Information Collection

2013 722 CMS NGS DME MAC Questionnaire - 2013 726 MARAD Questionnaire

IC 208894 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⚠️ Notice: This information collection may be referencing outdated material.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 722 2013 722 CMS NGS DME MAC Questionnaire - 2013 726 MARAD Questionnaire	Form and Instruction
722 2013 722 CMS NGS DME MAC 2013 722 CMS NGS DME MAC_September.xlsx	Form and Instruction
723 2013 723 NASA 1-21-13_September 2013 723 NASA 1-21-13_September.xlsx	Form and Instruction
724 2013 724 NIAMS Questionnaire 2013 724 NIAMS Questionnaire.xlsx	Form and Instruction
725 2013 725 Alumni Questionnaire Master 2013 725 Alumni Questionnaire Master 10-4-13.xlsx	Form and Instruction
726 2013 726 MARAD Questionnaire 2013 726 MARAD Questionnaire 10-2-13.xlsx	Form and Instruction

IC Title:

2013 722 CMS NGS DME MAC Questionnaire - 2013 726 MARAD Questionnaire

Agency IC Tracking Number:

722 - 726

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	722	2013 722 CMS NGS DME MAC	2013 722 CMS NGS DME MAC_September.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	723	2013 723 NASA 1-21-13_September	2013 723 NASA 1-21-13_September.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	724	2013 724 NIAMS Questionnaire	2013 724 NIAMS Questionnaire.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	725	2013 725 Alumni Questionnaire Master	2013 725 Alumni Questionnaire Master 10-4-13.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	726	2013 726 MARAD Questionnaire	2013 726 MARAD Questionnaire 10-2-13.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: 18,000

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	18,000	18,000
Annual IC Time Burden (Hours)	750	750
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.