Service Annual Survey

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SA-22010E Service Annual Survey	Form	Modified	Available
2014 SAS OMB Amendment.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2014-12-16	Available
OMB NonSubstantive Change Request_SAS_2014.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2014-11-21	Available
OMB NonSubstantive Change Request_SAS.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2013-11-21	Repair queued
nonsubstantive change request_SAS[1].pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2012-10-03	Available
Supporting Statement B.docx	Supporting Statement B	Uploaded 2012-05-11	Available
Supporting Statement A.docx	Supporting Statement A	Uploaded 2012-05-11	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
37149	Service Annual Survey	Form	Modified

ICR Details

OMB Control No: 0607-0422	ICR Reference No: 201411-0607-004
Status: Historical Active	Previous ICR Reference No: 201311-0607-002
Agency/Subagency: DOC/CENSUS	Agency Tracking No:
Title: Service Annual Survey
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/17/2014
	Date Received in OIRA: 11/25/2014
Terms of Clearance: Prior to the commencement of the Service Annual Survey forms distribution, the Census Bureau shall provide on its Internet site prominent links to a set of finalized survey forms, including instructions and cover letters, comparable to those provided for the 2012 Economic Census report forms. The final forms and letters shall reflect any changes in the survey year, OMB number expiration date, and Census leadership from those submitted for review.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2015	12/31/2015	12/31/2015
Responses	83,648	0	83,648
Time Burden (Hours)	290,368	0	290,368
Cost Burden (Dollars)	0	0	0

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Abstract: The survey produces estimates of revenue and expenses, and for selected industries products, inventories, and revenue from exported services. These data are needed for national income accounting, productivity, and price measurement. The program addresses the highest priority needs of multiple Federal agencies and private users.

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Authorizing Statute(s): US Code: 13 USC 182, 224, 225 Name of Law: null
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 2697	01/19/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 31306	05/25/2012
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Service Annual Survey	SA-56159E, SA-56210E, SA-56220E, SA-56291E, SA-71000A, SA-62000A, SA-51223E, SA-22130E, SA-48000E, SA-48100E, SA-48300E, SA-48400E, SA-48500E, SA-48610E, SA-49000E, SA-51000E, SA-51111E, SA-51112E, SA-52000E, SA-52200E, SA-52311E, SA-52312E, SA-51113E, SA-52390E, SA-52400E, SA-53000E, SA-53211E, SA-54000E, SA-54002E, SA-54131E, SA-54133E, SA-54150E, SA-54160E, SA-54170E, SA-54181E, SA-54186E, SA-54210E, SA-56000E, SA-56130E, SA-56132E, SA-56134E, SA-56150E, SA-56152E, SA-61000E, SA-62000E, SA-62150E, SA-62400E, SA-71000E, SA-71002E, SA-71110E, SA-71120E, SA-51114E, SA-51118E, SA-51119E, SA-51120E, SA-51210E, SA-51213E, SA-51219E, SA-51222E, SA-51224E, SA-51520E, SA-51710E, SA-51721E, SA-51730E, SA-51740E, SA-51790E, SA-51820E, SA-51911E, SA-22010E, SA-51912E, SA-51913E, SA-54011E, SA-54182E, SA-52000A, SA-51919E, SA-71150E, SA-71311E, SA-81000E, SA-81300E, SA-51710A, SA-51510E	Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report ,   Annual Services Report

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	83,648	83,648	0	0	0	0
Annual Time Burden (Hours)	290,368	290,368	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $14,770,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/25/2014

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