Information Collection

Service Annual Survey

IC 37149 under ICR 201606-0607-006 · OMB 0607-0422.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0422 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SA-54150E Annual Services Report Service Annual Survey	Form
Form SA-721A Annual Services Report Service Annual Survey	Form
Form SA-721B Annual Services Report Service Annual Survey	Form
Form SA-721B Annual Services Report Service Annual Survey	Form
Form SA-721F Annual Services Report Service Annual Survey	Form
Form SA-722A Annual Services Report Service Annual Survey	Form
Form SA-722E Annual Services Report Service Annual Survey	Form
Form SA-22010A Annual Services Report Service Annual Survey	Form
Form SA-22010E Annual Services Report Service Annual Survey	Form
Form SA-22130A Annual Services Report Service Annual Survey	Form
Form SA-22130E Annual Services Report Service Annual Survey	Form
Form SA-48000A Annual Services Report Service Annual Survey	Form
Form SA-48000E Annual Services Report Service Annual Survey	Form
Form SA-48100A Annual Services Report Service Annual Survey	Form
Form SA-48100E Annual Services Report Service Annual Survey	Form
Form SA-48121A Annual Services Report Service Annual Survey	Form
Form SA-48121E Annual Services Report Service Annual Survey	Form
Form SA-48300A Annual Services Report Service Annual Survey	Form
Form SA-48300E Annual Services Report Service Annual Survey	Form
Form SA-48400A Annual Services Report Service Annual Survey	Form
Form SA-48400E Annual Services Report Service Annual Survey	Form
Form SA-48500A Annual Services Report Service Annual Survey	Form
Form SA-48500E Annual Services Report Service Annual Survey	Form
Form SA-48610A Annual Services Report Service Annual Survey	Form
Form SA-48610E Annual Services Report Service Annual Survey	Form
Form SA-49000A Annual Services Report Service Annual Survey	Form
Form SA-49000E Annual Services Report Service Annual Survey	Form
Form SA-51000A Annual Services Report Service Annual Survey	Form
Form SA-51000E Annual Services Report Service Annual Survey	Form
Form SA-51111A Annual Services Report Service Annual Survey	Form
Form SA-51111E Annual Services Report Service Annual Survey	Form
Form SA-51112A Annual Services Report Service Annual Survey	Form
Form SA-51112E Annual Services Report Service Annual Survey	Form
Form SA-51113A Annual Services Report Service Annual Survey	Form
Form SA-51113E Annual Services Report Service Annual Survey	Form
Form SA-51114A Annual Services Report Service Annual Survey	Form
Form SA-51114E Annual Services Report Service Annual Survey	Form
Form SA-51118A Annual Services Report Service Annual Survey	Form
Form SA-51118E Annual Services Report Service Annual Survey	Form
Form SA-51119A Annual Services Report Service Annual Survey	Form
Form SA-51119E Annual Services Report Service Annual Survey	Form
Form SA-51120A Annual Services Report Service Annual Survey	Form
Form SA-51120E Annual Services Report Service Annual Survey	Form
Form SA-51210A Annual Services Report Service Annual Survey	Form
Form SA-51210E Annual Services Report Service Annual Survey	Form
Form SA-51213A Annual Services Report Service Annual Survey	Form
Form SA-51213E Annual Services Report Service Annual Survey	Form
Form SA-51219A Annual Services Report Service Annual Survey	Form
Form SA-51219E Annual Services Report Service Annual Survey	Form
Form SA-51222A Annual Services Report Service Annual Survey	Form
Form SA-51222E Annual Services Report Service Annual Survey	Form
Form SA-51223A Annual Services Report Service Annual Survey	Form
Form SA-51223E Annual Services Report Service Annual Survey	Form
Form SA-51224A Annual Services Report Service Annual Survey	Form
Form SA-51224E Annual Services Report Service Annual Survey	Form
Form SA-51510A Annual Services Report Service Annual Survey	Form
Form SA-51510E Annual Services Report Service Annual Survey	Form
Form SA-51520A Annual Services Report Service Annual Survey	Form
Form SA-51520E Annual Services Report Service Annual Survey	Form
Form SA-51710A Annual Services Report Service Annual Survey	Form
Form SA-51710E Annual Services Report Service Annual Survey	Form
Form SA-51721A Annual Services Report Service Annual Survey	Form
Form SA-51721E Annual Services Report Service Annual Survey	Form
Form SA-51730A Annual Services Report Service Annual Survey	Form
Form SA-51730E Annual Services Report Service Annual Survey	Form
Form SA-51740A Annual Services Report Service Annual Survey	Form
Form SA-51740E Annual Services Report Service Annual Survey	Form
Form SA-51790A Annual Services Report Service Annual Survey	Form
Form SA-51790E Annual Services Report Service Annual Survey	Form
Form SA-51820A Annual Services Report Service Annual Survey	Form
Form SA-51820E Annual Services Report Service Annual Survey	Form
Form SA-51911A Annual Services Report Service Annual Survey	Form
Form SA-51911E Annual Services Report Service Annual Survey	Form
Form SA-51912A Annual Services Report Service Annual Survey	Form
Form SA-51912E Annual Services Report Service Annual Survey	Form
Form SA-51913A Annual Services Report Service Annual Survey	Form
Form SA-51913E Annual Services Report Service Annual Survey	Form
Form SA-51919A Annual Services Report Service Annual Survey	Form
Form SA-51919E Annual Services Report Service Annual Survey	Form
Form SA-52000A Annual Services Report Service Annual Survey	Form
Form SA-52000E Annual Services Report Service Annual Survey	Form
Form SA-52200A Annual Services Report Service Annual Survey	Form
Form SA-52200E Annual Services Report Service Annual Survey	Form
Form SA-52311A Annual Services Report Service Annual Survey	Form
Form SA-52311E Annual Services Report Service Annual Survey	Form
Form SA-52312A Annual Services Report Service Annual Survey	Form
Form SA-52312E Annual Services Report Service Annual Survey	Form
Form SA-52390A Annual Services Report Service Annual Survey	Form
Form SA-52390E Annual Services Report Service Annual Survey	Form
Form SA-52400A Annual Services Report Service Annual Survey	Form
Form SA-52400E Annual Services Report Service Annual Survey	Form
Form SA-53000A Annual Services Report Service Annual Survey	Form
Form SA-53000E Annual Services Report Service Annual Survey	Form
Form SA-53211A Annual Services Report Service Annual Survey	Form
Form SA-53211E Annual Services Report Service Annual Survey	Form
Form SA-54000A Annual Services Report Service Annual Survey	Form
Form SA-54000E Annual Services Report Service Annual Survey	Form
Form SA-54002A Annual Services Report Service Annual Survey	Form
Form SA-54002E Annual Services Report Service Annual Survey	Form
Form SA-54011A Annual Services Report Service Annual Survey	Form
Form SA-54011E Annual Services Report Service Annual Survey	Form
Form SA-54131A Annual Services Report Service Annual Survey	Form
Form SA-54131E Annual Services Report Service Annual Survey	Form
Form SA-54133A Annual Services Report Service Annual Survey	Form
Form SA-54133E Annual Services Report Service Annual Survey	Form
Form SA-54150A Annual Services Report Service Annual Survey	Form
Form SA-54160A Annual Services Report Service Annual Survey	Form
Form SA-54160E Annual Services Report Service Annual Survey	Form
Form SA-54170A Annual Services Report Service Annual Survey	Form
Form SA-54170E Annual Services Report Service Annual Survey	Form
Form SA-54181A Annual Services Report Service Annual Survey	Form
Form SA-54181E Annual Services Report Service Annual Survey	Form
Form SA-54182A Annual Services Report Service Annual Survey	Form
Form SA-54182E Annual Services Report Service Annual Survey	Form
Form SA-54186A Annual Services Report Service Annual Survey	Form
Form SA-54186E Annual Services Report Service Annual Survey	Form
Form SA-54210A Annual Services Report Service Annual Survey	Form
Form SA-54210E Annual Services Report Service Annual Survey	Form
Form SA-56000A Annual Services Report Service Annual Survey	Form
Form SA-56000E Annual Services Report Service Annual Survey	Form
Form SA-56130A Annual Services Report Service Annual Survey	Form
Form SA-56130E Annual Services Report Service Annual Survey	Form
Form SA-56132A Annual Services Report Service Annual Survey	Form
Form SA-56132E Annual Services Report Service Annual Survey	Form
Form SA-56134A Annual Services Report Service Annual Survey	Form
Form SA-56134E Annual Services Report Service Annual Survey	Form
Form SA-56150A Annual Services Report Service Annual Survey	Form
Form SA-56150E Annual Services Report Service Annual Survey	Form
Form SA-56152A Annual Services Report Service Annual Survey	Form
Form SA-56152E Annual Services Report Service Annual Survey	Form
Form SA-56159A Annual Services Report Service Annual Survey	Form
Form SA-56159E Annual Services Report Service Annual Survey	Form
Form SA-56210A Annual Services Report Service Annual Survey	Form
Form SA-56210E Annual Services Report Service Annual Survey	Form
Form SA-56220A Annual Services Report Service Annual Survey	Form
Form SA-56220E Annual Services Report Service Annual Survey	Form
Form SA-56291A Annual Services Report Service Annual Survey	Form
Form SA-56291E Annual Services Report Service Annual Survey	Form
Form SA-61000A Annual Services Report Service Annual Survey	Form
Form SA-61000E Annual Services Report Service Annual Survey	Form
Form SA-62000A Annual Services Report Service Annual Survey	Form
Form SA-62000E Annual Services Report Service Annual Survey	Form
Form SA-62150A Annual Services Report Service Annual Survey	Form
Form SA-62150E Annual Services Report Service Annual Survey	Form
Form SA-62400A Annual Services Report Service Annual Survey	Form
Form SA-62400E Annual Services Report Service Annual Survey	Form
Form SA-71000A Annual Services Report Service Annual Survey	Form
Form SA-71000E Annual Services Report Service Annual Survey	Form
Form SA-71002A Annual Services Report Service Annual Survey	Form
Form SA-71002E Annual Services Report Service Annual Survey	Form
Form SA-71110A Annual Services Report Service Annual Survey	Form
Form SA-71110E Annual Services Report Service Annual Survey	Form
Form SA-71120A Annual Services Report Service Annual Survey	Form
Form SA-71120E Annual Services Report Service Annual Survey	Form
Form SA-71150A Annual Services Report Service Annual Survey	Form
Form SA-71150E Annual Services Report Service Annual Survey	Form
Form SA-71311A Annual Services Report Service Annual Survey	Form
Form SA-71311E Annual Services Report Service Annual Survey	Form
Form SA-81000A Annual Services Report Service Annual Survey	Form
Form SA-81000E Annual Services Report Service Annual Survey	Form
Form SA-81300A Annual Services Report Service Annual Survey	Form
Form SA-81300E Annual Services Report Service Annual Survey	Form
SAS Att 2 - SAS-L1_2015.docx	Other-Initial Letter
SAS Att 2 - SAS-L1R_2015.docx	Other-Due Date Reminder Letter
SAS Att 2 - SAS-L2_2015.docx	Other-Past Due Letter
SAS Att 3 - Centurion screens.pdf	Other-Selected Centurion Screenshots
SA-721A Annual Services Report SA-721A.pdf	Form
SA-721B Annual Services Report SA-721B.pdf	Form
SA-721B Annual Services Report SA-721E.pdf	Form
SA-721F Annual Services Report SA-721F.pdf	Form
SA-722A Annual Services Report SA-722A.pdf	Form
SA-722E Annual Services Report SA-722E.pdf	Form
SA-22010A Annual Services Report SA-22010A.pdf	Form
SA-22010E Annual Services Report SA-22010E.pdf	Form
SA-22130A Annual Services Report SA-22130A.pdf	Form
SA-22130E Annual Services Report SA-22130E.pdf	Form
SA-48000A Annual Services Report SA-48000A.pdf	Form
SA-48000E Annual Services Report SA-48000E.pdf	Form
SA-48100A Annual Services Report SA-48100A.pdf	Form
SA-48100E Annual Services Report SA-48100E.pdf	Form
SA-48121A Annual Services Report SA-48121A.pdf	Form
SA-48121E Annual Services Report SA-48121E.pdf	Form
SA-48300A Annual Services Report SA-48300A.pdf	Form
SA-48300E Annual Services Report SA-48300E.pdf	Form
SA-48400A Annual Services Report SA-48400A.pdf	Form
SA-48400E Annual Services Report SA-48400E.pdf	Form
SA-48500A Annual Services Report SA-48500A.pdf	Form
SA-48500E Annual Services Report SA-48500E.pdf	Form
SA-48610A Annual Services Report SA-48610A.pdf	Form
SA-48610E Annual Services Report SA-48610E.pdf	Form
SA-49000A Annual Services Report SA-49000A.pdf	Form
SA-49000E Annual Services Report SA-49000E.pdf	Form
SA-51000A Annual Services Report SA-51000A.pdf	Form
SA-51000E Annual Services Report SA-51000E.pdf	Form
SA-51111A Annual Services Report SA-51111A.pdf	Form
SA-51111E Annual Services Report SA-51111E.pdf	Form
SA-51112A Annual Services Report SA-51112A.pdf	Form
SA-51112E Annual Services Report SA-51112E.pdf	Form
SA-51113A Annual Services Report SA-51113A.pdf	Form
SA-51113E Annual Services Report SA-51113E.pdf	Form
SA-51114A Annual Services Report SA-51114A.pdf	Form
SA-51114E Annual Services Report SA-51114E.pdf	Form
SA-51118A Annual Services Report SA-51118A.pdf	Form
SA-51118E Annual Services Report SA-51118E.pdf	Form
SA-51119A Annual Services Report SA-51119A.pdf	Form
SA-51119E Annual Services Report SA-51119E.pdf	Form
SA-51120A Annual Services Report SA-51120A.pdf	Form
SA-51120E Annual Services Report SA-51120E.pdf	Form
SA-51210A Annual Services Report SA-51210A.pdf	Form
SA-51210E Annual Services Report SA-51210E.pdf	Form
SA-51213A Annual Services Report SA-51213A.pdf	Form
SA-51213E Annual Services Report SA-51213E.pdf	Form
SA-51219A Annual Services Report SA-51219A.pdf	Form
SA-51219E Annual Services Report SA-51219E.pdf	Form
SA-51222A Annual Services Report SA-51222A.pdf	Form
SA-51222E Annual Services Report SA-51222E.pdf	Form
SA-51223A Annual Services Report SA-51223A.pdf	Form
SA-51223E Annual Services Report SA-51223E.pdf	Form
SA-51224A Annual Services Report SA-51224A.pdf	Form
SA-51224E Annual Services Report SA-51224E.pdf	Form
SA-51510A Annual Services Report SA-51510A.pdf	Form
SA-51510E Annual Services Report SA-51510E.pdf	Form
SA-51520A Annual Services Report SA-51520A.pdf	Form
SA-51520E Annual Services Report SA-51520E.pdf	Form
SA-51710A Annual Services Report SA-51710A.pdf	Form
SA-51710E Annual Services Report SA-51710E.pdf	Form
SA-51721A Annual Services Report SA-51721A.pdf	Form
SA-51721E Annual Services Report SA-51721E.pdf	Form
SA-51730A Annual Services Report SA-51730A.pdf	Form
SA-51730E Annual Services Report SA-51730E.pdf	Form
SA-51740A Annual Services Report SA-51740A.pdf	Form
SA-51740E Annual Services Report SA-51740E.pdf	Form
SA-51790A Annual Services Report SA-51790A.pdf	Form
SA-51790E Annual Services Report SA-51790E.pdf	Form
SA-51820A Annual Services Report SA-51820A.pdf	Form
SA-51820E Annual Services Report SA-51820E.pdf	Form
SA-51911A Annual Services Report SA-51911A.pdf	Form
SA-51911E Annual Services Report SA-51911E.pdf	Form
SA-51912A Annual Services Report SA-51912A.pdf	Form
SA-51912E Annual Services Report SA-51912E.pdf	Form
SA-51913A Annual Services Report SA-51913A.pdf	Form
SA-51913E Annual Services Report SA-51913E.pdf	Form
SA-51919A Annual Services Report SA-51919A.pdf	Form
SA-51919E Annual Services Report SA-51919E.pdf	Form
SA-52000A Annual Services Report SA-52000A.pdf	Form
SA-52000E Annual Services Report SA-52000E.pdf	Form
SA-52200A Annual Services Report SA-52200A.pdf	Form
SA-52200E Annual Services Report SA-52200E.pdf	Form
SA-52311A Annual Services Report SA-52311A.pdf	Form
SA-52311E Annual Services Report SA-52311E.pdf	Form
SA-52312A Annual Services Report SA-52312A.pdf	Form
SA-52312E Annual Services Report SA-52312E.pdf	Form
SA-52390A Annual Services Report SA-52390A.pdf	Form
SA-52390E Annual Services Report SA-52390E.pdf	Form
SA-52400A Annual Services Report SA-52400A.pdf	Form
SA-52400E Annual Services Report SA-52400E.pdf	Form
SA-53000A Annual Services Report SA-53000A.pdf	Form
SA-53000E Annual Services Report SA-53000E.pdf	Form
SA-53211A Annual Services Report SA-53211A.pdf	Form
SA-53211E Annual Services Report SA-53211E.pdf	Form
SA-54000A Annual Services Report SA-54000A.pdf	Form
SA-54000E Annual Services Report SA-54000E.pdf	Form
SA-54002A Annual Services Report SA-54002A.pdf	Form
SA-54002E Annual Services Report SA-54002E.pdf	Form
SA-54011A Annual Services Report SA-54011A.pdf	Form
SA-54011E Annual Services Report SA-54011E.pdf	Form
SA-54131A Annual Services Report SA-54131A.pdf	Form
SA-54131E Annual Services Report SA-54131E.pdf	Form
SA-54133A Annual Services Report SA-54133A.pdf	Form
SA-54133E Annual Services Report SA-54133E.pdf	Form
SA-54150A Annual Services Report SA-54150A.pdf	Form
SA-54150E Annual Services Report SA-54150E.pdf	Form
SA-54160A Annual Services Report SA-54160A.pdf	Form
SA-54160E Annual Services Report SA-54160E.pdf	Form
SA-54170A Annual Services Report SA-54170A.pdf	Form
SA-54170E Annual Services Report SA-54170E.pdf	Form
SA-54181A Annual Services Report SA-54181A.pdf	Form
SA-54181E Annual Services Report SA-54181E.pdf	Form
SA-54182A Annual Services Report SA-54182A.pdf	Form
SA-54182E Annual Services Report SA-54182E.pdf	Form
SA-54186A Annual Services Report SA-54186A.pdf	Form
SA-54186E Annual Services Report SA-54186E.pdf	Form
SA-54210A Annual Services Report SA-54210A.pdf	Form
SA-54210E Annual Services Report SA-54210E.pdf	Form
SA-56000A Annual Services Report SA-56000A.pdf	Form
SA-56000E Annual Services Report SA-56000E.pdf	Form
SA-56130A Annual Services Report SA-56130A.pdf	Form
SA-56130E Annual Services Report SA-56130E.pdf	Form
SA-56132A Annual Services Report SA-56132A.pdf	Form
SA-56132E Annual Services Report SA-56132E.pdf	Form
SA-56134A Annual Services Report SA-56134A.pdf	Form
SA-56134E Annual Services Report SA-56134E.pdf	Form
SA-56150A Annual Services Report SA-56150A.pdf	Form
SA-56150E Annual Services Report SA-56150E.pdf	Form
SA-56152A Annual Services Report SA-56152A.pdf	Form
SA-56152E Annual Services Report SA-56152E.pdf	Form
SA-56159A Annual Services Report SA-56159A.pdf	Form
SA-56159E Annual Services Report SA-56159E.pdf	Form
SA-56210A Annual Services Report SA-56210A.pdf	Form
SA-56210E Annual Services Report SA-56210E.pdf	Form
SA-56220A Annual Services Report SA-56220A.pdf	Form
SA-56220E Annual Services Report SA-56220E.pdf	Form
SA-56291A Annual Services Report SA-56291A.pdf	Form
SA-56291E Annual Services Report SA-56291E.pdf	Form
SA-61000A Annual Services Report SA-61000A.pdf	Form
SA-61000E Annual Services Report SA-61000E.pdf	Form
SA-62000A Annual Services Report SA-62000A.pdf	Form
SA-62000E Annual Services Report SA-62000E.pdf	Form
SA-62150A Annual Services Report SA-62150A.pdf	Form
SA-62150E Annual Services Report SA-62150E.pdf	Form
SA-62400A Annual Services Report SA-62400A.pdf	Form
SA-62400E Annual Services Report SA-62400E.pdf	Form
SA-71000A Annual Services Report SA-71000A.pdf	Form
SA-71000E Annual Services Report SA-71000E.pdf	Form
SA-71002A Annual Services Report SA-71002A.pdf	Form
SA-71002E Annual Services Report SA-71002E.pdf	Form
SA-71110A Annual Services Report SA-71110A.pdf	Form
SA-71110E Annual Services Report SA-71110E.pdf	Form
SA-71120A Annual Services Report SA-71120A.pdf	Form
SA-71120E Annual Services Report SA-71120E.pdf	Form
SA-71150A Annual Services Report SA-71150A.pdf	Form
SA-71150E Annual Services Report SA-71150E.pdf	Form
SA-71311A Annual Services Report SA-71311A.pdf	Form
SA-71311E Annual Services Report SA-71311E.pdf	Form
SA-81000A Annual Services Report SA-81000A.pdf	Form
SA-81000E Annual Services Report SA-81000E.pdf	Form
SA-81300A Annual Services Report SA-81300A.pdf	Form
SA-81300E Annual Services Report SA-81300E.pdf	Form
SAS Att 1 - Detailed_Electronic_Form_Collection.xlsx Survey Form Descriptions	IC Document
SAS Att 4 - SAS Burden.xls Burden Hours by Form	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Service Annual Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SA-721A	Yes	Yes	Fillable Fileable
Form	SA-721B	Yes	Yes	Fillable Fileable
Form	SA-721B	Yes	Yes	Fillable Fileable
Form	SA-721F	Yes	Yes	Fillable Fileable
Form	SA-722A	Yes	Yes	Fillable Fileable
Form	SA-722E	Yes	Yes	Fillable Fileable
Form	SA-22010A	Yes	Yes	Fillable Fileable
Form	SA-22010E	Yes	Yes	Fillable Fileable
Form	SA-22130A	Yes	Yes	Fillable Fileable
Form	SA-22130E	Yes	Yes	Fillable Fileable
Form	SA-48000A	Yes	Yes	Fillable Fileable
Form	SA-48000E	Yes	Yes	Fillable Fileable
Form	SA-48100A	Yes	Yes	Fillable Fileable
Form	SA-48100E	Yes	Yes	Fillable Fileable
Form	SA-48121A	Yes	Yes	Fillable Fileable
Form	SA-48121E	Yes	Yes	Fillable Fileable
Form	SA-48300A	Yes	Yes	Fillable Fileable
Form	SA-48300E	Yes	Yes	Fillable Fileable
Form	SA-48400A	Yes	Yes	Fillable Fileable
Form	SA-48400E	Yes	Yes	Fillable Fileable
Form	SA-48500A	Yes	Yes	Fillable Fileable
Form	SA-48500E	Yes	Yes	Fillable Fileable
Form	SA-48610A	Yes	Yes	Fillable Fileable
Form	SA-48610E	Yes	Yes	Fillable Fileable
Form	SA-49000A	Yes	Yes	Fillable Fileable
Form	SA-49000E	Yes	Yes	Fillable Fileable
Form	SA-51000A	Yes	Yes	Fillable Fileable
Form	SA-51000E	Yes	Yes	Fillable Fileable
Form	SA-51111A	Yes	Yes	Fillable Fileable
Form	SA-51111E	Yes	Yes	Fillable Fileable
Form	SA-51112A	Yes	Yes	Fillable Fileable
Form	SA-51112E	Yes	Yes	Fillable Fileable
Form	SA-51113A	Yes	Yes	Fillable Fileable
Form	SA-51113E	Yes	Yes	Fillable Fileable
Form	SA-51114A	Yes	Yes	Fillable Fileable
Form	SA-51114E	Yes	Yes	Fillable Fileable
Form	SA-51118A	Yes	Yes	Fillable Fileable
Form	SA-51118E	Yes	Yes	Fillable Fileable
Form	SA-51119A	Yes	Yes	Fillable Fileable
Form	SA-51119E	Yes	Yes	Fillable Fileable
Form	SA-51120A	Yes	Yes	Fillable Fileable
Form	SA-51120E	Yes	Yes	Fillable Fileable
Form	SA-51210A	Yes	Yes	Fillable Fileable
Form	SA-51210E	Yes	Yes	Fillable Fileable
Form	SA-51213A	Yes	Yes	Fillable Fileable
Form	SA-51213E	Yes	Yes	Fillable Fileable
Form	SA-51219A	Yes	Yes	Fillable Fileable
Form	SA-51219E	Yes	Yes	Fillable Fileable
Form	SA-51222A	Yes	Yes	Fillable Fileable
Form	SA-51222E	Yes	Yes	Fillable Fileable
Form	SA-51223A	Yes	Yes	Fillable Fileable
Form	SA-51223E	Yes	Yes	Fillable Fileable
Form	SA-51224A	Yes	Yes	Fillable Fileable
Form	SA-51224E	Yes	Yes	Fillable Fileable
Form	SA-51510A	Yes	Yes	Fillable Fileable
Form	SA-51510E	Yes	Yes	Fillable Fileable
Form	SA-51520A	Yes	Yes	Fillable Fileable
Form	SA-51520E	Yes	Yes	Fillable Fileable
Form	SA-51710A	Yes	Yes	Fillable Fileable
Form	SA-51710E	Yes	Yes	Fillable Fileable
Form	SA-51721A	Yes	Yes	Fillable Fileable
Form	SA-51721E	Yes	Yes	Fillable Fileable
Form	SA-51730A	Yes	Yes	Fillable Fileable
Form	SA-51730E	Yes	Yes	Fillable Fileable
Form	SA-51740A	Yes	Yes	Fillable Fileable
Form	SA-51740E	Yes	Yes	Fillable Fileable
Form	SA-51790A	Yes	Yes	Fillable Fileable
Form	SA-51790E	Yes	Yes	Fillable Fileable
Form	SA-51820A	Yes	Yes	Fillable Fileable
Form	SA-51820E	Yes	Yes	Fillable Fileable
Form	SA-51911A	Yes	Yes	Fillable Fileable
Form	SA-51911E	Yes	Yes	Fillable Fileable
Form	SA-51912A	Yes	Yes	Fillable Fileable
Form	SA-51912E	Yes	Yes	Fillable Fileable
Form	SA-51913A	Yes	Yes	Fillable Fileable
Form	SA-51913E	Yes	Yes	Fillable Fileable
Form	SA-51919A	Yes	Yes	Fillable Fileable
Form	SA-51919E	Yes	Yes	Fillable Fileable
Form	SA-52000A	Yes	Yes	Fillable Fileable
Form	SA-52000E	Yes	Yes	Fillable Fileable
Form	SA-52200A	Yes	Yes	Fillable Fileable
Form	SA-52200E	Yes	Yes	Fillable Fileable
Form	SA-52311A	Yes	Yes	Fillable Fileable
Form	SA-52311E	Yes	Yes	Fillable Fileable
Form	SA-52312A	Yes	Yes	Fillable Fileable
Form	SA-52312E	Yes	Yes	Fillable Fileable
Form	SA-52390A	Yes	Yes	Fillable Fileable
Form	SA-52390E	Yes	Yes	Fillable Fileable
Form	SA-52400A	Yes	Yes	Fillable Fileable
Form	SA-52400E	Yes	Yes	Fillable Fileable
Form	SA-53000A	Yes	Yes	Fillable Fileable
Form	SA-53000E	Yes	Yes	Fillable Fileable
Form	SA-53211A	Yes	Yes	Fillable Fileable
Form	SA-53211E	Yes	Yes	Fillable Fileable
Form	SA-54000A	Yes	Yes	Fillable Fileable
Form	SA-54000E	Yes	Yes	Fillable Fileable
Form	SA-54002A	Yes	Yes	Fillable Fileable
Form	SA-54002E	Yes	Yes	Fillable Fileable
Form	SA-54011A	Yes	Yes	Fillable Fileable
Form	SA-54011E	Yes	Yes	Fillable Fileable
Form	SA-54131A	Yes	Yes	Fillable Fileable
Form	SA-54131E	Yes	Yes	Fillable Fileable
Form	SA-54133A	Yes	Yes	Fillable Fileable
Form	SA-54133E	Yes	Yes	Fillable Fileable
Form	SA-54150A	Yes	Yes	Fillable Fileable
Form	SA-54150E	Yes	Yes	Fillable Fileable
Form	SA-54160A	Yes	Yes	Fillable Fileable
Form	SA-54160E	Yes	Yes	Fillable Fileable
Form	SA-54170A	Yes	Yes	Fillable Fileable
Form	SA-54170E	Yes	Yes	Fillable Fileable
Form	SA-54181A	Yes	Yes	Fillable Fileable
Form	SA-54181E	Yes	Yes	Fillable Fileable
Form	SA-54182A	Yes	Yes	Fillable Fileable
Form	SA-54182E	Yes	Yes	Fillable Fileable
Form	SA-54186A	Yes	Yes	Fillable Fileable
Form	SA-54186E	Yes	Yes	Fillable Fileable
Form	SA-54210A	Yes	Yes	Fillable Fileable
Form	SA-54210E	Yes	Yes	Fillable Fileable
Form	SA-56000A	Yes	Yes	Fillable Fileable
Form	SA-56000E	Yes	Yes	Fillable Fileable
Form	SA-56130A	Yes	Yes	Fillable Fileable
Form	SA-56130E	Yes	Yes	Fillable Fileable
Form	SA-56132A	Yes	Yes	Fillable Fileable
Form	SA-56132E	Yes	Yes	Fillable Fileable
Form	SA-56134A	Yes	Yes	Fillable Fileable
Form	SA-56134E	Yes	Yes	Fillable Fileable
Form	SA-56150A	Yes	Yes	Fillable Fileable
Form	SA-56150E	Yes	Yes	Fillable Fileable
Form	SA-56152A	Yes	Yes	Fillable Fileable
Form	SA-56152E	Yes	Yes	Fillable Fileable
Form	SA-56159A	Yes	Yes	Fillable Fileable
Form	SA-56159E	Yes	Yes	Fillable Fileable
Form	SA-56210A	Yes	Yes	Fillable Fileable
Form	SA-56210E	Yes	Yes	Fillable Fileable
Form	SA-56220A	Yes	Yes	Fillable Fileable
Form	SA-56220E	Yes	Yes	Fillable Fileable
Form	SA-56291A	Yes	Yes	Fillable Fileable
Form	SA-56291E	Yes	Yes	Fillable Fileable
Form	SA-61000A	Yes	Yes	Fillable Fileable
Form	SA-61000E	Yes	Yes	Fillable Fileable
Form	SA-62000A	Yes	Yes	Fillable Fileable
Form	SA-62000E	Yes	Yes	Fillable Fileable
Form	SA-62150A	Yes	Yes	Fillable Fileable
Form	SA-62150E	Yes	Yes	Fillable Fileable
Form	SA-62400A	Yes	Yes	Fillable Fileable
Form	SA-62400E	Yes	Yes	Fillable Fileable
Form	SA-71000A	Yes	Yes	Fillable Fileable
Form	SA-71000E	Yes	Yes	Fillable Fileable
Form	SA-71002A	Yes	Yes	Fillable Fileable
Form	SA-71002E	Yes	Yes	Fillable Fileable
Form	SA-71110A	Yes	Yes	Fillable Fileable
Form	SA-71110E	Yes	Yes	Fillable Fileable
Form	SA-71120A	Yes	Yes	Fillable Fileable
Form	SA-71120E	Yes	Yes	Fillable Fileable
Form	SA-71150A	Yes	Yes	Fillable Fileable
Form	SA-71150E	Yes	Yes	Fillable Fileable
Form	SA-71311A	Yes	Yes	Fillable Fileable
Form	SA-71311E	Yes	Yes	Fillable Fileable
Form	SA-81000A	Yes	Yes	Fillable Fileable
Form	SA-81000E	Yes	Yes	Fillable Fileable
Form	SA-81300A	Yes	Yes	Fillable Fileable
Form	SA-81300E	Yes	Yes	Fillable Fileable
Other-Initial Letter		Yes	Yes	Fillable Fileable
Other-Due Date Reminder Letter		Yes	Yes	Fillable Fileable
Other-Past Due Letter		Yes	Yes	Fillable Fileable
Other-Selected Centurion Screenshots		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: 82,240

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	82,240	82,240
Annual IC Time Burden (Hours)	306,807	306,807
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Survey Form Descriptions		09/18/2015
Burden Hours by Form		09/18/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].