Information Collection

National LES-SK

IC 235319 under ICR 201903-1121-001 · OMB 1121-0370.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
National LES-SK Form and Instruction
LES-SK
LES-SK Full Study Instrument (Appendix 9, Attachment J).pdf
Form and Instruction
LES-FA Pilot Study Mail Screener
LES-SK Full Study Mail Screener (Appendix 9, Attachment D).pdf
Form and Instruction

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 and Instruction n/a LES-FA Pilot Study Mail Screener LES-SK Full Study Mail Screener (Appendix 9, Attachment D).pdf Yes No Printable Only
Form and Instruction n/a LES-SK LES-SK Full Study Instrument (Appendix 9, Attachment J).pdf Yes No Printable Only

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 6,931 0 6,931 0 0 0
Annual IC Time Burden (Hours) 1,236 0 1,236 0 0 0
Annual IC Cost Burden (Dollars) 50,083 0 50,083 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.