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Federal forms, ICRs, and supporting documents

Information Collection

FSR 265 FTC Complaint Assistant, FSR 266 CFTC, FSR 267 HHS NIDCR, FSR 268 HHS NCI SEER, FSR 269 FDA

IC 190115 under ICR 201101-1090-002 · OMB 1090-0008.

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

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FSR 265 FTC Complaint Assistant, FSR 266 CFTC, FSR 267 HHS NIDCR, FSR 268 HHS NCI SEER, FSR 269 FDA FSR 265, FSR 266, FSR 267, FSR 268, FSR 269
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form FSR 265 FTC Complaint Assistant questionnaire FSR 265 FTC ComplaintAssistant questionnaire.xls Yes Yes Fillable Fileable
Form FSR 266 CFTC questionnaire FSR 266 CFTC questionnaire.xls Yes Yes Fillable Fileable
Form FSR 267 HHS NIDCR Spanish questionnaire FSR 267 HHS NIDCR Spanish questionnaire.xls Yes Yes Fillable Fileable
Form FSR 268 HHS NCI SEER questionnaire FSR 268 HHS NCI SEER questionnaire.xls Yes Yes Fillable Fileable
Form FSR 269 HHS FDA questionnaire FSR 269 HHS FDA.xls Yes Yes Fillable Fileable

General Government Central Records & Statistical Mgt

 

25,000 0
   
Individuals or Households
 
   100 %

  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 25,000 0 0 0 0 25,000
Annual IC Time Burden (Hours) 1,042 0 0 0 0 1,042
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Justification for ICs to generic ICR 1090-0008 Justification for ICs to generic ICR 1090-0008.doc 07/29/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.