Information Collection

Insurance website CSS core survey

IC 229911 under ICR 202009-3206-001 · OMB 3206-0236.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CSS7 Insurance website CSS core survey	Form
CSS7 Insurance Website CSS PART Survey - Insurance Core Survey_2018.doc	Form
SSB for insurance survey.doc Supporting Statement B	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

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	CSS7	Insurance Website CSS	PART Survey - Insurance Core Survey_2018.doc		Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	30,000	30,000
Annual IC Time Burden (Hours)	1,500	1,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement B	SSB for insurance survey.doc	01/30/2018

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