Information Collection Request

Quarterly Services Survey

ICR 202101-0607-004 · OMB 0607-0907 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form QSS Forms QSS Forms Form Modified Available
Attachment 31 - Title 13 Relevant Sections.pdf Supplementary Document Uploaded 2021-01-25 Repair queued
QSS_supportingstatementB_011221.docx Supporting Statement B Uploaded 2021-01-25 Repair queued
QSS_supportingstatementA_011221.docx Supporting Statement A Uploaded 2021-01-25 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
37228 Quarterly Services Survey Form ModifiedQSS Forms
37228 Quarterly Services Survey Other-Form Matrix Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2024 36 Months From Approved 07/31/2021
90,000 0 88,600
19,300 0 19,087
0 0 0





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table that charts list of burden
IC Title Form No. Form Name
Quarterly Services Survey QSS Forms

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 90,000 88,600 0 0 1,400 0
Annual Time Burden (Hours) 19,300 19,087 0 0 213 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


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  No