Information Collection

Quarterly Services Survey

IC 37228 under ICR 201205-0607-003 · OMB 0607-0907.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
form matrix.xlsx Other-QSS Forms Matrix
QSS Add Letter.pdf Other-Add Letter
QSS Drop Letter.pdf Other-Drop Letter
QSS Keep Letter.pdf Other-Keep Letter
QSS-0(A) Quarterly Services Survey
QSS-0(A)_12_20120329_for_review.pdf
Form
QSS-0(E) Quarterly Services Survey
QSS-0(E)_12_20120329_for_review.pdf
Form
QSS-1(A) Quarterly Services Survey
QSS-1(A)_12_20120329_for_review.pdf
Form
QSS-1(E) Quarterly Services Survey
QSS-1(E)_12_20120329_for_review.pdf
Form
QSS-1p(A) Quarterly Services Survey
QSS-1p(A)_12_20120329_for_review.pdf
Form
QSS-1p(E) Quarterly Services Survey
QSS-1p(E)_12_20120329_for_review.pdf
Form
QSS-2(A) Quarterly Services Survey
QSS-2(A)_12_20120329_for_review.pdf
Form
QSS-2(E) Quarterly Services Survey
QSS-2(E)_12_20120329_for_review.pdf
Form
QSS-3(A) Quarterly Services Survey
QSS-3(A)_12_20120329_for_review.pdf
Form
QSS-3(E) Quarterly Services Survey
QSS-3(E)_12_20120329_for_review.pdf
Form
QSS-4(A) Quarterly Services Survey
QSS-4(A)_12_20120329_for_review.pdf
Form
QSS-4(E) Quarterly Services Survey
QSS-4(E)_12_20120329_for_review.pdf
Form
QSS-4f(A) Quarterly Services Survey
QSS-4f(A)_12_20120329_for_review.pdf
Form
QSS-4f(E) Quarterly Services Survey
QSS-4f(E)_12_20120329_for_review.pdf
Form
QSS-5(A) Quarterly Services Survey
QSS-5(A)_12_20120329_for_review.pdf
Form
QSS-5(E) Quarterly Services Survey
QSS-5(E)_12_20120329_for_review.pdf
Form
QSS-6(A) Quarterly Services Survey
QSS-6(A)_12_20120329_for_review.pdf
Form
QSS-6(E) Quarterly Services Survey
QSS-6(E)_12_20120329_for_review.pdf
Form
QSS-7(A) Quarterly Services Survey
QSS-7(A)_12_20120329_for_review.pdf
Form
QSS-7(E) Quarterly Services Survey
QSS-7(E)_12_20120329_for_review.pdf
Form
QSS-8(A) Quarterly Services Survey
QSS-8(A)_12_20120329_for_review.pdf
Form
QSS-8(E) Quarterly Services Survey
QSS-8(E)_12_20120329_for_review.pdf
Form
QSS-9(A) Quarterly Services Survey
QSS-9(A)_12_20120329_for_review.pdf
Form
QSS-9(E) Quarterly Services Survey
QSS-9(E)_12_20120329_for_review.pdf
Form

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-QSS Forms Matrix form matrix.xlsx Yes Yes Fillable Fileable
Form QSS-0(A) Quarterly Services Survey QSS-0(A)_12_20120329_for_review.pdf Yes Yes Fillable Fileable
Form QSS-0(E) Quarterly Services Survey QSS-0(E)_12_20120329_for_review.pdf Yes Yes Fillable Fileable
Form QSS-1(A) Quarterly Services Survey QSS-1(A)_12_20120329_for_review.pdf Yes Yes Fillable Fileable
Form QSS-1(E) Quarterly Services Survey QSS-1(E)_12_20120329_for_review.pdf Yes Yes Fillable Fileable
Form QSS-1p(A) Quarterly Services Survey QSS-1p(A)_12_20120329_for_review.pdf Yes Yes Fillable Fileable
Form QSS-1p(E) Quarterly Services Survey QSS-1p(E)_12_20120329_for_review.pdf Yes Yes Fillable Fileable
Form QSS-2(A) Quarterly Services Survey QSS-2(A)_12_20120329_for_review.pdf Yes Yes Fillable Fileable
Form QSS-2(E) Quarterly Services Survey QSS-2(E)_12_20120329_for_review.pdf Yes Yes Fillable Fileable
Form QSS-3(A) Quarterly Services Survey QSS-3(A)_12_20120329_for_review.pdf Yes Yes Fillable Fileable
Form QSS-3(E) Quarterly Services Survey QSS-3(E)_12_20120329_for_review.pdf Yes Yes Fillable Fileable
Form QSS-4(A) Quarterly Services Survey QSS-4(A)_12_20120329_for_review.pdf Yes Yes Fillable Fileable
Form QSS-4(E) Quarterly Services Survey QSS-4(E)_12_20120329_for_review.pdf Yes Yes Fillable Fileable
Form QSS-4f(A) Quarterly Services Survey QSS-4f(A)_12_20120329_for_review.pdf Yes Yes Fillable Fileable
Form QSS-4f(E) Quarterly Services Survey QSS-4f(E)_12_20120329_for_review.pdf Yes Yes Fillable Fileable
Form QSS-5(A) Quarterly Services Survey QSS-5(A)_12_20120329_for_review.pdf Yes Yes Fillable Fileable
Form QSS-5(E) Quarterly Services Survey QSS-5(E)_12_20120329_for_review.pdf Yes Yes Fillable Fileable
Form QSS-6(A) Quarterly Services Survey QSS-6(A)_12_20120329_for_review.pdf Yes Yes Fillable Fileable
Form QSS-6(E) Quarterly Services Survey QSS-6(E)_12_20120329_for_review.pdf Yes Yes Fillable Fileable
Form QSS-7(A) Quarterly Services Survey QSS-7(A)_12_20120329_for_review.pdf Yes Yes Fillable Fileable
Form QSS-7(E) Quarterly Services Survey QSS-7(E)_12_20120329_for_review.pdf Yes Yes Fillable Fileable
Form QSS-8(A) Quarterly Services Survey QSS-8(A)_12_20120329_for_review.pdf Yes Yes Fillable Fileable
Form QSS-8(E) Quarterly Services Survey QSS-8(E)_12_20120329_for_review.pdf Yes Yes Fillable Fileable
Form QSS-9(A) Quarterly Services Survey QSS-9(A)_12_20120329_for_review.pdf Yes Yes Fillable Fileable
Form QSS-9(E) Quarterly Services Survey QSS-9(E)_12_20120329_for_review.pdf Yes Yes Fillable Fileable
Other-Add Letter QSS Add Letter.pdf Yes Yes Fillable Fileable
Other-Drop Letter QSS Drop Letter.pdf Yes Yes Fillable Fileable
Other-Keep Letter QSS Keep Letter.pdf Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 94,000 0 32,400 0 0 61,600
Annual IC Time Burden (Hours) 20,900 0 7,400 0 0 13,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.