOU Final ,   297 FinCEN Regulatory Resource Center
298 MCHB	298 MCHB	298 HRSA MCHB Resource Center 2010
303 PBGC Participant Caller 304 PBGC Retiree Caller	303 PBGC Participant, 304 PBGC Retiree	303 PBGC Participant Caller ,   304 PBGC Retiree Callers
307 FAA Pilots 308 Carrier Ops 309 Mechanics	2010 308 FAA Carrier Ops, 2010 307 FAA Gen Av Pilots, 2010 309 FAA Mechanics	2010 307 FAA Gen Av Pilots ,   2010 308 FAA Carrier Ops ,   2010 309 FAA Mechanics
317 2010 ED CFO CQ's 5_26 318 2010 NWS FINAL 319 FEMA QS FINAL 320 PBGC QS 2010 Final 321 USCIS-EVerify 2010 QS	318 2010 NWS Overall Measure FINAL, 320 PBGC Premium Filer Questionnaire 2010 Final, 321 USCIS-EVerify 2010 Questionnaire_Final, 319 FEMA QS and Local Officials Final, 317 2010 ED CFO FINAL CORE AND CQ's 5_26	317 2010 ED CFO FINAL CORE AND CUSTOM QUESTIONS 5_26 ,   318 2010 NWS Overall Measure FINAL ,   319 FEMA QS and Local Officials FINAL ,   320 PBGC Premium Filer Questionnaire 2010 Final ,   321 USCIS-EVerify 2010 Questionnaire_Final
325 TSSD 6-2-2010 326 RPPD 6-11-2010 327 IPD 5-27-2010 328NASA	327 IPD 5-27-2010, 328 NASA CSI Survey 2010 Final, 330 FEMA, 329 FAA ATO, 331 SEC, 332 DOJ COPS, 325 TSSD 6-2-2010, 326 RPPD 6-11-2010	325 TSSD 6-2-2010 ,   326 RPPD 6-11-2010 ,   327 IPD 5-27-2010 ,   328 NASA CSI Survey 2010 Final ,   330 FEMA 2010 Questionnaire ,   329 FAA ATO 2010 ,   331 SEC OIEA Final ,   332 DOJ COPS 2010
335 State and Local Q's 336, 337 HRSA BCRS NHSC 338 FinCen	336 HRSA BCRS NHSC Participant Questionnaire_Final, 335 2010 State and Local Questionnaire - Final, 337 HRSA BCRS NHSC Partner Questionnaire_Final, 338 2010 FinCEN Domestic Analytic Products Survey	335 2010 State and Local Questionnaire - Final ,   336 HRSA BCRS NHSC Participant Questionnaire_Final ,   337 HRSA BCRS NHSC Partner Questionnaire_Final ,   338 2010 FinCEN Domestic Analytic Products Survey Final 3
342 SEC OIEA Jul 2010 Questionnaire Call Center Questionnaire	342 SEC OIEA Jul 2010 Questionnaire Call Center Qs	342 SEC OIEA Jul 2010 Questionnaire Call Center Qs
348 CPSC.gov 8-24-2010, 349 CQs for OMB 8-9-2010 to 8-25-2010, 350 FDA Email Model - 8.11.10 FINAL	348 CPSC.gov Questionnaire 8-24-2010, 349 CQs for OMB 8-9-2010 to 8-25-2010, 350 FDA Email Model - 8.11.10 FINAL	348 CPSC.gov Questionnaire 8-24-2010 ,   349 CQs for OMB 8-9-2010 to 8-25-2010 ,   350 FDA Email Model - 8.11.10 FINAL
351-361 NCES_ Passport Q's_ EEOC_ IRS Small and Self Employed Filers_ODA_ LSA_Senior Corps	357 Senior corps Q's_Final, 354 2010 IRS Small and Self Employed Filers Survey, 356 LSA Q's Final, 360 NCCC 2010 final Wave with 2 additional Q's, 352 Passport Q's AUG 23, 353 EEOC Contract Customer Satisfaction Survey, 355 SBA ODA Customer Satisfaction Survey 2010, 361 HRSA BCRS Partner Q's final additional, 351 final NCES Questionnaire 2010, 359 VISTA Q's final, 358 State and National Q's final	351 final NCES Questionnaire 2010 ,   352 Passport Q's AUG 23 ,   353 EEOC Contract Customer Satisfaction Survey ,   354 2010 IRS Small and Self Employed Filers Survey ,   355 SBA ODA Customer Satisfaction Survey 2010 ,   356 LSA Q's Final ,   357 Senior corps Q's_Final ,   358 State and National Q's final ,   359 VISTA Q's final ,   360 NCCC 2010 final Wave with 2 additional Q's ,   361 HRSA BCRS Partner Q's final additional
367 NCA , 368 FCIC Q's 2010	367 NCA Customer Satisfaction Survey, 368 FCIC Customer Satisfaction Questionnaire 2010	367 NCA Customer Satisfaction Survey ,   368 FCIC Customer Satisfaction Questionnaire 2010
374 - 376 IRS DTIC AFI	375 DTIC, 374 IRS, 376 AFI	374 IRS Wand I E and Paper Filers for 2010 ,   375 DTIC ,   376 AFI Comm Svcs
379 IRS LB & I Q's, 380 VHAInpatient_Survey_10_Final, 381 VHAOutpatient_Survey_10_Final	380 VHAInpatient_Survey_10_Final, 381 VHAOutpatient_Survey_10_Final, 379 IRS LB & I Questionnaire	379 IRS LB & I Questionnaire ,   380 VHAInpatient_Survey_10_Final ,   381 VHAOutpatient_Survey_10_Final
388 Dept of Labor EBSA Q's FINAL 389 Tricare survey Outpatient 390 Tricare survey Inpatient	390 Tricare survey Inpatient, 388 Dept of Labor EBSA Questionnaire FINAL, 389 Tricare survey Outpatient	388 Dept of Labor EBSA Questionnaire FINAL ,   389 Tricare survey Outpatient ,   390 Tricare survey Inpatient
395 Regulatory Resource Center Customer Survey 2011_FINAL, 396 FinCEN Secure Outreach_WebCBRS Survey 2011_FINAL	2011 395 Regulatory Resource Center Customer Surve, 2011 396 FinCEN Secure Outreach_WebCBRS Survey 201	2011 395 Regulatory Resource Center Customer Survey 2011_FINAL.doc ,   2011 396 FinCEN Secure Outreach_WebCBRS Survey 2011_FINAL.doc
397 FinCEN Compliance MOU Customer Survey 2011_draft, 402 ACSI Annual Customer Satisfaction Survey FINAL	402 ACSI Annual Customer Satisfaction Survey FINAL, 397 FinCEN Compliance MOU Customer Survey 2011_dra	397 FinCEN Compliance MOU Customer Survey 2011_draft ,   402 ACSI Annual Customer Satisfaction Survey FINAL
403 Customer Satisfaction Questionnaire.docx	403 Customer Satisfaction Questionnaire.docx	403 Customer Satisfaction Questionnaire.docx
409 VHA ChampVA 2011 Q's, 410 DOJ COPS TTA , 411PBGC Participant Caller ACSI Instrument 2011 FINAL, 412PBGC Retiree ACSI Instrument 2011 FINAL, 413MINT ACSI Annual Customer Satisfaction Survey FINAL	413 MINT ACSI Annual Customer Satisfaction Survey , 410 DOJ COPS TTA Recip_Quart_FY2011_FINAL, 409 VHA ChampVA 2011 Q's, 411 PBGC Participant Caller ACSI Instrument 2011 F, 412 PBGC Retiree ACSI Instrument 2011 FINAL	409 VHA ChampVA 2011 Q's ,   410 DOJ COPS TTA Recip_Quart_FY2011_FINAL ,   411 PBGC Participant Caller ACSI Instrument 2011 FINAL ,   412 PBGC Retiree ACSI Instrument 2011 FINAL ,   413 MINT ACSI Annual Customer Satisfaction Survey FINAL Mar9
423 DOJ COPS Publication MonthlySurvey FY2011 UPDATED 3_18	423 DOJ COPS Publication MonthlySurvey FY2011 UPDA	423 DOJ COPS Publication MonthlySurvey FY2011 UPDATED 3_18
428 PBGC Premium Filer Q's 2011 F, 429 VBA 2011 Insurance Claims Q's F, 430 VBA 2011 Call Center Q's F	429 VBA 2011 Insurance Claims Q's Final, 428 PBGC Premium Filer Q's 2011 F, 430 VBA 2011 Call Center Q's Final	428 PBGC Premium Filer Q's 2011 F ,   429 VBA 2011 Insurance Claims Q's Final ,   430 VBA 2011 Call Center Q's Final
434 FEMA_Q's_Public_4_21_11; 435 FEMA_Q's_Local_Officials_4_21_11; 436 NWS Overall Measure 042211_FINAL; 437HRSA BCRS NHSC 2011 Partic Q's_FINAL; 438 HRSA BCRS NHSC 2011 Partner Q's_FINAL	434 FEMA_Questionnaire_Public_4_21_11, 436 NWS Overall Measure 042211_FINAL, 435 FEMA_Questionnaire_Local_Officials_4_21_11, 437 HRSA BCRS NHSC 2011 Participant Questionnaire_, 438 HRSA BCRS NHSC 2011 Partner Questionnaire_FINA	434 FEMA_Questionnaire_Public_4_21_11 ,   435 FEMA_Questionnaire_Local_Officials_4_21_11 ,   436 NWS Overall Measure 042211_FINAL ,   437 HRSA BCRS NHSC 2011 Participant Questionnaire_FINAL ,   438 HRSA BCRS NHSC 2011 Partner Questionnaire_FINAL
444 SSA Call Center Q's FINAL MAY 18	444 Social Security Administration Call Center Que	444 Social Security Administration Call Center Questionnaire FINAL MAY 18
445SAR,446 BSA E-Filing,447FinCEN,448Foreign Case Rep,449 Nut Mgt Q's 2011,450 FAA Carriers Ops Mgt Q's;451 FAA Manuf. Q's;452FAA Qs;453Dep.Ed;454USDA RD Q's RCD Grant RBS;455E-Verif;456USDA R D	451 FAA Manufacturers Questionnaire 2011 Final Ver, 452 FAA Repair Station Questionnaire 2011 Final Ve, 450 FAA Carriers Ops Mgt Questionnaire 2011 Final , 445 SAR 5-13-2011, 453 Dept of ED CFO Grantee Questionnaire CORE + CU, 456 USDA Rural Development Questionnaire Rural Ele, 454 USDA RD FINAL Questionnaire RCD Grant RBS, E-Verification Customer Satisfaction Survey FINAL, 449 Nutrient Management Customer Satisfaction Q's, 446 BSA E-Filing 5-12-2011, 448 Foreign Case Reports 5-19-2011, 447 FinCEN Domestic Analytic Products 5-19-2011	445 SAR 5-13-2011 ,   446 BSA E-Filling 5-12-2011 ,   448 Foreign Case Reports 5-19-2011 ,   447 FinCEN Domestic Analytic Products 5-19-2011 ,   449 Nutrient Management Customer Satisfaction Questionnaire 2011 FINAL ,   450 FAA Carriers Ops Mgt Questionnaire 2011 Final Version ,   451 FAA Manufacturers Questionnaire 2011 Final Version ,   452 FAA Repair Station Questionnaire 2011 Final Version ,   453 Dept of ED CFO Grantee Questionnaire CORE + CUSTOM Final JUN 10 11 ,   454 USDA RD FINAL Questionnaire RCD Grant RBS ,   455 E-Verification Customer Satisfaction Survey FINAL ,   456 USDA Rural Development Questionnaire Rural Electrification Prog
464 SBA ODA 2011_Final, 465 LBI ACSI Q's FINAL; 466 W&I ACSI Q's FINAL, 467 SBSE ACSI Q's FINAL, 468 DOJ COPS 2011 FINAL Q's; 469 HRSA BPHC Gr. Sur. 2011_Final	464 SBA ODA Customer Satisfaction Survey 2011_Fina, 468 DOJ COPS Annual Survey 2011 FINAL Questionnair, 465 LBI ACSI Questionnaire FINAL, 466 W&I ACSI Questionnaire FINAL, 467 SBSE ACSI Questionnaire FINAL, 469 HRSA BPHC Grantee Survey 2011_Final, 470 Rur Dev	464 SBA ODA Customer Satisfaction Survey 2011_Final ,   465 LBI ACSI Questionnaire FINAL ,   466 W&I ACSI Questionnaire FINAL ,   467 SBSE ACSI Questionnaire FINAL ,   468 DOJ COPS Annual Survey 2011 FINAL Questionnaire ,   469 HRSA BPHC Grantee Survey 2011_Final ,   470 Rur Dev Rural Hous and Comm Fac Loans
470 USDA Rural Development Q's; 474 BCA; 475 Asylum - OPS 7 26 2011, 476 NASA CSI Survey 2011	470 USDA Rural Development Questionnaire Rural Hou, 474 BCA Customer Satisfaction Survey FINAL, 475Asylum Customer Satisfaction Sur.Draft -OPS 7, 476 NASA CSI Survey 2011_Final	470 USDA Rural Development Questionnaire Rural Housing and Community Facilities Loans FINAL ,   474 BCA Customer Satisfaction Survey FINAL ,   475 Asylum Customer Satisfaction Survey Draft - OPS 7 26 2011 FINAL ,   476 NASA CSI Survey 2011_Final
480 US Mint call center Q's 2011	480 US Mint call center Q's 2011	480 US Mint call center Q's 2011
481 RRB and 482 NIST Amb	481, 482	481 RRB ,   482 NIST Amb Design
483 AMS MN and 484 GSA Fuel	484, 483	483 AMS MN 2011 Cust Sat Survey ,   484 GSA Greenhouse Gas Emissions Pilot
485 HRSA HAB Grantees	486 FEMA, 485 HRSA HAB	485 HRSA HAB Grantees ,   486 FEMA Printed BSB Pubs
487 - 489 FinCEN	488 FinCEN, 489 FinCEN , 487 FinCen	487 FinCen compliance mou ,   488 FinCEN Reg Res Cntr ,   489 FinCEN Secure Outreach Web CBRS
490 - Rec.gov Call Center IVR	490 Rec.go IVR	490 Rec.gov Call Center IVR
492 - 494 PBGC Retirement/Participant and HRSA NELRP/NSP	493 , 492, 494 NELRP and NSP	494 HRSA NELRP and NSP ,   492 PBGC Retirement Instrument Survey ,   493 PBGC Participant Caller Instrument
495 - 496 DOJ JAG Survey and PBGC Premium Filer	496 PBGC, 495 DOJ	495 DOJ JAG Questionnaire Final 3-30-12 ,   496 PBGC Premium Filer Questionnaire 2012 Final.doc
497 USCIS IO Questionnaire - 503 Dept of ED CFO Grantee Questionnaire	500, 501 , 502, 503, 497, 498, 499	2012 497 USCIS IO Questionnaire 2012 FINAL 5-9-12 ,   2012 498 BSA E-Filing Survey FINAL ,   2012 499 FInCEN Domestic Analytic Products Survey FINAL ,   2012 500 Foreign Case Reports Survey FINAL ,   2012 501 SAR Activity Review Survey FINAL ,   2012 502 HRSA BCRS NHSC 2011 Participant Questionnaire FINAL ,   2012 503 Dept of ED CFI Grantee Questionnaire CORE + CUSTOM
504 FEMA Questionnaire Local Officials - 505 FEMA Questionnaire Public	504, 505	2012 FEMA Questionnaire Local Officials FINAL DRAFT ,   2012 505 FEMA_Questionnaire_Public
506 OCS_ACSI_Survey FINAL 2012.docx - 510 FAA Carriers Ops - Air Carrier Pilots - Final Questionnaire.docx	507 , 508, 509, 510, 506	2012 506 OCS_ACSI_Survey_FINAL 2012.docx ,   2012 507 RRB Survivor Survey FINAL 6_13.docx ,   2012 508 SBA ODA Customer Satisfaction Survey.docx ,   2012 509 FAA Mechanics Customer Satisfaction Survey Final.doc ,   2012 510 FAA Carriers Ops - Air Carrier Pilots - Final
511 LBI ACSI Questionnaire FINAL.docx - 515 HRSA BPHC Grantee Survey 7-16-12.docx	511, 512, 513, 514, 515	2012 511 LBI ACSI Questionnaire FINAL.docx ,   2012 512 SCSE ACSI Questionnaire FINAL.docx ,   2012 513 WI ASCI Questionnaire FINAL.doc ,   2012 514 Customer Contact Center Survey E-Verify.docx ,   2012 515 HRSA BPHC Grantee Survey 7-16-12.docx
516 ACSI General Aviation Survey - 519 NWS Survey Final	518, 516, 517, 519	516 ACSI General Aviation Survey Final 7-26-12 ,   517 NASA EOSDIS Questionnaire Final July 23 2012 ,   518 Annual Outcome Survey Questions Final ,   519 NWS Survey Final 8-21-12
520 State BCS ACSI Survey - 521 Forest Service Program Questionnaire	521, 520	State BCS ACSI Survey ,   Forest Service R&D Program Questionnaire
CFI 199 - CFI 216: active surveys from previous ICR	CFI 214, CFI 200, CFI 209, CFI 211, CFI 210, CFI 213, CFI 205, CFI 204, CFI 206, CFI 207, CFI 208, CFI 199, CFI 212, CFI 201, CFI 215, CFI 216, CFI 202, CFI 203	PBGC CallSat questionnaire ,   TREAS FINCEN SAR Activity Review questionnaire ,   TREAS FINCEN Domestic Case Reports questionnaire ,   TREAS FINCEN Proactive Analytic Products questionnaire ,   TREAS FINCEN BSA E-Filing questionnaire ,   TREAS FINCEN Foreign Investigative Case Reports questionnaire ,   FTC CallSat questionnaire ,   NRCS FRPP questionnaire ,   RRB Retirement Annuity questionnaire ,   DHS USCIS Guide CD questionnaire ,   DHS USCIS Guide Booklet questionnaire ,   DOT FAA ATO questionnaire ,   NASA EODIS questionnaire ,   DOT FAA Carriers Ops questionnaire ,   DOT FAA Air Carrier and Repair Station questionnaire ,   DOT FAA Manufacturers qestionnaire ,   PBGC Retirees questionnaire ,   DOC NOAA NWS CO-OPS questionnaire
CMS Contractor Satisfaction Survey	491	CMS Contractor Satisfaction Survey
Customer Satisfaction Surveys (Individuals and Households)	N/A	ACSI Questionnaire for Government Services
Customer Satisfaction Surveys (State, Local and Tribal Governments)	N/A	ACSI Questionnaire for Government Services
Customer Satistaction Surveys (Private Sector)	N/A	ACSI Questionnaire for Government Services

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ICR Summary of Burden

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	112,500	117,000	0	0	-4,500	0
Annual Time Burden (Hours)	22,500	23,400	0	0	-900	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There is an adjustment downward in the total 3-year burden projected from the previous 3-year burden due to a decrease in the number of responses now required to consider a survey "completed".

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Annual Cost to Federal Government: $562,427

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/19/2009

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