OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

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

IC 196721 under ICR 200908-1090-001 · OMB 1090-0007.

Documents and Forms
Document Name
Document Type
Form
Form
Form
Form
Form
Form
Information Collection (IC) Details

View Information Collection (IC)

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 409-413
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 409 VHA ChampVA 2011 Q's 409 VHA ChampVA 2011 Q's 2011 409 VHA ChampVA 2011 Questionnaire Final.doc No   Paper Only
Form 410 DOJ COPS TTA Recip_Quart_FY2011_FINAL 410 DOJ COPS TTA Recip_Quart_FY2011_FINAL 2011 410 DOJ COPS TTA Recip_Quart_FY2011_FINAL.docx Yes Yes Fillable Fileable
Form 411 PBGC Participant Caller ACSI Instrument 2011 F 411 PBGC Participant Caller ACSI Instrument 2011 FINAL 2011 411 Participant Caller ACSI Instrument 2011 FINAL.doc No   Paper Only
Form 412 PBGC Retiree ACSI Instrument 2011 FINAL 412 PBGC Retiree ACSI Instrument 2011 FINAL 2011 412 Retiree ACSI Instrument 2011 FINAL.DOC No   Paper Only
Form 413 MINT ACSI Annual Customer Satisfaction Survey 413 MINT ACSI Annual Customer Satisfaction Survey FINAL Mar9 2011 413 ACSI Annual Customer Satisfaction Survey FINAL Mar9.docx No   Paper Only

General Government Central Records & Statistical Mgt

 

1,250 0
   
Individuals or Households
 
   20 %

  Approved 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 1,250 0 1,250 0 0 0
Annual IC Time Burden (Hours) 208 0 208 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.