Information Collection

2013 740 EFPTS Survey - 2013 U.S. NRC Survey

IC 209719 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⚠️ Notice: This information collection may be referencing outdated material.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 740 2013 740 EFPTS Survey - 2013 U.S. NRC Survey	Form and Instruction
740 2013 EFTPS Survey 12-16-13 2013 740 EFTPS Survey 12-16-13.xlsx	Form and Instruction
741 2013 741 CMS Medicare Plan Finder 11-11-13 2013 741 CMS Medicare Plan Finder 11-11-13.xlsx	Form and Instruction
742 2013 742 CMS Noridian DME 11-8-13 2013 742 CMS Noridian DME 2013_11-8-13.xlsx	Form and Instruction
743 2013 743 DOD TRICARE 11-30-13 2013 743 DOD TRICARE 2013 11-30-13.xlsx	Form and Instruction
744 2013 744 HHS OCR 11-16-13 2013 744 HHS OCR 11-16-13.xlsx	Form and Instruction
745 2013 745 NRSS Recreation Gov 11-30-13 2013 745 NRRS Recreation Gov 2013 11-30-13.xlsx	Form and Instruction
746 2013 746 U.S. NRC Satisfaction Survey v2 11-30-13 2013 746 U.S. NRC Satisfaction Survey v2 11-30-13.xlsx	Form and Instruction

IC Title:

2013 740 EFPTS Survey - 2013 U.S. NRC Survey

Agency IC Tracking Number:

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	740	2013 EFTPS Survey 12-16-13	2013 740 EFTPS Survey 12-16-13.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	741	2013 741 CMS Medicare Plan Finder 11-11-13	2013 741 CMS Medicare Plan Finder 11-11-13.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	742	2013 742 CMS Noridian DME 11-8-13	2013 742 CMS Noridian DME 2013_11-8-13.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	743	2013 743 DOD TRICARE 11-30-13	2013 743 DOD TRICARE 2013 11-30-13.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	744	2013 744 HHS OCR 11-16-13	2013 744 HHS OCR 11-16-13.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	745	2013 745 NRSS Recreation Gov 11-30-13	2013 745 NRRS Recreation Gov 2013 11-30-13.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	746	2013 746 U.S. NRC Satisfaction Survey v2 11-30-13	2013 746 U.S. NRC Satisfaction Survey v2 11-30-13.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: 25,200

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	25,200	25,200
Annual IC Time Burden (Hours)	1,050	1,050
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.