Information Collection

Quarterly Services Survey

IC 37228 under ICR 201804-0607-003 · OMB 0607-0907.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form QSS-4E
Quarterly Services Survey
Form
Attachment 1 - Form Matrix.xlsx Other-Forms Matrix
Attachment 20 - QSS-L1.docx Other-QSS-L1 letter
Attachment 21 - QSS-L2E.docx Other-QSS-L2E letter
Attachment 22 - QSS-L2F.docx Other-QSS-l2f letter
Attachment 23 - QSS-L6.docx Other-QSS-L6 letter
Attachment 24 - QSS-F2.docx Other-QSS-F2 letter
Attachment 25 - E1 email.docx Other-QSS-E1 email
Attachment 26 - E1R email.docx Other-QSS-E1R email
Attachment 27 - E2 email.docx Other-QSS-E2 email
Attachment 30 - Instrument Screenshots.docx Other-Select Screenshots from Online
QSS-1A Quarterly Services Survey
Attachment 2 - QSS-1A.pdf
Form
QSS-1E Quarterly Services Survey
Attachment 3 - QSS-1E.pdf
Form
QSS-1pA Quarterly Services Survey
Attachment 4 - QSS-1pA.pdf
Form
QSS-1pE Quarterly Services Survey
Attachment 5 - QSS-1pE.pdf
Form
QSS-2A Quarterly Services Survey
Attachment 6 - QSS-2A.pdf
Form
QSS-2E Quarterly Services Survey
Attachment 7 - QSS-2E.pdf
Form
QSS-3A Quarterly Services Survey
Attachment 8 - QSS-3A.pdf
Form
Qss-3E Quarterly Services Survey
Attachment 9 - QSS-3E.pdf
Form
QSS-4A Quarterly Services Survey
Attachment 10 - QSS-4A.pdf
Form
QSS-4E Quarterly Services Survey
Attachment 11 - QSS-4E.pdf
Form
QSS-4fA Quarterly Services Survey
Attachment 12 - QSS-4fA.pdf
Form
QSS-4fE Quarterly Services Survey
Attachment 13 - QSS-4fE.pdf
Form
QSS-5A Quarterly Services Survey
Attachment 14 - QSS-5A.pdf
Form
QSS-5E Quarterly Services Survey
Attachment 15 - QSS-5E.pdf
Form
QSS-3sE Quarterly Services Survey
Attachment 16 - QSS-3sE.pdf
Form
QSS-3sA Quarterly Services Survey
Attachment 17 - QSS-3sA.pdf
Form
QSS-4sA Quarterly Services Survey
Attachment 18 - QSS-4sA.pdf
Form
QSS-4sE Quarterly Services Survey
Attachment 19 -QSS-4sE.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
Form QSS-4E Quarterly Services Survey Attachment 11 - QSS-4E.pdf Yes Yes Fillable Fileable
Form QSS-4fA Quarterly Services Survey Attachment 12 - QSS-4fA.pdf Yes Yes Fillable Fileable
Other-Forms Matrix Attachment 1 - Form Matrix.xlsx Yes Yes Fillable Fileable
Form QSS-1A Quarterly Services Survey Attachment 2 - QSS-1A.pdf Yes Yes Fillable Fileable
Form QSS-1E Quarterly Services Survey Attachment 3 - QSS-1E.pdf Yes Yes Fillable Fileable
Form QSS-1pA Quarterly Services Survey Attachment 4 - QSS-1pA.pdf Yes Yes Fillable Fileable
Form QSS-1pE Quarterly Services Survey Attachment 5 - QSS-1pE.pdf Yes Yes Fillable Fileable
Form QSS-2A Quarterly Services Survey Attachment 6 - QSS-2A.pdf Yes Yes Fillable Fileable
Form QSS-2E Quarterly Services Survey Attachment 7 - QSS-2E.pdf Yes Yes Fillable Fileable
Form QSS-3A Quarterly Services Survey Attachment 8 - QSS-3A.pdf Yes Yes Fillable Fileable
Form Qss-3E Quarterly Services Survey Attachment 9 - QSS-3E.pdf Yes Yes Fillable Fileable
Form QSS-4A Quarterly Services Survey Attachment 10 - QSS-4A.pdf Yes Yes Fillable Fileable
Form QSS-4fE Quarterly Services Survey Attachment 13 - QSS-4fE.pdf Yes Yes Fillable Fileable
Form QSS-5A Quarterly Services Survey Attachment 14 - QSS-5A.pdf Yes Yes Fillable Fileable
Form QSS-5E Quarterly Services Survey Attachment 15 - QSS-5E.pdf Yes Yes Fillable Fileable
Form QSS-3sE Quarterly Services Survey Attachment 16 - QSS-3sE.pdf Yes Yes Fillable Fileable
Form QSS-3sA Quarterly Services Survey Attachment 17 - QSS-3sA.pdf Yes Yes Fillable Fileable
Form QSS-4sA Quarterly Services Survey Attachment 18 - QSS-4sA.pdf Yes Yes Fillable Fileable
Form QSS-4sE Quarterly Services Survey Attachment 19 -QSS-4sE.pdf Yes Yes Fillable Fileable
Other-QSS-L1 letter Attachment 20 - QSS-L1.docx Yes Yes Fillable Fileable
Other-QSS-L2E letter Attachment 21 - QSS-L2E.docx Yes Yes Fillable Fileable
Other-QSS-l2f letter Attachment 22 - QSS-L2F.docx Yes Yes Fillable Fileable
Other-QSS-L6 letter Attachment 23 - QSS-L6.docx Yes Yes Fillable Fileable
Other-QSS-F2 letter Attachment 24 - QSS-F2.docx Yes Yes Fillable Fileable
Other-QSS-E1 email Attachment 25 - E1 email.docx Yes Yes Fillable Fileable
Other-QSS-E1R email Attachment 26 - E1R email.docx Yes Yes Fillable Fileable
Other-QSS-E2 email Attachment 27 - E2 email.docx Yes Yes Fillable Fileable
Other-Select Screenshots from Online Instrument showing Respondent Disclosures Attachment 30 - Instrument Screenshots.docx 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 88,600 0 0 -5,400 0 94,000
Annual IC Time Burden (Hours) 19,087 0 0 -1,813 0 20,900
Annual IC Cost Burden (Dollars) 0 0 0 0 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.