Information Collection

483 CQs for OMB st. 9-15-201;484 Healthfinder -V2 10/ 2011;485 NIAID 10/ 2011;486 PBGC.gov V3;487 SSA Extra Help V2 (English Eqiv)483

IC 199687 under ICR 201101-1090-002 · OMB 1090-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0008 can be found here:

Documents and Forms

Document Name Document Type
Form 483 CQs for OMB st 483 CQs for OMB st. 9-15-201;484 Healthfinder -V2 10/ 2011;485 NIAID 10/ 2011;486 PBGC.gov V3;487 SSA Extra Help V2 (English Eqiv)483 Form
483 CQs for OMB st 483 CQs for OMB started 9-15-2011 2011 483 CQs for OMB started 9-15-2011.xlsx Form
484 Healthfinder - 484 Healthfinder -V2 - October 2011 2011 484 Healthfinder -V2 - October 2011.xlsx Form
485 NIAID October 485 NIAID October 2011 2011 485 NIAID October 2011.xlsx Form
486 PBGC.gov V3 486 PBGC.gov V3 2011 486 PBGC.gov V3.xlsx Form
487 SSA Extra Help 487 SSA Extra Help V2 (English Eqiv) 2011 487 SSA Extra Help V2 (English Eqiv).xlsx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	483 CQs for OMB st. 9-15-201;484 Healthfinder -V2 10/ 2011;485 NIAID 10/ 2011;486 PBGC.gov V3;487 SSA Extra Help V2 (English Eqiv)483	Agency IC Tracking Number:	483-487

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	483 CQs for OMB started 9-15-2011	483 CQs for OMB started 9-15-2011	2011 483 CQs for OMB started 9-15-2011.xlsx	Yes	Yes	Fillable Fileable
Form	484 Healthfinder -V2 - October 2011	484 Healthfinder -V2 - October 2011	2011 484 Healthfinder -V2 - October 2011.xlsx	Yes	Yes	Fillable Fileable
Form	485 NIAID October 2011	485 NIAID October 2011	2011 485 NIAID October 2011.xlsx	Yes	Yes	Fillable Fileable
Form	486 PBGC.gov V3	486 PBGC.gov V3	2011 486 PBGC.gov V3.xlsx	Yes	Yes	Fillable Fileable
Form	487 SSA Extra Help V2 (English Eqiv)	487 SSA Extra Help V2 (English Eqiv)	2011 487 SSA Extra Help V2 (English Eqiv).xlsx	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	25,000	25,000
Annual IC Time Burden (Hours)	1,042	1,042
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.