Mapping and Questionnaire Documents IA 30669 A3 (Dept of Treasury)

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⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0008 can be found here:

Documents and Forms

Document Name Document Type
Form 30669 Mapping and Questionnaire Documents IA 30669 A3 (Dept of Treasury) Form and Instruction
30669 M3 MHA Questionnaire 12.17.15_DOT MHA Questionnaire 12.17.15_DOT.xlsx Form and Instruction
30669 Q_TreasMha_Mobile_Browse_20170221 Q_TreasMha_Mobile_Browse_20170221.xlsx Form and Instruction
1090-0008 Survey Mapping Document (OFS) IA 30669 A0_draft.xlsx 1090-0008 Survey Mapping Document (OFS) IA 30669 A0_draft IC Document
Dept of Treasury OMB Form 11.13.2018 IA 30669 A3--.pdf Dept of Treasury OMB Form 11.13.2018 IA 30669 A3-- IC Document

Information Collection (IC) Details

IC Title:	Mapping and Questionnaire Documents IA 30669 A3 (Dept of Treasury)	Agency IC Tracking Number:	30669 A3

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	30669	Q_TreasMha_Mobile_Browse_20170221	Q_TreasMha_Mobile_Browse_20170221.xlsx		Yes	Yes	Fillable Fileable
Form and Instruction	30669 M3	MHA Questionnaire 12.17.15_DOT	MHA Questionnaire 12.17.15_DOT.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: 3,600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,600	3,600
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
1090-0008 Survey Mapping Document (OFS) IA 30669 A0_draft	1090-0008 Survey Mapping Document (OFS) IA 30669 A0_draft.xlsx	02/21/2019
Dept of Treasury OMB Form 11.13.2018 IA 30669 A3--	Dept of Treasury OMB Form 11.13.2018 IA 30669 A3--.pdf	02/21/2019

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