OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

362-366 Final Q's Medicare, NIH NIDCD, Survey Final Re & S-RE August, 2010, CPSC.gov Q's, Q's for OMB

IC 194622 under ICR 201101-1090-002 · OMB 1090-0008.

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

View Information Collection (IC)

362-366 Final Q's Medicare, NIH NIDCD, Survey Final Re & S-RE August, 2010, CPSC.gov Q's, Q's for OMB 362-366
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 362 Final Q's Medicare 09.07.2010 362 Final Q's Medicare 09.07.2010 2010 362 Final Questionnaire_Medicare.gov_09.07.2010.xls Yes Yes Fillable Fileable
Form 363 NIH NIDCD 363 NIH NIDCD 2010 363 NIH NIDCD.xlsx Yes Yes Fillable Fileable
Form 364 Survey Final RE and S-RE August, 2010 364 Survey Final RE and S-RE August, 2010 2010 364 Survey Final - RE and S-RE, August 2010.xls Yes Yes Fillable Fileable
Form 365 CPSC Q's 8-24-2010 365 CPSC Q's 8-24-2010 2010 365 CPSC.gov Questionnaire 8-24-2010.xlsx Yes Yes Fillable Fileable
Form 366 Q's for OMB 8-25-2010 to 9-21-2010 366 Q's for OMB 8-25-2010 to 9-21-2010 2010 366 CQs for OMB 8-25-2010 to 9-21-2010.xlsx 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
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.