Agency Totals Page 1OMB Home
Department of Agriculture
Office of the Secretary
OMB NO: 0503-0003 EXPIRATION DATE: 03/31/2002
RESPS:210 HOURS:52 COSTS(000):$0
National Appeals Division Customer Service Survey
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
1 210 52 $0
Office of Chief Financial Officer
OMB NO: 0505-0001 EXPIRATION DATE: 07/31/2002
RESPS:1,631 HOURS:815 COSTS(000):$0
Advisory Committee Membership Background Information
FORMS: AD-755
OMB NO: 0505-0007 EXPIRATION DATE: 03/31/2002
RESPS:4,146 HOURS:4,146 COSTS(000):$0
Debt Collection
FORMS: NONE
OMB NO: 0505-0011 EXPIRATION DATE: 07/31/2003
RESPS:600 HOURS:150 COSTS(000):$0
Maximum Workweek - Construction Schedule
FORMS: NONE
OMB NO: 0505-0013 EXPIRATION DATE: 07/31/2003
RESPS:3,200 HOURS:112,000 COSTS(000):$0
Instructions for the Preparation of Technical and Business
Proposals
FORMS: NONE
OMB NO: 0505-0014 EXPIRATION DATE: 07/31/2003
RESPS:45,170 HOURS:4,517 COSTS(000):$0
Brand Name or Equal Provision and Clause
FORMS: NONE
OMB NO: 0505-0015 EXPIRATION DATE: 07/31/2003
RESPS:200 HOURS:200 COSTS(000):$0
Procurement: Key Personnel Clause
FORMS: NONE
OMB NO: 0505-0016 EXPIRATION DATE: 07/31/2003
RESPS:2,400 HOURS:3,600 COSTS(000):$0
Progress Reporting Clause
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
7 57,347 125,428 $0
Office of Communications
No active collections for this subagency
Office of Civil Rights
OMB NO: 0508-0004 EXPIRATION DATE: 05/31/2003
RESPS:40,000 HOURS:3,334 COSTS(000):$0
USDA Minority Farm Register
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
1 40,000 3,334 $0
Agricultural Research Service
OMB NO: 0518-0003 EXPIRATION DATE: 11/30/2001
RESPS:75 HOURS:225 COSTS(000):$0
Patent License Application
FORMS: 761
OMB NO: 0518-0013 EXPIRATION DATE: 08/31/2002
RESPS:300 HOURS:25 COSTS(000):$0
USDA Biological Shipment Record, Beneficial Organisms
FORMS: AD-941 AD-942 AD-943
OMB NO: 0518-0023 EXPIRATION DATE: 06/30/2001
RESPS:5,066 HOURS:7,800 COSTS(000):$0
Continuing Survey of Food Intakes by Individuals (CSFII)
1999-2002
FORMS: NONE
OMB NO: 0518-0026 EXPIRATION DATE: 12/31/2001
RESPS:900 HOURS:450 COSTS(000):$0
Food and Nutrition Information Center Customer Satisfaction
Survey for Food and Nutrition Service Audiences
FORMS: NONE
OMB NO: 0518-0027 EXPIRATION DATE: 09/30/2002
RESPS:80,000 HOURS:1,300 COSTS(000):$0
Information Collection for Document Delivery Services
FORMS: NONE
OMB NO: 0518-0028 EXPIRATION DATE: 09/30/2003
RESPS:4,360 HOURS:4,601 COSTS(000):$0
Peer Review-Related Forms for the Office of Scientific Quality
Review
FORMS: ARS-199A ARS-200-PA ARS-202PA ARS-203PA ARS-209P ARS-211P
ARS-223P ARS-225P ARS-227P
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
6 90,701 14,401 $0
Cooperative State Research, Education, and Extension Service
OMB NO: 0524-0022 EXPIRATION DATE: 07/31/2001
RESPS:35,300 HOURS:136,450 COSTS(000):$0
Application Kit
FORMS: CSREES-55 CSREES-661 CSREES-662 CSREES-663
OMB NO: 0524-0024 EXPIRATION DATE: 03/31/2002
RESPS:1,600 HOURS:9,458 COSTS(000):$0
Food and Agricultural Sciences National Needs Graduate
Fellowships Grants Program Application Guidelines
FORMS: 701 702 703 706 707 708 709
OMB NO: 0524-0025 EXPIRATION DATE: 07/31/2001
RESPS:480 HOURS:1,920 COSTS(000):$0
Grant Application Forms for the Small Business Innovation
Research Grants Program
FORMS: CSREES-667 CSREES-668
OMB NO: 0524-0026 EXPIRATION DATE: 08/31/2003
RESPS:150 HOURS:600 COSTS(000):$0
Assurance of Compliance with the Department of Agriculture
Regulations Assuring Civil Rights Compliance "Organizational
Information"
FORMS: CSREES-665 CSREES-666
OMB NO: 0524-0030 EXPIRATION DATE: 01/31/2001
RESPS:3,200 HOURS:22,400 COSTS(000):$0
Grant Application Forms for Higher Education Programs
FORMS: CSREES-662 CSREES-663 CSREES-708 CSREES-710 CSREES-711
CSREES-712 CSREES-713
OMB NO: 0524-0033 EXPIRATION DATE: 01/31/2001
RESPS:11,200 HOURS:4,400 COSTS(000):$0
National Research Initiative Competitive Grants Program
Application Kit
FORMS: CSREES-1232 CSREES-1233 CSREES-1234
OMB NO: 0524-0034 EXPIRATION DATE: 07/31/2002
RESPS:40 HOURS:20 COSTS(000):$0
Application for Authorization to Use the 4-H Name and/or Emblem
FORMS: CSREES-01
OMB NO: 0524-0035 EXPIRATION DATE: 07/31/2002
RESPS:311 HOURS:17,827 COSTS(000):$0
Stakeholder Input Requirements for Recipients of Agricultural
Research, Education, and Extension Formula Funds
FORMS: NONE
OMB NO: 0524-0036 EXPIRATION DATE: 05/31/2002
RESPS:148 HOURS:202,017 COSTS(000):$0
Reporting Requirements for State Plans of Work for Agricultural
Research and Extension Formula Funds
FORMS: NONE
OMB NO: 0524-0038 EXPIRATION DATE: 04/30/2003
RESPS:117 HOURS:457 COSTS(000):$0
Section 1449 Matching Funds Requirement for Research and
Extension Activities at Eligible Institutions
FORMS: CSREES-2103
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
10 52,546 395,549 $0
National Agricultural Statistical Service
OMB NO: 0535-0001 EXPIRATION DATE: 09/30/2001
RESPS:11,300 HOURS:4,505 COSTS(000):$0
Cold Storage
FORMS: NONE
OMB NO: 0535-0002 EXPIRATION DATE: 09/30/2001
RESPS:501,844 HOURS:119,350 COSTS(000):$0
Field Crops Production
FORMS: NONE
OMB NO: 0535-0003 EXPIRATION DATE: 09/30/2001
RESPS:70,733 HOURS:14,484 COSTS(000):$0
Agricultural Prices
FORMS: NONE
OMB NO: 0535-0004 EXPIRATION DATE: 08/31/2002
RESPS:27,336 HOURS:5,421 COSTS(000):$0
Egg, Chicken, and Turkey Surveys
FORMS: NONE
OMB NO: 0535-0005 EXPIRATION DATE: 12/31/2001
RESPS:117,568 HOURS:21,659 COSTS(000):$0
Livestock Survey
FORMS: NONE
OMB NO: 0535-0007 EXPIRATION DATE: 08/31/2002
RESPS:48,167 HOURS:14,683 COSTS(000):$0
Stocks Report
FORMS: NONE
OMB NO: 0535-0020 EXPIRATION DATE: 03/31/2001
RESPS:177,688 HOURS:24,223 COSTS(000):$0
Milk an Milk Products
FORMS: NONE
OMB NO: 0535-0037 EXPIRATION DATE: 03/31/2003
RESPS:17,896 HOURS:3,071 COSTS(000):$0
Vegetables
FORMS: NONE
OMB NO: 0535-0039 EXPIRATION DATE: 09/30/2001
RESPS:49,719 HOURS:14,137 COSTS(000):$0
Fruits, Nuts, and Specialty Crops
FORMS: NONE
OMB NO: 0535-0088 EXPIRATION DATE: 08/31/2002
RESPS:12,950 HOURS:4,013 COSTS(000):$0
Field Crops Objective Yield
FORMS: NONE
OMB NO: 0535-0093 EXPIRATION DATE: 04/30/2003
RESPS:14,600 HOURS:6,532 COSTS(000):$0
Floriculture Survey
FORMS: NONE
OMB NO: 0535-0109 EXPIRATION DATE: 09/30/2002
RESPS:43,070 HOURS:10,608 COSTS(000):$0
Agricultural Labor Survey
FORMS: NONE
OMB NO: 0535-0140 EXPIRATION DATE: 10/31/2003
RESPS:325,000 HOURS:22,500 COSTS(000):$0
List Sampling Frame Survey
FORMS: NONE
OMB NO: 0535-0150 EXPIRATION DATE: 03/31/2003
RESPS:3,300 HOURS:861 COSTS(000):$0
Acquaculture Survey
FORMS: NONE
OMB NO: 0535-0153 EXPIRATION DATE: 09/30/2003
RESPS:7,278 HOURS:2,492 COSTS(000):$0
Honey Survey
FORMS: NONE
OMB NO: 0535-0209 EXPIRATION DATE: 01/31/2001
RESPS:175 HOURS:525 COSTS(000):$0
Supplemental Qualifications Statement
FORMS: NONE
OMB NO: 0535-0212 EXPIRATION DATE: 12/31/2001
RESPS:425 HOURS:71 COSTS(000):$0
Mink Survey
FORMS: NONE
OMB NO: 0535-0213 EXPIRATION DATE: 01/31/2001
RESPS:546,600 HOURS:139,260 COSTS(000):$0
Agricultural Surveys Program
FORMS: NONE
OMB NO: 0535-0217 EXPIRATION DATE: 04/30/2002
RESPS:10,400 HOURS:2,253 COSTS(000):$0
Wildlife Damage
FORMS: NONE
OMB NO: 0535-0218 EXPIRATION DATE: 12/31/2003
RESPS:111,818 HOURS:41,017 COSTS(000):$0
Agricultural Resource Management, Chemical Use, and Post-harvest
Chemical Use Surveys
FORMS: NONE
OMB NO: 0535-0220 EXPIRATION DATE: 01/31/2001
RESPS:11,610 HOURS:1,168 COSTS(000):$0
Cotton Ginnings
FORMS: NONE
OMB NO: 0535-0227 EXPIRATION DATE: 12/31/2001
RESPS:43,800 HOURS:21,900 COSTS(000):$0
Equine Survey
FORMS: NONE
OMB NO: 0535-0231 EXPIRATION DATE: 09/30/2001
RESPS:11,717 HOURS:572 COSTS(000):$0
Respondent Information Evaluation
FORMS: NONE
OMB NO: 0535-0236 EXPIRATION DATE: 10/31/2001
RESPS:44,650 HOURS:48,371 COSTS(000):$0
1998 Census of Horticultural Specialties
FORMS: NONE
OMB NO: 0535-0241 EXPIRATION DATE: 10/31/2003
RESPS:21,720 HOURS:3,658 COSTS(000):$0
Monthly Hog Survey
FORMS: NONE
OMB NO: 0535-0243 EXPIRATION DATE: 12/31/2001
RESPS:16,950 HOURS:8,355 COSTS(000):$0
Census of Agriculture Content Test
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
26 2,248,314 535,689 $0
Economic Research Service
OMB NO: 0536-0041 EXPIRATION DATE: 06/30/2001
RESPS:3,000 HOURS:990 COSTS(000):$0
Characteristics of Participants in USDA's Single-Family Direct
Loan Housing Program
FORMS: NONE
OMB NO: 0536-0043 EXPIRATION DATE: 04/30/2002
RESPS:50,000 HOURS:6,882 COSTS(000):$0
Food Security Supplement to the Current Population Survey
FORMS: NONE
OMB NO: 0536-0045 EXPIRATION DATE: 09/30/2001
RESPS:3,676 HOURS:4,521 COSTS(000):$0
Family Child Care Homes Legislative Changes Study
FORMS: NONE
OMB NO: 0536-0046 EXPIRATION DATE: 01/31/2002
RESPS:1,750 HOURS:875 COSTS(000):$0
Survey of Multifamily Rental Housing Funded Through USDA's Rural
Rental Housing Program
FORMS: NONE
OMB NO: 0536-0048 EXPIRATION DATE: 06/30/2001
RESPS:9,046 HOURS:4,941 COSTS(000):$0
Emergency Food Assistance System Study
FORMS: NONE
OMB NO: 0536-0051 EXPIRATION DATE: 09/30/2001
RESPS:1,400 HOURS:467 COSTS(000):$0
Evaluation of the Impact of EBT Customer Waivers on Recipients:
New EBT User Survey
FORMS: NONE
OMB NO: 0536-0053 EXPIRATION DATE: 11/30/2003
RESPS:37,278 HOURS:5,110 COSTS(000):$0
Study of Program Access and Declining Food Stamp Participation
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
7 106,150 23,786 $0
Foreign Agricultural Service
OMB NO: 0551-0001 EXPIRATION DATE: 12/31/2003
RESPS:440 HOURS:270 COSTS(000):$0
Title Dairy Tariff-Rate Import Quota Licensing Regulation
FORMS: 923 923A 923B 924A 924B
OMB NO: 0551-0004 EXPIRATION DATE: 11/30/2002
RESPS:23,397 HOURS:5,440 COSTS(000):$0
CCC/Export Credit Guarantee Program -- GSM-102 and Intermediate
Export Credit Guarantee Program -- GSM-103
FORMS: NONE
OMB NO: 0551-0005 EXPIRATION DATE: 08/31/2003
RESPS:205 HOURS:423 COSTS(000):$0
Regulations - Financing Commercial Sales of Agricultural
Commodities Under Title I, P.L. 480 - Recordkeeping and
Reporting Requirements
FORMS: NONE
OMB NO: 0551-0007 EXPIRATION DATE: 09/30/2001
RESPS:55,728 HOURS:30,686 COSTS(000):$0
Export Sales of U.S. Agricultural Commodities
FORMS: FAS-97 FAS-98 FAS-99 FAS-100
OMB NO: 0551-0008 EXPIRATION DATE: 04/30/2002
RESPS:50 HOURS:25 COSTS(000):$0
Request for Vessel Approval
FORMS: CCC-105
OMB NO: 0551-0009 EXPIRATION DATE: 08/31/2003
RESPS:89 HOURS:23 COSTS(000):$0
Declaration of Sale
FORMS: FAS-359
OMB NO: 0551-0014 EXPIRATION DATE: 01/31/2001
RESPS:2,000 HOURS:333 COSTS(000):$0
Certificate of Quota Eligibility
FORMS: FAS-961
OMB NO: 0551-0015 EXPIRATION DATE: 08/31/2001
RESPS:983 HOURS:4,590 COSTS(000):$0
Sugar Imported To Be Reexported in Refined Form, in
Sugar-Containing Products, or Used in Production of Certain
Alcohols
FORMS: NONE
OMB NO: 0551-0024 EXPIRATION DATE: 03/31/2003
RESPS:1,800 HOURS:1,010 COSTS(000):$0
Buyer Alert
FORMS: FAS-964
OMB NO: 0551-0025 EXPIRATION DATE: 09/30/2001
RESPS:30 HOURS:60 COSTS(000):$0
No Form Required, Specialty Sugar; Importer Applies to USDA/
Import Licensing and a Letter (Specialty Certificate) Is Provided
FORMS: NONE
OMB NO: 0551-0026 EXPIRATION DATE: 03/31/2003
RESPS:2,134 HOURS:43,748 COSTS(000):$0
FAS/Cooperator Foreign Market Development Program
FORMS: NONE
OMB NO: 0551-0027 EXPIRATION DATE: 06/30/2003
RESPS:2,670 HOURS:62,830 COSTS(000):$0
Market Access Program
FORMS: NONE
OMB NO: 0551-0028 EXPIRATION DATE: 09/30/2003
RESPS:3,063 HOURS:1,803 COSTS(000):$0
CCC's Export Enhancement Program (EEP) and CCC's Export
Incentive Program (DEIP)
FORMS: NONE
OMB NO: 0551-0031 EXPIRATION DATE: 05/31/2002
RESPS:27,000 HOURS:2,375 COSTS(000):$0
List of Commodities by Firm Available for Exporting
FORMS: FAS-1009
OMB NO: 0551-0032 EXPIRATION DATE: 02/28/2001
RESPS:441 HOURS:909 COSTS(000):$0
Regulations Covering CCC's Facility Guarantee Program (FGP)
FORMS: NONE
OMB NO: 0551-0033 EXPIRATION DATE: 08/31/2002
RESPS:2 HOURS:46 COSTS(000):$0
Emergency Relief from Duty-Free Imports of Perishable Products
under the Andean Trade Preference Act (ATPA)
FORMS: NONE
OMB NO: 0551-0035 EXPIRATION DATE: 01/31/2001
RESPS:66 HOURS:21,417 COSTS(000):$0
Foreign Donation of Agricultural Commodities
FORMS: NONE
OMB NO: 0551-0037 EXPIRATION DATE: 01/31/2001
RESPS:1,643 HOURS:399 COSTS(000):$0
CCC/Supplier Credit Guarantee Program -- 7 CFR 1493, Subpart D
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
18 121,741 176,387 $0
Farm Service Agency
OMB NO: 0560-0006 EXPIRATION DATE: 01/31/2003
RESPS:1,242,104 HOURS:492,476 COSTS(000):$0
Peanut Poundage Quota, Marketing Regulations, Peanut Warehouse
Loan, and Handler Operations, 1996-2002 Crops -- 7 CFR 729 and
1446
FORMS: CCC-1042 CCC-1047 FSA-101 FSA-278 FSA-375 FSA-377 FSA-379
FSA-1002 FSA-1002-1 FSA-1003
OMB NO: 0560-0014 EXPIRATION DATE: 10/31/2001
RESPS:154,800 HOURS:29,145 COSTS(000):$0
General Regulations Governing the Peanut Warehouse Storage Loan
and Handler Operations -- 7 CFR 1446
FORMS: CCC-1004 1005 1023 1025 1027 1028 1028-A 1029 1032 1032-1
OMB NO: 0560-0025 EXPIRATION DATE: 03/31/2003
RESPS:112,820 HOURS:197,435 COSTS(000):$0
Farm Reconstitution -- 7 CFR Part 718
FORMS: FSA-155
OMB NO: 0560-0052 EXPIRATION DATE: 10/31/2001
RESPS:5,840 HOURS:423,864 COSTS(000):$0
Standards for Approval of Warehouses - 7 CFR 1421, 1423 and 1427
FORMS: CCC-25 25(ADDENDUM-1) 25-1/29-1/25-2 29-2/823-1A 823-IT/KC-140
25-2(SUPPL-1) 29-3/20/24/560 49/24-1/29/823 33/33A/34/34-1
KC-269A(REVERSE
OMB NO: 0560-0074 EXPIRATION DATE: 10/31/2002
RESPS:306,282 HOURS:11,002 COSTS(000):$0
CCC Cotton Loan Program Regulations -- 7 CFR Part 1427
FORMS: CCC-COTTON-A COTTON-A-1 COTTON-AA COTTON-A-5 605-1 605-2 679 686
809 810
OMB NO: 0560-0082 EXPIRATION DATE: 03/31/2002
RESPS:860,000 HOURS:217,500 COSTS(000):$0
Conservation and Environmental Programs -- 7 CFR 701
FORMS: AD-245 ACP-311 FSA-18
OMB NO: 0560-0093 EXPIRATION DATE: 03/31/2002
RESPS:86 HOURS:15 COSTS(000):$0
General Regulations Governing Sugar Loans for 1996 and
Subsequent Crops -- 7 CFR Part 1435
FORMS: SU-2
OMB NO: 0560-0096 EXPIRATION DATE: 03/31/2003
RESPS:351,960 HOURS:656,996 COSTS(000):$0
Payment Limitation and Determination of Eligibility of Foreign
Individuals or Entities to Receive Program Benefits
FORMS: CCC-501A CCC-501B CCC-502A CCC-502B CCC-502C CCC-502D CCC-502EZ
CCC-502CONTINUA TION
OMB NO: 0560-0097 EXPIRATION DATE: 10/31/2003
RESPS:4,375 HOURS:1,108 COSTS(000):$0
Agricultural Foreign Investment Disclosure Act Report
FORMS: FSA-153
OMB NO: 0560-0116 EXPIRATION DATE: 12/31/2001
RESPS:480 HOURS:140 COSTS(000):$0
Dairy Indemnity Payment Program -- 7 CFR Part 760
FORMS: FSA-373 CCC-314
OMB NO: 0560-0120 EXPIRATION DATE: 03/31/2003
RESPS:23,077 HOURS:15,151 COSTS(000):$0
Warehouse Regulations Under USWA and Standards for Approval of
Warehouses
FORMS: WA-50/51/51-2 53/55/56/57/59 60/61/70/80/81 82/83/84/85/86
87/88/125/137 139/140/141/220 221/222/302/303 308/372/560/561
562/570
OMB NO: 0560-0125 EXPIRATION DATE: 01/31/2001
RESPS:278,000 HOURS:41,277 COSTS(000):$0
Conservation Reserve Program -- 7 CFR Parts 704 and 1410
FORMS: CRP-1-CONT. CRP-1D-ADDEN. CRP-2/15/15-1 CRP-APPEND
CRP-1E/1G/41/37 CCC-111/113 113A/114/817U AD-893
OMB NO: 0560-0129 EXPIRATION DATE: 01/31/2001
RESPS:6,205,000 HOURS:4,218,750 COSTS(000):$0
Loan Deficiency Payments
FORMS: CCC-633-LDP CCC-COTTON-AA CCC-709
OMB NO: 0560-0136 EXPIRATION DATE: 02/28/2002
RESPS:16,350 HOURS:3,145 COSTS(000):$0
Upland Cotton Domestic User/Exporter Agreement and Payment
Program
FORMS: CCC-1045 CCC-1045-2
OMB NO: 0560-0146 EXPIRATION DATE: 03/31/2002
RESPS:750 HOURS:125 COSTS(000):$0
Debt Settlement Policies and Procedures -- 7 CFR 792 and 1403
FORMS: CCC-279
OMB NO: 0560-0148 EXPIRATION DATE: 12/31/2001
RESPS:720 HOURS:540 COSTS(000):$0
Importer Assessments -- 7 CFR 1464 Subpart B
FORMS: CCC-100
OMB NO: 0560-0151 EXPIRATION DATE: 06/30/2003
RESPS:25,927 HOURS:4,520 COSTS(000):$0
End-Use Certificate Program
FORMS: FSA-750 FSA-751
OMB NO: 0560-0155 EXPIRATION DATE: 01/31/2001
RESPS:284,388 HOURS:197,752 COSTS(000):$0
Implementation of Preferred Lender Program and Streamlining of
Guaranteed Regulations
FORMS: FSA-1980-25 1980-28 1980-64 1980-24 1980-15 1980-22 1980-38
1980-44 1980-41 1980-89
OMB NO: 0560-0158 EXPIRATION DATE: 01/31/2002
RESPS:15,226 HOURS:6,421 COSTS(000):$0
Servicing of Real Estate Security and Certain Note Only Cases --
7 CFR Part 1965A
FORMS: FMHA-440-26 465-1 1965-11 440-9 1965-13 465-5
OMB NO: 0560-0159 EXPIRATION DATE: 03/31/2001
RESPS:12,710 HOURS:4,960 COSTS(000):$0
Emergency Loan Policies, Procedures, and Authorizations -- 7 CFR
Part 1945-D
FORMS: FMHA-1945-22 1945-29 1940-38
OMB NO: 0560-0160 EXPIRATION DATE: 12/31/2001
RESPS:105 HOURS:420 COSTS(000):$0
Servicing Cases Where Unauthorized Loan or Other Financial
Assistance Was Received -- 7 CFR Part 1951
FORMS: NONE
OMB NO: 0560-0161 EXPIRATION DATE: 01/31/2001
RESPS:20,702 HOURS:16,243 COSTS(000):$0
Farm Loan Programs Account Servicing Policies-Servicing Shared
Appreciation Agreements
FORMS: NONE
OMB NO: 0560-0163 EXPIRATION DATE: 09/30/2002
RESPS:1,450 HOURS:5,888 COSTS(000):$0
Small Farmer Outreach, Training, and Technical Assistance -- 7
CFR 1943-C
FORMS: SF-269A SF-270 SF-424 AD-1049
OMB NO: 0560-0164 EXPIRATION DATE: 01/31/2003
RESPS:21,629 HOURS:12,233 COSTS(000):$0
Disaster Set-Aside Program -- 7 CFR 1951 Subpart T
FORMS: NONE
OMB NO: 0560-0166 EXPIRATION DATE: 02/28/2002
RESPS:91,290 HOURS:11,411 COSTS(000):$0
Verification of Debts and Assets
FORMS: 440-32
OMB NO: 0560-0167 EXPIRATION DATE: 12/31/2002
RESPS:49,670 HOURS:99,340 COSTS(000):$0
Request for Direct Loan Assistance
FORMS: FSA-410-1
OMB NO: 0560-0170 EXPIRATION DATE: 06/30/2003
RESPS:2,236 HOURS:988 COSTS(000):$0
Disaster Assistance - General (7 CFR Part 1945-A)
FORMS: NONE
OMB NO: 0560-0171 EXPIRATION DATE: 09/30/2001
RESPS:56,075 HOURS:18,505 COSTS(000):$0
Agreement for the Use of Proceeds/Release of Chattel Security
FORMS: FMHA-1962-1
OMB NO: 0560-0174 EXPIRATION DATE: 01/31/2001
RESPS:234,500 HOURS:370,830 COSTS(000):$0
CCC Conservation Contract
FORMS: CCC-1200 CCC-1201 CCC-1245
OMB NO: 0560-0175 EXPIRATION DATE: 09/30/2003
RESPS:3,564,000 HOURS:4,661,088 COSTS(000):$0
Noninsured Crop Disaster Assistance Program
FORMS: CCC-451 CCC-576 CCC-441 CCC-576-1 CCC-452
OMB NO: 0560-0176 EXPIRATION DATE: 03/31/2002
RESPS:24,000 HOURS:8,000 COSTS(000):$0
Request for Aerial Photograph
FORMS: FSA-441
OMB NO: 0560-0177 EXPIRATION DATE: 01/31/2001
RESPS:14,770 HOURS:4,700 COSTS(000):$0
Offer Forms and Shipment Information Log
FORMS: KC-327/KC-324 KC-366/KC-332 KC-331/KC-334 KC-337/KC-333
KC-340/KC-58
OMB NO: 0560-0178 EXPIRATION DATE: 05/31/2001
RESPS:73,708 HOURS:119,412 COSTS(000):$0
7 CFR 1910-A, Receiving and Processing Applications
FORMS: NONE
OMB NO: 0560-0182 EXPIRATION DATE: 09/30/2002
RESPS:51,666 HOURS:4,300 COSTS(000):$0
Tobacco Marketing Quota Referenda Ballot -- 7 CFR 717
FORMS: MQ-5
OMB NO: 0560-0183 EXPIRATION DATE: 02/28/2001
RESPS:50,900 HOURS:8,445 COSTS(000):$0
Assignments of Payments and Joint Payment Authorizations
FORMS: CCC-36 CCC-251 CCC-252 CCC-37
OMB NO: 0560-0187 EXPIRATION DATE: 03/31/2002
RESPS:45,050 HOURS:22,563 COSTS(000):$0
American Indian Livestock Feed Program
FORMS: CCC-648 CCC-644 CCC-453
OMB NO: 0560-0190 EXPIRATION DATE: 03/31/2002
RESPS:600,000 HOURS:150,000 COSTS(000):$0
Power of Attorney
FORMS: FSA-211 FSA-211-1
OMB NO: 0560-0192 EXPIRATION DATE: 03/31/2002
RESPS:56,970 HOURS:11,180 COSTS(000):$0
Customer Service Information Collections for USDA Service Centers
FORMS: NONE
OMB NO: 0560-0194 EXPIRATION DATE: 07/31/2002
RESPS:23 HOURS:23 COSTS(000):$0
Standard Operating Agreement Governing Intermodal Transportation
FORMS: NONE
OMB NO: 0560-0195 EXPIRATION DATE: 07/31/2002
RESPS:141 HOURS:141 COSTS(000):$0
Standard Rules Tender Governing Motor Carrier Transportation
FORMS: NONE
OMB NO: 0560-0198 EXPIRATION DATE: 01/31/2003
RESPS:12 HOURS:83 COSTS(000):$0
Indian Tribal Land Acquisition Program
FORMS: FSA-770-01
OMB NO: 0560-0201 EXPIRATION DATE: 01/31/2001
RESPS:1,560 HOURS:780 COSTS(000):$0
ELS Cotton Competitiveness Payment Program
FORMS: CCC-1045A CCC-1045-2
OMB NO: 0560-0203 EXPIRATION DATE: 01/31/2001
RESPS:866,089 HOURS:14,429 COSTS(000):$0
FAX Signature Card
FORMS: 237
OMB NO: 0560-0204 EXPIRATION DATE: 01/31/2001
RESPS:139,000 HOURS:47,250 COSTS(000):$0
Farm Storage Facility Loan Program
FORMS: CCC-185 CCC-186 CCC-186-1 CCC-400 CCC-297 CCC-299 CCC-298
OMB NO: 0560-0206 EXPIRATION DATE: 02/28/2001
RESPS:6,654 HOURS:3,327 COSTS(000):$0
Sugar Payment-In-Kind (PIK) Program
FORMS: FSA-744
OMB NO: 0560-0207 EXPIRATION DATE: 11/30/2003
RESPS:1,100 HOURS:1,286 COSTS(000):$0
Bioenergy Program (7 CFR Part 1424)
FORMS: CCC-850-A SF-LLL SF-3881 ATF-F-5110.74 ATF-F-5110.75
ATF-F-5110.41
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
46 15,874,195 12,115,187 $0
Federal Crop Insurance Corporation
OMB NO: 0563-0053 EXPIRATION DATE: 04/30/2001
RESPS:3,591,861 HOURS:1,168,858 COSTS(000):$0
Mulltiple Peril Crop Insurance (Millet)
FORMS: NONE
OMB NO: 0563-0055 EXPIRATION DATE: 08/31/2002
RESPS:156 HOURS:78 COSTS(000):$0
General Administrative Regulations; Interpretations of Statutory
and Regulatory Provisions
FORMS: NONE
OMB NO: 0563-0057 EXPIRATION DATE: 04/30/2003
RESPS:223,861 HOURS:73,228 COSTS(000):$0
New-Crop Insurance Programs (Pilot and Private Crop Insurance
Policies)
FORMS: NONE
OMB NO: 0563-0058 EXPIRATION DATE: 01/31/2001
RESPS:42,825 HOURS:31,701 COSTS(000):$0
Dairy Options Pilot Program (DOPP), Round 2
FORMS: CCC-320 CCC-320-1 CCC-321 CCC-322 CCC-323
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
4 3,858,703 1,273,865 $0
Rural Business-Cooperative Service
OMB NO: 0570-0006 EXPIRATION DATE: 11/30/2003
RESPS:775 HOURS:1,848 COSTS(000):$0
7 CFR 4284-F, Rural Cooperative Development Grant
FORMS: NONE
OMB NO: 0570-0007 EXPIRATION DATE: 01/31/2001
RESPS:3,082 HOURS:2,641 COSTS(000):$0
Annual Survey of Farmer Cooperatives and Questionnaire to
Identify Farmer Cooperatives
FORMS: CS-A-B-C-D-F-G H-L-R-S-T-W CS-ID
OMB NO: 0570-0008 EXPIRATION DATE: 03/31/2002
RESPS:245 HOURS:245 COSTS(000):$0
Agricultural Cooperative Service Questionnaire: New Cooperative
Volume and Structure Producer Survey
FORMS: NONE
OMB NO: 0570-0009 EXPIRATION DATE: 01/31/2001
RESPS:105 HOURS:53 COSTS(000):$0
Cooperative Services Questionnaire: Market Potential for New
Cooperatives, Buyer Survey for New Cooperative Activity
FORMS: NONE
OMB NO: 0570-0012 EXPIRATION DATE: 06/30/2003
RESPS:2,276 HOURS:7,742 COSTS(000):$0
Rural Economic Development Loan and Grant Program
FORMS: RD-1703-1
OMB NO: 0570-0014 EXPIRATION DATE: 03/31/2002
RESPS:586 HOURS:4,545 COSTS(000):$0
Business and Industry Loan Program -- 7 CFR Part 1980-E
FORMS: RD-449-1 449-2
OMB NO: 0570-0015 EXPIRATION DATE: 03/31/2002
RESPS:4,185 HOURS:12,675 COSTS(000):$0
Rural Development Loan Servicing -- 7 CFR 1951-R
FORMS: FORM-RD-1951-4
OMB NO: 0570-0016 EXPIRATION DATE: 04/30/2003
RESPS:19,548 HOURS:10,019 COSTS(000):$0
Servicing Business and Industry Guaranteed Loans -- 7 CFR 4287-B
FORMS: RD-1980-41 RD-1980-44
OMB NO: 0570-0017 EXPIRATION DATE: 04/30/2003
RESPS:8,875 HOURS:20,813 COSTS(000):$0
Guaranteed Loanmaking; Business and Industry Loans -- 7 CFR
4279-B
FORMS: RD-4279-1 RD-4279-2 RD-4279-3 RD-4279-4 RD-4279-6
OMB NO: 0570-0018 EXPIRATION DATE: 04/30/2003
RESPS:1,147 HOURS:1,749 COSTS(000):$0
Business and Industry Guaranteed Loanmaking (General) -- 7 CFR
4279-A
FORMS: RD-4279-8
OMB NO: 0570-0020 EXPIRATION DATE: 12/31/2001
RESPS:170 HOURS:170 COSTS(000):$0
Annual Survey of Cooperative Involvement in International Markets
FORMS: NONE
OMB NO: 0570-0021 EXPIRATION DATE: 09/30/2003
RESPS:3,802 HOURS:16,930 COSTS(000):$0
Intermediary Relending Program
FORMS: RD-4274-1 4274-3 4274-4 4274-5
OMB NO: 0570-0022 EXPIRATION DATE: 10/31/2003
RESPS:21,558 HOURS:40,650 COSTS(000):$0
7 CFR 1942-G "Rural Business Enterprise Grants and Television
Demonstration Grants"
FORMS: NONE
OMB NO: 0570-0024 EXPIRATION DATE: 03/31/2001
RESPS:1,523 HOURS:8,704 COSTS(000):$0
Rural Business Opportunity Grants -- 7 CFR Part 4284
FORMS: NONE
OMB NO: 0570-0026 EXPIRATION DATE: 03/31/2003
RESPS:1 HOURS:1 COSTS(000):$0
Rural Empowerment Zones and Enterprise Communities
FORMS: RD-25-1
OMB NO: 0570-0027 EXPIRATION DATE: 03/31/2003
RESPS:9 HOURS:1,342 COSTS(000):$0
Rural Empowerment Zone and Enterprise Communities
FORMS: NONE
OMB NO: 0570-0028 EXPIRATION DATE: 01/31/2001
RESPS:240 HOURS:1,140 COSTS(000):$0
Research on Rural Cooperative Opportunities and Problems
FORMS: NONE
OMB NO: 0570-0032 EXPIRATION DATE: 11/30/2002
RESPS:699 HOURS:699 COSTS(000):$0
Survey for Local Cooperatives' Role in the Emerging Grain and
Feed Industries
FORMS: NONE
OMB NO: 0570-0035 EXPIRATION DATE: 11/30/2002
RESPS:1 HOURS:1 COSTS(000):$0
Rural Economic Development Loan and Grant Program
FORMS: FORM-RD-4280-1
OMB NO: 0570-0036 EXPIRATION DATE: 05/31/2003
RESPS:19,410 HOURS:4,308 COSTS(000):$0
Invitation for Applications of Interest to Sell Intermediary
Relending Program (IRP) Loans under an Expanded Pilot
FORMS: NONE
OMB NO: 0570-0037 EXPIRATION DATE: 12/31/2002
RESPS:300 HOURS:300 COSTS(000):$0
Mid- to Upper-Level Management and Sales/Field Representative
Compensation
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
21 88,537 136,575 $0
Rural Utilities Service
OMB NO: 0572-0001 EXPIRATION DATE: 03/31/2003
RESPS:5 HOURS:22 COSTS(000):$0
Prospective Large Power Service
FORMS: RUS-FORM-170
OMB NO: 0572-0003 EXPIRATION DATE: 03/31/2003
RESPS:56 HOURS:45,520 COSTS(000):$0
Accounting Requirements for RUS Electric and Telecommunications
Borrowers
FORMS: NONE
OMB NO: 0572-0015 EXPIRATION DATE: 09/30/2002
RESPS:2,394 HOURS:26,334 COSTS(000):$0
Financial Requirement and Expenditure Statement
FORMS: RUS-FORM-595
OMB NO: 0572-0019 EXPIRATION DATE: 06/30/2003
RESPS:6,750 HOURS:10,125 COSTS(000):$0
Inventory of Work Orders
FORMS: RUS-FORM-219
OMB NO: 0572-0020 EXPIRATION DATE: 04/30/2003
RESPS:5 HOURS:15 COSTS(000):$0
Request for Approval to Sell Capital Assets
FORMS: 369
OMB NO: 0572-0023 EXPIRATION DATE: 05/31/2003
RESPS:2,910 HOURS:2,893 COSTS(000):$0
7 CFR 1744-C, Advance and Disbursement of Funds -
Telecommunications
FORMS: RUS-FORM-481
OMB NO: 0572-0025 EXPIRATION DATE: 04/30/2003
RESPS:253 HOURS:1,012 COSTS(000):$0
Review Rating Summary
FORMS: 300
OMB NO: 0572-0031 EXPIRATION DATE: 04/30/2003
RESPS:1 HOURS:3,200 COSTS(000):$0
Financial and Statistical Report for Telecommunications Borrowers
FORMS: RUS-FORM-479
OMB NO: 0572-0032 EXPIRATION DATE: 12/31/2001
RESPS:2,895 HOURS:16,834 COSTS(000):$0
RUS Electric Loan Application and Related Reporting Burdens
FORMS: RUS-FORMS-7 7A 12A-I 325A-K 341 345 726 740C 740G
OMB NO: 0572-0041 EXPIRATION DATE: 08/31/2003
RESPS:75 HOURS:206 COSTS(000):$0
Request for Release of Lien and/or Approval of Sale
FORMS: RUS-FORM-793
OMB NO: 0572-0047 EXPIRATION DATE: 12/31/2001
RESPS:3,680 HOURS:1,233 COSTS(000):$0
Report of Compliance and Participation
FORMS: RUS-FORM-268
OMB NO: 0572-0051 EXPIRATION DATE: 07/31/2002
RESPS:1 HOURS:226 COSTS(000):$0
Request for Mail List Data
FORMS: RUS-FORM-87
OMB NO: 0572-0074 EXPIRATION DATE: 06/30/2003
RESPS:450 HOURS:45 COSTS(000):$0
Certification of Authority
FORMS: RUS-FORM-675
OMB NO: 0572-0079 EXPIRATION DATE: 09/30/2003
RESPS:406 HOURS:3,621 COSTS(000):$0
Preloan Procedures and Requirements for Telecommunications
Program
FORMS: FORM-490 494 495 507 567 569
OMB NO: 0572-0088 EXPIRATION DATE: 08/31/2003
RESPS:30 HOURS:62 COSTS(000):$0
7 CFR Part 1786, "Prepayment of RUS Guaranteed and Insured Loans
to Electric and Telephone Borrowers"
FORMS: NONE
OMB NO: 0572-0095 EXPIRATION DATE: 04/30/2003
RESPS:3,872 HOURS:20,374 COSTS(000):$0
7 CFR 1773, Policy on Audits of RUS Borrowers
FORMS: NONE
OMB NO: 0572-0096 EXPIRATION DATE: 08/31/2003
RESPS:6,900 HOURS:17,741 COSTS(000):$0
Distance Learning and Telemedicine Loan and Grant Program (7 CFR
1703, Subpart D, E, F and G)
FORMS: NONE
OMB NO: 0572-0097 EXPIRATION DATE: 05/31/2003
RESPS:40 HOURS:140 COSTS(000):$0
7 CFR Part 1703-H, Deferments of RUS Loan Payments for Rural
Development Projects
FORMS: NONE
OMB NO: 0572-0098 EXPIRATION DATE: 04/30/2003
RESPS:25 HOURS:238 COSTS(000):$0
7 CFR 1744-E, Borrower Investments-Telecommunications Loan
Program
FORMS: NONE
OMB NO: 0572-0099 EXPIRATION DATE: 10/31/2003
RESPS:1,000 HOURS:750 COSTS(000):$0
7 CFR 1792, Subpart C - Seismic Safety of New Building
Construction
FORMS: NONE
OMB NO: 0572-0100 EXPIRATION DATE: 04/30/2003
RESPS:42 HOURS:69 COSTS(000):$0
Lien Accommodations and Subordinations 7 CFR Part 1717, Subparts
R and S
FORMS: NONE
OMB NO: 0572-0104 EXPIRATION DATE: 08/31/2003
RESPS:1 HOURS:350 COSTS(000):$0
State Telecommunications Modernization Plan
FORMS: NONE
OMB NO: 0572-0105 EXPIRATION DATE: 07/31/2002
RESPS:1 HOURS:24 COSTS(000):$0
Demand Side Management and Integrated Resource Plan
FORMS: NONE
OMB NO: 0572-0107 EXPIRATION DATE: 04/30/2003
RESPS:6,021 HOURS:629 COSTS(000):$0
7 CFR 1726, Electric System Construction Policies and
Procedures- Electric
FORMS: RUS-FORMS-168B 168C/180/181 187/198/200/201 203/213/224/231
238/251/254/257 307/764/786/790 792/792B/792C 830/831
OMB NO: 0572-0112 EXPIRATION DATE: 05/31/2003
RESPS:1,375 HOURS:4,168 COSTS(000):$0
7 CFR 1775, Technical Assistance Program
FORMS: NONE
OMB NO: 0572-0114 EXPIRATION DATE: 04/30/2003
RESPS:142 HOURS:184 COSTS(000):$0
Mergers and Consolidations of Electric Borrowers -- 7 CFR 1717
Subpart D
FORMS: NONE
OMB NO: 0572-0115 EXPIRATION DATE: 12/31/2002
RESPS:6 HOURS:12 COSTS(000):$0
Use of Consultants Funded by Borrowers -- 7 CFR Part 1789
FORMS: NONE
OMB NO: 0572-0116 EXPIRATION DATE: 06/30/2003
RESPS:1 HOURS:3,000 COSTS(000):$0
7 CFR 1717 Subpart Y, Settlement of Debt Owed by Electric
Borrowers
FORMS: NONE
OMB NO: 0572-0117 EXPIRATION DATE: 01/31/2001
RESPS:1,816 HOURS:415,000 COSTS(000):$0
Environmental Policies and Procedures -- 7 CFR 1794
FORMS: NONE
OMB NO: 0572-0118 EXPIRATION DATE: 09/30/2002
RESPS:153 HOURS:153 COSTS(000):$0
Electric Engineering, Architectural Services, and Design
Policies -- 7 CFR Part 1724
FORMS: RUS-FORMS-211 220 236
OMB NO: 0572-0119 EXPIRATION DATE: 08/31/2001
RESPS:22,250 HOURS:62,501 COSTS(000):$0
Guaranteed Loans, General -- 7 CFR 1980-A
FORMS: 449-30 449-36 1980-19 1980-22 1980-43
OMB NO: 0572-0120 EXPIRATION DATE: 05/31/2003
RESPS:95 HOURS:1,352 COSTS(000):$0
7 CFR 1980-I, Community Programs Guaranteed Loans
FORMS: NONE
OMB NO: 0572-0121 EXPIRATION DATE: 06/30/2003
RESPS:50,650 HOURS:134,240 COSTS(000):$0
7 CFR 1780, Water and Waste Disposal Loan and Grant Program
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
33 114,301 772,273 $0
Rural Housing Service
OMB NO: 0575-0015 EXPIRATION DATE: 06/30/2003
RESPS:33,230 HOURS:61,076 COSTS(000):$0
7 CFR 1942-A, Community Facility Loans
FORMS: 442-7 442-3 1942-19 1942-8 1942-46 1942-47 1942-9 442-20 442-21
442-22
OMB NO: 0575-0018 EXPIRATION DATE: 02/28/2002
RESPS:105,665 HOURS:533,017 COSTS(000):$0
Civil Rights Compliance Requirements -- 7 CFR 1901-E
FORMS: RD-400-1/4/6/7 8 HUD-935.2 CC-257
OMB NO: 0575-0033 EXPIRATION DATE: 08/31/2001
RESPS:2,482,265 HOURS:2,218,740 COSTS(000):$0
Management and Supervision of Multiple Family Housing Borrowers
FORMS: FORMS-RD-1930-5 1930-7 1930-8 444-27A 1944-8 1944-25 1944-27
1944-29 1951-29
OMB NO: 0575-0042 EXPIRATION DATE: 10/31/2003
RESPS:291,631 HOURS:94,924 COSTS(000):$0
7 CFR 1924-A, "Planning and Performing Construction and Other
Development"
FORMS: 1924-1 2 3 4 5 6 7 9 10 11
OMB NO: 0575-0043 EXPIRATION DATE: 04/30/2003
RESPS:3,043 HOURS:3,095 COSTS(000):$0
"Self-Help Technical Assistance Grants" -- 7 CFR 1944-I
FORMS: NONE
OMB NO: 0575-0045 EXPIRATION DATE: 01/31/2001
RESPS:750 HOURS:8,610 COSTS(000):$0
Farm Labor Housing Loan and Grant Policies, Procedures, and
Authorizations -- 7 CFR 1944-D
FORMS: NONE
OMB NO: 0575-0046 EXPIRATION DATE: 08/31/2001
RESPS:200 HOURS:83 COSTS(000):$0
Tenant Grievance and Appeals Procedure -- 7 CFR 1944-L
FORMS: NONE
OMB NO: 0575-0047 EXPIRATION DATE: 06/30/2003
RESPS:5,102 HOURS:28,246 COSTS(000):$0
7 CFR 1944-E, Rural Rental and Cooperative Housing Loan
Policies, Procedures, and Authorizations
FORMS: RD-1944-7 RD-1944-30 RD-1944-31 RD-1944-33 RD-1944-34 RD-1944-35
RD-1944-38
OMB NO: 0575-0064 EXPIRATION DATE: 04/30/2002
RESPS:98 HOURS:62 COSTS(000):$0
"Certificates of Beneficial Ownership and Insured Notices" -- 7
CFR 1901-K
FORMS: RD-471-7
OMB NO: 0575-0066 EXPIRATION DATE: 04/30/2003
RESPS:158 HOURS:118 COSTS(000):$0
7 CFR 1951-E, "Servicing of Community and Direct Business
Programs Loans and Grants"
FORMS: 1951-15 1951-33
OMB NO: 0575-0071 EXPIRATION DATE: 08/31/2001
RESPS:6 HOURS:36 COSTS(000):$0
Rural Housing Loans: Policies, Procedures, and Authorizations --
7 CFR 1822-G
FORMS: NONE
OMB NO: 0575-0075 EXPIRATION DATE: 06/30/2003
RESPS:110 HOURS:28 COSTS(000):$0
7 CFR 1951-A, "Account Servicing Policies"
FORMS: NONE
OMB NO: 0575-0078 EXPIRATION DATE: 09/30/2003
RESPS:411,004 HOURS:154,250 COSTS(000):$0
7 CFR 1980-D, Rural Housing Loans
FORMS: RD-1980-11 1980-12 1980-13 1980-16 1980-17 1980-18 1980-20
1980-21 1980-80 1980-81
OMB NO: 0575-0082 EXPIRATION DATE: 07/31/2003
RESPS:5,250 HOURS:1,350 COSTS(000):$0
7 CFR 1924-F, Complaints and Compensation for Construction
FORMS: RD-FORM-1924-4
OMB NO: 0575-0087 EXPIRATION DATE: 08/31/2001
RESPS:20,386 HOURS:12,562 COSTS(000):$0
"Real Property Insurance" -- 7 CFR 1806-A
FORMS: 426-2
OMB NO: 0575-0088 EXPIRATION DATE: 07/31/2001
RESPS:41,000 HOURS:20,500 COSTS(000):$0
Settlement Statement -- Form RD-1940-59
FORMS: FORM-RD-1940-59
OMB NO: 0575-0091 EXPIRATION DATE: 04/30/2003
RESPS:85,569 HOURS:28,238 COSTS(000):$0
"Applicant Reference Letter (A Request for Credit Reference)" --
Form RD 410-8
FORMS: RD-410-8
OMB NO: 0575-0093 EXPIRATION DATE: 08/31/2003
RESPS:25,047 HOURS:75,361 COSTS(000):$0
7 CFR 1951-F, Analyzing Credit Needs and Graduation of Borrower
FORMS: NONE
OMB NO: 0575-0094 EXPIRATION DATE: 08/31/2003
RESPS:5,220 HOURS:15,320 COSTS(000):$0
7 CFR 1940 Subpart G Environmental Program
FORMS: RD-1940-G
OMB NO: 0575-0100 EXPIRATION DATE: 10/31/2003
RESPS:945 HOURS:1,587 COSTS(000):$0
7 CFR 1965-B Security Servicing for Multiple Family Housing
Loans.
FORMS: 1944-33A 1944-34A 1944-35A 1965-16
OMB NO: 0575-0104 EXPIRATION DATE: 07/31/2001
RESPS:700 HOURS:800 COSTS(000):$0
Servicing Cases Where Unauthorized Loan or Other Financial
Assistance Was Received, Multiple-Family Housing -- 7 CFR 1951-N
FORMS: NONE
OMB NO: 0575-0110 EXPIRATION DATE: 09/30/2001
RESPS:1,637 HOURS:1,245 COSTS(000):$0
Management of Property -- 7 CFR 1955-B
FORMS: RD-1955-20
OMB NO: 0575-0114 EXPIRATION DATE: 07/31/2001
RESPS:15 HOURS:1,200 COSTS(000):$0
Rural Housing Demonstration Program -- Section 502
FORMS: NONE
OMB NO: 0575-0115 EXPIRATION DATE: 04/30/2003
RESPS:10,555 HOURS:10,814 COSTS(000):$0
"Housing Preservation Grant Program" -- 7 CFR 1944-N
FORMS: NONE
OMB NO: 0575-0118 EXPIRATION DATE: 01/31/2001
RESPS:8,960 HOURS:4,017 COSTS(000):$0
Debt Settlement, Farm Programs, and Multifamily Housing -- 7 CFR
1956-B
FORMS: RD-1956-1
OMB NO: 0575-0119 EXPIRATION DATE: 02/28/2001
RESPS:9,325 HOURS:5,488 COSTS(000):$0
"Offset of Federal Payments to USDA Borrowers" -- 7 CFR 1951-C
FORMS: NONE
OMB NO: 0575-0120 EXPIRATION DATE: 07/31/2001
RESPS:3,046 HOURS:6,595 COSTS(000):$0
Fire and Rescue Loan -- 7 CFR 1942-C
FORMS: RD-1942-52 1942-53 1942-54
OMB NO: 0575-0124 EXPIRATION DATE: 10/31/2003
RESPS:92 HOURS:880 COSTS(000):$0
7 CFR 1956-C, Debt Settlement - Community and Business Programs
FORMS: NONE
OMB NO: 0575-0127 EXPIRATION DATE: 03/31/2002
RESPS:1,565 HOURS:392 COSTS(000):$0
Application Certification, Federal Collection Policies for
Consumer or Commerical Debts -- Form RD 1910-11
FORMS: FORM-RD-1910-11
OMB NO: 0575-0137 EXPIRATION DATE: 09/30/2002
RESPS:58,815 HOURS:75,977 COSTS(000):$0
"Community Programs Guaranteed Loans" -- 7 CFR 3575-A
FORMS: RD-449-14 449-30 449-35 449-36 RD-3575-1 1980-19 1980-43
OMB NO: 0575-0147 EXPIRATION DATE: 01/31/2001
RESPS:231,000 HOURS:54,816 COSTS(000):$0
"Real Estate Title Clearance and Loan Closing" -- 7 CFR 1927-B
FORMS: RD-1927-5/8/9 10/11/12/15/16 19/20 1927-B-1 RD-1927-19-REV.
11-99
OMB NO: 0575-0155 EXPIRATION DATE: 10/31/2003
RESPS:920 HOURS:687 COSTS(000):$0
"Prepayment and Displacement Prevention of Multiple Family
Housing Loans" -- 7 CFR 1965-E
FORMS: NONE
OMB NO: 0575-0157 EXPIRATION DATE: 04/30/2003
RESPS:800 HOURS:900 COSTS(000):$0
Housing Application Packaging Grants -- 7 CFR 1944-B
FORMS: NONE
OMB NO: 0575-0172 EXPIRATION DATE: 11/30/2002
RESPS:3,061,784 HOURS:923,053 COSTS(000):$0
Direct Single-Family Housing Loan and Grant Programs -- 7 CFR
Part 3550, HB-1-3550, and HB-2-3550
FORMS: RD-1940-43 RD-3550-1 RD-3550-2 RD-3550-4 RD-3550-6 RD-3550-7
RD-3550-9 RD-3550-10 RD-3550-11 RD-3550-12
OMB NO: 0575-0173 EXPIRATION DATE: 01/31/2001
RESPS:472 HOURS:438 COSTS(000):$0
"Community Facilities Grant Program" -- 7 CFR 3570-B
FORMS: FORM-RD-3570-3
OMB NO: 0575-0174 EXPIRATION DATE: 07/31/2002
RESPS:3,006 HOURS:1,581 COSTS(000):$0
"Guaranteed Rural Rental Housing Program" and Supporting
Handbook -- 7 CFR Part 3565
FORMS: FORMS-RD-3565-1 3565-2 3565-3 1980-24
OMB NO: 0575-0176 EXPIRATION DATE: 04/30/2002
RESPS:6,000 HOURS:1,500 COSTS(000):$0
Annual Survey of Housing Conditions for Migrant and Seasonal
Farmworkers
FORMS: NONE
OMB NO: 0575-0179 EXPIRATION DATE: 04/30/2003
RESPS:1 HOURS:1 COSTS(000):$0
Guaranteed Rural Housing Loan Program -- 7 CFR Part 3555
FORMS: 1980-11 1980-13 1980-16 1980-20 1980-21
OMB NO: 0575-0180 EXPIRATION DATE: 01/31/2001
RESPS:1,463 HOURS:2,012 COSTS(000):$0
Notice of Funds Availability (NOFA) Inviting Applications for
the Rural Community Development Initiative (RCDI)
FORMS: NONE
OMB NO: 0575-0181 EXPIRATION DATE: 01/31/2001
RESPS:147 HOURS:7,878 COSTS(000):$0
Farm Labor Housing Technical Assistance Grants
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
40 6,916,982 4,357,477 $0
Natural Resources Conservation Service
OMB NO: 0578-0007 EXPIRATION DATE: 05/31/2003
RESPS:768 HOURS:936 COSTS(000):$0
Agriculture and Urban Flood Damage Surveys
FORMS: NRCS-ECN-001 ECN-002 ECN-003 ECN-004 ECN-005 ECN-006
OMB NO: 0578-0013 EXPIRATION DATE: 06/30/2003
RESPS:234,878 HOURS:162,388 COSTS(000):$0
Long Term Contracting
FORMS: CCC-1250 1251 1252 1252A 1252B 1253 1255 1255A 1256 1257
OMB NO: 0578-0018 EXPIRATION DATE: 04/30/2001
RESPS:35,540 HOURS:20,731 COSTS(000):$0
Application for payment
FORMS: CCC-1202 NRCS-FNM-141
OMB NO: 0578-0027 EXPIRATION DATE: 01/31/2003
RESPS:240 HOURS:240 COSTS(000):$0
Request for State Technical Committee Membership
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
4 271,426 184,295 $0
Animal and Plant Health Inspection Service
OMB NO: 0579-0007 EXPIRATION DATE: 01/31/2003
RESPS:48,135 HOURS:7,451 COSTS(000):$0
National Poultry Improvement Plan (NPIP)
FORMS: VS-9-2 VS-9-3 VS-9-5
OMB NO: 0579-0008 EXPIRATION DATE: 06/30/2002
RESPS:20 HOURS:10 COSTS(000):$0
Application for Inspection and Certification of Animal Byproducts
FORMS: VS-16-24
OMB NO: 0579-0013 EXPIRATION DATE: 09/30/2001
RESPS:31,767 HOURS:71,547 COSTS(000):$0
Virus-Serum-Toxin Act and Regulations in 9 CFR Subchapter E,
Parts 101-124
FORMS: 2001 2003 2005 2007 2008 2008A 2015 2020
OMB NO: 0579-0015 EXPIRATION DATE: 04/30/2001
RESPS:104,705 HOURS:31,256 COSTS(000):$0
Prohibited and Restricted Importation of Meats, Animal
Byproducts, Poultry, Organisms, and Vectors into the U.S.
FORMS: VS-16-3 VS-16-25 VS-16-26
OMB NO: 0579-0020 EXPIRATION DATE: 01/31/2001
RESPS:42,067 HOURS:21,009 COSTS(000):$0
U.S. Origin Health Certificate
FORMS: VS-17-140
OMB NO: 0579-0032 EXPIRATION DATE: 01/31/2003
RESPS:171,024 HOURS:52,190 COSTS(000):$0
Veterinary Accreditation Program -- 9 CFR 160-162
FORMS: VS-1-36A 4-24 4-26 4-33 4-54 17-145
OMB NO: 0579-0036 EXPIRATION DATE: 04/30/2003
RESPS:119,426 HOURS:95,720 COSTS(000):$0
Animal Welfare
FORMS: APHIS-7001 7001A 7003 7003A 7005 7006 7006A 7009 7011 7019
OMB NO: 0579-0040 EXPIRATION DATE: 04/30/2003
RESPS:2,537,098 HOURS:64,200 COSTS(000):$0
Importation of Animal & Poultry, Animal/Poultry Products,
Certain Animal Embryos, Semen, and Zoological Animals
FORMS: VS17-8 VS17-23 VS-17-135A VS-17-128 VS-17-29 VS-17-129 VS-10-4
VS-17-65C VS-17-65A VS-17-65B
OMB NO: 0579-0047 EXPIRATION DATE: 09/30/2001
RESPS:6,248,250 HOURS:52,019 COSTS(000):$0
Brucellosis Program Cooperative Agreements -- Title 9 CFR Parts
50, 51, 53, 54, 71, 76, and 78
FORMS: VS-1-23 VS-4-1 VS-4-1D VS-4-6 VS-4-59 VS-108 VS-108A VS-108B
VS-108C
OMB NO: 0579-0048 EXPIRATION DATE: 09/30/2001
RESPS:21,000 HOURS:10,500 COSTS(000):$0
Certificate for Poultry and Hatching Eggs for Export
FORMS: VS-17-6
OMB NO: 0579-0049 EXPIRATION DATE: 09/30/2001
RESPS:279,240 HOURS:88,232 COSTS(000):$0
Foreign Quarantine Notices -- 7 CFR 319, 321, 352
FORMS: PPQ-368 PPQ-546 PPQ-564 PPQ-587 PPQ-588
OMB NO: 0579-0051 EXPIRATION DATE: 08/31/2003
RESPS:9,717 HOURS:740 COSTS(000):$0
Permit for Movement of Restricted Animals
FORMS: VS-1-27
OMB NO: 0579-0052 EXPIRATION DATE: 08/31/2001
RESPS:115,729 HOURS:116,181 COSTS(000):$0
Phytosanitary Export Certification
FORMS: PPQ-572/577 578/579
OMB NO: 0579-0054 EXPIRATION DATE: 06/30/2003
RESPS:46,974 HOURS:38,133 COSTS(000):$0
Federal Plant Pest and Noxious Weeds Regulations
FORMS: PPQ-FORMS-525A 526 526-1 519
OMB NO: 0579-0055 EXPIRATION DATE: 01/31/2001
RESPS:480 HOURS:120 COSTS(000):$0
Request for Credit Account Approval for Reimbursable Services
FORMS: APHIS-192
OMB NO: 0579-0056 EXPIRATION DATE: 01/31/2003
RESPS:41,151 HOURS:7,208 COSTS(000):$0
Horse Protection Regulations -- 9 CFR 11
FORMS: APHIS-7077
OMB NO: 0579-0065 EXPIRATION DATE: 03/31/2002
RESPS:656 HOURS:584 COSTS(000):$0
Swine Health Protection
FORMS: VS-FORMS-13-2 13-15 13-16 13-17
OMB NO: 0579-0070 EXPIRATION DATE: 07/31/2001
RESPS:80,250 HOURS:5,092 COSTS(000):$0
Psuedorabies -- 9 CFR 85
FORMS: VS7-1(APR.90)
OMB NO: 0579-0071 EXPIRATION DATE: 09/30/2001
RESPS:240 HOURS:210 COSTS(000):$0
Field Epidemiology Data System
FORMS: VS12-27
OMB NO: 0579-0072 EXPIRATION DATE: 09/30/2001
RESPS:115 HOURS:31 COSTS(000):$0
Exotic Bee Diseases and Parasites -- 7 CFR 319.76 Honeybees and
Honeybee Semen -- 7 CFR 322
FORMS: NONE
OMB NO: 0579-0076 EXPIRATION DATE: 03/31/2002
RESPS:16,115 HOURS:3,186 COSTS(000):$0
Endangered Species Regulations and Forfeiture Procedures
FORMS: PPQ-FORMS-368 621 623 625 626
OMB NO: 0579-0079 EXPIRATION DATE: 04/30/2001
RESPS:16,330 HOURS:10,454 COSTS(000):$0
National Animal Health Monitoring System (NAHMS)
FORMS: NAHMS-57 58 68A 69 70 71 72 73 74 75
OMB NO: 0579-0084 EXPIRATION DATE: 07/31/2002
RESPS:53,539 HOURS:17,372 COSTS(000):$0
Tuberculosis -- 9 CFR 50 and 77
FORMS: VS-1-24 1-68 6-22 6-22A 6-22B 6-22C 6-22D 6-35 6-38
OMB NO: 0579-0085 EXPIRATION DATE: 12/31/2001
RESPS:4,950 HOURS:4,176 COSTS(000):$0
Introduction of Organisms and Products Altered or Produced
Through Genetic Engineering Which Are Plant Pest or Which There
Is Reason to Believe Are Plant Pests -- 7 CFR 340
FORMS: APHIS-2000 2050 2051 2052 2053 2054
OMB NO: 0579-0090 EXPIRATION DATE: 09/30/2003
RESPS:30,290 HOURS:15,149 COSTS(000):$0
Specimen Submission
FORMS: VS-10-4
OMB NO: 0579-0092 EXPIRATION DATE: 12/31/2002
RESPS:2,250 HOURS:260 COSTS(000):$0
Animal Welfare; Guinea Pigs, Hamsters, and Rabbits -- Part 3,
Subparts B and C
FORMS: NONE
OMB NO: 0579-0093 EXPIRATION DATE: 06/30/2003
RESPS:72,585 HOURS:44,313 COSTS(000):$0
Animal Welfare Act, Part 3, Subparts A and D, Dogs, cats, Pri-
mates
FORMS: NONE
OMB NO: 0579-0094 EXPIRATION DATE: 03/31/2002
RESPS:209,177 HOURS:7,663 COSTS(000):$0
User Fee Regulations -- 7 CFR 354 and 9 CFR 130
FORMS: VS-FORM-16-7 PPQ-FORM-250
OMB NO: 0579-0101 EXPIRATION DATE: 06/30/2003
RESPS:6,326 HOURS:15,846 COSTS(000):$0
Scrapie Flock Certification, Animal Identification, and
Indemnification Procedures
FORMS: VS-5-18 5-21 5-22 5-23
OMB NO: 0579-0102 EXPIRATION DATE: 08/31/2001
RESPS:9,404 HOURS:3,278 COSTS(000):$0
Imported Fire Ant
FORMS: PPQ-523
OMB NO: 0579-0104 EXPIRATION DATE: 03/31/2002
RESPS:214 HOURS:18 COSTS(000):$0
Gypsy Moth Identification Worksheet
FORMS: PPQ-FORM-305
OMB NO: 0579-0115 EXPIRATION DATE: 10/31/2001
RESPS:148,143 HOURS:24,872 COSTS(000):$0
Animal Welfare, Marine Mammals -- 9 CFR Part 3
FORMS: APHIS-7002
OMB NO: 0579-0116 EXPIRATION DATE: 08/31/2001
RESPS:45 HOURS:21 COSTS(000):$0
Exotic Newcastle Disease in Birds and Poultry Chlamydiosis in
Poultry
FORMS: NONE
OMB NO: 0579-0117 EXPIRATION DATE: 12/31/2001
RESPS:300 HOURS:150 COSTS(000):$0
Environmental Monitoring Form
FORMS: 2060
OMB NO: 0579-0119 EXPIRATION DATE: 09/30/2001
RESPS:2,002,615 HOURS:301,371 COSTS(000):$0
Foreign Quarantine Notices, Logs and Lumber
FORMS: PPQ-585 588
OMB NO: 0579-0122 EXPIRATION DATE: 01/31/2001
RESPS:315 HOURS:132 COSTS(000):$0
Asian Long-Horned Beetle
FORMS: PPQ-527 PPQ-537 PPQ-530 PPQ-540
OMB NO: 0579-0123 EXPIRATION DATE: 02/28/2001
RESPS:5,278 HOURS:997 COSTS(000):$0
Papaya, Carambola, and Litchi from Hawaii
FORMS: PPQ-519 PPQ-530 PPQ-540
OMB NO: 0579-0124 EXPIRATION DATE: 02/28/2001
RESPS:31,605 HOURS:11,564 COSTS(000):$0
Imported Seed and Screening
FORMS: PPQ-925 PPQ-519
OMB NO: 0579-0125 EXPIRATION DATE: 08/31/2001
RESPS:415 HOURS:449 COSTS(000):$0
Porcine Reproductive and Respiratory Syndrome (PRRS)
FORMS: PRRS-01A PRRS-01B PRRS-02 PRRS-03
OMB NO: 0579-0127 EXPIRATION DATE: 01/31/2001
RESPS:1,020,059 HOURS:91,925 COSTS(000):$0
Communicable Diseases in Horses -- 9 CFR 75
FORMS: VS-FORMS-10-11 10-12
OMB NO: 0579-0128 EXPIRATION DATE: 01/31/2001
RESPS:501 HOURS:656 COSTS(000):$0
Importation of Fruits and Vegetables
FORMS: NONE
OMB NO: 0579-0129 EXPIRATION DATE: 01/31/2001
RESPS:19,172,592 HOURS:3,098 COSTS(000):$0
Importation of Fresh Hass Avocado Fruit
FORMS: PPQ-587(MD)
OMB NO: 0579-0130 EXPIRATION DATE: 01/31/2001
RESPS:82 HOURS:300 COSTS(000):$0
Export Certification, Accreditation of Non-Government Facilities
FORMS: NONE
OMB NO: 0579-0131 EXPIRATION DATE: 01/31/2001
RESPS:328 HOURS:220 COSTS(000):$0
Importation of Tomatoes from France, Morocco and Western Sahara,
Chile, and Spain
FORMS: NONE
OMB NO: 0579-0132 EXPIRATION DATE: 04/30/2001
RESPS:100 HOURS:120 COSTS(000):$0
Mexicali Valley, Karnal Bunt
FORMS: NONE
OMB NO: 0579-0134 EXPIRATION DATE: 10/31/2001
RESPS:1,020 HOURS:715 COSTS(000):$0
Importation of Grapefruit, Lemons, and Oranges from Argentina --
Docket No. 97-110-1
FORMS: PPQ-587
OMB NO: 0579-0135 EXPIRATION DATE: 07/31/2002
RESPS:850,000 HOURS:73,950 COSTS(000):$0
Wood Packing Material from China
FORMS: NONE
OMB NO: 0579-0136 EXPIRATION DATE: 12/31/2001
RESPS:1,044 HOURS:1,209 COSTS(000):$0
Importation of Fruits and Vegetables -- 7 CFR Part 319, Docket
No. 97-107-1
FORMS: PPQ-587(MD)
OMB NO: 0579-0137 EXPIRATION DATE: 01/31/2003
RESPS:5,200 HOURS:1,387 COSTS(000):$0
Pseudorabies in Swine; Payment of Indemnity
FORMS: VS1-23 VS7-1 VS7-3 VS7-4
OMB NO: 0579-0138 EXPIRATION DATE: 03/31/2002
RESPS:40 HOURS:23 COSTS(000):$0
Importation of Pork from Yucatan and Sonora, Mexico -- Docket
97-079-1
FORMS: NONE
OMB NO: 0579-0140 EXPIRATION DATE: 04/30/2002
RESPS:73 HOURS:37 COSTS(000):$0
Karnal Bunt
FORMS: PPQ-523 PPQ-926 PPQ-927 PPQ-519 PPQ-527 PPQ-530 PPQ-537 PPQ-540
OMB NO: 0579-0141 EXPIRATION DATE: 08/31/2003
RESPS:204 HOURS:30 COSTS(000):$0
Poultry Imports and Export
FORMS: NONE
OMB NO: 0579-0142 EXPIRATION DATE: 12/31/2002
RESPS:4,340 HOURS:183 COSTS(000):$0
Importation of Gypsy Moth Host Materials from Canada
FORMS: NONE
OMB NO: 0579-0144 EXPIRATION DATE: 07/31/2002
RESPS:60 HOURS:8 COSTS(000):$0
Importation of Poultry Meat and Other Poultry Products from
Sinaloa and Sonora, Mexico -- 98-034-1
FORMS: NONE
OMB NO: 0579-0145 EXPIRATION DATE: 09/30/2002
RESPS:805 HOURS:576 COSTS(000):$0
Poultry and Pork Products from Mexico Transiting the United
States
FORMS: NONE
OMB NO: 0579-0146 EXPIRATION DATE: 08/31/2003
RESPS:2,216 HOURS:766 COSTS(000):$0
Tuberculosis (Docket 99-038-1, TB in Cattle, Bison, and Goats)
Addendum 1
FORMS: VS-6-38 VS-6-22 VS-6-22C VS-6-22D
OMB NO: 0579-0147 EXPIRATION DATE: 06/30/2003
RESPS:162,500 HOURS:2,808 COSTS(000):$0
Conifer Solid Wood Packing Material to China, Export
Certification
FORMS: PPQ-553
OMB NO: 0579-0148 EXPIRATION DATE: 04/30/2003
RESPS:325 HOURS:13 COSTS(000):$0
Johne's Disease in Domestic Animals, Interstate Movement, 9 CFR
80
FORMS: VS-1-27
OMB NO: 0579-0151 EXPIRATION DATE: 01/31/2001
RESPS:7,000 HOURS:998 COSTS(000):$0
Pseudorabies in Swine; Payment of Indemnity (docket 98-123-6)
FORMS: NONE
OMB NO: 0579-0152 EXPIRATION DATE: 07/31/2003
RESPS:95 HOURS:75 COSTS(000):$0
Spanish Pure Breed Horses From Spain
FORMS: NONE
OMB NO: 0579-0153 EXPIRATION DATE: 05/31/2003
RESPS:256 HOURS:192 COSTS(000):$0
Fuji Apples
FORMS: NONE
OMB NO: 0579-0155 EXPIRATION DATE: 07/31/2003
RESPS:1,214,885 HOURS:10,305 COSTS(000):$0
Iradiation Phytosanitary Treatment of Fresh Fruits and Vegetables
FORMS: NONE
OMB NO: 0579-0156 EXPIRATION DATE: 01/31/2001
RESPS:900 HOURS:75 COSTS(000):$0
Interstate Movement of Certain Tortoises
FORMS: APHIS-FORM-7001
OMB NO: 0579-0159 EXPIRATION DATE: 02/28/2001
RESPS:12 HOURS:2 COSTS(000):$0
Plum Pox Compensation
FORMS: PPQ-651
OMB NO: 0579-0162 EXPIRATION DATE: 03/31/2001
RESPS:140 HOURS:280 COSTS(000):$0
West Nile Virus Surveillance Project
FORMS: VS-22-32
OMB NO: 0579-0163 EXPIRATION DATE: 04/30/2001
RESPS:65 HOURS:15 COSTS(000):$0
Citrus Canker: Commercial Citrus Tree Replacement Program
FORMS: PPQ-652
OMB NO: 0579-0164 EXPIRATION DATE: 04/30/2001
RESPS:100 HOURS:25 COSTS(000):$0
Importation of Artificially Dwarfed Plants
FORMS: NONE
OMB NO: 0579-0165 EXPIRATION DATE: 04/30/2001
RESPS:136 HOURS:34 COSTS(000):$0
Importation of Horses, Ruminants, Swine, and Dogs; Inspection
and Treatment for Screwworm
FORMS: NONE
OMB NO: 0579-0166 EXPIRATION DATE: 04/30/2001
RESPS:200 HOURS:40 COSTS(000):$0
District of Columbia Plant Health Certificate
FORMS: PPQ-571
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
69 34,953,218 1,313,769 $0
Grain Inspection, Packers and Stockyards Administration
OMB NO: 0580-0013 EXPIRATION DATE: 09/30/2001
RESPS:2,946,569 HOURS:467,964 COSTS(000):$0
Reporting and Recordkeeping Requirements (U.S. Grain Standards
FORMS: NONE
OMB NO: 0580-0014 EXPIRATION DATE: 12/31/2001
RESPS:3 HOURS:60 COSTS(000):$0
Guidelines for Preparation of Research Proposal
FORMS: NONE
OMB NO: 0580-0015 EXPIRATION DATE: 04/30/2003
RESPS:24,315 HOURS:304,106 COSTS(000):$0
Regulations and Related Reporting and Recordkeeping
Requirements- Packers and Stockyards Programs-ADDENDUM #1
FORMS: P-SP216
OMB NO: 0580-0016 EXPIRATION DATE: 07/31/2001
RESPS:1 HOURS:12 COSTS(000):$0
"Clear Title" Regulations to Implement Section 1324 of the Food
Security Act of 1985
FORMS: NONE
OMB NO: 0580-0018 EXPIRATION DATE: 05/31/2003
RESPS:1,874 HOURS:313 COSTS(000):$0
Survey of Customers of the Official Grain Inspection and
Weighing System
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
5 2,972,762 772,455 $0
Agricultural Marketing Service
OMB NO: 0581-0004 EXPIRATION DATE: 08/31/2002
RESPS:324 HOURS:298 COSTS(000):$0
Tobacco Report
FORMS: TB-26 TB-39
OMB NO: 0581-0005 EXPIRATION DATE: 07/31/2002
RESPS:20,880 HOURS:368 COSTS(000):$0
Grain Market News Reports and Molasses Market News
FORMS: NONE
OMB NO: 0581-0006 EXPIRATION DATE: 04/30/2003
RESPS:3,663,308 HOURS:121,010 COSTS(000):$0
Fruit and Vegetable Market News Reports
FORMS: FV-29 FV-498-1 FV-498-2
OMB NO: 0581-0008 EXPIRATION DATE: 07/31/2001
RESPS:1,207 HOURS:100 COSTS(000):$0
Cotton Classing, Testing, and Standards
FORMS: CN-246 CN-357 CN-383
OMB NO: 0581-0009 EXPIRATION DATE: 07/31/2001
RESPS:2,417 HOURS:218 COSTS(000):$0
Cotton Classification and Market News Service
FORMS: CN-59
OMB NO: 0581-0026 EXPIRATION DATE: 07/31/2001
RESPS:17,838 HOURS:37,078 COSTS(000):$0
Federal Seed Act Program
FORMS: NONE
OMB NO: 0581-0031 EXPIRATION DATE: 04/30/2003
RESPS:30,719 HOURS:118,371 COSTS(000):$0
Reporting and Record keeping Requirements under Regulations
(Other than Rules of Practice) under the Perishable Agricultural
Commodities Act, 1930
FORMS: FV-211-SERIES FV-211-1(CG) FV-231-SERIES
OMB NO: 0581-0032 EXPIRATION DATE: 09/30/2001
RESPS:27,009 HOURS:23,858 COSTS(000):$0
Report Forms under Milk Marketing Order Programs (From Milk
Handlers and Milk Marketing Cooperatives)
FORMS: DA-24 DA-25
OMB NO: 0581-0033 EXPIRATION DATE: 07/31/2001
RESPS:212,740 HOURS:17,657 COSTS(000):$0
Poultry Market News Report
FORMS: PY-90
OMB NO: 0581-0050 EXPIRATION DATE: 07/31/2002
RESPS:67,240 HOURS:740 COSTS(000):$0
Plan for Estimating Daily Livestock Slaughter under Federal
Inspection
FORMS: NONE
OMB NO: 0581-0055 EXPIRATION DATE: 04/30/2003
RESPS:1,760 HOURS:1,691 COSTS(000):$0
Application for Plant Variety Protection Certificate and
Objective Description of Variety
FORMS: ST-470 ST-470-E
OMB NO: 0581-0056 EXPIRATION DATE: 07/31/2001
RESPS:13,504 HOURS:5,569 COSTS(000):$0
Reporting and Recordkeeping Requirements -- 7 CFR Part 29
FORMS: TB-87 TB-92
OMB NO: 0581-0065 EXPIRATION DATE: 04/30/2001
RESPS:1,628 HOURS:195 COSTS(000):$0
Marketing Order Regulating the Handling of Spearmint Oil
Produced in the Far West, M.O. 985
FORMS: FV-57 FV-58 FV-60 FV-63 FV-63A
OMB NO: 0581-0067 EXPIRATION DATE: 07/31/2001
RESPS:296 HOURS:126 COSTS(000):$0
Regulating the Quality of Domestically Produced Peanuts -- 7 CFR
Part 998
FORMS: FV-121 FV-123 FV-123A
OMB NO: 0581-0071 EXPIRATION DATE: 07/31/2002
RESPS:6,597 HOURS:2,638 COSTS(000):$0
Almonds Grown in California -- Marketing Order 981
FORMS: FV-176 FV-177 FV-178 FV-179 FV-180
OMB NO: 0581-0080 EXPIRATION DATE: 07/31/2003
RESPS:2,287 HOURS:1,411 COSTS(000):$0
Peaches Grown in California - Marketing Order No. 917
FORMS: FV-75 FV-76 FV-91 FV-92 FV-93 FV-103
OMB NO: 0581-0089 EXPIRATION DATE: 06/30/2003
RESPS:4,761 HOURS:3,567 COSTS(000):$0
Winter Pears Grown in Oregon, Washington, and California,
Marketing Order No. 927
FORMS: FV-22 FV-119 FV-119A FV-120
OMB NO: 0581-0092 EXPIRATION DATE: 04/30/2001
RESPS:2,120 HOURS:1,176 COSTS(000):$0
Fresh Bartlett Pears Grown in Oregon and Washington -- M.O. 931
FORMS: FV-128 FV-129 FV-130 FV-130A
OMB NO: 0581-0093 EXPIRATION DATE: 01/31/2001
RESPS:4,454,673 HOURS:369,750 COSTS(000):$0
National Research, Promotion, and Consumer Information Programs
FORMS: NONE
OMB NO: 0581-0094 EXPIRATION DATE: 09/30/2002
RESPS:3,772 HOURS:334 COSTS(000):$0
Handling of Oranges, Grapefruit, Tangerines, and Tangelos Grown
in Florida
FORMS: FV-160 FV-161 FV-162 FV-162A FV-163 FV-164
OMB NO: 0581-0095 EXPIRATION DATE: 04/30/2001
RESPS:131 HOURS:39 COSTS(000):$0
Apricots Grown in Designated Counties in Washington -- M.O. No.
922
FORMS: FV-150 FV-151 FV-151A FV-152
OMB NO: 0581-0102 EXPIRATION DATE: 01/31/2001
RESPS:1,383 HOURS:1,050 COSTS(000):$0
Revision - Papayas Grown in Hawaii, Marketing Order No. 928
FORMS: FV-86 FV-86-1 FV-87 FV-88
OMB NO: 0581-0103 EXPIRATION DATE: 01/31/2001
RESPS:5,702 HOURS:1,750 COSTS(000):$0
Cranberries Grown in the States of Massachusetts, Rhode Island,
Connecticut, New Jersey, Wisconsin, Michigan, Minnesota, Oregon,
Washington, and Long Island in the State of New Yor, Marketing
FORMS: NONE
OMB NO: 0581-0110 EXPIRATION DATE: 04/30/2003
RESPS:508 HOURS:1,525 COSTS(000):$0
Regulations Governing the Inspection and Grading of Manufactured
or Processed Dairy Products; Recordkeeping
FORMS: NONE
OMB NO: 0581-0113 EXPIRATION DATE: 04/30/2003
RESPS:6,688 HOURS:1,922 COSTS(000):$0
Regulations for Inspection of Eggs
FORMS: PY-76 PY-155 PY-156 PY-222 PY-518-1
OMB NO: 0581-0123 EXPIRATION DATE: 12/31/2001
RESPS:20,990 HOURS:1,126 COSTS(000):$0
Reporting Requirements under the Regulations Governing
Inspection and Certification of Processed Fruits and Vegetables
and Related Products
FORMS: FV-159 FV-356 FV-468
OMB NO: 0581-0124 EXPIRATION DATE: 09/30/2003
RESPS:24,000 HOURS:406 COSTS(000):$0
7 CFR Part 54 - Meats, Prepared Meats, and Meat Products
(Grading, Certification, and Standards)
FORMS: LS-313 LS-315
OMB NO: 0581-0125 EXPIRATION DATE: 01/31/2001
RESPS:212,306 HOURS:6,416 COSTS(000):$0
Regulations Governing Inspection, Certification, and Standards
for Fresh Fruits, Vegetables, and other Products -- 7 CFR 51
FORMS: FV-24 FV-202 FV-237 FV-292
OMB NO: 0581-0126 EXPIRATION DATE: 08/31/2003
RESPS:11,991 HOURS:551 COSTS(000):$0
Reporting Requirement Under Regs. Concerning The Inspection And
Grading Service of Manufactured Or Processsed Dairy Products
FORMS: DA-132 DA-155 DA-156 DA-162 DA-201B
OMB NO: 0581-0127 EXPIRATION DATE: 07/31/2001
RESPS:23,958 HOURS:1,889 COSTS(000):$0
Regulations for Voluntary Grading of Poultry Products and Rabbit
FORMS: PY-32
OMB NO: 0581-0128 EXPIRATION DATE: 06/30/2002
RESPS:23,883 HOURS:5,602 COSTS(000):$0
Regulations Governing the Voluntary Grading of Shell Eggs
FORMS: PY-100 PY-157 PY-240
OMB NO: 0581-0140 EXPIRATION DATE: 07/31/2001
RESPS:1,555 HOURS:389 COSTS(000):$0
Seed Service Testing Program
FORMS: LS-375
OMB NO: 0581-0142 EXPIRATION DATE: 09/30/2003
RESPS:10,434 HOURS:2,947 COSTS(000):$0
Olives Grown in California
FORMS: FV-235 FV-235A FV-236 FV-269 FV-273 FV-274 FV-275
OMB NO: 0581-0143 EXPIRATION DATE: 07/31/2001
RESPS:445 HOURS:2,204 COSTS(000):$0
Export Fruit Acts
FORMS: NONE
OMB NO: 0581-0154 EXPIRATION DATE: 09/30/2002
RESPS:234,000 HOURS:7,020 COSTS(000):$0
Livestock and Meat Market News
FORMS: NONE
OMB NO: 0581-0163 EXPIRATION DATE: 09/30/2002
RESPS:792 HOURS:264 COSTS(000):$0
Provisions Regulating the Quality of Domestically Produced
Peanuts Handled by Persons Not Subject to the Peanut Marketing
Agreement
FORMS: FV-117 FV-117-1
OMB NO: 0581-0164 EXPIRATION DATE: 06/30/2002
RESPS:190,802,858 HOURS:1,828,452 COSTS(000):$0
Recordkeeping Requirements for Certified Application of
Federally Restricted Use Pesticides -- 7 CFR Part 110
FORMS: STD-8
OMB NO: 0581-0167 EXPIRATION DATE: 05/31/2003
RESPS:9,600 HOURS:1,632 COSTS(000):$0
Specified Commodities Imported into the United States Exempt
from Import Requirements, 7 CFR Parts 944, 980, and 999
FORMS: FV-6 FV-7
OMB NO: 0581-0176 EXPIRATION DATE: 07/31/2002
RESPS:1,590 HOURS:257 COSTS(000):$0
Reporting and Recordkeeping Requirements for Imported Peanuts
FORMS: NONE
OMB NO: 0581-0177 EXPIRATION DATE: 01/31/2001
RESPS:5,772 HOURS:1,034 COSTS(000):$0
Tart Cherries Grown in the States of Michigan, New York,
Pennsylvania, Oregon, Utah, Washington, and Wisconsin
FORMS: FV-43 FV-43A FV-44 FV-45 FV-45A FV-46 FV-47 FV-48 FV-49
OMB NO: 0581-0178 EXPIRATION DATE: 01/31/2001
RESPS:112,410 HOURS:8,528 COSTS(000):$0
Vegetable and Speciality Crop Marketing Orders, Revision
FORMS: NONE
OMB NO: 0581-0180 EXPIRATION DATE: 04/30/2001
RESPS:2 HOURS:4 COSTS(000):$0
Regulations for the Donation of Foods for Use in the United
Jurisdiction -- 7 CFR Part 250
FORMS: NONE
OMB NO: 0581-0182 EXPIRATION DATE: 12/31/2001
RESPS:8,400 HOURS:700 COSTS(000):$0
Customer Service Survey for USDA Donated Food Products
FORMS: AMS-11
OMB NO: 0581-0183 EXPIRATION DATE: 04/30/2003
RESPS:132 HOURS:3,531 COSTS(000):$0
7 CFR Part 37 - Program to Accredit Organic Certifying Agencies
FORMS: LS-314
OMB NO: 0581-0186 EXPIRATION DATE: 01/31/2001
RESPS:140,452 HOURS:24,514 COSTS(000):$0
Livestock Mandatory Reporting Act of 1999
FORMS: LS-113-126 LS-128-129
OMB NO: 0581-0189 EXPIRATION DATE: 04/30/2003
RESPS:10,338 HOURS:2,978 COSTS(000):$0
Generic OMB Fruit Crops, Marketing Order Administration Branch
FORMS: NONE
OMB NO: 0581-0190 EXPIRATION DATE: 01/31/2001
RESPS:8,000 HOURS:2,000 COSTS(000):$0
Pricing Pilot Program
FORMS: NONE
OMB NO: 0581-0192 EXPIRATION DATE: 07/31/2003
RESPS:18,000 HOURS:3,000 COSTS(000):$0
Federal-State Shipping Point Inspection Program Customer Service
Survey
FORMS: FV-600
OMB NO: 0581-0193 EXPIRATION DATE: 06/30/2003
RESPS:428 HOURS:36 COSTS(000):$0
Customer Service Survey (Meat Grading and Certification
Services).
FORMS: NONE
OMB NO: 0581-0194 EXPIRATION DATE: 06/30/2003
RESPS:109,500 HOURS:11,120 COSTS(000):$0
Pork Promotion, Research, and Consumer Information Program:
Procedures for the Conduct of Referendum
FORMS: NONE
OMB NO: 0581-0195 EXPIRATION DATE: 02/28/2001
RESPS:50 HOURS:50 COSTS(000):$0
Marketing Order Committee/Boarad Interview
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
51 200,341,378 2,629,091 $0
Food Safety and Inspection Service
OMB NO: 0583-0082 EXPIRATION DATE: 01/31/2001
RESPS:38,182 HOURS:18,510 COSTS(000):$0
Application for Inspection, Sanitation, Accredited
FORMS: 5200-2 10-110-2 10-110-4 10-600-1 6200-18
OMB NO: 0583-0089 EXPIRATION DATE: 01/31/2001
RESPS:145,179 HOURS:743,906 COSTS(000):$0
Processing Procedures and Quality Control Systems
FORMS: 8820-1/5400.5-4
OMB NO: 0583-0090 EXPIRATION DATE: 03/31/2003
RESPS:910,231 HOURS:19,716 COSTS(000):$0
Ante-Mortem and Post-Mortem Inspection
FORMS: 6700-2 6500-1 6500-2 6500-3 6300-15
OMB NO: 0583-0094 EXPIRATION DATE: 01/31/2003
RESPS:2,201,058 HOURS:168,711 COSTS(000):$0
Exportation, Transportation, and Importation of Meat and Poultry
Products
FORMS: 9060-1 7350-1 9540-1 9510-1
OMB NO: 0583-0115 EXPIRATION DATE: 12/31/2002
RESPS:40,140 HOURS:2,601 COSTS(000):$0
Irradiation of Meat and Poultry Products
FORMS: NONE
OMB NO: 0583-0119 EXPIRATION DATE: 06/30/2001
RESPS:10,040 HOURS:344 COSTS(000):$0
Labeling of Natural or Regenerated Collagen Sausage Casings
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
6 3,344,830 953,788 $0
Food and Nutrition Service
OMB NO: 0584-0002 EXPIRATION DATE: 01/31/2003
RESPS:2,976 HOURS:95,232 COSTS(000):$0
Report of School Program Operations
FORMS: FNS-10
OMB NO: 0584-0005 EXPIRATION DATE: 08/31/2002
RESPS:740,270 HOURS:836,847 COSTS(000):$0
Special Milk Program for Children -- 7 CFR Part 215 SMP
FORMS: NONE
OMB NO: 0584-0006 EXPIRATION DATE: 02/28/2001
RESPS:2,210,854 HOURS:9,462,622 COSTS(000):$0
7 CFR Part 210 National School Lunch Program
FORMS: FNS-66 FNS-640 FNS-67
OMB NO: 0584-0008 EXPIRATION DATE: 06/30/2002
RESPS:62,621 HOURS:14,812 COSTS(000):$0
Food Stamp Program - Store Applications
FORMS: FNS-252 FNS-252-2 FNS-252R
OMB NO: 0584-0009 EXPIRATION DATE: 06/30/2001
RESPS:19,044 HOURS:57,132 COSTS(000):$0
Food Stamp Accountability Report -- FCS-250
FORMS: FCS-250
OMB NO: 0584-0012 EXPIRATION DATE: 02/28/2001
RESPS:1,283,639 HOURS:4,895,796 COSTS(000):$0
7 CFR Part 220 School Breakfast Program
FORMS: NONE
OMB NO: 0584-0015 EXPIRATION DATE: 06/30/2002
RESPS:4,104 HOURS:342 COSTS(000):$0
Food Stamp Mail Issuance Report
FORMS: FNS-259
OMB NO: 0584-0022 EXPIRATION DATE: 09/30/2001
RESPS:6,000 HOURS:3,000 COSTS(000):$0
Requisition for Food Coupon Books
FORMS: FNS-260
OMB NO: 0584-0025 EXPIRATION DATE: 12/31/2002
RESPS:2,939 HOURS:6,595 COSTS(000):$0
Civil Rights Title VI-Collection Reports-FNS-191 and FNS-101
FORMS: FNS-191 FNS-101
OMB NO: 0584-0026 EXPIRATION DATE: 09/30/2001
RESPS:7,162,826 HOURS:1,028,149 COSTS(000):$0
Determining Eligibility for Free and Reduced Price Meals and
Free Milk -- 7 CFR Part 245
FORMS: NONE
OMB NO: 0584-0034 EXPIRATION DATE: 02/28/2003
RESPS:33,178 HOURS:101,049 COSTS(000):$0
Negative Quality Control Review Schedule; Status of Sample
Selection and Completion; Statistical Summary of Sample
Disposition
FORMS: FNS-245 FNS-247 FNS-248
OMB NO: 0584-0037 EXPIRATION DATE: 12/31/2001
RESPS:100 HOURS:97 COSTS(000):$0
Report of Coupon Issuance and Commodity Distribution for
Disaster Relief -- FNS-292
FORMS: FNS-292
OMB NO: 0584-0041 EXPIRATION DATE: 03/31/2003
RESPS:1,590 HOURS:1,193 COSTS(000):$0
Summer Food Service Program Claim for Reimbursement
FORMS: FNS-143
OMB NO: 0584-0043 EXPIRATION DATE: 11/30/2003
RESPS:26,122,891 HOURS:2,653,481 COSTS(000):$0
WIC Program Regulations - Reporting and Recordkeeping Burden
FORMS: NONE
OMB NO: 0584-0045 EXPIRATION DATE: 05/31/2003
RESPS:1,496 HOURS:4,638 COSTS(000):$0
WIC Financial Management and Participation Report with Addendum
FORMS: FNS-798 FNS-798A
OMB NO: 0584-0052 EXPIRATION DATE: 11/30/2001
RESPS:65,273 HOURS:17,859 COSTS(000):$0
Affidavit of Return or Exchange of Food Coupons -- FCS-135
FORMS: FCS-135
OMB NO: 0584-0053 EXPIRATION DATE: 03/31/2003
RESPS:111,312 HOURS:12,127 COSTS(000):$0
Coupon Account and Destruction Report
FORMS: FNS-471
OMB NO: 0584-0055 EXPIRATION DATE: 12/31/2003
RESPS:4,802,804 HOURS:5,076,428 COSTS(000):$0
7 CFR sPart 226 Child and Adult Care Food Program
FORMS: FNS-82 341 342 344 430 431 433 343 345 345-1
OMB NO: 0584-0064 EXPIRATION DATE: 06/30/2001
RESPS:105,612,885 HOURS:27,694,052 COSTS(000):$0
Food Stamp Forms: Applications, Periodic Reporting, Notices
FORMS: NONE
OMB NO: 0584-0067 EXPIRATION DATE: 09/30/2002
RESPS:18,551 HOURS:20,912 COSTS(000):$0
State Administrative Expense Funds -- 7 CFR Part 235
FORMS: FCS-74 FNS-525
OMB NO: 0584-0069 EXPIRATION DATE: 05/31/2003
RESPS:212 HOURS:742 COSTS(000):$0
Status of Claims Against Households
FORMS: FNS-209
OMB NO: 0584-0074 EXPIRATION DATE: 11/30/2003
RESPS:54,663 HOURS:491,967 COSTS(000):$0
Worksheet for Food Stamp Program Quality Control Reveiws, FNS-380
FORMS: FNS-380
OMB NO: 0584-0075 EXPIRATION DATE: 08/31/2001
RESPS:57 HOURS:4,560 COSTS(000):$0
Annual Report of State Revenue Matching -- FNS-13
FORMS: FNS-13
OMB NO: 0584-0078 EXPIRATION DATE: 12/31/2002
RESPS:1,908 HOURS:5,724 COSTS(000):$0
Report of the Child and Adult Care Food Program
FORMS: FNS-44
OMB NO: 0584-0080 EXPIRATION DATE: 07/31/2001
RESPS:12 HOURS:37,248 COSTS(000):$0
Issuance Reconciliation Report -- FNS-46
FORMS: FNS-46
OMB NO: 0584-0081 EXPIRATION DATE: 11/30/2003
RESPS:636 HOURS:4,542 COSTS(000):$0
Form FNS-388, State Issuance and Participation Estimates
FORMS: FNS-388
OMB NO: 0584-0083 EXPIRATION DATE: 05/31/2003
RESPS:417 HOURS:3,768 COSTS(000):$0
Operating Guidelines, Forms and Waivers
FORMS: FNS-366A FNS-366B
OMB NO: 0584-0085 EXPIRATION DATE: 11/30/2001
RESPS:16,274,225 HOURS:325,483 COSTS(000):$0
FS Redemption Certificate
FORMS: FORM-FCS-278B FORM-FCS-278-4
OMB NO: 0584-0124 EXPIRATION DATE: 11/30/2003
RESPS:3,951,516 HOURS:21,250 COSTS(000):$0
Food Stamp Program Identification Cards
FORMS: NONE
OMB NO: 0584-0280 EXPIRATION DATE: 02/28/2003
RESPS:347,641 HOURS:316,005 COSTS(000):$0
Summer Food Service Program -- 7 CFR Part 225
FORMS: FNS-19-1 FNS-19-2 FNS-80 FNS-81 FNS-81-1 FNS-418 FNS-688
OMB NO: 0584-0284 EXPIRATION DATE: 10/31/2002
RESPS:5,200 HOURS:7,540 COSTS(000):$0
Monthly claim for Reimbursement
FORMS: FNS-806
OMB NO: 0584-0293 EXPIRATION DATE: 06/30/2003
RESPS:918,593 HOURS:1,154,581 COSTS(000):$0
Food Distribution Forms
FORMS: FNS-7 52 53 57 152 153 155 586A 586B 663
OMB NO: 0584-0299 EXPIRATION DATE: 01/31/2001
RESPS:57,236 HOURS:61,499 COSTS(000):$0
Quality Control Review Schedule
FORMS: FCS-380-1
OMB NO: 0584-0303 EXPIRATION DATE: 06/30/2001
RESPS:4,326 HOURS:3,830 COSTS(000):$0
Food Stamp Program Regulations, Quality Control -- Part 275
FORMS: NONE
OMB NO: 0584-0314 EXPIRATION DATE: 01/31/2001
RESPS:378,000 HOURS:3,675 COSTS(000):$0
Food Coupon Deposit Document
FORMS: FORM-FCS-521
OMB NO: 0584-0320 EXPIRATION DATE: 02/28/2003
RESPS:4,163 HOURS:3,122 COSTS(000):$0
Child Nutrition Labeling Program
FORMS: NONE
OMB NO: 0584-0332 EXPIRATION DATE: 05/31/2003
RESPS:100 HOURS:25 COSTS(000):$0
WIC Federal and State Agreement
FORMS: FNS-339
OMB NO: 0584-0339 EXPIRATION DATE: 09/30/2001
RESPS:4,870,701 HOURS:195,363 COSTS(000):$0
Employment and Training (E&T) Program Report
FORMS: FNS-583
OMB NO: 0584-0385 EXPIRATION DATE: 04/30/2003
RESPS:275 HOURS:963 COSTS(000):$0
Report of the Emergency Food Assistance Program (TEFAP)
Administrative
FORMS: FNS-667
OMB NO: 0584-0401 EXPIRATION DATE: 06/30/2001
RESPS:1 HOURS:1,836 COSTS(000):$0
The Integrity Profile
FORMS: FORM-FCS-698 FORM-FNS-699 FORM-FNS-700
OMB NO: 0584-0427 EXPIRATION DATE: 11/30/2001
RESPS:1 HOURS:502 COSTS(000):$0
WIC Annual Closeout Report with Addendum
FORMS: FNS-227 FNS-227A
OMB NO: 0584-0431 EXPIRATION DATE: 11/30/2001
RESPS:1 HOURS:15 COSTS(000):$0
WIC Local Agency Directory Report
FORMS: FNS-648
OMB NO: 0584-0446 EXPIRATION DATE: 04/30/2003
RESPS:843,623 HOURS:71,803 COSTS(000):$0
Federal Collection; Methods for Food Stamp Program Recipient
Claims
FORMS: N/A
OMB NO: 0584-0447 EXPIRATION DATE: 07/31/2001
RESPS:1,283 HOURS:4,086 COSTS(000):$0
WIC Farmers' Market Nutrition Program (FMNP) Annual Financial
Report, FMNP Recipient Report, and FMNP Regulation
FORMS: FNS-683 FNS-203
OMB NO: 0584-0474 EXPIRATION DATE: 02/28/2003
RESPS:1,850 HOURS:148 COSTS(000):$0
A National Hunger Clearinghouse Data Base Form
FORMS: NONE
OMB NO: 0584-0479 EXPIRATION DATE: 02/28/2002
RESPS:100 HOURS:2,000 COSTS(000):$0
Waiver Guidance for Food Stamp Time Limits
FORMS: NONE
OMB NO: 0584-0485 EXPIRATION DATE: 03/31/2002
RESPS:2,039 HOURS:2,039 COSTS(000):$0
SMI Implementation Study: Year 3 Data Collection
FORMS: NONE
OMB NO: 0584-0489 EXPIRATION DATE: 07/31/2001
RESPS:447 HOURS:105 COSTS(000):$0
Study of WIC Participants and Program Characteristics: 1998 and
2000
FORMS: NONE
OMB NO: 0584-0490 EXPIRATION DATE: 08/31/2001
RESPS:285 HOURS:350 COSTS(000):$0
Case Study Data Collection for "Tracking State Food Stamp
Choices and Implementation Strategies under Welfare Reform"
FORMS: NONE
OMB NO: 0584-0491 EXPIRATION DATE: 08/31/2001
RESPS:270 HOURS:195 COSTS(000):$0
Coordination Best Practices Handbook Project
FORMS: NONE
OMB NO: 0584-0492 EXPIRATION DATE: 08/31/2001
RESPS:1,915,715 HOURS:185,474 COSTS(000):$0
Repayment Demand and Program Disqualification
FORMS: NONE
OMB NO: 0584-0494 EXPIRATION DATE: 02/28/2002
RESPS:30 HOURS:6,000 COSTS(000):$0
Child Nutrition Data Base
FORMS: NONE
OMB NO: 0584-0496 EXPIRATION DATE: 01/31/2001
RESPS:139 HOURS:256 COSTS(000):$0
FSP State Agency Options
FORMS: NONE
OMB NO: 0584-0497 EXPIRATION DATE: 06/30/2001
RESPS:8,055 HOURS:3,233 COSTS(000):$0
Survey of State Public Health and Community Nutrition Workforce
FORMS: NONE
OMB NO: 0584-0499 EXPIRATION DATE: 05/31/2001
RESPS:1,032 HOURS:2,133 COSTS(000):$0
The Impacts of Food Stamp Program Time Limits on Able-Bodied
Adults Without Depedents
FORMS: NONE
OMB NO: 0584-0500 EXPIRATION DATE: 02/28/2003
RESPS:72 HOURS:10,999 COSTS(000):$0
Electronic Benefit Transfer (EBT) SAS No. 70 Examinations
FORMS: NONE
OMB NO: 0584-0501 EXPIRATION DATE: 05/31/2003
RESPS:800 HOURS:66 COSTS(000):$0
Supplemental Form for Collecting Taxpayer Identifying Numbers
FORMS: FNS-711
OMB NO: 0584-0502 EXPIRATION DATE: 06/30/2001
RESPS:288 HOURS:293 COSTS(000):$0
FNS Nutrition Education and Promotion Campaign
FORMS: NONE
OMB NO: 0584-0503 EXPIRATION DATE: 03/31/2001
RESPS:51 HOURS:38 COSTS(000):$0
Interoperability Funding Agreement
FORMS: NONE
OMB NO: 0584-0504 EXPIRATION DATE: 03/31/2002
RESPS:106 HOURS:212 COSTS(000):$0
Assessment of Computer Matching in the Food Stamp Program
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
60 177,911,422 54,916,033 $0
Forest Service
OMB NO: 0596-0003 EXPIRATION DATE: 12/31/2002
RESPS:7,200 HOURS:2,950 COSTS(000):$0
Grazing Permit Administration Forms
FORMS: R1-FS-2200-5 R2-2200-6 R#-FS-2200-1 R8-2200-23 FS-220-1/2/12
13/15/16/17
OMB NO: 0596-0010 EXPIRATION DATE: 06/30/2003
RESPS:2,909 HOURS:2,369 COSTS(000):$0
Forest Industries Data Collection System
FORMS: NONE
OMB NO: 0596-0015 EXPIRATION DATE: 05/31/2003
RESPS:988 HOURS:248 COSTS(000):$0
Airplane Pilot Qualifications and Approval Record, Helicopter
Pilot Qualifications and Approval Record, Airplane Data Record,
and Helicopter Data Record.
FORMS: FS-5700-20 FS-5700-20A FS-5700-21 FS-5700-21A
OMB NO: 0596-0016 EXPIRATION DATE: 07/31/2003
RESPS:2,000 HOURS:500 COSTS(000):$0
Use of Roads by Order
FORMS: FS-7700-40
OMB NO: 0596-0019 EXPIRATION DATE: 11/30/2003
RESPS:320,000 HOURS:16,000 COSTS(000):$0
Recreation Fee Permit and Visitor Registration Card
FORMS: FS-2300-30 FS-2300-32
OMB NO: 0596-0022 EXPIRATION DATE: 01/31/2002
RESPS:5,924 HOURS:4,462 COSTS(000):$0
Locatable Minerals -- 36 CFR Part 228, Subpart A
FORMS: FS-2800-5
OMB NO: 0596-0066 EXPIRATION DATE: 05/31/2003
RESPS:1,600 HOURS:38,672 COSTS(000):$0
Bid for Advertised Timber
FORMS: FS-2400-42A FS-2400-14
OMB NO: 0596-0082 EXPIRATION DATE: 11/30/2002
RESPS:56,940 HOURS:75,875 COSTS(000):$0
Special Use Administration
FORMS: NONE
OMB NO: 0596-0084 EXPIRATION DATE: 09/30/2003
RESPS:18,000 HOURS:6,000 COSTS(000):$0
Youth Conservation Corps Application & Medical History Forms.
FORMS: FS-1800-3 FS-1800-18
OMB NO: 0596-0085 EXPIRATION DATE: 01/31/2002
RESPS:873,750 HOURS:41,366 COSTS(000):$0
Forest Products Free Use Permit, Forest Products Removal Permit
and Cash Receipt, and Forest Products Sale Permit and Cash
Receipt
FORMS: FS-2400-8 FS-2400-1 FS-2400-4
OMB NO: 0596-0089 EXPIRATION DATE: 11/30/2003
RESPS:25 HOURS:6 COSTS(000):$0
Application for Prospecting Permit
FORMS: FS-2800-14
OMB NO: 0596-0097 EXPIRATION DATE: 08/31/2002
RESPS:52 HOURS:52 COSTS(000):$0
Interpretive Association Annual Report
FORMS: FS-2300-5
OMB NO: 0596-0099 EXPIRATION DATE: 12/31/2003
RESPS:6,500 HOURS:1,083 COSTS(000):$0
Application for the Senior Communitry Service Employment Program
FORMS: FS-1800-21B
OMB NO: 0596-0105 EXPIRATION DATE: 06/30/2003
RESPS:200 HOURS:200 COSTS(000):$0
Agreement to Initiate (ATI) and Exchange Agreement (EA)
FORMS: NONE
OMB NO: 0596-0106 EXPIRATION DATE: 04/30/2003
RESPS:400,000 HOURS:20,000 COSTS(000):$0
Recreation Fee Permit Envelope
FORMS: FS-2300-26
OMB NO: 0596-0108 EXPIRATION DATE: 01/31/2003
RESPS:1,000 HOURS:416 COSTS(000):$0
Baseline and Trend Information on Wilderness Use and Users
FORMS: NONE
OMB NO: 0596-0110 EXPIRATION DATE: 02/28/2003
RESPS:57,000 HOURS:9,917 COSTS(000):$0
Customer and Use Survey Techniques for Operations, Management,
Evaluation, and Research
FORMS: NONE
OMB NO: 0596-0120 EXPIRATION DATE: 07/31/2002
RESPS:32,500 HOURS:74,250 COSTS(000):$0
Stewardship Incentive Program
FORMS: SIP-36 SIP-211 SIP-211-1 SIP-502
OMB NO: 0596-0127 EXPIRATION DATE: 10/31/2003
RESPS:40,000 HOURS:13,333 COSTS(000):$0
National Survey on Recreation and the Environment
FORMS: NONE
OMB NO: 0596-0128 EXPIRATION DATE: 10/31/2002
RESPS:500 HOURS:125 COSTS(000):$0
Recreational Participation and Environmental Activity Survey
FORMS: NONE
OMB NO: 0596-0129 EXPIRATION DATE: 10/31/2002
RESPS:600 HOURS:150 COSTS(000):$0
The Day Use Study
FORMS: NONE
OMB NO: 0596-0138 EXPIRATION DATE: 05/31/2002
RESPS:2 HOURS:40 COSTS(000):$0
Smith River National Recreation Area
FORMS: NONE
OMB NO: 0596-0144 EXPIRATION DATE: 02/28/2002
RESPS:112 HOURS:364 COSTS(000):$0
Economic, Social, and Cultural Contributions of Livestock
Ownership
FORMS: NONE
OMB NO: 0596-0146 EXPIRATION DATE: 04/30/2002
RESPS:1 HOURS:1,708 COSTS(000):$0
"Your Comments" Customer Service Comment Card
FORMS: FS-1300-5 FS-1300-5-R
OMB NO: 0596-0150 EXPIRATION DATE: 10/31/2002
RESPS:515 HOURS:145 COSTS(000):$0
Communication and Interpretation for Urban Proximate Forest
FORMS: NONE
OMB NO: 0596-0151 EXPIRATION DATE: 10/31/2002
RESPS:400 HOURS:100 COSTS(000):$0
Recreation on the San Gabriel Canyon Study
FORMS: NONE
OMB NO: 0596-0152 EXPIRATION DATE: 10/31/2002
RESPS:365 HOURS:103 COSTS(000):$0
Meeting National Forest Recreationists' Needs through a Customer
Service Paradigm
FORMS: NONE
OMB NO: 0596-0153 EXPIRATION DATE: 10/31/2002
RESPS:1,000 HOURS:250 COSTS(000):$0
Recreational and Management Preferences Survey
FORMS: NONE
OMB NO: 0596-0155 EXPIRATION DATE: 02/28/2003
RESPS:4,148 HOURS:1,549 COSTS(000):$0
Urban Connections
FORMS: NONE
OMB NO: 0596-0158 EXPIRATION DATE: 10/31/2003
RESPS:1,210 HOURS:12,100 COSTS(000):$0
National Forest System Land and Resource Management Planning
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
30 1,835,441 324,333 $0
Office of Procurement and Property Management
No active collections for this subagency
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
445 451,200,204 81,023,767 $0
Department of Commerce
General Administration
OMB NO: 0605-0001 EXPIRATION DATE: 03/31/2003
RESPS:2,710 HOURS:678 COSTS(000):$0
Applicant for Funding Assistance
FORMS: CD-346-LF
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
1 2,710 678 $0
Bureau of the Census
OMB NO: 0607-0008 EXPIRATION DATE: 07/31/2003
RESPS:72,000 HOURS:24,000 COSTS(000):$0
Manufacturers' Shipments, Inventories, and Orders Survey
FORMS: M-3(SD) M3-SD(I) M3-1-L1
OMB NO: 0607-0013 EXPIRATION DATE: 11/30/2002
RESPS:23,337 HOURS:9,437 COSTS(000):$0
Annual Retail Trade Survey
FORMS: SA-44 SA-44A SA-45 SA-44C SA-45C SA-721 SA-44N
OMB NO: 0607-0049 EXPIRATION DATE: 06/30/2002
RESPS:576,000 HOURS:15,168 COSTS(000):$0
Current Population Survey (CPS) Basic Demographics
FORMS: CPS-263 CPS-264 BC-1428 BC-1433
OMB NO: 0607-0094 EXPIRATION DATE: 02/28/2001
RESPS:114,820 HOURS:30,716 COSTS(000):$0
Report of Privately-Owned Building or Zoning Permits Issued
FORMS: C-404 C-404(I) C-404(B)
OMB NO: 0607-0104 EXPIRATION DATE: 12/31/2003
RESPS:54,000 HOURS:4,500 COSTS(000):$0
Advance Monthly Retail Sales Survey
FORMS: SM-44(00)A SM-44(00)AS SM-44(00)AE SM-72(00)A
OMB NO: 0607-0110 EXPIRATION DATE: 07/31/2003
RESPS:112,736 HOURS:9,395 COSTS(000):$0
Survey of Housing Starts, Sales, and Completion
FORMS: SOC-QI/SF.1 SOC-QI/MF.1
OMB NO: 0607-0112 EXPIRATION DATE: 09/30/2003
RESPS:23,616 HOURS:5,957 COSTS(000):$0
Quarterly Survey of State and Local Tax Revenues
FORMS: F-71 F-72 F-73
OMB NO: 0607-0117 EXPIRATION DATE: 07/31/2001
RESPS:11,899 HOURS:1,629 COSTS(000):$0
U.S. Census, Age Search
FORMS: BC-600 BC-649(L) BC-658(L)
OMB NO: 0607-0125 EXPIRATION DATE: 05/31/2003
RESPS:900 HOURS:225 COSTS(000):$0
Questionnaire for Building Permit Officials
FORMS: SOC-QBPO
OMB NO: 0607-0130 EXPIRATION DATE: 12/31/2002
RESPS:9,600 HOURS:2,400 COSTS(000):$0
Quarterly Survey of Residential Alterations and Repairs
FORMS: SORAR-705
OMB NO: 0607-0139 EXPIRATION DATE: 09/30/2002
RESPS:3,050,000 HOURS:762,500 COSTS(000):$0
Census Employment Inquiry
FORMS: BC-170
OMB NO: 0607-0143 EXPIRATION DATE: 01/31/2003
RESPS:408 HOURS:408 COSTS(000):$0
Quarterly Survey of Public Employee Retirement Systems
FORMS: F-10
OMB NO: 0607-0151 EXPIRATION DATE: 11/30/2001
RESPS:39,347 HOURS:118,041 COSTS(000):$0
The Boundary and Annexation Survey (BAS)
FORMS: BAS-1 BAS-1A BAS-2 BAS-2A BAS-3 BAS-3A BAS-4 BAS-5 BAS-5A
OMB NO: 0607-0152 EXPIRATION DATE: 09/30/2003
RESPS:13,449,996 HOURS:1,284,949 COSTS(000):$1,000
Shipper's Export Declaration (SED)/Automated Export System (AES)
Program
FORMS: 7525(SED) (AES)
OMB NO: 0607-0153 EXPIRATION DATE: 04/30/2001
RESPS:72,000 HOURS:18,000 COSTS(000):$0
Construction Project Report (Private Construction Projects)
FORMS: C-700
OMB NO: 0607-0163 EXPIRATION DATE: 04/30/2001
RESPS:17,280 HOURS:4,320 COSTS(000):$0
Construction Project Report (Multifamily Residential)
FORMS: C-700(R)
OMB NO: 0607-0171 EXPIRATION DATE: 04/30/2001
RESPS:72,000 HOURS:18,000 COSTS(000):$0
Construction Project Report (State and Local Governments)
FORMS: C-700(SL)
OMB NO: 0607-0175 EXPIRATION DATE: 11/30/2001
RESPS:17,000 HOURS:38,250 COSTS(000):$0
Survey of Plant Capacity Utilization
FORMS: MQ-C1
OMB NO: 0607-0176 EXPIRATION DATE: 08/31/2001
RESPS:20,000 HOURS:90,125 COSTS(000):$0
Survey of Pollution Abatement Costs and Expenditures
FORMS: MA-200
OMB NO: 0607-0179 EXPIRATION DATE: 08/31/2002
RESPS:57,600 HOURS:2,880 COSTS(000):$0
Housing Vacancy Survey (HVS)
FORMS: NONE
OMB NO: 0607-0189 EXPIRATION DATE: 12/31/2002
RESPS:43,600 HOURS:9,448 COSTS(000):$0
Business and Professional Classification Report
FORMS: SQ-CLASS
OMB NO: 0607-0190 EXPIRATION DATE: 08/31/2002
RESPS:45,600 HOURS:5,320 COSTS(000):$0
Monthly Wholesale Trade Survey
FORMS: SM-42(00)
OMB NO: 0607-0195 EXPIRATION DATE: 08/31/2001
RESPS:5,570 HOURS:2,269 COSTS(000):$0
Annual Trade Survey
FORMS: B-450 B-451
OMB NO: 0607-0206 EXPIRATION DATE: 10/31/2001
RESPS:6,148 HOURS:4,809 COSTS(000):$0
Current Industrial Reports Program (WAVE-II-Voluntary)
FORMS: M32G M33J MQ20A MQ28A MQ28C MQ28F MQ31A MQ36C MA20D MA35N/MA36L
OMB NO: 0607-0350 EXPIRATION DATE: 02/28/2001
RESPS:2,000 HOURS:500 COSTS(000):$0
Survey of Building and Zoning Permit Systems
FORMS: C-411
OMB NO: 0607-0354 EXPIRATION DATE: 10/31/2003
RESPS:80,550 HOURS:33,563 COSTS(000):$0
Annual Demographic Survey -- 2001
FORMS: CPS-580 CPS-580(SP) CPS-676 CPS-676(SP)
OMB NO: 0607-0392 EXPIRATION DATE: 08/31/2003
RESPS:13,661 HOURS:12,825 COSTS(000):$0
Current Industrial Reports Program (WAVE-I Mandatory)
FORMS: M311H M311M M311N MA325F MA327C MA331A MA331B MA331E MA333A
MA333M
OMB NO: 0607-0393 EXPIRATION DATE: 08/31/2003
RESPS:3,322 HOURS:2,092 COSTS(000):$0
Current Industrial Reports (CIR) Program (WAVE I - Voluntary)
FORMS: M336L MQ325B MQ327D MQ332E
OMB NO: 0607-0395 EXPIRATION DATE: 09/30/2001
RESPS:25,931 HOURS:26,721 COSTS(000):$0
Current Industrial Reports Programs (WAVE II-Mandatory)
FORMS: M20J M20L M22N M22P MQ23A MQ23X MQ35W MA22F MA22K MA22Q
OMB NO: 0607-0404 EXPIRATION DATE: 10/31/2001
RESPS:2,660 HOURS:5,013 COSTS(000):$0
Field Representative Exit Questionnaire
FORMS: 1294 1294(D)
OMB NO: 0607-0422 EXPIRATION DATE: 11/30/2002
RESPS:50,000 HOURS:38,232 COSTS(000):$0
Service Annual Surveys
FORMS: SA-484 SA-492 SA-493 SA-511 SA-512 SA-513 SA-514 SA-523 SA-524
SA-532
OMB NO: 0607-0432 EXPIRATION DATE: 12/31/2001
RESPS:38,044 HOURS:77,616 COSTS(000):$0
Quarterly Financial Report (QFR)
FORMS: QFR-103(NB) 101(MG) 102(TR) 101A(MG)
OMB NO: 0607-0444 EXPIRATION DATE: 11/30/2002
RESPS:90,000 HOURS:140,000 COSTS(000):$0
1999-2001 Company Organization Survey
FORMS: NC-9901
OMB NO: 0607-0449 EXPIRATION DATE: 11/30/2001
RESPS:55,000 HOURS:185,500 COSTS(000):$0
Annual Survey of Manufactures
FORMS: MA-1000(L) MA-1000(S)
OMB NO: 0607-0452 EXPIRATION DATE: 12/31/2001
RESPS:20,244 HOURS:21,437 COSTS(000):$0
Annual Survey of Government Employment and Payroll
FORMS: E-1 E-2 E-3 E-4 E-6 E-7 E-9
OMB NO: 0607-0459 EXPIRATION DATE: 08/31/2001
RESPS:40 HOURS:20 COSTS(000):$0
School Enrollment Report
FORMS: P-4
OMB NO: 0607-0464 EXPIRATION DATE: 09/30/2002
RESPS:48,000 HOURS:6,400 COSTS(000):$0
October 1999 School Enrollment Supplement to the Current
Population Survey
FORMS: NONE
OMB NO: 0607-0466 EXPIRATION DATE: 09/30/2003
RESPS:48,000 HOURS:1,200 COSTS(000):$0
Current Population Survey (CPS) - November Voting and
Registration Supplement
FORMS: NONE
OMB NO: 0607-0476 EXPIRATION DATE: 07/31/2002
RESPS:3,668 HOURS:2,544 COSTS(000):$0
Current Industrial Reports (CIR) Program (Wave-III Mandatory)
FORMS: MQ313T MA315D MA327E MA333D MA333F MA333J MA334P
OMB NO: 0607-0494 EXPIRATION DATE: 09/30/2001
RESPS:3,200,000 HOURS:133,333 COSTS(000):$0
Applicant Background Questionnaire
FORMS: BC-1431
OMB NO: 0607-0585 EXPIRATION DATE: 09/30/2002
RESPS:7,459 HOURS:22,798 COSTS(000):$0
Annual Survey of State and Local Government Finance
FORMS: F-5 F-5A F-11 F-12 F-13 F-21 F-22 F-25 F-28 F-29
OMB NO: 0607-0700 EXPIRATION DATE: 08/31/2003
RESPS:3,500 HOURS:3,737 COSTS(000):$0
Annual Survey of Local Government Finances, School Systems
FORMS: F-33 F-33-1 F-33-L1 F-33-L2 F-33-L3
OMB NO: 0607-0717 EXPIRATION DATE: 08/31/2002
RESPS:105,684 HOURS:13,875 COSTS(000):$0
Current Retail Sales and Inventory Survey
FORMS: B-101(97)S B-101(97)B B-111(97)S B-111(97)B B-111(97)L
B-113(97)L B-113(97)I B-114(97)
OMB NO: 0607-0725 EXPIRATION DATE: 09/30/2001
RESPS:5,500 HOURS:5,500 COSTS(000):$0
Questionnaire Pretesting Research
FORMS: NONE
OMB NO: 0607-0760 EXPIRATION DATE: 09/30/2001
RESPS:7,500 HOURS:3,750 COSTS(000):$0
Data User Evaluation Surveys
FORMS: NONE
OMB NO: 0607-0776 EXPIRATION DATE: 07/31/2002
RESPS:1,364 HOURS:699 COSTS(000):$0
Current Industrial Reports (CIR) Program (Wave-III Voluntary)
FORMS: M3336G MQ313D MA333U
OMB NO: 0607-0782 EXPIRATION DATE: 01/31/2003
RESPS:59,000 HOURS:139,000 COSTS(000):$0
Annual Capital Expenditures Survey
FORMS: ACE-1(I) ACE-1(L) ACE-1(M) ACE-1(S) ACE-2 ACE-2(I)
OMB NO: 0607-0787 EXPIRATION DATE: 03/31/2001
RESPS:11,000 HOURS:4,500 COSTS(000):$0
National Employers Survey (NES 2000)
FORMS: NONE
OMB NO: 0607-0809 EXPIRATION DATE: 05/31/2001
RESPS:5,357,993 HOURS:238,234 COSTS(000):$0
MAF and TIGER Update Activities
FORMS: NONE
OMB NO: 0607-0810 EXPIRATION DATE: 10/31/2002
RESPS:981,800 HOURS:607,800 COSTS(000):$0
The American Community Survey
FORMS: ACS-1 ACS-1(GQ) ACS-3(GQ) ACS-290 ACS-4(GQ)
OMB NO: 0607-0838 EXPIRATION DATE: 01/31/2001
RESPS:42,000 HOURS:27,250 COSTS(000):$0
2000 Survey of Program Dynamics (SPD)
FORMS: SPD-RHC1 SPD-20105A(L) SPD-20105(L) SPD-20103(L) SPD-20113(L)
OMB NO: 0607-0862 EXPIRATION DATE: 07/31/2002
RESPS:207,556 HOURS:10,106 COSTS(000):$0
Census 2000 Test Program Supplement
FORMS: NONE
OMB NO: 0607-0866 EXPIRATION DATE: 12/31/2001
RESPS:904,415 HOURS:103,162 COSTS(000):$0
Census 2000: Accuracy and Coverage Evaluation Housing Unit and
Person Interview Acitivities
FORMS: D-1301 D-1301(S) D-1301(PR) D-1303 D-1303(PR) D-1340 D-1340(PR)
D-1360 D-1360(PR) D-1309(L)
OMB NO: 0607-0871 EXPIRATION DATE: 03/31/2001
RESPS:16,000 HOURS:5,333 COSTS(000):$0
Census 2000 Evaluation: Survey of Partners
FORMS: D-1401 D-1401A(L) D-1401.F1(L) D-1401.F2(L) D-1401A(E)
D-1401.1(E) D-1401(E)
OMB NO: 0607-0872 EXPIRATION DATE: 12/31/2002
RESPS:330,000 HOURS:77,500 COSTS(000):$0
2001 Residential Finance Survey (RFS)
FORMS: D-2900 D-2900(L) D-2901 D-2901(L) D-2901(FE)(L) D-2902 D-2902(L)
D-2904 D-2905(L)
OMB NO: 0607-0873 EXPIRATION DATE: 04/30/2001
RESPS:7,500 HOURS:1,500 COSTS(000):$0
Census 2000 Multiple Response Follow-up
FORMS: NONE
OMB NO: 0607-0874 EXPIRATION DATE: 06/30/2001
RESPS:40,000 HOURS:8,000 COSTS(000):$0
Census 2000 Evaluation Followup Interview
FORMS: D-1301(EFU) D-1301(EFU)S D-1379
OMB NO: 0607-0875 EXPIRATION DATE: 11/30/2003
RESPS:162,500 HOURS:80,635 COSTS(000):$0
2001 Panel of the Survey of Income and Program Participation,
Core and Wave 1 Topical Modules
FORMS: SIPP-21105(L) SIPP/CAPI
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
58 29,827,348 4,503,121 $1,000
Economic and Statistical Analysis
OMB NO: 0608-0002 EXPIRATION DATE: 12/31/2002
RESPS:480 HOURS:1,521 COSTS(000):$0
Institutional Remittances to Foreign Countries -- Form BE-40
FORMS: BE-40
OMB NO: 0608-0004 EXPIRATION DATE: 11/30/2003
RESPS:50,000 HOURS:62,500 COSTS(000):$0
Direct Transactions of U.S. Reporter with Foreign Affiliate
FORMS: BE-577
OMB NO: 0608-0009 EXPIRATION DATE: 12/31/2003
RESPS:15,800 HOURS:19,750 COSTS(000):$0
Transactions of U.S. Affiliate, Except a U.S. Banking Affiliate,
with Foreign Parent (BE-605); and Transactions of U.S. Banking
Affiliate with Foreign Parent (BE-605 Bank)
FORMS: BE-605 BE-605(BANK)
OMB NO: 0608-0011 EXPIRATION DATE: 01/31/2001
RESPS:240 HOURS:1,120 COSTS(000):$0
Ocean Freight Revenues and Expenses of United States Carriers
(BE-30); U.S. Airline Operators' Foreign Revenues and Expenses
(BE-37)
FORMS: BE-30 BE-37
OMB NO: 0608-0012 EXPIRATION DATE: 01/31/2001
RESPS:155 HOURS:620 COSTS(000):$0
Foreign Ocean Carriers' Expenses in the United States (BE-29)
FORMS: BE-29
OMB NO: 0608-0013 EXPIRATION DATE: 01/31/2001
RESPS:70 HOURS:350 COSTS(000):$0
Foreign Airline Operators' Revenues and Expenses in the United
States (BE-36)
FORMS: BE-36
OMB NO: 0608-0015 EXPIRATION DATE: 12/31/2001
RESPS:155 HOURS:700 COSTS(000):$0
Annual Survey of Construction, Engineering, Architechtural, and
Mining Services
FORMS: BE-47
OMB NO: 0608-0016 EXPIRATION DATE: 12/31/2001
RESPS:400 HOURS:1,600 COSTS(000):$0
Annual Survey of Reinsurance and Other Insurance Transactions by
U.S. Insurance Companies with Foreign Persons
FORMS: BE-48
OMB NO: 0608-0017 EXPIRATION DATE: 11/30/2003
RESPS:350 HOURS:1,400 COSTS(000):$0
Annual Survey of Royalties, License Fees, and Other Receipts and
Payments for Intangible Rights Between U.S.
FORMS: BE-98
OMB NO: 0608-0034 EXPIRATION DATE: 02/28/2002
RESPS:4,975 HOURS:128,000 COSTS(000):$0
Annual Survey of Foreign Direct Investment in the United States
FORMS: BE-15(LF) BE-15(SF) BE-15SUPP.C
OMB NO: 0608-0035 EXPIRATION DATE: 12/31/2003
RESPS:1,200 HOURS:1,800 COSTS(000):$0
Initial Report on a Foreign Person's Direct or Indirect
Acquisition, Establishment, or Purchase of the Operating Assets,
of a U.S. Business Enterprise, Including Real Estate (BE-13); and
FORMS: BE-13 BE-14
OMB NO: 0608-0049 EXPIRATION DATE: 11/30/2002
RESPS:3,500 HOURS:458,000 COSTS(000):$0
Benchmark Survey of U.S. Direct Investment Abroad
FORMS: BE-10A BE-10A(BANK) BE-10B(LF) BE-10B(SF) BE-10B(BANK)
OMB NO: 0608-0053 EXPIRATION DATE: 11/30/2003
RESPS:1,500 HOURS:102,600 COSTS(000):$0
Annual Survey of U.S. Direct Investment Abroad (BE-11)
FORMS: BE-11A BE-11B(LF) BE-11B(SF) BE-11C
OMB NO: 0608-0060 EXPIRATION DATE: 12/31/2003
RESPS:1,500 HOURS:17,250 COSTS(000):$0
Annual Survey of Selected Services Transactions with
Unaffiliated Foreign Persons
FORMS: BE-22
OMB NO: 0608-0062 EXPIRATION DATE: 09/30/2002
RESPS:500 HOURS:3,500 COSTS(000):$0
Benchmark Survey of Financial Services Transactions Between U.S.
Financial Services Providers and Unaffiliated Foreign Persons
FORMS: BE-80
OMB NO: 0608-0063 EXPIRATION DATE: 09/30/2003
RESPS:375 HOURS:2,600 COSTS(000):$0
Annual Survey of Financial Services Transactions Between U.S.
Financial Services Providers and Unaffiliated Foreign Persons
FORMS: BE-82
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
16 81,200 803,311 $0
Economic Development Administration
OMB NO: 0610-0091 EXPIRATION DATE: 12/31/2001
RESPS:162 HOURS:1,296 COSTS(000):$0
Petition by a Firm for Certification of Eligibility to Apply for
Trade Adjustment Assistance
FORMS: ED-840P
OMB NO: 0610-0093 EXPIRATION DATE: 11/30/2002
RESPS:640 HOURS:33,150 COSTS(000):$77
Guidelines for Comprehensive Economic Development Strategy
FORMS: NONE
OMB NO: 0610-0094 EXPIRATION DATE: 11/30/2002
RESPS:1,850 HOURS:47,350 COSTS(000):$102
Proposal for Federal Assistance and Application for Federal
Assistance
FORMS: ED-900P ED-900A
OMB NO: 0610-0095 EXPIRATION DATE: 08/31/2002
RESPS:1,080 HOURS:14,080 COSTS(000):$0
Guidelines for Revolving Loan Fund Grants
FORMS: NONE
OMB NO: 0610-0096 EXPIRATION DATE: 11/30/2002
RESPS:1,160 HOURS:23,200 COSTS(000):$0
Requirements for Approved Construction Projects; Interim Ninth
Edition, October 1998
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
5 4,892 119,076 $179
International Trade Administration
OMB NO: 0625-0034 EXPIRATION DATE: 01/31/2002
RESPS:2,000 HOURS:167 COSTS(000):$0
Mission Exhibition Evaluation
FORMS: ITA-4075P
OMB NO: 0625-0035 EXPIRATION DATE: 01/31/2002
RESPS:2,000 HOURS:1,000 COSTS(000):$0
Product Characteristics-Design Check-Off Lists
FORMS: ITA-426P
OMB NO: 0625-0037 EXPIRATION DATE: 05/31/2001
RESPS:200 HOURS:400 COSTS(000):$0
Request for Duty-Free Entry of Scientific Instrument or Apparatus
FORMS: ITA-338P
OMB NO: 0625-0039 EXPIRATION DATE: 12/31/2001
RESPS:1,000 HOURS:490 COSTS(000):$0
Overseas Business Interest Questionnaire
FORMS: ITA-471P
OMB NO: 0625-0040 EXPIRATION DATE: 11/30/2002
RESPS:20 HOURS:20 COSTS(000):$0
Application of License to Enter Watches and Watch Movements into
FORMS: ITA-334P
OMB NO: 0625-0047 EXPIRATION DATE: 01/31/2002
RESPS:4,000 HOURS:3,000 COSTS(000):$0
Marketing Data Form
FORMS: ITA-466P
OMB NO: 0625-0055 EXPIRATION DATE: 06/30/2001
RESPS:60 HOURS:60 COSTS(000):$0
NATO ICB Bidders List Application
FORMS: ITA-4023P
OMB NO: 0625-0061 EXPIRATION DATE: 05/31/2002
RESPS:2,200 HOURS:733 COSTS(000):$0
Commercial News USA
FORMS: ITA-4063P
OMB NO: 0625-0065 EXPIRATION DATE: 06/30/2001
RESPS:60 HOURS:1,644 COSTS(000):$0
Application for the President's "E" and "E Star" Awards for
Export Expansion
FORMS: ITS-725P
OMB NO: 0625-0105 EXPIRATION DATE: 05/31/2002
RESPS:38 HOURS:1,520 COSTS(000):$0
Petition Format for Requesting Relief under U.S. Antidumping
Duty Law
FORMS: ITA-357P
OMB NO: 0625-0109 EXPIRATION DATE: 10/31/2001
RESPS:150 HOURS:11,881 COSTS(000):$0
Annual Report for Foreign Trade Zones
FORMS: ITA-359P
OMB NO: 0625-0118 EXPIRATION DATE: 10/31/2001
RESPS:4,560 HOURS:304 COSTS(000):$0
Information on Articles for Physically or Mentally Handicapped
Persons Imported Free of Duty
FORMS: ITA-362P
OMB NO: 0625-0120 EXPIRATION DATE: 03/31/2002
RESPS:9,500 HOURS:4,750 COSTS(000):$0
Export Trading Companies Contact Facilitation Service
FORMS: ITA-4094P
OMB NO: 0625-0125 EXPIRATION DATE: 01/31/2002
RESPS:30 HOURS:960 COSTS(000):$0
Application for an Export Trade Certificate of Review
FORMS: ITA-4093P
OMB NO: 0625-0130 EXPIRATION DATE: 01/31/2002
RESPS:70 HOURS:700 COSTS(000):$0
Trade Fair Certification Program: Application
FORMS: ITA-4100P
OMB NO: 0625-0134 EXPIRATION DATE: 11/30/2002
RESPS:24 HOURS:86 COSTS(000):$0
Watch Duty-Exemption and 7114 Jewelry Duty-Refund Program Forms
FORMS: ITA-340P 360P 361P
OMB NO: 0625-0139 EXPIRATION DATE: 10/31/2001
RESPS:100 HOURS:9,314 COSTS(000):$0
Foreign Trade Zone Application
FORMS: NONE
OMB NO: 0625-0143 EXPIRATION DATE: 05/31/2002
RESPS:2,675 HOURS:483 COSTS(000):$0
Information Services Order Form
FORMS: ITA-4096P
OMB NO: 0625-0147 EXPIRATION DATE: 03/31/2003
RESPS:7,500 HOURS:2,792 COSTS(000):$0
Participation Agreement and Trade Mission Application
FORMS: ITA-4008P ITA-4008P-1 ITA-4008P-A
OMB NO: 0625-0148 EXPIRATION DATE: 12/31/2003
RESPS:5 HOURS:200 COSTS(000):$0
Format for Petition Requesting Relief Under U.S. Countervailing
Duty Law
FORMS: ITA-366P
OMB NO: 0625-0151 EXPIRATION DATE: 12/31/2003
RESPS:5,510 HOURS:1,060 COSTS(000):$0
International Buyer Program: Application and Exhibitor Data
FORMS: 4014P 4102P
OMB NO: 0625-0200 EXPIRATION DATE: 11/30/2002
RESPS:1 HOURS:15 COSTS(000):$0
Antidumping and Countervailing Duties, Procedures for Initiation
of Downstream Product Monitoring
FORMS: ITA-4119P
OMB NO: 0625-0211 EXPIRATION DATE: 05/31/2002
RESPS:384 HOURS:1,152 COSTS(000):$0
U.S.-Japan Semiconductor Agreement Data Collection Program Report
FORMS: ITA-4115P
OMB NO: 0625-0215 EXPIRATION DATE: 01/31/2002
RESPS:60 HOURS:60 COSTS(000):$0
Certified Trade Mission: Application for Status
FORMS: ITA-4127P
OMB NO: 0625-0217 EXPIRATION DATE: 05/31/2002
RESPS:22,356 HOURS:3,560 COSTS(000):$0
User Satisfaction Surveys
FORMS: ITA-4107P ITA-4110P
OMB NO: 0625-0220 EXPIRATION DATE: 01/31/2002
RESPS:430 HOURS:205 COSTS(000):$0
Advocacy Questionnaire
FORMS: ITA-4133P
OMB NO: 0625-0224 EXPIRATION DATE: 09/30/2001
RESPS:450 HOURS:1,050 COSTS(000):$0
American Management and Business Internship Training (AMBIT)
Program: Applications
FORMS: NONE
OMB NO: 0625-0225 EXPIRATION DATE: 09/30/2001
RESPS:1,300 HOURS:2,137 COSTS(000):$0
SABIT: Applications and Questionnaires
FORMS: NONE
OMB NO: 0625-0227 EXPIRATION DATE: 03/31/2002
RESPS:1 HOURS:24,840 COSTS(000):$0
Survey of International Air Travelers
FORMS: NONE
OMB NO: 0625-0228 EXPIRATION DATE: 12/31/2003
RESPS:200 HOURS:100 COSTS(000):$0
Application for Designation of a Fair
FORMS: 4135P
OMB NO: 0625-0231 EXPIRATION DATE: 06/30/2001
RESPS:200 HOURS:33 COSTS(000):$0
BISNIS FinanceLink
FORMS: NONE
OMB NO: 0625-0232 EXPIRATION DATE: 09/30/2003
RESPS:2,000 HOURS:350 COSTS(000):$0
Internet Export Finance Matchmaker
FORMS: NONE
OMB NO: 0625-0236 EXPIRATION DATE: 11/30/2002
RESPS:2,040 HOURS:170 COSTS(000):$0
BISNIS Publication Subscription Form
FORMS: N/A
OMB NO: 0625-0237 EXPIRATION DATE: 11/30/2002
RESPS:5,750 HOURS:667 COSTS(000):$0
Export Assistance Center Internet Website Form
FORMS: N/A
OMB NO: 0625-0238 EXPIRATION DATE: 08/31/2003
RESPS:50 HOURS:100 COSTS(000):$0
U.S. Government Trade Information Request
FORMS: ITA-4136P
OMB NO: 0625-0239 EXPIRATION DATE: 02/28/2001
RESPS:1,500 HOURS:550 COSTS(000):$0
Information for Certification Under FAQ 6 of the Safe Harbor
Privacy Principles
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
36 78,424 76,553 $0
Minority Business Development Agency
OMB NO: 0640-0002 EXPIRATION DATE: 08/31/2002
RESPS:40,046 HOURS:10,046 COSTS(000):$0
Online Performance (Formerly On Line Business Development Report
(OLBDR), the On Line Phoenix (Formerly Automated Business
Enterprise Locator System (ABELS), and the On Line Opportunity
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
1 40,046 10,046 $0
United States Travel and Tourism Administration
No active collections for this subagency
National Oceanic and Atmospheric Administration
OMB NO: 0648-0007 EXPIRATION DATE: 05/31/2001
RESPS:100 HOURS:50 COSTS(000):$0
Coast Pilot Report Form
FORMS: NOAA-77-6
OMB NO: 0648-0009 EXPIRATION DATE: 08/31/2001
RESPS:1,250 HOURS:104 COSTS(000):$0
Billfish Tagging Report
FORMS: NOAA-88-162
OMB NO: 0648-0012 EXPIRATION DATE: 01/31/2002
RESPS:1,080 HOURS:8,920 COSTS(000):$1
Fisheries Finance Program Requirements
FORMS: NOAA-FORM-88-1
OMB NO: 0648-0013 EXPIRATION DATE: 08/31/2001
RESPS:24,607 HOURS:4,537 COSTS(000):$2
Southeast Region Dealer and Interview Family of Forms
FORMS: NONE
OMB NO: 0648-0015 EXPIRATION DATE: 10/31/2001
RESPS:1,320 HOURS:176 COSTS(000):$0
Monthly Cold Storage Report
FORMS: 88-16
OMB NO: 0648-0016 EXPIRATION DATE: 12/31/2003
RESPS:54,776 HOURS:10,639 COSTS(000):$0
Southeast Region Logbook Family of Forms
FORMS: NONE
OMB NO: 0648-0018 EXPIRATION DATE: 10/31/2001
RESPS:1,340 HOURS:650 COSTS(000):$0
Processed Products Family of Forms
FORMS: 88-13 88-13C
OMB NO: 0648-0020 EXPIRATION DATE: 08/31/2001
RESPS:750 HOURS:63 COSTS(000):$0
Pacific Billfish Angler Survey
FORMS: NOAA-88-10
OMB NO: 0648-0021 EXPIRATION DATE: 05/31/2001
RESPS:1,600 HOURS:213 COSTS(000):$0
Small-Craft Facility Questionnaire
FORMS: NOAA-FORM-77-1
OMB NO: 0648-0022 EXPIRATION DATE: 10/31/2001
RESPS:15,000 HOURS:45,000 COSTS(000):$0
Cooperative Charting Program
FORMS: 77-4 77-5
OMB NO: 0648-0025 EXPIRATION DATE: 10/31/2001
RESPS:80 HOURS:240 COSTS(000):$0
Weather Modification Activities Reports
FORMS: 17-4 17-4A 17-4B
OMB NO: 0648-0040 EXPIRATION DATE: 01/31/2001
RESPS:935 HOURS:315 COSTS(000):$0
Bluefin Tuna Statistical Document
FORMS: NONE
OMB NO: 0648-0041 EXPIRATION DATE: 05/31/2003
RESPS:5,000 HOURS:1,650 COSTS(000):$27
Capital Construction Fund - Deposit/Withdrawal Report
FORMS: 38-42
OMB NO: 0648-0052 EXPIRATION DATE: 10/31/2001
RESPS:626,996 HOURS:27,207 COSTS(000):$0
Marine Recreational Fishery Statistics Survey
FORMS: NONE
OMB NO: 0648-0078 EXPIRATION DATE: 08/31/2001
RESPS:42 HOURS:41 COSTS(000):$0
Certificate of Exemption Renewal
FORMS: NONE
OMB NO: 0648-0079 EXPIRATION DATE: 08/31/2001
RESPS:300 HOURS:150 COSTS(000):$0
Subsequent Purchaser Reports
FORMS: NONE
OMB NO: 0648-0082 EXPIRATION DATE: 10/31/2001
RESPS:400 HOURS:2,017 COSTS(000):$0
Fishermen's Contingency Fund
FORMS: 88-164 88-166
OMB NO: 0648-0083 EXPIRATION DATE: 03/31/2001
RESPS:25 HOURS:6 COSTS(000):$0
Marine Mammal Certificate of Inclusion
FORMS: NONE
OMB NO: 0648-0084 EXPIRATION DATE: 07/31/2003
RESPS:591 HOURS:6,165 COSTS(000):$1
Scientific Research, Public Display, and Enhancement Permits
Under the Marine Mammal Protection Act, the Fur Seal Act, and
the Endangered species Act
FORMS: NONE
OMB NO: 0648-0089 EXPIRATION DATE: 10/31/2001
RESPS:50 HOURS:50 COSTS(000):$0
Foreign Fishing Vessel Permit Applications
FORMS: NONE
OMB NO: 0648-0090 EXPIRATION DATE: 03/31/2001
RESPS:1,000 HOURS:2,250 COSTS(000):$0
Interim Capital Construction Fund Agreement and Certificate
(Family of Forms)
FORMS: NOAA-88-14
OMB NO: 0648-0119 EXPIRATION DATE: 08/31/2001
RESPS:238 HOURS:6,598 COSTS(000):$0
Coastal Zone Management Program Administration
FORMS: NONE
OMB NO: 0648-0121 EXPIRATION DATE: 01/31/2001
RESPS:43 HOURS:14,345 COSTS(000):$0
Management and Oversight of the National Estuarine Research
Reserve System
FORMS: NONE
OMB NO: 0648-0135 EXPIRATION DATE: 09/30/2001
RESPS:310 HOURS:985 COSTS(000):$0
Saltonstall-Kennedy Grant Program (S-K Program) Application and
Reports
FORMS: NONE
OMB NO: 0648-0141 EXPIRATION DATE: 10/31/2001
RESPS:1,113 HOURS:877 COSTS(000):$0
National Marine Sanctuary Permits
FORMS: NONE
OMB NO: 0648-0145 EXPIRATION DATE: 05/31/2002
RESPS:2 HOURS:40 COSTS(000):$0
Deep Seabed Mining Regulations for Exploration Licenses
FORMS: NONE
OMB NO: 0648-0148 EXPIRATION DATE: 09/30/2001
RESPS:1,380 HOURS:138 COSTS(000):$0
Pacific Tuna Fisheries
FORMS: NONE
OMB NO: 0648-0157 EXPIRATION DATE: 01/31/2001
RESPS:99 HOURS:72 COSTS(000):$0
NOAA Space-Based Data Collection System (DCS) Agreements
FORMS: NONE
OMB NO: 0648-0174 EXPIRATION DATE: 01/31/2001
RESPS:67 HOURS:314 COSTS(000):$1
Licensing of Private Land Remote-Sensing Space Systems
FORMS: NONE
OMB NO: 0648-0175 EXPIRATION DATE: 09/30/2001
RESPS:105 HOURS:285 COSTS(000):$0
Marine Fisheries Initiative (MARFIN)
FORMS: NONE
OMB NO: 0648-0179 EXPIRATION DATE: 09/30/2001
RESPS:77 HOURS:154 COSTS(000):$0
Applications and Reports for Registration as a Tanner or Agent
FORMS: NONE
OMB NO: 0648-0192 EXPIRATION DATE: 10/31/2001
RESPS:203 HOURS:118 COSTS(000):$0
Statement of Financial Interests, Regional Fishery Management
Councils
FORMS: NOAA-FORM88-195
OMB NO: 0648-0194 EXPIRATION DATE: 01/31/2001
RESPS:491 HOURS:100 COSTS(000):$1
Antarctic Marine Living Resources Conservation and Management
Measures
FORMS: NONE
OMB NO: 0648-0203 EXPIRATION DATE: 06/30/2003
RESPS:2,610 HOURS:605 COSTS(000):$26
Northwest Region Federal Fisheries Permits
FORMS: NONE
OMB NO: 0648-0204 EXPIRATION DATE: 09/30/2003
RESPS:433 HOURS:245 COSTS(000):$0
Southwest Region Permit Family of Forms
FORMS: NONE
OMB NO: 0648-0205 EXPIRATION DATE: 12/31/2003
RESPS:8,626 HOURS:1,583 COSTS(000):$385
Southeast Region Federal Fisheries Permit Family of Forms
FORMS: NONE
OMB NO: 0648-0206 EXPIRATION DATE: 09/30/2003
RESPS:941 HOURS:483 COSTS(000):$1
Alaska Region Permit Family of Forms
FORMS: NONE
OMB NO: 0648-0212 EXPIRATION DATE: 08/31/2001
RESPS:80,288 HOURS:6,451 COSTS(000):$30
Northeast Region Logbook Family of Forms
FORMS: NONE
OMB NO: 0648-0213 EXPIRATION DATE: 05/31/2002
RESPS:115,852 HOURS:48,507 COSTS(000):$224
Alaska Region Logbook Family of Forms
FORMS: NONE
OMB NO: 0648-0214 EXPIRATION DATE: 09/30/2003
RESPS:1,030,592 HOURS:2,314 COSTS(000):$3
Southwest Region Logbook Family of Forms
FORMS: NONE
OMB NO: 0648-0216 EXPIRATION DATE: 08/31/2001
RESPS:400 HOURS:43 COSTS(000):$0
Billfish Certificate of Eligibility
FORMS: NONE
OMB NO: 0648-0218 EXPIRATION DATE: 05/31/2001
RESPS:384 HOURS:248 COSTS(000):$0
South Pacific Tuna Act
FORMS: NONE
OMB NO: 0648-0223 EXPIRATION DATE: 08/31/2001
RESPS:200 HOURS:200 COSTS(000):$0
Pacific Albacor Logbook
FORMS: NONE
OMB NO: 0648-0227 EXPIRATION DATE: 10/31/2001
RESPS:300 HOURS:50 COSTS(000):$0
NOAA Satellite Ground Station Customer Questionnaire
FORMS: NONE
OMB NO: 0648-0228 EXPIRATION DATE: 08/31/2001
RESPS:150 HOURS:75 COSTS(000):$0
U.S. Fishermen Fishing in Russian Waters
FORMS: NONE
OMB NO: 0648-0229 EXPIRATION DATE: 10/31/2001
RESPS:67,110 HOURS:3,520 COSTS(000):$0
Northeast Region Dealer Purchase Reports
FORMS: NONE
OMB NO: 0648-0230 EXPIRATION DATE: 10/31/2001
RESPS:26 HOURS:1,068 COSTS(000):$0
Permits for Incidental Taking of Endangered or Threatened Species
FORMS: NONE
OMB NO: 0648-0235 EXPIRATION DATE: 10/31/2001
RESPS:54 HOURS:10 COSTS(000):$0
Survey of Intent and Capacity to Process Fish and Shellfish
FORMS: NONE
OMB NO: 0648-0238 EXPIRATION DATE: 10/31/2001
RESPS:618 HOURS:52 COSTS(000):$0
Surf Clam/Ocean Quahog Transfer Log
FORMS: NONE
OMB NO: 0648-0239 EXPIRATION DATE: 11/30/2002
RESPS:12,150 HOURS:433 COSTS(000):$1
Bluefin Tuna Dealer Reporting Package
FORMS: FORM-88-144
OMB NO: 0648-0240 EXPIRATION DATE: 10/31/2001
RESPS:24 HOURS:2 COSTS(000):$0
Application to Shuck Surf Clams/Ocean Quahogs at Sea
FORMS: NONE
OMB NO: 0648-0242 EXPIRATION DATE: 09/30/2001
RESPS:5 HOURS:5 COSTS(000):$0
Involuntary Child and Spousal Support Allotments of NOAA Corps
Officers
FORMS: NONE
OMB NO: 0648-0243 EXPIRATION DATE: 10/31/2001
RESPS:120 HOURS:10 COSTS(000):$0
Survey of Intent and Capacity to Harvest and Process Fish and
Shellfish (Northwest Region)
FORMS: NONE
OMB NO: 0648-0247 EXPIRATION DATE: 10/31/2001
RESPS:12,000 HOURS:360 COSTS(000):$0
Cooperative Game Fish Tagging Report
FORMS: FORM-88-162
OMB NO: 0648-0259 EXPIRATION DATE: 05/31/2001
RESPS:240 HOURS:8 COSTS(000):$0
Tag Recapture Card
FORMS: NONE
OMB NO: 0648-0262 EXPIRATION DATE: 12/31/2003
RESPS:4 HOURS:1 COSTS(000):$0
Informaiton for Share Transfer in Wreckfish Fishery
FORMS: NONE
OMB NO: 0648-0266 EXPIRATION DATE: 01/31/2002
RESPS:7,082 HOURS:13,065 COSTS(000):$0
Seafood Inspection and Certification Requirements
FORMS: FORMS-89-800 89-814 89-819
OMB NO: 0648-0269 EXPIRATION DATE: 09/30/2001
RESPS:8,636 HOURS:3,526 COSTS(000):$1
Western Alaska Community Development Quota (CDQ) Program
FORMS: NONE
OMB NO: 0648-0271 EXPIRATION DATE: 08/31/2003
RESPS:6,836 HOURS:1,705 COSTS(000):$10
Northwest Region Logbook Family of Forms
FORMS: NONE
OMB NO: 0648-0272 EXPIRATION DATE: 10/31/2001
RESPS:81,010 HOURS:22,775 COSTS(000):$126
Individual Fishing Quotas for Pacific Halibut and Sablefish in
the Alaska Fisheries
FORMS: NONE
OMB NO: 0648-0276 EXPIRATION DATE: 06/30/2003
RESPS:4,320 HOURS:346 COSTS(000):$0
Groundfish Tagging Program
FORMS: NONE
OMB NO: 0648-0283 EXPIRATION DATE: 02/28/2001
RESPS:420 HOURS:309 COSTS(000):$0
NOAA's Teacher At Sea Program
FORMS: NONE
OMB NO: 0648-0292 EXPIRATION DATE: 08/31/2003
RESPS:10,000 HOURS:1,500 COSTS(000):$0
Reporting Requirements for Commercial Fisheries Authorization
under Section 118 of the Marine Mammal Protection Act
FORMS: NONE
OMB NO: 0648-0293 EXPIRATION DATE: 08/31/2003
RESPS:4,000 HOURS:620 COSTS(000):$101
Application for Commercial Fisheries Authorization under Section
118 of the Marine Mammal Protection Act
FORMS: NONE
OMB NO: 0648-0295 EXPIRATION DATE: 10/31/2001
RESPS:10,000 HOURS:2,500 COSTS(000):$3
Emergency Beacon Registrations
FORMS: NONE
OMB NO: 0648-0302 EXPIRATION DATE: 10/31/2001
RESPS:100 HOURS:100 COSTS(000):$0
Request for Restoration Idea, New Bedford Harbor
FORMS: NONE
OMB NO: 0648-0304 EXPIRATION DATE: 10/31/2001
RESPS:200 HOURS:100 COSTS(000):$10
High Seas Fishing Permit Application Information
FORMS: NONE
OMB NO: 0648-0307 EXPIRATION DATE: 05/31/2001
RESPS:826 HOURS:9,488 COSTS(000):$1,409
Vessel Monitoring and Communications Requirements
FORMS: NONE
OMB NO: 0648-0308 EXPIRATION DATE: 05/31/2002
RESPS:53 HOURS:27 COSTS(000):$0
Coastal Services Center Coastal Resource Management Customer
Survey
FORMS: NONE
OMB NO: 0648-0309 EXPIRATION DATE: 03/31/2002
RESPS:1,449 HOURS:435 COSTS(000):$5
Scientific Research, Exempted Fishing, and Exempted Activity
Submissions
FORMS: NONE
OMB NO: 0648-0310 EXPIRATION DATE: 03/31/2003
RESPS:1,062 HOURS:770 COSTS(000):$0
The GLOBE Program
FORMS: NONE
OMB NO: 0648-0311 EXPIRATION DATE: 11/30/2002
RESPS:80 HOURS:49 COSTS(000):$0
Report of Whaling Operations
FORMS: NONE
OMB NO: 0648-0314 EXPIRATION DATE: 05/31/2003
RESPS:54 HOURS:4,695 COSTS(000):$0
Designation of Fishery Management Council Members and
Application for Reinstatement of State Authority
FORMS: NONE
OMB NO: 0648-0316 EXPIRATION DATE: 05/31/2001
RESPS:105 HOURS:895 COSTS(000):$0
Prohibited Species Donation Program (PSD Program)
FORMS: NONE
OMB NO: 0648-0318 EXPIRATION DATE: 01/31/2003
RESPS:7,309 HOURS:2,106 COSTS(000):$63
Requirements for Certified Observer Contractors of the North
Pacific
FORMS: NONE
OMB NO: 0648-0323 EXPIRATION DATE: 05/31/2003
RESPS:600 HOURS:110 COSTS(000):$0
Highly Migratory Species Tournament Reporting
FORMS: NONE
OMB NO: 0648-0327 EXPIRATION DATE: 08/31/2003
RESPS:25,000 HOURS:4,700 COSTS(000):$628
Atlantic Highly Migratory Species Vessel Permits
FORMS: NONE
OMB NO: 0648-0328 EXPIRATION DATE: 08/31/2003
RESPS:8,697 HOURS:955 COSTS(000):$0
Atlantic Bluefin Tuna Mandatory Catch Reporting
FORMS: NONE
OMB NO: 0648-0334 EXPIRATION DATE: 07/31/2002
RESPS:1,553 HOURS:3,451 COSTS(000):$3
Alaska License Limitation Application and Transfer Forms
FORMS: NONE
OMB NO: 0648-0338 EXPIRATION DATE: 08/31/2001
RESPS:23 HOURS:14 COSTS(000):$0
Recovery and Implantation of Archival Tags
FORMS: NONE
OMB NO: 0648-0342 EXPIRATION DATE: 06/30/2001
RESPS:13,939 HOURS:905 COSTS(000):$0
NOAA Customer Surveys
FORMS: NONE
OMB NO: 0648-0345 EXPIRATION DATE: 08/31/2001
RESPS:4,581 HOURS:5,679 COSTS(000):$338
Southeast Region Bycatch Reduction Device Certification Family
of Forms
FORMS: NONE
OMB NO: 0648-0346 EXPIRATION DATE: 08/31/2001
RESPS:20 HOURS:20 COSTS(000):$0
List of Gear by Fisheries and Fishery Management Councils
FORMS: NONE
OMB NO: 0648-0348 EXPIRATION DATE: 09/30/2001
RESPS:50 HOURS:37 COSTS(000):$1
High Seas Fishing Vessel Identification Requirements
FORMS: NONE
OMB NO: 0648-0349 EXPIRATION DATE: 09/30/2001
RESPS:6,600 HOURS:725 COSTS(000):$1
High Seas Fishing Vessel Reporting Requirements
FORMS: NONE
OMB NO: 0648-0350 EXPIRATION DATE: 10/31/2001
RESPS:5,732 HOURS:4,299 COSTS(000):$57
Northeast Region Vessel Identification
FORMS: NONE
OMB NO: 0648-0351 EXPIRATION DATE: 10/31/2001
RESPS:1,950,283 HOURS:32,664 COSTS(000):$32
Northeast Region Gear Identification Requirements
FORMS: NONE
OMB NO: 0648-0352 EXPIRATION DATE: 10/31/2001
RESPS:20,552 HOURS:5,138 COSTS(000):$5
Northwest Regional Gear Identification Requirements
FORMS: NONE
OMB NO: 0648-0353 EXPIRATION DATE: 10/31/2001
RESPS:13,800 HOURS:3,450 COSTS(000):$4
Alaska Region Gear Identification Requirements
FORMS: NONE
OMB NO: 0648-0354 EXPIRATION DATE: 10/31/2001
RESPS:1 HOURS:1 COSTS(000):$0
Foreign Fishing Gear Identification Requirements
FORMS: NONE
OMB NO: 0648-0355 EXPIRATION DATE: 10/31/2001
RESPS:1,835 HOURS:1,376 COSTS(000):$18
Northwest Region Vessel Identification Requirements
FORMS: NONE
OMB NO: 0648-0356 EXPIRATION DATE: 10/31/2001
RESPS:20 HOURS:15 COSTS(000):$4
Foreign Fishing Vessel Identification Requirements
FORMS: NONE
OMB NO: 0648-0357 EXPIRATION DATE: 10/31/2001
RESPS:1,267 HOURS:22 COSTS(000):$1
Gear-Marking Requirements for the Harbor Porpoise Take Reduction
FORMS: NONE
OMB NO: 0648-0358 EXPIRATION DATE: 10/31/2001
RESPS:7,000 HOURS:5,250 COSTS(000):$210
Southeast Region Vessel Identification Requirements
FORMS: NONE
OMB NO: 0648-0359 EXPIRATION DATE: 10/31/2001
RESPS:112,700 HOURS:2,192 COSTS(000):$15
Southeast Region Gear Identification Requirements
FORMS: NONE
OMB NO: 0648-0360 EXPIRATION DATE: 10/31/2001
RESPS:42,600 HOURS:1,420 COSTS(000):$23
Southwest Region Gear Identification Requirements
FORMS: NONE
OMB NO: 0648-0361 EXPIRATION DATE: 10/31/2001
RESPS:436 HOURS:286 COSTS(000):$7
Southwest Region Vessel Identification Requirements
FORMS: NONE
OMB NO: 0648-0362 EXPIRATION DATE: 10/31/2001
RESPS:1,611 HOURS:580 COSTS(000):$0
Sea Grant Program Applications Requirements for Grants, for John
A. Knauss Marine Policy Fellowships and for Designatio as a Sea
Grant College or Regional Consortia
FORMS: NOAA-90-4 NOAA-90-1
OMB NO: 0648-0363 EXPIRATION DATE: 12/31/2001
RESPS:6,500 HOURS:6,500 COSTS(000):$0
Swordfish Import Certificate of Eligibility
FORMS: NONE
OMB NO: 0648-0364 EXPIRATION DATE: 01/31/2002
RESPS:5,040 HOURS:4,206 COSTS(000):$25
Gear-Marking Requirement for Atlantic Large Whale Take Reduction
Plan
FORMS: NONE
OMB NO: 0648-0365 EXPIRATION DATE: 01/31/2002
RESPS:100 HOURS:50 COSTS(000):$0
Documentation of Fish Harvest
FORMS: NONE
OMB NO: 0648-0367 EXPIRATION DATE: 01/31/2002
RESPS:1 HOURS:10 COSTS(000):$3
Gear-Marking Requirements in Antarctic Fisheries
FORMS: NONE
OMB NO: 0648-0368 EXPIRATION DATE: 02/28/2002
RESPS:1 HOURS:1 COSTS(000):$0
Vessel-Marking Requirements in Antarctic Fisheries
FORMS: NONE
OMB NO: 0648-0369 EXPIRATION DATE: 04/30/2002
RESPS:1,471 HOURS:2,675 COSTS(000):$0
Economic Performance Data for the West Coast (California-Alaska)
Commercial Fisheries
FORMS: NONE
OMB NO: 0648-0371 EXPIRATION DATE: 03/31/2002
RESPS:58,585 HOURS:9,481 COSTS(000):$29
Highly Migratory Species Logbooks
FORMS: NONE
OMB NO: 0648-0372 EXPIRATION DATE: 03/31/2002
RESPS:113,836 HOURS:1,043 COSTS(000):$2,368
Vessel Monitoring System for Atlantic Highly Migratory Species
FORMS: NONE
OMB NO: 0648-0373 EXPIRATION DATE: 03/31/2002
RESPS:12,521 HOURS:6,828 COSTS(000):$148
Highly Migratory Species Vessel and Gear Marking
FORMS: NONE
OMB NO: 0648-0374 EXPIRATION DATE: 03/31/2002
RESPS:9,050 HOURS:299 COSTS(000):$5
Highly Migratory Species Observer Notification Requirements
FORMS: NONE
OMB NO: 0648-0375 EXPIRATION DATE: 05/31/2002
RESPS:23,811 HOURS:1,541 COSTS(000):$5
Northeast Region Monkfish Reporting Requirements
FORMS: NONE
OMB NO: 0648-0376 EXPIRATION DATE: 05/31/2002
RESPS:8,505 HOURS:37,110 COSTS(000):$6
Fisheries Capacity Reduction Program Buyback Requests
FORMS: NONE
OMB NO: 0648-0378 EXPIRATION DATE: 07/31/2002
RESPS:14 HOURS:14 COSTS(000):$0
Operator Permits in the Surf Clam and Ocean Quahog Fishery
FORMS: NONE
OMB NO: 0648-0380 EXPIRATION DATE: 03/31/2003
RESPS:64,900 HOURS:5,032 COSTS(000):$0
Large Pelagic Fishing Survey
FORMS: NONE
OMB NO: 0648-0381 EXPIRATION DATE: 06/30/2002
RESPS:200 HOURS:67 COSTS(000):$0
Effectiveness Review of the Coastal Services Center's Coastal
Change Analysis Program
FORMS: NONE
OMB NO: 0648-0382 EXPIRATION DATE: 10/31/2002
RESPS:20 HOURS:5 COSTS(000):$0
Beluga Whale Harvest Report
FORMS: NONE
OMB NO: 0648-0384 EXPIRATION DATE: 08/31/2002
RESPS:1,000 HOURS:1,100 COSTS(000):$0
NOAA Coastal Ocean Program Grants Proposal Application Package
FORMS: NONE
OMB NO: 0648-0387 EXPIRATION DATE: 08/31/2002
RESPS:1,049 HOURS:264 COSTS(000):$5
International Dolphin Conservation Program
FORMS: NONE
OMB NO: 0648-0388 EXPIRATION DATE: 10/31/2002
RESPS:1,442 HOURS:740 COSTS(000):$3
Bluefish-Permit Family of Forms, Processed Products Report,
Vessel Identification
FORMS: NONE
OMB NO: 0648-0389 EXPIRATION DATE: 10/31/2002
RESPS:2,988 HOURS:249 COSTS(000):$1
Bluefish Logbooks
FORMS: NONE
OMB NO: 0648-0390 EXPIRATION DATE: 10/31/2002
RESPS:10,088 HOURS:504 COSTS(000):$2
Bluefish Dealer Reporting
FORMS: NONE
OMB NO: 0648-0391 EXPIRATION DATE: 11/30/2002
RESPS:2,072 HOURS:46 COSTS(000):$0
Northeast Small Mesh Multispecies Requirements
FORMS: NONE
OMB NO: 0648-0392 EXPIRATION DATE: 11/30/2002
RESPS:3,010 HOURS:251 COSTS(000):$0
Monitoring of Fish Trap Fishing in the Gulf of Mexico
FORMS: NONE
OMB NO: 0648-0393 EXPIRATION DATE: 09/30/2003
RESPS:141 HOURS:83 COSTS(000):$1
American Fisheries Act: Vessel and Processor Permit Applications
FORMS: NONE
OMB NO: 0648-0397 EXPIRATION DATE: 03/31/2003
RESPS:75 HOURS:75 COSTS(000):$0
Application Form for Membership on a National Marine Sanctuary
Advisory Council
FORMS: NONE
OMB NO: 0648-0398 EXPIRATION DATE: 03/31/2003
RESPS:4,425 HOURS:8,400 COSTS(000):$17
Alaska Individual Fishing Quota Cost Recovery Program
Requirements
FORMS: NONE
OMB NO: 0648-0399 EXPIRATION DATE: 03/31/2003
RESPS:184 HOURS:2,180 COSTS(000):$3
Limits on Application of Take Prohibitions - Threatened Salmonids
FORMS: NONE
OMB NO: 0648-0400 EXPIRATION DATE: 06/30/2003
RESPS:2,847 HOURS:793 COSTS(000):$0
Commercial Harvesters and Recreational Party and Charter Boat
Socio-cultural and Economic Data Collection Pilot Study
FORMS: NONE
OMB NO: 0648-0401 EXPIRATION DATE: 12/31/2003
RESPS:1,365 HOURS:888 COSTS(000):$0
American Fisheries Act: Recordkeeping and Reporting Requirements
FORMS: NONE
OMB NO: 0648-0402 EXPIRATION DATE: 06/30/2002
RESPS:240 HOURS:4,400 COSTS(000):$0
Application Instruction for a Permit for Scientific Purposes or
to Enhance the Propagation or Survival of Threatened or
Endangered Species
FORMS: NONE
OMB NO: 0648-0403 EXPIRATION DATE: 06/30/2003
RESPS:180 HOURS:68 COSTS(000):$1
Northeast Region Herring Permits
FORMS: NONE
OMB NO: 0648-0404 EXPIRATION DATE: 06/30/2003
RESPS:114,060 HOURS:185 COSTS(000):$67
Northeast Region Vessel Monitoring and Communications
FORMS: NONE
OMB NO: 0648-0405 EXPIRATION DATE: 06/30/2003
RESPS:50 HOURS:25 COSTS(000):$1
Atlantic Herring Processed Products Report
FORMS: NONE
OMB NO: 0648-0406 EXPIRATION DATE: 06/30/2003
RESPS:2,600 HOURS:87 COSTS(000):$3
Northeast Region Herring Dealer Landing Reports
FORMS: NONE
OMB NO: 0648-0407 EXPIRATION DATE: 06/30/2003
RESPS:2,653 HOURS:176 COSTS(000):$1
Atlantic Herring Vessel Trip Reports
FORMS: NONE
OMB NO: 0648-0408 EXPIRATION DATE: 06/30/2003
RESPS:665 HOURS:1,330 COSTS(000):$0
National Marine Sanctuaries - Socioeconomic Impacts of Marine
Reserves
FORMS: NONE
OMB NO: 0648-0409 EXPIRATION DATE: 07/31/2003
RESPS:988 HOURS:725 COSTS(000):$0
Socioeconomic Monitoring Program for the Florida Keys National
Marine Sanctuary
FORMS: NONE
OMB NO: 0648-0410 EXPIRATION DATE: 07/31/2003
RESPS:10,600 HOURS:2,733 COSTS(000):$0
South Florida Artificial and Natural Reefs - Economic Valuation
Study
FORMS: NONE
OMB NO: 0648-0411 EXPIRATION DATE: 07/31/2003
RESPS:4,111 HOURS:20,331 COSTS(000):$8,000
Paperwork Submissions Under the Coastal Zone Management Act
Federal Consistency Requirements
FORMS: NONE
OMB NO: 0648-0412 EXPIRATION DATE: 06/30/2003
RESPS:528 HOURS:18 COSTS(000):$0
Multispecies Pary/Charterboat Closed Area Exemption Certificate
FORMS: NONE
OMB NO: 0648-0413 EXPIRATION DATE: 01/31/2001
RESPS:800 HOURS:3,200 COSTS(000):$0
Fisheries Capacity Reduction Program Advanced Referenda and
Other Requirements
FORMS: NONE
OMB NO: 0648-0416 EXPIRATION DATE: 12/31/2003
RESPS:272,100 HOURS:2,950 COSTS(000):$195
Northeast Region Sea Scallop Exemption Requirements
FORMS: NONE
OMB NO: 0648-0417 EXPIRATION DATE: 08/31/2003
RESPS:18,144 HOURS:145 COSTS(000):$13
Atka Mackerel Fishery Vessel Monitoring System (VMS) Report
FORMS: NONE
OMB NO: 0648-0418 EXPIRATION DATE: 08/31/2003
RESPS:302 HOURS:24 COSTS(000):$0
Tortugas Access Permits
FORMS: NONE
OMB NO: 0648-0419 EXPIRATION DATE: 01/31/2001
RESPS:40 HOURS:40 COSTS(000):$0
StormReady Application Form
FORMS: NONE
OMB NO: 0648-0420 EXPIRATION DATE: 07/31/2003
RESPS:14 HOURS:31 COSTS(000):$0
Alaska Scallop License Limitation Program Application and
Transfer Forms
FORMS: NONE
OMB NO: 0648-0422 EXPIRATION DATE: 01/31/2001
RESPS:6,912 HOURS:230 COSTS(000):$0
Northeast Region Raised Footrope Trawl Exempted Fishery
FORMS: NONE
OMB NO: 0648-0423 EXPIRATION DATE: 12/31/2003
RESPS:41,410 HOURS:3,451 COSTS(000):$0
An Observer Program for Catcher Vessels in the Pacific Coast
Groundfish Fishery
FORMS: NONE
OMB NO: 0648-0426 EXPIRATION DATE: 06/30/2001
RESPS:1,520 HOURS:887 COSTS(000):$0
Shoreside Processor Electronic Logbook Reports for the Alaska
Bering Sea/Aleutian Islands Pollock and Pacific Cod Fisheries
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
147 5,250,097 470,513 $14,680
Patent and Trademark Office
OMB NO: 0651-0009 EXPIRATION DATE: 08/31/2001
RESPS:520,271 HOURS:113,345 COSTS(000):$35,443
Trademark Processing
FORMS: PTO-1478 PTO-1478(A) PTO-4.8 PTO-4.9 PTO-1553 PTO-1581
PTO-205/209 PTO-4.13A PTO-205/4.13A PTO-205/209
OMB NO: 0651-0012 EXPIRATION DATE: 12/31/2002
RESPS:8,100 HOURS:3,557 COSTS(000):$0
Admittance To Practice and Roster of Registered Patent Attorneys
and Agents Admitted To Practice Before the Patent and Trademark
Office
FORMS: PTO-158 PTO-158A PTO-275 PTO-107A
OMB NO: 0651-0016 EXPIRATION DATE: 12/31/2002
RESPS:326,101 HOURS:26,099 COSTS(000):$0
Rules for Patent Maintenance Fees
FORMS: PTO/SB/45/47/ 65/66
OMB NO: 0651-0017 EXPIRATION DATE: 07/31/2003
RESPS:330 HOURS:2,270 COSTS(000):$0
Practitioner records maintenance and disclosure before the
patent and trademark office
FORMS: NONE
OMB NO: 0651-0020 EXPIRATION DATE: 09/30/2001
RESPS:26,857 HOURS:30,902 COSTS(000):$0
Patent Term Extension
FORMS: NONE
OMB NO: 0651-0021 EXPIRATION DATE: 12/31/2003
RESPS:439,554 HOURS:595,060 COSTS(000):$0
Patent Cooperation Treaty
FORMS: RO/101/134/144 PTO/1382 PCT/IPEA/401 PCT/IB/328
OMB NO: 0651-0022 EXPIRATION DATE: 01/31/2001
RESPS:3,300 HOURS:3,301 COSTS(000):$1
Deposit of Biological Materials
FORMS: NONE
OMB NO: 0651-0024 EXPIRATION DATE: 08/31/2003
RESPS:5,601 HOURS:5,283 COSTS(000):$0
Requirements for Patent Applications Containing Nucelotide
Sequence and/or Amino Acid Sequence Disclosures
FORMS: NONE
OMB NO: 0651-0027 EXPIRATION DATE: 05/31/2002
RESPS:501,052 HOURS:250,526 COSTS(000):$0
Recording Assignments (Formerly Changes in Patent and Trademark
FORMS: PTO-1594 PTO-1595
OMB NO: 0651-0028 EXPIRATION DATE: 02/28/2003
RESPS:400 HOURS:68 COSTS(000):$0
Fastener Quality Act Insignia Recordal Process
FORMS: PTO-1611
OMB NO: 0651-0030 EXPIRATION DATE: 05/31/2002
RESPS:27,000 HOURS:5,400 COSTS(000):$0
Disclosure Document Program
FORMS: PTO/SB/95
OMB NO: 0651-0031 EXPIRATION DATE: 10/31/2002
RESPS:2,231,365 HOURS:1,018,736 COSTS(000):$0
Proposed Additions to Patent Processing (Updating)
FORMS: PTO\SB\08A\08B 21\22\23\24\25 26\27\31\42\43 61\61PCT\62\63
64\64PCT\67\68 91\92\96\97 PTO\SB\24\35\36
OMB NO: 0651-0032 EXPIRATION DATE: 10/31/2002
RESPS:344,100 HOURS:2,990,360 COSTS(000):$7,095
Initial/Patent Application
FORMS: PTO/SB/01/01A/ 02A/02B/02C/ 03/03A/04/05/06 07/13
PCT/17/18/19/29 29A/101/102/103 /104/105/106/ 107/108/109/110
OMB NO: 0651-0033 EXPIRATION DATE: 01/31/2001
RESPS:135,600 HOURS:43,903 COSTS(000):$0
Post Allowance
FORMS: PTO/SB/51S
OMB NO: 0651-0034 EXPIRATION DATE: 01/31/2001
RESPS:2,187 HOURS:1,476 COSTS(000):$0
Secrecy, License to Export
FORMS: NONE
OMB NO: 0651-0035 EXPIRATION DATE: 10/31/2002
RESPS:263,520 HOURS:13,386 COSTS(000):$0
Representative and Address Provisions
FORMS: PTO/SB/81/82/ 83/84/121/122/ 123/124/125
OMB NO: 0651-0036 EXPIRATION DATE: 03/31/2003
RESPS:83 HOURS:33 COSTS(000):$0
Statutory Invention Registration
FORMS: PTO-SB-94
OMB NO: 0651-0038 EXPIRATION DATE: 08/31/2002
RESPS:7,200 HOURS:2,349 COSTS(000):$0
Customer Input; Patent and Trademark Customer Surveys
FORMS: NONE
OMB NO: 0651-0040 EXPIRATION DATE: 01/31/2001
RESPS:33,834 HOURS:8,940 COSTS(000):$0
Petition to Cancel a Trademark Registration
FORMS: NONE
OMB NO: 0651-0041 EXPIRATION DATE: 05/31/2002
RESPS:6,709 HOURS:1,073 COSTS(000):$0
Public Search Room Badging
FORMS: PTO-###
OMB NO: 0651-0042 EXPIRATION DATE: 10/31/2002
RESPS:3,700 HOURS:1,850 COSTS(000):$0
Electronic Application for Patent Examiners - Job Application
Rating System (JARS)
FORMS: PTO-2041
OMB NO: 0651-0043 EXPIRATION DATE: 01/31/2003
RESPS:100,000 HOURS:20,000 COSTS(000):$0
Payment of Patent and Trademark Office Fees by Credit Card
FORMS: PTO-2038
OMB NO: 0651-0044 EXPIRATION DATE: 09/30/2003
RESPS:200 HOURS:50 COSTS(000):$0
Invention Promoters/Promotion Firms Complaints
FORMS: PTO/SB/2048
OMB NO: 0651-0045 EXPIRATION DATE: 03/31/2003
RESPS:10,000 HOURS:5,000 COSTS(000):$0
Public Key Infrastructure (PK) Certificate Action Form
FORMS: PTO-2042
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
24 4,997,064 5,142,967 $42,539
Science and Technical Research
No active collections for this subagency
National Telecommunications and Information Administration
OMB NO: 0660-0001 EXPIRATION DATE: 05/31/2003
RESPS:1,966 HOURS:7,836 COSTS(000):$0
Public Telecommunications Facilities Program Grant Monitoring
FORMS: NONE
OMB NO: 0660-0003 EXPIRATION DATE: 10/31/2003
RESPS:450 HOURS:40,250 COSTS(000):$0
Public Telecommunications Facilities Program (PTFP) Application
Form
FORMS: NONE
OMB NO: 0660-0010 EXPIRATION DATE: 02/28/2002
RESPS:130 HOURS:50 COSTS(000):$0
TIIAP Reviewer Information Form
FORMS: NONE
OMB NO: 0660-0013 EXPIRATION DATE: 05/31/2001
RESPS:206 HOURS:178 COSTS(000):$0
Grant Recipient Survey for the Telecommunications and
Information Infrastructure Assistance Program (TIIAP)
FORMS: NONE
OMB NO: 0660-0014 EXPIRATION DATE: 10/31/2001
RESPS:48,000 HOURS:6,400 COSTS(000):$0
Current Population Survey
FORMS: NONE
OMB NO: 0660-0015 EXPIRATION DATE: 12/31/2001
RESPS:45 HOURS:7,498 COSTS(000):$0
Telecommunications and Information Infrastructure Assistance
(TIIAP) Program Structured Reporting System
FORMS: NONE
OMB NO: 0660-0016 EXPIRATION DATE: 01/31/2001
RESPS:400 HOURS:400 COSTS(000):$0
Survey Instrument - 2000 Minority Broadcast Ownership Report
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
7 51,197 62,612 $0
Office of the Secretary
OMB NO: 0690-0008 EXPIRATION DATE: 03/31/2003
RESPS:200 HOURS:1,200 COSTS(000):$0
Department of Commerce: Use of DOC-Specific Ship Repair Clauses
and Other Provision in the Acquisition Process
FORMS: NONE
OMB NO: 0690-0010 EXPIRATION DATE: 01/31/2002
RESPS:30 HOURS:30 COSTS(000):$0
Revision to the Commerce Acquisition Regulation (CAR) Clause at
1352.217-109 Entitled "Insurance Requirements"
FORMS: 1352.217-109
OMB NO: 0690-0015 EXPIRATION DATE: 10/31/2001
RESPS:700 HOURS:350 COSTS(000):$0
Complaint of Employment Discrimination for the Decennial Census
and Complaint of Employment Discrimination Used by Permanent
Employees and Applicants for Employment at DOC
FORMS: 498 498A
OMB NO: 0690-0017 EXPIRATION DATE: 10/31/2002
RESPS:100 HOURS:5 COSTS(000):$0
Survey of Business Leaders Accompanying Secretary Daley on Trade
Missions
FORMS: NONE
OMB NO: 0690-0019 EXPIRATION DATE: 05/31/2001
RESPS:32,832 HOURS:32,832 COSTS(000):$0
Commerce Opportunities On-Line
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
5 33,862 34,417 $0
Bureau of Economic Analysis
OMB NO: 0691-0001 EXPIRATION DATE: 07/31/2003
RESPS:7,500 HOURS:1,875 COSTS(000):$0
BEA Customer Satisfaction Survey
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
1 7,500 1,875 $0
Technology Administration
OMB NO: 0692-0001 EXPIRATION DATE: 08/31/2003
RESPS:102 HOURS:2,550 COSTS(000):$0
National Medal of Technology Nomination Applications
FORMS: NONE
OMB NO: 0692-0006 EXPIRATION DATE: 06/30/2003
RESPS:1,900 HOURS:1,200 COSTS(000):$0
Licensing of Government-owned Inventions
FORMS: NONE
OMB NO: 0692-0007 EXPIRATION DATE: 04/30/2001
RESPS:100 HOURS:50 COSTS(000):$0
Technology Demonstration Center
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
3 2,102 3,800 $0
National Institute of Standards & Technology
OMB NO: 0693-0003 EXPIRATION DATE: 12/31/2003
RESPS:800 HOURS:2,200 COSTS(000):$0
National Voluntary Laboratory Accreditation Program (NVLAP),
NVLAP Information Collection System
FORMS: NONE
OMB NO: 0693-0006 EXPIRATION DATE: 10/31/2002
RESPS:100 HOURS:10,000 COSTS(000):$0
Malcolm Baldrige National Quality Award Application
FORMS: NONE
OMB NO: 0693-0009 EXPIRATION DATE: 12/31/2003
RESPS:1,000 HOURS:14,875 COSTS(000):$60
Advanced Technology Program
FORMS: NIST-1262 NIST-1263
OMB NO: 0693-0015 EXPIRATION DATE: 02/28/2003
RESPS:22 HOURS:70 COSTS(000):$0
Fastener Quality Act
FORMS: NONE
OMB NO: 0693-0019 EXPIRATION DATE: 10/31/2001
RESPS:10 HOURS:30 COSTS(000):$0
NvCase
FORMS: NONE
OMB NO: 0693-0028 EXPIRATION DATE: 05/31/2002
RESPS:200 HOURS:567 COSTS(000):$0
NIST/OLES Survey of Reference Materials for Forensic Science
FORMS: NONE
OMB NO: 0693-0029 EXPIRATION DATE: 08/31/2002
RESPS:8,000 HOURS:934 COSTS(000):$0
National Institute of Standards and Technology Pilot Survey
FORMS: NONE
OMB NO: 0693-0031 EXPIRATION DATE: 10/31/2002
RESPS:50,000 HOURS:18,800 COSTS(000):$380,311
National Institute of Standards and Technology 3-Year Generic
Request for Customer Service-Related Data Collection
FORMS: NONE
OMB NO: 0693-0032 EXPIRATION DATE: 01/31/2003
RESPS:74 HOURS:4,994 COSTS(000):$249,700
NIST MEP Management Information Reporting
FORMS: NONE
OMB NO: 0693-0033 EXPIRATION DATE: 02/28/2003
RESPS:925 HOURS:944 COSTS(000):$0
National Institue of Standards and Technology Re-submission
Program Evaluation Data Collections
FORMS: NONE
OMB NO: 0693-0034 EXPIRATION DATE: 05/31/2003
RESPS:30 HOURS:120 COSTS(000):$0
Evaluation of the Common Industry Format (CIF) for Reporting the
Results of Usability Tests
FORMS: NONE
OMB NO: 0693-0035 EXPIRATION DATE: 05/31/2003
RESPS:1,440 HOURS:120 COSTS(000):$0
User Evaluation of DARPA Communicator systems
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
12 62,601 53,654 $630,071
Bureau of Export Administration
OMB NO: 0694-0001 EXPIRATION DATE: 12/31/2003
RESPS:21 HOURS:11 COSTS(000):$0
Exception to Reporting Requirements under the IC/DV Procedures
FORMS: NONE
OMB NO: 0694-0004 EXPIRATION DATE: 08/31/2001
RESPS:2 HOURS:510 COSTS(000):$0
Foreign Availability Procedures and Criteria
FORMS: NONE
OMB NO: 0694-0009 EXPIRATION DATE: 10/31/2001
RESPS:1 HOURS:1 COSTS(000):$0
Approval of Triangular Transactions Involving Commodities
Covered by a U.S. Import Certificate
FORMS: NONE
OMB NO: 0694-0012 EXPIRATION DATE: 06/30/2001
RESPS:1,574 HOURS:3,307 COSTS(000):$0
Report of Requests for Restrictive Trade Practice or Boycott,
Single or Multiple Transactions
FORMS: BXA-621P BXA-6051P
OMB NO: 0694-0013 EXPIRATION DATE: 12/31/2001
RESPS:160 HOURS:86 COSTS(000):$0
Computer and Related Equipment
FORMS: NONE
OMB NO: 0694-0016 EXPIRATION DATE: 08/31/2001
RESPS:100 HOURS:31 COSTS(000):$0
Delivery Verification Procedure
FORMS: BXA-647P
OMB NO: 0694-0017 EXPIRATION DATE: 05/31/2001
RESPS:1,008 HOURS:270 COSTS(000):$0
International Import Certificate
FORMS: BXA-645P
OMB NO: 0694-0021 EXPIRATION DATE: 11/30/2002
RESPS:4,535 HOURS:1,210 COSTS(000):$0
Statement by Ultimate Consignee and Purchaser
FORMS: BXA-711
OMB NO: 0694-0023 EXPIRATION DATE: 08/31/2001
RESPS:200 HOURS:104 COSTS(000):$0
Written Assurances for Exports of Technical Data under License
Exception TSR
FORMS: NONE
OMB NO: 0694-0025 EXPIRATION DATE: 01/31/2001
RESPS:35 HOURS:36 COSTS(000):$0
Short Supply Regulations, Unprocessed Western Red Cedar
FORMS: NONE
OMB NO: 0694-0026 EXPIRATION DATE: 04/30/2002
RESPS:1 HOURS:1 COSTS(000):$0
Short Supply Regulations, Petroleum Products
FORMS: NONE
OMB NO: 0694-0027 EXPIRATION DATE: 05/31/2001
RESPS:24 HOURS:196 COSTS(000):$0
Short Supply Regulations, Petroleum (Crude Oil)
FORMS: NONE
OMB NO: 0694-0029 EXPIRATION DATE: 12/31/2003
RESPS:3 HOURS:1 COSTS(000):$0
License Exception TMP: Special Requirements
FORMS: NONE
OMB NO: 0694-0031 EXPIRATION DATE: 12/31/2003
RESPS:100 HOURS:27 COSTS(000):$0
Application for a Duplicate License
FORMS: NONE
OMB NO: 0694-0033 EXPIRATION DATE: 05/31/2001
RESPS:10 HOURS:10 COSTS(000):$0
License Exception, Humanitarian Donations
FORMS: NONE
OMB NO: 0694-0047 EXPIRATION DATE: 12/31/2001
RESPS:461 HOURS:722 COSTS(000):$0
Technical Data Letter of Explanation
FORMS: BXA-748P
OMB NO: 0694-0051 EXPIRATION DATE: 05/31/2001
RESPS:10 HOURS:11 COSTS(000):$0
Application for Transfer of License to Another Party
FORMS: NONE
OMB NO: 0694-0053 EXPIRATION DATE: 12/31/2003
RESPS:707,000 HOURS:14,477 COSTS(000):$2,810
Defense Priorities and Allocations System
FORMS: NONE
OMB NO: 0694-0057 EXPIRATION DATE: 01/31/2001
RESPS:1,200 HOURS:600 COSTS(000):$0
Request for Special Priorities Assistance
FORMS: BXA-999
OMB NO: 0694-0058 EXPIRATION DATE: 08/31/2001
RESPS:80 HOURS:800 COSTS(000):$0
Procedure for Voluntary Self-Disclosure of Violations of the
Export Administration Regulations
FORMS: NONE
OMB NO: 0694-0064 EXPIRATION DATE: 01/31/2002
RESPS:5,924 HOURS:352 COSTS(000):$0
Procedures for Support Documentation
FORMS: NONE
OMB NO: 0694-0073 EXPIRATION DATE: 03/31/2002
RESPS:33 HOURS:14 COSTS(000):$0
Export Controls of High Performance Computers
FORMS: NONE
OMB NO: 0694-0083 EXPIRATION DATE: 06/30/2002
RESPS:3,000 HOURS:1,500 COSTS(000):$0
Competitive Enhancement Needs Assessment Survey Program
FORMS: NONE
OMB NO: 0694-0084 EXPIRATION DATE: 11/30/2002
RESPS:1,000 HOURS:270 COSTS(000):$0
Offsets in Military Exports
FORMS: NONE
OMB NO: 0694-0086 EXPIRATION DATE: 06/30/2003
RESPS:160 HOURS:23 COSTS(000):$0
Report of Sample Shipments of Chemical Weapon Recursors
FORMS: NONE
OMB NO: 0694-0088 EXPIRATION DATE: 02/28/2002
RESPS:8,703 HOURS:8,053 COSTS(000):$105
Multipurpose Application
FORMS: BXA-748P
OMB NO: 0694-0089 EXPIRATION DATE: 06/30/2001
RESPS:210 HOURS:1,046 COSTS(000):$0
Special Comprehensive
FORMS: BXA-748P BXA-752P
OMB NO: 0694-0091 EXPIRATION DATE: 12/31/2002
RESPS:2,241 HOURS:34,709 COSTS(000):$115,552
Chemical Weapons Convention Declaration Forms, Inspections and
Inspection Reports
FORMS: FORM1-1 FORM1-2 FORM1-2A FORM1-2B FORM1-4 FORM-A FORM-B FORM2-1
FORM2-2
OMB NO: 0694-0092 EXPIRATION DATE: 10/31/2001
RESPS:700,000 HOURS:21,963 COSTS(000):$0
Procedures for Acceptance or Rejection of Rated Order
FORMS: NONE
OMB NO: 0694-0093 EXPIRATION DATE: 01/31/2002
RESPS:5,775 HOURS:1,444 COSTS(000):$0
Import Certificates and End-User Certificates
FORMS: NONE
OMB NO: 0694-0096 EXPIRATION DATE: 10/31/2001
RESPS:200,000 HOURS:229 COSTS(000):$0
5-Year Records Retention Period
FORMS: NONE
OMB NO: 0694-0100 EXPIRATION DATE: 08/31/2002
RESPS:1 HOURS:5 COSTS(000):$0
Requests for the Appointment of a Technical Advisory Committee
FORMS: NONE
OMB NO: 0694-0101 EXPIRATION DATE: 04/30/2001
RESPS:7 HOURS:175 COSTS(000):$0
One-Time Report for Foreign Software or Technology Eligible for
De Minimis Exclusion
FORMS: NONE
OMB NO: 0694-0102 EXPIRATION DATE: 08/31/2002
RESPS:2 HOURS:10 COSTS(000):$0
Miscellaneous Activities
FORMS: NONE
OMB NO: 0694-0104 EXPIRATION DATE: 01/31/2003
RESPS:234 HOURS:692 COSTS(000):$0
Commercial Encryption Items under the Jurisdiction of the
Department of Commerce
FORMS: BXA-748P
OMB NO: 0694-0106 EXPIRATION DATE: 05/31/2001
RESPS:4,000 HOURS:734 COSTS(000):$0
Reporting and Recordkeeping Requirements under the Wassenaar
FORMS: NONE
OMB NO: 0694-0107 EXPIRATION DATE: 10/31/2001
RESPS:150 HOURS:7 COSTS(000):$0
National Defense Authorization Act
FORMS: 742R 742S
OMB NO: 0694-0110 EXPIRATION DATE: 12/31/2001
RESPS:2,000 HOURS:1,000 COSTS(000):$0
Survey of U.S. Assistive Technology Industry
FORMS: NONE
OMB NO: 0694-0111 EXPIRATION DATE: 06/30/2002
RESPS:557 HOURS:463 COSTS(000):$0
India and Pakistan Sanctions
FORMS: BXA-748P
OMB NO: 0694-0112 EXPIRATION DATE: 08/31/2002
RESPS:300 HOURS:75 COSTS(000):$0
End-User Certificates for High Performance Computers to the
People's Republic of China
FORMS: NONE
OMB NO: 0694-0113 EXPIRATION DATE: 05/31/2002
RESPS:2,000 HOURS:8,000 COSTS(000):$0
National Security Assessment of U.S. Maritime Industry
FORMS: NONE
OMB NO: 0694-0114 EXPIRATION DATE: 11/30/2002
RESPS:971 HOURS:176 COSTS(000):$0
Firearms Convention
FORMS: BXA-748P
OMB NO: 0694-0115 EXPIRATION DATE: 05/31/2002
RESPS:100 HOURS:50 COSTS(000):$0
Survey of U.S. Chemical Industry to Assist in Compliance
Activities Regarding Provisions of the Chemical Weapons
Convention
FORMS: NONE
OMB NO: 0694-0117 EXPIRATION DATE: 01/31/2003
RESPS:356 HOURS:176 COSTS(000):$0
Chemical Weapons Convention, Amendment to the Export
Administration Regulation (End-Use Certificates and Advance
Notifications and Annual Reports)
FORMS: NONE
OMB NO: 0694-0118 EXPIRATION DATE: 08/31/2002
RESPS:100 HOURS:100 COSTS(000):$0
Survey of U.S. Chemical Industry Regarding Activities Involving
Chemicals Identified in Schedule 2 of the Chemical Weapons
Convention's Annex on Chemicals
FORMS: NONE
OMB NO: 0694-0119 EXPIRATION DATE: 10/31/2002
RESPS:6,000 HOURS:24,000 COSTS(000):$0
National Security and Critical Technology Assessments of the
U.S. Industrial Base
FORMS: NONE
OMB NO: 0694-0120 EXPIRATION DATE: 11/30/2002
RESPS:1 HOURS:3,000 COSTS(000):$60
Procedure to Initiate an Investigation under the Trade Expansion
Act of 1962
FORMS: NONE
OMB NO: 0694-0122 EXPIRATION DATE: 11/30/2002
RESPS:1,427,450 HOURS:70,104 COSTS(000):$0
Licensing Responsibilities and Enforcement
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
48 3,087,800 200,781 $118,527
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
364 43,526,843 11,483,404 $806,996
Department of Defense
Department of the Air Force
OMB NO: 0701-0001 EXPIRATION DATE: 03/31/2002
RESPS:2,900 HOURS:927 COSTS(000):$0
Application for Training Leading to a Commission in the United
States Air Force
FORMS: AF-56
OMB NO: 0701-0026 EXPIRATION DATE: 10/31/2001
RESPS:15,425 HOURS:7,713 COSTS(000):$0
Nomination for Appointment to the United States Military
Academy, Naval Academy, and Air Force Academy
FORMS: DD-1870
OMB NO: 0701-0063 EXPIRATION DATE: 01/31/2001
RESPS:4,004 HOURS:3,003 COSTS(000):$0
Air Force Academy Candidate Activities Record
FORMS: USAFA-147
OMB NO: 0701-0064 EXPIRATION DATE: 01/31/2001
RESPS:4,176 HOURS:2,088 COSTS(000):$0
Air Force Academy Candidate Personal Data Record
FORMS: USAFA-146
OMB NO: 0701-0078 EXPIRATION DATE: 02/28/2001
RESPS:3,600 HOURS:3,600 COSTS(000):$0
Health Professions Accession Forms
FORMS: AETC-1402 AETC-1437
OMB NO: 0701-0079 EXPIRATION DATE: 02/28/2001
RESPS:108,500 HOURS:88,165 COSTS(000):$0
Nonprior Service and Prior Service Accessions
FORMS: AETC-1319 AETC-1325 AETC-1419
OMB NO: 0701-0080 EXPIRATION DATE: 02/28/2001
RESPS:2,000 HOURS:2,500 COSTS(000):$0
Air Force Officer Training School (OTS) Accession Forms
FORMS: AETC-1413 AETC-1422
OMB NO: 0701-0087 EXPIRATION DATE: 12/31/2001
RESPS:11,000 HOURS:4,400 COSTS(000):$0
United States Air Force Academy Application, Precandidate
Questionnaire (PCQ)
FORMS: USAFA-149
OMB NO: 0701-0096 EXPIRATION DATE: 09/30/2001
RESPS:3,350 HOURS:1,116 COSTS(000):$0
Application for Appointment as Reserves of the Air Force or USAF
Without Component
FORMS: AF-FORM-24
OMB NO: 0701-0101 EXPIRATION DATE: 04/30/2001
RESPS:11,000 HOURS:7,700 COSTS(000):$0
Air Force ROTC College Scholarship Application
FORMS: AF-113
OMB NO: 0701-0103 EXPIRATION DATE: 06/30/2001
RESPS:500 HOURS:350 COSTS(000):$0
Air Force ROTC Scholarship Nomination
FORMS: AFROTC-36
OMB NO: 0701-0105 EXPIRATION DATE: 06/30/2001
RESPS:12,000 HOURS:4,000 COSTS(000):$0
Application for AFROTC Membership
FORMS: AFROTC-20
OMB NO: 0701-0114 EXPIRATION DATE: 06/30/2001
RESPS:40 HOURS:20 COSTS(000):$0
Application for Establishment of Air Force Junior ROTC Unit
FORMS: AFROTC-59
OMB NO: 0701-0125 EXPIRATION DATE: 06/30/2002
RESPS:35,000 HOURS:2,900 COSTS(000):$0
Nutritional Medicine Service Patient Evaluation
FORMS: 2503 2504
OMB NO: 0701-0126 EXPIRATION DATE: 06/30/2002
RESPS:3,000 HOURS:750 COSTS(000):$0
Food/Exercise Diary
FORMS: 3529
OMB NO: 0701-0127 EXPIRATION DATE: 08/31/2003
RESPS:255 HOURS:64 COSTS(000):$0
USAF Museum System Volunteer Application/Registration
FORMS: AF-3569
OMB NO: 0701-0130 EXPIRATION DATE: 06/30/2002
RESPS:12,000 HOURS:3,000 COSTS(000):$0
Nutritional Assessment and Dietary Intake
FORMS: AF-2572
OMB NO: 0701-0133 EXPIRATION DATE: 03/31/2002
RESPS:20,000 HOURS:5,000 COSTS(000):$0
Motor Vehicle Traffic Accident Report
FORMS: AF-FORM-1315
OMB NO: 0701-0134 EXPIRATION DATE: 06/30/2001
RESPS:148 HOURS:148 COSTS(000):$0
Request for Approval of Foreign Government Employment of Air
Force Members
FORMS: NONE
OMB NO: 0701-0135 EXPIRATION DATE: 06/30/2002
RESPS:13,200 HOURS:1,056 COSTS(000):$0
Medical Treatment Facility Incident Statement
FORMS: 765
OMB NO: 0701-0136 EXPIRATION DATE: 08/31/2002
RESPS:500 HOURS:167 COSTS(000):$0
CCAF Alumni Survey
FORMS: NONE
OMB NO: 0701-0141 EXPIRATION DATE: 06/30/2001
RESPS:4,000 HOURS:1,000 COSTS(000):$0
Intercontinental Ballistic Missile Hardened Intersite Cable
System Right-of-Way Landower/Tenant Questionnaire
FORMS: AF-3951
OMB NO: 0701-0146 EXPIRATION DATE: 04/30/2001
RESPS:200 HOURS:17 COSTS(000):$0
Customer Comments -- AF Form 3211
FORMS: AF-3211
OMB NO: 0701-0147 EXPIRATION DATE: 05/31/2003
RESPS:4,100 HOURS:4,100 COSTS(000):$0
USAF Academy Candidate Writing Sample
FORMS: USAFA-0878
OMB NO: 0701-0148 EXPIRATION DATE: 01/31/2001
RESPS:4,500 HOURS:1,000 COSTS(000):$0
The Public and the USAF: Recruiting and Retention Challenges
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
25 275,398 144,784 $0
Department of the Army
OMB NO: 0702-0018 EXPIRATION DATE: 10/31/2001
RESPS:5,402 HOURS:2,701 COSTS(000):$0
Uniform Tender of Rates and/or Charges for Domestic
Transportation Services (DOD/USCG-Sponsored HHG)
FORMS: MT-HQ-43-R
OMB NO: 0702-0021 EXPIRATION DATE: 08/31/2002
RESPS:70 HOURS:70 COSTS(000):$0
Application and Contract for Establishment of a Junior Reserve
Oficers' Training Corps Unit
FORMS: DA-3126
OMB NO: 0702-0022 EXPIRATION DATE: 10/31/2001
RESPS:859,472 HOURS:62,878 COSTS(000):$125
Tender of Service and Letter of Intent for Personal Property
Household Goods and Unaccompanied Baggage Shipments
FORMS: 619
OMB NO: 0702-0027 EXPIRATION DATE: 10/31/2001
RESPS:100,000 HOURS:5,000 COSTS(000):$0
Signature and Tally Record
FORMS: DD-1907
OMB NO: 0702-0060 EXPIRATION DATE: 06/30/2002
RESPS:65,100 HOURS:8,258 COSTS(000):$0
Pre-Candidate Procedures
FORMS: USMA-375 USMA-723 USMA-450 USMA-21-12 USMA-21-27 USMA-381
OMB NO: 0702-0061 EXPIRATION DATE: 08/31/2002
RESPS:85,225 HOURS:17,603 COSTS(000):$0
Candidate Procedures
FORMS: USMA21-16/21-23 USMA21-23/21-25 USMA21-26/5-520 USMA5-518 FL-481
FL-546 FL-5-2/5-497 FL-5-26/21-8 FL-480-1/520 FL-261/21-14
OMB NO: 0702-0062 EXPIRATION DATE: 06/30/2002
RESPS:13,200 HOURS:1,100 COSTS(000):$0
Offered Candidate Procedures
FORMS: USMA-5-499 USMA-534 USMA-5-490 USMA-2-66 USMA-847/5-516
USMA-5-489 USMA-5-519 USMA-8-2 USMA-6-154 USMA-5-515
OMB NO: 0702-0064 EXPIRATION DATE: 12/31/2002
RESPS:3,000 HOURS:750 COSTS(000):$0
International Military Student Information
FORMS: DD-2339
OMB NO: 0702-0073 EXPIRATION DATE: 12/31/2002
RESPS:7,500 HOURS:5,625 COSTS(000):$0
Army ROTC 4-Year Scholarship Application
FORMS: ROTC-114
OMB NO: 0702-0083 EXPIRATION DATE: 09/30/2002
RESPS:3,870 HOURS:1,935 COSTS(000):$0
Application for the U.S. Army 2-Year and 3-Year Scholarship
FORMS: CC-FORM-166-R
OMB NO: 0702-0088 EXPIRATION DATE: 10/31/2001
RESPS:1,000 HOURS:8,500 COSTS(000):$0
Freight Carrier Qualification Statement/Required Documents
FORMS: MT-377-R MT-280-R MT-381-R
OMB NO: 0702-0107 EXPIRATION DATE: 05/31/2001
RESPS:4,000 HOURS:2,000 COSTS(000):$0
Modeling the Individual Enlistment Decision
FORMS: NONE
OMB NO: 0702-0108 EXPIRATION DATE: 06/30/2001
RESPS:6,000 HOURS:1,500 COSTS(000):$0
Army National Guard Member Survey
FORMS: NONE
OMB NO: 0702-0109 EXPIRATION DATE: 09/30/2001
RESPS:235 HOURS:470 COSTS(000):$0
Letter Permit for Non-Army Agency Radiation Sources on Army Land
FORMS: NONE
OMB NO: 0702-0110 EXPIRATION DATE: 02/28/2003
RESPS:35 HOURS:35 COSTS(000):$0
Application and Agreement for Establishment of a National
Defense Cadet Corps Unit
FORMS: DA-3126-1
OMB NO: 0702-0111 EXPIRATION DATE: 02/28/2003
RESPS:16,300 HOURS:4,075 COSTS(000):$0
Army ROTC Referral Information
FORMS: ROTC-155-R
OMB NO: 0702-0112 EXPIRATION DATE: 08/31/2003
RESPS:408,768 HOURS:33,928 COSTS(000):$0
Report on the Use of Employees of Non-Federal Entities to
Provide Services to the Department of Defense (32 CFR Part 657)
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
17 1,579,177 156,428 $125
Department of the Navy
OMB NO: 0703-0006 EXPIRATION DATE: 09/30/2002
RESPS:151 HOURS:680 COSTS(000):$0
Facilities Available for the Construction or Repair of Ships
FORMS: FORM-17
OMB NO: 0703-0011 EXPIRATION DATE: 07/31/2001
RESPS:3,500 HOURS:875 COSTS(000):$0
Academic Certification for Marine Corps Officer Candidate Program
FORMS: NAVMC-10469
OMB NO: 0703-0012 EXPIRATION DATE: 02/28/2003
RESPS:16,700 HOURS:8,350 COSTS(000):$0
Personal Information Questionnaire
FORMS: NAVMC11064
OMB NO: 0703-0014 EXPIRATION DATE: 08/31/2002
RESPS:11,700 HOURS:23,400 COSTS(000):$0
Application for MSC Afloat Employment
FORMS: MSC-1231-/1
OMB NO: 0703-0016 EXPIRATION DATE: 07/31/2001
RESPS:348 HOURS:174 COSTS(000):$0
Individual MCJROTC Instructor Evaluation Summary
FORMS: NAVMC-10942
OMB NO: 0703-0026 EXPIRATION DATE: 02/28/2003
RESPS:14,000 HOURS:56,000 COSTS(000):$0
Application Forms Booklet, Naval Reserve Officers Training Corps
Scholarship Program
FORMS: CNET-1533/74 1533/91 1533/87 1533/92 1533/88 1533/93 1533/89
OMB NO: 0703-0028 EXPIRATION DATE: 09/30/2001
RESPS:40,000 HOURS:10,000 COSTS(000):$0
NROTC Applicant Questionnaire
FORMS: NAVCRUIT-1131-6
OMB NO: 0703-0029 EXPIRATION DATE: 12/31/2002
RESPS:20,000 HOURS:10,000 COSTS(000):$0
Application for Commission or Warrant Rank, USN or USNR
FORMS: NAVCRUIT-1100/1
OMB NO: 0703-0036 EXPIRATION DATE: 02/28/2003
RESPS:10,000 HOURS:40,000 COSTS(000):$0
Candidate Application Procedures for the United States Naval
Academy
FORMS: USNA-GE-1531/34 USNA-GRB1110/11 USNA-GRBLLL0/12 USNA-GRB1110/14
USNA-GRB1110/15 USNA-GRB1110/17 USNA-GRB1110/18 USNA-GRB1110/22
FORM-T325
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
9 116,399 149,479 $0
Departmental and Others
OMB NO: 0704-0003 EXPIRATION DATE: 09/30/2003
RESPS:28,000 HOURS:14,000 COSTS(000):$0
Application for Correction of Military Records Under the
Provisions of Title 10, U.S. Code, Section 1552
FORMS: DD-149
OMB NO: 0704-0004 EXPIRATION DATE: 11/30/2003
RESPS:8,000 HOURS:6,000 COSTS(000):$0
Application for the Review of Discharge or Dismissal from the
Armed Forces of the United States
FORMS: DD-293
OMB NO: 0704-0006 EXPIRATION DATE: 12/31/2001
RESPS:100,000 HOURS:8,300 COSTS(000):$0
Request for Verification of Birth
FORMS: DD-372
OMB NO: 0704-0007 EXPIRATION DATE: 01/31/2001
RESPS:125,000 HOURS:56,250 COSTS(000):$5
Police Record Check
FORMS: 369
OMB NO: 0704-0020 EXPIRATION DATE: 07/31/2002
RESPS:1,683,183 HOURS:280,531 COSTS(000):$0
Application for Uniformed Services Identification Card, DEERS
Enrollment
FORMS: DD-1172
OMB NO: 0704-0030 EXPIRATION DATE: 12/31/2002
RESPS:2,450 HOURS:425 COSTS(000):$0
Disposition of Remains; Reimbursable Basis Request for Payment
of Funeral and/or Interment Expenses
FORMS: DD-2065 DD-1375
OMB NO: 0704-0055 EXPIRATION DATE: 07/31/2001
RESPS:610 HOURS:610 COSTS(000):$0
Department of Defense Application for Priority Rating for
Production or Construction Equipment
FORMS: DD-FORM-691
OMB NO: 0704-0056 EXPIRATION DATE: 11/30/2001
RESPS:125 HOURS:444 COSTS(000):$0
Tender of Service, Mobile Homes/Boats
FORMS: NONE
OMB NO: 0704-0069 EXPIRATION DATE: 08/31/2002
RESPS:13,050 HOURS:5,618 COSTS(000):$0
Youth Attitude Tracking Study (YATS)
FORMS: NONE
OMB NO: 0704-0100 EXPIRATION DATE: 09/30/2001
RESPS:3,000 HOURS:1,500 COSTS(000):$2
Application for Discharge of Member or Survivor of Member of
Group Certified to Have Performed Active Duty with the Armed
Forces of the United States
FORMS: DD-2168
OMB NO: 0704-0125 EXPIRATION DATE: 09/30/2001
RESPS:2,851 HOURS:475 COSTS(000):$0
Survey of Local Registrars and Election Officials (NVRA),
Post-Election Survey of Local Election Officials, and
Post-Election Survey of Overseas Citizens (UOCAVA)
FORMS: NONE
OMB NO: 0704-0152 EXPIRATION DATE: 05/31/2003
RESPS:27,000 HOURS:4,500 COSTS(000):$0
DOD Educational Loan Repayment Program (LRP)
FORMS: DD-2475
OMB NO: 0704-0155 EXPIRATION DATE: 08/31/2003
RESPS:3,200 HOURS:1,120 COSTS(000):$0
Marine Corps Advertising Awareness and Attitude Tracking Study
FORMS: NONE
OMB NO: 0704-0167 EXPIRATION DATE: 10/31/2001
RESPS:43,000 HOURS:7,167 COSTS(000):$0
Request for Reference
FORMS: DD-370
OMB NO: 0704-0173 EXPIRATION DATE: 09/30/2003
RESPS:510,000 HOURS:170,000 COSTS(000):$0
Record of Military Processing - Armed Forces of the United States
FORMS: 1966
OMB NO: 0704-0187 EXPIRATION DATE: 12/31/2002
RESPS:2,338,668 HOURS:23,986,320 COSTS(000):$0
Information Collection in Support of the DoD Acquisition Process
(Solicitation Phase)
FORMS: NONE
OMB NO: 0704-0188 EXPIRATION DATE: 08/31/2002
RESPS:478,440 HOURS:52,628,400 COSTS(000):$0
Acquisition Management Systems and Data Requirements Control
List (AMSDL)
FORMS: NUMEROUS-FORMS
OMB NO: 0704-0190 EXPIRATION DATE: 02/28/2003
RESPS:797 HOURS:614 COSTS(000):$0
Appointment of Chaplains for the Military Services
FORMS: DD-2088 DD-2741
OMB NO: 0704-0207 EXPIRATION DATE: 06/30/2001
RESPS:6,000 HOURS:2,000 COSTS(000):$0
Export-Controlled DoD Technical Data Agreement
FORMS: DD-2345
OMB NO: 0704-0214 EXPIRATION DATE: 12/31/2002
RESPS:95,520 HOURS:1,372,401 COSTS(000):$0
Special Contracting Methods -- Defense Federal Acquisition
Regulation Supplement Part 217 and Related Provisions and
Clauses in DFARS 252.217
FORMS: NONE
OMB NO: 0704-0216 EXPIRATION DATE: 08/31/2003
RESPS:49 HOURS:859 COSTS(000):$0
Defense Federal Acquisition Regulation Supplement (DFARS) Part
228, Bonds and Insurance, and related clauses at 252.228
FORMS: NONE
OMB NO: 0704-0221 EXPIRATION DATE: 05/31/2002
RESPS:40,832 HOURS:6,805 COSTS(000):$32
Request for Visit Authorization
FORMS: DD-1823 DD-1823-C
OMB NO: 0704-0225 EXPIRATION DATE: 08/31/2001
RESPS:108,261 HOURS:65,898 COSTS(000):$0
Administrative Matters -- Defense Federal Acquisition Regulation
Supplement (DFARS) Part 204 and related clauses at 252.204
FORMS: DD-2051 DD-2051-1
OMB NO: 0704-0229 EXPIRATION DATE: 04/30/2001
RESPS:224,262 HOURS:374,428 COSTS(000):$0
Foreign Acquisition -- Defense Federal Acquisition Regulation
Supplement Part 225 and Related Clauses at Part 252.225
FORMS: 2139
OMB NO: 0704-0231 EXPIRATION DATE: 07/31/2001
RESPS:800 HOURS:400 COSTS(000):$0
Mortuary Services -- Defense Federal Acquisition Regulation
Supplement (DFARS) Subpart 237.70 and DFARS clause
FORMS: NONE
OMB NO: 0704-0232 EXPIRATION DATE: 09/30/2001
RESPS:141 HOURS:5,350 COSTS(000):$0
Price Negotiation -- Defense Federal Acquisition Regulation
Supplement (DFARS) Subpart 215.8 and Related Clauses at 252.215
FORMS: NONE
OMB NO: 0704-0245 EXPIRATION DATE: 07/31/2001
RESPS:302,625 HOURS:152,320 COSTS(000):$0
Transportation -- Defense Federal Acquisition Regulation
Supplement (DFARS) Part 247 and Related Clauses at 252.247
FORMS: NONE
OMB NO: 0704-0246 EXPIRATION DATE: 01/31/2003
RESPS:42,497 HOURS:50,170 COSTS(000):$0
Government Property -- Defense Federal Acquisition Regulation
Supplement (DFARS) Part 245 and Related Clauses in DFARS 252 and
Related Forms in DFARS 253
FORMS: DD-1149 DD-1149C DD-1342 DD-1419 DD-1637 DD-1639 DD-1640 DD-1662
OMB NO: 0704-0248 EXPIRATION DATE: 08/31/2001
RESPS:7,800,000 HOURS:988,000 COSTS(000):$0
Defense Federal Acquisition Regulation Supplement, Appendix F,
Material Inspection and Receiving Report
FORMS: DD-FORM-250 DD-FORM-250C DD-FORM-250-1
OMB NO: 0704-0250 EXPIRATION DATE: 01/31/2003
RESPS:86,215 HOURS:268,795 COSTS(000):$0
Contract Administration -- Defense Federal Acquisition
Regulation Supplement (DFARS) Part 242 and Related Clauses in
DFARS 252 and Related Forms in DFARS 253
FORMS: 375 375C 1659
OMB NO: 0704-0252 EXPIRATION DATE: 09/30/2001
RESPS:10,500 HOURS:5,250 COSTS(000):$0
Use of Government Sources by Contractors -- Defense Federal
Acquisition Regulation Supplement and Related Clauses in Part 252
FORMS: NONE
OMB NO: 0704-0253 EXPIRATION DATE: 07/31/2001
RESPS:90 HOURS:1,440 COSTS(000):$0
Subcontracting Policies and Procedures -- DoD FAR Supplement
Part 244
FORMS: NONE
OMB NO: 0704-0255 EXPIRATION DATE: 08/31/2001
RESPS:2,740 HOURS:276,625 COSTS(000):$0
Construction and Architect-Engineer Contracts -- Defense Federal
Acquisition Regulation Supplement Part 236 and Related Clauses
at 252.236
FORMS: NONE
OMB NO: 0704-0259 EXPIRATION DATE: 09/30/2002
RESPS:302 HOURS:1,212 COSTS(000):$0
Types of Contracts -- Defense Federal Acquisition Supplement
Part 216 and Related Clauses in Part 252.216
FORMS: NONE
OMB NO: 0704-0261 EXPIRATION DATE: 07/31/2001
RESPS:13,500 HOURS:10,125 COSTS(000):$10
Department of Defense Standard Tender of Freight Services
FORMS: MT-FORM-364-R
OMB NO: 0704-0264 EXPIRATION DATE: 06/30/2001
RESPS:500 HOURS:208 COSTS(000):$0
Registration for Scientific and Technical Information Services
FORMS: DD-1540
OMB NO: 0704-0267 EXPIRATION DATE: 03/31/2001
RESPS:42,058 HOURS:420,580 COSTS(000):$0
Contract Facilities Capital Cost of Money -- Defense Federal
Acquisition Regulation Supplement (DFARS) Part 230, Cost
Accounting Standards, and DD Form 1861
FORMS: DD-FORM-1861
OMB NO: 0704-0272 EXPIRATION DATE: 08/31/2001
RESPS:35,873 HOURS:28,964 COSTS(000):$0
Environment, Conservation, and Occupational Safety -- Defense
Federal Acquisition Regulation Supplement (DFARS) Part 223 and
related clauses at DFARS Part 252
FORMS: NONE
OMB NO: 0704-0286 EXPIRATION DATE: 08/31/2001
RESPS:6,862 HOURS:7,548 COSTS(000):$0
Publicizing Contract Actions and Provision of Information to
Cooperative Agreement Holders -- Defense FAR Supplement (DFARS)
Part 205 and DFARS 252.205-7000
FORMS: NONE
OMB NO: 0704-0290 EXPIRATION DATE: 06/30/2003
RESPS:43,000 HOURS:5,547 COSTS(000):$0
Armed Forces Participation in Public Events
FORMS: DD-2535 DD-2536
OMB NO: 0704-0295 EXPIRATION DATE: 10/31/2001
RESPS:20 HOURS:240 COSTS(000):$0
Reimbursement Information, Psychiatric Residential Treatment
Centers Serving Children and Adolescents
FORMS: TMA-771
OMB NO: 0704-0305 EXPIRATION DATE: 09/30/2003
RESPS:3,940 HOURS:4,815 COSTS(000):$0
Telecommunications Service Priority System
FORMS: SF-314 SF-315 SF-317 SF-318 SF-319
OMB NO: 0704-0320 EXPIRATION DATE: 04/30/2002
RESPS:168 HOURS:1,344 COSTS(000):$0
Procurement Technical Assistance Cooperative Agreement
Performance Report
FORMS: DLA-1806
OMB NO: 0704-0321 EXPIRATION DATE: 05/31/2003
RESPS:5,160 HOURS:7,740 COSTS(000):$0
Defense Federal Acquisition Regulation Supplement (DFARS) Part
232, contract Financing, and the clause at DFARS 252.232-7002
Progress Payments for Foreign Military Sales Acquisition
FORMS: NONE
OMB NO: 0704-0323 EXPIRATION DATE: 07/31/2003
RESPS:293,401 HOURS:12,030 COSTS(000):$0
Third Party Collection Program (Record of Other Health Insurance)
FORMS: DD-2569
OMB NO: 0704-0328 EXPIRATION DATE: 10/31/2001
RESPS:10,200 HOURS:10,200 COSTS(000):$0
DoD Buidling Pass Application
FORMS: DD-2249
OMB NO: 0704-0332 EXPIRATION DATE: 06/30/2001
RESPS:248 HOURS:496 COSTS(000):$0
Policy and Procedures for the DoD Pilot Mentor-Protege Program
-- Defense Federal Acquisition Regulation Supplement (DFARS)
Appendix I
FORMS: NONE
OMB NO: 0704-0334 EXPIRATION DATE: 09/30/2001
RESPS:5,000 HOURS:1,667 COSTS(000):$0
Repatriation Automated Tracking System
FORMS: DD-2585
OMB NO: 0704-0336 EXPIRATION DATE: 09/30/2001
RESPS:13,964 HOURS:924,032 COSTS(000):$0
Drug-Free Work Force -- Defense Federal Acquisition Regulation
Supplement (DFARS) Section 223.570 and DFARS Clause 252.223-7004
FORMS: NONE
OMB NO: 0704-0341 EXPIRATION DATE: 09/30/2001
RESPS:1,871 HOURS:2,110 COSTS(000):$0
Acquisition of Information Technology -- Defense Federal
Acquisition Regulation Supplement (DFARS) Part 239and Associated
Clauses at DFARS 252.239-7000 and 252.239-7006
FORMS: NONE
OMB NO: 0704-0347 EXPIRATION DATE: 06/30/2003
RESPS:81 HOURS:7 COSTS(000):$0
Request for Approval for Qualification Training and Approval of
Contractor Flight Crewmember
FORMS: DD-2627 DD-2628
OMB NO: 0704-0351 EXPIRATION DATE: 05/31/2003
RESPS:141,497 HOURS:13,239 COSTS(000):$0
Joint Recruiting Advertising Program (JRAP)
FORMS: NONE
OMB NO: 0704-0357 EXPIRATION DATE: 12/31/2002
RESPS:1,775 HOURS:296 COSTS(000):$0
Validation of Public or Community Service Employment Performed
by Retired Personnel Retired under the Temporary Early
Retirement Authority (TERA) for Increased Retirement Compensation
FORMS: DD-2676
OMB NO: 0704-0359 EXPIRATION DATE: 08/31/2001
RESPS:800 HOURS:800 COSTS(000):$0
Contract Financing and Limitation of Government's Obligation --
Defense Federal Acquisition Regulation Supplement (DFARS) Part
232 and related clause at DFARS 252.232-7007
FORMS: NONE
OMB NO: 0704-0363 EXPIRATION DATE: 06/30/2001
RESPS:11,250 HOURS:56,250 COSTS(000):$0
Reporting, Redistribution, and Disposal of Contractor Inventory
-- Defense Federal Acquisition Regulation Supplement Subpart
245.73 Sale of Surplus Contractor Inventory and....
FORMS: NONE
OMB NO: 0704-0364 EXPIRATION DATE: 06/30/2002
RESPS:600 HOURS:150 COSTS(000):$0
Continued Health Care Benefit Program (CHCBP) Application
FORMS: DD-X384
OMB NO: 0704-0366 EXPIRATION DATE: 02/28/2001
RESPS:185 HOURS:1,619 COSTS(000):$0
National Security Education Program (NSEP Grants to Institutions
of Higher Education)
FORMS: DD-2729 DD-2730
OMB NO: 0704-0367 EXPIRATION DATE: 06/30/2001
RESPS:8,400 HOURS:4,200 COSTS(000):$15
Indebtedness of Military Personnel, Involuntary Allotments
FORMS: 2653
OMB NO: 0704-0368 EXPIRATION DATE: 02/28/2001
RESPS:600 HOURS:100 COSTS(000):$0
National Security Education Program (Service Agreement Report
for Scholarship and Fellowship Awards)
FORMS: DD-2752 DD-2753
OMB NO: 0704-0369 EXPIRATION DATE: 11/30/2003
RESPS:1,185,005 HOURS:4,320,447 COSTS(000):$0
Defense Federal Acquisition Regulation Supplement Subparts
227.72, Rights in Computer Software and Computer Software
Documentation; and related clauses and provisions at 252.227
FORMS: NONE
OMB NO: 0704-0370 EXPIRATION DATE: 06/30/2001
RESPS:24,000 HOURS:4,700 COSTS(000):$290
Department of Defense Dependents Schools Overseas Employment
Opportunities for Educators
FORMS: DS-5010 DS-5011 DS-5012 DS-5013
OMB NO: 0704-0377 EXPIRATION DATE: 04/30/2002
RESPS:12,800 HOURS:153,600 COSTS(000):$0
Industrial Capabilities Questionnaire
FORMS: 2737
OMB NO: 0704-0380 EXPIRATION DATE: 09/30/2001
RESPS:42,175 HOURS:2,811 COSTS(000):$0
Customer Service Evaluation Survey
FORMS: 60-28
OMB NO: 0704-0382 EXPIRATION DATE: 09/30/2001
RESPS:40,000 HOURS:13,200 COSTS(000):$0
End-Use Certificate
FORMS: DLA-FORM-1822
OMB NO: 0704-0384 EXPIRATION DATE: 08/31/2002
RESPS:32,164 HOURS:8,041 COSTS(000):$0
DoD Request for Personnel Security Investigation
FORMS: DD-1879
OMB NO: 0704-0386 EXPIRATION DATE: 12/31/2001
RESPS:41 HOURS:41 COSTS(000):$0
Small Business Programs -- Defense Federal Acquistion Regulation
Supplement (DFARS) Part 219 and Associated Clauses in Part
252.219
FORMS: NONE
OMB NO: 0704-0390 EXPIRATION DATE: 04/30/2002
RESPS:17 HOURS:68 COSTS(000):$0
Taxes -- Defense Federal Acquisition Regulation Supplement
(DFARS) Part 229 and Related Clauses at 252.229
FORMS: NONE
OMB NO: 0704-0391 EXPIRATION DATE: 08/31/2003
RESPS:20 HOURS:20 COSTS(000):$0
Defense Export Loan Guarantee (DELG) Application
FORMS: DD-2747
OMB NO: 0704-0392 EXPIRATION DATE: 02/28/2003
RESPS:265 HOURS:1,060 COSTS(000):$0
Technical Assistance for Public Participation (TAPP) Application
FORMS: DD-2749
OMB NO: 0704-0394 EXPIRATION DATE: 06/30/2003
RESPS:800 HOURS:200 COSTS(000):$0
Defense Reutilization and Marketing Service Customer Comment Card
FORMS: NONE
OMB NO: 0704-0395 EXPIRATION DATE: 07/31/2003
RESPS:10,000 HOURS:833 COSTS(000):$0
Pentagon Reservation Parking Permit Application
FORMS: DD-1199
OMB NO: 0704-0396 EXPIRATION DATE: 08/31/2003
RESPS:19,000 HOURS:19,000 COSTS(000):$0
Department of Defense Medical Examiniation Review Board Medical
Information Collection Forms
FORMS: DD-2351/-2369 DD-2370/-2372 DD-2374/-2375 DD-2378/-2379
DD-2380/-2381 DD-2382/-2383 DD-2480/-2489 DD-2492/-2632
OMB NO: 0704-0397 EXPIRATION DATE: 03/31/2003
RESPS:440 HOURS:2,120 COSTS(000):$0
Contract Modifications - Defense Federal Acquisition Regulation
Supplement (DFARS) Part 243 and Associated Clauses at 252.243
FORMS: NONE
OMB NO: 0704-0398 EXPIRATION DATE: 01/31/2001
RESPS:771 HOURS:771 COSTS(000):$0
Substitutions for Military and Federal Specifications and
Standards -- Defense Federal Acquisition Regulation Supplement
(DFARS) Section 211.273 and related clause in DFARS....
FORMS: NONE
OMB NO: 0704-0400 EXPIRATION DATE: 12/31/2003
RESPS:300,000 HOURS:150,000 COSTS(000):$0
Central Contractor Registration (CCR)
FORMS: NONE
OMB NO: 0704-0402 EXPIRATION DATE: 10/31/2001
RESPS:400 HOURS:400 COSTS(000):$2
Application for Annuity-Certain Military Surviving Spouses
FORMS: DD-2769
OMB NO: 0704-0403 EXPIRATION DATE: 06/30/2001
RESPS:2,690 HOURS:506 COSTS(000):$0
Customer Satisfaction Survey, Generic Clearance
FORMS: NONE
OMB NO: 0704-0404 EXPIRATION DATE: 09/30/2001
RESPS:140 HOURS:280 COSTS(000):$0
Technology Reinvestment Project (TRP) Review Project
FORMS: NONE
OMB NO: 0704-0407 EXPIRATION DATE: 06/30/2002
RESPS:50,000 HOURS:5,000 COSTS(000):$0
Commissary Evaluation and Utility Surveys, Generic
FORMS: NONE
OMB NO: 0704-0409 EXPIRATION DATE: 08/31/2001
RESPS:1 HOURS:50 COSTS(000):$0
Survey of Home School Associations
FORMS: NONE
OMB NO: 0704-0411 EXPIRATION DATE: 02/28/2003
RESPS:16,470 HOURS:7,400 COSTS(000):$2
Exceptional Family Member Program
FORMS: DD-2792
OMB NO: 0704-0412 EXPIRATION DATE: 07/31/2003
RESPS:145 HOURS:435 COSTS(000):$0
Defense Federal Acquisition Regulation Supplement (DFARS)
Appendix I, DOD Pilot Mentor Protege Program Improvements
FORMS: NONE
OMB NO: 0704-0413 EXPIRATION DATE: 08/31/2003
RESPS:850,000 HOURS:135,833 COSTS(000):$0
Medical Screening of Military Personnel
FORMS: DD-2807-1 DD-2807-2
OMB NO: 0704-0415 EXPIRATION DATE: 04/30/2001
RESPS:300,000 HOURS:100,000 COSTS(000):$0
Application for Department of Defense Common Access Card--DEERS
Enrollment
FORMS: DD1172-2
OMB NO: 0704-0416 EXPIRATION DATE: 12/31/2003
RESPS:1,000 HOURS:2,500 COSTS(000):$0
Defense Systems Management College (DSMC) Information Technology
Study
FORMS: NONE
OMB NO: 0704-0417 EXPIRATION DATE: 06/30/2001
RESPS:242 HOURS:303 COSTS(000):$0
Personnel Security Investigation Projection for Industry Survey
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
86 17,617,747 87,188,153 $358
U.S. Army Corps of Engineers
OMB NO: 0710-0001 EXPIRATION DATE: 03/31/2002
RESPS:112,400 HOURS:15,923 COSTS(000):$0
Corps of Engineers Civil Works Questionnaires, Generic Clearance
FORMS: NONE
OMB NO: 0710-0005 EXPIRATION DATE: 09/30/2003
RESPS:5,400 HOURS:2,500 COSTS(000):$0
Record of Arrivals and Departures of Vessels at Marine Terminals.
FORMS: 3926
OMB NO: 0710-0006 EXPIRATION DATE: 09/30/2003
RESPS:228,752 HOURS:44,479 COSTS(000):$0
Vessel Operation Report
FORMS: 3925 3925B 3925P 3925C
OMB NO: 0710-0007 EXPIRATION DATE: 11/30/2001
RESPS:1,489 HOURS:372 COSTS(000):$0
Terminal and Transfer Facilities Descriptions
FORMS: 1 2 3 4 5 6 7 8 9
OMB NO: 0710-0008 EXPIRATION DATE: 12/31/2001
RESPS:695,304 HOURS:28,507 COSTS(000):$0
Lock Performance Monitoring System (PMS) Waterway Traffic Report
FORMS: 3102C 3102D
OMB NO: 0710-0009 EXPIRATION DATE: 01/31/2001
RESPS:2,500 HOURS:2,000 COSTS(000):$0
Description of Vessels, Description of Operations
FORMS: 3931 3932
OMB NO: 0710-0012 EXPIRATION DATE: 09/30/2001
RESPS:60,000 HOURS:15,000 COSTS(000):$0
Customer Service Survey, Regulatory Program U.S. Army Corps of
Engineers
FORMS: 5065
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
7 1,105,845 108,781 $0
Office of Assistant Secretary for Health Affairs
OMB NO: 0720-0001 EXPIRATION DATE: 08/31/2003
RESPS:14,500,000 HOURS:3,625,000 COSTS(000):$0
Health Insurance Claim Form
FORMS: HCFA-1500
OMB NO: 0720-0003 EXPIRATION DATE: 06/30/2002
RESPS:29,500 HOURS:9,833 COSTS(000):$0
Statement of Personal Injury; Possible Third-Party Liability
Liability, CHAMPUS
FORMS: 2527
OMB NO: 0720-0005 EXPIRATION DATE: 08/31/2003
RESPS:60 HOURS:30 COSTS(000):$0
Professional Qualifications, Medical and Peer Reviewers
FORMS: CHAMPUS-780
OMB NO: 0720-0006 EXPIRATION DATE: 09/30/2002
RESPS:956,000 HOURS:239,000 COSTS(000):$0
CHAMPUS Claims Patient's Request for Medical Payment
FORMS: 2642
OMB NO: 0720-0008 EXPIRATION DATE: 11/30/2002
RESPS:575,210 HOURS:143,802 COSTS(000):$0
TRICARE Enrollment Application Form
FORMS: DD-X404
OMB NO: 0720-0015 EXPIRATION DATE: 12/31/2003
RESPS:50,000 HOURS:12,500 COSTS(000):$0
TRICARE Retiree Dental Program Enrollment Application
FORMS: NONE
OMB NO: 0720-0017 EXPIRATION DATE: 01/31/2001
RESPS:5,400 HOURS:5,532 COSTS(000):$0
Diagnosis Related Group (DRG) Reimbursement (2 Parts) 1. Capital
and Direct Medical Education Costs (Hospitals) 2. Physician
Acknowledgement
FORMS: NONE
OMB NO: 0720-0018 EXPIRATION DATE: 08/31/2002
RESPS:12,000 HOURS:4,000 COSTS(000):$0
TRICARE Senior Prime Enrollment Application Form
FORMS: DD-2797
OMB NO: 0720-0020 EXPIRATION DATE: 05/31/2002
RESPS:1,000 HOURS:333 COSTS(000):$0
Application for CHAMPUS-Provider Status: Corporate Services
Provider
FORMS: NONE
OMB NO: 0720-0021 EXPIRATION DATE: 09/30/2002
RESPS:100 HOURS:50 COSTS(000):$0
Armed Forces Health Professions Loan Repayment Program Loan
Information and Verification Form
FORMS: 2801
OMB NO: 0720-0022 EXPIRATION DATE: 12/31/2002
RESPS:825,000 HOURS:41,250 COSTS(000):$0
Department of Defense Reserve Forces Dental Examination
FORMS: X403
OMB NO: 0720-0023 EXPIRATION DATE: 07/31/2003
RESPS:2,000 HOURS:333 COSTS(000):$0
Pharmacy Redesign Pilot Program
FORMS: DD-2814
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
12 16,956,270 4,081,663 $0
Defense Finance and Accounting Service
OMB NO: 0730-0001 EXPIRATION DATE: 03/31/2002
RESPS:3,600 HOURS:720 COSTS(000):$0
Child Annuitant's School Certification
FORMS: DD-2788
OMB NO: 0730-0002 EXPIRATION DATE: 02/28/2001
RESPS:315,000 HOURS:26,250 COSTS(000):$0
Statement of Claimant Requesting Recertified Check
FORMS: DDD-2660
OMB NO: 0730-0003 EXPIRATION DATE: 05/31/2001
RESPS:20,150 HOURS:2,958 COSTS(000):$0
Customer Satisfaction Surveys, Generic Clearance
FORMS: NONE
OMB NO: 0730-0005 EXPIRATION DATE: 01/31/2001
RESPS:450,000 HOURS:225,000 COSTS(000):$0
Personal Check Cashing Agreement
FORMS: DDX312
OMB NO: 0730-0007 EXPIRATION DATE: 02/28/2001
RESPS:4,200 HOURS:8,400 COSTS(000):$0
Dependency Statements
FORMS: DFAS-DE1865 DFAS-DE1866 DFAS-DE1867 DFAS-DE1868
OMB NO: 0730-0008 EXPIRATION DATE: 09/30/2001
RESPS:20,520 HOURS:5,130 COSTS(000):$17
Application for Former Spouse Payments from Retired Pay
FORMS: DD-2293
OMB NO: 0730-0009 EXPIRATION DATE: 03/31/2002
RESPS:11,500 HOURS:23,000 COSTS(000):$0
Waiver/Remission of Indebtedness Application
FORMS: DD-2789
OMB NO: 0730-0010 EXPIRATION DATE: 05/31/2002
RESPS:300 HOURS:60 COSTS(000):$0
Custodianship Certificate to Support Claim on Behalf of Minor
Children of Deceased Members of the Armed Forces
FORMS: DD-2790
OMB NO: 0730-0011 EXPIRATION DATE: 08/31/2003
RESPS:120 HOURS:24 COSTS(000):$0
Physician Certificate for Child Annuitant
FORMS: DD-X405
OMB NO: 0730-0012 EXPIRATION DATE: 09/30/2003
RESPS:300 HOURS:150 COSTS(000):$0
Trustee Report
FORMS: DD-2826
OMB NO: 0730-0013 EXPIRATION DATE: 09/30/2003
RESPS:50 HOURS:13 COSTS(000):$0
Application for Trusteeship
FORMS: DD-2827
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
11 825,740 291,705 $17
Defense Acquisition Regulations Council
No active collections for this subagency
Office of the Secretary
OMB NO: 0790-0003 EXPIRATION DATE: 09/30/2001
RESPS:150 HOURS:150 COSTS(000):$0
Base Realignment and Closure (BRAC) Military Base Reutilization
Status
FORMS: DD-2740
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
1 150 150 $0
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
168 38,476,726 92,121,143 $500
Department of Education
Department of Education
OMB NO: 1800-0006 EXPIRATION DATE: 09/30/2001
RESPS:12,475 HOURS:2,782 COSTS(000):$0
Study of the Outcomes of Diversity in Higher Education
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
1 12,475 2,782 $0
Office of the General Counsel
OMB NO: 1801-0004 EXPIRATION DATE: 08/31/2001
RESPS:5,125 HOURS:7,688 COSTS(000):$0
Guidance for All Grant Applications -- GEPA Section 427
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
1 5,125 7,688 $0
Office of Elementary and Secondary Education
OMB NO: 1810-0021 EXPIRATION DATE: 04/30/2003
RESPS:1,270 HOURS:22,766 COSTS(000):$0
Indian Education Formula Grant Program Application (KA)
FORMS: NONE
OMB NO: 1810-0031 EXPIRATION DATE: 10/31/2001
RESPS:11,200 HOURS:3,100 COSTS(000):$0
Indian Student Eligibility Certification Form for Formula Grants
to Local Educational Agencies
FORMS: 506
OMB NO: 1810-0036 EXPIRATION DATE: 11/30/2002
RESPS:1,202,907 HOURS:631,534 COSTS(000):$0
Applications for Assistance under the Impact Aid Program
FORMS: ED-4019
OMB NO: 1810-0054 EXPIRATION DATE: 10/31/2001
RESPS:90 HOURS:2,160 COSTS(000):$0
Application for the High School Equivalency Program (HEP) and
the College Assistance Migrant Program (CAMP)
FORMS: NONE
OMB NO: 1810-0060 EXPIRATION DATE: 03/31/2001
RESPS:3,052 HOURS:4,224 COSTS(000):$0
Annual Report of Children in State Agency and Locally Operated
Institutions for Neglected or Delinquent Children
FORMS: 4376
OMB NO: 1810-0062 EXPIRATION DATE: 12/31/2001
RESPS:200 HOURS:3,200 COSTS(000):$0
Women's Educational Equity Act Program
FORMS: NONE
OMB NO: 1810-0503 EXPIRATION DATE: 10/31/2002
RESPS:1,272 HOURS:17,808 COSTS(000):$0
Annual Performance Reporting Format for OIE Formula Grants to
LEAs
FORMS: NONE
OMB NO: 1810-0540 EXPIRATION DATE: 05/31/2003
RESPS:30 HOURS:450 COSTS(000):$0
Application for the Even Start Family Literacy Program - Indian
Tribes and Tribal Organizations
FORMS: CFDA#84.258
OMB NO: 1810-0541 EXPIRATION DATE: 04/30/2003
RESPS:60 HOURS:2,700 COSTS(000):$0
Migrant Education Even Start Family Literacy
FORMS: NONE
OMB NO: 1810-0551 EXPIRATION DATE: 11/30/2003
RESPS:400 HOURS:9,500 COSTS(000):$0
Safe and Drug-Free Schools and Communities National
Programs--Federal Activities Discretionary Grant Program
FORMS: CFDA#84.184K 84.184M
OMB NO: 1810-0570 EXPIRATION DATE: 07/31/2001
RESPS:30 HOURS:720 COSTS(000):$0
Application for Grants, Public Charter Schools Program
FORMS: NONE
OMB NO: 1810-0578 EXPIRATION DATE: 03/31/2002
RESPS:200 HOURS:8,000 COSTS(000):$0
Parental Assistance Program Grant Application
FORMS: NONE
OMB NO: 1810-0580 EXPIRATION DATE: 06/30/2002
RESPS:100 HOURS:5,840 COSTS(000):$0
Discretionary Grant Application under Indian Education
FORMS: NONE
OMB NO: 1810-0585 EXPIRATION DATE: 08/31/2002
RESPS:500 HOURS:20,000 COSTS(000):$0
LEAs' Collection of Data and Submission of Comprehensive Plan
for Coordinating Social and Educational Services under Title XI,
Section 11004, of the ESEA as Amended by the Improving America's
FORMS: NONE
OMB NO: 1810-0589 EXPIRATION DATE: 12/31/2001
RESPS:20 HOURS:650 COSTS(000):$0
Equity Assistance Centers (Formerly Called Desegregation
Assistance Centers) under Civil Rights Technical Assistance and
Training
FORMS: NONE
OMB NO: 1810-0590 EXPIRATION DATE: 04/30/2002
RESPS:52 HOURS:624 COSTS(000):$0
Even Start Statewide Family Literacy Initiative Grants -- 84.314B
FORMS: NONE
OMB NO: 1810-0594 EXPIRATION DATE: 02/28/2003
RESPS:400 HOURS:12,000 COSTS(000):$0
Goals 2000 Comprehensive Local Reform Assistance
FORMS: NONE
OMB NO: 1810-0597 EXPIRATION DATE: 08/31/2003
RESPS:58 HOURS:226 COSTS(000):$0
Goals 2000, Parental Information and Resource Center's Annual/
Final Performance Report (JM)
FORMS: NONE
OMB NO: 1810-0602 EXPIRATION DATE: 08/31/2003
RESPS:12,672 HOURS:27,042 COSTS(000):$0
Gun-Free Schools Act Report (KA)
FORMS: NONE
OMB NO: 1810-0603 EXPIRATION DATE: 01/31/2002
RESPS:200 HOURS:3,200 COSTS(000):$0
Alaska Native Educational Equity Programs
FORMS: NONE
OMB NO: 1810-0604 EXPIRATION DATE: 07/31/2003
RESPS:75 HOURS:1,650 COSTS(000):$0
Safe and Drug-Free Schools and Communities National Programs--
Federal Activities--Grant Competition to Prevent High-Risk
Drinking and Violent Behavior Among College Students
FORMS: 84.184H
OMB NO: 1810-0605 EXPIRATION DATE: 05/31/2001
RESPS:56 HOURS:2,240 COSTS(000):$0
Comprehensive School Reform Demonstration Program
FORMS: NONE
OMB NO: 1810-0606 EXPIRATION DATE: 03/31/2002
RESPS:4,057 HOURS:48,684 COSTS(000):$0
Advanced Placement Incentive Program
FORMS: NONE
OMB NO: 1810-0607 EXPIRATION DATE: 05/31/2001
RESPS:360 HOURS:90 COSTS(000):$0
Alcohol, Other Drug, and Violence Prevention Survey of American
College Campuses
FORMS: NONE
OMB NO: 1810-0609 EXPIRATION DATE: 12/31/2001
RESPS:130 HOURS:2,760 COSTS(000):$0
Safe and Drug-Free Schools Recognition Program
FORMS: NONE
OMB NO: 1810-0611 EXPIRATION DATE: 09/30/2001
RESPS:52 HOURS:416 COSTS(000):$0
Annual Report of Title I Allocations to Local Educational
Agencies
FORMS: 4377
OMB NO: 1810-0612 EXPIRATION DATE: 12/31/2001
RESPS:52 HOURS:1,300 COSTS(000):$0
Dwight D. Eisenhower Professional Development Program Triennial
Report
FORMS: NONE
OMB NO: 1810-0614 EXPIRATION DATE: 05/31/2001
RESPS:53 HOURS:137,086 COSTS(000):$0
Consolidated State Performance Report and State Self-Review
FORMS: NONE
OMB NO: 1810-0615 EXPIRATION DATE: 03/31/2002
RESPS:12 HOURS:240 COSTS(000):$0
Reporting Requirements for the Education Flexibility Partnership
Demonstration Program
FORMS: NONE
OMB NO: 1810-0616 EXPIRATION DATE: 03/31/2003
RESPS:39 HOURS:1,872 COSTS(000):$0
Applications for Grants Under the Reading Excellence Program
FORMS: NONE
OMB NO: 1810-0618 EXPIRATION DATE: 03/31/2003
RESPS:57 HOURS:14 COSTS(000):$0
Applications for Grants Under the Class Size Reduction Program
FORMS: NONE
OMB NO: 1810-0619 EXPIRATION DATE: 05/31/2002
RESPS:130 HOURS:2,760 COSTS(000):$0
Safe and Drug-Free Schools Recognition Program Site Visits
FORMS: NONE
OMB NO: 1810-0620 EXPIRATION DATE: 10/31/2002
RESPS:25 HOURS:200 COSTS(000):$0
Guidance to SEAs Seeking To Use an Alternative Method to
Distribute Title I Funds to LEAs with Fewer Than 20,000 Total
Residents
FORMS: PD-FM-27
OMB NO: 1810-0622 EXPIRATION DATE: 10/31/2002
RESPS:52 HOURS:2,080 COSTS(000):$0
Guidance to SEAs on Procedures for Adjusting ED-Determined Title
I Allocations to Local Educational Agencies (LEAs)
FORMS: NONE
OMB NO: 1810-0623 EXPIRATION DATE: 07/31/2002
RESPS:1,639 HOURS:4,020 COSTS(000):$39
Federal Formula Allocations to Charter Schools (Proposed Rule)
FORMS: NONE
OMB NO: 1810-0624 EXPIRATION DATE: 03/31/2003
RESPS:50 HOURS:1,600 COSTS(000):$0
Safe and Drug-free Schools and Communities--Alcohol and Other
Drug Prevention Models on College Campuses Grant Competition
FORMS: NONE
OMB NO: 1810-0625 EXPIRATION DATE: 04/30/2003
RESPS:45 HOURS:1,800 COSTS(000):$0
Ed-Flex State Application Guidance
FORMS: NONE
OMB NO: 1810-0626 EXPIRATION DATE: 01/31/2003
RESPS:650,250 HOURS:433,500 COSTS(000):$0
Core Alcohol and Other Drug Survey
FORMS: NONE
OMB NO: 1810-0627 EXPIRATION DATE: 03/31/2003
RESPS:20 HOURS:400 COSTS(000):$0
Safe and Drug-Free Schools and Communities National Programs -
Federal Activities Grants Program - The Challenge
FORMS: NONE
OMB NO: 1810-0628 EXPIRATION DATE: 10/31/2001
RESPS:52 HOURS:1,248 COSTS(000):$0
Criteria for Distribution of the $134 Million FY 2000
Appropriation for School Improvement
FORMS: NONE
OMB NO: 1810-0629 EXPIRATION DATE: 04/30/2003
RESPS:400 HOURS:11,200 COSTS(000):$0
Elementary School Counseling Demonstration Program
FORMS: NONE
OMB NO: 1810-0630 EXPIRATION DATE: 05/31/2003
RESPS:200 HOURS:3,200 COSTS(000):$0
Arts in Education Competitive Grants Program
FORMS: CFDA-84.926B
OMB NO: 1810-0632 EXPIRATION DATE: 10/31/2003
RESPS:161 HOURS:1,288 COSTS(000):$0
Annual Performance Report for the Smaller Learning Communities
Grant Program
FORMS: CFDA#:84.215L
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
43 1,892,680 1,435,392 $39
Office of Special Education and Rehabilitative Services
OMB NO: 1820-0009 EXPIRATION DATE: 09/30/2002
RESPS:51 HOURS:720 COSTS(000):$0
Report of Randolph-Sheppard Vending Facility Program
FORMS: RSA-15
OMB NO: 1820-0013 EXPIRATION DATE: 10/31/2002
RESPS:328 HOURS:328 COSTS(000):$0
Quarterly Cummulative Caseload Report
FORMS: RSA-113
OMB NO: 1820-0017 EXPIRATION DATE: 04/30/2003
RESPS:82 HOURS:385 COSTS(000):$0
Annual Program Cost Report
FORMS: RSA-2
OMB NO: 1820-0018 EXPIRATION DATE: 08/31/2001
RESPS:1,800 HOURS:72,000 COSTS(000):$0
Grant Application for RSA Discretionary Program
FORMS: SF-424 ED-80-0013
OMB NO: 1820-0027 EXPIRATION DATE: 02/28/2003
RESPS:805 HOURS:16,100 COSTS(000):$0
Application for Grants under Disability and Rehabilitation
Research (1890-0001) (SC)
FORMS: NONE
OMB NO: 1820-0028 EXPIRATION DATE: 05/31/2003
RESPS:1,200 HOURS:30,000 COSTS(000):$0
Discretionary Grant Application -- Individuals with Disabilities
Education Act
FORMS: NONE
OMB NO: 1820-0030 EXPIRATION DATE: 05/31/2002
RESPS:58 HOURS:1,740 COSTS(000):$0
State Plan under Part B of the Individuals with Disabilities
FORMS: 9055
OMB NO: 1820-0043 EXPIRATION DATE: 08/31/2001
RESPS:58 HOURS:30,682 COSTS(000):$0
Report of Children with Disabilities Receiving Special Education
under Part B of the Individuals with Disabilities Education Act
FORMS: 869-5
OMB NO: 1820-0500 EXPIRATION DATE: 07/31/2002
RESPS:82 HOURS:1,002,050 COSTS(000):$0
Title I State Plan for Vocational Rehabilitation Services and
Title VI-Part B Supplement for Supported Employment Services
FORMS: ED(RSA)-SPVR
OMB NO: 1820-0508 EXPIRATION DATE: 05/31/2003
RESPS:80 HOURS:4,240 COSTS(000):$0
Final Regulations to Amend CFR, Title 34, Chapter III, Part 361,
by adding a new subpart E, entitled "Evaluation Standards and
Performance Indicators"
FORMS: RSA-911
OMB NO: 1820-0509 EXPIRATION DATE: 05/31/2002
RESPS:75,560 HOURS:15,292 COSTS(000):$0
Lists of Hearing Officers and Mediators
FORMS: NONE
OMB NO: 1820-0514 EXPIRATION DATE: 12/31/2003
RESPS:1,170,000 HOURS:40,667 COSTS(000):$105,000
Application for Free Loan Service of Captioned Media Program
(English and Spanish Version) and Media Response Card (English
and Spanish Version)
FORMS: NONE
OMB NO: 1820-0517 EXPIRATION DATE: 08/31/2001
RESPS:1 HOURS:272,890 COSTS(000):$0
Part B, Individuals with Disabilities Education Act
Implementation of FAPE Reguirements 2000-01 School year
FORMS: 869-4
OMB NO: 1820-0518 EXPIRATION DATE: 08/31/2001
RESPS:58 HOURS:7,685 COSTS(000):$0
Personnel (In Full-Time Equivalency of Assignment) Employed to
Provide Special Education and Related Services for Children with
Disabilities
FORMS: NONE
OMB NO: 1820-0520 EXPIRATION DATE: 08/31/2003
RESPS:1 HOURS:9 COSTS(000):$0
Written Application for the Client Assistance Program
FORMS: NONE
OMB NO: 1820-0521 EXPIRATION DATE: 08/31/2001
RESPS:58 HOURS:53,244 COSTS(000):$0
Report of Children with Disabilities Exiting Special Education
During the 1998-99 School Year
FORMS: 869-3
OMB NO: 1820-0527 EXPIRATION DATE: 02/28/2001
RESPS:56 HOURS:4,480 COSTS(000):$0
State Plan for Independent Living, Rehabilitation Act of 1973,
as amended (Act), Title VII, Chapter 1
FORMS: ED(RSA)-SPIL
OMB NO: 1820-0528 EXPIRATION DATE: 01/31/2001
RESPS:56 HOURS:350 COSTS(000):$7
Annual Client Assistance Program (CAP) Report
FORMS: RSA-227
OMB NO: 1820-0550 EXPIRATION DATE: 05/31/2002
RESPS:56 HOURS:168 COSTS(000):$0
Infants and Toddlers with Disabilities Program (Part C) of the
Individuals with Disabilities Education Act (IDEA)
FORMS: 1-B20--26P
OMB NO: 1820-0551 EXPIRATION DATE: 10/31/2002
RESPS:81 HOURS:162 COSTS(000):$3
Annual Supported Employment Caseload Report
FORMS: RSA-636
OMB NO: 1820-0556 EXPIRATION DATE: 08/31/2001
RESPS:57 HOURS:5,187 COSTS(000):$0
Report of Early Intervention Services on IFSPs Provided to
Infants, Toddlers, and Their Families in Accordance with Part C
and Report of Number and Types of Personnel Employed
FORMS: NONE
OMB NO: 1820-0557 EXPIRATION DATE: 08/31/2001
RESPS:57 HOURS:5,472 COSTS(000):$0
Report of Infants and Toddlers Receiving Early Intervention
Services and of Program Settings Where Services Are Provided in
Accordance with Part C and Report on Infants and Toddlers....
FORMS: NONE
OMB NO: 1820-0563 EXPIRATION DATE: 10/31/2002
RESPS:81 HOURS:162 COSTS(000):$3
Annual Report on Appeals Process
FORMS: RSA-722
OMB NO: 1820-0578 EXPIRATION DATE: 05/31/2001
RESPS:57 HOURS:855 COSTS(000):$0
Annual Performance Report and Report to the Secretary under the
Infants and Toddlers with Disabilities Program -- Part H, IDEA
FORMS: NONE
OMB NO: 1820-0583 EXPIRATION DATE: 10/31/2002
RESPS:2,500 HOURS:1,250 COSTS(000):$0
OSERS Peer Reviewer Qualifications Statement
FORMS: NONE
OMB NO: 1820-0599 EXPIRATION DATE: 05/31/2002
RESPS:1,079 HOURS:10,790 COSTS(000):$0
Part B Complaint Procedures
FORMS: NONE
OMB NO: 1820-0600 EXPIRATION DATE: 05/31/2002
RESPS:14,422 HOURS:28,844 COSTS(000):$0
Local Educational Agency Application under Part B of the
Individuals with Disabilities Education Act
FORMS: NONE
OMB NO: 1820-0606 EXPIRATION DATE: 11/30/2003
RESPS:336 HOURS:11,760 COSTS(000):$0
Section 704 Annual Performance Report (Parts I and II)
FORMS: ED(RSA)-704-I ED(RSA)-704-II
OMB NO: 1820-0608 EXPIRATION DATE: 01/31/2001
RESPS:1,055 HOURS:605 COSTS(000):$0
Annual Report of Independent Living Services for Older
Individuals Who Are Blind
FORMS: ED(RSA)-70B
OMB NO: 1820-0613 EXPIRATION DATE: 04/30/2002
RESPS:8,000 HOURS:2,752 COSTS(000):$0
A Longitudinal Study of the Vocational Rehabilitation (VR)
Service Program
FORMS: NONE
OMB NO: 1820-0616 EXPIRATION DATE: 12/31/2003
RESPS:6,689 HOURS:5,072 COSTS(000):$0
National Early Intervention Longitudinal Study
FORMS: NONE
OMB NO: 1820-0617 EXPIRATION DATE: 04/30/2001
RESPS:1 HOURS:165 COSTS(000):$0
Grantee Reporting Form
FORMS: NONE
OMB NO: 1820-0619 EXPIRATION DATE: 02/28/2001
RESPS:2,246 HOURS:271 COSTS(000):$0
Uniform Data System for Assistive Technology Devices and Services
FORMS: NONE
OMB NO: 1820-0620 EXPIRATION DATE: 07/31/2001
RESPS:30 HOURS:2,700 COSTS(000):$0
Application for New Grants, State Program Improvement Grants for
Children with Disabilities
FORMS: NONE
OMB NO: 1820-0621 EXPIRATION DATE: 08/31/2001
RESPS:58 HOURS:149,350 COSTS(000):$0
Report of Children with Disabilities Subject to Unilateral
Changes in Placement, Change in Placement Based on a Hearing
Officer Determination, or Long-Term Suspension/Expulsion
FORMS: NONE
OMB NO: 1820-0622 EXPIRATION DATE: 08/31/2001
RESPS:285 HOURS:142,500 COSTS(000):$0
Special Education Personnel Preparation to Improve Services and
Results for Children with Disabilities
FORMS: NONE
OMB NO: 1820-0624 EXPIRATION DATE: 05/31/2002
RESPS:58 HOURS:1,160 COSTS(000):$0
Biennial Performance Report for Part B of the Individuals with
Disabilities Education Act
FORMS: NONE
OMB NO: 1820-0625 EXPIRATION DATE: 06/30/2002
RESPS:57 HOURS:9 COSTS(000):$0
Protection and Advocacy of Individual Rights (PAIR) Program
Assurances
FORMS: NONE
OMB NO: 1820-0627 EXPIRATION DATE: 01/31/2003
RESPS:1 HOURS:342 COSTS(000):$6
Annual Protection and Advocacy of Individual Rights (PAIR)
Program Performance Report
FORMS: RSA-509
OMB NO: 1820-0628 EXPIRATION DATE: 02/28/2003
RESPS:8,100 HOURS:5,608 COSTS(000):$0
The Study of Personnel Needs in Special Education (SPeNSE)
FORMS: NONE
OMB NO: 1820-0629 EXPIRATION DATE: 02/28/2003
RESPS:24,474 HOURS:12,391 COSTS(000):$0
Special Education Expenditure Project
FORMS: NONE
OMB NO: 1820-0631 EXPIRATION DATE: 03/31/2003
RESPS:350 HOURS:13,500 COSTS(000):$0
Projects with Industry Compliance Indicator Form and Annual
FORMS: NONE
OMB NO: 1820-0632 EXPIRATION DATE: 03/31/2003
RESPS:32,138 HOURS:17,049 COSTS(000):$0
Special Education Elementary Longitudinal Study (Seels)
FORMS: NONE
OMB NO: 1820-0633 EXPIRATION DATE: 04/30/2003
RESPS:7,305 HOURS:15,384 COSTS(000):$0
State and Local Implementation of IDEA '97
FORMS: NONE
OMB NO: 1820-0634 EXPIRATION DATE: 10/31/2003
RESPS:57 HOURS:1,680 COSTS(000):$39,200
Alternative Financing Program and the Alternate Financing
Technical Assistance Program (CFDA No 84.224C)
FORMS: NONE
OMB NO: 1820-0635 EXPIRATION DATE: 02/28/2001
RESPS:432 HOURS:354 COSTS(000):$0
National Longitudinal Transaction Study - 2 (SC)
FORMS: NONE
OMB NO: 1820-0636 EXPIRATION DATE: 12/31/2003
RESPS:464 HOURS:684 COSTS(000):$0
Evaluation of the American Indian Vocational Rehabilitation
Services (AIVRS) Program (SC)
FORMS: NONE
OMB NO: 1820-0637 EXPIRATION DATE: 12/31/2003
RESPS:300 HOURS:100 COSTS(000):$0
NIDRR Quality of Research Rating Scale
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
48 1,361,160 1,989,188 $144,219
Office of Vocational and Adult Education
OMB NO: 1830-0013 EXPIRATION DATE: 03/31/2001
RESPS:1 HOURS:69,210 COSTS(000):$0
Application for Vocational Education Direct Grants
FORMS: NONE
OMB NO: 1830-0026 EXPIRATION DATE: 08/31/2002
RESPS:59 HOURS:7,375 COSTS(000):$0
Adult Education and Family Literacy Act State Plan -- Public Law
105-220
FORMS: NONE
OMB NO: 1830-0027 EXPIRATION DATE: 01/31/2003
RESPS:59 HOURS:6,490 COSTS(000):$826
Adult Education Annual Performance and Financial Reports
FORMS: NONE
OMB NO: 1830-0029 EXPIRATION DATE: 04/30/2003
RESPS:56 HOURS:9,408 COSTS(000):$0
Carl D. Perkins Vocational and Technical Education Act (PL
105-332)--State Plan
FORMS: NONE
OMB NO: 1830-0503 EXPIRATION DATE: 01/31/2002
RESPS:54 HOURS:7,020 COSTS(000):$828
Vocational Technical Education Annual Performance and Financial
Reports
FORMS: NONE
OMB NO: 1830-0519 EXPIRATION DATE: 03/31/2001
RESPS:53 HOURS:2,199 COSTS(000):$0
Carl D. Perkins Vocational and Applied Technology Education Act
(Pub. L. 101-392) Financial Status Report -- SF-269
FORMS: NONE
OMB NO: 1830-0533 EXPIRATION DATE: 08/31/2001
RESPS:1,300 HOURS:6,850 COSTS(000):$0
Progress Measures
FORMS: NONE
OMB NO: 1830-0534 EXPIRATION DATE: 02/28/2001
RESPS:688 HOURS:1,002 COSTS(000):$0
Case Studies of the Implementation of the Crossroads Cafe Project
FORMS: NONE
OMB NO: 1830-0535 EXPIRATION DATE: 01/31/2003
RESPS:56 HOURS:6,160 COSTS(000):$0
Grants to States for Training Incarcerated Youth Offenders;
State Plan, Data Collection
FORMS: NONE
OMB NO: 1830-0536 EXPIRATION DATE: 10/31/2001
RESPS:40 HOURS:1,660 COSTS(000):$52
Secretary's Awards for Outstanding Adult Education and Literacy
Programs
FORMS: NONE
OMB NO: 1830-0537 EXPIRATION DATE: 04/30/2003
RESPS:689 HOURS:669 COSTS(000):$0
National Survey to Determine the Need for Special Education
Services (JM)
FORMS: NONE
OMB NO: 1830-0538 EXPIRATION DATE: 04/30/2002
RESPS:15 HOURS:1,350 COSTS(000):$0
Vocational and Technical Education National Centers
FORMS: NONE
OMB NO: 1830-0539 EXPIRATION DATE: 04/30/2002
RESPS:800 HOURS:32,000 COSTS(000):$0
Application for Grants under the Community Technology Centers
Program
FORMS: NONE
OMB NO: 1830-0541 EXPIRATION DATE: 05/31/2003
RESPS:59 HOURS:2,124 COSTS(000):$0
Carl D. Perkins Vocational and Technical Education
Act--Occupational and Employment Information State Grants
(Section 118, PL 105-332) (1890-0001) (SC)
FORMS: CFDA#84.346
OMB NO: 1830-0542 EXPIRATION DATE: 09/30/2003
RESPS:639 HOURS:75,632 COSTS(000):$0
Application for Vocational and Technical Education Direct Grants
(1890-0001) (SC)
FORMS: NONE
OMB NO: 1830-0543 EXPIRATION DATE: 12/31/2001
RESPS:732 HOURS:3,499 COSTS(000):$0
Mapping Federal Funding to High Schools (SC)
FORMS: NONE
OMB NO: 1830-0544 EXPIRATION DATE: 11/30/2003
RESPS:38 HOURS:95 COSTS(000):$0
Indian Vocational Education Program Technology Survey
FORMS: NONE
OMB NO: 1830-0546 EXPIRATION DATE: 11/30/2003
RESPS:11 HOURS:440 COSTS(000):$0
Career Cluster Cooperative Agreements with States
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
18 5,349 233,183 $1,706
Office of Postsecondary Education
OMB NO: 1840-0005 EXPIRATION DATE: 06/30/2001
RESPS:800 HOURS:20,510 COSTS(000):$0
Fulbright-Hays Training Grants: Faculty Research Abroad Program
-- CFDA 84.019, Doctoral Dissertation Research Abroad Program --
CFDA 84.022
FORMS: NONE
OMB NO: 1840-0007 EXPIRATION DATE: 03/31/2003
RESPS:370 HOURS:30,200 COSTS(000):$0
Grant Application under the Teacher Quality Enhancement Grants,
for the preparation of applications for: Partnership Grants.....
FORMS: NONE
OMB NO: 1840-0017 EXPIRATION DATE: 06/30/2003
RESPS:1,200 HOURS:40,800 COSTS(000):$0
Application for Grants under Student Support Services Program
FORMS: NONE
OMB NO: 1840-0068 EXPIRATION DATE: 08/31/2001
RESPS:469 HOURS:40,646 COSTS(000):$0
Application for Seven Foreign Language and Area Studies Programs
FORMS: NONE
OMB NO: 1840-0091 EXPIRATION DATE: 08/31/2001
RESPS:30,500 HOURS:15,250 COSTS(000):$0
Federal Perkins Loan Program (Formerly National Direct/Defense
Student Loan Program) Assignment Form
FORMS: ED-553
OMB NO: 1840-0103 EXPIRATION DATE: 10/31/2001
RESPS:1,200 HOURS:9,600 COSTS(000):$0
Application for Designation as an Eligible Institution
FORMS: 1049
OMB NO: 1840-0109 EXPIRATION DATE: 10/31/2001
RESPS:200 HOURS:8,000 COSTS(000):$0
Guide for the Preparation of Application for Minority Science
Improvement Program; Application for Grants under the Minority
Science Improvement Program
FORMS: NONE
OMB NO: 1840-0113 EXPIRATION DATE: 02/28/2001
RESPS:115 HOURS:2,070 COSTS(000):$0
Application for Strengthening Historically Black Colleges and
Universities Programs
FORMS: ED-852
OMB NO: 1840-0114 EXPIRATION DATE: 12/31/2002
RESPS:1 HOURS:12,485 COSTS(000):$0
Application for Grants under the Strengthening Institutions
Program, American Indian Tribally Controlled Colleges and
Universities Program, and Alaska Native and Native Hawaiian
FORMS: ED-851A ED-524
OMB NO: 1840-0125 EXPIRATION DATE: 10/31/2002
RESPS:60 HOURS:2,040 COSTS(000):$0
Application for Grants under the Training Program for Federal
TRIO Programs
FORMS: NONE
OMB NO: 1840-0500 EXPIRATION DATE: 12/31/2002
RESPS:25 HOURS:500 COSTS(000):$0
Application for Waiver of the 2-Year Foreign Residence
Requirement of the Exchange Visitor Program
FORMS: ED-L60-2P
OMB NO: 1840-0501 EXPIRATION DATE: 07/31/2003
RESPS:500 HOURS:2,000 COSTS(000):$0
Fulbright-Hays Seminars Abroad Program
FORMS: CFDA#84.018
OMB NO: 1840-0507 EXPIRATION DATE: 04/30/2001
RESPS:16 HOURS:64 COSTS(000):$0
Performance Report for the Training Program for Federal TRIO
Programs
FORMS: ED-524
OMB NO: 1840-0514 EXPIRATION DATE: 10/31/2003
RESPS:2,180 HOURS:26,500 COSTS(000):$0
Grant Application for the FIPSE Comprehensive Program
FORMS: ED-40-514
OMB NO: 1840-0525 EXPIRATION DATE: 03/31/2002
RESPS:800 HOURS:3,600 COSTS(000):$88
Annual Performance Report for the Student Support Services (SSS)
Program
FORMS: NONE
OMB NO: 1840-0550 EXPIRATION DATE: 03/31/2001
RESPS:1,500 HOURS:51,000 COSTS(000):$0
Application for the Upward Bound and Upward Bound Math and
Science Centers Program
FORMS: 872 40-65
OMB NO: 1840-0561 EXPIRATION DATE: 10/31/2001
RESPS:500 HOURS:3,000 COSTS(000):$0
Talent Search and Education Opportunity Centers Programs Annual
Performance Report
FORMS: NONE
OMB NO: 1840-0562 EXPIRATION DATE: 04/30/2003
RESPS:2,000 HOURS:10,000 COSTS(000):$0
Application Package for the Jacob K. Javits Fellowship Program
FORMS: NONE
OMB NO: 1840-0564 EXPIRATION DATE: 07/31/2003
RESPS:300 HOURS:900 COSTS(000):$0
Financial Report for the Endowment Challenge Grant Program
FORMS: NONE
OMB NO: 1840-0595 EXPIRATION DATE: 08/31/2003
RESPS:57 HOURS:456 COSTS(000):$0
Paul Douglas Teacher Scholarship Program Performance Report
FORMS: 40-31P CFDA#84.176
OMB NO: 1840-0598 EXPIRATION DATE: 02/28/2003
RESPS:1 HOURS:148 COSTS(000):$0
Robert C. Bryd Honors Scholarship Program Performance Report
FORMS: E40-33P
OMB NO: 1840-0604 EXPIRATION DATE: 08/31/2003
RESPS:325 HOURS:13,432 COSTS(000):$0
Application Package for the Graduate Assistance in Areas of
National Need (GAANN) Fellowship Program
FORMS: CFDA=84.200
OMB NO: 1840-0616 EXPIRATION DATE: 04/30/2001
RESPS:30 HOURS:560 COSTS(000):$0
Application for Centers for International Business Education
Program
FORMS: CFDA#84.220
OMB NO: 1840-0617 EXPIRATION DATE: 09/30/2003
RESPS:57 HOURS:4,580 COSTS(000):$0
Targeted Teacher Deferment (Teacher Shortage Area)
FORMS: NONE
OMB NO: 1840-0619 EXPIRATION DATE: 05/31/2001
RESPS:300 HOURS:6,000 COSTS(000):$0
Application Package of the Ronald E. McNair Postbaccalaureate
Achievement Program
FORMS: NONE
OMB NO: 1840-0627 EXPIRATION DATE: 07/31/2001
RESPS:150,090 HOURS:77,040 COSTS(000):$0
Application for Ability to Benefit Testing Approval
FORMS: NONE
OMB NO: 1840-0630 EXPIRATION DATE: 02/28/2001
RESPS:100 HOURS:400 COSTS(000):$8,000
Report of Financial Need and Certification Report for the Jacob
K. Javits Fellowship Program
FORMS: NONE
OMB NO: 1840-0634 EXPIRATION DATE: 07/31/2001
RESPS:125 HOURS:125 COSTS(000):$0
Applications for the Participation in the Quality Assurance (QA)
Program
FORMS: NONE
OMB NO: 1840-0636 EXPIRATION DATE: 01/31/2002
RESPS:80 HOURS:2,400 COSTS(000):$0
European Community/United States of America Joint Consortia for
Cooperation in Higher Education and Vocational Educational
FORMS: ED-40-514
OMB NO: 1840-0640 EXPIRATION DATE: 07/31/2003
RESPS:1 HOURS:702 COSTS(000):$17,160
Performance Report for the Ronald E. McNair Postbaccalaureate
Achievement Program
FORMS: CFDA-84.217
OMB NO: 1840-0650 EXPIRATION DATE: 01/31/2002
RESPS:87,720 HOURS:23,026 COSTS(000):$420
Student Assistance General Provisions, Immigration Status
Confirmation -- Subpart I
FORMS: NONE
OMB NO: 1840-0666 EXPIRATION DATE: 12/31/2001
RESPS:176,640 HOURS:88,320 COSTS(000):$56
Federal Direct PLUS Loan Application and Promissory Note
FORMS: NONE
OMB NO: 1840-0674 EXPIRATION DATE: 05/31/2001
RESPS:4,800 HOURS:5,200 COSTS(000):$0
Consolidation Loan Rebate Fee Report
FORMS: ED-4-619
OMB NO: 1840-0679 EXPIRATION DATE: 12/31/2001
RESPS:44,160 HOURS:22,080 COSTS(000):$14
Addendum to Federal Direct PLUS Loan Promissory Note, Endorser
FORMS: NONE
OMB NO: 1840-0693 EXPIRATION DATE: 01/31/2002
RESPS:1,078,000 HOURS:528,250 COSTS(000):$355
Federal Direct Consolidation Loan Program Application Documents
FORMS: NONE
OMB NO: 1840-0701 EXPIRATION DATE: 03/31/2001
RESPS:100 HOURS:2,000 COSTS(000):$0
Application for New Grants for the Disseminating Proven Reforms
Program (A Special Focus Competition of the Fund for the
Improvement of Postsecondary Education)
FORMS: NONE
OMB NO: 1840-0702 EXPIRATION DATE: 08/31/2002
RESPS:80 HOURS:2,400 COSTS(000):$0
The Program for North American Mobility in Higher Education (A
Special Focus Competition of FIPSE)
FORMS: NONE
OMB NO: 1840-0706 EXPIRATION DATE: 05/31/2001
RESPS:300,000 HOURS:75,000 COSTS(000):$0
Income Contingent Repayment Plan, Consent to Disclosure of Tax
Information
FORMS: NONE
OMB NO: 1840-0708 EXPIRATION DATE: 06/30/2001
RESPS:50 HOURS:250 COSTS(000):$0
Notice Inviting Proposals for Experimental Sites
FORMS: NONE
OMB NO: 1840-0729 EXPIRATION DATE: 08/31/2003
RESPS:30 HOURS:150 COSTS(000):$0
Final Performance Report for the Business in International
Education Program
FORMS: NONE
OMB NO: 1840-0731 EXPIRATION DATE: 12/31/2001
RESPS:1,400,000 HOURS:1,400,000 COSTS(000):$0
Federal Stafford Loan (Subsidized and Unsubsidized) Program
Master Promissory Note
FORMS: NONE
OMB NO: 1840-0732 EXPIRATION DATE: 12/31/2001
RESPS:2,031,360 HOURS:2,031,360 COSTS(000):$0
Federal Direct Stafford/Ford Loan and Federal Direct
Unsubsidized Stafford/Ford Loan Master Promissory Note
FORMS: NONE
OMB NO: 1840-0734 EXPIRATION DATE: 01/31/2002
RESPS:50 HOURS:775 COSTS(000):$0
Application for Technological Innovation and Cooperation for
Foreign Information Access Program
FORMS: NONE
OMB NO: 1840-0735 EXPIRATION DATE: 01/31/2002
RESPS:215 HOURS:5,400 COSTS(000):$0
Distance Education Demonstration Program Application and Annual
Evaluation
FORMS: NONE
OMB NO: 1840-0736 EXPIRATION DATE: 05/31/2002
RESPS:500 HOURS:9,000 COSTS(000):$0
Application for the Learning Anytime Anywhere Partnership (New
Grant)
FORMS: NONE
OMB NO: 1840-0737 EXPIRATION DATE: 03/31/2002
RESPS:2,000 HOURS:120,000 COSTS(000):$0
Application for Child Care Access Means Parents in School Program
FORMS: NONE
OMB NO: 1840-0738 EXPIRATION DATE: 03/31/2002
RESPS:30 HOURS:3,000 COSTS(000):$0
Application Demonstration Projects for Faculty Training in
Disability Issues
FORMS: NONE
OMB NO: 1840-0739 EXPIRATION DATE: 05/31/2002
RESPS:500 HOURS:10,120 COSTS(000):$0
Congressional Priorities for Postsecondary Education
FORMS: NONE
OMB NO: 1840-0740 EXPIRATION DATE: 04/30/2003
RESPS:1,000 HOURS:60,000 COSTS(000):$0
Application Package for Gaining Early Awareness and Readiness
for Undergraduate Programs (Gear UP)
FORMS: NONE
OMB NO: 1840-0741 EXPIRATION DATE: 12/31/2002
RESPS:500 HOURS:10,000 COSTS(000):$0
Application for the Preparing Tomorrow's Teachers to Use
FORMS: NONE
OMB NO: 1840-0744 EXPIRATION DATE: 04/30/2003
RESPS:1,250 HOURS:127,624 COSTS(000):$3,757
Reference and Reporting Guide for Preparing State and
Institutional Reports on Teacher Quality and Preparation
FORMS: NONE
OMB NO: 1840-0745 EXPIRATION DATE: 10/31/2002
RESPS:100 HOURS:850 COSTS(000):$0
Application for Grants under the Developing Hispanic-Serving
Institutions Program
FORMS: ED-851S
OMB NO: 1840-0746 EXPIRATION DATE: 05/31/2002
RESPS:50 HOURS:2,250 COSTS(000):$0
TRIO Dissemination Program
FORMS: NONE
OMB NO: 1840-0748 EXPIRATION DATE: 07/31/2002
RESPS:225 HOURS:2,250 COSTS(000):$0
GAANN Program Assessment Instrument
FORMS: NONE
OMB NO: 1840-0750 EXPIRATION DATE: 10/31/2002
RESPS:13,515 HOURS:1,485 COSTS(000):$0
Distance Education Demonstration Program Annual Evaluation
FORMS: NONE
OMB NO: 1840-0751 EXPIRATION DATE: 10/31/2002
RESPS:680 HOURS:422 COSTS(000):$0
Program Evaluation of the European Community/United States of
America Joint Consortia for Cooperation in Higher Education and
Vocational Education
FORMS: ED-514
OMB NO: 1840-0752 EXPIRATION DATE: 02/28/2003
RESPS:115 HOURS:690 COSTS(000):$0
Performance Report for the Jacob K. Javits Fellowship Program
FORMS: NONE
OMB NO: 1840-0753 EXPIRATION DATE: 01/31/2003
RESPS:5,450 HOURS:5,659 COSTS(000):$0
Teach or Pay Rule (Proposed Rule)
FORMS: NONE
OMB NO: 1840-0755 EXPIRATION DATE: 05/31/2003
RESPS:100 HOURS:6,000 COSTS(000):$0
Application for Grants Under the Community Scholarship
Mobilization Program
FORMS: CFDA#84.347
OMB NO: 1840-0756 EXPIRATION DATE: 05/31/2003
RESPS:20 HOURS:400 COSTS(000):$0
First and Second Year Annual Progress Reports for the European
Community/US Joint Consortia Program
FORMS: ED-514
OMB NO: 1840-0757 EXPIRATION DATE: 05/31/2003
RESPS:29 HOURS:580 COSTS(000):$0
Learning Anytime Anywhere Partnerships Annual Progress Report
Guidelines
FORMS: NONE
OMB NO: 1840-0758 EXPIRATION DATE: 07/31/2003
RESPS:140 HOURS:2,800 COSTS(000):$0
Comprehensive Program Annual Performance Report
FORMS: ED524-B
OMB NO: 1840-0759 EXPIRATION DATE: 08/31/2003
RESPS:1,246 HOURS:9,932 COSTS(000):$0
The Evaluation of Exchange, Language, International and Area
Studies (EELIAS), NRC, FLAS and IIPP
FORMS: NONE
OMB NO: 1840-0760 EXPIRATION DATE: 07/31/2003
RESPS:20 HOURS:400 COSTS(000):$0
Annual Reporting Forms for the Program for North American
Mobility in Higher Education
FORMS: NONE
OMB NO: 1840-0761 EXPIRATION DATE: 10/31/2003
RESPS:80 HOURS:2,400 COSTS(000):$0
The US-Brazil Higher Education Consortia Program Application for
the US-Brazil Higher Education Consortia Program
FORMS: CFDA-84.116
OMB NO: 1840-0762 EXPIRATION DATE: 10/31/2003
RESPS:1 HOURS:13,500 COSTS(000):$554
Annual Performance Report for the Upward Bound, Upward Bound
Math/Science, and Veterans Upward Bound Programs
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
66 5,344,658 4,958,581 $30,404
Office of Student Financial Assistance
OMB NO: 1845-0001 EXPIRATION DATE: 06/30/2002
RESPS:11,134,376 HOURS:7,073,050 COSTS(000):$0
Free Application for Federal Student Aid (FAFSA)
FORMS: ED-255
OMB NO: 1845-0002 EXPIRATION DATE: 08/31/2003
RESPS:4,660 HOURS:2,151 COSTS(000):$35
Student Aid Internet Gateway (SAIG) Enrollment form
FORMS: NONE
OMB NO: 1845-0003 EXPIRATION DATE: 08/31/2002
RESPS:75 HOURS:1,036 COSTS(000):$0
The Secretary's Recognition of Accrediting Agencies -- 34 CFR
Part 602
FORMS: NONE
OMB NO: 1845-0004 EXPIRATION DATE: 12/31/2003
RESPS:10,300 HOURS:228,150 COSTS(000):$0
Student Right-to-Know Act (SRK)
FORMS: NONE
OMB NO: 1845-0005 EXPIRATION DATE: 06/30/2002
RESPS:1,148,818 HOURS:183,811 COSTS(000):$368
Federal Family Education Loan Program Loan Deferment Applications
FORMS: NONE
OMB NO: 1845-0006 EXPIRATION DATE: 08/31/2002
RESPS:1,400,000 HOURS:1,400,000 COSTS(000):$0
Federal Stafford Loan (Subsidized and Unsubsidized) Program
Master Promissory Note
FORMS: NONE
OMB NO: 1845-0007 EXPIRATION DATE: 08/31/2002
RESPS:1,828,224 HOURS:1,828,224 COSTS(000):$9,415
Federal Direct Stafford/Ford Loan and/or Federal Direct
Unsubsidized Stafford/Ford Loan Master Promissory Note
FORMS: NONE
OMB NO: 1845-0008 EXPIRATION DATE: 12/31/2002
RESPS:17,234,692 HOURS:4,386,515 COSTS(000):$1,185
Student Aid Report (SAR)
FORMS: ED-255-1
OMB NO: 1845-0009 EXPIRATION DATE: 07/31/2001
RESPS:100,000 HOURS:50,000 COSTS(000):$32
Federal PLUS Loan Program Application Documents
FORMS: NONE
OMB NO: 1845-0010 EXPIRATION DATE: 06/30/2002
RESPS:1,800 HOURS:9,900 COSTS(000):$0
Equity in Athletics Disclosure Act
FORMS: NONE
OMB NO: 1845-0011 EXPIRATION DATE: 07/31/2001
RESPS:239,000 HOURS:47,800 COSTS(000):$76
William D. Ford Federal Direct Loan Program: Loan Deferment and
Permanent Total Disability Cancellation Request Documents
FORMS: 40-700 40-700(SCH) 40-701 40-701(SCH) 40-702 40-702(SCH) 40-703
40-703(SCH) 40-704 40-705
OMB NO: 1845-0012 EXPIRATION DATE: 09/30/2002
RESPS:2,915 HOURS:20,245 COSTS(000):$637
Application for Approval to Participate in Federal Student
Financial Aid Programs
FORMS: E40-34P
OMB NO: 1845-0013 EXPIRATION DATE: 09/30/2001
RESPS:19,200 HOURS:46,800 COSTS(000):$0
Lender's Request for Payment of Interest and Special Allowance
FORMS: ED-799
OMB NO: 1845-0014 EXPIRATION DATE: 10/31/2002
RESPS:2,650,000 HOURS:874,500 COSTS(000):$875
William D. Ford Federal Direct Loan Program: Repayment Plan
Selection
FORMS: NONE
OMB NO: 1845-0015 EXPIRATION DATE: 01/31/2002
RESPS:70,000 HOURS:35,000 COSTS(000):$11
Federal Family Education Loan Program and William D. Ford
Federal Direct Loan Program, Loan Discharge Applications
FORMS: NONE
OMB NO: 1845-0016 EXPIRATION DATE: 12/31/2002
RESPS:25,000 HOURS:8,250 COSTS(000):$8
Income Contingent Repayment Plan Alternative Documentation of
Income
FORMS: NONE
OMB NO: 1845-0017 EXPIRATION DATE: 12/31/2002
RESPS:114,000 HOURS:22,800 COSTS(000):$38
Income Contingent Repayment Plan Consent to Disclosure of Tax
Information
FORMS: NONE
OMB NO: 1845-0018 EXPIRATION DATE: 12/31/2002
RESPS:2,400 HOURS:480 COSTS(000):$1
William D. Ford Federal Direct Loan Progam Statutory Forbearance
Forms
FORMS: NONE
OMB NO: 1845-0019 EXPIRATION DATE: 10/31/2002
RESPS:95,262 HOURS:25,859 COSTS(000):$174
Federal Perkins Loan, Federal Work-Study, Federal Supplemental
Educational Opportunity Grant Programs
FORMS: NONE
OMB NO: 1845-0020 EXPIRATION DATE: 12/31/2003
RESPS:858,981 HOURS:10,128,562 COSTS(000):$1,253
Federal Family Education Loan Program
FORMS: NONE
OMB NO: 1845-0021 EXPIRATION DATE: 10/31/2002
RESPS:846,034 HOURS:211,521 COSTS(000):$2,115
Reporting and Recordkeeping Requirements for the William D. Ford
Federal Direct Loan Program
FORMS: NONE
OMB NO: 1845-0022 EXPIRATION DATE: 12/31/2003
RESPS:93,877 HOURS:1,209,890 COSTS(000):$5,040
Cohort Default Rates for Institutions Participating in the FFEL
or Direct Loan Programs
FORMS: NONE
OMB NO: 1845-0023 EXPIRATION DATE: 12/31/2003
RESPS:8,200,642 HOURS:80,368 COSTS(000):$0
Federal Perkins Loan Program Regulations
FORMS: NONE
OMB NO: 1845-0025 EXPIRATION DATE: 02/28/2003
RESPS:108,541 HOURS:3,618 COSTS(000):$0
Electronic Debit Payment Option for Student Loans
FORMS: NONE
OMB NO: 1845-0026 EXPIRATION DATE: 02/28/2003
RESPS:612 HOURS:33,660 COSTS(000):$0
Guaranty Agency Financial Report (JS)
FORMS: ED-2000
OMB NO: 1845-0028 EXPIRATION DATE: 02/28/2003
RESPS:56 HOURS:224 COSTS(000):$0
The Leveraging Educational Assistance Partnership (LEAP) Program
FORMS: 1288
OMB NO: 1845-0030 EXPIRATION DATE: 03/31/2001
RESPS:1 HOURS:25,748 COSTS(000):$0
Fiscal Operations Report and Application to Participate (FISAP)
in the Federal Perkins Loan, Federal Supplemental Educational
Opportunity Grant, and Federal Work-Study Programs
FORMS: ED-FORM-646-1
OMB NO: 1845-0031 EXPIRATION DATE: 04/30/2003
RESPS:660,000 HOURS:132,000 COSTS(000):$0
William D. Ford Federal Direct Loan Program General Forberance
Request Form
FORMS: NONE
OMB NO: 1845-0032 EXPIRATION DATE: 09/30/2002
RESPS:121 HOURS:20 COSTS(000):$0
Lender's Participation Questionnaire (LPQ) for New Lenders
FORMS: NONE
OMB NO: 1845-0035 EXPIRATION DATE: 05/31/2003
RESPS:29,952 HOURS:179,712 COSTS(000):$72
National Student Loan Data System (NSLDS)
FORMS: NONE
OMB NO: 1845-0036 EXPIRATION DATE: 06/30/2003
RESPS:263,000 HOURS:263,000 COSTS(000):$0
Federal Family Education Loan Program Federal Consolidation Loan
Application and Promissory Note
FORMS: NONE
OMB NO: 1845-0038 EXPIRATION DATE: 05/31/2003
RESPS:6,576 HOURS:1,214,240 COSTS(000):$101
Student Assistance General Provisions - Subpart K - Cash
Management
FORMS: NONE
OMB NO: 1845-0039 EXPIRATION DATE: 06/30/2003
RESPS:3,950,083 HOURS:396,200 COSTS(000):$5,918
Federal Pell Grant Program Recipient Financial Management System
(RFMS)
FORMS: CFDA#84.063
OMB NO: 1845-0040 EXPIRATION DATE: 11/30/2001
RESPS:102,000 HOURS:3,400 COSTS(000):$0
William D. Ford Federal Direct Loan Program Electronic Debit
Account Brochure and Authorization Form
FORMS: NONE
OMB NO: 1845-0042 EXPIRATION DATE: 12/31/2001
RESPS:2,588 HOURS:699 COSTS(000):$0
Lender's Application for Payment of Insurance Claim
FORMS: ED-1207
OMB NO: 1845-0043 EXPIRATION DATE: 03/31/2002
RESPS:3,000 HOURS:500 COSTS(000):$0
Campus-Based Reallocation -- Form E40-4P
FORMS: E40-4P
OMB NO: 1845-0044 EXPIRATION DATE: 11/30/2003
RESPS:56 HOURS:560 COSTS(000):$28,960
The Leveraging Educational Assistance and Partnership (LEAP)
Program
FORMS: ED-1288-1
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
37 51,206,842 30,128,493 $56,314
Office of Educational Research and Improvement
OMB NO: 1850-0067 EXPIRATION DATE: 10/31/2001
RESPS:284 HOURS:10,901 COSTS(000):$0
Common Core of Data Surveys
FORMS: NONE
OMB NO: 1850-0582 EXPIRATION DATE: 04/30/2003
RESPS:60,282 HOURS:202,636 COSTS(000):$0
Integrated Postsecondary Education Data System (IPEDS),
Introduction of the Web-Based Collection on Institutional Price
& Student Financial Aid and modifications to the 2000-2002
data....
FORMS: NONE
OMB NO: 1850-0598 EXPIRATION DATE: 09/30/2001
RESPS:114,097 HOURS:112,177 COSTS(000):$0
1998-1999 Field Test Schools and Staffing Survey (SASS): LEA,
1999-2000 Teacher Listing Form; 1999-2000 Full Scale SASS: LEA..
FORMS: NONE
OMB NO: 1850-0601 EXPIRATION DATE: 05/31/2003
RESPS:750 HOURS:11,250 COSTS(000):$0
Application for the Field-Initiated Studies Educational Research
Grant Program
FORMS: NONE
OMB NO: 1850-0608 EXPIRATION DATE: 01/31/2001
RESPS:30,000 HOURS:19,125 COSTS(000):$0
1999 National Study of Postsecondary Faculty (NSOPF--99):
FORMS: NONE
OMB NO: 1850-0617 EXPIRATION DATE: 05/31/2003
RESPS:18,279 HOURS:4,616 COSTS(000):$0
2000-01 Teacher Follow-up Survey
FORMS: NONE
OMB NO: 1850-0623 EXPIRATION DATE: 11/30/2001
RESPS:75 HOURS:3,000 COSTS(000):$0
Star Schools Program
FORMS: NONE
OMB NO: 1850-0628 EXPIRATION DATE: 10/31/2003
RESPS:3,660 HOURS:921 COSTS(000):$0
National Assessment of Educational Progress (NAEP) Year 2001
Field Test and the Year 2002 Main Assessment of Reading and
Writing
FORMS: NONE
OMB NO: 1850-0631 EXPIRATION DATE: 04/30/2003
RESPS:569 HOURS:224 COSTS(000):$0
Beginning Postsecondary Students Longitudinal Study 1996-2001
(BPS: 1996/2001)
FORMS: NONE
OMB NO: 1850-0635 EXPIRATION DATE: 02/28/2003
RESPS:150 HOURS:6,000 COSTS(000):$0
Applications for Grants under the Javits Gifted and Talented
Students Education Program
FORMS: NONE
OMB NO: 1850-0637 EXPIRATION DATE: 11/30/2001
RESPS:35 HOURS:840 COSTS(000):$0
Application for Grants under the Fund for the Improvement of
Educational Program
FORMS: ED-424
OMB NO: 1850-0641 EXPIRATION DATE: 07/31/2002
RESPS:45,000 HOURS:16,667 COSTS(000):$0
1999-2000 Private School Survey
FORMS: NONE
OMB NO: 1850-0652 EXPIRATION DATE: 03/31/2002
RESPS:457 HOURS:214 COSTS(000):$0
National Education Longitudinal Study: 1998-2000
FORMS: NONE
OMB NO: 1850-0662 EXPIRATION DATE: 10/31/2002
RESPS:15 HOURS:360 COSTS(000):$0
National Assessment of Educational Progress (NAEP) Secondary
Analysis Grant Program
FORMS: NONE
OMB NO: 1850-0666 EXPIRATION DATE: 03/31/2002
RESPS:1,964 HOURS:1,898 COSTS(000):$0
National Postsecondary Student Aid Study: 2000 (NPSAS: 2000)
(Field Test, Full Scale, and Field Test and Full Scale for First
Followup of Baccalaureate and Beyond)
FORMS: NONE
OMB NO: 1850-0682 EXPIRATION DATE: 02/28/2003
RESPS:30 HOURS:1,200 COSTS(000):$0
Applications for Grants under the Eisenhower Regional
Mathematics and Science Education Consortia Program
FORMS: SF-424 ED-524
OMB NO: 1850-0689 EXPIRATION DATE: 12/31/2003
RESPS:56 HOURS:1,680 COSTS(000):$0
Public Libraries Survey
FORMS: NONE
OMB NO: 1850-0705 EXPIRATION DATE: 10/31/2003
RESPS:51 HOURS:561 COSTS(000):$0
State Library Agencies Survey
FORMS: NONE
OMB NO: 1850-0711 EXPIRATION DATE: 11/30/2001
RESPS:2,000 HOURS:48,000 COSTS(000):$0
21st Century Community Learning Centers Program: Application for
Grants
FORMS: CFDA-84.287
OMB NO: 1850-0713 EXPIRATION DATE: 09/30/2001
RESPS:107,155 HOURS:15,826 COSTS(000):$0
1999 National Household Education Survey (NHES:99)
FORMS: NONE
OMB NO: 1850-0716 EXPIRATION DATE: 02/28/2003
RESPS:50 HOURS:8,000 COSTS(000):$0
Regional Technology in Education Consortia; Notice of
Solicitation of Grant Applications and Guidelines for Preparing
Applications
FORMS: NONE
OMB NO: 1850-0723 EXPIRATION DATE: 11/30/2001
RESPS:1 HOURS:1 COSTS(000):$0
Standards for the Conduct and Evaluation of Activities Carried
Out by the Office of Educational Research and Improvement
(OERI)--Phase I
FORMS: NONE
OMB NO: 1850-0733 EXPIRATION DATE: 07/31/2002
RESPS:10,161 HOURS:7,621 COSTS(000):$0
NCES Quick Response Information System
FORMS: NONE
OMB NO: 1850-0734 EXPIRATION DATE: 12/31/2002
RESPS:200 HOURS:1,200 COSTS(000):$0
Designation of Exemplary and Promising Programs
FORMS: NONE
OMB NO: 1850-0742 EXPIRATION DATE: 03/31/2001
RESPS:6,200 HOURS:2,200 COSTS(000):$0
1998 National Assessment of Educational Progress, Writing
Special Study
FORMS: NONE
OMB NO: 1850-0743 EXPIRATION DATE: 06/30/2001
RESPS:350 HOURS:8,750 COSTS(000):$0
Technology Innovation Challenge Grant Program: Professional
Development (Application Package)
FORMS: NONE
OMB NO: 1850-0744 EXPIRATION DATE: 04/30/2001
RESPS:832 HOURS:1,568 COSTS(000):$0
Research on Charter Schools and Students with Disabilities
FORMS: NONE
OMB NO: 1850-0745 EXPIRATION DATE: 10/31/2003
RESPS:515 HOURS:25,750 COSTS(000):$0
The Blue Ribbon Schools Program
FORMS: NONE
OMB NO: 1850-0746 EXPIRATION DATE: 04/30/2001
RESPS:1 HOURS:1 COSTS(000):$0
Standards for Evaluation of the Performance of Recipients of
OERI Grants, Cooperative Agreements, and Contracts
FORMS: NONE
OMB NO: 1850-0747 EXPIRATION DATE: 11/30/2001
RESPS:500 HOURS:20,000 COSTS(000):$0
Technology Innovation Challenge Grant Program: General
Competition
FORMS: 424 524 80-0013
OMB NO: 1850-0749 EXPIRATION DATE: 09/30/2001
RESPS:3,900 HOURS:3,150 COSTS(000):$0
IEA Civics Education Project, Pilot Test and Full Scale
FORMS: NONE
OMB NO: 1850-0750 EXPIRATION DATE: 11/30/2001
RESPS:600 HOURS:313 COSTS(000):$0
Early Childhood Longitudinal Study (ECLS) First Grade Fall 98
Pilot Study, Fall 99 and Spring 2000 Fullscale
FORMS: NONE
OMB NO: 1850-0751 EXPIRATION DATE: 11/30/2001
RESPS:6,200 HOURS:1,400 COSTS(000):$0
Third International Mathematics and Science Study-Repeat
(TIMSS-R Video)
FORMS: NONE
OMB NO: 1850-0754 EXPIRATION DATE: 04/30/2002
RESPS:693 HOURS:671 COSTS(000):$0
Research on Charter School Finances
FORMS: NONE
OMB NO: 1850-0755 EXPIRATION DATE: 04/30/2002
RESPS:1,860 HOURS:1,200 COSTS(000):$0
Data Collection for Program for International Student Assessment
(PISA)
FORMS: NONE
OMB NO: 1850-0756 EXPIRATION DATE: 08/31/2002
RESPS:2,280 HOURS:3,082 COSTS(000):$0
Early Childhood Longitudinal Study-Birth Cohort 2000, Field Test
and Full Scale Data Collection
FORMS: NONE
OMB NO: 1850-0758 EXPIRATION DATE: 10/31/2002
RESPS:9,600 HOURS:9,870 COSTS(000):$0
National Assessment of Educational Progress (NAEP) Year 2000
Field Test and Year 2001 Main Assessment of World Geography and
U.S. History
FORMS: NONE
OMB NO: 1850-0759 EXPIRATION DATE: 10/31/2002
RESPS:45 HOURS:630 COSTS(000):$0
Combined Application and Combined Announcement for the OERI
Visiting Scholars Fellowship Program
FORMS: NONE
OMB NO: 1850-0760 EXPIRATION DATE: 01/31/2003
RESPS:10 HOURS:400 COSTS(000):$0
Telecommunications Demonstration Project for Mathematics
FORMS: NONE
OMB NO: 1850-0762 EXPIRATION DATE: 03/31/2003
RESPS:50 HOURS:2,700 COSTS(000):$0
National Awards Program for Effective Teacher Preparation
FORMS: NONE
OMB NO: 1850-0763 EXPIRATION DATE: 04/30/2003
RESPS:80 HOURS:9,600 COSTS(000):$0
Application for a Comprehensive School Reform Educational
Research Grant
FORMS: NONE
OMB NO: 1850-0764 EXPIRATION DATE: 05/31/2003
RESPS:23 HOURS:3,260 COSTS(000):$0
Star Schools Program Online Annual Performance Reporting System
FORMS: NONE
OMB NO: 1850-0767 EXPIRATION DATE: 05/31/2003
RESPS:96 HOURS:3,840 COSTS(000):$0
Technology Innovation Challenge Grant Program Online Annual
Performance Reporting System
FORMS: CFDA-84.303A
OMB NO: 1850-0768 EXPIRATION DATE: 05/31/2003
RESPS:3,100 HOURS:465 COSTS(000):$0
National Household Education Survey of 2001 (NHES: 2001)
FORMS: NONE
OMB NO: 1850-0769 EXPIRATION DATE: 09/30/2003
RESPS:36,253 HOURS:15,721 COSTS(000):$0
The Impact of ICT on Learning: Quasi-Experimental Study
FORMS: NONE
OMB NO: 1850-0770 EXPIRATION DATE: 09/30/2002
RESPS:80 HOURS:3,200 COSTS(000):$0
National Awards Program for Model Professional Development
FORMS: NONE
OMB NO: 1850-0771 EXPIRATION DATE: 12/31/2003
RESPS:5,750 HOURS:1,438 COSTS(000):$0
NAEP Technology Based Assessment Project, Pretest and Field Test
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
47 474,339 594,127 $0
Office of Intergovernmental and Interagency Affairs
OMB NO: 1860-0504 EXPIRATION DATE: 03/31/2001
RESPS:2,600 HOURS:41,600 COSTS(000):$0
Applications for the U.S. Presidential Scholars Program
FORMS: NONE
OMB NO: 1860-0505 EXPIRATION DATE: 10/31/2001
RESPS:720 HOURS:420 COSTS(000):$0
Sign-On Forms for Partnership for Family Involvement in Education
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
2 3,320 42,020 $0
Office for Civil Rights
OMB NO: 1870-0500 EXPIRATION DATE: 12/31/2001
RESPS:52,500 HOURS:506,250 COSTS(000):$0
2000 Elementary and Secondary School Civil Rights Compliance
report
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
1 52,500 506,250 $0
Office of the Under Secretary
OMB NO: 1875-0106 EXPIRATION DATE: 06/30/2001
RESPS:15,550 HOURS:4,404 COSTS(000):$0
Application for Federal Education Assistance (AFEA)
FORMS: NONE
OMB NO: 1875-0127 EXPIRATION DATE: 03/31/2001
RESPS:3,264 HOURS:4,197 COSTS(000):$0
Longitudinal Evaluation of School Change and Performance
FORMS: NONE
OMB NO: 1875-0134 EXPIRATION DATE: 11/30/2001
RESPS:109 HOURS:4,360 COSTS(000):$0
Safe and Drug-Free Schools and Communties Act: Request for
Clearance of the State Education Agency and Governor's Reporting
Forms
FORMS: NONE
OMB NO: 1875-0137 EXPIRATION DATE: 05/31/2002
RESPS:1,350 HOURS:61,770 COSTS(000):$0
Third National Even Start Evaluation: Performance Information
Reporting System and Experimental Study
FORMS: NONE
OMB NO: 1875-0139 EXPIRATION DATE: 09/30/2002
RESPS:900 HOURS:1,675 COSTS(000):$0
Evaluation of the Eisenhower Professional Development Program:
State and Local Activities
FORMS: NONE
OMB NO: 1875-0141 EXPIRATION DATE: 01/31/2001
RESPS:525 HOURS:510 COSTS(000):$0
Observational Study of Even Start Family Literacy Projects
FORMS: NONE
OMB NO: 1875-0142 EXPIRATION DATE: 01/31/2001
RESPS:70 HOURS:250 COSTS(000):$0
Guidance for Reporting on Waivers Granted by the U.S. Department
of Education
FORMS: NONE
OMB NO: 1875-0143 EXPIRATION DATE: 02/28/2001
RESPS:74,760 HOURS:49,430 COSTS(000):$0
Study of School Violence and Prevention
FORMS: NONE
OMB NO: 1875-0145 EXPIRATION DATE: 05/31/2001
RESPS:1,142 HOURS:2,284 COSTS(000):$0
America Reads Pilot Sites Letter and Request for Information
from America Reads Federal Work Study and President's Coalition
Members
FORMS: NONE
OMB NO: 1875-0146 EXPIRATION DATE: 03/31/2001
RESPS:5,527 HOURS:4,856 COSTS(000):$0
Study of Education Resources and Federal Funding (Formerly
FORMS: NONE
OMB NO: 1875-0149 EXPIRATION DATE: 05/31/2001
RESPS:193 HOURS:209 COSTS(000):$0
Follow-Up Study to the 1995 National Evaluation of Homeless
Children and Youth Program
FORMS: NONE
OMB NO: 1875-0150 EXPIRATION DATE: 08/31/2001
RESPS:459 HOURS:459 COSTS(000):$0
Follow-Up Study of State Implementation of Federal Elementary
and Secondary Education Programs
FORMS: NONE
OMB NO: 1875-0153 EXPIRATION DATE: 09/30/2001
RESPS:18,800 HOURS:10,760 COSTS(000):$0
National Longitudinal Survey of Schools (NLSS)
FORMS: NONE
OMB NO: 1875-0154 EXPIRATION DATE: 09/30/2001
RESPS:8,289 HOURS:6,825 COSTS(000):$0
Evaluation of Upward Bound
FORMS: NONE
OMB NO: 1875-0155 EXPIRATION DATE: 11/30/2001
RESPS:100 HOURS:200 COSTS(000):$0
Federal Interagency Coordinating Council: Family Member
Suggested Application/Nomination Form
FORMS: NONE
OMB NO: 1875-0157 EXPIRATION DATE: 10/31/2001
RESPS:2,620 HOURS:1,140 COSTS(000):$0
An Evaluation of the Comprehensive Regional Assistance Centers
FORMS: NONE
OMB NO: 1875-0158 EXPIRATION DATE: 11/30/2001
RESPS:561 HOURS:1,671 COSTS(000):$0
National Study of Local Education Agency Activities under the
Safe and Drug-Free Schools and Communities Act
FORMS: NONE
OMB NO: 1875-0159 EXPIRATION DATE: 09/30/2001
RESPS:849 HOURS:872 COSTS(000):$0
Local Implementation of Federal Programs
FORMS: NONE
OMB NO: 1875-0160 EXPIRATION DATE: 04/30/2002
RESPS:575 HOURS:793 COSTS(000):$0
Evaluation of the Eisenhower Professional Development Program:
State and Local Activities
FORMS: NONE
OMB NO: 1875-0161 EXPIRATION DATE: 07/31/2002
RESPS:100 HOURS:100 COSTS(000):$0
Study of State Agency Activities under Title I, Part D, of ESEA,
as amended
FORMS: NONE
OMB NO: 1875-0162 EXPIRATION DATE: 07/31/2002
RESPS:3,590 HOURS:2,390 COSTS(000):$0
Evaluation of the Public Charter Schools Program, Data Collection
FORMS: NONE
OMB NO: 1875-0165 EXPIRATION DATE: 08/31/2002
RESPS:1,950 HOURS:2,104 COSTS(000):$0
"What Works" Study for Adult ESL Literacy Students
FORMS: NONE
OMB NO: 1875-0166 EXPIRATION DATE: 10/31/2002
RESPS:1 HOURS:250 COSTS(000):$0
Local Education Agency Component of Study of School Violence and
Prevention
FORMS: NONE
OMB NO: 1875-0169 EXPIRATION DATE: 01/31/2003
RESPS:2 HOURS:30,123 COSTS(000):$0
Evaluation of the Compact for Reading
FORMS: NONE
OMB NO: 1875-0172 EXPIRATION DATE: 09/30/2002
RESPS:401 HOURS:300 COSTS(000):$0
Phase I of the National Evaluation of Talent Search
FORMS: NONE
OMB NO: 1875-0174 EXPIRATION DATE: 02/28/2002
RESPS:1,529 HOURS:1,529 COSTS(000):$0
Evaluation of the Magnet Schools Assistance Program
FORMS: NONE
OMB NO: 1875-0176 EXPIRATION DATE: 02/28/2002
RESPS:1,529 HOURS:1,529 COSTS(000):$0
Evaluation of the Magnet Schools Assistance Program
FORMS: NONE
OMB NO: 1875-0177 EXPIRATION DATE: 02/28/2003
RESPS:350,427 HOURS:56,423 COSTS(000):$16
21st Century Community Learning Centers Annual Performance Report
FORMS: NONE
OMB NO: 1875-0178 EXPIRATION DATE: 02/28/2003
RESPS:1,385 HOURS:3,923 COSTS(000):$0
Evaluation of Effective Adult Basic Education Programs and
Practices
FORMS: NONE
OMB NO: 1875-0179 EXPIRATION DATE: 03/31/2001
RESPS:636 HOURS:970 COSTS(000):$0
Supplemental Study of the Technology Literacy Challenge Fund
FORMS: NONE
OMB NO: 1875-0180 EXPIRATION DATE: 07/31/2003
RESPS:185 HOURS:7,585 COSTS(000):$0
Annual Performance Reporting for the Gaining Early Awareness
FORMS: CFDA#:84.334
OMB NO: 1875-0182 EXPIRATION DATE: 08/31/2003
RESPS:800 HOURS:800 COSTS(000):$0
Class-Size Reduction Program
FORMS: NONE
OMB NO: 1875-0183 EXPIRATION DATE: 08/31/2003
RESPS:26,325 HOURS:42,090 COSTS(000):$0
Evaluation of the 21st Century Community Learning Centers Program
FORMS: NONE
OMB NO: 1875-0185 EXPIRATION DATE: 09/30/2003
RESPS:225 HOURS:2,250 COSTS(000):$56,036
Annual Performance Report for the Preparing Tomorrow's Teachers
to Use Technology Grant Program
FORMS: NONE
OMB NO: 1875-0186 EXPIRATION DATE: 10/31/2003
RESPS:1 HOURS:7,916 COSTS(000):$0
Moving Standards to the Classroom: A Study of Standard-Based
Mathematics Instruction in Six States
FORMS: NONE
OMB NO: 1875-0188 EXPIRATION DATE: 09/30/2002
RESPS:2 HOURS:324 COSTS(000):$0
Comprehensive School Reform Demonstration Field Focused Studies
FORMS: NONE
OMB NO: 1875-0189 EXPIRATION DATE: 09/30/2001
RESPS:2,000 HOURS:3,000 COSTS(000):$0
The Integrated Studies of Educational Technology (ISET):
Evaluation of Educational Technology Policy and Practice-School
and Teacher Surveys Data Collection Clearance Package
FORMS: NONE
OMB NO: 1875-0190 EXPIRATION DATE: 10/31/2003
RESPS:77 HOURS:3,161 COSTS(000):$90,370
Teacher Quality Enhancement Grants Program Annual Performance
Reports
FORMS: NONE
OMB NO: 1875-0191 EXPIRATION DATE: 10/31/2003
RESPS:11,565 HOURS:5,210 COSTS(000):$0
The National Evaluation of GEAR UP
FORMS: NONE
OMB NO: 1875-0194 EXPIRATION DATE: 11/30/2003
RESPS:873 HOURS:2,055 COSTS(000):$99
Assessing Literacy Models in the Boston Public Schools (JM)
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
40 539,246 330,697 $146,521
Departmental Management
OMB NO: 1880-0529 EXPIRATION DATE: 11/30/2003
RESPS:10,000 HOURS:25,120 COSTS(000):$0
Master Plan for Customer Satisfaction Surveys and Focus Groups
FORMS: NONE
OMB NO: 1880-0531 EXPIRATION DATE: 10/31/2001
RESPS:100 HOURS:2,000 COSTS(000):$0
Waiver Guidance for Waivers Available under Goals 2000, ESEA,
and School-to-Work
FORMS: NONE
OMB NO: 1880-0539 EXPIRATION DATE: 06/30/2001
RESPS:1 HOURS:1 COSTS(000):$0
Streamlined Process for Education Department General
Administrative Regulations (EDGAR) Approved Grant Applications
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
3 10,101 27,121 $0
Office of Bilingual Education and Minority Languages Affairs
OMB NO: 1885-0001 EXPIRATION DATE: 03/31/2002
RESPS:45 HOURS:1,500 COSTS(000):$0
Application for Participation in the Bilingual Education
Graduate Fellowship Program
FORMS: ED-4561-1 2A 2B 2C 2D
OMB NO: 1885-0005 EXPIRATION DATE: 03/31/2002
RESPS:700 HOURS:366 COSTS(000):$0
Demonstration of Compliance with Terms and Conditions of the
Bilingual Education Graduate Fellowship Program Contract
FORMS: ED-4561-3
OMB NO: 1885-0507 EXPIRATION DATE: 06/30/2002
RESPS:57 HOURS:9,177 COSTS(000):$0
Application for Grants under Emergency Immigrant Education
Program
FORMS: T85-1P
OMB NO: 1885-0535 EXPIRATION DATE: 12/31/2001
RESPS:400 HOURS:48,000 COSTS(000):$0
Application for Grants under Bilingual Education: Comprehensive
School Grants Program
FORMS: NONE
OMB NO: 1885-0536 EXPIRATION DATE: 12/31/2001
RESPS:200 HOURS:24,000 COSTS(000):$0
Application for Grants under Bilingual Education: Teachers and
Personnel Grants Program
FORMS: NONE
OMB NO: 1885-0537 EXPIRATION DATE: 12/31/2001
RESPS:200 HOURS:24,000 COSTS(000):$0
Application for Grants under Bilingual Education: Systemwide
Improvement Grants Program
FORMS: NONE
OMB NO: 1885-0538 EXPIRATION DATE: 12/31/2001
RESPS:300 HOURS:24,000 COSTS(000):$0
Application for New Grants under Bilingual Education: Program
Development and Implementation Grants Program
FORMS: NONE
OMB NO: 1885-0539 EXPIRATION DATE: 12/31/2001
RESPS:300 HOURS:24,000 COSTS(000):$0
Application for Grants under Bilingual Education Program
Enhancement Grants
FORMS: NONE
OMB NO: 1885-0540 EXPIRATION DATE: 12/31/2001
RESPS:150 HOURS:12,000 COSTS(000):$0
Application for New Grants under Foreign Language Assistance
Program for Local Education Agencies
FORMS: NONE
OMB NO: 1885-0541 EXPIRATION DATE: 12/31/2001
RESPS:59 HOURS:1,770 COSTS(000):$0
Application for Grants under Bilingual Education: State Grant
Program
FORMS: NONE
OMB NO: 1885-0542 EXPIRATION DATE: 12/31/2001
RESPS:200 HOURS:24,000 COSTS(000):$0
Application for Grants under Bilingual Education: Career Ladder
Program
FORMS: NONE
OMB NO: 1885-0543 EXPIRATION DATE: 01/31/2002
RESPS:59 HOURS:2,655 COSTS(000):$0
Annual Survey of Bilingual Education: State Grant Program
FORMS: NONE
OMB NO: 1885-0544 EXPIRATION DATE: 12/31/2001
RESPS:50 HOURS:4,000 COSTS(000):$0
Application for Grants under Foreign Language Assistance Program
for State Education Agencies
FORMS: NONE
OMB NO: 1885-0545 EXPIRATION DATE: 03/31/2002
RESPS:50 HOURS:7,080 COSTS(000):$0
Application for Grants under Bilingual Education: Training for
All Teachers
FORMS: NONE
OMB NO: 1885-0546 EXPIRATION DATE: 10/31/2001
RESPS:4,026 HOURS:584 COSTS(000):$0
Transfer of Reading Skills from Spanish to English: A Study of
Young Learners
FORMS: NONE
OMB NO: 1885-0547 EXPIRATION DATE: 04/30/2002
RESPS:20 HOURS:2,900 COSTS(000):$0
Application for Bilingual Education: Field-Initiated Research
Program
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
16 6,816 210,032 $0
Office of the Chief Financial Officer
OMB NO: 1890-0001 EXPIRATION DATE: 01/31/2001
RESPS:1 HOURS:1 COSTS(000):$0
Streamlined Clearance Process for Discretionary Grant
Information Collections
FORMS: NONE
OMB NO: 1890-0004 EXPIRATION DATE: 02/28/2003
RESPS:23,248 HOURS:500,055 COSTS(000):$2
Grant Performance Report (JM)
FORMS: 524 524-B
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
2 23,249 500,056 $2
Office of Inspector General
No active collections for this subagency
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
325 60,937,860 40,965,610 $379,205
Department of Energy
Departmental and Others
OMB NO: 1901-0260 EXPIRATION DATE: 07/31/2003
RESPS:468 HOURS:2,574 COSTS(000):$0
Standard Contract for Disposal of Spent Nuclear and/or
High-Level Radioactive Waste
FORMS: 830G
OMB NO: 1901-0287 EXPIRATION DATE: 12/31/2001
RESPS:127 HOURS:5,074 COSTS(000):$0
Nuclear Fuel Data Form
FORMS: 859
OMB NO: 1901-0294 EXPIRATION DATE: 04/30/2002
RESPS:1,350 HOURS:4,080 COSTS(000):$0
Import and Export of Natural Gas
FORMS: 746R
OMB NO: 1901-0296 EXPIRATION DATE: 01/31/2001
RESPS:37 HOURS:370 COSTS(000):$0
Annual Report of International Electrical Export/Import Data
FORMS: FE-781R
OMB NO: 1901-0297 EXPIRATION DATE: 09/30/2001
RESPS:30 HOURS:240 COSTS(000):$0
Power Plant and Industrial Fuel Use Act of 1978 (Final Rule)
FORMS: 329R
OMB NO: 1901-0302 EXPIRATION DATE: 09/30/2003
RESPS:50,000 HOURS:12,500 COSTS(000):$0
DOE Customer Surveys
FORMS: 887
OMB NO: 1901-0303 EXPIRATION DATE: 07/31/2003
RESPS:40 HOURS:160 COSTS(000):$0
Annual Geothermal Heat Pump Manufacturers Survey
FORMS: 902
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
7 52,052 24,998 $0
Economic Regulatory Administration
OMB NO: 1903-0073 EXPIRATION DATE: 12/31/2002
RESPS:100 HOURS:400 COSTS(000):$0
Recordkeeping Requirements of DOE's General Allocation and Price
FORMS: 766R
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
1 100 400 $0
Energy Efficiency and Renewable Energy
OMB NO: 1904-0050 EXPIRATION DATE: 11/30/2002
RESPS:250 HOURS:500 COSTS(000):$0
Study of Central Air Conditioner Life Cycle Costs
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
1 250 500 $0
Energy Information Administration
OMB NO: 1905-0057 EXPIRATION DATE: 12/31/2003
RESPS:4,505 HOURS:74,236 COSTS(000):$0
Oil and Gas Reserves System Surveys
FORMS: 23 23P 64A
OMB NO: 1905-0129 EXPIRATION DATE: 12/31/2001
RESPS:18,946 HOURS:81,505 COSTS(000):$0
Electric Power Surveys
FORMS: 411 412 417R 759 826 860A 860B 861 900
OMB NO: 1905-0145 EXPIRATION DATE: 11/30/2002
RESPS:2,067 HOURS:2,666 COSTS(000):$0
Commercial Building Energy Consumption Survey (CBECS)
FORMS: 871A/F
OMB NO: 1905-0149 EXPIRATION DATE: 11/30/2002
RESPS:33 HOURS:16,005 COSTS(000):$0
Financial Reporting System
FORMS: EIA-28
OMB NO: 1905-0160 EXPIRATION DATE: 11/30/2003
RESPS:132 HOURS:2,424 COSTS(000):$0
Uranium Data Program
FORMS: 851 858
OMB NO: 1905-0165 EXPIRATION DATE: 11/30/2003
RESPS:45,103 HOURS:53,970 COSTS(000):$0
Petroleum Supply Reporting System
FORMS: 800-804 807 810-814 816 817 819M 820
OMB NO: 1905-0167 EXPIRATION DATE: 03/31/2002
RESPS:11,707 HOURS:10,137 COSTS(000):$0
Coal Program Package
FORMS: 1 3 3A 4 5 5A 6A 6Q 7A 20
OMB NO: 1905-0169 EXPIRATION DATE: 02/28/2002
RESPS:6,000 HOURS:49,447 COSTS(000):$0
Manufacturing Energy Consumption Survey
FORMS: 846(A) 846(B) 846(C)
OMB NO: 1905-0174 EXPIRATION DATE: 11/30/2003
RESPS:134,594 HOURS:125,513 COSTS(000):$0
Petroleum Marketing Program
FORMS: 14 182 782A/B/C 821 856 863 877 878 888
OMB NO: 1905-0175 EXPIRATION DATE: 12/31/2002
RESPS:8,166 HOURS:43,675 COSTS(000):$0
Natural Gas Program Package
FORMS: EIA-176 191 191S 857 857S 895
OMB NO: 1905-0186 EXPIRATION DATE: 07/31/2002
RESPS:4,000 HOURS:1,000 COSTS(000):$0
Generic Clearance of Questionnaire Testing, Evaluation, and
Research
FORMS: 882T
OMB NO: 1905-0191 EXPIRATION DATE: 04/30/2001
RESPS:2,500 HOURS:11,223 COSTS(000):$412
Alternative Transportation Fuels and Alternative Fueled Vehicles
FORMS: 886
OMB NO: 1905-0194 EXPIRATION DATE: 05/31/2001
RESPS:210 HOURS:6,240 COSTS(000):$0
Voluntary Reporting of Greenhouse Gases
FORMS: 1605 1605EZ
OMB NO: 1905-0196 EXPIRATION DATE: 09/30/2001
RESPS:65 HOURS:195 COSTS(000):$0
Annual Solar Thermal Collector Manufacturers Survey and Annual
FORMS: EIA-63A EIA-63B
OMB NO: 1905-0197 EXPIRATION DATE: 12/31/2001
RESPS:848 HOURS:20,781 COSTS(000):$0
Steam-Electric Plant Operation and Design Report
FORMS: 767
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
15 238,876 499,017 $412
Office of Administration
OMB NO: 1910-0068 EXPIRATION DATE: 08/31/2001
RESPS:18 HOURS:205 COSTS(000):$0
Renewable Energy Production Incentives
FORMS: NONE
OMB NO: 1910-0100 EXPIRATION DATE: 11/30/2001
RESPS:22,295 HOURS:22,190 COSTS(000):$0
Information Management
FORMS: NONE
OMB NO: 1910-0400 EXPIRATION DATE: 01/31/2001
RESPS:66,705 HOURS:664,673 COSTS(000):$0
Financial Assistance
FORMS: NONE
OMB NO: 1910-0600 EXPIRATION DATE: 09/30/2001
RESPS:693 HOURS:27,277 COSTS(000):$0
Industrial Relations
FORMS: NONE
OMB NO: 1910-0800 EXPIRATION DATE: 12/31/2001
RESPS:1 HOURS:21,052 COSTS(000):$0
Legal Collections Package
FORMS: NONE
OMB NO: 1910-1000 EXPIRATION DATE: 01/31/2001
RESPS:3,857 HOURS:247,374 COSTS(000):$0
Personal Property
FORMS: NONE
OMB NO: 1910-4100 EXPIRATION DATE: 11/30/2001
RESPS:4,331 HOURS:1,234,692 COSTS(000):$0
Procurement
FORMS: NONE
OMB NO: 1910-5101 EXPIRATION DATE: 02/28/2003
RESPS:1,000 HOURS:12,000 COSTS(000):$0
Recordkeeping and Reporting Requirements of the Alternative Fuel
Transportation Program
FORMS: DOE/OTT/101
OMB NO: 1910-5104 EXPIRATION DATE: 02/28/2001
RESPS:41 HOURS:12,300 COSTS(000):$574
Energy Efficiency Program for Certain Commercial and Industrial
Equipment: Test Procedures, Labeling, and Certification
Requirements for Electric Motors -- 10 CFR Part 431 (Proposed)
FORMS: NONE
OMB NO: 1910-5105 EXPIRATION DATE: 07/31/2001
RESPS:50 HOURS:50,000 COSTS(000):$0
Occupational Radiation Protection Program
FORMS: NONE
OMB NO: 1910-5107 EXPIRATION DATE: 12/31/2001
RESPS:1 HOURS:1,200 COSTS(000):$0
Proposed Clothes Washer Consumer Impact Analysis
FORMS: NONE
OMB NO: 1910-5108 EXPIRATION DATE: 01/31/2002
RESPS:1 HOURS:500 COSTS(000):$30
Department of Energy Million Solar Roofs Initiative Registry
FORMS: NONE
OMB NO: 1910-5111 EXPIRATION DATE: 02/28/2003
RESPS:20 HOURS:100 COSTS(000):$0
Disclosure of Relevant Interests by Firms That Are Members of
Apparent Successful Offeror Joint Venture of Other Formal
Teaming Arrangement
FORMS: NONE
OMB NO: 1910-5112 EXPIRATION DATE: 04/30/2003
RESPS:30,861 HOURS:54,762 COSTS(000):$2,088
Chronic Beryllium Disease Prevention Program
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
14 129,874 2,348,325 $2,692
Office of General Counsel
No active collections for this subagency
Office of Procurement and Assistance Management
No active collections for this subagency
Defense and Security Affairs
No active collections for this subagency
Policy, Safety, and Environment
No active collections for this subagency
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
38 421,152 2,873,240 $3,104
Department of Health and Human Services
Public Health Service
No active collections for this subagency
Health Resources and Services Administration
No active collections for this subagency
Food and Drug Administration
OMB NO: 0910-0001 EXPIRATION DATE: 11/30/2001
RESPS:21,200 HOURS:2,121,270 COSTS(000):$0
Application for FDA Approval to Market a New Drug
FORMS: NONE
OMB NO: 0910-0012 EXPIRATION DATE: 12/31/2001
RESPS:6,750 HOURS:45,137 COSTS(000):$0
Veterinary Adverse Drug Reaction, Lack of Effectiveness, Product
Defect Report, and Transmittal of Periodic Reports and
Promotional Material for New Animal Drugs -- 21 CFR Part 510
FORMS: FDA-1932 FDA-1932A FDA-2301
OMB NO: 0910-0014 EXPIRATION DATE: 09/30/2002
RESPS:372,620 HOURS:17,240,565 COSTS(000):$0
Investigational New Drug (IND) Regulations
FORMS: FDA-1571 FDA-1572
OMB NO: 0910-0016 EXPIRATION DATE: 10/31/2003
RESPS:13 HOURS:69,320 COSTS(000):$0
Food Additive Petitions
FORMS: NONE
OMB NO: 0910-0021 EXPIRATION DATE: 07/31/2003
RESPS:58 HOURS:204 COSTS(000):$0
Interstate Shellfish Dealer's Certificate
FORMS: FDA-3038
OMB NO: 0910-0025 EXPIRATION DATE: 11/30/2003
RESPS:47,343 HOURS:324,957 COSTS(000):$0
Reporting and Recordkeeping Requirements and Availability of
Sample Electronic Products for Manufacturers and Distributors of
Electronic
FORMS: FDA-2579 FDA-2767 FDA-2877 FDA-3147
OMB NO: 0910-0027 EXPIRATION DATE: 10/31/2001
RESPS:1 HOURS:20 COSTS(000):$0
Registration of Cosmetics Product Establishment
FORMS: FDA-2511
OMB NO: 0910-0030 EXPIRATION DATE: 12/31/2002
RESPS:5,582 HOURS:1,662 COSTS(000):$0
Cosmetic Product Voluntary Reporting Program -- 21 CFR Part 720
FORMS: 2512 2512A 2514
OMB NO: 0910-0032 EXPIRATION DATE: 07/31/2001
RESPS:1,824 HOURS:282,038 COSTS(000):$0
New Animal Drug Application (NADA) -- 21 CFR Part 514
FORMS: FDA-356V
OMB NO: 0910-0037 EXPIRATION DATE: 09/30/2002
RESPS:12 HOURS:1,466,250 COSTS(000):$0
Food Canning Establishment Registration, Process Filing and
Recordkeeping for Acidified Foods and Thermally Processed
Low-Acid Foods in Hermetically Sealed Containers
FORMS: 2541 2541A 2541C
OMB NO: 0910-0045 EXPIRATION DATE: 04/30/2001
RESPS:62,700 HOURS:40,383 COSTS(000):$0
Registration of Producers of Drugs and Listing of Drugs in
Commercial Distribution
FORMS: 2656 2656(E) 2657 2658
OMB NO: 0910-0046 EXPIRATION DATE: 08/31/2003
RESPS:2,533,355 HOURS:354,714 COSTS(000):$0
Electronic Importer's Entry Notice
FORMS: NONE
OMB NO: 0910-0052 EXPIRATION DATE: 02/28/2003
RESPS:3,600 HOURS:1,969 COSTS(000):$0
Blood Establishment Registration and Product Listing -- Form FDA
2830
FORMS: 2830
OMB NO: 0910-0053 EXPIRATION DATE: 05/31/2001
RESPS:317 HOURS:1,936 COSTS(000):$0
Radioactive Drug Research Committee (RDRC) Report on Research
Research Use of Radioactive Drug Study Summary
FORMS: FDA-2914 FDA-2915
OMB NO: 0910-0073 EXPIRATION DATE: 07/31/2001
RESPS:7,237 HOURS:3,903,169 COSTS(000):$28,262
Current Good Manufacturing Practice (CGMP), Quality System (QS)
FORMS: NONE
OMB NO: 0910-0078 EXPIRATION DATE: 08/31/2003
RESPS:4,527 HOURS:61,021 COSTS(000):$0
Investigational Device Exemptions Reports and Records - 21 CFR
812
FORMS: NONE
OMB NO: 0910-0114 EXPIRATION DATE: 08/31/2003
RESPS:26 HOURS:461 COSTS(000):$0
Administrative Detention and Banned Medical Devices
FORMS: NONE
OMB NO: 0910-0116 EXPIRATION DATE: 11/30/2003
RESPS:397 HOURS:332,403 COSTS(000):$0
Current Good Manufacturing Practices and Related Regulations for
Blood and Blood Components
FORMS: NONE
OMB NO: 0910-0117 EXPIRATION DATE: 01/31/2002
RESPS:21,510 HOURS:71,376 COSTS(000):$0
New Animals Drugs for Investigational Use -- 21 CFR Part 511
FORMS: NONE
OMB NO: 0910-0119 EXPIRATION DATE: 10/31/2001
RESPS:240,000 HOURS:1,739,000 COSTS(000):$0
Good Laboratory Practices (GLP) Regulations for Nonclinical
Laboratory Studies -- 21 CFR Part 58
FORMS: NONE
OMB NO: 0910-0120 EXPIRATION DATE: 10/31/2001
RESPS:5,000 HOURS:410,000 COSTS(000):$0
Premarket Notification Submission -- 510(k), Subpart E
FORMS: NONE
OMB NO: 0910-0129 EXPIRATION DATE: 05/31/2003
RESPS:3 HOURS:330 COSTS(000):$0
Applications for Exemption From Federal Preemption of State and
Local Medical Device Requirements-21 CFR Part 808
FORMS: NONE
OMB NO: 0910-0130 EXPIRATION DATE: 10/31/2001
RESPS:29,200 HOURS:131,400 COSTS(000):$0
Protection of Human Subjects; Recordkeeping Requirements for
Institutional Review Boards (IRBs)
FORMS: NONE
OMB NO: 0910-0131 EXPIRATION DATE: 11/30/2003
RESPS:1,800 HOURS:7,200 COSTS(000):$0
Agreement for Shipments of Devices for Sterilization
FORMS: NONE
OMB NO: 0910-0132 EXPIRATION DATE: 11/30/2003
RESPS:1 HOURS:2,614 COSTS(000):$0
Affirmation of Generally Recognized as Safe GRAS Status
FORMS: NONE
OMB NO: 0910-0133 EXPIRATION DATE: 10/31/2002
RESPS:11 HOURS:91 COSTS(000):$0
Temporary Marketing Permit Applications
FORMS: NONE
OMB NO: 0910-0138 EXPIRATION DATE: 01/31/2003
RESPS:11 HOURS:5,500 COSTS(000):$0
Reclassification Petitions for Medical Devices
FORMS: 3427 3428 3429
OMB NO: 0910-0139 EXPIRATION DATE: 06/30/2002
RESPS:4,184 HOURS:848,625 COSTS(000):$0
Current Good Manufacturing Practice; Proposed Amendment of
Certain Requirements for Finished Pharmaceuticals
FORMS: NONE
OMB NO: 0910-0140 EXPIRATION DATE: 04/30/2001
RESPS:3,335 HOURS:1,487 COSTS(000):$0
Conditions for the Use of Narcotic Drugs for Treatment of
Narcotic Addiction, Reporting and Recordkeeping Requirements
FORMS: FDA-2632 FDA-2633 FDA-2635 FDA-2636
OMB NO: 0910-0152 EXPIRATION DATE: 08/31/2001
RESPS:2,040,000 HOURS:953,100 COSTS(000):$0
Current Good Manufacturing Practice for Medicated Feeds -- 21
CFR Part 225
FORMS: NONE
OMB NO: 0910-0154 EXPIRATION DATE: 08/31/2001
RESPS:144,000 HOURS:150,000 COSTS(000):$0
Current Good Manufacturing Practice for Type A Medicated
Articles -- 21 CFR Part 226
FORMS: NONE
OMB NO: 0910-0167 EXPIRATION DATE: 07/31/2001
RESPS:620 HOURS:20,964 COSTS(000):$0
Orphan Drug Act Regulations -- 21 CFR Part 316
FORMS: NONE
OMB NO: 0910-0168 EXPIRATION DATE: 04/30/2001
RESPS:52 HOURS:26 COSTS(000):$0
Shipment of a Blood Product Prior to Completion of Testing for
Hepatitis B Surface Antigen (HBsAg) and Shipment of Blood
Products Known Reactive for HBsAg
FORMS: NONE
OMB NO: 0910-0171 EXPIRATION DATE: 01/31/2003
RESPS:1,600,000 HOURS:986,369 COSTS(000):$0
Hearing Aid Devices: Professional and Patient Labeling and
Conditions for Sale
FORMS: NONE
OMB NO: 0910-0182 EXPIRATION DATE: 03/31/2001
RESPS:30 HOURS:14,760 COSTS(000):$0
Use of Impact-Resistant Lenses in Eyeglasses and Sunglasses
FORMS: NONE
OMB NO: 0910-0183 EXPIRATION DATE: 02/28/2003
RESPS:120 HOURS:1,440 COSTS(000):$0
Citizen Petition
FORMS: NONE
OMB NO: 0910-0184 EXPIRATION DATE: 03/31/2003
RESPS:60 HOURS:1,200 COSTS(000):$0
Filing Objections and Requests for a Hearing on a Regulation or
Order
FORMS: NONE
OMB NO: 0910-0185 EXPIRATION DATE: 09/30/2002
RESPS:5 HOURS:9,330 COSTS(000):$14
Labeling Requirements for Color Additives (Other Than Hair Dyes)
and Petitions (Formerly Color Additive Petitions)
FORMS: NONE
OMB NO: 0910-0186 EXPIRATION DATE: 04/30/2003
RESPS:360 HOURS:360 COSTS(000):$0
Irradiation in the Production, Processing and Handling of Food
FORMS: NONE
OMB NO: 0910-0188 EXPIRATION DATE: 07/31/2002
RESPS:3 HOURS:18,956 COSTS(000):$0
Infant Formula Recall Regulations -- 21 CFR Part 107
FORMS: NONE
OMB NO: 0910-0191 EXPIRATION DATE: 03/31/2003
RESPS:1 HOURS:90 COSTS(000):$0
Notice of Participation - 21 CFR 12.45
FORMS: NONE
OMB NO: 0910-0192 EXPIRATION DATE: 05/31/2001
RESPS:7 HOURS:70 COSTS(000):$0
(Petition for) Administrative Reconsideration of Action -- 21
CFR 10.33
FORMS: NONE
OMB NO: 0910-0193 EXPIRATION DATE: 03/31/2003
RESPS:1 HOURS:48 COSTS(000):$0
Advisory Opinions
FORMS: NONE
OMB NO: 0910-0194 EXPIRATION DATE: 04/30/2001
RESPS:7 HOURS:70 COSTS(000):$0
Petition for Administrative Stay of Action -- 21 CFR 10.35
FORMS: NONE
OMB NO: 0910-0206 EXPIRATION DATE: 08/31/2003
RESPS:7,221 HOURS:21,878 COSTS(000):$0
Request for Samples and Protocols
FORMS: NONE
OMB NO: 0910-0212 EXPIRATION DATE: 09/30/2002
RESPS:812 HOURS:1,212 COSTS(000):$0
Regulations under the Federal Import Milk Act -- 21 CFR Part 1210
FORMS: 1815 1993 1994 1995 1996 1997
OMB NO: 0910-0216 EXPIRATION DATE: 10/31/2001
RESPS:4,091 HOURS:2,046 COSTS(000):$0
Color Additive Certification -- 21 CFR Part 80, Subpart B
FORMS: NONE
OMB NO: 0910-0230 EXPIRATION DATE: 05/31/2002
RESPS:18 HOURS:345,114 COSTS(000):$0
Adverse Drug Experience Reporting
FORMS: NONE
OMB NO: 0910-0231 EXPIRATION DATE: 07/31/2001
RESPS:1 HOURS:67,766 COSTS(000):$0
Premarket Approval of Medical Devices -- 21 CFR 814
FORMS: NONE
OMB NO: 0910-0233 EXPIRATION DATE: 10/31/2001
RESPS:1 HOURS:100 COSTS(000):$0
Patent Term Restoration -- 21 CFR Part 60
FORMS: NONE
OMB NO: 0910-0249 EXPIRATION DATE: 10/31/2001
RESPS:1,712 HOURS:74,986 COSTS(000):$0
FDA Recall Regulations -- 21 CFR 7(c)
FORMS: NONE
OMB NO: 0910-0256 EXPIRATION DATE: 02/28/2001
RESPS:40 HOURS:16,272 COSTS(000):$0
Infant Formula Requirements
FORMS: NONE
OMB NO: 0910-0264 EXPIRATION DATE: 11/30/2003
RESPS:20 HOURS:50 COSTS(000):$0
Export of Medical Devices - Foreign Letters of Approval
FORMS: NONE
OMB NO: 0910-0275 EXPIRATION DATE: 10/31/2002
RESPS:1 HOURS:10 COSTS(000):$0
State Enforcement Notification -- 21 CFR 100.2(d)
FORMS: NONE
OMB NO: 0910-0277 EXPIRATION DATE: 10/31/2002
RESPS:1 HOURS:40 COSTS(000):$0
State Petitions for Exemption from Preemption
FORMS: NONE
OMB NO: 0910-0291 EXPIRATION DATE: 01/31/2001
RESPS:328,361 HOURS:320,081 COSTS(000):$0
MedWatch: The FDA Medical Products Reporting Program
FORMS: FDA-3500 FDA-3500A
OMB NO: 0910-0297 EXPIRATION DATE: 04/30/2001
RESPS:1,888 HOURS:283 COSTS(000):$0
User Fee Cover Sheet
FORMS: FDA-3397
OMB NO: 0910-0298 EXPIRATION DATE: 03/31/2001
RESPS:60 HOURS:3,200 COSTS(000):$0
Food Additivies: Threshold of Regulation for Substances Used in
Food-Contact Articles
FORMS: NONE
OMB NO: 0910-0302 EXPIRATION DATE: 02/28/2001
RESPS:11 HOURS:56,287 COSTS(000):$0
Human Tissue Intended for Transplantation
FORMS: NONE
OMB NO: 0910-0303 EXPIRATION DATE: 05/31/2003
RESPS:4,500 HOURS:270,000 COSTS(000):$0
Electronic Records: Electronic Signatures
FORMS: NONE
OMB NO: 0910-0305 EXPIRATION DATE: 05/31/2001
RESPS:772 HOURS:1,731 COSTS(000):$0
Abbreviated New Drug Application Regulations, Patent and
Exclusivity Provision
FORMS: NONE
OMB NO: 0910-0308 EXPIRATION DATE: 05/31/2001
RESPS:3,212 HOURS:342,132 COSTS(000):$0
Adverse Experience Reporting for Licensed Biological Products
and General Records -- 21 CFR 600
FORMS: NONE
OMB NO: 0910-0309 EXPIRATION DATE: 01/31/2001
RESPS:12,821 HOURS:184,510 COSTS(000):$21
Information Collection for Mammography Facilities
FORMS: FDA-3422
OMB NO: 0910-0315 EXPIRATION DATE: 08/31/2003
RESPS:3,768 HOURS:112,360 COSTS(000):$655
General Licensing Provisions: Changes to an Approved
Application; Labeling; and Revocation and Suspension
FORMS: FDA-2567
OMB NO: 0910-0320 EXPIRATION DATE: 07/31/2001
RESPS:219 HOURS:550 COSTS(000):$0
Establishment List of U.S. Firms/Processors Exporting Shell
Eggs, Dairy Products, Game Meat, Game Meat Products, and Casings
to the European Community
FORMS: NONE
OMB NO: 0910-0322 EXPIRATION DATE: 08/31/2003
RESPS:10,941 HOURS:230,040 COSTS(000):$0
21 CFR 25 - Environmental Impact Considerations
FORMS: NONE
OMB NO: 0910-0325 EXPIRATION DATE: 09/30/2002
RESPS:2 HOURS:8,320 COSTS(000):$0
Extralabel Drug Use in Animals
FORMS: NONE
OMB NO: 0910-0330 EXPIRATION DATE: 07/31/2002
RESPS:1 HOURS:220 COSTS(000):$0
Premarket Notification for a New Dietary Ingredient
FORMS: NONE
OMB NO: 0910-0331 EXPIRATION DATE: 07/31/2002
RESPS:1 HOURS:700 COSTS(000):$0
Food Labeling: Notification Procedures for Statements on Dietary
Supplements
FORMS: NONE
OMB NO: 0910-0332 EXPIRATION DATE: 12/31/2002
RESPS:129 HOURS:11,398 COSTS(000):$0
Medical Devices; Humanitarian Use Devices -- 21 CFR Part 814,
Subpart H
FORMS: NONE
OMB NO: 0910-0336 EXPIRATION DATE: 01/31/2003
RESPS:375,076 HOURS:80,926 COSTS(000):$0
Current Good Manufacturing Practices for Blood and Blood
Components; Notification of Consignees Receiving Blood and Blood
Components at Increased Risk for Transmitting HIV
FORMS: NONE
OMB NO: 0910-0337 EXPIRATION DATE: 11/30/2003
RESPS:175 HOURS:72 COSTS(000):$0
Medicated Feed Mill License Application
FORMS: FDA-3448
OMB NO: 0910-0338 EXPIRATION DATE: 03/31/2003
RESPS:21,252 HOURS:602,856 COSTS(000):$0
Application to Market a New Drug, Biologic, or Antibiotic Drug
for Human Use - Form FDA 356h
FORMS: NONE
OMB NO: 0910-0340 EXPIRATION DATE: 05/31/2002
RESPS:39,932 HOURS:120,578 COSTS(000):$0
Over-The-Counter Human Drugs; Labeling Requirements
FORMS: NONE
OMB NO: 0910-0341 EXPIRATION DATE: 05/31/2003
RESPS:924 HOURS:157 COSTS(000):$0
FDA Safety Alert/Public Health Advisory Readership Survey
FORMS: NONE
OMB NO: 0910-0342 EXPIRATION DATE: 05/31/2003
RESPS:60 HOURS:9,900 COSTS(000):$0
Notice of a Claim for GRAS exemption based on a GRAS
Determination
FORMS: NONE
OMB NO: 0910-0352 EXPIRATION DATE: 11/30/2003
RESPS:45 HOURS:4,320 COSTS(000):$0
Latex Condoms; User Labeling - Expiration Dating (21 CFR 801.435)
FORMS: NONE
OMB NO: 0910-0353 EXPIRATION DATE: 02/28/2001
RESPS:7 HOURS:854 COSTS(000):$0
Sterility Requirements for Inhalation Solution Products
FORMS: NONE
OMB NO: 0910-0354 EXPIRATION DATE: 01/31/2001
RESPS:3,146,660 HOURS:615,991 COSTS(000):$0
Procedures for the Safe Processing and Importing of Fish and
Fishery Products -- 21 CFR Part 123 (Final Rule)
FORMS: NONE
OMB NO: 0910-0356 EXPIRATION DATE: 01/31/2001
RESPS:860 HOURS:544,036 COSTS(000):$0
Substantial Evidence of Effectiveness of New Animal Drugs
FORMS: NONE
OMB NO: 0910-0357 EXPIRATION DATE: 01/31/2001
RESPS:66 HOURS:66 COSTS(000):$40
Serving Sizes: Reference Amount for Baking Powder, Baking Soda,
and Pectin
FORMS: NONE
OMB NO: 0910-0359 EXPIRATION DATE: 01/31/2002
RESPS:880 HOURS:13,200 COSTS(000):$0
Medical Devices: Reports of Corrections and Removals
FORMS: NONE
OMB NO: 0910-0360 EXPIRATION DATE: 03/31/2002
RESPS:20,000 HOURS:6,000 COSTS(000):$0
Customer/Partner Service Surveys
FORMS: NONE
OMB NO: 0910-0361 EXPIRATION DATE: 01/31/2001
RESPS:300 HOURS:15,000 COSTS(000):$0
Medical Devices; Classification/Reclassification; Restricted
Devices; Analyte Specific Reagents
FORMS: NONE
OMB NO: 0910-0363 EXPIRATION DATE: 10/31/2002
RESPS:1,885,101 HOURS:121,329 COSTS(000):$0
Veterinary Feed Directive (Proposed Rule)
FORMS: NONE
OMB NO: 0910-0364 EXPIRATION DATE: 03/31/2001
RESPS:30 HOURS:30 COSTS(000):$15
Nutrition Labeling: Declaration of Caloric Amounts and Serving
FORMS: NONE
OMB NO: 0910-0368 EXPIRATION DATE: 04/30/2001
RESPS:20 HOURS:2,000 COSTS(000):$0
OTC Test Sample Collection Systems for Drugs of Abuse Testing
FORMS: NONE
OMB NO: 0910-0370 EXPIRATION DATE: 05/31/2001
RESPS:290 HOURS:34,800 COSTS(000):$0
Specific Requirements on Content and Format of Labeling for
Human Prescription Drugs, Addition of "Geriatric Use" Subsection
in the Labeling
FORMS: NONE
OMB NO: 0910-0372 EXPIRATION DATE: 07/31/2001
RESPS:1,492 HOURS:1,119 COSTS(000):$0
Manufacturers of Human Cellular and Tissue-Based Products
FORMS: FDA-3356
OMB NO: 0910-0374 EXPIRATION DATE: 07/31/2002
RESPS:60 HOURS:60 COSTS(000):$0
Guidance for Industry: Notification of a Health Claim or
Nutrient Content Claim Based on an Authoritative Statement of a
Scientific Body
FORMS: NONE
OMB NO: 0910-0375 EXPIRATION DATE: 12/31/2001
RESPS:180 HOURS:7,960 COSTS(000):$0
Medical Devices: Third-Party Review Program under FDAMA
FORMS: NONE
OMB NO: 0910-0376 EXPIRATION DATE: 08/31/2001
RESPS:10,879 HOURS:21,758 COSTS(000):$0
Transmittal of Advertising and Promotional Labeling for Drugs
and Biologics for Human Use
FORMS: FDA-2253
OMB NO: 0910-0378 EXPIRATION DATE: 02/28/2002
RESPS:212 HOURS:9,488 COSTS(000):$0
Medical Devices: Third-Party Review Program under the U.S./E.C.
MRA
FORMS: NONE
OMB NO: 0910-0381 EXPIRATION DATE: 09/30/2001
RESPS:509,513 HOURS:1,583,003 COSTS(000):$16,800
Food Labeling Regulations
FORMS: NONE
OMB NO: 0910-0385 EXPIRATION DATE: 10/31/2001
RESPS:493 HOURS:32,612 COSTS(000):$0
Supplements to Premarket Approval Applications for Medical
Devices
FORMS: NONE
OMB NO: 0910-0387 EXPIRATION DATE: 12/31/2001
RESPS:29,302 HOURS:48,286 COSTS(000):$0
Medical Devices Registration and Listing
FORMS: 2891 2891A 2982
OMB NO: 0910-0389 EXPIRATION DATE: 06/30/2002
RESPS:114 HOURS:9,000 COSTS(000):$0
Guidance for Industry: Fast Track Drug Development Programs
Designation, Development, and Application Review
FORMS: NONE
OMB NO: 0910-0390 EXPIRATION DATE: 09/30/2002
RESPS:4,492 HOURS:52,208 COSTS(000):$0
Dissemination of Information on Unapproved/New Uses for Marketed
Drugs, Biologics, and Devices
FORMS: NONE
OMB NO: 0910-0392 EXPIRATION DATE: 01/31/2002
RESPS:2,663 HOURS:40,571 COSTS(000):$0
Regulations Requiring Manufacturers to Assess the Safety and
Effectiveness of New Drugs and Biological Products in Pediatric
Patients
FORMS: NONE
OMB NO: 0910-0393 EXPIRATION DATE: 01/31/2002
RESPS:150,011 HOURS:2,200 COSTS(000):$0
Prescription Drug Product Labeling, Medication Guide Requirements
FORMS: NONE
OMB NO: 0910-0395 EXPIRATION DATE: 03/31/2002
RESPS:850 HOURS:213 COSTS(000):$0
Food Labeling: Nutrition Labeling of Dietary Supplements on a
"Per Day" Basis
FORMS: NONE
OMB NO: 0910-0396 EXPIRATION DATE: 03/31/2002
RESPS:1 HOURS:6,250 COSTS(000):$0
Financial Disclosure by Clinical Investigators -- 21 CFR Part 54
(Final Rule)
FORMS: 3454
OMB NO: 0910-0398 EXPIRATION DATE: 03/31/2002
RESPS:1 HOURS:80 COSTS(000):$3
Labeling for Menstrual Tampons; Absorbency Range of 15-18 Grams
FORMS: NONE
OMB NO: 0910-0409 EXPIRATION DATE: 07/31/2002
RESPS:8 HOURS:16,000 COSTS(000):$0
Regulation for In Vivo Radiopharmaceuticals Used for Diagnosis
and Monitoring
FORMS: NONE
OMB NO: 0910-0416 EXPIRATION DATE: 10/31/2002
RESPS:2,028 HOURS:8,128 COSTS(000):$0
Investigational New Drug Applications and New Drug Applications
FORMS: NONE
OMB NO: 0910-0423 EXPIRATION DATE: 12/31/2002
RESPS:2 HOURS:247 COSTS(000):$0
New Drug and Biological Drug Products; Evidence Needed to
Demonstrate Efficacy of New Drugs for Use Against Lethal or
Permanently Disabling Toxic Substances When Efficacy Studies...
FORMS: NONE
OMB NO: 0910-0426 EXPIRATION DATE: 12/31/2002
RESPS:39,984,000 HOURS:3,332,000 COSTS(000):$0
Quality Mammography Standards: Lay Summaries for Patients
FORMS: NONE
OMB NO: 0910-0427 EXPIRATION DATE: 12/31/2002
RESPS:136 HOURS:96,608 COSTS(000):$0
Biological Product Regulated under Section 351 of the Public
Health Service Act; Implementation of Biologics License;
Elimination of Establishment License and Product License
FORMS: NONE
OMB NO: 0910-0428 EXPIRATION DATE: 12/31/2002
RESPS:25 HOURS:30 COSTS(000):$0
Record Retention Requirements for the Soy Protein/CHD Health
Claim
FORMS: NONE
OMB NO: 0910-0429 EXPIRATION DATE: 12/31/2002
RESPS:1,985 HOURS:24,986 COSTS(000):$0
Guidance for Industry on Formal Meetings with Sponsors and
Applicants for PDUFA Products
FORMS: 1571 356H
OMB NO: 0910-0430 EXPIRATION DATE: 12/31/2002
RESPS:64 HOURS:512 COSTS(000):$0
Guidance for Industry on Formal Dispute Resolutions; Appeal
Above the Division Level
FORMS: 1571 356H
OMB NO: 0910-0431 EXPIRATION DATE: 02/28/2001
RESPS:11,913 HOURS:641,705 COSTS(000):$0
Changes to an Approved NDA or ANDA
FORMS: NONE
OMB NO: 0910-0432 EXPIRATION DATE: 12/31/2002
RESPS:2 HOURS:1,082 COSTS(000):$0
Medical Device Recall Authority
FORMS: NONE
OMB NO: 0910-0435 EXPIRATION DATE: 02/28/2003
RESPS:96,935,065 HOURS:3,361,996 COSTS(000):$0
Prescription Drug Marketing Act of 1987; Policies, Requirements,
and Administrative Procedures
FORMS: NONE
OMB NO: 0910-0437 EXPIRATION DATE: 03/31/2003
RESPS:39,764 HOURS:91,306 COSTS(000):$0
Medical Devices; Medical Device Reporting;manufacturer
reportiing importer reporting, user facility reporting,
distributor reporting
FORMS: FDA-3419 FDA-3417
OMB NO: 0910-0439 EXPIRATION DATE: 04/30/2003
RESPS:265 HOURS:3,710 COSTS(000):$0
Aluminum in Large and Small Volume Parenterals Used in Total
Parenteral Nutrition
FORMS: NONE
OMB NO: 0910-0442 EXPIRATION DATE: 05/31/2003
RESPS:10,175,490 HOURS:2,790,693 COSTS(000):$0
Medical Devices; Device Tracking (Amended)
FORMS: NONE
OMB NO: 0910-0443 EXPIRATION DATE: 06/30/2003
RESPS:1 HOURS:250 COSTS(000):$0
Survey of Incidence of Gastroenterolocial Parasitic Infections
in the United States as a Result of Consumption of Raw Fish
FORMS: NONE
OMB NO: 0910-0444 EXPIRATION DATE: 08/31/2003
RESPS:416 HOURS:34,100 COSTS(000):$0
Food additives; Food Contact Substances Notification System
FORMS: FDA-3480
OMB NO: 0910-0445 EXPIRATION DATE: 09/30/2003
RESPS:182 HOURS:51,688 COSTS(000):$0
Submitting and Reviewing Complete Responses to Clinical Holds;
Guidance for Industry
FORMS: NONE
OMB NO: 0910-0448 EXPIRATION DATE: 11/30/2003
RESPS:1,000 HOURS:1,000 COSTS(000):$0
Adoption of FDA Food Code by Local, State, and Tribal Governments
FORMS: NONE
OMB NO: 0910-0449 EXPIRATION DATE: 11/30/2003
RESPS:502 HOURS:23,328 COSTS(000):$0
Postmarket Surveillance
FORMS: NONE
OMB NO: 0910-0450 EXPIRATION DATE: 11/30/2003
RESPS:66 HOURS:27 COSTS(000):$0
Guidance for Industry on How to Use E-Mail to Submit a Notice of
Intent to Slaughter for Human Food Purposes
FORMS: 3487
OMB NO: 0910-0452 EXPIRATION DATE: 11/30/2003
RESPS:168 HOURS:116 COSTS(000):$0
Guidance for Industry on How to Use E-Mail to Submit a Request
for a Meeting or Teleconference to the Office of New Animal Drug
Evaluation
FORMS: FDA-3488
OMB NO: 0910-0453 EXPIRATION DATE: 11/30/2003
RESPS:324 HOURS:262 COSTS(000):$0
Guidance for Industry on How to Use E-Mail to Submit a Notice of
Final Disposition of Animals Not Inded for Immediate Slaughter
FORMS: FDA-3486
OMB NO: 0910-0454 EXPIRATION DATE: 11/30/2003
RESPS:140 HOURS:140 COSTS(000):$0
Guidance: How to Use E-Mail to Submit Information to the Center
for Veterinary Medicine
FORMS: NONE
OMB NO: 0910-0455 EXPIRATION DATE: 11/30/2003
RESPS:83 HOURS:1,529 COSTS(000):$0
Documentation for demonstrating compliance with the Channels
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
127 160,894,057 48,161,537 $45,810
Health Services Administration
OMB NO: 0915-0034 EXPIRATION DATE: 07/31/2003
RESPS:227,552 HOURS:13,703 COSTS(000):$0
Health Education Assistance Loan (HEAL) Program: Forms
FORMS: HRSA-504 HRSA-508
OMB NO: 0915-0036 EXPIRATION DATE: 07/31/2002
RESPS:26,700 HOURS:4,958 COSTS(000):$11
Health Education Assistance Loan (HEAL) Program: Lender's
Application for Insurance Claim Form and Request for Collection
Assistance Form
FORMS: HRSA-510 HRSA-513
OMB NO: 0915-0043 EXPIRATION DATE: 10/31/2003
RESPS:12,088 HOURS:6,066 COSTS(000):$0
Health Education Assistance Loan (HEAL) Program Information
Collection Requirements - Forms
FORMS: HRSA-502-1 HRSA-502-2 HRSA-512
OMB NO: 0915-0044 EXPIRATION DATE: 12/31/2002
RESPS:11,660 HOURS:6,934 COSTS(000):$0
Health Professions Student Loan (HPSL) and Nursing Student Loan
(NSL) Programs, Forms
FORMS: HRSA-519 HRSA-501
OMB NO: 0915-0047 EXPIRATION DATE: 07/31/2002
RESPS:121,502 HOURS:47,633 COSTS(000):$0
Health Professions Students Loan (HPSL) Program and Nursing
Student Loan (NSL) Program: Administrative Requirements
(Regulations and Policy)
FORMS: NONE
OMB NO: 0915-0060 EXPIRATION DATE: 06/30/2003
RESPS:12,540 HOURS:70,313 COSTS(000):$27
HRSA Competing Training Grant Application
FORMS: PHS-6025-1
OMB NO: 0915-0061 EXPIRATION DATE: 04/30/2003
RESPS:626 HOURS:6,260 COSTS(000):$0
The Uniform Progress Reports (UPR) for HRSA Continuation
Training Grants
FORMS: NONE
OMB NO: 0915-0077 EXPIRATION DATE: 01/31/2003
RESPS:155,080 HOURS:152,498 COSTS(000):$0
Uncompensated Services Assurance Report
FORMS: HRSA-710
OMB NO: 0915-0081 EXPIRATION DATE: 07/31/2003
RESPS:14 HOURS:1 COSTS(000):$0
Black Lung Clinics Program (42 CFR 55a and Program Guidelines)
FORMS: NONE
OMB NO: 0915-0099 EXPIRATION DATE: 11/30/2003
RESPS:20 HOURS:60 COSTS(000):$0
Grants for Hospital Construction and Modernization - Federal
Rights of Recovery and Waiver of Recovery (42 CFR 124, Subpart H)
FORMS: NONE
OMB NO: 0915-0108 EXPIRATION DATE: 12/31/2003
RESPS:504,661 HOURS:95,290 COSTS(000):$0
Health Education Assistance Loan (HEAL) Program Regulation - 42
CFR Part 60
FORMS: NONE
OMB NO: 0915-0126 EXPIRATION DATE: 04/30/2002
RESPS:3,542,355 HOURS:336,757 COSTS(000):$14,707
The National Practitioner Data Bank for Adverse Information on
Physicians and Other Health Care Practitioners: Regulations and
Forms
FORMS: NONE
OMB NO: 0915-0127 EXPIRATION DATE: 12/31/2001
RESPS:845 HOURS:1,211 COSTS(000):$0
The National Health Service Corps (NHSC) Loan Repayment Program
FORMS: NONE
OMB NO: 0915-0140 EXPIRATION DATE: 03/31/2001
RESPS:2,250 HOURS:2,213 COSTS(000):$5
Nursing Education Loan Repayment Program -- 42 CFR 57.312(a)
FORMS: NONE
OMB NO: 0915-0142 EXPIRATION DATE: 08/31/2002
RESPS:174 HOURS:5,560 COSTS(000):$1
Application for Certification as a Federally Qualified Health
Center Look-Alike
FORMS: NONE
OMB NO: 0915-0146 EXPIRATION DATE: 07/31/2003
RESPS:3,100 HOURS:3,100 COSTS(000):$8
The Application for Participation in the National Health Service
Corps Scholarship Program
FORMS: HRSA-856
OMB NO: 0915-0149 EXPIRATION DATE: 11/30/2003
RESPS:450 HOURS:12,600 COSTS(000):$0
Scholarships for Disadvantaged Students Applications
FORMS: NONE
OMB NO: 0915-0150 EXPIRATION DATE: 12/31/2002
RESPS:160 HOURS:110 COSTS(000):$0
Faculty Loan Repayment Program (FLRP) Application
FORMS: HRSA-535
OMB NO: 0915-0151 EXPIRATION DATE: 01/31/2002
RESPS:105 HOURS:1,838 COSTS(000):$0
Ryan White CARE Act Dental Reimbursement Program
FORMS: NONE
OMB NO: 0915-0157 EXPIRATION DATE: 12/31/2002
RESPS:376,520 HOURS:80,362 COSTS(000):$0
Organ Procurement and Transplantation Network and Scientific
Registry of Transplant Recipients Data System
FORMS: NONE
OMB NO: 0915-0158 EXPIRATION DATE: 12/31/2003
RESPS:278 HOURS:22,240 COSTS(000):$0
Grantee Reporting Requirements for the Ryan White Comprehensive
AIDS Resources Emergency Act of 1990 - Title III
FORMS: NONE
OMB NO: 0915-0166 EXPIRATION DATE: 01/31/2003
RESPS:2,882 HOURS:68,241 COSTS(000):$72
Annual Administrative Reporting System for Ryan White
Comprehensive AIDS Resources Emergency (CARE) Act of 1990,
Titles I and II
FORMS: NONE
OMB NO: 0915-0172 EXPIRATION DATE: 04/30/2003
RESPS:59 HOURS:19,858 COSTS(000):$0
Maternal and Child Health Services Block Grant Annual Report,
Needs Assessment and Application Guidance
FORMS: NONE
OMB NO: 0915-0174 EXPIRATION DATE: 06/30/2003
RESPS:150 HOURS:150 COSTS(000):$0
Loan Information System Records for the DHHS and DHUD Hospital
Mortgage Insurance, Guarantee, and Direct Loan Programs
FORMS: HRSA-906
OMB NO: 0915-0176 EXPIRATION DATE: 10/31/2003
RESPS:9 HOURS:94 COSTS(000):$0
Drug Pricing Program Reporting Requirements
FORMS: NONE
OMB NO: 0915-0179 EXPIRATION DATE: 01/31/2001
RESPS:700 HOURS:400 COSTS(000):$0
Deferment Request Form for the National Health Service Corps and
Native Hawaiian Health Scholarship Programs
FORMS: NONE
OMB NO: 0915-0184 EXPIRATION DATE: 05/31/2001
RESPS:36,460 HOURS:4,842 COSTS(000):$0
Organ Procurement and Transplantation Network -- 42 CFR Part 121
FORMS: NONE
OMB NO: 0915-0188 EXPIRATION DATE: 07/31/2001
RESPS:600 HOURS:3,630 COSTS(000):$23
Data Collection and Reporting Requirements for Healthy Schools,
FORMS: NONE
OMB NO: 0915-0192 EXPIRATION DATE: 07/31/2002
RESPS:39,360 HOURS:13,120 COSTS(000):$0
The National Survey of Registerd Nurses 2000
FORMS: NONE
OMB NO: 0915-0193 EXPIRATION DATE: 05/31/2001
RESPS:685 HOURS:17,944 COSTS(000):$75
Uniform Data System
FORMS: NONE
OMB NO: 0915-0204 EXPIRATION DATE: 04/30/2001
RESPS:300 HOURS:175 COSTS(000):$1
Health Education Assistance Loan (HEAL) Program: Physician's
Certification of Borrower's Total and Permanent Disability
FORMS: HRSA-539
OMB NO: 0915-0206 EXPIRATION DATE: 12/31/2003
RESPS:178 HOURS:9,714 COSTS(000):$403
Ryan White Comprehensive AIDS Resources Emergency Act of 1990,
Amended 1996 - Title IV
FORMS: NONE
OMB NO: 0915-0208 EXPIRATION DATE: 09/30/2002
RESPS:339 HOURS:68 COSTS(000):$0
Professional Training and Information Questionnaire
FORMS: NONE
OMB NO: 0915-0212 EXPIRATION DATE: 03/31/2003
RESPS:52,050 HOURS:5,075 COSTS(000):$0
Voluntary Partnership Surveys to Implement Executive Order 12862
in the Health Resources and Services Administration
FORMS: NONE
OMB NO: 0915-0218 EXPIRATION DATE: 04/30/2002
RESPS:66 HOURS:82 COSTS(000):$0
Grantee Reporting Requirements for the Rural Health Network
Grant Program
FORMS: NONE
OMB NO: 0915-0219 EXPIRATION DATE: 11/30/2003
RESPS:864 HOURS:648 COSTS(000):$0
AIDS Drug Assistance Program Monthly Report for Ryan White
Comprehensive AIDS Resources Emergency Act Amendments of 1996,
Titles I and II
FORMS: NONE
OMB NO: 0915-0226 EXPIRATION DATE: 10/31/2001
RESPS:1 HOURS:300 COSTS(000):$0
NHSC and Native Hawaiian Health Scholarship Programs Data
Collection Worksheet
FORMS: NONE
OMB NO: 0915-0227 EXPIRATION DATE: 11/30/2001
RESPS:5,600 HOURS:1,960 COSTS(000):$0
Health Education Assistance Loan (HEAL) Program: Refinancing
Application/Promissory Note
FORMS: HRSA-550
OMB NO: 0915-0230 EXPIRATION DATE: 12/31/2001
RESPS:1,000 HOURS:750 COSTS(000):$0
NHSC Recruitment and Retention Assistance Application
FORMS: NONE
OMB NO: 0915-0232 EXPIRATION DATE: 02/28/2002
RESPS:620 HOURS:8,060 COSTS(000):$0
National Health Service Corps Uniform Data System
FORMS: NONE
OMB NO: 0915-0233 EXPIRATION DATE: 03/31/2002
RESPS:1 HOURS:200 COSTS(000):$0
Disadvantaged Assistance Tracking and Outcome Report (DATOR) for
Health Careers Opportunity Program and Centers of Excellence
Program
FORMS: NONE
OMB NO: 0915-0234 EXPIRATION DATE: 05/31/2002
RESPS:1,200 HOURS:638 COSTS(000):$0
NHSC Waiver Request Worksheets
FORMS: NONE
OMB NO: 0915-0236 EXPIRATION DATE: 08/31/2002
RESPS:320 HOURS:1,000 COSTS(000):$0
Assessment of Factors Influencing the Adequacy of Health Care
Services to Children in Foster Care and Other Out-of-Home
Placements
FORMS: NONE
OMB NO: 0915-0239 EXPIRATION DATE: 01/31/2001
RESPS:1,282,004 HOURS:187,169 COSTS(000):$2,107
Healthcare Integrity and Protection Data Bank for Final Adverse
Information on Health Care Providers, Suppliers, and
Practitioners -- 45 CFR 61
FORMS: NONE
OMB NO: 0915-0241 EXPIRATION DATE: 06/30/2001
RESPS:4,037 HOURS:1,324 COSTS(000):$0
Employment Sites of Nursing Graduates
FORMS: NONE
OMB NO: 0915-0242 EXPIRATION DATE: 09/30/2001
RESPS:7,324 HOURS:2,248 COSTS(000):$0
Assessment of the Impact of the National Practitioner Data Bank
FORMS: NONE
OMB NO: 0915-0243 EXPIRATION DATE: 03/31/2001
RESPS:240 HOURS:120 COSTS(000):$0
Pilot Study of African American Women on Health Care Attitudes
and Behaviors
FORMS: NONE
OMB NO: 0915-0244 EXPIRATION DATE: 12/31/2003
RESPS:2,025 HOURS:4,725 COSTS(000):$0
Ricky Ray Hemophilia Relief Fund Program
FORMS: NONE
OMB NO: 0915-0245 EXPIRATION DATE: 07/31/2003
RESPS:52,298 HOURS:26,149 COSTS(000):$0
They Ryan White CARE Act Client Demonstration Project Reporting
System
FORMS: NONE
OMB NO: 0915-0247 EXPIRATION DATE: 01/31/2001
RESPS:54 HOURS:7,454 COSTS(000):$0
Children's Hospital Graduate Medical Education Program
FORMS: NONE
OMB NO: 0915-0248 EXPIRATION DATE: 08/31/2003
RESPS:420 HOURS:139 COSTS(000):$0
The Impact of the State Child Health Insurance Program on
Selected Community Health Centers and Maternal and Child Health
Programs
FORMS: NONE
OMB NO: 0915-0249 EXPIRATION DATE: 12/31/2001
RESPS:6,800 HOURS:1,156 COSTS(000):$0
Increasing Donor Awareness on College Campuses
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
52 6,497,326 1,257,140 $17,440
Indian Health Service
OMB NO: 0917-0002 EXPIRATION DATE: 04/30/2001
RESPS:415,213 HOURS:20,778 COSTS(000):$0
IHS Contract Health Service Report
FORMS: IHS-843-1A
OMB NO: 0917-0006 EXPIRATION DATE: 04/30/2001
RESPS:11,730 HOURS:5,390 COSTS(000):$0
Application for Participation in the IHS Scholarship Program
FORMS: IHS-856 856-2-856-8 IHS-818 D-02 F-02 F-04 G-02 G-04 H-07-H-08
J-04-J-05
OMB NO: 0917-0007 EXPIRATION DATE: 12/31/2003
RESPS:261 HOURS:313 COSTS(000):$0
IHS Urban Indian Health Program Common Reporting Requirements
FORMS: NONE
OMB NO: 0917-0009 EXPIRATION DATE: 08/31/2002
RESPS:3,709 HOURS:2,221 COSTS(000):$0
Indian Health Service Medical Staff Credentials and Privileges
Files
FORMS: NONE
OMB NO: 0917-0010 EXPIRATION DATE: 01/31/2001
RESPS:4 HOURS:6,600 COSTS(000):$0
IHS Community Health Representative Activity Reporting Sample
FORMS: IHS-826
OMB NO: 0917-0014 EXPIRATION DATE: 12/31/2002
RESPS:1,750 HOURS:1,137 COSTS(000):$0
Indian Health Service Loan Repayment Program
FORMS: NONE
OMB NO: 0917-0020 EXPIRATION DATE: 08/31/2002
RESPS:600 HOURS:600 COSTS(000):$0
IHS Registered Nurses Recruitment and Retention Survey
FORMS: NONE
OMB NO: 0917-0022 EXPIRATION DATE: 07/31/2003
RESPS:475 HOURS:236 COSTS(000):$0
Evaluation of the Indian Health Service/Bureau of Indian Affairs
Training Practitioners Project
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
8 433,742 37,275 $0
Agency for Health Care Policy and Research
No active collections for this subagency
Centers for Disease Control and Prevention
OMB NO: 0920-0004 EXPIRATION DATE: 03/31/2003
RESPS:326 HOURS:2,647 COSTS(000):$0
National Disease Surveillance Program II; Disease Summaries
FORMS: CDC52.12 52.13 52.19 52.20 52.28 55.41 55.3 55.9/55.20
55.31/55.31A 55.83A-C
OMB NO: 0920-0006 EXPIRATION DATE: 12/31/2001
RESPS:200 HOURS:33 COSTS(000):$0
Application for Waiver of Inadmissability Under Immigration and
Nationality Act
FORMS: CDC-4.422-1
OMB NO: 0920-0007 EXPIRATION DATE: 08/31/2001
RESPS:9,365 HOURS:4,927 COSTS(000):$0
Weekly and Annual Morbidity and Mortality Reports
FORMS: CDC-43.5A
OMB NO: 0920-0008 EXPIRATION DATE: 06/30/2003
RESPS:12,000 HOURS:3,000 COSTS(000):$0
Emergency Epidemic Investigations
FORMS: NONE
OMB NO: 0920-0009 EXPIRATION DATE: 04/30/2001
RESPS:89,229 HOURS:27,110 COSTS(000):$0
Natinal Disease Surveillance Program - 1. Case Reports
FORMS: CDC-50.42A-B CDC-52.3 CDC-52.5 CDC-52.15N CDC-52.18 CDC-52.56
CDC-52.60 CDC-53.1 CDC-54.1-2 CDC-54.7
OMB NO: 0920-0010 EXPIRATION DATE: 11/30/2002
RESPS:1,600 HOURS:600 COSTS(000):$0
The National Birth Defects Prevention Study (Formerly Called
Metro Atlanta Birth Defects and Factor Surveillance Program)
FORMS: NONE
OMB NO: 0920-0011 EXPIRATION DATE: 01/31/2001
RESPS:792 HOURS:828 COSTS(000):$0
National Sexually Transmitted Diseases (STD) Morbidity
FORMS: CDC73.688 CDC73.998 CDC73.2638
OMB NO: 0920-0012 EXPIRATION DATE: 09/30/2003
RESPS:92,542 HOURS:71,259 COSTS(000):$100
National Nosocomial Infections Surveillance (NNIS) System
FORMS: 57.65 57.66 57.58D 57.58B 57.58H 57.58G 57.58C 57.64A 57.68
57.69/57.70
OMB NO: 0920-0017 EXPIRATION DATE: 04/30/2003
RESPS:55,000 HOURS:4,584 COSTS(000):$0
Application for Training
FORMS: 32.1 36.5
OMB NO: 0920-0020 EXPIRATION DATE: 04/30/2001
RESPS:31,150 HOURS:4,791 COSTS(000):$0
X-Ray Examination Program
FORMS: NONE
OMB NO: 0920-0021 EXPIRATION DATE: 03/31/2003
RESPS:150 HOURS:62 COSTS(000):$0
Regulation 42 CFR 37.204 -- National Coal Workers' Autopsy Study
FORMS: NONE
OMB NO: 0920-0026 EXPIRATION DATE: 12/31/2001
RESPS:1,600 HOURS:400 COSTS(000):$0
National Tuberculosis Surveillance
FORMS: NONE
OMB NO: 0920-0033 EXPIRATION DATE: 09/30/2002
RESPS:3,200 HOURS:3,200 COSTS(000):$0
National Surveillance of Dialysis-Associated Diseases in
FORMS: NONE
OMB NO: 0920-0035 EXPIRATION DATE: 01/31/2001
RESPS:252 HOURS:42 COSTS(000):$0
Employee Vital Status Letter
FORMS: NONE
OMB NO: 0920-0102 EXPIRATION DATE: 10/31/2001
RESPS:400 HOURS:80 COSTS(000):$0
Contents of a Request for Health Hazard Evaluation -- 42 CFR
85.3-1
FORMS: NONE
OMB NO: 0920-0106 EXPIRATION DATE: 11/30/2001
RESPS:122 HOURS:5,490 COSTS(000):$0
Preventive Health and Health Services Block Grant
FORMS: NONE
OMB NO: 0920-0109 EXPIRATION DATE: 08/31/2001
RESPS:784 HOURS:177,968 COSTS(000):$0
Information Collection Provisions in 42 CFR 84 Tests and
Requirements for Certification and Approval of Respiratory
Protective Devices
FORMS: NONE
OMB NO: 0920-0128 EXPIRATION DATE: 07/31/2003
RESPS:1,000 HOURS:260 COSTS(000):$0
Congenital Syphilis (CS) Case Investigation and Report Form
FORMS: CDC-73.126
OMB NO: 0920-0134 EXPIRATION DATE: 05/31/2001
RESPS:1,961 HOURS:122 COSTS(000):$0
Foreign Quarantine -- 42 CFR Part 71
FORMS: CDC-75.37 CDC-75.10A
OMB NO: 0920-0138 EXPIRATION DATE: 10/31/2001
RESPS:66 HOURS:48 COSTS(000):$0
Pulmonary Function Testing Course
FORMS: NONE
OMB NO: 0920-0148 EXPIRATION DATE: 03/31/2003
RESPS:1 HOURS:44 COSTS(000):$0
Specifications and Test for Approval of Coal Mine Dust Personal
Sampler Units
FORMS: NONE
OMB NO: 0920-0199 EXPIRATION DATE: 06/30/2003
RESPS:5,370 HOURS:1,925 COSTS(000):$0
Importation of etiological agents and packaging and handling of
infectious substances and select agents
FORMS: CDC-0.753 CDC-0.1241 APPLICATION
OMB NO: 0920-0208 EXPIRATION DATE: 07/31/2003
RESPS:260 HOURS:184 COSTS(000):$0
HIV Prevention and Surveillance Project Reports
FORMS: NONE
OMB NO: 0920-0210 EXPIRATION DATE: 10/31/2003
RESPS:38 HOURS:1,418 COSTS(000):$0
List of Ingredients Added to Tobacco in the Manufacture of
Cigarette Products
FORMS: NONE
OMB NO: 0920-0212 EXPIRATION DATE: 10/31/2002
RESPS:68,309 HOURS:2,484 COSTS(000):$0
National Hospital Discharge Survey
FORMS: NONE
OMB NO: 0920-0213 EXPIRATION DATE: 03/31/2003
RESPS:1,880 HOURS:418 COSTS(000):$0
National Vital Statistics Report Forms
FORMS: CDC-64.146 CDC-64.147
OMB NO: 0920-0214 EXPIRATION DATE: 04/30/2002
RESPS:42,000 HOURS:48,600 COSTS(000):$0
National Health Interview Survey: 2001: Basic Module with
Topical Modules
FORMS: NONE
OMB NO: 0920-0215 EXPIRATION DATE: 10/31/2001
RESPS:780 HOURS:227 COSTS(000):$0
Application Form and Related Forms for the Operation of the
National Death Index
FORMS: CDC/NCHS-6205-1 CDC-6424 CDC-6425 CDC-6426 PHS-6205-3
OMB NO: 0920-0222 EXPIRATION DATE: 01/31/2001
RESPS:500 HOURS:500 COSTS(000):$0
NCHS Laboratory-Based Questionnaire Research
FORMS: NONE
OMB NO: 0920-0234 EXPIRATION DATE: 08/31/2003
RESPS:141,000 HOURS:11,225 COSTS(000):$0
National Ambulatory Medical Care Survey, 2001-2002
FORMS: CDC-64.148 CDC-64.149
OMB NO: 0920-0237 EXPIRATION DATE: 08/31/2002
RESPS:23,051 HOURS:51,414 COSTS(000):$0
National Health and Nutrition Examination Survey (NHANES)
FORMS: NONE
OMB NO: 0920-0260 EXPIRATION DATE: 01/31/2001
RESPS:4,095 HOURS:4,095 COSTS(000):$0
Health Hazard Evaluation, Technical Assitance, and Emerging
Problems
FORMS: NONE
OMB NO: 0920-0261 EXPIRATION DATE: 01/31/2001
RESPS:54 HOURS:4,635 COSTS(000):$0
Training Grants, Application and Regulations -- 42 CFR Part 86
FORMS: NONE
OMB NO: 0920-0262 EXPIRATION DATE: 03/31/2003
RESPS:3,500 HOURS:3,500 COSTS(000):$0
Supplement to HIV/AIDS Surveillance (SHAS) Project
FORMS: NONE
OMB NO: 0920-0263 EXPIRATION DATE: 02/28/2002
RESPS:100 HOURS:14 COSTS(000):$0
Requirements for a Special Permit to Import Cynomolgus, African
Green, or Rhesus Monkeys into the United States
FORMS: NONE
OMB NO: 0920-0274 EXPIRATION DATE: 06/30/2001
RESPS:1,425 HOURS:668 COSTS(000):$0
CDC Model Performance Evaluation Program (MPEP) for Retroviral
and AIDS-Related Testing
FORMS: NONE
OMB NO: 0920-0278 EXPIRATION DATE: 07/31/2003
RESPS:135,785 HOURS:13,450 COSTS(000):$0
National Hospital Ambulatory Medical Care Surey
FORMS: 101 101/U
OMB NO: 0920-0282 EXPIRATION DATE: 01/31/2002
RESPS:176 HOURS:352 COSTS(000):$0
Childhood Lead Poisoning Prevention Program Quarterly Report
FORMS: NONE
OMB NO: 0920-0295 EXPIRATION DATE: 03/31/2002
RESPS:35,380 HOURS:754 COSTS(000):$0
National AIDS and STD Hotline Survey of Callers
FORMS: NONE
OMB NO: 0920-0298 EXPIRATION DATE: 03/31/2001
RESPS:20,250 HOURS:5,625 COSTS(000):$0
National Home and Hospice Care Survey
FORMS: NONE
OMB NO: 0920-0307 EXPIRATION DATE: 12/31/2001
RESPS:1,548 HOURS:6,212 COSTS(000):$0
Gonococcal Isolate Surveillance Project
FORMS: 73.60A 73.60B 73.60C
OMB NO: 0920-0314 EXPIRATION DATE: 04/30/2002
RESPS:3,500 HOURS:1,684 COSTS(000):$0
National Survey of Family Growth, Cycle 6 Pretest
FORMS: NONE
OMB NO: 0920-0322 EXPIRATION DATE: 12/31/2002
RESPS:150 HOURS:50 COSTS(000):$0
Chloera and Other Vibrio Illness Surveillance Report
FORMS: CDC-52.79
OMB NO: 0920-0337 EXPIRATION DATE: 03/31/2001
RESPS:148 HOURS:456 COSTS(000):$0
Childhood Blood Lead Surveillance System
FORMS: NONE
OMB NO: 0920-0338 EXPIRATION DATE: 10/31/2003
RESPS:6 HOURS:254 COSTS(000):$0
List of Ingredients Added to Tobacco in the Manufacture of
Smokeless Tobacco Products
FORMS: NONE
OMB NO: 0920-0350 EXPIRATION DATE: 02/28/2001
RESPS:2,251 HOURS:2,251 COSTS(000):$0
Occupational Asthma Identification Methods
FORMS: NONE
OMB NO: 0920-0353 EXPIRATION DATE: 04/30/2002
RESPS:22,500 HOURS:4,500 COSTS(000):$0
National Nursing Home Survey
FORMS: NONE
OMB NO: 0920-0356 EXPIRATION DATE: 10/31/2002
RESPS:2,191 HOURS:983 COSTS(000):$0
Measurement of Stress and Stressful Life Events in Black Women
of Reproductive Age
FORMS: NONE
OMB NO: 0920-0366 EXPIRATION DATE: 08/31/2001
RESPS:12,500 HOURS:4,167 COSTS(000):$0
Breast Cancer Incidence in Occupational Cohorts Exposed to
Ethylene Oxide and Polychlorinated Biphenyls
FORMS: NONE
OMB NO: 0920-0367 EXPIRATION DATE: 04/30/2002
RESPS:6,200 HOURS:6,200 COSTS(000):$0
Studies of Adverse Reproductive Outcomes in Female Occupational
Groups
FORMS: NONE
OMB NO: 0920-0387 EXPIRATION DATE: 08/31/2001
RESPS:8,000 HOURS:6,160 COSTS(000):$0
Intensive Care Antimicrobial Resistance Epidemiology (Project
ICARE), Phase 3
FORMS: NONE
OMB NO: 0920-0401 EXPIRATION DATE: 06/30/2003
RESPS:4,500 HOURS:2,066 COSTS(000):$0
Longitudinal Studies of Chronic Fatigue Syndrome: Sedgwick
County Study 36-Month Follow-up
FORMS: NONE
OMB NO: 0920-0406 EXPIRATION DATE: 03/31/2002
RESPS:215,384 HOURS:89,743 COSTS(000):$0
State and Local Area Integrated Telephone Survey (SLAITS)
FORMS: NONE
OMB NO: 0920-0417 EXPIRATION DATE: 11/30/2003
RESPS:180,510 HOURS:37,397 COSTS(000):$10
National Surveillance System for Health Care Workers
FORMS: NONE
OMB NO: 0920-0425 EXPIRATION DATE: 08/31/2002
RESPS:1,914 HOURS:1,394 COSTS(000):$0
Health Assessment of Persian Gulf War Veterans from Iowa:
Follow-Up Study on Asthma
FORMS: NONE
OMB NO: 0920-0427 EXPIRATION DATE: 06/30/2001
RESPS:300 HOURS:150 COSTS(000):$0
Sentinel Surveillance for Chronic Liver Disease
FORMS: NONE
OMB NO: 0920-0428 EXPIRATION DATE: 06/30/2003
RESPS:16,571 HOURS:31,204 COSTS(000):$0
PHS Supplements to Application for Federal Assistance (SF 424)
FORMS: PHS-51610-1 CDC-0.1246(E) CDC-0.1113
OMB NO: 0920-0430 EXPIRATION DATE: 06/30/2001
RESPS:550 HOURS:275 COSTS(000):$0
Supporting Statement on Evaluation of Educational Brochures on
Opportunitistic Infections Affecting People with HIV/AIDS
FORMS: NONE
OMB NO: 0920-0434 EXPIRATION DATE: 08/31/2001
RESPS:1,017 HOURS:170 COSTS(000):$0
A Survey of Influenza A Outbreak Control Measured in U.S.
Nursing Homes
FORMS: NONE
OMB NO: 0920-0436 EXPIRATION DATE: 02/28/2001
RESPS:2,044 HOURS:1,089 COSTS(000):$0
A Follow-Up Study of Children With Developmental Disabilities
FORMS: NONE
OMB NO: 0920-0441 EXPIRATION DATE: 03/31/2002
RESPS:3,920 HOURS:1,704 COSTS(000):$0
Survey Component of the CDC's Prevention of HIV Infection in
FORMS: NONE
OMB NO: 0920-0442 EXPIRATION DATE: 03/31/2002
RESPS:22,300 HOURS:5,200 COSTS(000):$0
Surveillance for Bloodstream and Vascular Access Infections in
Outpatient Hemodialysis Centers
FORMS: NONE
OMB NO: 0920-0444 EXPIRATION DATE: 01/31/2002
RESPS:11 HOURS:1,870 COSTS(000):$0
Annual Submission of the Quantity of Nicotine Contained in
Smokeless Tobacco Products Manufactured, Imported, or Packaged
in the United States
FORMS: NONE
OMB NO: 0920-0445 EXPIRATION DATE: 10/31/2002
RESPS:23,632 HOURS:16,581 COSTS(000):$0
School Health Policies and Program Study 2000 (SHPPS 2000)
FORMS: NONE
OMB NO: 0920-0446 EXPIRATION DATE: 05/31/2001
RESPS:2,293 HOURS:573 COSTS(000):$0
Validity of Recall of Prostate and Colorectal Cancer Screening
Tests
FORMS: NONE
OMB NO: 0920-0448 EXPIRATION DATE: 06/30/2001
RESPS:12,092 HOURS:2,223 COSTS(000):$0
Mammography Rescreening Rates and Risk Factor Assessment
FORMS: NONE
OMB NO: 0920-0449 EXPIRATION DATE: 07/31/2002
RESPS:184,000 HOURS:30,667 COSTS(000):$0
Evaluation of Customer Satisfaction with the Centers for Disease
Control and Prevention Internet Home Page and Links
FORMS: NONE
OMB NO: 0920-0450 EXPIRATION DATE: 09/30/2002
RESPS:1,925 HOURS:1,141 COSTS(000):$0
Children's Longitudinal Development Study
FORMS: NONE
OMB NO: 0920-0451 EXPIRATION DATE: 12/31/2001
RESPS:5,361 HOURS:4,761 COSTS(000):$0
Defining Gulf War Illness
FORMS: NONE
OMB NO: 0920-0452 EXPIRATION DATE: 09/30/2002
RESPS:7,680 HOURS:7,680 COSTS(000):$0
Young People in Alternative Education Settings: Preventing HIV
and Other STDs
FORMS: NONE
OMB NO: 0920-0453 EXPIRATION DATE: 06/30/2001
RESPS:121 HOURS:121 COSTS(000):$0
Use of Laboratory Information Systems (LIS) to Transmit
Infectious Diseases Test Results (HL7) Messages to Public Health
Agencies
FORMS: NONE
OMB NO: 0920-0454 EXPIRATION DATE: 08/31/2001
RESPS:900 HOURS:300 COSTS(000):$0
An Evaluation of the NIOSH Alert: Preventing Needle-Stick
Injuries in the Health Care Setting
FORMS: NONE
OMB NO: 0920-0457 EXPIRATION DATE: 11/30/2002
RESPS:136 HOURS:340 COSTS(000):$0
Aggregate Reports for Tuberculosis Program Evaluation
FORMS: NONE
OMB NO: 0920-0458 EXPIRATION DATE: 11/30/2002
RESPS:1,500 HOURS:249 COSTS(000):$0
Evaluating the Effectiveness of Tailored Occupational Safety and
Health Information on the World Wide Web
FORMS: NONE
OMB NO: 0920-0459 EXPIRATION DATE: 11/30/2002
RESPS:480 HOURS:160 COSTS(000):$7
The Development and Implementation of a Theory-Based Health
Among Masonry Workers
FORMS: NONE
OMB NO: 0920-0460 EXPIRATION DATE: 11/30/2002
RESPS:8,208 HOURS:2,964 COSTS(000):$0
Evaluation of Training Intervention Effectiveness of NIOSH
Electrical Safety Curriculum
FORMS: NIOS-99-EID-01
OMB NO: 0920-0461 EXPIRATION DATE: 11/30/2002
RESPS:3,130 HOURS:534 COSTS(000):$0
An Evaluation of Targeted Health Communication Messages: Folic
Acid and Neural Tube Defects
FORMS: NONE
OMB NO: 0920-0462 EXPIRATION DATE: 11/30/2002
RESPS:3,440 HOURS:8,600 COSTS(000):$0
Evaluation of the Effectiveness of Targeted Lookback for
Identifying Transfusion Recipients Who Receive Blood That May
Have Contained Hepatitis C Virus
FORMS: NONE
OMB NO: 0920-0463 EXPIRATION DATE: 11/30/2002
RESPS:250 HOURS:250 COSTS(000):$0
Gene: Environmental Interactions in Beryllium Sensitization and
Disease Among Current and Former Industry Workers
FORMS: NONE
OMB NO: 0920-0465 EXPIRATION DATE: 12/31/2002
RESPS:1,282 HOURS:561 COSTS(000):$0
Case-Control Study of Lifetime Exposure to Drinking Water
Disinfection By-Products and Bladder Cancer in Pet Dogs
FORMS: NONE
OMB NO: 0920-0466 EXPIRATION DATE: 01/31/2003
RESPS:3,600 HOURS:900 COSTS(000):$0
Management of Occupational Blood Exposures and Antibiotic
FORMS: NONE
OMB NO: 0920-0467 EXPIRATION DATE: 03/31/2003
RESPS:300 HOURS:99 COSTS(000):$0
Studies of Safety for Worker's Eyes
FORMS: N/A
OMB NO: 0920-0468 EXPIRATION DATE: 10/31/2001
RESPS:1,000 HOURS:334 COSTS(000):$0
A Pilot Study to Evaluate CDC's 1998 Guidelines for the
Treatment of Sexually Transmitted Diseases Among Clinicians in
Two Managed Care Organizations
FORMS: NONE
OMB NO: 0920-0469 EXPIRATION DATE: 03/31/2003
RESPS:1 HOURS:126 COSTS(000):$0
National Program of Cancer Registries - Cancer Surveillance
System
FORMS: NONE
OMB NO: 0920-0470 EXPIRATION DATE: 07/31/2003
RESPS:880 HOURS:98 COSTS(000):$0
Possible Estuary Associated Syndrome (PEAS) Surveillance
FORMS: NONE
OMB NO: 0920-0471 EXPIRATION DATE: 04/30/2001
RESPS:1,000 HOURS:250 COSTS(000):$0
Evaluation of a NIOSH Alert to Reduce the Risks to Fire Fighters
from Structural Collapse
FORMS: NONE
OMB NO: 0920-0472 EXPIRATION DATE: 06/30/2003
RESPS:2,360 HOURS:510 COSTS(000):$0
Assessment of Exposure to Arsenic through Household Water
FORMS: NONE
OMB NO: 0920-0473 EXPIRATION DATE: 06/30/2003
RESPS:880 HOURS:218 COSTS(000):$0
Surveillance and Evaluation of Plasma Donors for the Human
Immunodeficiency Virus (HIV) and Hepatitis C Virus (HCV)
FORMS: NONE
OMB NO: 0920-0474 EXPIRATION DATE: 06/30/2001
RESPS:150 HOURS:63 COSTS(000):$0
Telephone Survey Measuring HIV/STD Risk Behavior Using Standard
Methodology
FORMS: NONE
OMB NO: 0920-0475 EXPIRATION DATE: 06/30/2003
RESPS:190 HOURS:55 COSTS(000):$0
Evaluation of the Public Health Prevention Service (PHPS) Program
FORMS: NONE
OMB NO: 0920-0476 EXPIRATION DATE: 06/30/2003
RESPS:14,420 HOURS:2,403 COSTS(000):$0
Evaluation of Viral Hepatitis Education Materials
FORMS: NONE
OMB NO: 0920-0477 EXPIRATION DATE: 07/31/2001
RESPS:320 HOURS:1,920 COSTS(000):$0
Public Health Infrastructure Surveillance and Performance
Monitoring Network
FORMS: NONE
OMB NO: 0920-0478 EXPIRATION DATE: 07/31/2003
RESPS:290 HOURS:83 COSTS(000):$0
Routine Evaluation of Ongoing NIOSH Worker Notifications
FORMS: NONE
OMB NO: 0920-0479 EXPIRATION DATE: 07/31/2003
RESPS:118 HOURS:236 COSTS(000):$1
Implementation of an Automated Management Information System
FORMS: NONE
OMB NO: 0920-0480 EXPIRATION DATE: 07/31/2003
RESPS:138 HOURS:138 COSTS(000):$0
An evaluation study of Tuberculosis Control and Prevention
measures in Large City and County Jails
FORMS: NONE
OMB NO: 0920-0481 EXPIRATION DATE: 01/31/2002
RESPS:200 HOURS:150 COSTS(000):$0
Survey of Laboratory Practices for Mycobacterium Tuberculosis
Drug Suscetibility Testing in the U.S.
FORMS: NONE
OMB NO: 0920-0482 EXPIRATION DATE: 08/31/2003
RESPS:600 HOURS:200 COSTS(000):$0
Silicosis No Mas!: Evaluation of Materials Used for Outreach to
Hispanic Construction Workers
FORMS: NONE
OMB NO: 0920-0483 EXPIRATION DATE: 01/31/2002
RESPS:110 HOURS:55 COSTS(000):$0
Survey of Laboratory Practices for Nucleic Acid Amplification
for Mycobacterium tuberculosis, 2000
FORMS: NONE
OMB NO: 0920-0485 EXPIRATION DATE: 08/31/2003
RESPS:1,824 HOURS:1,425 COSTS(000):$0
Evaluating National Dissemination Strategies for Effective HIV
Prevention Programs for Youth
FORMS: NONE
OMB NO: 0920-0486 EXPIRATION DATE: 10/31/2002
RESPS:2,518 HOURS:295 COSTS(000):$0
Evaluation of Stop It Now! Public Awareness Campaign in
Philadelphia
FORMS: NONE
OMB NO: 0920-0487 EXPIRATION DATE: 11/30/2002
RESPS:203 HOURS:55 COSTS(000):$0
Microbial Contamination of Produce: A Field Study in the Lower
Rio Grande Valley, Texas
FORMS: NONE
OMB NO: 0920-0488 EXPIRATION DATE: 09/30/2003
RESPS:16,500 HOURS:3,600 COSTS(000):$0
Restrictions on Interstate Travel of Persons
FORMS: NONE
OMB NO: 0920-0489 EXPIRATION DATE: 10/31/2002
RESPS:9,179 HOURS:2,835 COSTS(000):$0
US-Mexico Border Region Diabetes Prevention and Control Project
FORMS: NONE
OMB NO: 0920-0491 EXPIRATION DATE: 09/30/2002
RESPS:1,140 HOURS:285 COSTS(000):$0
An Evaluation of Screening Practices for Intimate Partner
Violence in Publicly Funded Family Planning Clinics
FORMS: NONE
OMB NO: 0920-0493 EXPIRATION DATE: 11/30/2003
RESPS:12,345 HOURS:9,173 COSTS(000):$0
2001 and 2003 Youth Risk Behavior Surveys
FORMS: NONE
OMB NO: 0920-0494 EXPIRATION DATE: 11/30/2002
RESPS:2,100 HOURS:1,035 COSTS(000):$0
Exposure to Aerosolized Brevetoxins During Red Tide Events
FORMS: NONE
OMB NO: 0920-0495 EXPIRATION DATE: 12/31/2003
RESPS:3,300 HOURS:1,084 COSTS(000):$0
Workplace Exacerbation of Asthma
FORMS: NONE
OMB NO: 0920-0496 EXPIRATION DATE: 12/31/2003
RESPS:3,800 HOURS:1,555 COSTS(000):$0
A Message-Based Intervention for Technology Transfer
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
108 1,629,604 771,047 $118
Agency for Toxic Substances and Disease Registry
OMB NO: 0923-0002 EXPIRATION DATE: 08/31/2003
RESPS:36 HOURS:18 COSTS(000):$0
Information Collection Procedures for Requesting Public Health
Assessments
FORMS: NONE
OMB NO: 0923-0006 EXPIRATION DATE: 06/30/2001
RESPS:11,667 HOURS:5,833 COSTS(000):$0
National Exposure Registry
FORMS: NONE
OMB NO: 0923-0007 EXPIRATION DATE: 03/31/2001
RESPS:1,200 HOURS:200 COSTS(000):$0
Information Collection to Establish Community Assistance Panels
FORMS: NONE
OMB NO: 0923-0008 EXPIRATION DATE: 08/31/2001
RESPS:4,316 HOURS:4,316 COSTS(000):$0
Hazardous Substances Emergency Events Surveillance
FORMS: NONE
OMB NO: 0923-0015 EXPIRATION DATE: 03/31/2002
RESPS:2,118 HOURS:838 COSTS(000):$0
Lead Exposure and Blood Pressure During Pregnancy Study, Charles
Drew Medical School
FORMS: NONE
OMB NO: 0923-0020 EXPIRATION DATE: 01/31/2001
RESPS:6,000 HOURS:750 COSTS(000):$0
Information Collection Procedures for Evaluating Toxicological
Profiles
FORMS: NONE
OMB NO: 0923-0022 EXPIRATION DATE: 07/31/2001
RESPS:1,074 HOURS:1,208 COSTS(000):$0
Long-Term Health Effects of Methyl Parathion in Children, A
Follow-Up Study
FORMS: NONE
OMB NO: 0923-0023 EXPIRATION DATE: 04/30/2003
RESPS:4,334 HOURS:1,083 COSTS(000):$0
Exposure to Volatile Organic Compounds and Childhood Leukemia
Incidence at United States Marine Corps Base Camp Lejeune, North
Carolina
FORMS: NONE
OMB NO: 0923-0025 EXPIRATION DATE: 06/30/2002
RESPS:2,249 HOURS:882 COSTS(000):$0
Substance-Specific Applied Research Program, Epidemiologic
Studies on Lead (Morehouse School of Medicine)
FORMS: NONE
OMB NO: 0923-0026 EXPIRATION DATE: 06/30/2002
RESPS:5,767 HOURS:603 COSTS(000):$0
Multistate Case-Control Study of Childhood Brain Cancers
FORMS: NONE
OMB NO: 0923-0028 EXPIRATION DATE: 09/30/2002
RESPS:12,000 HOURS:2,000 COSTS(000):$0
Evaluation of Customer Satisfaction with the Agency for Toxic
Substances and Disease Registry (ATSDR) Internet Home Page and
Links
FORMS: NONE
OMB NO: 0923-0029 EXPIRATION DATE: 07/31/2001
RESPS:700 HOURS:125 COSTS(000):$0
Lead Exposure and Immunotoxic Effects Study in the Tri-State
Mining District
FORMS: NONE
OMB NO: 0923-0030 EXPIRATION DATE: 12/31/2003
RESPS:6,667 HOURS:2,222 COSTS(000):$0
ATSDR Market Survey of Priority Populations
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
13 58,128 20,078 $0
National Institutes of Health
OMB NO: 0925-0001 EXPIRATION DATE: 02/28/2001
RESPS:117,156 HOURS:1,913,466 COSTS(000):$0
Research and Research Training Grant Applications and Related
Forms
FORMS: PHS-398 2590 2271 3734 HHS-568
OMB NO: 0925-0002 EXPIRATION DATE: 08/31/2001
RESPS:32,228 HOURS:85,679 COSTS(000):$0
Individual National Research Service Award Application and
Related Forms
FORMS: PHS-416-1 416-9 416-5 416-7 6031 6031-1
OMB NO: 0925-0046 EXPIRATION DATE: 08/31/2003
RESPS:13,780 HOURS:2,010 COSTS(000):$0
Pretesting of Office of Cancer Communications Messages
FORMS: NONE
OMB NO: 0925-0177 EXPIRATION DATE: 07/31/2002
RESPS:1,630 HOURS:163 COSTS(000):$0
Special Volunteer and Guest Researcher Assignment
FORMS: NIH-590
OMB NO: 0925-0195 EXPIRATION DATE: 08/31/2001
RESPS:3,400 HOURS:108,000 COSTS(000):$0
Small Business Innovation Research Grant Applications Phase I
and Phase II; Small Business Technology Transfer Grant
Applications Phase I and Phase II
FORMS: PHS-6246-1 PHS-6246-2 PHS-6246-3 PHS-6246-4
OMB NO: 0925-0208 EXPIRATION DATE: 10/31/2003
RESPS:1 HOURS:2,783 COSTS(000):$0
NCI Cancer Information Service Demographic/Customer Service Data
Collection
FORMS: NONE
OMB NO: 0925-0216 EXPIRATION DATE: 10/31/2001
RESPS:9,735 HOURS:6,154 COSTS(000):$0
The Framingham Study
FORMS: NONE
OMB NO: 0925-0240 EXPIRATION DATE: 03/31/2001
RESPS:5,760 HOURS:2,510 COSTS(000):$0
Drug Accountability Record
FORMS: NIH-2564 NIH-2564-1
OMB NO: 0925-0281 EXPIRATION DATE: 01/31/2001
RESPS:34,017 HOURS:17,726 COSTS(000):$0
Atherosclerosis Risk in Communities Study (ARIC)
FORMS: NONE
OMB NO: 0925-0299 EXPIRATION DATE: 03/31/2003
RESPS:15,779 HOURS:8,422 COSTS(000):$0
NIH Intramural Research Training Award, Program Application
FORMS: NONE
OMB NO: 0925-0334 EXPIRATION DATE: 04/30/2001
RESPS:10,349 HOURS:8,098 COSTS(000):$0
The Cardiovascular Health Study
FORMS: 310
OMB NO: 0925-0348 EXPIRATION DATE: 10/31/2001
RESPS:2 HOURS:320 COSTS(000):$0
Hazardous Waste Worker Training -- 42 CFR Part 65
FORMS: NONE
OMB NO: 0925-0358 EXPIRATION DATE: 11/30/2002
RESPS:9,741 HOURS:2,998 COSTS(000):$0
The NIH Consultant Information File System
FORMS: NIH-2668-1 NIH-2668-3
OMB NO: 0925-0361 EXPIRATION DATE: 11/30/2001
RESPS:990 HOURS:1,424 COSTS(000):$0
National Institutes of Health Loan Repayment Programs
FORMS: NIH-2674-1 NIH-2674-2 NIH-2674-3
OMB NO: 0925-0368 EXPIRATION DATE: 01/31/2003
RESPS:170,000 HOURS:21,794 COSTS(000):$0
American Stop Smoking Intervention Study for Cancer Prevention
(ASSIST) Final Evaluation: "Tobacco Use Supplement to the
1998-2000 Current Population Survey"
FORMS: NONE
OMB NO: 0925-0378 EXPIRATION DATE: 07/31/2001
RESPS:200 HOURS:125 COSTS(000):$0
Application for the Pharmacology Research Associate Program
FORMS: NIH-2721-1 NIH-2721-2
OMB NO: 0925-0383 EXPIRATION DATE: 01/31/2001
RESPS:78,000 HOURS:25,997 COSTS(000):$0
National Donor Research and Education Study II
FORMS: NONE
OMB NO: 0925-0401 EXPIRATION DATE: 05/31/2001
RESPS:1,867 HOURS:1,867 COSTS(000):$0
Leukemia and Other Cancers Among Chernobyl Cleanup Workers in
Lithuania
FORMS: NONE
OMB NO: 0925-0406 EXPIRATION DATE: 11/30/2001
RESPS:1.66 HOURS:33,947 COSTS(000):$0
Agricultural Health Study (A Prospective Cohort Study of Cancer
and Other Diseases Among Men and Women in Agriculture)
FORMS: NONE
OMB NO: 0925-0407 EXPIRATION DATE: 10/31/2002
RESPS:1 HOURS:94,809 COSTS(000):$0
Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening
Trial
FORMS: NONE
OMB NO: 0925-0414 EXPIRATION DATE: 05/31/2003
RESPS:85,011 HOURS:36,467 COSTS(000):$0
Women's Health Initiative Observational Study
FORMS: NONE
OMB NO: 0925-0417 EXPIRATION DATE: 10/31/2001
RESPS:57,235 HOURS:171,110 COSTS(000):$0
Responsibility of Applicants for Promoting Objectivity in
Research for which Public Health Service Funding Is Sought and
Responsbile Prospective Contractors -- 42 CFR Part 50, Subpart F
FORMS: NONE
OMB NO: 0925-0418 EXPIRATION DATE: 04/30/2001
RESPS:217,634 HOURS:164,428 COSTS(000):$0
Protection of Human Subjects: Assurance Identification/
Certification/Declaration
FORMS: 310
OMB NO: 0925-0424 EXPIRATION DATE: 11/30/2001
RESPS:275 HOURS:8,276 COSTS(000):$0
National Institutes of Health Construction Grants -- 42 CFR Part
52b (Final Rule)
FORMS: NONE
OMB NO: 0925-0432 EXPIRATION DATE: 09/30/2002
RESPS:780 HOURS:96 COSTS(000):$0
The Impact and Costs of Sealants in Young Child Populations
FORMS: NONE
OMB NO: 0925-0436 EXPIRATION DATE: 09/30/2002
RESPS:1,450 HOURS:988 COSTS(000):$0
Preventing Problem Behavior Among Middle School Students
FORMS: NONE
OMB NO: 0925-0438 EXPIRATION DATE: 03/31/2003
RESPS:1,250 HOURS:1,667 COSTS(000):$0
NATIONAL Institutes of Health Undergraduate Scholarship Program
for Individuals from disadvantaged Backgrounds
FORMS: NIH-2762-1 NIH-2762-2 NIH-2762-3 NIH-2762-4
OMB NO: 0925-0440 EXPIRATION DATE: 12/31/2002
RESPS:408 HOURS:370 COSTS(000):$0
Contraception and Infertility Research Loan Repayment Program
FORMS: NIH-2756-1 2756-2 2756-3
OMB NO: 0925-0449 EXPIRATION DATE: 10/31/2003
RESPS:600 HOURS:2,250 COSTS(000):$0
Alcoholism Prevalence and Gene/Environment Interactions in
American Indian Tribes, 10 Tribe Study
FORMS: NONE
OMB NO: 0925-0454 EXPIRATION DATE: 03/31/2001
RESPS:515 HOURS:219 COSTS(000):$0
Case-Control Study of Cancer and Related Disorders Among
Benzene-Exposed Workers in China
FORMS: NONE
OMB NO: 0925-0455 EXPIRATION DATE: 04/30/2001
RESPS:500 HOURS:1,000 COSTS(000):$0
Test-Retest Reliability Study of the Alcohol Use Disorder and
Associated Disabilities Interview Schedule-IV (AUDADIS-IV)
FORMS: NONE
OMB NO: 0925-0456 EXPIRATION DATE: 04/30/2001
RESPS:6,469 HOURS:1,467 COSTS(000):$0
The Johnston County ADHD Study: Environmental, Reproductive, and
Familial Risk Factors for Attention-Deficit/Hyperactivity
Disorder
FORMS: NONE
OMB NO: 0925-0458 EXPIRATION DATE: 04/30/2001
RESPS:5,604 HOURS:1,776 COSTS(000):$0
Generic Clearance for Satisfaction Surveys of Customers and
Other Partners
FORMS: NONE
OMB NO: 0925-0461 EXPIRATION DATE: 07/31/2001
RESPS:400 HOURS:1,300 COSTS(000):$0
Transmission and Linkage Analysis of Alcoholism in a Plains
American Indian Tribe: Collection of EEG Phenotypes Associated
With Alcoholism
FORMS: NONE
OMB NO: 0925-0463 EXPIRATION DATE: 05/31/2002
RESPS:62 HOURS:31 COSTS(000):$0
Organ Procurement Survey
FORMS: NONE
OMB NO: 0925-0464 EXPIRATION DATE: 04/30/2002
RESPS:1 HOURS:249 COSTS(000):$0
Jackson Heart Study Participant Recruitment Survey
FORMS: NONE
OMB NO: 0925-0465 EXPIRATION DATE: 07/31/2002
RESPS:400 HOURS:4,105 COSTS(000):$0
Biologic Specimen-Based Study of Dietary Measurement Error for
Nutritional Epidemiology and Surveillance: The Observing Protein
and Energy Nutrition (OPEN) Study
FORMS: NONE
OMB NO: 0925-0466 EXPIRATION DATE: 07/31/2002
RESPS:107,418 HOURS:23,289 COSTS(000):$0
Evaluation of the National Youth Anti-Drug Media Campaign (NYAMC)
FORMS: NONE
OMB NO: 0925-0467 EXPIRATION DATE: 08/31/2002
RESPS:18,798 HOURS:9,399 COSTS(000):$0
Young Drivers Intervention Study
FORMS: NONE
OMB NO: 0925-0468 EXPIRATION DATE: 08/31/2002
RESPS:1 HOURS:918 COSTS(000):$0
Survey of Colorectal Cancer Screening Practices in Health Care
Organizations
FORMS: NONE
OMB NO: 0925-0469 EXPIRATION DATE: 08/31/2002
RESPS:1,350 HOURS:337 COSTS(000):$0
Physician Survey on Cancer Susceptibility Testing
FORMS: NONE
OMB NO: 0925-0470 EXPIRATION DATE: 08/31/2002
RESPS:450 HOURS:225 COSTS(000):$0
Physician's Resolution of Ethics Problems
FORMS: NONE
OMB NO: 0925-0471 EXPIRATION DATE: 08/31/2002
RESPS:1,428 HOURS:774 COSTS(000):$0
American Stop Smoking Intervention Study for Cancer Prevention
(ASSIST) Final Evaluation: Strength of Tobacco Control Survey
FORMS: NONE
OMB NO: 0925-0472 EXPIRATION DATE: 09/30/2002
RESPS:786 HOURS:449 COSTS(000):$0
Attitudes of U.S. and Developing Country Researchers Regarding
U.S. Human Subjects Regulations
FORMS: NONE
OMB NO: 0925-0473 EXPIRATION DATE: 09/30/2002
RESPS:1 HOURS:23 COSTS(000):$0
An Evaluation of the NCI Science Enrichment Program (SEP);
Parent Survey
FORMS: NONE
OMB NO: 0925-0474 EXPIRATION DATE: 09/30/2002
RESPS:5,855 HOURS:1,932 COSTS(000):$0
Generic Clearance for Satisfaction Surveys of Partners and
Customers
FORMS: NONE
OMB NO: 0925-0475 EXPIRATION DATE: 01/31/2003
RESPS:4,000 HOURS:1,955 COSTS(000):$0
Training Tomorrow's Scientists: Linking Minorities and Mentors
Through the Web
FORMS: NONE
OMB NO: 0925-0476 EXPIRATION DATE: 03/31/2003
RESPS:18,400 HOURS:2,263 COSTS(000):$0
Request for Generic Clearance to Conduct Voluntary
Customer/Partner Surveys
FORMS: NONE
OMB NO: 0925-0478 EXPIRATION DATE: 06/30/2003
RESPS:55,000 HOURS:11,962 COSTS(000):$0
2000 California Health Interview Survey, Cancer Control Tropical
Module (CHIS, CCTM)
FORMS: NONE
OMB NO: 0925-0479 EXPIRATION DATE: 06/30/2003
RESPS:62 HOURS:16 COSTS(000):$0
Request for Clearance to Conduct Voluntary Customer Satisfaction
Surveys
FORMS: NONE
OMB NO: 0925-0480 EXPIRATION DATE: 07/31/2003
RESPS:12,000 HOURS:2,000 COSTS(000):$0
NIDDK Information Clearinghouses Customer Satisfaction Survey
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
51 1,108,780 2,789,633 $0
Substance Abuse and Mental Health Services Administration
OMB NO: 0930-0074 EXPIRATION DATE: 03/31/2001
RESPS:550 HOURS:108 COSTS(000):$0
Obligated Service for Mental Health Traineeships: Regulations
and Forms
FORMS: SMA-111 111-2
OMB NO: 0930-0078 EXPIRATION DATE: 11/30/2002
RESPS:220,340 HOURS:15,284 COSTS(000):$0
Drug Abuse Warning Network (DAWN)
FORMS: SMA-100-1 SMA-100-2 SMA-100-3 SMA-100-4
OMB NO: 0930-0080 EXPIRATION DATE: 08/31/2002
RESPS:60 HOURS:36,707 COSTS(000):$0
Substance Abuse Prevention and Treatment Block Grant Application
FORMS: NONE
OMB NO: 0930-0092 EXPIRATION DATE: 06/30/2001
RESPS:1,520,000 HOURS:380,000 COSTS(000):$0
Confidentiality of Alcohol and Drug Abuse Patient Records
FORMS: NONE
OMB NO: 0930-0093 EXPIRATION DATE: 10/31/2003
RESPS:52 HOURS:104 COSTS(000):$0
Annual Census of Patient Characteristics in State and County
Mental Hospital Inpatient Services
FORMS: SMA-102
OMB NO: 0930-0104 EXPIRATION DATE: 07/31/2001
RESPS:68 HOURS:22 COSTS(000):$0
Community Mental Health Center (CMHC) Grantee Checklist
FORMS: SMA-101
OMB NO: 0930-0106 EXPIRATION DATE: 07/31/2003
RESPS:23,561 HOURS:13,413 COSTS(000):$0
Drug and Alcohol Services Information System (DASIS)
FORMS: NONE
OMB NO: 0930-0110 EXPIRATION DATE: 01/31/2002
RESPS:210,000 HOURS:88,563 COSTS(000):$0
2001 National Household Survey on Drug Abuse (NHSDA)
FORMS: NONE
OMB NO: 0930-0119 EXPIRATION DATE: 04/30/2001
RESPS:5,249 HOURS:3,509 COSTS(000):$0
1997 Survey of Mental Health Organizations and General Hospital
Mental Health Services (SMHO)
FORMS: NONE
OMB NO: 0930-0158 EXPIRATION DATE: 06/30/2003
RESPS:7,093,210 HOURS:1,790,664 COSTS(000):$2,016
Mandatory guidelines for Federal Workplace Drug Testing Program
FORMS: NONE
OMB NO: 0930-0163 EXPIRATION DATE: 02/28/2001
RESPS:60 HOURS:960 COSTS(000):$0
Substance Abuse Prevention and Treatment Block Grant
FORMS: NONE
OMB NO: 0930-0165 EXPIRATION DATE: 03/31/2001
RESPS:59 HOURS:1 COSTS(000):$0
Tobacco Regulation for Substance Abuse Prevention and Treatment
-- 45 CFR Part 96
FORMS: NONE
OMB NO: 0930-0168 EXPIRATION DATE: 06/30/2001
RESPS:59 HOURS:11,500 COSTS(000):$0
FY 1999-2001 Community Mental Health Services Block Grant
Application: Voluntary Format and Content (Performance
Partnership Block Grant)
FORMS: NONE
OMB NO: 0930-0169 EXPIRATION DATE: 11/30/2002
RESPS:112 HOURS:2,016 COSTS(000):$0
Protection and Advocacy of Individuals with Mental Illness
(PAIMI) Annual Program Performance Report
FORMS: NONE
OMB NO: 0930-0172 EXPIRATION DATE: 02/28/2001
RESPS:168 HOURS:168 COSTS(000):$0
Protection and Advocacy Programs for Individuals with Mental
Illness -- 45 CFR Part 51 (Final Rule)
FORMS: NONE
OMB NO: 0930-0183 EXPIRATION DATE: 02/28/2001
RESPS:2,635 HOURS:2,429 COSTS(000):$0
1998 Inventory of Mental Health Services in Juvenile Justice
Facilities
FORMS: NONE
OMB NO: 0930-0185 EXPIRATION DATE: 06/30/2001
RESPS:35,641 HOURS:25,026 COSTS(000):$0
State Prevention Needs Assessment: Alcohol and Other Drugs
FORMS: NONE
OMB NO: 0930-0186 EXPIRATION DATE: 03/31/2002
RESPS:84,992 HOURS:46,857 COSTS(000):$0
State Treatment and Needs Assessment Program (STNAP) Studies
FORMS: NONE
OMB NO: 0930-0190 EXPIRATION DATE: 08/31/2001
RESPS:7,185 HOURS:3,032 COSTS(000):$0
Evaluation of the Methadone/LAAM Treatment Program Accreditation
Project
FORMS: NONE
OMB NO: 0930-0192 EXPIRATION DATE: 07/31/2002
RESPS:96,337 HOURS:20,013 COSTS(000):$0
National Evaluation of the Comprehensive Community Mental Health
Services for Children and Their Families Program: Phase Two
FORMS: NONE
OMB NO: 0930-0194 EXPIRATION DATE: 11/30/2001
RESPS:769,095 HOURS:20,784 COSTS(000):$599
Development and Implementation of Methadone/LAAM Treatment
Program Accreditation
FORMS: NONE
OMB NO: 0930-0195 EXPIRATION DATE: 12/31/2001
RESPS:9,569 HOURS:1,733 COSTS(000):$0
Evaluation of the Cooperative Agreement for Mental Health Care
Provider Education in HIV/AIDS Program II
FORMS: NONE
OMB NO: 0930-0196 EXPIRATION DATE: 12/31/2001
RESPS:11,400 HOURS:9,140 COSTS(000):$0
Pretesting of Substance Abuse Prevention and Treatment and
Mental Health Services Communications Messages
FORMS: NONE
OMB NO: 0930-0197 EXPIRATION DATE: 12/31/2001
RESPS:10,150 HOURS:3,675 COSTS(000):$0
Voluntary Customer Satisfaction Surveys to Implement Executive
Order 12862 in the Substance Abuse and Mental Health Services
Administration (SAMHSA)
FORMS: NONE
OMB NO: 0930-0200 EXPIRATION DATE: 04/30/2002
RESPS:1,767 HOURS:2,281 COSTS(000):$0
Validity of Self-Reported Drug Use in Population Surveys
FORMS: NONE
OMB NO: 0930-0202 EXPIRATION DATE: 07/31/2002
RESPS:2,663 HOURS:3,931 COSTS(000):$0
Persistent Effects of Treatment in Cuyahoga County, Ohio
FORMS: NONE
OMB NO: 0930-0203 EXPIRATION DATE: 07/31/2002
RESPS:2,038 HOURS:384 COSTS(000):$0
Assessment of the National Leadership Institute (NLI) Program
and Services
FORMS: NONE
OMB NO: 0930-0205 EXPIRATION DATE: 09/30/2002
RESPS:411 HOURS:11,511 COSTS(000):$0
Annual Reports for Projects for Assistance in Transition from
Homelessness (PATH)
FORMS: NONE
OMB NO: 0930-0206 EXPIRATION DATE: 09/30/2002
RESPS:4,108 HOURS:2,411 COSTS(000):$1,796
Narcotic Drugs in Maintenance and Detoxification Treatment of
Narcotic Dependence (Proposed Rule)
FORMS: SMA-162 SMA-163
OMB NO: 0930-0207 EXPIRATION DATE: 10/31/2002
RESPS:21,135 HOURS:2,336 COSTS(000):$0
State Treatment Outcomes and Performance Pilot Studies
Enhancement (TOPPS II) Inter-State Study
FORMS: NONE
OMB NO: 0930-0208 EXPIRATION DATE: 10/31/2002
RESPS:89,211 HOURS:13,738 COSTS(000):$0
SAMHSA Government Performance and Results Act (GPRA) Client
Outcome Measures for Discretionary Programs
FORMS: NONE
OMB NO: 0930-0209 EXPIRATION DATE: 05/31/2003
RESPS:93,826 HOURS:20,046 COSTS(000):$0
National Evaluation of the Comprehensive Community Mental Health
Services for Children and Their Families Program: Phase Three
FORMS: NONE
OMB NO: 0930-0210 EXPIRATION DATE: 05/31/2003
RESPS:260 HOURS:315 COSTS(000):$0
Registration Form for the National Registry of Effective
Prevention Programs
FORMS: NONE
OMB NO: 0930-0211 EXPIRATION DATE: 05/31/2001
RESPS:1,311 HOURS:347 COSTS(000):$0
Survey of Vermont Employers to Assess the Impact of the Vermont
Parity Act
FORMS: NONE
OMB NO: 0930-0212 EXPIRATION DATE: 03/31/2001
RESPS:96 HOURS:206 COSTS(000):$0
Treatment Improvement Protocol Evaluation -- Addiction
Technology Transfer Center Study
FORMS: NONE
OMB NO: 0930-0213 EXPIRATION DATE: 06/30/2003
RESPS:41,553 HOURS:31,181 COSTS(000):$0
State Prevention Needs Assessment Surveys: Alcohol and
FORMS: NONE
OMB NO: 0930-0214 EXPIRATION DATE: 09/30/2001
RESPS:6,669 HOURS:2,785 COSTS(000):$0
2000 Survey of Consumer Self-Help Entities
FORMS: NONE
OMB NO: 0930-0216 EXPIRATION DATE: 09/30/2003
RESPS:48,247 HOURS:6,393 COSTS(000):$0
National Cross-Site Assessment of Addiction Technology Transfer
Centers (ATTC) Network
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
38 10,413,847 2,573,573 $4,411
Agency for Health Care Policy and Research
OMB NO: 0935-0106 EXPIRATION DATE: 12/31/2001
RESPS:23,172 HOURS:5,919 COSTS(000):$0
"Voluntary Customer Satisfaction Survey Generic Clearance for
the Agency for Health Care Policy and Research"
FORMS: NONE
OMB NO: 0935-0107 EXPIRATION DATE: 02/28/2002
RESPS:3,000 HOURS:1,300 COSTS(000):$0
Voluntary Customer Surveys of "Partners" of the Agency for
Health Care Policy and Research
FORMS: NONE
OMB NO: 0935-0108 EXPIRATION DATE: 05/31/2002
RESPS:21,200 HOURS:11,759 COSTS(000):$0
Medical Expenditure Panel Survey-Medical Provider Component
(MEPS-MPC) for 1998, 1999, and 2000
FORMS: NONE
OMB NO: 0935-0110 EXPIRATION DATE: 02/28/2002
RESPS:33,839 HOURS:19,639 COSTS(000):$0
Medical Expenditure Panel Survey Insurance Component (MEPS-IC)
for 1999
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
4 81,211 38,617 $0
Office of Assistant Secretary for Health
OMB NO: 0937-0025 EXPIRATION DATE: 07/31/2003
RESPS:10,000 HOURS:4,000 COSTS(000):$0
Application for Appointment as a Commissioned Officer in U.S.
Public Health Service Commissioned Corps (and) Reference Request
for Applicants to the USPHS Commissioned Corps
FORMS: PHS-50 PHS-1813
OMB NO: 0937-0095 EXPIRATION DATE: 09/30/2002
RESPS:10 HOURS:40 COSTS(000):$0
Application to the Board for Correction of Public Health Service
Commissioned Corps Records
FORMS: PSC-54
OMB NO: 0937-0166 EXPIRATION DATE: 05/31/2002
RESPS:50,000 HOURS:50,000 COSTS(000):$0
Sterilization of Persons in Federally Assisted Family Planning
Projects -- 42 CFR Subpart B
FORMS: NONE
OMB NO: 0937-0191 EXPIRATION DATE: 05/31/2001
RESPS:55 HOURS:11,000 COSTS(000):$389
Application Packets for Real Property for Public Health Purposes
FORMS: NONE
OMB NO: 0937-0198 EXPIRATION DATE: 11/30/2002
RESPS:7,443 HOURS:4,615 COSTS(000):$0
Responsibilities of Awardees and Applicant Institutions for
Reporting Possible Misconduct in Science -- 42 CFR Part 50
FORMS: PHS-6349
OMB NO: 0937-0200 EXPIRATION DATE: 02/28/2003
RESPS:67,200 HOURS:268,830 COSTS(000):$0
HHS Payment Management System Forms
FORMS: PSC-270 PSC-272
OMB NO: 0937-0201 EXPIRATION DATE: 02/28/2001
RESPS:36,628 HOURS:4,805 COSTS(000):$0
Voluntary Customer Surveys to Implement E.O. 12862 in the Public
Health Service
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
7 171,336 343,290 $389
Health Care Financing Administration
OMB NO: 0938-0008 EXPIRATION DATE: 05/31/2001
RESPS:717,876,097 HOURS:44,460,460 COSTS(000):$0
Health Insurance Common Claims Forms and Supportiing Regulations
in 42 CFR 414.40, 424.32, and 424.44
FORMS: HCFA-1500 HCFA-1490U HCFA-1490S
OMB NO: 0938-0022 EXPIRATION DATE: 12/31/2003
RESPS:8,950 HOURS:1,599,700 COSTS(000):$0
Home Health Agency Cost Report and Supporting Regulations in 42
CFR 413.20, 413.24, and 413.106
FORMS: HCFA-1728-94
OMB NO: 0938-0023 EXPIRATION DATE: 07/31/2002
RESPS:2,000 HOURS:500 COSTS(000):$0
Attending Physicians Statement and Documentation of Medicare
Emergency and Supporting Regulations in 42 CFR Section 424.103
FORMS: HCFA-1771
OMB NO: 0938-0025 EXPIRATION DATE: 10/31/2003
RESPS:14,000 HOURS:5,833 COSTS(000):$0
Request for Termination of Premium-Hospital and/or Supplementary
Medical Insurance and Supporting Regulations in 42 CFR 406.28
and 407.27
FORMS: HCFA-1763
OMB NO: 0938-0027 EXPIRATION DATE: 08/31/2002
RESPS:98 HOURS:172 COSTS(000):$0
Request for Certification as a Supplier of Portable X-Ray and
Portable X-Ray Survey Report Form under the Medicare/Medicaid
Program; Portable X-Ray Survey Report and Supporting....
FORMS: HCFA-1880 HCFA-1882
OMB NO: 0938-0033 EXPIRATION DATE: 01/31/2003
RESPS:5,600,000 HOURS:1,400,000 COSTS(000):$0
Request for Review of Part B Medicare Claims and Supporting
Regulations in 42 CFR 405.807
FORMS: HCFA-1964
OMB NO: 0938-0034 EXPIRATION DATE: 10/31/2003
RESPS:55,000 HOURS:9,167 COSTS(000):$0
Request for Hearing for Part B Medicare Claim and Supporting
Regulations in 42 CFR, 405.821
FORMS: HCFA-1965
OMB NO: 0938-0035 EXPIRATION DATE: 06/30/2003
RESPS:2,000 HOURS:716 COSTS(000):$0
SSO Report of State Buy-in Problems, 42 CFR 407.40
FORMS: HCFA-1957
OMB NO: 0938-0037 EXPIRATION DATE: 01/31/2002
RESPS:4,298 HOURS:429,800 COSTS(000):$0
Outpatient Rehabilitation Cost Report and Supporting Regulations
in 42 CFR 413.20 and 413.24
FORMS: HCFA-2088-92
OMB NO: 0938-0041 EXPIRATION DATE: 10/31/2003
RESPS:15,000 HOURS:6,250 COSTS(000):$0
Third Party Premium Billing Request and Supporting Regulations
in 42 CFR 408.6
FORMS: HCFA-2384
OMB NO: 0938-0045 EXPIRATION DATE: 10/31/2003
RESPS:62,000 HOURS:15,500 COSTS(000):$0
Request for Reconsideration of Part A Medicare Claim and
Supporting Regulations in 42 CFR, 405.711
FORMS: HCFA-2649
OMB NO: 0938-0046 EXPIRATION DATE: 06/30/2001
RESPS:60,000 HOURS:25,000 COSTS(000):$0
End Stage Renal Disease Medical Evidence Report Medicare
Entitlement and/or Patient Registration and Supporting
Regulations 42 CFR 405.2133
FORMS: HCFA-2728
OMB NO: 0938-0050 EXPIRATION DATE: 11/30/2003
RESPS:7,000 HOURS:4,629,000 COSTS(000):$0
Hospital and Health Care Complex Cost Report and Supporting
Regulations in 42 CFr 413.20 and 413.24
FORMS: HCFA-2552-96
OMB NO: 0938-0062 EXPIRATION DATE: 11/30/2003
RESPS:6,763 HOURS:20,289 COSTS(000):$0
Intermediate Care Facility for the Mentally Retarded or Persons
with Related Conditions ICF/MR Survey Report Form (3070G-1) and
Suppporting Regulations at 42CFR 431.52, 431.151, 435.1009,....
FORMS: HCFA-3070-G-1
OMB NO: 0938-0065 EXPIRATION DATE: 08/31/2002
RESPS:255 HOURS:446 COSTS(000):$0
Request for Certification in the Medicare and/or Medicaid
Program to Provide Outpatient Physical Therapy and/or Speech
Pathology Services, Outpatient Physicial Therapy/Speech....
FORMS: HCFA-1856 HCFAA-1893
OMB NO: 0938-0067 EXPIRATION DATE: 01/31/2002
RESPS:224 HOURS:16,464 COSTS(000):$0
Quarterly Medicaid Statement of Expenditures for the Medical
Assistance Program
FORMS: HCFA-64
OMB NO: 0938-0074 EXPIRATION DATE: 11/30/2002
RESPS:470 HOURS:822 COSTS(000):$0
Request for Certification as Rural Health Clinic and Rural
Health Clinic Survey Report Form and Supporting Regulations in
42 CFR 491.1-491.11
FORMS: HCFA-0029/0030
OMB NO: 0938-0080 EXPIRATION DATE: 04/30/2003
RESPS:90,000 HOURS:26,000 COSTS(000):$0
Application for Health Insurance Benefits Under Medicare for
Individual with Chronic Renal Disease and Supporting Regulations
in 42 CFR 406.13
FORMS: HCFA-43
OMB NO: 0938-0086 EXPIRATION DATE: 07/31/2002
RESPS:125,000 HOURS:62,500 COSTS(000):$0
Disclosure of Ownership and Financial Control Interest Statement
and Supporting Regulations Contained in 42 CFR 420.200-.206 and
455.100-.106
FORMS: HCFA-1513
OMB NO: 0938-0094 EXPIRATION DATE: 06/30/2001
RESPS:21 HOURS:1 COSTS(000):$0
Medicaid-Integrated Quality Control Review Manual Instructions
and Supporting Regulations -- 42 CFR 431.800, .865
FORMS: HCFA-316
OMB NO: 0938-0101 EXPIRATION DATE: 04/30/2002
RESPS:228 HOURS:7,980 COSTS(000):$0
Medicaid Program Budget Report -- 42 CFR Section 430.30
FORMS: HCFA-37
OMB NO: 0938-0102 EXPIRATION DATE: 10/31/2003
RESPS:108 HOURS:4,860 COSTS(000):$0
Organ Procurement Organization/Histcompatibility Laboratory
Statement of Reimbursable Costs, Manual Instructions and
Supporting Regulations Contained in 42 CFR 413.20 and 413.24
FORMS: HCFA-216
OMB NO: 0938-0107 EXPIRATION DATE: 11/30/2002
RESPS:3,000 HOURS:150,000 COSTS(000):$0
Independent Rural Health Center/Freestanding Federally Qualified
Health Center Cost Report and Supporting Regulations in 42 CFR
Sections 413.20 and 413.24
FORMS: HCFA-222
OMB NO: 0938-0144 EXPIRATION DATE: 08/31/2001
RESPS:21 HOURS:8,400 COSTS(000):$0
Corrective Action Plan, Medicaid Eligibility Quality Control --
42 CFR 431.800-820
FORMS: HCFA-320
OMB NO: 0938-0146 EXPIRATION DATE: 05/31/2002
RESPS:110 HOURS:2,640 COSTS(000):$0
State Medicaid Eligibility Quality Control Sampling Plan and
Supporting Regulations in 42 CFR 431.800-431.865
FORMS: HCFA-317
OMB NO: 0938-0147 EXPIRATION DATE: 07/31/2002
RESPS:660 HOURS:5,280 COSTS(000):$0
State Medicaid Eligibility Quality Control (MEQC) Sample
Selection Lists and Supporting Regulations at 42 CFR
431.800-431.865
FORMS: HCFA-319
OMB NO: 0938-0151 EXPIRATION DATE: 02/28/2003
RESPS:13,250 HOURS:6,625 COSTS(000):$0
Laboratory Personnel Report (CLIA) and Supporting Regulations in
42 CFR 493.1-493.2001
FORMS: HCFA-0209
OMB NO: 0938-0155 EXPIRATION DATE: 12/31/2003
RESPS:14 HOURS:476 COSTS(000):$0
Municipal Health Services Cost Report Form and Supporting
Regulations 42 CFR 405.2470
FORMS: HCFA-255
OMB NO: 0938-0165 EXPIRATION DATE: 12/31/2002
RESPS:327 HOURS:11,600 COSTS(000):$0
Prepaid Health Plan Cost Report
FORMS: HCFA-276
OMB NO: 0938-0170 EXPIRATION DATE: 09/30/2002
RESPS:1,250 HOURS:625 COSTS(000):$0
Blood Bank Inspection Checklist and Report and Supporting
Regulations in 42 CFR 493.1269-493.1285
FORMS: HCFA-282
OMB NO: 0938-0193 EXPIRATION DATE: 04/30/2001
RESPS:56 HOURS:560 COSTS(000):$0
Transmittal and Notice of Approval of State Plan Material and
Supporting Regualtions -- 42 CFR 430.10-430.20 and 440.167,
HCFA-179
FORMS: HCFA-179
OMB NO: 0938-0202 EXPIRATION DATE: 05/31/2002
RESPS:1,231 HOURS:573,646 COSTS(000):$0
Home Office Cost Statement and Supporting Statement in
Regulation in 42 CFR 413.17 and 413.20
FORMS: HCFA-287
OMB NO: 0938-0214 EXPIRATION DATE: 01/31/2002
RESPS:14,204,000 HOURS:773,240 COSTS(000):$0
Medicare Secondary Payer Information Collection and Supporting
Regulations in 42 CFR 489.20
FORMS: HCFA-250-254
OMB NO: 0938-0236 EXPIRATION DATE: 05/31/2001
RESPS:2,472 HOURS:484,512 COSTS(000):$0
Independent Renal Dialysis Facility Cost Report and Supporting
Regulations 42 CFR 413.198 and 42 CFR 413.20
FORMS: HCFA-265
OMB NO: 0938-0242 EXPIRATION DATE: 06/30/2002
RESPS:30,000 HOURS:25,000 COSTS(000):$0
Fire Safety Survey Report Forms and Supporting Regulations in 42
CFR 416.44, 418.100, 482.41, 483.270, and 483.470
FORMS: HCFA-2786(A-D) 2786(F-H) 2786(J-M) 2786(P) 2786(Q)
OMB NO: 0938-0245 EXPIRATION DATE: 04/30/2003
RESPS:10,000 HOURS:2,500 COSTS(000):$0
Request for Enrollment in Supplementary Medical Insurance and
Supporting Regulations in 42 CFR 407.10 & 407.11
FORMS: HCFA-4040
OMB NO: 0938-0246 EXPIRATION DATE: 09/30/2002
RESPS:102 HOURS:22,515 COSTS(000):$0
Certification of Medicaid Eligibility Quality Control (MEQC)
Payment Error Rates and Supporting Regulations at 42 CFR 431.800
through 431.865
FORMS: HCFA-301
OMB NO: 0938-0251 EXPIRATION DATE: 09/30/2001
RESPS:50,000 HOURS:12,500 COSTS(000):$0
Application for Hospital Insurance -- 42 CFR 406.7
FORMS: HCFA-18F5 5P
OMB NO: 0938-0266 EXPIRATION DATE: 01/31/2003
RESPS:2,931 HOURS:1,434 COSTS(000):$0
Ambulatory Surgical Center Request for Certification and Survey
Report and Supporting Regulations in 42 CFR 416.1-416.150
FORMS: HCFA-377 HCFA-378 HCFA-R-54
OMB NO: 0938-0267 EXPIRATION DATE: 01/31/2003
RESPS:540 HOURS:260,848 COSTS(000):$0
Comprehensive Outpatient Rehabilitation Facility (CORF)
Eligibility and Survey Forms and Information Collection
Requirements at 42 CFR 485.56, 485.58, 485.60, 485.64....
FORMS: HCFA-359 360 R-55
OMB NO: 0938-0269 EXPIRATION DATE: 11/30/2002
RESPS:890 HOURS:445 COSTS(000):$0
Request for Accelerated Payments and Supporting Regulations in
42 CFR Section 412.116 and 413.64
FORMS: HCFA-9042
OMB NO: 0938-0270 EXPIRATION DATE: 09/30/2001
RESPS:500 HOURS:1,000 COSTS(000):$0
The Financial Statement of Debtor and Supporting -- 42 CFR
Section 405.376
FORMS: HCFA-379
OMB NO: 0938-0272 EXPIRATION DATE: 07/31/2001
RESPS:223 HOURS:16,725 COSTS(000):$0
Annual Report on Home and Community-Based Services Waivers --
State Medicaid Manual Section 2700.6 and Supporting Regulations
in 42 CFR 440.181 and 441.300-305, Forms HCFA-372 and HCFA-372(S)
FORMS: HCFA-372 HCFA-372(S)
OMB NO: 0938-0273 EXPIRATION DATE: 07/31/2002
RESPS:2,964 HOURS:741 COSTS(000):$0
Identification of Extension Units of Outpatient Physical
Therapy/Outpatient Speech Pathology (OPT/OSP) Providers and
Supporting Regulations in 42 CFR Sections 485.701 to 485.729
FORMS: HCFA-381
OMB NO: 0938-0279 EXPIRATION DATE: 05/31/2001
RESPS:149,609,549 HOURS:1,960,991 COSTS(000):$0
Medicare Uniform Institutional Provider Bill and Supporting
Regulations in 42 CFR 424.5
FORMS: HCFA-1450
OMB NO: 0938-0287 EXPIRATION DATE: 11/30/2002
RESPS:27 HOURS:81 COSTS(000):$0
Withhholding Medicare Payments to Recover Medicaid Overpayments
and Supporting Regulations in 42 CFR 447.31
FORMS: HCFA-R-0021
OMB NO: 0938-0296 EXPIRATION DATE: 03/31/2001
RESPS:275 HOURS:13,200 COSTS(000):$0
Provider Reimbursement Manual, Part 1, Chapter 27, Sections
2721, 2722, and 2725; Request for Exception to ESRD Composite
Rates and Supporting Regulations Contained in 42 CFR 413.170
FORMS: HCFA-9044
OMB NO: 0938-0300 EXPIRATION DATE: 02/28/2001
RESPS:51 HOURS:6,700 COSTS(000):$0
Negative Case Action Review Process/Annual Report and Supporting
Regulations -- 42 CFR 431.800
FORMS: HCFA-6401
OMB NO: 0938-0301 EXPIRATION DATE: 08/31/2001
RESPS:30,607 HOURS:1,239,584 COSTS(000):$0
Medicare Provider Cost Report Reimbursement Questionnaire and
Supporting Regulations -- 42 CFR 405.465, 405.481, 413.20, and
413.24
FORMS: HCFA-339
OMB NO: 0938-0302 EXPIRATION DATE: 01/31/2003
RESPS:2,275 HOURS:6,042,834 COSTS(000):$0
Information Collection Requirements in the Hospice Care
Regulation -- 42 CFR 418.22, 418.24, 418.28, 418.56, 418.58,
418.70, 418.74, 418.83, 418.96, and 418.100
FORMS: HCFA-R-30
OMB NO: 0938-0313 EXPIRATION DATE: 08/31/2001
RESPS:2,286 HOURS:572 COSTS(000):$0
Hospice Request for Certification in the Medicare Program and
Supporting Regulations Contained in 42 CFR Part 418.1-418.405
FORMS: HCFA-417
OMB NO: 0938-0328 EXPIRATION DATE: 04/30/2003
RESPS:1,500 HOURS:53,163 COSTS(000):$0
Hospital COP-42 CFR 482, 482.12, 482.22, 482.27, 482.30, 482.62,
482.66
FORMS: HCFA-R-48
OMB NO: 0938-0334 EXPIRATION DATE: 04/30/2003
RESPS:3,528 HOURS:9,744 COSTS(000):$0
Conditions of Participation for Rural Health Clinics and
Supporting Regulations in 42 CFR, Section 491.9, Subpart A
FORMS: HCFA-R-38
OMB NO: 0938-0338 EXPIRATION DATE: 08/31/2002
RESPS:670 HOURS:1,675 COSTS(000):$0
Conditions of Participation for Portable X-ray Suppliers and
Supporting Regulations in 42 CFR Sections 486.104, 486.106, and
486.110
FORMS: HCFA-R-43
OMB NO: 0938-0345 EXPIRATION DATE: 09/30/2002
RESPS:212 HOURS:2,120 COSTS(000):$45
Medicaid Statistical Information System
FORMS: HCFA-R-0284
OMB NO: 0938-0354 EXPIRATION DATE: 06/30/2002
RESPS:56 HOURS:1,568 COSTS(000):$15
Annual Early and Periodic Screening Diagnostic and Treatment
Services (EPSDT) Participation Report -- CFR:441.60
FORMS: HCFA-416
OMB NO: 0938-0355 EXPIRATION DATE: 01/31/2002
RESPS:19,884 HOURS:19,884 COSTS(000):$0
Home Health Agency Survey and Deficiencies Report, Home Health
Functional Assessment Instrument and Supporting Regulations in
42 CFR Part 484.10 and 42 CFR Part 484.52
FORMS: HCFA-1572 HCFA-1515
OMB NO: 0938-0358 EXPIRATION DATE: 12/31/2003
RESPS:2,580 HOURS:645 COSTS(000):$0
Psychiatric Unit Criteria Work Sheet, Rehabilitation Unit
Criteria Work Sheet and Rehabilitation Hospital Criteria Work
Sheet, and Supporting Regulations at 42 CFR 412.20 - 412.30
FORMS: HCFA-437 437A 437B
OMB NO: 0938-0359 EXPIRATION DATE: 02/28/2002
RESPS:895,419 HOURS:26,865 COSTS(000):$0
Medical Records Review under PPS and Supporting Regulations at
42 CFR 412.40-412.52
FORMS: HCFA-R-50
OMB NO: 0938-0360 EXPIRATION DATE: 11/30/2003
RESPS:675 HOURS:1,626 COSTS(000):$0
End Stage Renal Disease Application and Survey and Certification
Report Form and Supporting Regulations 42 CFR 405.2100 - 405.2184
FORMS: HCFA-3427
OMB NO: 0938-0365 EXPIRATION DATE: 02/28/2001
RESPS:10,203 HOURS:86,008 COSTS(000):$0
Home Health Medicare Conditions of Participation (COP)
Information Collection Requirements (CR's) as Outlined in
Regulation 42 CFR 484
FORMS: GCFA-R-39
OMB NO: 0938-0373 EXPIRATION DATE: 10/31/2002
RESPS:45,000 HOURS:11,250 COSTS(000):$0
Medicare Participating Physician or Supplier Agreement --
HCFA-460
FORMS: HCFA-460
OMB NO: 0938-0378 EXPIRATION DATE: 08/31/2001
RESPS:350 HOURS:175 COSTS(000):$0
Medicare/Medicaid Psychiatric Hospital Survey Data Contained in
42 CFR and Supporting Regulations in 42 CFR 482.60, 482.61, and
482.62
FORMS: HCFA-724
OMB NO: 0938-0379 EXPIRATION DATE: 08/31/2003
RESPS:2,293 HOURS:5,733 COSTS(000):$0
Hospice Survey and Deficiencies Report Form and Supporting
Regulations at 42 CFr Part 418.1 - 418.405
FORMS: 643
OMB NO: 0938-0380 EXPIRATION DATE: 08/31/2003
RESPS:2,000 HOURS:500 COSTS(000):$0
Hospital Request for Certification in the Medicare/Medicaid
Program
FORMS: HCFA-1514
OMB NO: 0938-0382 EXPIRATION DATE: 02/28/2002
RESPS:1,123 HOURS:3,650 COSTS(000):$0
Medicare/Medicaid Hospital Survey Report Form Supporting
Regulations in 42 CFR 482.2 through 482.57
FORMS: HCFA-1537
OMB NO: 0938-0386 EXPIRATION DATE: 01/31/2001
RESPS:2,976 HOURS:100,937 COSTS(000):$0
Conditions for Coverage of Suppliers of End Stage Renal Disease
(ESRD) Services and Supporting Regulations Contained in 42 CFR
405.2100-.2171
FORMS: HCFA-R-52
OMB NO: 0938-0391 EXPIRATION DATE: 11/30/2002
RESPS:60,000 HOURS:120,000 COSTS(000):$0
Statement of Deficiencies and Plan of Correction and Supporting
Regulations Contained in 42 CFR 488.18, 488.26, and 488.28
FORMS: HCFA-2567
OMB NO: 0938-0408 EXPIRATION DATE: 07/31/2003
RESPS:25 HOURS:2,000 COSTS(000):$0
Methodology for Estimating Waiver Costs of HCFA Demonstration
Projects
FORMS: HCFA-482
OMB NO: 0938-0426 EXPIRATION DATE: 09/30/2002
RESPS:53 HOURS:30,683 COSTS(000):$0
Information Collection Requirements in HSQ-110 Acquisition,
Protection and Disclosure of Peer Review Organization
Information and Supporting Regulations in 42 CFR Sections
476.104, 476.105...
FORMS: HCFA-R-70
OMB NO: 0938-0429 EXPIRATION DATE: 04/30/2001
RESPS:54 HOURS:2,700 COSTS(000):$0
Information Collection Requirement in 42 CFR 447.53, Imposition
of Cost Sharing Charges under Medicaid -- BERC 509
FORMS: HCFA-R-53
OMB NO: 0938-0443 EXPIRATION DATE: 12/31/2002
RESPS:15,670 HOURS:3,578 COSTS(000):$0
Information Collection Requirements in 42 CFR 473.18, 473.34,
473.36, and 473.42, PRO Reconsideration and Appeals
FORMS: HCFA-R-72
OMB NO: 0938-0444 EXPIRATION DATE: 07/31/2002
RESPS:1,060 HOURS:22,684 COSTS(000):$0
Information Collection Requirements in Final Peer Review
Organization Sanction Regulations -- 42 CFR Sections 1004.40,
1004.50, 1004.60, and 1004.70
FORMS: HCFA-R-65
OMB NO: 0938-0445 EXPIRATION DATE: 03/31/2002
RESPS:6,417 HOURS:46,834 COSTS(000):$0
Information Collection Requirements in HSQ-108F Assumption of
Responsibilities and Supporting Regulations in 42 CFR Sections
412.44, 412.46, 431.630, 456.654, 466.71, 466.73, 466.74, 466.78
FORMS: HCFA-R-71
OMB NO: 0938-0447 EXPIRATION DATE: 04/30/2003
RESPS:3,761 HOURS:30,088 COSTS(000):$0
End Stage Renal Disease Medical Information System ESRD Facility
Survey
FORMS: HCFA-2744
OMB NO: 0938-0448 EXPIRATION DATE: 10/31/2001
RESPS:52,654 HOURS:8,951 COSTS(000):$0
End Stage Renal Disease Death Notification
FORMS: HCFA-2746
OMB NO: 0938-0449 EXPIRATION DATE: 03/31/2002
RESPS:128 HOURS:7,860 COSTS(000):$0
Home and Community-Based Waiver Requests and Supporting
Regulation -- 42 CFR 440.180, 441.300-.310
FORMS: HCFA-8003
OMB NO: 0938-0454 EXPIRATION DATE: 03/31/2003
RESPS:947,816 HOURS:417,239 COSTS(000):$0
Physician Certifications/Recertifications in Skilled Nursing
Facilities (SNFs) Manual Instructions and Supporting Regulations
42 CFR 424.20
FORMS: HCFA-R-5
OMB NO: 0938-0456 EXPIRATION DATE: 10/31/2003
RESPS:1,350 HOURS:2,700 COSTS(000):$0
Indirect Medical Education (IME) And Supporting Regulations 42
CFR 412.105
FORMS: HCFA-R-64
OMB NO: 0938-0463 EXPIRATION DATE: 11/30/2003
RESPS:15,706 HOURS:2,943,200 COSTS(000):$0
Skilled Nursing Facility and Skilled Nursing Facility Health
Care Complex Cost Report and Supporting Regulations in 42 CFR
413.20 and 413.24
FORMS: HCFA-2540-96
OMB NO: 0938-0465 EXPIRATION DATE: 11/30/2003
RESPS:3,563,304 HOURS:296,942 COSTS(000):$0
Limitation on Liability and Information Collection Requirements
Referenced in 42 CFR 411.404, 411.406, and 411.408
FORMS: HCFA-R-77
OMB NO: 0938-0467 EXPIRATION DATE: 05/31/2002
RESPS:54 HOURS:101,414 COSTS(000):$0
Income and Eligibility Verification System Reporting and
435.920, 435.940-435.960
FORMS: HCFA-R-0074
OMB NO: 0938-0469 EXPIRATION DATE: 05/31/2001
RESPS:953 HOURS:3,130 COSTS(000):$0
Health Maintenance Organizations and Competitive Medical Plans
and Supporting Regulations 42 CFR 417., .126, .478, .162
FORMS: HCFA-906
OMB NO: 0938-0470 EXPIRATION DATE: 11/30/2003
RESPS:35 HOURS:3,500 COSTS(000):$471
Qualification Application and Supporting Regulations in 42 CFR,
Section 417.408 and 417.143
FORMS: HCFA-901-1
OMB NO: 0938-0477 EXPIRATION DATE: 06/30/2002
RESPS:40 HOURS:160 COSTS(000):$0
Payment Adjustment for Sole Community Hospitals and Supporting
Regulations in 42 CFR Section 412.92
FORMS: HCFA-R-79
OMB NO: 0938-0481 EXPIRATION DATE: 01/31/2001
RESPS:112,526 HOURS:140,658 COSTS(000):$0
Medicaid Sterilization Regulations and Consent Form and
Supporting Regulations -- 45 CFR 96.73, 42 CFR 441, Subpart F
FORMS: HCFA-R-94
OMB NO: 0938-0484 EXPIRATION DATE: 03/31/2003
RESPS:1,100 HOURS:275 COSTS(000):$0
Emergency and Foreign Hospital Services -- Beneficiary Statement
in Canadian Travel Claims and Supporting Regulations in 42 CFR,
Section 424.123
FORMS: HCFA-R-96
OMB NO: 0938-0486 EXPIRATION DATE: 10/31/2003
RESPS:10,000 HOURS:2,500 COSTS(000):$0
Regulations for Hearing for Part A Medicare by an Administrative
Law Judge and Supporting Regulations in 42 CFR, 498 Subpart D
and E
FORMS: HCFA-5011A-U6
OMB NO: 0938-0489 EXPIRATION DATE: 04/30/2002
RESPS:20 HOURS:40 COSTS(000):$0
Information Collection Requirements for Sole Community Home
Health Agencies -- 42 CFR 424.22
FORMS: HCFA-R-85
OMB NO: 0938-0490 EXPIRATION DATE: 09/30/2002
RESPS:5 HOURS:500 COSTS(000):$0
Criteria for Medicare Coverage of Heart Transplants
FORMS: HCFA-R-0106
OMB NO: 0938-0501 EXPIRATION DATE: 01/31/2001
RESPS:4,300 HOURS:717 COSTS(000):$0
Medicare Qualification Statement for Federal Employees and
Supporting Regulations at 42 CFR 406.15
FORMS: HCFA-565
OMB NO: 0938-0502 EXPIRATION DATE: 09/30/2002
RESPS:1,900,000 HOURS:329,965 COSTS(000):$0
Medicaid: Determining Third-Party Liability (TPL) State Plan
Preprint and Supporting Regulations in 42 CFR 433.138
FORMS: HCFA-R-0107
OMB NO: 0938-0507 EXPIRATION DATE: 06/30/2003
RESPS:85,000 HOURS:2,805 COSTS(000):$0
Medicare Managed Care Disenrollment Form
FORMS: HCFA-566
OMB NO: 0938-0511 EXPIRATION DATE: 01/31/2001
RESPS:1,441 HOURS:139,410 COSTS(000):$0
Skilled Nursing Facility Prospective Payment System Cost Report
and Supporting Regulations in 42 CFR 413.20 and 413.24
FORMS: HCFA-2540S
OMB NO: 0938-0512 EXPIRATION DATE: 09/30/2001
RESPS:69 HOURS:138 COSTS(000):$0
Organ Procurement Organization's Request for Designation -- 42
CFR 486.301-486.325
FORMS: HCFA-576
OMB NO: 0938-0519 EXPIRATION DATE: 09/30/2001
RESPS:99,825 HOURS:7,697 COSTS(000):$0
Medicare Home Health Quality Assurance Demonstration -- 42 CFR
484
FORMS: HCFA-P-11
OMB NO: 0938-0526 EXPIRATION DATE: 06/30/2001
RESPS:53 HOURS:1 COSTS(000):$0
Peer Review Contracts: Solicitation of Interest from In-State
Organizations, General Notice and Supporting Regulations -- 42
CFR 462.102, .103, .104
FORMS: HCFA-R-118
OMB NO: 0938-0534 EXPIRATION DATE: 09/30/2002
RESPS:500,000 HOURS:50,000 COSTS(000):$0
Attending Physician's Certification of Medical Necessity for
Home Oxygen Therapy and Supporting Regulations 42 CFR 410.38 and
42 CFR 424.5; Form Number HCFA-484
FORMS: HCFA-484
OMB NO: 0938-0544 EXPIRATION DATE: 01/31/2003
RESPS:15,526 HOURS:7,628 COSTS(000):$0
Survey Report Form Clinical Laboratory Improvement Amendments
(CLIA) and Supporting Regulations in 42 CFR 493.1-493-2001
FORMS: HCFA-1557
OMB NO: 0938-0565 EXPIRATION DATE: 09/30/2002
RESPS:327,947 HOURS:1,096,466 COSTS(000):$0
Internal Revenue Service/Social Security Administration/Health
Care Financing Administration Data Match and Supporting
Regulations in 42 CFR Sections 411.20-411.206
FORMS: HCFA-R-137
OMB NO: 0938-0566 EXPIRATION DATE: 08/31/2002
RESPS:925,904 HOURS:115,738 COSTS(000):$0
Information Collection Requirements in 42 CFR Section 411.408
FORMS: HCFA-R-131
OMB NO: 0938-0567 EXPIRATION DATE: 10/31/2003
RESPS:1,000 HOURS:2,500 COSTS(000):$0
Request for Hearing for Part B Medicare by an Administrative Law
Judge and Supporting Regulations in 42 CFR, 498 Subpart D and E
FORMS: HCFA-5011B-U6
OMB NO: 0938-0568 EXPIRATION DATE: 01/31/2001
RESPS:49,500 HOURS:50,490 COSTS(000):$0
Medicare Current Beneficiary Survey (MCBS): Rounds 20-28
FORMS: HCFA-P-15A
OMB NO: 0938-0573 EXPIRATION DATE: 09/30/2002
RESPS:1,000 HOURS:1,000 COSTS(000):$0
Medicare Geographic Classification Review Board (MGCRB)
Procedures and Criteria and Supporting Regulations in 42 CFR
Section 412.256
FORMS: HCFA-R-0138
OMB NO: 0938-0575 EXPIRATION DATE: 04/30/2003
RESPS:50 HOURS:150 COSTS(000):$0
Analysis of Malpractice Premium Data
FORMS: HCFA-R-143
OMB NO: 0938-0578 EXPIRATION DATE: 07/31/2003
RESPS:2,204 HOURS:54,660 COSTS(000):$948
Medicaid Drug Rebate Program - Manufacturers
FORMS: HCFA-367 HCFA-367A HCFA-367B HCFA-367C
OMB NO: 0938-0579 EXPIRATION DATE: 12/31/2002
RESPS:20 HOURS:535 COSTS(000):$0
Business Proposal Formats for Utilization and Quality Control
Peer Review Organizations (PROs)
FORMS: 718-BP 719-BP 720-BP 721-BP SUM-PS IS CA SS SC-1 SC-2
OMB NO: 0938-0580 EXPIRATION DATE: 04/30/2001
RESPS:12 HOURS:1,880 COSTS(000):$0
Criteria for Medicare Coverage of Liver Transplants
FORMS: HCFA-R-108
OMB NO: 0938-0581 EXPIRATION DATE: 09/30/2001
RESPS:16,000 HOURS:20,000 COSTS(000):$0
Clinical Laboratory Improvement Amendments Application Form --
42 CFR 493.1-.2001
FORMS: HCFA-116
OMB NO: 0938-0582 EXPIRATION DATE: 09/30/2003
RESPS:204 HOURS:6,125 COSTS(000):$139
State Drug Rebate (Medicaid)
FORMS: HCFA-368 R-144
OMB NO: 0938-0599 EXPIRATION DATE: 08/31/2001
RESPS:331 HOURS:4,500 COSTS(000):$0
CLIA Budget Workload Reports and Supporting Regulations
Contained in 42 CFR 493.1-.2001
FORMS: HCFA-102 HCFA-105
OMB NO: 0938-0600 EXPIRATION DATE: 09/30/2002
RESPS:190,400 HOURS:1,142,400 COSTS(000):$0
Medicare Credit Balance Reporting Requirements and Supporting
Regulations in 42 CFR 405.371, 405.378, and 413.20
FORMS: HCFA-838
OMB NO: 0938-0610 EXPIRATION DATE: 05/31/2002
RESPS:35,905 HOURS:908,250 COSTS(000):$0
Information Collection Requirements Contained in BDP-718;
Advanced Directives (Medicare and Medicaid) and Supporting in 42
CFR Sections 417.436, 417.801, 422.128, 430.12, 431.20....
FORMS: HCFA-R-10
OMB NO: 0938-0612 EXPIRATION DATE: 04/30/2001
RESPS:631,459 HOURS:17,888,923 COSTS(000):$0
Clinical Laboratory Improvement Amendments (CLIA) and the ICRs
Contained in the Supporting Regulations in 42 CFR 493.1-.2001
FORMS: HCFA-R-26
OMB NO: 0938-0618 EXPIRATION DATE: 09/30/2001
RESPS:40 HOURS:2,880 COSTS(000):$0
Limitations on Provider-Related Donations and Health
Care-Related Taxes; Limitation on Payments to Disproportionate
Share Hospitals; Medicaid and Supporting Regulations....
FORMS: HCFA-R-148
OMB NO: 0938-0624 EXPIRATION DATE: 04/30/2003
RESPS:50 HOURS:12 COSTS(000):$0
Hospital Provider of Extended Care Services (Swing-Beds) in the
Medicare and Medicaid Programs, 42 CFR 447.280 and 482.66
FORMS: HCFA-605
OMB NO: 0938-0626 EXPIRATION DATE: 04/30/2003
RESPS:10,000 HOURS:1,250 COSTS(000):$0
Authorization Agreement for Electronic Funds Transfer
FORMS: HCFAA-588
OMB NO: 0938-0650 EXPIRATION DATE: 05/31/2001
RESPS:4,000 HOURS:10,000 COSTS(000):$0
Alternate Quality Assessment Survey and Supporting Regulations
in 42 CFR 493.1-.2001
FORMS: HCFA-667
OMB NO: 0938-0653 EXPIRATION DATE: 08/31/2003
RESPS:12,500 HOURS:3,125 COSTS(000):$0
Post Laboratory Survey Questionnaire--Laboratory, and Supporting
Regulations in 42 CFR 493
FORMS: 668B
OMB NO: 0938-0655 EXPIRATION DATE: 10/31/2003
RESPS:1,573 HOURS:786 COSTS(000):$0
Clinical Laboratory Improvement Amendments (CLIA) Adverse Action
Extract and Supporting Regulations at 42 CFr 493.1840
FORMS: HCFA-462A/B
OMB NO: 0938-0657 EXPIRATION DATE: 12/31/2003
RESPS:36 HOURS:108 COSTS(000):$0
End-Stage Renal Disease (ESRD) Network Semi-Annual Cost Report
Forms and Supporting Regulations in 42 CFR 405.2110 and 42 CFR
405.2112
FORMS: HCFA-685
OMB NO: 0938-0658 EXPIRATION DATE: 12/31/2003
RESPS:36 HOURS:1,080 COSTS(000):$0
End-Stage Renal Disease (ESRD) Network Business Proposal Forms
and Supporting Regulations in 432 CFR 405.2110 and 42 CFR
405.2112
FORMS: HCFA-684A-684I
OMB NO: 0938-0659 EXPIRATION DATE: 12/31/2001
RESPS:50 HOURS:655,067 COSTS(000):$0
Drug Utilization Review (Medicaid) and Supporting Regulation in
42 CFR 456.700, 456.705, 456.709, 456.711, 456.712
FORMS: HCFA-R-153 HCFA-R-153A
OMB NO: 0938-0667 EXPIRATION DATE: 09/30/2001
RESPS:7,000 HOURS:1 COSTS(000):$0
ICRs Contained in BPD-393, Examination and Treatment for
Emergency Medical Contitions and Women in Labor -- 42 CFR
488.18, 489.20, and 489.24
FORMS: HCFA-142
OMB NO: 0938-0670 EXPIRATION DATE: 04/30/2001
RESPS:16 HOURS:1,910 COSTS(000):$0
Criteria for Medicare Coverage of Lung Transplants
FORMS: HCFA-R-170
OMB NO: 0938-0673 EXPIRATION DATE: 07/31/2001
RESPS:56 HOURS:280 COSTS(000):$0
Medicaid Post-Eligibility Preprint and Supporting Regulations at
42 CFR 430.10
FORMS: SP0001
OMB NO: 0938-0676 EXPIRATION DATE: 03/31/2001
RESPS:1,460 HOURS:132,120 COSTS(000):$998
Reconciliation of State Invoice and Prior Quarter Adjustment
447.550
FORMS: HCFA-304 304A
OMB NO: 0938-0680 EXPIRATION DATE: 07/31/2002
RESPS:720 HOURS:847 COSTS(000):$0
Field Testing of the Uniform Needs Assessment Instrument (UNAI):
Small-Scale Trial Phase 2
FORMS: HCFA-R-180
OMB NO: 0938-0685 EXPIRATION DATE: 09/30/2001
RESPS:225,000 HOURS:435,000 COSTS(000):$0
Medicare and Other Federal Health Care Programs
Provider/Supplier Enrollment Application -- 42 CFR 410.32,
410.71, 413.17, 424.57, 424.73, 424.80, and 484.12
FORMS: HCFA-855 HCFA-855C HCFA-855R HCFA-855S
OMB NO: 0938-0686 EXPIRATION DATE: 02/28/2002
RESPS:11 HOURS:2,112 COSTS(000):$0
Granting and Withdrawal of Deeming Authority to Private
Nonprofit Accreditation Organizations and of State Exemption
under State Laboratory Programs and Supporting Regulations in 42
CFR 493.551
FORMS: HCFA-R-185
OMB NO: 0938-0688 EXPIRATION DATE: 11/30/2001
RESPS:62 HOURS:1 COSTS(000):$0
Conditions of Coverage for Organ Procurement Organizations
(OPOs) and Supporting Regulations in 42 CFR Section 486.301-.325
FORMS: HCFA-R-13
OMB NO: 0938-0690 EXPIRATION DATE: 06/30/2002
RESPS:28 HOURS:451 COSTS(000):$0
Granting and Withdrawal of Deeming Authority to National
Accreditation -- 42 CFR 488.4-9 and 488.201
FORMS: HCFA-R-191
OMB NO: 0938-0691 EXPIRATION DATE: 09/30/2002
RESPS:100 HOURS:100 COSTS(000):$0
Medicare Disproportionate Share Adjustment Procedures and
Criteria and Supporting Regulations in 42 CFR 412.106
FORMS: HCFA-R-194
OMB NO: 0938-0697 EXPIRATION DATE: 12/31/2003
RESPS:57 HOURS:342 COSTS(000):$0
Medicaid Report on Payables and Receivables
FORMS: HCFA-R-199
OMB NO: 0938-0702 EXPIRATION DATE: 12/31/2002
RESPS:43,000,000 HOURS:2,700,000 COSTS(000):$0
Information Collection Requirements Referenced in HIPAA for the
Group Market -- Supporting Regulations 45 CFR 146 and
Forms/Instructions
FORMS: HCFA-R-206
OMB NO: 0938-0703 EXPIRATION DATE: 12/31/2002
RESPS:3,230,000 HOURS:923,000 COSTS(000):$0
Information Collection Requirements Referenced in HIPAA for the
Form/Instructions
FORMS: HCFA-R-205
OMB NO: 0938-0705 EXPIRATION DATE: 07/31/2001
RESPS:84,235 HOURS:1,073 COSTS(000):$0
Maximizing the Effective Use of Telemedicine: A Study of the
Effects, Cost Effectiveness and Utilization Patterns of
Consultations via Telemedicine
FORMS: HCFA-R-197
OMB NO: 0938-0707 EXPIRATION DATE: 07/31/2003
RESPS:37 HOURS:2,960 COSTS(000):$0
Model Application Template for State Child Health Plan Under
Title XXI of the Social Security Act, State Children's Health
Insurance Program, and Model Application Template
FORMS: HCFA-R-211
OMB NO: 0938-0709 EXPIRATION DATE: 03/31/2001
RESPS:137,271 HOURS:133,652 COSTS(000):$0
Data Collection for the Second Generation Social Health
Maintenance Organization Demonstration
FORMS: HCFA-R-204
OMB NO: 0938-0711 EXPIRATION DATE: 11/30/2001
RESPS:1 HOURS:6,547 COSTS(000):$0
Managed Care Data Using the Uniform Institutional Providers Form
FORMS: HCFA-R-224
OMB NO: 0938-0712 EXPIRATION DATE: 03/31/2001
RESPS:2,831 HOURS:2,124 COSTS(000):$0
Survey of Primary Caregivers for the District of Columbia's
Managed Care Demonstration for Disabled and Special Needs
Children
FORMS: HCFA-R-212
OMB NO: 0938-0714 EXPIRATION DATE: 08/31/2001
RESPS:200 HOURS:2,000 COSTS(000):$0
Procedures for Advisory Opinions Concerning Physicians Referrals
and Supporting Regulations -- Sections 411.370 Through 411.389
FORMS: HCFA-R-216
OMB NO: 0938-0715 EXPIRATION DATE: 05/31/2001
RESPS:5,365 HOURS:4,540 COSTS(000):$0
End-Stage Renal Disease Managed Care Demonstration Evaluation
FORMS: HCFA-R-219
OMB NO: 0938-0717 EXPIRATION DATE: 04/30/2001
RESPS:22,667 HOURS:283,711 COSTS(000):$0
Information Collection Requirements Referenced in 42 CFR Section
424.57, Additional DMEPOS Supplier Standards
FORMS: HCFA-R-215
OMB NO: 0938-0718 EXPIRATION DATE: 09/30/2001
RESPS:6,670 HOURS:2,223 COSTS(000):$0
Research and Analytic Support for Implementing Performance
Measurement in Medicare Fee for Service
FORMS: HCFA-R227
OMB NO: 0938-0719 EXPIRATION DATE: 05/31/2001
RESPS:243,500 HOURS:6,054 COSTS(000):$0
Mental Health Parity Act of 1996: Information Collection
Requirements Contained in HCFA-2891-IFC -- 45 CFR 146.136
FORMS: HCFA-R=223
OMB NO: 0938-0720 EXPIRATION DATE: 10/31/2001
RESPS:10,465 HOURS:23,301 COSTS(000):$0
Development of an Assessment System for Post Acute Care
FORMS: HCFA-R-229
OMB NO: 0938-0721 EXPIRATION DATE: 05/31/2001
RESPS:500 HOURS:42 COSTS(000):$0
Independent Diagnostic Testing Facility and Supporting
Regulations Contained in 42 CFR 410.33
FORMS: HCFA-R-214
OMB NO: 0938-0722 EXPIRATION DATE: 09/30/2001
RESPS:30 HOURS:300 COSTS(000):$0
Medicare + Choice Provider-Sponsored Organization Waiver Request
Form -- 42 CFR 422.370 through 422.378
FORMS: HCFA-R-231
OMB NO: 0938-0723 EXPIRATION DATE: 02/28/2001
RESPS:10 HOURS:2,400 COSTS(000):$0
Medicare Integrity Program Organizational Conflict of Interest
Disclosure Certificate and Supporting Regulations at 42 CFR
421.310 and 421.312
FORMS: HCFA-R-232
OMB NO: 0938-0727 EXPIRATION DATE: 06/30/2001
RESPS:4,150 HOURS:1,730 COSTS(000):$0
Evaluation of the Oregon Medicaid Reform Demonstration: Phase II
Adult Interview, Phase II Child Interview, Survey of Agency
Providers
FORMS: HCFA-R-221
OMB NO: 0938-0730 EXPIRATION DATE: 08/31/2001
RESPS:25,000 HOURS:5,932 COSTS(000):$0
Revisions to Payment Policies under the Physician Fee Schedule
for Calendar Year 1999 and Supporting Regulations in 42 CFR
405.410, 405.430, 405.435, 405.440, 405.445, 405.455, 410.61....
FORMS: R-234
OMB NO: 0938-0731 EXPIRATION DATE: 01/31/2002
RESPS:448 HOURS:7,840 COSTS(000):$0
Quarterly Children's Health Insurance Program Statement of
Expenditures for Title XXI
FORMS: HCFA-21
OMB NO: 0938-0732 EXPIRATION DATE: 01/31/2001
RESPS:204,000 HOURS:67,320 COSTS(000):$0
The Medicare Managed Care CAHPS Survey and Supporting
Regulations in 42 CFR 417.126 and 417.470
FORMS: HCFA-R-246
OMB NO: 0938-0734 EXPIRATION DATE: 09/30/2001
RESPS:1,500 HOURS:750 COSTS(000):$0
Data Use Agreement Information Collection Requirements, Model
Language -- 45 CFR Section 5b
FORMS: HCFA-R-235
OMB NO: 0938-0736 EXPIRATION DATE: 10/31/2001
RESPS:7,840 HOURS:5,840 COSTS(000):$0
Multi-State Evaluation of the Dual Eligible Demonstration
FORMS: HCFA-R-237
OMB NO: 0938-0737 EXPIRATION DATE: 03/31/2002
RESPS:1,050 HOURS:175 COSTS(000):$0
Call-Back Survey of Callers to the Medicare+Choice Toll-Free
Hotline
FORMS: HCFA-R-253
OMB NO: 0938-0738 EXPIRATION DATE: 09/30/2002
RESPS:2,400 HOURS:600 COSTS(000):$0
National Medicare Education Program (NMEP) Community Survey of
Medicare
FORMS: HCFA-R-0254
OMB NO: 0938-0739 EXPIRATION DATE: 04/30/2003
RESPS:204,000 HOURS:5,696,218 COSTS(000):$0
SNF Resident Assessment MDS Data and Supporting Regulation 42
CFR 413.343 and 424.32
FORMS: HCFA-R-250
OMB NO: 0938-0740 EXPIRATION DATE: 03/31/2002
RESPS:9,855 HOURS:986 COSTS(000):$0
Bounceback Form for Medicare and You on WWW.Medicare.Gov
FORMS: HCFA-R-251
OMB NO: 0938-0741 EXPIRATION DATE: 03/31/2002
RESPS:60,000 HOURS:3,960 COSTS(000):$0
Medicare+Choice Disenrollment Form to Original Medicare
FORMS: HCFA-R-257
OMB NO: 0938-0742 EXPIRATION DATE: 01/31/2001
RESPS:1,200 HOURS:50,000 COSTS(000):$0
Adjusted Community Rate (ACR) and Supporting Requirements in 42
CFR Sections 422.300-422.312
FORMS: HCFA-R-228
OMB NO: 0938-0745 EXPIRATION DATE: 03/31/2001
RESPS:263 HOURS:1 COSTS(000):$0
Quality Improvement System for Managed Care (QISMC) Standards
and Guidelines
FORMS: HCFA-R-260
OMB NO: 0938-0746 EXPIRATION DATE: 06/30/2002
RESPS:54 HOURS:2,160 COSTS(000):$0
Medicaid Disproportionate Share Hospitals/Institutions for
Mental Disease
FORMS: HCFA-R-266
OMB NO: 0938-0748 EXPIRATION DATE: 12/31/2003
RESPS:1,700 HOURS:12,420 COSTS(000):$0
Medicare DMEPOS Competitive Bidding Demonstration
FORMS: HCFA-R-0264A-H
OMB NO: 0938-0749 EXPIRATION DATE: 07/31/2002
RESPS:40,000 HOURS:20,000 COSTS(000):$0
On-Site Inspection for Durable Medical Equipment (DME) Supplier
Location and Supporting Regulations in 42 CFR Section 424.57
FORMS: HCFA-R-263
OMB NO: 0938-0751 EXPIRATION DATE: 12/31/2001
RESPS:16,000 HOURS:2,667 COSTS(000):$0
Medicare Current Beneficiary Survey: National Baseline Medicare
Beneficiary Knowledge Supplement
FORMS: HCFA-P-0015S
OMB NO: 0938-0754 EXPIRATION DATE: 02/28/2002
RESPS:80,000 HOURS:1 COSTS(000):$0
Inpatient Psychiatric Services for Individuals under Age 21 and
Supporting Regulations in 42 CFR 441.152
FORMS: HCFA-R-238
OMB NO: 0938-0755 EXPIRATION DATE: 07/31/2002
RESPS:2,560 HOURS:724 COSTS(000):$0
Oxygen Consumer Survey: Medical Equipment and Supplies Consumer
Survey
FORMS: HCFA-R-269
OMB NO: 0938-0756 EXPIRATION DATE: 06/30/2002
RESPS:212,185 HOURS:21,221 COSTS(000):$0
Bounceback Forms for www.Medicare.gov, www.4woman.gov, and
www.healthfinder.gov
FORMS: HCFA-R-268
OMB NO: 0938-0757 EXPIRATION DATE: 06/30/2002
RESPS:4,200 HOURS:44,450 COSTS(000):$0
Managed Care Organization Year 2000 Continuity and Contingency
Planning
FORMS: HCFA-R-0270
OMB NO: 0938-0758 EXPIRATION DATE: 03/31/2002
RESPS:1,720 HOURS:302,720 COSTS(000):$0
Hospice Cost Report and Supporting Regulations in 42 CFR 413.20
and 413.24
FORMS: HCFA-R-249
OMB NO: 0938-0759 EXPIRATION DATE: 04/30/2002
RESPS:12,000 HOURS:3,000 COSTS(000):$0
Medicare Beneficiary Information Needs: Supplement to the
Medicare Current Beneficiary Survey (MCBS)
FORMS: HCFA-P-15A
OMB NO: 0938-0760 EXPIRATION DATE: 03/31/2001
RESPS:8,200 HOURS:967,600 COSTS(000):$25,780
Collection of OASIS Data for Prospective Payment System Purposes
and for Masking Data
FORMS: HCFA-R-245
OMB NO: 0938-0761 EXPIRATION DATE: 03/31/2001
RESPS:8,200 HOURS:996,368 COSTS(000):$29,000
Medicare and Medicaid Programs Reporting OASIS Data as Part of
the CoPs for HHAs and Supporting Regulations in 42 CFR 484.11
and 484.20
FORMS: HCFA-R-209
OMB NO: 0938-0763 EXPIRATION DATE: 03/31/2003
RESPS:300 HOURS:900 COSTS(000):$0
The Adjusted Community Rate Proposal (ACRP) M+C Plan Benefit
Package & Supporting Regulations in 42 CFR 417.401,
422.1-422.10,
422.50-422.80,422.100-422.132,422.300-422.312,422.400-422.404....
FORMS: HCFA-R-262
OMB NO: 0938-0764 EXPIRATION DATE: 06/30/2002
RESPS:2,000 HOURS:500 COSTS(000):$0
Publication Information Sheet Reorder Form Feedback Questionnaire
FORMS: HCFA-R-271
OMB NO: 0938-0765 EXPIRATION DATE: 06/30/2002
RESPS:350 HOURS:155 COSTS(000):$0
Evaluation of Medicare+Choice Medical Savings Account
Demonstration; Insurer Survey Component
FORMS: HCFA-R-274
OMB NO: 0938-0766 EXPIRATION DATE: 12/31/2002
RESPS:510,000 HOURS:25,500 COSTS(000):$0
Feedback Postcard
FORMS: HCFA-R-276
OMB NO: 0938-0767 EXPIRATION DATE: 06/30/2001
RESPS:450 HOURS:75 COSTS(000):$0
Medigap Compare
FORMS: HCFA-R-0280
OMB NO: 0938-0768 EXPIRATION DATE: 07/31/2002
RESPS:15 HOURS:1,125 COSTS(000):$0
Medicare Agreement Application, Health Care Prepayment Plan, and
Supporting Regulations in 42 CFR Section 417.800-.840
FORMS: HCFA-R-243
OMB NO: 0938-0769 EXPIRATION DATE: 01/31/2003
RESPS:1,500 HOURS:375 COSTS(000):$0
Request for Retirement Benefit Information
FORMS: HCFA-R285
OMB NO: 0938-0770 EXPIRATION DATE: 01/31/2003
RESPS:850 HOURS:3,400 COSTS(000):$0
Community Mental Health Center Site Visit Assessment Tool and
Supporting Regulations in 42 CFR 410.2
FORMS: HCFA-R-273
OMB NO: 0938-0771 EXPIRATION DATE: 10/31/2002
RESPS:4,250 HOURS:3,019 COSTS(000):$0
Survey of Medicare Beneficiaries for the National Medicare and
You Handbook: 2000 Evaluation
FORMS: HCFA-R-281
OMB NO: 0938-0772 EXPIRATION DATE: 08/31/2002
RESPS:2,500 HOURS:787 COSTS(000):$0
Peer Review Evaluation of Access to and Quality of Home Oxygen
Equipment
FORMS: HCFA-R-0275
OMB NO: 0938-0773 EXPIRATION DATE: 01/31/2003
RESPS:49,300 HOURS:5,752 COSTS(000):$0
Bounceback Forms for www.Medicare.gov/nmep
FORMS: R-0286
OMB NO: 0938-0775 EXPIRATION DATE: 09/30/2002
RESPS:600 HOURS:300 COSTS(000):$0
National Hospital Malpractice Insurance Survey (NHMIS)
FORMS: HCFA-R-278
OMB NO: 0938-0776 EXPIRATION DATE: 09/30/2002
RESPS:200 HOURS:8,000 COSTS(000):$0
Medicare Program: Procedures for Making National Coverage
Decisions
FORMS: NONE
OMB NO: 0938-0777 EXPIRATION DATE: 04/30/2003
RESPS:9,000 HOURS:1,500 COSTS(000):$0
Medicare Lifestyle Modification Program Demonstration
FORMS: HCFA-R-289
OMB NO: 0938-0778 EXPIRATION DATE: 12/31/2003
RESPS:536 HOURS:1,608 COSTS(000):$0
Medicare + Choice (M + C) Organization Appeals and Grievance
Data Disclosure Requirements and Supporting Regulations in 42
CFR 42 CFR 422.64, 422.11, and 422.560 - 422.622
FORMS: HCFA-R-0282
OMB NO: 0938-0779 EXPIRATION DATE: 09/30/2003
RESPS:90,240 HOURS:39,744 COSTS(000):$0
Medicare CAHPS Disenrollment Survey
FORMS: HCFA-R-295
OMB NO: 0938-0780 EXPIRATION DATE: 11/30/2002
RESPS:120,000 HOURS:10,000 COSTS(000):$0
Medicare Telephone Customer Satisfaction Study
FORMS: HCFA-R-0293
OMB NO: 0938-0781 EXPIRATION DATE: 05/31/2001
RESPS:108,000 HOURS:30,000 COSTS(000):$0
Home Health Advance Beneficiary Notices of Liability and
Supporting Regulations in 42 CFR 4984.10(a)
FORMS: HCFA-R-296
OMB NO: 0938-0782 EXPIRATION DATE: 12/31/2002
RESPS:5,945 HOURS:3,830 COSTS(000):$0
Multi-State Evaluation of Dual Eligibles Demonstrations:
Wisconsin Partnership Program
FORMS: HCFA-R-291
OMB NO: 0938-0783 EXPIRATION DATE: 02/28/2002
RESPS:450 HOURS:1,350 COSTS(000):$0
Market Survey of Fraud, Waste, and Abuse Detection Software
FORMS: HCFA-R-0283
OMB NO: 0938-0784 EXPIRATION DATE: 01/31/2003
RESPS:108 HOURS:27 COSTS(000):$0
Flexibility in Payment Methods for Hospitals, Nursing
Facilities, Supporting Regualtions in 42 CFR 447.254
FORMS: HCFA-R-0252
OMB NO: 0938-0786 EXPIRATION DATE: 02/28/2003
RESPS:11,609 HOURS:135,110 COSTS(000):$0
External Quality Review of Medicaid MCOs and Supporting
Regulations in 42 CFR 438.360, 438.362, and 438.364
FORMS: HCFA-R-0305
OMB NO: 0938-0787 EXPIRATION DATE: 04/30/2001
RESPS:5,000 HOURS:750 COSTS(000):$0
Request for Employment Information
FORMS: HCFA-R-297
OMB NO: 0938-0789 EXPIRATION DATE: 03/31/2002
RESPS:3,000 HOURS:1,212 COSTS(000):$0
Survey and Evaluation of New Members of Medicare+Choice Plans
FORMS: HCFA-R-0298
OMB NO: 0938-0790 EXPIRATION DATE: 04/30/2003
RESPS:54 HOURS:23,073 COSTS(000):$0
Medicare and Medicaid; programs for all-inclusive care for the
elderly (PACE) contained in 42 CFR 460.12 - 460.210
FORMS: HCFA-R-244
OMB NO: 0938-0791 EXPIRATION DATE: 06/30/2001
RESPS:26,402 HOURS:7,203 COSTS(000):$0
A Project to Develop an Outcome-Based Continuous Quality
Improvement System for PACE
FORMS: HCFA-R-0299
OMB NO: 0938-0792 EXPIRATION DATE: 04/30/2003
RESPS:3,573 HOURS:3,663 COSTS(000):$0
Rural Health Clinics: Amendments to Participation Requirements &
Payment Provisions; & Establishments of a Quality Assessment &
Performance Improvement Program & Supporting Regulations.....
FORMS: HCFA-R-0242
OMB NO: 0938-0794 EXPIRATION DATE: 04/30/2001
RESPS:100 HOURS:17 COSTS(000):$0
Health Care Services for Deaf and Hard of Hearing Adults - Case
Story Forms
FORMS: HCFA-R-310
OMB NO: 0938-0795 EXPIRATION DATE: 07/31/2001
RESPS:42 HOURS:126 COSTS(000):$0
Conflict of Interest and Ownership and Control Information
FORMS: HCFA-R-312
OMB NO: 0938-0796 EXPIRATION DATE: 01/31/2001
RESPS:134,400 HOURS:44,800 COSTS(000):$0
Medicare Consumer Assessment of Health Plan Survey - Fee for
Service (CAHPS-FFS)
FORMS: HCFA-10000
OMB NO: 0938-0797 EXPIRATION DATE: 07/31/2003
RESPS:150 HOURS:566 COSTS(000):$0
Individual Market-Guarantee Issue Election Packet, Supporting
Regulations 45 CFR 148, and forms/instruction
FORMS: HCFA-R-205
OMB NO: 0938-0798 EXPIRATION DATE: 08/31/2003
RESPS:2,752 HOURS:41,063 COSTS(000):$0
Prospective Payments for Hospital Outpatient Services and
Supporting Regulations in 42 CFR 143.65, and 419.42
FORMS: HCFA-R-240
OMB NO: 0938-0799 EXPIRATION DATE: 03/31/2001
RESPS:56 HOURS:5,600 COSTS(000):$0
TWWIIA Demonstration to Maintain Independence and Employment
Grants
FORMS: HCFA-10006
OMB NO: 0938-0801 EXPIRATION DATE: 08/31/2003
RESPS:51 HOURS:102 COSTS(000):$0
Evaluation of QMB and SLMB Outreach Activities
FORMS: HCFA-R-317
OMB NO: 0938-0802 EXPIRATION DATE: 02/28/2001
RESPS:500 HOURS:1,500 COSTS(000):$0
Recognition of new technology/passthrough items under the
Prospective Payment System for Hospital Outpatient Services
FORMS: HCFA-10008
OMB NO: 0938-0804 EXPIRATION DATE: 09/30/2001
RESPS:21,238 HOURS:637 COSTS(000):$0
Medicare DMEPOS Competitive Bidding Demonstration: Follow-up to
Original Survey
FORMS: HCFA-R-313
OMB NO: 0938-0805 EXPIRATION DATE: 02/28/2001
RESPS:756,000,000 HOURS:938,700 COSTS(000):$0
Collection of Data on Physician Encounters from Medicare +
Choice Organizations
FORMS: HCFA-R-0315
OMB NO: 0938-0806 EXPIRATION DATE: 05/31/2001
RESPS:10,043 HOURS:19,999 COSTS(000):$0
Informatics, Telemedicine, and Education Demonstration Project
FORMS: HCFA-10014
OMB NO: 0938-0807 EXPIRATION DATE: 02/28/2001
RESPS:2,500 HOURS:725 COSTS(000):$0
Oxygen Consumer Survey: Medical Equipment and Supplies Consumer
Survey
FORMS: HCFA-10016
OMB NO: 0938-0808 EXPIRATION DATE: 10/31/2003
RESPS:2,174 HOURS:4,735 COSTS(000):$0
Study to Support Development and Refinement of a Classification
System and Prospective Payment System for Patients in Inpatient
Rehabilitation Hospitals and Exempt Rehabilitation Units
FORMS: HCFA-R-311
OMB NO: 0938-0810 EXPIRATION DATE: 11/30/2003
RESPS:1,491,700 HOURS:146,070 COSTS(000):$0
Hospital Condition of Participation; Identification of Potential
Organ, Tissue, & Eye Donors & Transplant Hospitals' Provision of
Transplant-Related Data & Supporting Regulation at 42 CFR 482.45
FORMS: HCFA-R-0294
OMB NO: 0938-0811 EXPIRATION DATE: 11/30/2003
RESPS:56 HOURS:5,600 COSTS(000):$0
Ticket to Work and Work Incentives: Medicaid Infrastructure
Grants
FORMS: HCFA-10005
OMB NO: 0938-0812 EXPIRATION DATE: 11/30/2003
RESPS:150 HOURS:37 COSTS(000):$0
Employee Building Pass Application and File
FORMS: HCFA-730 HCFA-182
OMB NO: 0938-0813 EXPIRATION DATE: 12/31/2003
RESPS:1,500 HOURS:500 COSTS(000):$0
Evaluation of the OMB and SLMB Programs -- Beneficiary Survey
FORMS: HCFA-10015
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
219 1,705,007,219 105,767,708 $57,396
Office of Public Health and Science
No active collections for this subagency
Administration for Children and Families
OMB NO: 0970-0004 EXPIRATION DATE: 01/31/2002
RESPS:1 HOURS:312 COSTS(000):$0
Annual Statistical Report on Children in Foster Homes and
Children in Families Receiving Payments in Excess of the Poverty
Income Level from a State Program Funded under Part A of....
FORMS: ACF-4124
OMB NO: 0970-0014 EXPIRATION DATE: 04/30/2001
RESPS:324 HOURS:1,134 COSTS(000):$1
Child Support Enforcement Program Financial Report
FORMS: OCSE-396
OMB NO: 0970-0017 EXPIRATION DATE: 09/30/2002
RESPS:54 HOURS:51 COSTS(000):$0
State Plan for Child Support Collection and Establishment of
Paternity under Title IV-D of the Social Security Act -- Revised
Form OCSE-100 (Interim Final Rule)
FORMS: OCSE-100
OMB NO: 0970-0030 EXPIRATION DATE: 04/30/2001
RESPS:48 HOURS:24 COSTS(000):$0
Refugee Resettlement Program Estimates: CMA
FORMS: ORR-1
OMB NO: 0970-0033 EXPIRATION DATE: 12/31/2003
RESPS:2,000 HOURS:1,350 COSTS(000):$0
Annual Survey of Refugees
FORMS: ORR-9
OMB NO: 0970-0034 EXPIRATION DATE: 11/30/2002
RESPS:400 HOURS:126 COSTS(000):$0
Refugee and Entrant Unaccompanied Minor Placement Report --
ORR-3 Refugee and Entrant Unaccompanied Minor Progree Report --
ORR-4
FORMS: ORR-3 ORR-4
OMB NO: 0970-0036 EXPIRATION DATE: 06/30/2003
RESPS:81,130 HOURS:3,011 COSTS(000):$0
Regulation -- Refugee Resettlement Program: Requirements for
Refugee Cash Assistance; and Refugee Medical Assistance (45 CFR
Part 400)
FORMS: NONE
OMB NO: 0970-0037 EXPIRATION DATE: 11/30/2001
RESPS:51 HOURS:13 COSTS(000):$0
Low-Income Home Energy Assistance Program Quarterly Allocation
Estimates
FORMS: ACF-535
OMB NO: 0970-0043 EXPIRATION DATE: 02/28/2003
RESPS:50 HOURS:217 COSTS(000):$0
Refugee State of Origin Report
FORMS: ORR-11
OMB NO: 0970-0057 EXPIRATION DATE: 02/28/2001
RESPS:54 HOURS:216 COSTS(000):$0
The Office of Child Support Enforcement Child Support
Enforcement Program Quarterly Data Report and Child Support
Enforcement Annual Data Summary Report -- OCSE-156 and OCSE-158
FORMS: NONE
OMB NO: 0970-0060 EXPIRATION DATE: 10/31/2003
RESPS:236 HOURS:2,108 COSTS(000):$0
Low Income Home Energy Assistance Program (LIHEAP) Household
Report
FORMS: NONE
OMB NO: 0970-0062 EXPIRATION DATE: 10/31/2001
RESPS:735 HOURS:20,340 COSTS(000):$0
Information Collection from Applicants Who Will Respond to
Request for Applications for Funding of 6 OCS Competitive Grants
FORMS: NONE
OMB NO: 0970-0075 EXPIRATION DATE: 12/31/2001
RESPS:180 HOURS:103 COSTS(000):$0
Application Requirements for the Low-Income Home Energy
Assistance Program (LIHEAP) and Detailed Model Plan (To Be
Submitted Every 3 Years), Abbreviated Application To Be....
FORMS: NONE
OMB NO: 0970-0076 EXPIRATION DATE: 06/30/2001
RESPS:51 HOURS:191 COSTS(000):$0
ACF Grantee Survey of the Low-Income Home Energy Assistance
Program (LIHEAP)
FORMS: ACF-284
OMB NO: 0970-0085 EXPIRATION DATE: 12/31/2003
RESPS:44,471 HOURS:593,226 COSTS(000):$0
Provision of Services in Interstate Child Support Enforcement:
Standard Forms
FORMS: NONE
OMB NO: 0970-0106 EXPIRATION DATE: 09/30/2001
RESPS:177 HOURS:531 COSTS(000):$0
Low-Income Home Energy Assistance Program (LIHEAP) Carryover and
Reallotment Report
FORMS: NONE
OMB NO: 0970-0114 EXPIRATION DATE: 10/31/2001
RESPS:28 HOURS:4,552 COSTS(000):$0
Child Care and Development Fund Plan for States/Territories
FORMS: ACF-118
OMB NO: 0970-0121 EXPIRATION DATE: 07/31/2003
RESPS:70 HOURS:2,660 COSTS(000):$0
Low Income Home Energy Assistance Program (LIHEAP) Leveraging
Report
FORMS: ACF-119
OMB NO: 0970-0123 EXPIRATION DATE: 10/31/2002
RESPS:158,000 HOURS:70,760 COSTS(000):$330
Runaway and Homeless Youth Management Information System (RHYMIS)
FORMS: NONE
OMB NO: 0970-0137 EXPIRATION DATE: 06/30/2002
RESPS:150 HOURS:127 COSTS(000):$0
Family Preservation and Family Support (FP/FS) Services
Implementation Study, State Level Data Collection
FORMS: NONE
OMB NO: 0970-0139 EXPIRATION DATE: 12/31/2003
RESPS:2,838 HOURS:22,704 COSTS(000):$0
ACF Uniform Project Description (UPD)
FORMS: NONE
OMB NO: 0970-0140 EXPIRATION DATE: 10/31/2002
RESPS:200 HOURS:4,800 COSTS(000):$0
Head Start Fellows Program
FORMS: NONE
OMB NO: 0970-0142 EXPIRATION DATE: 02/28/2003
RESPS:4,800 HOURS:4,800 COSTS(000):$10
Federal Parent Locator Service
FORMS: NONE
OMB NO: 0970-0143 EXPIRATION DATE: 10/31/2001
RESPS:9,585 HOURS:12,361 COSTS(000):$0
Early Head Start Evaluation Data Collection Instruments, Phase
III
FORMS: NONE
OMB NO: 0970-0148 EXPIRATION DATE: 08/31/2003
RESPS:2,472 HOURS:1,468,626 COSTS(000):$0
Head Start Program Performance Standards-Final Rule
FORMS: NONE
OMB NO: 0970-0150 EXPIRATION DATE: 06/30/2003
RESPS:56 HOURS:2,800 COSTS(000):$224
Child Care and Development Fund Annual Report
FORMS: ACF-800
OMB NO: 0970-0151 EXPIRATION DATE: 03/31/2001
RESPS:5,104 HOURS:6,342 COSTS(000):$0
Head Start Family and Child Experiences Survey
FORMS: NONE
OMB NO: 0970-0152 EXPIRATION DATE: 01/31/2001
RESPS:15,391 HOURS:7,696 COSTS(000):$0
Administrative Subpoena
FORMS: NONE
OMB NO: 0970-0153 EXPIRATION DATE: 01/31/2001
RESPS:53,254 HOURS:13,313 COSTS(000):$0
Notice of Lien
FORMS: NONE
OMB NO: 0970-0154 EXPIRATION DATE: 01/31/2001
RESPS:1,573,326 HOURS:88,141 COSTS(000):$22
Order/Notice to Withhold Income for Child Support
FORMS: NONE
OMB NO: 0970-0155 EXPIRATION DATE: 05/31/2001
RESPS:57 HOURS:3,648 COSTS(000):$0
Community-Based Family Resource and Support Grants
FORMS: NONE
OMB NO: 0970-0157 EXPIRATION DATE: 02/28/2001
RESPS:18 HOURS:1,080 COSTS(000):$0
Temporary Assistance for Needy Families (TANF) Tribal Plan
FORMS: NONE
OMB NO: 0970-0159 EXPIRATION DATE: 02/28/2001
RESPS:10 HOURS:600 COSTS(000):$0
Statewide Automated Child Welfare Information System (SACWIS)
Assessment Review Guide
FORMS: NONE
OMB NO: 0970-0160 EXPIRATION DATE: 11/30/2003
RESPS:25 HOURS:500 COSTS(000):$0
Procedures for Requests to Use Child Care and Development Fund
for Construction or Major Renovation of Child Care Facilities
FORMS: NONE
OMB NO: 0970-0161 EXPIRATION DATE: 01/31/2001
RESPS:31,816.3 HOURS:31,816.3 COSTS(000):$0
Federal Tax Refund Offset and Federal Administrative Offset
Program (TROP) and Federal Passport Denial
FORMS: NONE
OMB NO: 0970-0163 EXPIRATION DATE: 09/30/2002
RESPS:216 HOURS:1,728 COSTS(000):$0
Child Care and Development Fund Quarterly Financial Report
FORMS: ACF-696
OMB NO: 0970-0166 EXPIRATION DATE: 01/31/2001
RESPS:60,000,000 HOURS:1,981,049 COSTS(000):$121,720
National Directory of New Hires
FORMS: NONE
OMB NO: 0970-0167 EXPIRATION DATE: 01/31/2001
RESPS:224 HOURS:4,360 COSTS(000):$150
Child Care Quarterly Case Record Report
FORMS: ACF-801
OMB NO: 0970-0169 EXPIRATION DATE: 01/31/2002
RESPS:193 HOURS:217 COSTS(000):$0
Early Head Start Evaluation Father Study
FORMS: NONE
OMB NO: 0970-0171 EXPIRATION DATE: 01/31/2001
RESPS:0.2243 HOURS:74,468 COSTS(000):$0
Required Data Elements for Paternity Establishment Affidavits
FORMS: NONE
OMB NO: 0970-0173 EXPIRATION DATE: 02/28/2001
RESPS:18 HOURS:756 COSTS(000):$0
Request for State Data Needed to Determine Amount of a Tribal
Family Assistance Grant
FORMS: NONE
OMB NO: 0970-0174 EXPIRATION DATE: 03/31/2002
RESPS:2,288 HOURS:2,288 COSTS(000):$0
Native Employment Works (NEW) Program Plan Guidance and Report
Requirements
FORMS: NONE
OMB NO: 0970-0175 EXPIRATION DATE: 03/31/2001
RESPS:6,905,480 HOURS:76,059 COSTS(000):$0
Voluntary Establishment of Paternity
FORMS: NONE
OMB NO: 0970-0177 EXPIRATION DATE: 04/30/2001
RESPS:54 HOURS:216 COSTS(000):$0
The OCSE-157 Child Support Enforcement Annual Data Report
FORMS: NONE
OMB NO: 0970-0178 EXPIRATION DATE: 05/31/2001
RESPS:216 HOURS:5,184 COSTS(000):$0
Grants to States for Access and Visitation: Program Reporting
FORMS: NONE
OMB NO: 0970-0180 EXPIRATION DATE: 01/31/2001
RESPS:4 HOURS:15,632 COSTS(000):$132
1) TANF High Performance Bonus Report 2) Emergency TANF Data
Report
FORMS: ACF-200 ACF-198
OMB NO: 0970-0181 EXPIRATION DATE: 09/30/2002
RESPS:432 HOURS:3,456 COSTS(000):$2,000
Child Support Enforcement Program Financial Report; Child
Support Enforcement Program Quarterly Report of Collections
FORMS: OCSE-396A OCSE-34A
OMB NO: 0970-0183 EXPIRATION DATE: 11/30/2001
RESPS:516 HOURS:1,032 COSTS(000):$0
Project 1099
FORMS: NONE
OMB NO: 0970-0185 EXPIRATION DATE: 11/30/2001
RESPS:216 HOURS:108 COSTS(000):$0
National Directory of New Hires Reporting Results Survey
FORMS: NONE
OMB NO: 0970-0186 EXPIRATION DATE: 11/30/2001
RESPS:54 HOURS:15,240 COSTS(000):$0
Information Collection for the Methodology for Determining
Whether an Increase in a State's Child Poverty Rate Is the
Result of the TANF Program
FORMS: NONE
OMB NO: 0970-0193 EXPIRATION DATE: 04/30/2002
RESPS:200 HOURS:8,200 COSTS(000):$0
Final Rule Information Collection Burden -- 45 CFR 1309
FORMS: NONE
OMB NO: 0970-0195 EXPIRATION DATE: 02/28/2002
RESPS:236 HOURS:1,888 COSTS(000):$3
Child Care and Development Fund Tribal Annual Financial Report
FORMS: ACF-696T
OMB NO: 0970-0196 EXPIRATION DATE: 06/30/2001
RESPS:9,430 HOURS:4,715 COSTS(000):$480
Financial Institution Data Match
FORMS: NONE
OMB NO: 0970-0197 EXPIRATION DATE: 05/31/2002
RESPS:27,783 HOURS:5,757 COSTS(000):$0
National Study of Child Care for Low-Income Families
FORMS: NONE
OMB NO: 0970-0198 EXPIRATION DATE: 05/31/2002
RESPS:253 HOURS:4,807 COSTS(000):$0
Child Care and Development Fund Plan Preprint
FORMS: ACF-118-A
OMB NO: 0970-0199 EXPIRATION DATE: 04/30/2003
RESPS:208 HOURS:586,864 COSTS(000):$13,500
TANF Data Report (Includes TANF Sampling and Statistical Methods
Manual), SSP-MOE Data report (Includes TANF Sampling and
Statistical Methods Manual
FORMS: ACF-199 ACF-209
OMB NO: 0970-0200 EXPIRATION DATE: 06/30/2002
RESPS:1 HOURS:108 COSTS(000):$0
Family Violence State Practices Survey
FORMS: NONE
OMB NO: 0970-0202 EXPIRATION DATE: 08/31/2002
RESPS:30,547 HOURS:30,547 COSTS(000):$0
National Survey of Child and Adolescent Well-Being
FORMS: NONE
OMB NO: 0970-0204 EXPIRATION DATE: 08/31/2002
RESPS:1 HOURS:5,184 COSTS(000):$153
Grants to States for Access and Visitation: Program Reporting
FORMS: NONE
OMB NO: 0970-0205 EXPIRATION DATE: 03/31/2001
RESPS:4 HOURS:5,100 COSTS(000):$0
IV-E Foster Care and Adoption Assistance Financial Report
FORMS: ACF-IV-E-1
OMB NO: 0970-0207 EXPIRATION DATE: 04/30/2003
RESPS:1,513 HOURS:49,929 COSTS(000):$998
Head Start Program Grant Application
FORMS: NONE
OMB NO: 0970-0209 EXPIRATION DATE: 12/31/2002
RESPS:972 HOURS:292 COSTS(000):$0
Online Interstate Referral Guide (IRG)
FORMS: NONE
OMB NO: 0970-0214 EXPIRATION DATE: 04/30/2003
RESPS:39 HOURS:17,621 COSTS(000):$0
Title IV-E Foster Care Eligibility Reviews, Child and Family
Services Reviews, Section 471(a)(18) Compliance Reviews
FORMS: NONE
OMB NO: 0970-0215 EXPIRATION DATE: 05/31/2003
RESPS:216 HOURS:68,544 COSTS(000):$198
Final Tribal TANF Data Report
FORMS: ACF-343
OMB NO: 0970-0218 EXPIRATION DATE: 09/30/2003
RESPS:990 HOURS:29,464 COSTS(000):$0
Tribal Child Support Enforcement Direct Funding Request and
Reports -- Notice of Proposed Rulemaking and Interim Final Rule
FORMS: NONE
OMB NO: 0970-0221 EXPIRATION DATE: 11/30/2003
RESPS:216 HOURS:216 COSTS(000):$0
State Systems Profiles
FORMS: NONE
OMB NO: 0970-0222 EXPIRATION DATE: 12/31/2003
RESPS:2,234 HOURS:120,653 COSTS(000):$22
National Medical Support Notice - Final Rule
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
67 68,971,916 5,491,961 $139,943
Office of Human Development Services
OMB NO: 0980-0017 EXPIRATION DATE: 05/31/2001
RESPS:2,078 HOURS:6,691 COSTS(000):$0
Head Start Program Information Report, 1997-1998
FORMS: NONE
OMB NO: 0980-0047 EXPIRATION DATE: 05/31/2002
RESPS:300 HOURS:52,500 COSTS(000):$0
Child and Family Services Plan (CFSP), Annual Progress and
Services Review, and Annual Budget Expense Request and Estimated
Expenditures -- CFS-101
FORMS: CFS-101
OMB NO: 0980-0141 EXPIRATION DATE: 09/30/2002
RESPS:12 HOURS:180 COSTS(000):$0
State Plan for Foster Care and Adoption Assistance Title IV-E of
the Social Security Act
FORMS: NONE
OMB NO: 0980-0144 EXPIRATION DATE: 03/31/2003
RESPS:250 HOURS:500 COSTS(000):$0
Objective Evaluation Report (OER)
FORMS: NONE
OMB NO: 0980-0155 EXPIRATION DATE: 03/31/2003
RESPS:600 HOURS:900 COSTS(000):$0
Objective Progress Report (OPR)
FORMS: NONE
OMB NO: 0980-0160 EXPIRATION DATE: 01/31/2002
RESPS:56 HOURS:2,464 COSTS(000):$2
Developmental Disabilities Protection and Advocacy Program
Performance Report
FORMS: NONE
OMB NO: 0980-0172 EXPIRATION DATE: 01/31/2002
RESPS:55 HOURS:2,420 COSTS(000):$2
Developmental Disabilities Council Program Performance Report
FORMS: NONE
OMB NO: 0980-0196 EXPIRATION DATE: 05/31/2001
RESPS:52 HOURS:3,120 COSTS(000):$0
Application and Program Reporting Requirement for the Children's
Justice Act Authorized by the Child Abuse Prevention and
Treatment Act (as Amended)
FORMS: NONE
OMB NO: 0980-0204 EXPIRATION DATE: 04/30/2003
RESPS:650 HOURS:18,200 COSTS(000):$0
Program Narrative Objective Work Plan (OWP)
FORMS: NONE
OMB NO: 0980-0229 EXPIRATION DATE: 06/30/2003
RESPS:52 HOURS:4,780 COSTS(000):$63
National Child Abuse and Neglect Data System (NCANDS)
FORMS: NONE
OMB NO: 0980-0241 EXPIRATION DATE: 11/30/2001
RESPS:244 HOURS:9,760 COSTS(000):$0
Child Care and Development Fund Annual Report -- ACF-700
FORMS: ACF-700
OMB NO: 0980-0242 EXPIRATION DATE: 03/31/2003
RESPS:10 HOURS:260 COSTS(000):$0
Appeal Procedures for head Start Grantees and Current or
Prospective Delegate Agencies
FORMS: NONE
OMB NO: 0980-0243 EXPIRATION DATE: 08/31/2002
RESPS:2,186 HOURS:4,372 COSTS(000):$0
Head Start Grants Administration
FORMS: NONE
OMB NO: 0980-0266 EXPIRATION DATE: 08/31/2001
RESPS:1,505 HOURS:496 COSTS(000):$0
Voluntary Surveys of Program Partners to Implement Executive
Order 12862
FORMS: NONE
OMB NO: 0980-0267 EXPIRATION DATE: 11/30/2002
RESPS:102 HOURS:331,602 COSTS(000):$563
Adoption and Foster Care Analysis and Reporting System (AFCARS)
-- Title IV-B and IV-E
FORMS: NONE
OMB NO: 0980-0270 EXPIRATION DATE: 01/31/2002
RESPS:56 HOURS:2,464 COSTS(000):$2
Developmental Disabilities Protection and Advocacy Statement of
Objectives and Priorities
FORMS: NONE
OMB NO: 0980-0271 EXPIRATION DATE: 08/31/2001
RESPS:11 HOURS:851,535 COSTS(000):$259
Computerized Support Enforcement Systems (Final Rule)
FORMS: OCSE-100
OMB NO: 0980-0272 EXPIRATION DATE: 06/30/2003
RESPS:560 HOURS:31,120 COSTS(000):$0
Child Welfare Demonstration Project Information Collection
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
18 8,779 1,323,364 $891
Administration on Aging
OMB NO: 0985-0004 EXPIRATION DATE: 05/31/2001
RESPS:114 HOURS:57 COSTS(000):$2
Supplemental Form to the Financial Status Report (SF-269), and
Community Programs on Aging
FORMS: NONE
OMB NO: 0985-0005 EXPIRATION DATE: 08/31/2001
RESPS:52 HOURS:9,000 COSTS(000):$71,148
State Annual Long-Term Care Ombudsman Report
FORMS: NONE
OMB NO: 0985-0006 EXPIRATION DATE: 07/31/2001
RESPS:120 HOURS:2,400 COSTS(000):$0
Performance (Progress) Reports for Title IV Grantees
FORMS: NONE
OMB NO: 0985-0007 EXPIRATION DATE: 07/31/2003
RESPS:2 HOURS:681 COSTS(000):$0
Program Performance Report, Title VI of the Older Americans Act.
(Grants for Native Americans for Nutritional and Supportive
Services)
FORMS: NONE
OMB NO: 0985-0008 EXPIRATION DATE: 08/31/2002
RESPS:1 HOURS:141,132 COSTS(000):$2
State Program Report for Titles III and VII of the Older
FORMS: NONE
OMB NO: 0985-0009 EXPIRATION DATE: 10/31/2001
RESPS:57 HOURS:28 COSTS(000):$1,497
Certification of Maintenance of Effort
FORMS: NONE
OMB NO: 0985-0011 EXPIRATION DATE: 02/28/2003
RESPS:130 HOURS:80 COSTS(000):$0
Operation Restore Trust
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
7 476 153,378 $72,649
Departmental Management
OMB NO: 0990-0001 EXPIRATION DATE: 12/31/2002
RESPS:200 HOURS:1,200 COSTS(000):$150
Application for Waiver of the 2-Year Foreign Residence
Requirement of the Exchange Visitor Program
FORMS: HHS-426
OMB NO: 0990-0015 EXPIRATION DATE: 03/31/2001
RESPS:8,100 HOURS:4,050 COSTS(000):$0
Recordkeeping Requirement for Government-Owned/Contractor-Held
Property -- HHS 565 Report of Accountable Property
FORMS: 565
OMB NO: 0990-0115 EXPIRATION DATE: 06/30/2001
RESPS:5,660 HOURS:1,434,300 COSTS(000):$0
Procurement: Solicitation and Contracts
FORMS: NONE
OMB NO: 0990-0124 EXPIRATION DATE: 03/31/2001
RESPS:2,120 HOURS:33,920 COSTS(000):$0
Self-Evaluation and Recordkeeping Required by Regulations
Implementing Section 504 of the Rehabilitation Act of 1973 -- 45
CFR Part 84
FORMS: NONE
OMB NO: 0990-0128 EXPIRATION DATE: 02/28/2001
RESPS:292 HOURS:1,408 COSTS(000):$0
Special Program Requirements Affecting PHS Acquisitions and
Solicitation Provisions and Contract Clauses -- PHS Acquisition
Regulation (PHSAR) Part 380 and Part 352
FORMS: NONE
OMB NO: 0990-0129 EXPIRATION DATE: 12/31/2002
RESPS:1,267 HOURS:10,806 COSTS(000):$0
Special Programs Affecting Acquisition -- HHS Acquisition
Regulation (HHSAR) Part 370
FORMS: NONE
OMB NO: 0990-0130 EXPIRATION DATE: 12/31/2002
RESPS:1,921 HOURS:3,842 COSTS(000):$0
Solicitation Provisions and Contract Clauses -- HHS Acquisition
Regulation (HHSAR) Part 352
FORMS: NONE
OMB NO: 0990-0131 EXPIRATION DATE: 09/30/2002
RESPS:215 HOURS:4,300 COSTS(000):$0
Contract Administration -- HHS Acquisition Regulation (HHSAR)
Part 342
FORMS: NONE
OMB NO: 0990-0133 EXPIRATION DATE: 11/30/2002
RESPS:86 HOURS:43 COSTS(000):$0
HHS Acquisition Regulations - HHSAR Part 333 Disputes and Appeals
FORMS: NONE
OMB NO: 0990-0134 EXPIRATION DATE: 09/30/2002
RESPS:226 HOURS:226 COSTS(000):$0
Contract Financing -- HHS Acquisition Regulation (HHSAR) Part 332
FORMS: NONE
OMB NO: 0990-0136 EXPIRATION DATE: 09/30/2002
RESPS:638 HOURS:5,104 COSTS(000):$0
Protection of Privacy and Freedom of Information -- HHS
Acquisition Regulation (HHSAR) Part 324
FORMS: NONE
OMB NO: 0990-0138 EXPIRATION DATE: 09/30/2002
RESPS:520 HOURS:5,200 COSTS(000):$0
Types of Contracts -- HHS Acquisition Regulation (HHSAR) Part 316
FORMS: NONE
OMB NO: 0990-0139 EXPIRATION DATE: 06/30/2003
RESPS:6,645 HOURS:13,290 COSTS(000):$0
HHS Acquisition Regulation - HHSAR Subpart 315.4 - Solicitation
and Receipt of Proposals and Quotations
FORMS: NONE
OMB NO: 0990-0150 EXPIRATION DATE: 02/28/2001
RESPS:1 HOURS:1 COSTS(000):$0
Uniform Relocation and Real Property Acquisition under Federal
and Federally Assisted Programs -- 45 CFR Part 15
FORMS: NONE
OMB NO: 0990-0169 EXPIRATION DATE: 09/30/2002
RESPS:4,000 HOURS:280,000 COSTS(000):$0
Uniform Administrative Requirements for Grants and Cooperative
Agreements to State and Local Governments
FORMS: NONE
OMB NO: 0990-0208 EXPIRATION DATE: 08/31/2001
RESPS:310,000 HOURS:10,333 COSTS(000):$0
Applicant Background Survey
FORMS: NONE
OMB NO: 0990-0220 EXPIRATION DATE: 12/31/2003
RESPS:2,400 HOURS:480 COSTS(000):$0
Voluntary Industry Partner Surveys to Implement E.O. 12862
FORMS: NONE
OMB NO: 0990-0221 EXPIRATION DATE: 02/28/2001
RESPS:90 HOURS:1,440 COSTS(000):$23,040
Grants for Family Planning Services -- 42 CFR Subpart A Part 59
Services
FORMS: NONE
OMB NO: 0990-0222 EXPIRATION DATE: 09/30/2001
RESPS:136 HOURS:208 COSTS(000):$0
Analysis of Employer Group Long-Term Care Insurance
FORMS: NONE
OMB NO: 0990-0223 EXPIRATION DATE: 10/31/2001
RESPS:44,170 HOURS:18,476 COSTS(000):$0
Evaluation of the Cash and Counseling Demonstration
FORMS: NONE
OMB NO: 0990-0225 EXPIRATION DATE: 11/30/2001
RESPS:1,800 HOURS:1,047 COSTS(000):$0
Study of Frail Elders in Medicare Managed Care
FORMS: NONE
OMB NO: 0990-0228 EXPIRATION DATE: 04/30/2002
RESPS:12,688 HOURS:1,580 COSTS(000):$0
Baseline Data Collection Forms for the Multi-Site Evaluation
FORMS: NONE
OMB NO: 0990-0229 EXPIRATION DATE: 05/31/2002
RESPS:1,050 HOURS:123 COSTS(000):$0
Office of Minority Health Resource Center Evaluation Survey
FORMS: NONE
OMB NO: 0990-0230 EXPIRATION DATE: 06/30/2003
RESPS:780 HOURS:930 COSTS(000):$0
Site Visit Protocols for the Multi-site Evaluation of the
Welfare-to-Work Grants Program
FORMS: NONE
OMB NO: 0990-0231 EXPIRATION DATE: 10/31/2002
RESPS:578 HOURS:713 COSTS(000):$0
Second Mail Survey for the Multi-Site Evaluation of the
Welfare-to-Work Grants Program
FORMS: NONE
OMB NO: 0990-0232 EXPIRATION DATE: 10/31/2002
RESPS:9,500 HOURS:3,940 COSTS(000):$0
Cash and Counseling Demonstration, Additonal Survey Instruments
FORMS: NONE
OMB NO: 0990-0233 EXPIRATION DATE: 10/31/2002
RESPS:7,000 HOURS:5,250 COSTS(000):$0
Baseline Survey of Youth; Federal Evaluation of Initiatives
Funded under Section 510 of the Maternal and Child Health Block
Grant Program
FORMS: NONE
OMB NO: 0990-0235 EXPIRATION DATE: 02/28/2003
RESPS:1,875 HOURS:1,132 COSTS(000):$0
Research on Employment Supports for People with Disabilities
FORMS: NONE
OMB NO: 0990-0236 EXPIRATION DATE: 04/30/2002
RESPS:620 HOURS:620 COSTS(000):$0
Financial summary of Obligation and Expenditure of Block Grant
Funds (45 CFR 96.30)
FORMS: NONE
OMB NO: 0990-0237 EXPIRATION DATE: 05/31/2003
RESPS:7,220 HOURS:6,138 COSTS(000):$0
First Follow-up Survey of Youth - Federal Evaluation of
Initiatives Funded Under Section 510 of the Maternal and Child
Health Block Grant Program
FORMS: NONE
OMB NO: 0990-0238 EXPIRATION DATE: 06/30/2003
RESPS:12,750 HOURS:9,819 COSTS(000):$0
Follow-up Survey for the Multi-site Evaluation of the
Welfare-to-Work Grants Program
FORMS: NONE
OMB NO: 0990-0239 EXPIRATION DATE: 06/30/2003
RESPS:136 HOURS:46 COSTS(000):$0
Empowerment Zone and Enterprise Community Health Improvement
Capacity Survey
FORMS: NONE
OMB NO: 0990-0240 EXPIRATION DATE: 07/31/2003
RESPS:3,555 HOURS:666 COSTS(000):$0
Survey of Grant Recipients
FORMS: NONE
OMB NO: 0990-0241 EXPIRATION DATE: 06/30/2001
RESPS:125 HOURS:172 COSTS(000):$0
Analysis of Guidelines for the Conduct of Research Adopted by
Medical Schools or their Components
FORMS: NONE
OMB NO: 0990-0242 EXPIRATION DATE: 12/31/2001
RESPS:822 HOURS:274 COSTS(000):$0
BodyWise Eating Disorders Initiative - Evaluation
FORMS: NONE
OMB NO: 0990-0243 EXPIRATION DATE: 10/31/2003
RESPS:3,000 HOURS:48,000 COSTS(000):$0
OCR Pre-grant Automation Project
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
36 452,186 1,909,077 $23,190
Office of the Secretary
No active collections for this subagency
Office of Family Assistance
OMB NO: 0992-0005 EXPIRATION DATE: 03/31/2003
RESPS:260 HOURS:5,752 COSTS(000):$0
45 CFR Part 95, Subpart F -- Automatic Data Processing Equipment
and Services--Conditions for Federal Financial Participation
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
1 260 5,752 $0
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
756 1,955,728,867 170,643,430 $362,237
Department of Housing and Urban Development
Office of the Secretary
OMB NO: 2501-0014 EXPIRATION DATE: 12/31/2003
RESPS:10,794,339 HOURS:365,858 COSTS(000):$0
Restrictions on Assistance to Noncitizens (FR-2383)
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
1 10,794,339 365,858 $0
Office of Housing
OMB NO: 2502-0001 EXPIRATION DATE: 11/30/2002
RESPS:8,000 HOURS:64,000 COSTS(000):$0
Personal Financial and Credit Statement -- HUD-92417
FORMS: HUD-92417
OMB NO: 2502-0005 EXPIRATION DATE: 05/31/2003
RESPS:4,130 HOURS:3,438 COSTS(000):$0
Application for Approval - FHA Lender and/or Ginnie Mae
mortgage-Backed Securities Issuer Branch Office Notification -
Title I/Title II
FORMS: HUD-11701 HUD-92001 HUD-92001-B
OMB NO: 2502-0010 EXPIRATION DATE: 03/31/2001
RESPS:1,500 HOURS:750 COSTS(000):$0
HUD Survey Instructions and Report for Insured Multifamily
Projects
FORMS: HUD-2457
OMB NO: 2502-0012 EXPIRATION DATE: 11/30/2003
RESPS:16,000 HOURS:5,280 COSTS(000):$0
Rent Schedule - Low Rent Housing
FORMS: HUD-92458
OMB NO: 2502-0018 EXPIRATION DATE: 05/31/2003
RESPS:525 HOURS:1,050 COSTS(000):$0
Advance of Escrow Funds
FORMS: HUD-92464
OMB NO: 2502-0025 EXPIRATION DATE: 06/30/2003
RESPS:300 HOURS:150 COSTS(000):$0
Cooperative Membership Exhibit
FORMS: HUD-93203
OMB NO: 2502-0044 EXPIRATION DATE: 08/31/2003
RESPS:925 HOURS:10,200 COSTS(000):$0
Contractor's and/or Mortgagor's Cost Breakdown Contractor's
Certificate of Actual Cost Mortgagor's Certificate of Actual Cost
FORMS: HUD-2328 HUD-92330-A HUD-2205-A
OMB NO: 2502-0052 EXPIRATION DATE: 03/31/2002
RESPS:16,296 HOURS:16,296 COSTS(000):$0
Statement of Profit and Loss
FORMS: HUD-92410
OMB NO: 2502-0057 EXPIRATION DATE: 03/31/2002
RESPS:270 HOURS:90 COSTS(000):$0
Eligibility of a Nonprofit Corporation
FORMS: HUD-3433 HUD-3434 HUD-3435
OMB NO: 2502-0086 EXPIRATION DATE: 09/30/2003
RESPS:32,500 HOURS:3,025 COSTS(000):$0
Monthly Report of Excess Income
FORMS: HUD-93104
OMB NO: 2502-0098 EXPIRATION DATE: 03/31/2002
RESPS:1,258 HOURS:1,258 COSTS(000):$0
Financial Statement
FORMS: HUD-56142
OMB NO: 2502-0112 EXPIRATION DATE: 01/31/2001
RESPS:800 HOURS:6,400 COSTS(000):$0
Mortgagor's Certificate of Actual Cost
FORMS: HUD-92330
OMB NO: 2502-0182 EXPIRATION DATE: 11/30/2003
RESPS:725,766 HOURS:284,110 COSTS(000):$0
Applications for Housing Assistance Payments
FORMS: HUD-52670 52670-A-PT.1 52670-A-PT.2 HUD-52671-A HUD-52671-B
HUD-52671-C HUD-52671-D
OMB NO: 2502-0187 EXPIRATION DATE: 03/31/2002
RESPS:930 HOURS:465 COSTS(000):$0
Requisition for Disbursement of Section 202 Loan Funds
FORMS: HUD-92403-CA
OMB NO: 2502-0190 EXPIRATION DATE: 01/31/2001
RESPS:21,000 HOURS:5,250 COSTS(000):$0
Application for Homeownership Assistance under Section 235 of
the National Housing Act
FORMS: HUD-93100
OMB NO: 2502-0192 EXPIRATION DATE: 03/31/2001
RESPS:50,000 HOURS:25,000 COSTS(000):$0
Description of Materials
FORMS: HUD-92005
OMB NO: 2502-0204 EXPIRATION DATE: 04/30/2001
RESPS:2,171,256 HOURS:1,997,556 COSTS(000):$0
Owner/Tenant Certification for Multifamily Housing Programs
FORMS: 50059 50059-D 50059-F 50059-G
OMB NO: 2502-0233 EXPIRATION DATE: 05/31/2003
RESPS:15,232 HOURS:8,032 COSTS(000):$0
Manufactured Home Construction and Safety Standards Program
FORMS: HUD-101 -203 -203-B -301 -302 -303 -304
OMB NO: 2502-0235 EXPIRATION DATE: 08/31/2003
RESPS:12,000 HOURS:3,000 COSTS(000):$0
Reporting Requirements Associated with 24 CFR 203.508b and 24
CFR 235.1001 - Providing Information
FORMS: NONE
OMB NO: 2502-0243 EXPIRATION DATE: 01/31/2002
RESPS:51,003 HOURS:19,513 COSTS(000):$0
Land Sales Registration, Purchaser's Revocation Rights, Sale
Practices and Standards, and Formal Procedures and Rules of
Practice
FORMS: NONE
OMB NO: 2502-0253 EXPIRATION DATE: 08/31/2001
RESPS:1,441,500 HOURS:339,789 COSTS(000):$4,787
Manufactured Home Construction and Safety Standards Act
Reporting Requirements
FORMS: NONE
OMB NO: 2502-0259 EXPIRATION DATE: 05/31/2003
RESPS:900 HOURS:6,300 COSTS(000):$0
Management Review Report for Unsubsidized Multifamily Housing
Projects
FORMS: HUD-9838
OMB NO: 2502-0261 EXPIRATION DATE: 06/30/2002
RESPS:103,820 HOURS:15,901 COSTS(000):$0
Housing Counseling Services
FORMS: HUD-9900-A 9900-B 9900-C 9902 9903 9908 9921
OMB NO: 2502-0267 EXPIRATION DATE: 07/31/2002
RESPS:40 HOURS:15,960 COSTS(000):$0
Section 202 Supportive Housing for the Elderly Application
Submission Requirements -- FR-3904
FORMS: HUD-92015-CA
OMB NO: 2502-0268 EXPIRATION DATE: 08/31/2003
RESPS:61,525 HOURS:17,388 COSTS(000):$0
Request for Occupied Conveyance
FORMS: HUD-9539
OMB NO: 2502-0275 EXPIRATION DATE: 04/30/2003
RESPS:350 HOURS:32,000 COSTS(000):$0
Application for the Transfer of Physical Assets
FORMS: HUD-92266
OMB NO: 2502-0305 EXPIRATION DATE: 04/30/2003
RESPS:3,600 HOURS:4,350 COSTS(000):$0
Management Certifications and Management Entity Profile
FORMS: HUD-9832 HUD-9839-A HUD-9839-B HUD-9839-C
OMB NO: 2502-0313 EXPIRATION DATE: 08/31/2001
RESPS:50 HOURS:2,200 COSTS(000):$0
Technical Suitability of Products Program -- Section 521 of
National Housing Act
FORMS: HUD-4950.1
OMB NO: 2502-0321 EXPIRATION DATE: 04/30/2001
RESPS:1,350 HOURS:10,800 COSTS(000):$0
Minimum Property Standards for Housing
FORMS: 4910.1
OMB NO: 2502-0322 EXPIRATION DATE: 03/31/2001
RESPS:20,000 HOURS:1,400 COSTS(000):$0
Insurance of Adjustable Rate Mortgages
FORMS: NONE
OMB NO: 2502-0324 EXPIRATION DATE: 04/30/2003
RESPS:12,500 HOURS:15,625 COSTS(000):$0
Budget-Based Rent Increase
FORMS: HUD-92457-A
OMB NO: 2502-0328 EXPIRATION DATE: 01/31/2003
RESPS:330,370 HOURS:95,125 COSTS(000):$0
Title I Property Improvement and Manufactured Home Loan -- 24
CFR 201
FORMS: HUD-637 HUD-27029 HUD-27030 HUD-55013 HUD-55014 HUD-56001
HUD-56001MH HUD-56002 HUD-56002MH HUD-56004/92802
OMB NO: 2502-0331 EXPIRATION DATE: 03/31/2002
RESPS:2,875 HOURS:68,885 COSTS(000):$0
Project Applications and Review of Application, Delegated
Processing
FORMS: HUD-92264 92264A 92264T 92273 92274 92325 92326 92326A 92329
92331
OMB NO: 2502-0340 EXPIRATION DATE: 03/31/2001
RESPS:1,220 HOURS:610 COSTS(000):$0
Section 248 Single-Family Mortgage Insurance on Indian
Reservations and Other Restricted Lands
FORMS: NONE
OMB NO: 2502-0349 EXPIRATION DATE: 06/30/2003
RESPS:280 HOURS:140 COSTS(000):$0
Certified Eligibility for Adjustments for Damage or Neglect
FORMS: NONE
OMB NO: 2502-0352 EXPIRATION DATE: 09/30/2003
RESPS:1,200 HOURS:600 COSTS(000):$0
Utility Allowance Adjustments
FORMS: NONE
OMB NO: 2502-0395 EXPIRATION DATE: 01/31/2001
RESPS:540 HOURS:3,030 COSTS(000):$0
Flexible Subsidy, Capital Improvement Loan Program
FORMS: HUD-9823A 9823B 9824A 9835 9835A 9835B
OMB NO: 2502-0404 EXPIRATION DATE: 03/31/2002
RESPS:1,000,000 HOURS:190,916 COSTS(000):$0
Requirements for Single-Family Mortgage Instruments
FORMS: NONE
OMB NO: 2502-0410 EXPIRATION DATE: 03/31/2001
RESPS:9,881 HOURS:537 COSTS(000):$0
Survey of Tenants in Certain Properties with HUD-Held and
Foreclosured Mortgages
FORMS: NONE
OMB NO: 2502-0415 EXPIRATION DATE: 05/31/2003
RESPS:118 HOURS:411 COSTS(000):$0
Multifamily Mortgage Insurance Benefits Claim
FORMS: HUD-2742 2744-A 2744-B 2744-C 2744-D 2744-E
OMB NO: 2502-0416 EXPIRATION DATE: 11/30/2002
RESPS:500 HOURS:63 COSTS(000):$0
Request for Termination of Multifamily Mortgage Insurance
FORMS: HUD-9807
OMB NO: 2502-0418 EXPIRATION DATE: 03/31/2002
RESPS:250 HOURS:125 COSTS(000):$0
Statement of Taxes
FORMS: HUD-434
OMB NO: 2502-0429 EXPIRATION DATE: 05/31/2003
RESPS:90,000 HOURS:119,700 COSTS(000):$0
Single Family Application for Insurance Benefits
FORMS: HUD-27011 A-B-C-D-E (2502-0523)
OMB NO: 2502-0447 EXPIRATION DATE: 06/30/2003
RESPS:8,960 HOURS:47,400 COSTS(000):$0
Multifamily Housing Service Coordinator Program
FORMS: HUD-92456 HUD-50080-SCMF SF-269 SF-424 SF-424-B HUD-2880 SF-LLL
OMB NO: 2502-0456 EXPIRATION DATE: 03/31/2001
RESPS:23,000 HOURS:6,437 COSTS(000):$0
Mortgagee Letter: "Revision to the Section 235 (r) Refinancing
Procedures"
FORMS: HUD-93114
OMB NO: 2502-0462 EXPIRATION DATE: 06/30/2002
RESPS:260 HOURS:10,556 COSTS(000):$0
Section 811 Supportive Housing for Persons with Disabilities,
Application Submission Requirements
FORMS: HUD-92016-CA
OMB NO: 2502-0476 EXPIRATION DATE: 05/31/2003
RESPS:1,500 HOURS:55,950 COSTS(000):$0
Federally Assisted Low-Income Housing Drug Elimination Grants
FORMS: HUD-50080-DF-2B SF-269 SF-424 SF-424-A HUD-2880 SF-LLL
OMB NO: 2502-0483 EXPIRATION DATE: 09/30/2002
RESPS:1,258 HOURS:1,258 COSTS(000):$0
Repayment Agreement for Delinquency of HUD-Insured Loan
FORMS: HUD-56146
OMB NO: 2502-0486 EXPIRATION DATE: 12/31/2003
RESPS:272,950 HOURS:65,870 COSTS(000):$0
Single Family Acquired Asset Management System (SAMS)
FORMS: SAMS-1100 1101 1103 1106 1106-C 1108 1110 1111 1111-A 1117
OMB NO: 2502-0496 EXPIRATION DATE: 01/31/2003
RESPS:65,600 HOURS:16,400 COSTS(000):$0
Builder's Certification of Plans, Specifications, and Site
FORMS: HUD-92541
OMB NO: 2502-0505 EXPIRATION DATE: 11/30/2003
RESPS:26,000 HOURS:53,500 COSTS(000):$0
Comprehensive Needs Assessment (CNA)
FORMS: HUD-96001 96002 96003
OMB NO: 2502-0507 EXPIRATION DATE: 07/31/2001
RESPS:1,250 HOURS:13,013 COSTS(000):$0
AAF Rent Increase Requirement Pursuant to the Housing
FORMS: HUD-92273
OMB NO: 2502-0512 EXPIRATION DATE: 10/31/2001
RESPS:1,500 HOURS:375 COSTS(000):$8
ACH Program Application, Title I Insurance Change Payments
System -- FR-3823
FORMS: HUD-56150
OMB NO: 2502-0514 EXPIRATION DATE: 06/30/2002
RESPS:87 HOURS:5,632 COSTS(000):$87
Information collection for regulation of the Federal National
Mortgage Corporation (Freddie Mae)
FORMS: NONE
OMB NO: 2502-0519 EXPIRATION DATE: 10/31/2001
RESPS:30 HOURS:6,000 COSTS(000):$0
Mark-to-Market/Portfolio Reengineering Program for Technical
Assistance NOFAs for Outreach and Training and Intermediary TA
Grants
FORMS: NONE
OMB NO: 2502-0524 EXPIRATION DATE: 01/31/2001
RESPS:5,000 HOURS:5,000 COSTS(000):$0
Insurance for Home Equity Conversion Mortgages, Residential Loan
Application for Reverse Mortgages (RLARM)
FORMS: HUD-92900-A 92900-B RLARM-FORM-1009
OMB NO: 2502-0525 EXPIRATION DATE: 07/31/2002
RESPS:54,000 HOURS:8,964 COSTS(000):$0
Subterranean Termite Treatment Builder's Certification and
Guarantee and the New Construction Subterranean Termite Soil
Treatment Record
FORMS: NPCA-99A NPCA-99B
OMB NO: 2502-0526 EXPIRATION DATE: 03/31/2001
RESPS:20 HOURS:400 COSTS(000):$0
Use of Materials Bulletins Used in the HUD Building Products
Standards and Certification Program
FORMS: NONE
OMB NO: 2502-0528 EXPIRATION DATE: 09/30/2002
RESPS:370 HOURS:5,600 COSTS(000):$84
Request for Proposals: Contract Administrators for Project-Based
Section 8 Housing Assistance Contracts
FORMS: NONE
OMB NO: 2502-0530 EXPIRATION DATE: 06/30/2001
RESPS:10,000 HOURS:833 COSTS(000):$24,990
Survey of Title I Borrowers
FORMS: NONE
OMB NO: 2502-0532 EXPIRATION DATE: 10/31/2001
RESPS:1,500 HOURS:250 COSTS(000):$0
Service Coordinator Data Base Information
FORMS: HUD-92297
OMB NO: 2502-0533 EXPIRATION DATE: 02/28/2003
RESPS:3,199 HOURS:371,652 COSTS(000):$0
Multifamily Housing Mortgage and Housing Assistance Restructuring
FORMS: NONE
OMB NO: 2502-0534 EXPIRATION DATE: 01/31/2002
RESPS:32,000 HOURS:6,800 COSTS(000):$0
Home Equity Conversion Mortgages; Consumer Protection Measures
Against Excessive Fees
FORMS: NONE
OMB NO: 2502-0535 EXPIRATION DATE: 05/31/2003
RESPS:45 HOURS:825 COSTS(000):$15
NOFA for Secondary Market for Non-Conforming Loans to Low Wealth
Borrowers Demonstration Program
FORMS: HUD-2880 HUD-50071 HUD-2992
OMB NO: 2502-0536 EXPIRATION DATE: 05/31/2002
RESPS:21,600 HOURS:21,600 COSTS(000):$173
Single Family Premium Collection Subsystem-Periodic (SFPCS-P)
FORMS: NONE
OMB NO: 2502-0537 EXPIRATION DATE: 05/31/2002
RESPS:9,000 HOURS:4,500 COSTS(000):$0
Informed Consumer Choice Disclosure Notice
FORMS: NONE
OMB NO: 2502-0538 EXPIRATION DATE: 04/30/2003
RESPS:1,215,000 HOURS:502,500 COSTS(000):$625
Fee or Roster Designation, HUD Conditions and Appraisal Report
FORMS: HUD-92563 HUD-92564-VC HUD-92564-HS HUD-92564-CN 1004 1004B
OMB NO: 2502-0539 EXPIRATION DATE: 12/31/2002
RESPS:1,800 HOURS:266,666 COSTS(000):$1,700
HMDA Loan/Application Register
FORMS: HUD HMDA/LAR
OMB NO: 2502-0540 EXPIRATION DATE: 10/31/2003
RESPS:15,750 HOURS:81,000 COSTS(000):$0
Application and Re-certification Packages for Approval of
Nonprofit Organizations in FHA Activities
FORMS: NONE
OMB NO: 2502-0542 EXPIRATION DATE: 08/31/2003
RESPS:260 HOURS:4,300 COSTS(000):$0
Assisted Living Conversion Program (ALCP)
FORMS: HUD-50080-ALCP SF-269 SF-424 SF-424C SF-424D SF-LLL HUD-2880
HUD-50070 HUD-50071 HUD-2991
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
70 7,984,499 4,959,999 $32,469
Government National Mortgage Association
OMB NO: 2503-0001 EXPIRATION DATE: 09/30/2002
RESPS:2,496 HOURS:637 COSTS(000):$0
Commitment to Guarantee Mortgage-Backed Securities
FORMS: 11704
OMB NO: 2503-0009 EXPIRATION DATE: 05/31/2002
RESPS:23,541 HOURS:4,002 COSTS(000):$0
Schedule of Subscribers and Ginnie Mae Guaranty/Contractual
Agreement
FORMS: 11705
OMB NO: 2503-0016 EXPIRATION DATE: 03/31/2002
RESPS:25,536 HOURS:4,340 COSTS(000):$0
1) Letter of Transmittal; 2) Resolution of Board of Directors
and Certificate of Authorized Signatures; and 3) Master
Servicing Agreement
FORMS: 11700 11702 11707
OMB NO: 2503-0017 EXPIRATION DATE: 09/30/2002
RESPS:1 HOURS:39 COSTS(000):$0
Request for Release of Documents, ACH Debit Authorization,
Master Agreements for Servicer's P&I Custodial Account,
Servicer's Escrow Account and Custodial Account
FORMS: 11708 11709 11709-A 11751 11720
OMB NO: 2503-0026 EXPIRATION DATE: 03/31/2002
RESPS:1,584 HOURS:6,336 COSTS(000):$0
Quarterly Loan Level Reporting
FORMS: NONE
OMB NO: 2503-0031 EXPIRATION DATE: 11/30/2001
RESPS:520 HOURS:130 COSTS(000):$0
Customer Satisfaction Survey
FORMS: 11773
OMB NO: 2503-0032 EXPIRATION DATE: 08/31/2003
RESPS:150 HOURS:38 COSTS(000):$0
Generic Customer Satisfaction Surveys for Business Partners and
Multiclass Program Participants
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
7 53,828 15,522 $0
Solar Energy and Energy Conservation Bank
No active collections for this subagency
Office of Multifamily Assistance Restructuring
No active collections for this subagency
Office of Community Planning and Development
OMB NO: 2506-0042 EXPIRATION DATE: 04/30/2003
RESPS:150 HOURS:350 COSTS(000):$0
Urban Homesteading Program
FORMS: NONE
OMB NO: 2506-0087 EXPIRATION DATE: 06/30/2001
RESPS:4,925 HOURS:8,619 COSTS(000):$0
Environmental Review Procedures for Entities Assuming HUD
Environmental Responsibilities -- 24 CFR Part 58 (Final Rule)
FORMS: HUD-7015.15
OMB NO: 2506-0112 EXPIRATION DATE: 06/30/2003
RESPS:4,620 HOURS:203,280 COSTS(000):$0
Continuum of Care Homeless Assistance Application
FORMS: HUD-40076-COC HUD-40076-2 HUD-40085-2
OMB NO: 2506-0117 EXPIRATION DATE: 06/30/2002
RESPS:2,200 HOURS:549,925 COSTS(000):$462
Consolidated Plan
FORMS: 40090
OMB NO: 2506-0122 EXPIRATION DATE: 01/31/2001
RESPS:960 HOURS:10,580 COSTS(000):$0
Historically Black Colleges and Universities (HBCUs)
FORMS: HUD-441.1 HUD-661.1 HUD-40076HBCU
OMB NO: 2506-0128 EXPIRATION DATE: 08/31/2003
RESPS:2,528 HOURS:15,490 COSTS(000):$0
HOPE for Homeownership of Single Family Homes Program (HOPE 3)
FORMS: HUD-40086-B 40102-B 40103 40104 40105
OMB NO: 2506-0133 EXPIRATION DATE: 11/30/2003
RESPS:410 HOURS:28,635 COSTS(000):$0
Housing Opportunities for Persons with AIDS (HOPWA) Program:
Aplication for competitive grants award; annual progress report
for competitive
FORMS: HUD-40110-B HUD-40110-C
OMB NO: 2506-0142 EXPIRATION DATE: 09/30/2003
RESPS:300 HOURS:9,250 COSTS(000):$0
Youthbuild Program
FORMS: HUD-40200 -40201 -40202 -40203 SF-1199A HUD-27054
OMB NO: 2506-0145 EXPIRATION DATE: 04/30/2003
RESPS:1 HOURS:200,000 COSTS(000):$0
Competitive Homeless Assistance Program Annual Progress Report
(APR)
FORMS: HUD-40118
OMB NO: 2506-0148 EXPIRATION DATE: 09/30/2001
RESPS:1,100 HOURS:12,655 COSTS(000):$253
1998 Empowerment Zones Program
FORMS: HUD-40003
OMB NO: 2506-0151 EXPIRATION DATE: 01/31/2001
RESPS:300 HOURS:2,702 COSTS(000):$0
Floodplain Management -- 24 CFR Part 55
FORMS: NONE
OMB NO: 2506-0153 EXPIRATION DATE: 06/30/2001
RESPS:190 HOURS:12,240 COSTS(000):$0
Economic Development Initiative (EDI) Grant Program
FORMS: SF-424
OMB NO: 2506-0154 EXPIRATION DATE: 03/31/2002
RESPS:45 HOURS:19,920 COSTS(000):$112
Base Closure Community Redevelopment and Homeless Assistance
Application
FORMS: NONE
OMB NO: 2506-0159 EXPIRATION DATE: 09/30/2001
RESPS:800 HOURS:10,200 COSTS(000):$0
Loan Guarantee Recovery Fund Established Pursuant to the Church
Arson Prevention Act of 1996
FORMS: SF-424 HUD-40076-LGA
OMB NO: 2506-0165 EXPIRATION DATE: 05/31/2001
RESPS:384 HOURS:12,288 COSTS(000):$246
Disaster Recovery Grant Reporting System
FORMS: NONE
OMB NO: 2506-0166 EXPIRATION DATE: 06/30/2001
RESPS:8,355 HOURS:49,100 COSTS(000):$0
Technical Assistance for Community Planning and Development
Programs
FORMS: SF424 SF424B SF269A SFLLL HUD2880 HUD50070
OMB NO: 2506-0169 EXPIRATION DATE: 11/30/2003
RESPS:1,240 HOURS:18,940 COSTS(000):$0
Rural Housing and Economic Development Program
FORMS: SF-424
OMB NO: 2506-0170 EXPIRATION DATE: 09/30/2002
RESPS:53 HOURS:3,305 COSTS(000):$0
CDBG Urban County/New York Towns Qualification/Requalification
Process
FORMS: NONE
OMB NO: 2506-0171 EXPIRATION DATE: 11/30/2001
RESPS:4,867 HOURS:320,150 COSTS(000):$0
HOME Investment Partnerships Program Final Rule
FORMS: 40093 40094/-B 40095/-C 40096/-M 40097 40098 40099/-B
40100/-B/-C 40107/-A 40115-40016
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
19 33,428 1,487,629 $1,073
Real Estate Assessment Center
OMB NO: 2507-0001 EXPIRATION DATE: 06/30/2002
RESPS:224,400 HOURS:56,100 COSTS(000):$0
Assessment of resident satisfaction with their living conditions
FORMS: NONE
OMB NO: 2507-0003 EXPIRATION DATE: 05/31/2003
RESPS:732,300 HOURS:37,500 COSTS(000):$0
Tenant Assessment Subsystem (TASS) computer matching income
verification
FORMS: 50073 50074
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
2 956,700 93,600 $0
Office of the Inspector General
No active collections for this subagency
Enforcement Center
No active collections for this subagency
Office of the General Counsel
OMB NO: 2510-0011 EXPIRATION DATE: 03/31/2003
RESPS:16,900 HOURS:40,560 COSTS(000):$0
Accountability in the Provision of HUD Assistance
Applicant/Recipient Disclosure/Update
FORMS: HUD-2880
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
1 16,900 40,560 $0
New Communities Development Corporation
No active collections for this subagency
Policy Development and Research
OMB NO: 2528-0013 EXPIRATION DATE: 07/31/2002
RESPS:48,000 HOURS:3,600 COSTS(000):$0
Survey of Market Absorption of New Apartment Buildings
FORMS: H-31 SOMA-1
OMB NO: 2528-0017 EXPIRATION DATE: 07/31/2002
RESPS:55,480 HOURS:33,845 COSTS(000):$0
American Housing Survey (AHS), 1999 National Sample
FORMS: AHS-26 AHS-27 AHS-28
OMB NO: 2528-0029 EXPIRATION DATE: 09/30/2003
RESPS:12,960 HOURS:6,480 COSTS(000):$0
Survey of New Manufactured (Mobile) Home Placements
FORMS: C-MH-9A
OMB NO: 2528-0142 EXPIRATION DATE: 03/31/2002
RESPS:463,159 HOURS:11,454 COSTS(000):$0
Section 8 Random Digit Dialing Fair Market Rent Telephone Surveys
FORMS: NONE
OMB NO: 2528-0170 EXPIRATION DATE: 09/30/2002
RESPS:187,000 HOURS:46,725 COSTS(000):$0
Customer Survey of Households Living in Federally Assisted Units
FORMS: NONE
OMB NO: 2528-0175 EXPIRATION DATE: 03/31/2002
RESPS:150 HOURS:2,970 COSTS(000):$49,629
Community Development Work Study Program
FORMS: NONE
OMB NO: 2528-0180 EXPIRATION DATE: 02/28/2003
RESPS:160 HOURS:14,208 COSTS(000):$0
Community Outreach Partnership Centers Program (COPC)
FORMS: HUD-30001 HUD-30002 HUD-30003
OMB NO: 2528-0189 EXPIRATION DATE: 06/30/2002
RESPS:6,729 HOURS:2,131 COSTS(000):$0
Canvass of Moving to Opportunity Families
FORMS: NONE
OMB NO: 2528-0192 EXPIRATION DATE: 03/31/2001
RESPS:750 HOURS:313 COSTS(000):$0
Survey of Community Development Work Study Program Participants
FORMS: NONE
OMB NO: 2528-0195 EXPIRATION DATE: 10/31/2001
RESPS:420 HOURS:105 COSTS(000):$0
Case Studies of Conversion of Development-Based Assistance to
Household-Based Assistance
FORMS: NONE
OMB NO: 2528-0196 EXPIRATION DATE: 11/30/2001
RESPS:1,000 HOURS:460 COSTS(000):$69,570
Evaluation of the Fair Housing Election Process
FORMS: NONE
OMB NO: 2528-0197 EXPIRATION DATE: 03/31/2002
RESPS:1,215 HOURS:903 COSTS(000):$0
Assessment of Neighborhood Networks
FORMS: NONE
OMB NO: 2528-0198 EXPIRATION DATE: 09/30/2002
RESPS:124 HOURS:5,824 COSTS(000):$0
Hispanic-Serving Institutions Assisting Communities Program;
Application, Reporting, Recordkeeping Requirements
FORMS: HUD-30004 SF-424 SF-424B SF-LLL HUD-50070 HUD-50071 HUD-2880
OMB NO: 2528-0199 EXPIRATION DATE: 03/31/2002
RESPS:800 HOURS:427 COSTS(000):$0
Survey of Low-Income Housing Tax Credit (LIHTC) Developers and
Owners
FORMS: NONE
OMB NO: 2528-0200 EXPIRATION DATE: 03/31/2002
RESPS:1,000 HOURS:500 COSTS(000):$0
Assessment of the Economic and Social Characteristics of the Low
Income Housing Tax Credit (LIHTC) Residents and Neighborhoods
FORMS: NONE
OMB NO: 2528-0201 EXPIRATION DATE: 09/30/2002
RESPS:1,500 HOURS:375 COSTS(000):$0
Interim Assessment of the HOPE VI Program: Survey Development,
Data Collection, and Case Studies
FORMS: NONE
OMB NO: 2528-0203 EXPIRATION DATE: 09/30/2002
RESPS:3,000 HOURS:2,350 COSTS(000):$0
Quality Control for Rental Assistance Subsidy Determinations
FORMS: NONE
OMB NO: 2528-0204 EXPIRATION DATE: 01/31/2003
RESPS:10,000 HOURS:6,667 COSTS(000):$0
Welfare-to-Work Voucher Program Evaluation
FORMS: NONE
OMB NO: 2528-0206 EXPIRATION DATE: 05/31/2003
RESPS:36 HOURS:1,824 COSTS(000):$0
Alaska Native / Native Hawaiian Institutions Assisting
Communities (AN/NHIC)
FORMS: HUD-30005
OMB NO: 2528-0207 EXPIRATION DATE: 04/30/2001
RESPS:1 HOURS:200 COSTS(000):$0
Housing Condition Assessment (Pilot Study)
FORMS: NONE
OMB NO: 2528-0209 EXPIRATION DATE: 08/31/2003
RESPS:100 HOURS:33 COSTS(000):$0
Assessment of the American Housing Survey - Metropolitan Sample
(AHS-MS)
FORMS: NONE
OMB NO: 2528-0210 EXPIRATION DATE: 12/31/2001
RESPS:600 HOURS:50 COSTS(000):$0
Study of Rent Burden of Residents Living in HOME-Assisted Rental
Units
FORMS: NONE
OMB NO: 2528-0211 EXPIRATION DATE: 10/31/2003
RESPS:2,418 HOURS:605 COSTS(000):$0
HUD 2020 Partners Survey
FORMS: NONE
OMB NO: 2528-0212 EXPIRATION DATE: 10/31/2003
RESPS:1,500 HOURS:175 COSTS(000):$0
Fair Housing Literacy Survey
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
24 798,102 142,224 $119,199
Office of Fair Housing and Equal Opportunity
OMB NO: 2529-0011 EXPIRATION DATE: 04/30/2001
RESPS:10,750 HOURS:3,583 COSTS(000):$0
Housing Discrimination Information Form
FORMS: HUD-903 HUD-903A
OMB NO: 2529-0013 EXPIRATION DATE: 09/30/2003
RESPS:3,006 HOURS:9,018 COSTS(000):$0
Affirmative Fair Housing Marketing Plan, Form HUD-935.2
FORMS: HUD-935.2
OMB NO: 2529-0033 EXPIRATION DATE: 10/31/2003
RESPS:890 HOURS:28,410 COSTS(000):$0
Fair Housing Initiatives Program Application Kit
FORMS: SF-269A 424/A/B/D/M SF-LLL HUD-2880 HUD-50070 HUD-50071 HUD-2992
HUD-2991 HUD-2990
OMB NO: 2529-0043 EXPIRATION DATE: 04/30/2001
RESPS:58,593 HOURS:117,646 COSTS(000):$0
Economic Opportunities for Low- and Very Low-Income Persons
FORMS: HUD-60002 HUD-958
OMB NO: 2529-0046 EXPIRATION DATE: 03/31/2003
RESPS:12,000 HOURS:5,500 COSTS(000):$0
Final Regulations Implementing Housing for Older Persons Act of
(FR-4094-F-02) 1995 (HOPA)
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
5 85,239 164,157 $0
Office of Administration
OMB NO: 2535-0091 EXPIRATION DATE: 09/30/2002
RESPS:12 HOURS:45,600 COSTS(000):$0
HUD Acquisition Regulation (HUDAR) (48 CFR 24)
FORMS: HUD-770
OMB NO: 2535-0106 EXPIRATION DATE: 09/30/2002
RESPS:2,368 HOURS:7,041 COSTS(000):$20
Public Housing Assessment System (PHAS) Management Operations
Certification
FORMS: HUD-50072
OMB NO: 2535-0107 EXPIRATION DATE: 06/30/2002
RESPS:28,159 HOURS:23,387 COSTS(000):$1,842
Multifamily Financial Management Template and Public Housing
Financial Management Template (i.e., Supplemental Data on
Housing Programs)
FORMS: NONE
OMB NO: 2535-0110 EXPIRATION DATE: 01/31/2001
RESPS:110 HOURS:110 COSTS(000):$0
Departmental Grants management survey
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
4 30,649 76,138 $1,862
Office of Lead-Based Paint and Poison Prevention
OMB NO: 2539-0008 EXPIRATION DATE: 08/31/2001
RESPS:9,075 HOURS:9,075 COSTS(000):$0
Lead-Based Paint Hazard Control Grant Program Data Collection
for Rounds Two and Three Grantees
FORMS: HUD-96005
OMB NO: 2539-0009 EXPIRATION DATE: 08/31/2002
RESPS:1,289,006 HOURS:236,827 COSTS(000):$2,621
Requirements for Notification of Lead-Based Paint Hazrds in
Federally Owned Residential Properties and Housing Receiving
Federal Assistance -- FR-3482
FORMS: NONE
OMB NO: 2539-0010 EXPIRATION DATE: 06/30/2003
RESPS:50 HOURS:2,136 COSTS(000):$0
Notice of Funding Availability / Improving the Evaluation and
Control of Residential Lead-Based Hazards
FORMS: NONE
OMB NO: 2539-0012 EXPIRATION DATE: 04/30/2001
RESPS:1,000 HOURS:2,500 COSTS(000):$0
National Survey of Dust Lead Hazards in Housing
FORMS: NONE
OMB NO: 2539-0013 EXPIRATION DATE: 10/31/2001
RESPS:30 HOURS:660 COSTS(000):$0
Notice of Funding Availability for a Local Lead Hazard Awareness
Campaign
FORMS: NONE
OMB NO: 2539-0014 EXPIRATION DATE: 10/31/2001
RESPS:10 HOURS:232 COSTS(000):$0
Notice of Funding Availability for a National Lead Hazard
Awareness Campaign
FORMS: NONE
OMB NO: 2539-0015 EXPIRATION DATE: 09/30/2002
RESPS:80 HOURS:8,552 COSTS(000):$0
Notices of Funding Availability under the Department of Housing
and Urban Development's Lead-Based Paint Hazard Control and
Other Related Grant Programs (This Is a Modification of an....)
FORMS: NONE
OMB NO: 2539-0016 EXPIRATION DATE: 03/31/2003
RESPS:1 HOURS:57 COSTS(000):$0
A Review of currently available lead-based paint encapsulants
and use patterns in the control of residential lead-based paint
hazards.
FORMS: NONE
OMB NO: 2539-0017 EXPIRATION DATE: 05/31/2003
RESPS:3 HOURS:425 COSTS(000):$0
A Study of the Effectiveness of the Milwaukee Lead Hazard
Control Ordinance
FORMS: NONE
OMB NO: 2539-0018 EXPIRATION DATE: 06/30/2003
RESPS:365 HOURS:43 COSTS(000):$0
Evaluation of Environmental Interventions Conducted under HUD
Lead-Based Paint Abatement Program
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
10 1,299,620 260,507 $2,621
Office of Public and Indian Housing
OMB NO: 2577-0006 EXPIRATION DATE: 09/30/2001
RESPS:3,330 HOURS:158,400 COSTS(000):$0
Lease Requirements -- 24 CFR Part 966.4
FORMS: NONE
OMB NO: 2577-0012 EXPIRATION DATE: 04/30/2001
RESPS:816 HOURS:2,652 COSTS(000):$0
Outline Specification
FORMS: HUD-5087
OMB NO: 2577-0015 EXPIRATION DATE: 03/31/2002
RESPS:2,630 HOURS:8,557 COSTS(000):$0
Contract for Development of A/E Services; CIAP A/E Services
FORMS: HUD-51915 HUD-51915-A
OMB NO: 2577-0024 EXPIRATION DATE: 11/30/2003
RESPS:238 HOURS:1,428 COSTS(000):$0
Life-Cycle Cost Analysis of Utility Combination in Public Housing
FORMS: HUD-51994
OMB NO: 2577-0025 EXPIRATION DATE: 04/30/2001
RESPS:10,150 HOURS:20,155 COSTS(000):$0
Periodical Estimate for Partial Payment and Related Schedules
FORMS: HUD-51001 HUD-51002 HUD-51003 HUD-51004
OMB NO: 2577-0026 EXPIRATION DATE: 06/30/2001
RESPS:3,580 HOURS:429,600 COSTS(000):$7,500
Operating Budget, Supporting Schedules and Board Resolution
FORMS: HUD-52564 HUD-52566 HUD-52567 HUD-52571 HUD-52573 HUD-52574
OMB NO: 2577-0027 EXPIRATION DATE: 05/31/2003
RESPS:3,792 HOURS:720 COSTS(000):$0
Public Housing Construction Report
FORMS: HUD-5378
OMB NO: 2577-0028 EXPIRATION DATE: 02/28/2001
RESPS:3,400 HOURS:3,400 COSTS(000):$0
Report on Occupancy for Public and Indian Housing
FORMS: HUD-51234
OMB NO: 2577-0029 EXPIRATION DATE: 05/31/2001
RESPS:22,400 HOURS:19,028 COSTS(000):$0
Performance Funding System (PFS) Data Collection Forms
FORMS: HUD-52720A HUD-52720B HUD-52720C HUD-52721 HUD-52722A HUD-52722B
HUD-52723
OMB NO: 2577-0033 EXPIRATION DATE: 03/31/2001
RESPS:334 HOURS:7,595 COSTS(000):$0
Public Housing Development and Mixed-Finance Development of
Units: Proposal, Financial Feasibility, Site Information,
Turnkey Method, Evidentiary Materials
FORMS: HUD-52483-A HUD-52482 HUD-51971-I HUD-51971-II HUD-52651-A
HUD-52485
OMB NO: 2577-0037 EXPIRATION DATE: 04/30/2001
RESPS:110 HOURS:248 COSTS(000):$0
Analysis of Proposed Main Construction Contract
FORMS: HUD-52396
OMB NO: 2577-0046 EXPIRATION DATE: 05/31/2001
RESPS:12,000 HOURS:12,000 COSTS(000):$0
Procedure for Obtaining Certificates of Insurance for
Development and Modernization Projects
FORMS: NONE
OMB NO: 2577-0066 EXPIRATION DATE: 09/30/2002
RESPS:2 HOURS:6,200 COSTS(000):$112
Performance Funding System, Determination of Operating Subsidy
for Vacancies
FORMS: HUD-52728
OMB NO: 2577-0075 EXPIRATION DATE: 07/31/2001
RESPS:120 HOURS:2,040 COSTS(000):$0
Demolition/Disposition Application and Reporting
FORMS: HUD-52860
OMB NO: 2577-0078 EXPIRATION DATE: 03/31/2001
RESPS:32,000 HOURS:256 COSTS(000):$0
Pet Ownership in Public Housing for the Elderly or Handicapped:
Notification to Applicants
FORMS: NONE
OMB NO: 2577-0083 EXPIRATION DATE: 09/30/2003
RESPS:4,689,165 HOURS:1,563,054 COSTS(000):$0
Multifamily Tenant Characteristics Family Reporting
FORMS: HUD-50058 HUD-50058-MTW
OMB NO: 2577-0094 EXPIRATION DATE: 11/30/2003
RESPS:2,694 HOURS:2,694 COSTS(000):$0
General Conditions of the Contract for Construction - Public
Housing Programs
FORMS: HUD-5370
OMB NO: 2577-0124 EXPIRATION DATE: 11/30/2002
RESPS:1,085 HOURS:94,395 COSTS(000):$10,000
Public Housing Drug Elimination Program Formula Allocation:
Plan, Consultation, Reporting Resident Survey
FORMS: NONE
OMB NO: 2577-0149 EXPIRATION DATE: 07/31/2001
RESPS:43,400 HOURS:62,000 COSTS(000):$608
Requisition for Partial Payment of Annual Contributions;
Supporting Data for Annual Contributions Estimates; Estimate of
Required ACs; Voucher for Payment for ACs; & Operating Statement
FORMS: HUD-52663 HUD-52672 HUD-52681
OMB NO: 2577-0157 EXPIRATION DATE: 02/28/2002
RESPS:832 HOURS:54,320 COSTS(000):$0
Modernization of Public Housing Under the Comprehensive Grant
Program (CGP) Reporting Requirements
FORMS: HUD-52831 HUD-52832 HUD-52833 HUD-52834 HUD-52835 HUD-52836
HUD-52837 HUD-53839 HUD-52842
OMB NO: 2577-0161 EXPIRATION DATE: 08/31/2003
RESPS:1 HOURS:8,500 COSTS(000):$0
Public Housing-Contracting with Resident-Owned Businesses
Application Requirements
FORMS: NONE
OMB NO: 2577-0169 EXPIRATION DATE: 09/30/2002
RESPS:2,232,500 HOURS:650,975 COSTS(000):$0
Section 8 Tenant-Based Vouchers Merger Rule -- Part 982
FORMS: HUD-52515/52517 HUD-52580/52595 HUD-52580A HUD-52646 HUD-52665
HUD-52667 HUD-52672 HUD-52673 HUD-52681/52683 HUD-52663
OMB NO: 2577-0178 EXPIRATION DATE: 05/31/2003
RESPS:4,550 HOURS:39,090 COSTS(000):$0
Family Self-Sufficiency Program (FSS)
FORMS: HUD-52650 HUD-52552
OMB NO: 2577-0191 EXPIRATION DATE: 05/31/2003
RESPS:1 HOURS:12,800 COSTS(000):$0
Application for Indian Community Development Block Grant (ICDBG)
Program
FORMS: HUD-4121 HUD-4122 HUD-4123 HUD-4125 HUD-4126
OMB NO: 2577-0200 EXPIRATION DATE: 12/31/2001
RESPS:1,000 HOURS:92 COSTS(000):$0
Loan Guarantee Program: Mortgage Credit Analysis and Transmittal
for Payment of Loan Guarantee Fee
FORMS: HUD-53036 HUD-53038
OMB NO: 2577-0201 EXPIRATION DATE: 06/30/2001
RESPS:300 HOURS:3,850 COSTS(000):$0
Section 5(h) Homeownership Program: Resident Application;
Homeownership Plan, Agreement, Resident Consultation
FORMS: NONE
OMB NO: 2577-0214 EXPIRATION DATE: 04/30/2001
RESPS:1 HOURS:3,744 COSTS(000):$0
Public Housing Agencies' Plan for Exception Request, Site-Based
Waiting Lists
FORMS: NONE
OMB NO: 2577-0215 EXPIRATION DATE: 08/31/2003
RESPS:2,565 HOURS:34,720 COSTS(000):$0
Section 8 Management Assessment Program (SEMAP)
FORMS: HUD-52648
OMB NO: 2577-0218 EXPIRATION DATE: 06/30/2001
RESPS:400 HOURS:144,149 COSTS(000):$0
Implementation of the Native American Housing Assistance and
Self-Determination Act of 1996 (NAHASDA): Indian Housing Plan,
Income Verification, Certifications, Performance Report, etc.
FORMS: HUD-52734 HUD-52735
OMB NO: 2577-0219 EXPIRATION DATE: 01/31/2001
RESPS:147 HOURS:67 COSTS(000):$0
Community Renaissance Fellows Program: Budget, Payment Voucher,
Reporting
FORMS: HUD-52810 HUD-52811 HUD-50080-CRFP
OMB NO: 2577-0223 EXPIRATION DATE: 07/31/2001
RESPS:50 HOURS:1,800 COSTS(000):$0
Campus of Learners Semiannual Report
FORMS: HUD-52350
OMB NO: 2577-0226 EXPIRATION DATE: 03/31/2002
RESPS:1 HOURS:301,310 COSTS(000):$0
Public Housing Agency (PHA) Plan
FORMS: NONE
OMB NO: 2577-0229 EXPIRATION DATE: 11/30/2003
RESPS:850 HOURS:44,800 COSTS(000):$0
Resident Opportunities Self-Sufficiency (ROSS) Program:
Application Requirements, Evaluation, Assessment, Certifications
FORMS: NONE
OMB NO: 2577-0230 EXPIRATION DATE: 09/30/2002
RESPS:3,400 HOURS:169,300 COSTS(000):$0
Public Housing Reform; Change in Admission and Occupancy
Requirements
FORMS: NONE
OMB NO: 2577-0232 EXPIRATION DATE: 09/30/2002
RESPS:4,500 HOURS:217,850 COSTS(000):$0
Public Housing "One-Strike": Admission Policies, Criminal Records
FORMS: NONE
OMB NO: 2577-0233 EXPIRATION DATE: 09/30/2002
RESPS:1 HOURS:25,737 COSTS(000):$0
Public Housing Homeownership Program: Family Application,
Reporting and Recordkeeping Requirements, Homeownership Program
Development and Approval
FORMS: NONE
OMB NO: 2577-0234 EXPIRATION DATE: 11/30/2002
RESPS:1.5 HOURS:13,860 COSTS(000):$0
Required Conversion of Developments from Public Housing Stock:
Plan, Submission, Consultation
FORMS: NONE
OMB NO: 2577-0235 EXPIRATION DATE: 01/31/2003
RESPS:1 HOURS:800 COSTS(000):$0
Consortia of Public Housing Agencies and Joint Ventures:
Agreement, Plan, and Reporting
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
38 7,082,347 4,122,186 $18,220
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
181 29,135,651 11,728,380 $175,444
Department of the Interior
Bureau of Land Management
OMB NO: 1004-0001 EXPIRATION DATE: 01/31/2001
RESPS:430 HOURS:215 COSTS(000):$0
Free-Use Application and Permit
FORMS: 5510-1
OMB NO: 1004-0004 EXPIRATION DATE: 08/31/2003
RESPS:17 HOURS:34 COSTS(000):$0
Desert Land entry Application
FORMS: FORM-2520-1
OMB NO: 1004-0005 EXPIRATION DATE: 05/31/2002
RESPS:6,000 HOURS:2,000 COSTS(000):$0
Grazing Application; Grazing Schedule
FORMS: 4130-1
OMB NO: 1004-0009 EXPIRATION DATE: 10/31/2001
RESPS:620 HOURS:5,955 COSTS(000):$0
Land Use Application and Permit
FORMS: FORM-2920-1
OMB NO: 1004-0010 EXPIRATION DATE: 08/31/2003
RESPS:20 HOURS:20 COSTS(000):$0
Conveyances Affecting Color or Claim of title
FORMS: FORM-2540-2
OMB NO: 1004-0011 EXPIRATION DATE: 08/31/2003
RESPS:20 HOURS:20 COSTS(000):$0
Color-of-Title Tax Levy and Payment Record
FORMS: FORM-2540-3
OMB NO: 1004-0012 EXPIRATION DATE: 08/31/2003
RESPS:25 HOURS:1,000 COSTS(000):$3
Application for Land for Recreation and Public Purposes
FORMS: FORM-2740-1
OMB NO: 1004-0019 EXPIRATION DATE: 01/31/2001
RESPS:60 HOURS:20 COSTS(000):$0
Range Improvement Permit
FORMS: 4120-7
OMB NO: 1004-0025 EXPIRATION DATE: 07/31/2003
RESPS:255 HOURS:12,185 COSTS(000):$6,612
43 CFR 3860 & 3870 -- Mineral Surveys, Mineral Patent
Applications, Adverse Claims, Protests, & Contests
FORMS: 3860-2 3860-5
OMB NO: 1004-0029 EXPIRATION DATE: 08/31/2003
RESPS:20 HOURS:10 COSTS(000):$0
Color-of-Title Application Form
FORMS: FORM-2540-1
OMB NO: 1004-0034 EXPIRATION DATE: 12/31/2001
RESPS:60,000 HOURS:30,000 COSTS(000):$0
Oil and Gas Lease Transfers by Assignment or Operating Rights
(Sublease)
FORMS: 3000-3 3000-3A
OMB NO: 1004-0041 EXPIRATION DATE: 02/28/2002
RESPS:7,665 HOURS:1,794 COSTS(000):$0
Grazing Preference Statement
FORMS: 4130-3A
OMB NO: 1004-0042 EXPIRATION DATE: 05/31/2001
RESPS:30,000 HOURS:5,000 COSTS(000):$0
Protection, Management, and Control of Wild Free-Roaming Horses
and Burros
FORMS: 4710-10
OMB NO: 1004-0051 EXPIRATION DATE: 08/31/2001
RESPS:15,000 HOURS:6,250 COSTS(000):$0
Actual Grazing Use Report
FORMS: 4130-5
OMB NO: 1004-0058 EXPIRATION DATE: 01/31/2001
RESPS:100 HOURS:190 COSTS(000):$0
Timber Export Reporting and Substitution Determination
FORMS: 5460-17
OMB NO: 1004-0060 EXPIRATION DATE: 12/31/2001
RESPS:4,900 HOURS:9,800 COSTS(000):$0
Application for Transportation and Utility Systems and Facility
FORMS: SF-299
OMB NO: 1004-0073 EXPIRATION DATE: 12/31/2003
RESPS:1,185 HOURS:23,986 COSTS(000):$40
43 C.F.R. Group 3400, Coal Management
FORMS: 3400-12 3440-1