Information Collection

QAP Providers

IC 262169 under ICR 202309-2060-004 · OMB 2060-0749.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 5900-633
QAP Providers
Form and Instruction
5900-633 RFS2001
RFS2001_set.docx
Form and Instruction
5900-633 RFS2001
RFS2001_set.docx
Form and Instruction
5900-636 RFS2301
rfs2301_set.docx
Form and Instruction
5900-636 RFS2301
rfs2301_set.docx
Form and Instruction
5900-634 RFS2101
RFS2101_set.docx
Form and Instruction
5900-634 RFS2101
RFS2101_set.docx
Form and Instruction
5900-635 RFS2201
rfs2201_set (1).docx
Form and Instruction
5900-635 RFS2201
rfs2201_set (1).docx
Form and Instruction
5900-361 RFS2400
rfs2400_set.docx
Form and Instruction
5900-361 RFS2400
rfs2400_set.docx
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 5900-633 RFS2001 RFS2001_set.docx Yes Yes Fillable Fileable Signable
Form and Instruction 5900-636 RFS2301 rfs2301_set.docx Yes Yes Fillable Fileable Signable
Form and Instruction 5900-634 RFS2101 RFS2101_set.docx Yes Yes Fillable Fileable Signable
Form and Instruction 5900-635 RFS2201 rfs2201_set (1).docx Yes Yes Fillable Fileable Signable
Form and Instruction 5900-361 RFS2400 rfs2400_set.docx Yes Yes Fillable Fileable Signable

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 81 0 81 0 0 0
Annual IC Time Burden (Hours) 1,057 0 1,057 0 0 0
Annual IC Cost Burden (Dollars) 150,236 0 150,236 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.