Information Collection

2013 535 ACSI CHAMPVA Questions - 2013 537 ACSI SB Questions

IC 208895 under ICR 201209-1090-001 · OMB 1090-0007.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0007 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 535 2013 535 ACSI CHAMPVA Questions - 2013 537 ACSI SB Questions	Form and Instruction
535 2013 535 ACSI CHAMPVA Questions 2013 535 ASCI CHAMPVA Questions.docx	Form and Instruction
536 2013 536 ACSI FMP Questions 2013 536 ASCI FMP Questions.docx	Form and Instruction
537 2013 537 ACSI SB Questions 2013 537 ASCI SB Questions.docx	Form and Instruction

IC Title:

2013 535 ACSI CHAMPVA Questions - 2013 537 ACSI SB Questions

Agency IC Tracking Number:

535 - 537

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?	Electronic Capability
Form and Instruction	535	2013 535 ACSI CHAMPVA Questions	2013 535 ASCI CHAMPVA Questions.docx	No	Printable Only
Form and Instruction	536	2013 536 ACSI FMP Questions	2013 536 ASCI FMP Questions.docx	No	Printable Only
Form and Instruction	537	2013 537 ACSI SB Questions	2013 537 ASCI SB Questions.docx	No	Printable Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 750

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	750	750
Annual IC Time Burden (Hours)	125	125
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.