Information Collection

488 USGS Gap Analysis - 515 SSA Electronic Access

IC 201702 under ICR 201110-1090-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form 497 MakingHome 488 USGS Gap Analysis - 515 SSA Electronic Access	Form and Instruction
488 USGS 488 USGS Gap Analysis 2012 488 USGS - Gap Analysis 12-02-11.xlsx	Form and Instruction
489 CQs 489 CQ 1031-2011 2012 489 CQs for OMB started 10-31-2011.xlsx	Form and Instruction
490 OMH 490 OMH Questionnaire 2012 490 OMH Questionaire_Final.xlsx	Form and Instruction
491 HHS Civ Rights 491 HHS Office of Civil Rights 2012 491 HHS Office of Civil Rights 10-10-11.xlsx	Form and Instruction
492 CQs 492 CQs 10-6-2011 2012 492 CQs for OMB started 10-6-2011.xlsx	Form and Instruction
493 US Treasury 493 US Treasury Questionnaire Template 1-31-2012 2012 493 US Treasury Questionnaire Template 1-31-2012.xlsx	Form and Instruction
494 AHRQ 494 AHRQ email 1-25-12 2012 494 AHRQ e-mail 1-25.2.xlsx	Form and Instruction
495 CQs 12-7-2011 495 CQs 12-7-11 2012 495 CQs for OMB started 12-7-2011.xlsx	Form and Instruction
496 Disability 496 Disability.gov V3 2012 496 Disability.gov V3.xlsx	Form and Instruction
497 MakingHome 497 MakingHomeAffordable.gov 2012 497 MakingHomeAffordable.gov.xlsx	Form and Instruction
498 NHLBI 498 NHLBI Qnaire 2012 498 NHLBI_Qnaire.xlsx	Form and Instruction
499 SSA 499 SSA FAQ v2 2012 499 SSA FAQ v2.xlsx	Form and Instruction
500 RE and S-RE 500 Survey Final RE and S-RE 12.27.11 2012 500 Survey Final - RE and S-RE 12-27-11.xlsx	Form and Instruction
501 US Treasury 501 US Treasury Questionnaire Template 1-27-2011 2012 501 US Treasury Questionnaire Template 1-27-2012.xlsx	Form and Instruction
502 Plain Language 502 Plain Language Questions 2012 502 Plain language questions.xlsx	Form and Instruction
503 EPA 503 EPA v4 11-17-2011 2012 503 EPA v4 11-17-11.xlsx	Form and Instruction
504 ABMC 504 ABMC 2012 504 ABMC.xlsx	Form and Instruction
505 AHRQ 505 AHRQ Guidelines 3-8-2012 2012 505 AHRQ_Guidelines 3-8-12.xlsx	Form and Instruction
506 CIA 506 CIA Careers Site V2 2-28-2012 2012 506 CIA Careers site V2 02-28-12.xlsx	Form and Instruction
507 CMS 507 CMS_NAS_JF Qnaire 2-23-2012 2012 507 CMS_NAS_JF Qnaire 2-13-12.xlsx	Form and Instruction
508 CQs 2-9-2012 508 CQs for OMB 2-9-2012 2012 508 CQs for OMB started 2-9-2012.xlsx	Form and Instruction
509 CVC 509 CVC Gift Shop 3-8-2012 2012 509 CVC Gift Shop 3-8-12.xlsx	Form and Instruction
510 CVC 510 CVC Tour 3-9-2012 2012 510 CVC Tour 3-9-12.xlsx	Form and Instruction
511 DOD 511 DOD_Tricare 2-23-2012 2012 511 DOD_TRICARE 02-23-12.xlsx	Form and Instruction
512 EXIM 512 EXIM Final Draft Questionnaire 2-13-2012 2012 512 EXIM Final Draft Questionnaire 2-13-2012.xlsx	Form and Instruction
513 FTC 513 FTC.gov Satisfaction Survey 3-2-2012 2012 513 FTC.gov Satisfaction Survey 3-2-12.xlsx	Form and Instruction
514 FTC.gov 514 FTC.gov Satisfaction Survey 3-12-2012 2012 514 FTC.gov Satisfaction Survey 3-12-12.xlsx	Form and Instruction
515 SSA 515 SSA Electronic Access 2012 515 SSA Electronic Access.xlsx	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

488 USGS Gap Analysis - 515 SSA Electronic Access

Agency IC Tracking Number:

488 - 515

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	497 MakingHome	497 MakingHomeAffordable.gov	2012 497 MakingHomeAffordable.gov.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	498 NHLBI	498 NHLBI Qnaire	2012 498 NHLBI_Qnaire.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	499 SSA	499 SSA FAQ v2	2012 499 SSA FAQ v2.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	500 RE and S-RE	500 Survey Final RE and S-RE 12.27.11	2012 500 Survey Final - RE and S-RE 12-27-11.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	501 US Treasury	501 US Treasury Questionnaire Template 1-27-2011	2012 501 US Treasury Questionnaire Template 1-27-2012.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	502 Plain Language	502 Plain Language Questions	2012 502 Plain language questions.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	503 EPA	503 EPA v4 11-17-2011	2012 503 EPA v4 11-17-11.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	504 ABMC	504 ABMC	2012 504 ABMC.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	505 AHRQ	505 AHRQ Guidelines 3-8-2012	2012 505 AHRQ_Guidelines 3-8-12.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	506 CIA	506 CIA Careers Site V2 2-28-2012	2012 506 CIA Careers site V2 02-28-12.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	507 CMS	507 CMS_NAS_JF Qnaire 2-23-2012	2012 507 CMS_NAS_JF Qnaire 2-13-12.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	488 USGS	488 USGS Gap Analysis	2012 488 USGS - Gap Analysis 12-02-11.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	489 CQs	489 CQ 1031-2011	2012 489 CQs for OMB started 10-31-2011.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	490 OMH	490 OMH Questionnaire	2012 490 OMH Questionaire_Final.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	491 HHS Civ Rights	491 HHS Office of Civil Rights	2012 491 HHS Office of Civil Rights 10-10-11.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	492 CQs	492 CQs 10-6-2011	2012 492 CQs for OMB started 10-6-2011.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	493 US Treasury	493 US Treasury Questionnaire Template 1-31-2012	2012 493 US Treasury Questionnaire Template 1-31-2012.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	494 AHRQ	494 AHRQ email 1-25-12	2012 494 AHRQ e-mail 1-25.2.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	495 CQs 12-7-2011	495 CQs 12-7-11	2012 495 CQs for OMB started 12-7-2011.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	496 Disability	496 Disability.gov V3	2012 496 Disability.gov V3.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	508 CQs 2-9-2012	508 CQs for OMB 2-9-2012	2012 508 CQs for OMB started 2-9-2012.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	509 CVC	509 CVC Gift Shop 3-8-2012	2012 509 CVC Gift Shop 3-8-12.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	510 CVC	510 CVC Tour 3-9-2012	2012 510 CVC Tour 3-9-12.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	511 DOD	511 DOD_Tricare 2-23-2012	2012 511 DOD_TRICARE 02-23-12.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	512 EXIM	512 EXIM Final Draft Questionnaire 2-13-2012	2012 512 EXIM Final Draft Questionnaire 2-13-2012.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	513 FTC	513 FTC.gov Satisfaction Survey 3-2-2012	2012 513 FTC.gov Satisfaction Survey 3-2-12.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	514 FTC.gov	514 FTC.gov Satisfaction Survey 3-12-2012	2012 514 FTC.gov Satisfaction Survey 3-12-12.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	515 SSA	515 SSA Electronic Access	2012 515 SSA Electronic Access.xlsx	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100,800

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100,800	100,800
Annual IC Time Burden (Hours)	4,200	4,200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.