OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

N-ssats

IC 191114 under ICR 202006-0930-001 · OMB 0930-0106.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

N-SSATS
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction N-SSATS 2021 Questionnaire (Version A) N-SSATS 2021 Questionnaire (Version A) Attachment B1_as of 2020-02-26_N-SSATS 2021 Questionnaire (Version A).DOCX Yes Yes Fillable Fileable
Form and Instruction N-SSATS 2022 Questionnaire (Version B) N-SSATS 2022 Questionnaire (Version B) Attachment B2_as of 2020-02-26_N-SSATS 2022 Questionnaire (Version B).DOCX Yes Yes Fillable Fileable
Form and Instruction N-SSATS 2021 Screens for Online Questionnaire N-SSATS 2021 Screens for Online Questionnaire Attachment B4_as of 2020-02-26_N-SSATS 2021 screens for online questionnaire.docx Yes Yes Fillable Fileable
Form and Instruction N-SSATS 2021 CATI Questionnaire N-SSATS 2021 CATI Questionnaire Attachment B5_as of 2020-02-26_N-SSATS 2021 CATI Questionnaire.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

17,000 0
   
State, Local, and Tribal Governments
 
   100 %

  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 17,000 0 0 0 0 17,000
Annual IC Time Burden (Hours) 11,333 0 0 0 0 11,333
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
N-SSATS 2021 Advance Letter Attachment B6_as of 2020-02-26_N-SSATS 2021 Advance Letter.docx 06/04/2020
N-SSATS 2021 Second Mailing Cover Letter Attachment B11_as of 2020-02-26_N-SSATS 2021 Second Mailing Cover Letter.docx 06/04/2020
N-SSATS 2021 Third Mailing Cover Letter Attachment B12_as of 2020-02-26_N-SSATS 2021 Third Mailing Cover Letter.DOCX 06/04/2020
N-SSATS 2021 Thank You Reminder Letter Attachment B10_as of 2020-02-26_N-SSATS 2021 Thank You Reminder Letter.docx 06/04/2020
N-SSATS 2021 Completion Thank You Letter Attachment B13_as of 2020-02-26_N-SSATS 2021 Completion Thank You Letter.DOCX 06/04/2020
Webpages for the N-SSATS 2021 Information website Attachment B15_as of 2020-02-26_Web pages for the 2021 N-SSATS information website.pdf 06/04/2020
N-SSATS 2021 First Mailing Cover Letter Attachment B7_as of 2020-02-26_N-SSATS 2021 First Mailing Cover Letter.docx 06/04/2020
N-SSATS 2021 Online Questionnaire Access Instructions Attachment B8_as of 2020-02-26_N-SSATS 2021 Online Questionnaire Access Instructions.docx 06/04/2020
N-SSATS 2021 Frequently Asked Questions Attachment B9_as of 2020-02-26_N-SSATS 2021 Frequently Asked Questions sheet.docx 06/04/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.