Information Collection

2014 819 DHS USCIS - 2014 841 VA Medical Centers

IC 212646 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⚠️ Notice: This information collection may be referencing outdated material.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 819 2014 819 DHS USCIS - 2014 841 VA Medical Centers	Form and Instruction
819 2014 819 DHS USCIS 2014 819 DHS USCIS.xlsx	Form and Instruction
820 2014 820 DHS USCIS Spanish 2014 820 DHS USCIS Spanish.xlsx	Form and Instruction
821 2014 821 DOT FRA 2014 821 DOT FRA.xlsx	Form and Instruction
822 2014 822 OOT TREAS-CDFI Fund 2014 822 DOTREAS-CDFI Fund.xlsx	Form and Instruction
823 2014 823 EPA 2014 823 EPA.xlsx	Form and Instruction
824 2014 824 NIH NIAID 2014 824 NIH NIAID.xlsx	Form and Instruction
825 2014 825 NLM Clinical Trails 2014 825 NLM Clinical Trials.xlsx	Form and Instruction
826 2014 826 NLM Clinical Trials SiteFeedback 2014 826 NLM Clinical Trials SiteFeedback.xlsx	Form and Instruction
827 2014 827 NLM Main 2014 827 NLM Main.xlsx	Form and Instruction
828 2014 828 SSA BSO 2014 828 SSA BSO.xlsx	Form and Instruction
829 2014 829 SSA Diagnostic formerly FAQ 2014 829 SSA Diagnostic formerly FAQ.xlsx	Form and Instruction
830 2014 830 SSA Disability Report 2014 830 SSA Disability Report.xlsx	Form and Instruction
831 2014 831 SSA Extra Help 2014 831 SSA Extra Help.xlsx	Form and Instruction
832 2014 832 SSA iAppeal 2013 2014 832 SSA iAppeal 2013.xlsx	Form and Instruction
833 2014 833 SSA iAppeals 2012 2014 833 SSA iAppeals 2012.xlsx	Form and Instruction
834 2014 834 SSA iClaim2013 2014 834 SSA iClaim 2013.xlsx	Form and Instruction
835 2014 835 SSA Main 2014 835 SSA Main.xlsx	Form and Instruction
836 2014 836 SSA Mobile Wage 2014 836 SSA Mobile Wage.xlsx	Form and Instruction
837 2014 837 SSA MySSA 2014 837 SSA MySSA.xlsx	Form and Instruction
838 2014 838 SSA Retirement Estimator 2014 838 SSA Retirement Estimator.xlsx	Form and Instruction
839 2014 839 State ECA Alumni 2014 839 State ECA Alumni.xlsx	Form and Instruction
840 2014 840 VA VBA 2014 840 VA VBA.xlsx	Form and Instruction
841 2014 841 VHA Medical Centers 2014 841 VHA Medical Centers.xlsx	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

2014 819 DHS USCIS - 2014 841 VA Medical Centers

Agency IC Tracking Number:

819 - 841

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	819	2014 819 DHS USCIS	2014 819 DHS USCIS.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	820	2014 820 DHS USCIS Spanish	2014 820 DHS USCIS Spanish.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	821	2014 821 DOT FRA	2014 821 DOT FRA.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	822	2014 822 OOT TREAS-CDFI Fund	2014 822 DOTREAS-CDFI Fund.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	823	2014 823 EPA	2014 823 EPA.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	824	2014 824 NIH NIAID	2014 824 NIH NIAID.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	825	2014 825 NLM Clinical Trails	2014 825 NLM Clinical Trials.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	826	2014 826 NLM Clinical Trials SiteFeedback	2014 826 NLM Clinical Trials SiteFeedback.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	827	2014 827 NLM Main	2014 827 NLM Main.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	828	2014 828 SSA BSO	2014 828 SSA BSO.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	829	2014 829 SSA Diagnostic formerly FAQ	2014 829 SSA Diagnostic formerly FAQ.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	830	2014 830 SSA Disability Report	2014 830 SSA Disability Report.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	831	2014 831 SSA Extra Help	2014 831 SSA Extra Help.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	832	2014 832 SSA iAppeal 2013	2014 832 SSA iAppeal 2013.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	833	2014 833 SSA iAppeals 2012	2014 833 SSA iAppeals 2012.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	834	2014 834 SSA iClaim2013	2014 834 SSA iClaim 2013.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	835	2014 835 SSA Main	2014 835 SSA Main.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	836	2014 836 SSA Mobile Wage	2014 836 SSA Mobile Wage.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	837	2014 837 SSA MySSA	2014 837 SSA MySSA.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	838	2014 838 SSA Retirement Estimator	2014 838 SSA Retirement Estimator.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	839	2014 839 State ECA Alumni	2014 839 State ECA Alumni.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	840	2014 840 VA VBA	2014 840 VA VBA.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	841	2014 841 VHA Medical Centers	2014 841 VHA Medical Centers.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: 82,800

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	82,800	82,800
Annual IC Time Burden (Hours)	3,450	3,450
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.