Information Collection

2015 939 ACA AIR Readiness - 2015 942 NIJ v3

IC 218202 under ICR 201412-1090-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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 939 2015 939 ACA AIR Readiness - 2015 942 NIJ v3	Form and Instruction
939 2015 939 ACA AIR Readiness 2015 939 ACA AIR Readiness.xlsx	Form and Instruction
940 2015 940 ACA Employer 2015 940 ACA Employer.xlsx	Form and Instruction
941 2015 941 DHS CRS v2 2015 941 DHS CRC v2.xlsx	Form and Instruction
942 2015 942 NIJ V# 2015 942 NIJ V3.xlsx	Form and Instruction

IC Title:

2015 939 ACA AIR Readiness - 2015 942 NIJ v3

Agency IC Tracking Number:

939 -942

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	939	2015 939 ACA AIR Readiness	2015 939 ACA AIR Readiness.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	940	2015 940 ACA Employer	2015 940 ACA Employer.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	941	2015 941 DHS CRS v2	2015 941 DHS CRC v2.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	942	2015 942 NIJ V#	2015 942 NIJ V3.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: 14,400

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	14,400	14,400
Annual IC Time Burden (Hours)	600	600
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.