Information Collection

562 AHRQ Enterprise_9-10-12_UPDATED - 589 CDC SM Posting Survey

IC 204414 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⚠️ Notice: This information collection may be referencing outdated material.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 580 562 AHRQ Enterprise_9-10-12_UPDATED - 589 CDC SM Posting Survey	Form and Instruction
562 562 AHRQ Enterprise 9-10-12 UPDATED 2012 562 AHRQ Enterprise_9-10-12_UPDATED.xlsx	Form and Instruction
563 563 AHRQ Quality Measures Q'naire 9-13-2012 2012 563 AHRQ Quality Measures Q'aire 9-13-2012_DOT.xlsx	Form and Instruction
564 564 Census Questionniare_Template 9-5-12 2012 564 Census Questionnaire _Template 9-5-12.xlsx	Form and Instruction
566 566 CMS-NAS-DME MAC Qnaire 8-22-2012 2012 566 CMS-NAS-DME MAC Qnaire 8-22-2012.xlsx	Form and Instruction
567 567 DOL Union Reports V2 model 2012 567 DOL Union Reports V2 model.xlsx	Form and Instruction
568 568 DOL Union Reports V2_09242012_DOT 2012 568 DOL Union Reports V2_09242012_DOT.xlsx	Form and Instruction
569 569 EA OSSS Questionnaire 10-02-2012 2012 569 EA OSSS Questionnaire 10 02 2012_DOT.xlsx	Form and Instruction
570 570 Exchanges v2 Questionnaire 9-14-2012 2012 570 Exchanges v2 Questionnaire 9-14-2012_DOT.xlsx	Form and Instruction
571 571 Export.gov questionnaire Oct2 2012 571 Export.gov questionnaire Oct2.xlsx	Form and Instruction
572 572 FBI V3 Questionnaire 9-19-2012 2012 572 FBI V3 Questionnaire 9.19.2012_DOT.xlsx	Form and Instruction
573 573 FDA Browse Survey 9-17-2012 2012 573 FDA Browse Suevey 9.17.2012_DOT.xlsx	Form and Instruction
574 574 Freddie Mac V3 9.4.2012 2012 574 Freddie Mac V3 - 9.4.2012.xlsx	Form and Instruction
575 575 gsa.gov Agencywide V6_DOT 2012 575 gsa.gov Agencywide V6_DOT.xlsx	Form and Instruction
576 576 Healthypeople.gov Survey 9.18.2012 2012 576 Healthypeople gov Survey 9.18.2012.xlsx	Form and Instruction
577 577 Medicare Questionnaire Sept 26 2012 FINAL 2012 577 Medicare Questionnaire Sept 26 2012 FINAL.xlsx	Form and Instruction
578 578 MyPBA v2 Qnaire 9-21-12 2012 578 MyPBA v2 Qnaire 9-21-12.xlsx	Form and Instruction
579 579 NIH SR Health Questionnaire 9-26-12 2012 579 NIH SR Health Questionnaire 9-26-12.xlsx	Form and Instruction
580 580 PBGC-PBGC.gov v4 D1 9-20-2012 2012 580 PBGC-PBGC.gov v4 D1 9-20-2012.xlsx	Form and Instruction
581 581 SaferCar Questionnaire 9-14-12 2012 581 SaferCar Questionnaire 9-14-12_DOT.xlsx	Form and Instruction
565 565 Investor.gov Questionnaire 10.10.12 2012 565 Investor.gov Questionnaire 10.10.12.xls	Form and Instruction
582 582 USGS v3 10_10_2012 2012 582 USGS v3 10_10_2012.xlsx	Form and Instruction
583 583 CQs for OMB started 9-5-2012 2012 583 CQs for OMB started 9-5-2012.xlsx	Form and Instruction
584 584 ED.gov Questionnaire 9.6.12 2012 584 ED.gov Questionnaire 9.6.12.xls	Form and Instruction
585 585 GSA V6 Survey - New Version 2012 585 GSA V6 Survey - New Version.xlsx	Form and Instruction
586 586 NASA Questonnaire final 8.27.12 2012 586 NASA Questionnaire final 8-27-12.xls	Form and Instruction
587 587 NFPA NFCSS questionnaire 2012 587 NFPA NFCSS questionnaire 10-8_DOT.xlsx	Form and Instruction
588 588 PBGC-PBGC.gov v4 10-4-12 2012 588 PBGC-PBGC.gov v4 10-4-12_DOT.xlsx	Form and Instruction
589 589 CDC SM Posting Survey 2012 589 CDC SM Posting Survey - to OMB.xlsx	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

562 AHRQ Enterprise_9-10-12_UPDATED - 589 CDC SM Posting Survey

Agency IC Tracking Number:

562 -589

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	580	580 PBGC-PBGC.gov v4 D1 9-20-2012	2012 580 PBGC-PBGC.gov v4 D1 9-20-2012.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	581	581 SaferCar Questionnaire 9-14-12	2012 581 SaferCar Questionnaire 9-14-12_DOT.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	562	562 AHRQ Enterprise 9-10-12 UPDATED	2012 562 AHRQ Enterprise_9-10-12_UPDATED.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	563	563 AHRQ Quality Measures Q'naire 9-13-2012	2012 563 AHRQ Quality Measures Q'aire 9-13-2012_DOT.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	564	564 Census Questionniare_Template 9-5-12	2012 564 Census Questionnaire _Template 9-5-12.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	566	566 CMS-NAS-DME MAC Qnaire 8-22-2012	2012 566 CMS-NAS-DME MAC Qnaire 8-22-2012.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	567	567 DOL Union Reports V2 model	2012 567 DOL Union Reports V2 model.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	568	568 DOL Union Reports V2_09242012_DOT	2012 568 DOL Union Reports V2_09242012_DOT.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	569	569 EA OSSS Questionnaire 10-02-2012	2012 569 EA OSSS Questionnaire 10 02 2012_DOT.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	570	570 Exchanges v2 Questionnaire 9-14-2012	2012 570 Exchanges v2 Questionnaire 9-14-2012_DOT.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	571	571 Export.gov questionnaire Oct2	2012 571 Export.gov questionnaire Oct2.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	572	572 FBI V3 Questionnaire 9-19-2012	2012 572 FBI V3 Questionnaire 9.19.2012_DOT.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	573	573 FDA Browse Survey 9-17-2012	2012 573 FDA Browse Suevey 9.17.2012_DOT.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	574	574 Freddie Mac V3 9.4.2012	2012 574 Freddie Mac V3 - 9.4.2012.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	575	575 gsa.gov Agencywide V6_DOT	2012 575 gsa.gov Agencywide V6_DOT.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	576	576 Healthypeople.gov Survey 9.18.2012	2012 576 Healthypeople gov Survey 9.18.2012.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	577	577 Medicare Questionnaire Sept 26 2012 FINAL	2012 577 Medicare Questionnaire Sept 26 2012 FINAL.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	578	578 MyPBA v2 Qnaire 9-21-12	2012 578 MyPBA v2 Qnaire 9-21-12.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	579	579 NIH SR Health Questionnaire 9-26-12	2012 579 NIH SR Health Questionnaire 9-26-12.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	586	586 NASA Questonnaire final 8.27.12	2012 586 NASA Questionnaire final 8-27-12.xls	Yes	Yes	Fillable Fileable
Form and Instruction	587	587 NFPA NFCSS questionnaire	2012 587 NFPA NFCSS questionnaire 10-8_DOT.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	588	588 PBGC-PBGC.gov v4 10-4-12	2012 588 PBGC-PBGC.gov v4 10-4-12_DOT.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	589	589 CDC SM Posting Survey	2012 589 CDC SM Posting Survey - to OMB.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	565	565 Investor.gov Questionnaire 10.10.12	2012 565 Investor.gov Questionnaire 10.10.12.xls	Yes	Yes	Fillable Fileable
Form and Instruction	582	582 USGS v3 10_10_2012	2012 582 USGS v3 10_10_2012.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	583	583 CQs for OMB started 9-5-2012	2012 583 CQs for OMB started 9-5-2012.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	584	584 ED.gov Questionnaire 9.6.12	2012 584 ED.gov Questionnaire 9.6.12.xls	Yes	Yes	Fillable Fileable
Form and Instruction	585	585 GSA V6 Survey - New Version	2012 585 GSA V6 Survey - New Version.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.