Information Collection

Quarterly Services Survey

IC 37228 under ICR 202101-0607-004 · OMB 0607-0907.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0907 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form QSS Forms QSS Forms Quarterly Services Survey	Form
Attachment 1 - Form Matrix.xlsx	Other-Form Matrix
Attachment 1 - Form Matrix.xlsx	Other-Form Matrix
Attachment 20 -28 - Letters and Emails.pdf	Other-Respondent Letters & Emails
Attachment 20 -28 - Letters and Emails.pdf	Other-Respondent Letters & Emails
Attachment 30 - Instrument Screenshots.docx	Other-Instrument Screenshots
Attachment 30 - Instrument Screenshots.docx	Other-Instrument Screenshots
QSS Forms QSS Forms Forms.pdf	Form
QSS Forms QSS Forms Forms.pdf	Form

IC Title:

Quarterly Services Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Form Matrix		Yes	Yes	Fillable Fileable
Form	QSS Forms	Yes	Yes	Fillable Fileable
Other-Respondent Letters & Emails		Yes	Yes	Fillable Fileable
Other-Instrument Screenshots		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: 22,500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	90,000	1,400	88,600
Annual IC Time Burden (Hours)	19,300	213	19,087
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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