Information Collection

533 CQs for OMB started 5-3-12 - 540 USPTO 5-14-12

IC 202706 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⚠️ Notice: This information collection may be referencing outdated material.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 533 533 CQs for OMB started 5-3-12 - 540 USPTO 5-14-12	Form and Instruction
533 533 CQs for OMB started 5-3-12 2012 533 CQs for OMB started 5-3-2012.xlsx	Form and Instruction
534 534 FDIC Application Questionnaire 7-01-2012 2012 534 FDIC Application Questionnaire 7.01.2012.xlsx	Form and Instruction
535 535 FDIC Questionnaire 7-01-2012 2012 535 FDIC Questionnaire 07.01.2012.xlsx	Form and Instruction
536 536 GSA Agencywide v3 5-7-2012 2012 536 GSA Agencywide v3 5-7-12.xlsx	Form and Instruction
537 537 gsa.gov Agencywide v4 5-10-12 2012 537 gsa.gov Agencywide v4 5-10-12.xlsx	Form and Instruction
538 538 Heathfinder v2 5-24-12 2012 538 Heathfinder v2 5-24-12.xlsx	Form and Instruction
539 539 PBGC Perception 5-3-12 2012 539 PBGC Perception 5-3-12.xlsx	Form and Instruction
540 540 USPTO 5-14-12 2012 540 USPTO 5-14-12.xlsx	Form and Instruction

IC Title:

533 CQs for OMB started 5-3-12 - 540 USPTO 5-14-12

Agency IC Tracking Number:

533 - 540

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	533	533 CQs for OMB started 5-3-12	2012 533 CQs for OMB started 5-3-2012.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	534	534 FDIC Application Questionnaire 7-01-2012	2012 534 FDIC Application Questionnaire 7.01.2012.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	535	535 FDIC Questionnaire 7-01-2012	2012 535 FDIC Questionnaire 07.01.2012.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	536	536 GSA Agencywide v3 5-7-2012	2012 536 GSA Agencywide v3 5-7-12.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	537	537 gsa.gov Agencywide v4 5-10-12	2012 537 gsa.gov Agencywide v4 5-10-12.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	538	538 Heathfinder v2 5-24-12	2012 538 Heathfinder v2 5-24-12.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	539	539 PBGC Perception 5-3-12	2012 539 PBGC Perception 5-3-12.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	540	540 USPTO 5-14-12	2012 540 USPTO 5-14-12.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: 28,800

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	28,800	28,800
Annual IC Time Burden (Hours)	1,200	1,200
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.