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: 06/30/2002 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
Office of Civil RightsSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
7 57,347 125,428 $0
OMB NO: 0508-0004 EXPIRATION DATE: 05/31/2003 RESPS:40,000 HOURS:3,334 COSTS(000):$0 USDA Minority Farm Register FORMS: NONE
Agricultural Research ServiceSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
1 40,000 3,334 $0
OMB NO: 0518-0003 EXPIRATION DATE: 11/30/2004 RESPS:75 HOURS:225 COSTS(000):$0 Patent License Application FORMS: AD-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: 0518-0024 EXPIRATION DATE: 11/30/2004 RESPS:220 HOURS:53 COSTS(000):$0 Use of facilities or the performance of photography/ cinematography at the U.S. National Arboretum 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
Cooperative State Research, Education, and Extension ServiceSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
5 84,955 6,204 $0
OMB NO: 0524-0024 EXPIRATION DATE: 06/30/2002 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: 10/31/2004 RESPS:960 HOURS:2,472 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: 0524-0034 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: 0524-0038 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
OMB NO: 0524-0039 EXPIRATION DATE: 03/31/2004 RESPS:55,100 HOURS:144,700 COSTS(000):$0 Application Kit for Research and Extension Programs FORMS: CSREES-2002 CSREES-2003 CSREES-2004 CSREES-2005 CSREES-2006 CSREES-2007 CSREES-2008
National Agricultural Statistical ServiceSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
7 58,278 175,534 $0
OMB NO: 0535-0001 EXPIRATION DATE: 11/30/2004 RESPS:9,747 HOURS:4,362 COSTS(000):$0 Cold Storage FORMS: NONE
OMB NO: 0535-0002 EXPIRATION DATE: 12/31/2004 RESPS:436,474 HOURS:122,344 COSTS(000):$0 Field Crops Production FORMS: NONE
OMB NO: 0535-0003 EXPIRATION DATE: 12/31/2004 RESPS:49,655 HOURS:9,564 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: 06/30/2002 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: 09/30/2004 RESPS:177,688 HOURS:24,223 COSTS(000):$0 Milk and 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: 11/30/2004 RESPS:43,782 HOURS:8,794 COSTS(000):$0 Fruit, 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: 02/29/2004 RESPS:50 HOURS:150 COSTS(000):$0 Supplemental Qualifications Statement FORMS: NONE
OMB NO: 0535-0212 EXPIRATION DATE: 06/30/2002 RESPS:425 HOURS:71 COSTS(000):$0 Mink Survey FORMS: NONE
OMB NO: 0535-0213 EXPIRATION DATE: 01/31/2004 RESPS:518,205 HOURS:142,344 COSTS(000):$0 Agricultural Surveys Program FORMS: NONE
OMB NO: 0535-0217 EXPIRATION DATE: 02/28/2005 RESPS:21,000 HOURS:1,700 COSTS(000):$0 Wildlife Damage Survey 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: 03/31/2004 RESPS:10,417 HOURS:1,065 COSTS(000):$0 Cotton Ginnings FORMS: NONE
OMB NO: 0535-0226 EXPIRATION DATE: 10/31/2004 RESPS:1 HOURS:1 COSTS(000):$0 2002 Census of Agriculture FORMS: 02-A0101 02-A0114 02-A01 02-A0201 02-A0215 02-A02(I) 02-A04 02-A04(L1) 02-A1(CMNI) 02-A1(PR)
OMB NO: 0535-0235 EXPIRATION DATE: 04/30/2005 RESPS:46,450 HOURS:10,635 COSTS(000):$0 Childhood Injury and Adult Occupational Injury Survey 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: 0535-0244 EXPIRATION DATE: 01/31/2004 RESPS:4,874 HOURS:3,229 COSTS(000):$0 Nursery and Greenhouse Production Survey and Nursery and FORMS: NONE
Economic Research ServiceSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
25 2,069,471 464,997 $0
OMB NO: 0536-0052 EXPIRATION DATE: 03/31/2004 RESPS:1,312 HOURS:729 COSTS(000):$0 The Use of Food Safety Practices in Meat and Poultry 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
OMB NO: 0536-0055 EXPIRATION DATE: 02/29/2004 RESPS:2,052 HOURS:817 COSTS(000):$0 Assesment of WIC Cost-Containment Practices FORMS: NONE
OMB NO: 0536-0056 EXPIRATION DATE: 05/31/2004 RESPS:424 HOURS:3,400 COSTS(000):$0 Summer Food Service Program Implementation Study FORMS: NONE
OMB NO: 0536-0057 EXPIRATION DATE: 08/31/2004 RESPS:4,870 HOURS:1,212 COSTS(000):$0 Emergency Food Assistance System Client Survey FORMS: NONE
OMB NO: 0536-0058 EXPIRATION DATE: 09/30/2004 RESPS:53 HOURS:1,244 COSTS(000):$0 CACFP Administrative Cost Reimbursement Study FORMS: NONE
OMB NO: 0536-0060 EXPIRATION DATE: 08/31/2002 RESPS:1,350 HOURS:2,700 COSTS(000):$0 Direct Certification and Its Impact on Errors in the National School Lunch Program FORMS: NONE
OMB NO: 0536-0061 EXPIRATION DATE: 12/31/2002 RESPS:156 HOURS:117 COSTS(000):$0 Feasibility and Accuracy of Record Linkage to Estimate Multiple Program Participation FORMS: NONE
Foreign Agricultural ServiceSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
8 47,495 15,329 $0
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: 07/31/2004 RESPS:50,260 HOURS:24,523 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: 06/30/2002 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: 02/29/2004 RESPS:1,200 HOURS:200 COSTS(000):$0 Certificate for Quota Eligibility FORMS: FAS-961
OMB NO: 0551-0015 EXPIRATION DATE: 12/31/2004 RESPS:977 HOURS:4,377 COSTS(000):$0 Sugar imported to be re-exported in refined form, in sugar- containing products, or used in production of certain polyhydric 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: 02/28/2005 RESPS:20 HOURS:40 COSTS(000):$0 Specialty Sugar Certificates 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: 0551-0032 EXPIRATION DATE: 04/30/2004 RESPS:66 HOURS:256 COSTS(000):$2,000 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: 02/29/2004 RESPS:3,510 HOURS:38,827 COSTS(000):$0 Foreign Donation of Agricultural Commodities FORMS: NONE
OMB NO: 0551-0037 EXPIRATION DATE: 02/29/2004 RESPS:2,495 HOURS:1,166 COSTS(000):$0 CCC's Supplier Credit Guarantee Program (SCGP) FORMS: NONE
Farm Service AgencySUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
17 92,378 185,007 $2,000
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: 0560-0025 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: 0560-0026 EXPIRATION DATE: 09/30/2004 RESPS:4,000 HOURS:6,000 COSTS(000):$0 Application for payment of amounts due persons who have died, disappeared or have been declared incompetent. FORMS: FSA-325
OMB NO: 0560-0040 EXPIRATION DATE: 01/31/2004 RESPS:13,401 HOURS:25,946 COSTS(000):$0 Regulations for Cooperative Marketing Associations, 7 CFR Part 1425 FORMS: CCC-719 726 727 732 734 736 846 846-1 COTTON-G COTTON-G4
OMB NO: 0560-0052 EXPIRATION DATE: 10/31/2003 RESPS:9,680 HOURS:484,410 COSTS(000):$0 Standards for Approval of Waraehouses-7 CFR 1421, 1423, and 1427 FORMS: CCC-25 25ADDEN.1 25-1(SUPP)/29-1 25-2/29 823-1A/823-1T 29-3/20/24/560 49/24-1/29/ 29ADDEN.1/823 33/33-A/34/34-1 KC-14/40/227
OMB NO: 0560-0058 EXPIRATION DATE: 09/30/2004 RESPS:1,403,207 HOURS:1,534,091 COSTS(000):$0 Tobacco Marketing Quotas and Price Support (7 CFR Parts 711, 723, and 1464). FORMS: MQ-25 MQ-32 MQ-38 MQ-38BUR MQ-53 MQ-71 MQ-72-2 MQ-76 MQ-77
OMB NO: 0560-0074 EXPIRATION DATE: 01/31/2005 RESPS:96,122 HOURS:45,246 COSTS(000):$0 7 CFR 1427-Regulations Governing CCC Nonrecourse Cotton Loan Programs for 1996 and Subsequent Crops FORMS: CCC-COTTON-A CCC-COTTON-A-1 CCC-COTTON-A-5 CCC-605 CCC-605-1 CCC-605-2 CCC-809 CCC-810 CCC-877 CCC-879
OMB NO: 0560-0087 EXPIRATION DATE: 03/31/2005 RESPS:1,858,515 HOURS:700,591 COSTS(000):$0 General Regulations Governing Commodity Loans for 1996 and Subsequent Crops FORMS: CCC-64/CCC-601 CCC-638/CCC-665 CCC-666/CCC-677 CCC-679/CCC-685 CCC-699 CCC-681-A CCC-681-1 CCC-678 CCC-6811 CCC-156
OMB NO: 0560-0092 EXPIRATION DATE: 09/30/2004 RESPS:2,131,523 HOURS:2,664,404 COSTS(000):$0 Forms for Participation in a 7-year Production Flexibility Contract FORMS: CCC-478 CCC-478B CCC-505
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: 0560-0120 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: 10/31/2002 RESPS:160,497 HOURS:70,088 COSTS(000):$0 Conservation Reserve Program (CRP) - 7 cfr part 1410 FORMS: CRP-1 CRP-1CONT. CRP-1APPENDIX CRP-1D CRP-1E CRP-1G CRP-1H CRP-2 CRP-15 CRP-15-1
OMB NO: 0560-0129 EXPIRATION DATE: 03/31/2004 RESPS:6,105,000 HOURS:3,825,000 COSTS(000):$0 Loan Deficiency Payments FORMS: CCC-633-LDP CCC-709
OMB NO: 0560-0138 EXPIRATION DATE: 10/31/2004 RESPS:1,381 HOURS:18,429 COSTS(000):$0 Sugar Program FORMS: CCC-80 CCC-831 CCC-832 CCC-833 CCC-835 CCC-836 CCC-837 CCC-838
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: 0560-0154 EXPIRATION DATE: 09/30/2004 RESPS:7,331 HOURS:157,646 COSTS(000):$0 7 CFR 1924 B Management Advice To Individuals Borrowers and Applicants FORMS: FSA-431-2 FSA-1924-22 FSA-1924-23 FSA-1924-24 FSA-1924-27
OMB NO: 0560-0155 EXPIRATION DATE: 03/31/2004 RESPS:293,538 HOURS:228,014 COSTS(000):$0 Guaranteed Farm Loans FORMS: FSA-1980-25 1980-28 1980-64 1980-24 1980-15 1980-22 1980-38 1980-19 1980-41 1980-43
OMB NO: 0560-0157 EXPIRATION DATE: 01/31/2004 RESPS:210 HOURS:54 COSTS(000):$0 Insured Farm Ownership Loan Policies, Procedures, and Authorizations FORMS: FSA-440-35
OMB NO: 0560-0159 EXPIRATION DATE: 01/31/2004 RESPS:16,115 HOURS:13,714 COSTS(000):$0 7 CFR 1945-D, Emergency Loan Policies, Procedures and Authorizations FORMS: 1945-22 1940-38
OMB NO: 0560-0160 EXPIRATION DATE: 03/31/2005 RESPS:200 HOURS:800 COSTS(000):$0 7 CFR 1951-L, Servicing Cases Where Unauthorized Loan or Other Assistance was Received FORMS: NONE
OMB NO: 0560-0161 EXPIRATION DATE: 03/31/2004 RESPS:269,963 HOURS:13,109 COSTS(000):$0 Farm Loan Programs Account Servicing Policies FORMS: FSA-1951-39
OMB NO: 0560-0162 EXPIRATION DATE: 02/29/2004 RESPS:49,492 HOURS:6,014 COSTS(000):$0 7 CFR 1941-A, Operating Loan Policies, Procedures and Authorizations FORMS: 1940-51 1940-53 1940-55 2940-56 441-8 441-18 441-25 441-10 441-13
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: 0560-0165 EXPIRATION DATE: 02/29/2004 RESPS:125 HOURS:775 COSTS(000):$0 Certified Mediation Program FORMS: NONE
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: 03/31/2005 RESPS:82,500 HOURS:20,350 COSTS(000):$0 Agreement for the Use of Proceeds/Release of Chattel Security FORMS: 1962-1
OMB NO: 0560-0174 EXPIRATION DATE: 03/31/2003 RESPS:241,110 HOURS:444,609 COSTS(000):$0 Environmental Quality Incentives Program (EQIP) FORMS: CCC-1200 CCC-1245 CCC-1201 NE-EQIP-12 NY-419
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: 03/31/2005 RESPS:24,000 HOURS:8,000 COSTS(000):$0 Request for Aerial Photography FORMS: FSA-441
OMB NO: 0560-0178 EXPIRATION DATE: 10/31/2004 RESPS:73,708 HOURS:119,412 COSTS(000):$0 7 CFR 1910-A, Receiving and Processing Applications FORMS: NONE
OMB NO: 0560-0179 EXPIRATION DATE: 02/28/2005 RESPS:3,000 HOURS:5,000 COSTS(000):$0 Certification of Livestock Losses for Eligible Disaster FORMS: CCC-661
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: 0560-0185 EXPIRATION DATE: 03/31/2003 RESPS:206,250 HOURS:251,153 COSTS(000):$0 Highly Erodible Land Conservation and Wetland Conservation (7 CFR Part 12) FORMS: AD-1026 AD-1026B AD-1026C AD-1026D AD-1068 AD-1069 CCC-21 FSA-492
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-2620 2621 2622 2623
OMB NO: 0560-0201 EXPIRATION DATE: 01/31/2004 RESPS:1,860 HOURS:930 COSTS(000):$0 ELS Cotton Competitiveness Payment Program FORMS: CCC-1045-A CCC-1045A-2
OMB NO: 0560-0203 EXPIRATION DATE: 02/29/2004 RESPS:1,039,306 HOURS:20,786 COSTS(000):$0 Facsimile Signature Authorization and Verification FORMS: FSA-237
OMB NO: 0560-0204 EXPIRATION DATE: 01/31/2004 RESPS:280,000 HOURS:90,600 COSTS(000):$0 Farm Storage Facility Loan Program FORMS: CCC-185 CCC-186 CCC-186-1 CCC-190 CCC-191 CCC-193 CCC-194 CCC-296 CCC-297 CCC-298
OMB NO: 0560-0205 EXPIRATION DATE: 09/30/2002 RESPS:303,100 HOURS:351,257 COSTS(000):$0 Lamb Meat Adjustment Assistance Program (LMAAP) FORMS: FSA-383
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
OMB NO: 0560-0210 EXPIRATION DATE: 09/30/2002 RESPS:10,500 HOURS:10,840 COSTS(000):$0 Apple Market Loss Assistance Payment (AMLAP-II) Program FORMS: CCC-891
OMB NO: 0560-0214 EXPIRATION DATE: 10/31/2004 RESPS:1,000 HOURS:250 COSTS(000):$15,000 Total Quality Systems Audit FORMS: 1TQ 3TQ
OMB NO: 0560-0218 EXPIRATION DATE: 06/30/2002 RESPS:18,000 HOURS:14,880 COSTS(000):$0 Emergency Revisions to CCC-605 for Establishing Online Centralized Certificate Redemptions FORMS: CCC-COTTON-A CCC-COTTON-A-1 CCC-COTTON-A-5 CCC-605
OMB NO: 0560-0219 EXPIRATION DATE: 09/30/2002 RESPS:1,100,000 HOURS:1,331,000 COSTS(000):$0 USDA Registration Form to Request Electronic Access Code FORMS: AD-2016
OMB NO: 0560-0220 EXPIRATION DATE: 09/30/2002 RESPS:4,120 HOURS:336 COSTS(000):$0 Request for Electronic Loan Deficiency Payment Services FORMS: CCC0634-E
Federal Crop Insurance CorporationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
49 21,260,944 18,616,790 $15,000
OMB NO: 0563-0053 EXPIRATION DATE: 02/28/2005 RESPS:3,345,415 HOURS:1,194,316 COSTS(000):$67,750 Multiple Peril Crop Insurance 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:14,880 HOURS:5,394 COSTS(000):$0 New-Crop Insurance Programs (Pilot and Private Crop Insurance FORMS: NONE
OMB NO: 0563-0058 EXPIRATION DATE: 08/31/2004 RESPS:30,970 HOURS:37,257 COSTS(000):$0 Dairy Options Pilot Program (DOPP), Round III FORMS: CCC-320 CCC-320-1 CCC-321 CCC-322 CCC-323
OMB NO: 0563-0060 EXPIRATION DATE: 02/28/2005 RESPS:55,760 HOURS:32,526 COSTS(000):$0 Specialty Crop Producer Survey FORMS: NONE
Rural Business-Cooperative ServiceSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
5 3,447,181 1,269,571 $67,750
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: 04/30/2004 RESPS:2,649 HOURS:2,404 COSTS(000):$0 Annual Survey of Farmer Cooperatives 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: 04/30/2002 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: 06/30/2002 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: 02/28/2005 RESPS:127 HOURS:127 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: 06/30/2004 RESPS:866 HOURS:8,044 COSTS(000):$0 CFR Part 4284-G, Rural Business Opportunity Grants 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:8 HOURS:1,382 COSTS(000):$0 Rural Empowerment Zones and Enterprise Communities FORMS: NONE
OMB NO: 0570-0028 EXPIRATION DATE: 02/29/2004 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
OMB NO: 0570-0039 EXPIRATION DATE: 10/31/2004 RESPS:300 HOURS:2,460 COSTS(000):$0 Value-Added Agricultural Product Market Development Grant Program (Independent Producers) FORMS: NONE
Rural Utilities ServiceSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
20 87,353 137,837 $0
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: 02/28/2005 RESPS:4,415 HOURS:65,673 COSTS(000):$0 RUS Electric Loan Application and Related Reporting Burdens FORMS: RUS-726 RUS-740C RUS-740G 7 12 325 266 SF-100 SF-LLL AD-1047
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: 0572-0051 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: 0572-0089 EXPIRATION DATE: 01/31/2004 RESPS:110 HOURS:660 COSTS(000):$0 RUS Form 444, "Wholesale Power Contracts" FORMS: RUS-FORM-444
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: 0572-0109 EXPIRATION DATE: 09/30/2004 RESPS:1 HOURS:9 COSTS(000):$0 7 CFR 1777, Section 306C Water and Waste Disposal (WWD) Loans & Grants FORMS: NONE
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: 03/31/2004 RESPS:1,872 HOURS:450,200 COSTS(000):$0 Environmental Policies and Procedures (7 CFR Part 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: 0572-0121 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
OMB NO: 0572-0122 EXPIRATION DATE: 01/31/2004 RESPS:110 HOURS:858 COSTS(000):$0 Water and Waste Disposal Programs Guaranteed Loans FORMS: NONE
OMB NO: 0572-0123 EXPIRATION DATE: 12/31/2004 RESPS:180 HOURS:784 COSTS(000):$0 Extensions of Payments of Principal and Interest FORMS: NONE
OMB NO: 0572-0124 EXPIRATION DATE: 09/30/2004 RESPS:120 HOURS:345 COSTS(000):$0 Weather Radio Transmitter Grant Program FORMS: NONE
OMB NO: 0572-0126 EXPIRATION DATE: 01/31/2005 RESPS:45 HOURS:23 COSTS(000):$0 7 CFR Part 1744, Subpart B, Lien Accommodations and Subordination Policy FORMS: NONE
Rural Housing ServiceSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
36 90,418 793,905 $0
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: 04/30/2005 RESPS:74,516 HOURS:555,692 COSTS(000):$0 7 CFR 1901-3, Civil Rights Compliance Requirements FORMS: RD-4001/4/6/7/8 HUD-932.5 CC-257
OMB NO: 0575-0033 EXPIRATION DATE: 10/31/2004 RESPS:2,382,265 HOURS:2,143,740 COSTS(000):$0 7 CFR 1930-C, Management and Supervision of Multiple Family Housing Borrowers and Grant Recipients FORMS: 1930-5 1930-7 1930-8 1944-8 1944-25 1944-27 1944-29 1951-29 444-27A
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: 05/31/2004 RESPS:780 HOURS:8,524 COSTS(000):$0 7 CFR 1944-D, Farm Labor Housing Loan and Grant Policies, Procedures, and Authorization FORMS: NONE
OMB NO: 0575-0046 EXPIRATION DATE: 10/31/2004 RESPS:200 HOURS:82 COSTS(000):$0 7 CFR 1944-L, Tenant Grievance and Appeals Procedure 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: 06/30/2002 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: 10/31/2002 RESPS:6 HOURS:36 COSTS(000):$0 7 CFR 1822-G, Rural Housing Loans, Policies, Procedures and Authorizations 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: 11/30/2004 RESPS:8,765 HOURS:4,895 COSTS(000):$0 7 CFR Part 1806-A - Real Property Insurance FORMS: FORM-RD-426-2
OMB NO: 0575-0088 EXPIRATION DATE: 10/31/2004 RESPS:57,800 HOURS:28,900 COSTS(000):$0 Form RD 1940-59, Settlement Statement FORMS: 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: 09/30/2004 RESPS:700 HOURS:800 COSTS(000):$0 7 CFR 1951-N, Sercicing Cases Where Unauthorized Loan or Other Financial Assistance Was Received--Multiple Family Housing FORMS: NONE
OMB NO: 0575-0110 EXPIRATION DATE: 01/31/2005 RESPS:292 HOURS:136 COSTS(000):$0 7 CFR, Part 1955-B-Management of Property FORMS: RD-1955-20
OMB NO: 0575-0114 EXPIRATION DATE: 10/31/2004 RESPS:25 HOURS:2,000 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: 07/31/2004 RESPS:2,900 HOURS:24,650 COSTS(000):$0 7 CFR 1956-B, Debt Settlement-Farm Programs and Multiple Family Housing FORMS: RD-1956-1
OMB NO: 0575-0119 EXPIRATION DATE: 10/31/2002 RESPS:2,000 HOURS:1,331 COSTS(000):$0 7 CFR 1951-C, "Offset of Federal Payments to USDA Borrowers" FORMS: NONE
OMB NO: 0575-0120 EXPIRATION DATE: 09/30/2004 RESPS:2,921 HOURS:6,482 COSTS(000):$0 7 CFR 1942-C, "Fire and Rescue Loans" FORMS: 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: 0575-0137 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: 05/31/2004 RESPS:174,000 HOURS:41,296 COSTS(000):$0 7 CFR 1927-B, "Real Estate Title Clearance and Loan Closing" FORMS: RD1927-5 RD1927-8 RD1927-9 RD1927-10 RD1927-11 RD1927-12 RD1927-15 RD1927-16 RD1927-19 RD1927-20
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: 0575-0158 EXPIRATION DATE: 01/31/2005 RESPS:62,000 HOURS:26,260 COSTS(000):$0 7 CFR 1902-A, Supervised Bank Accounts FORMS: RD-402-1
OMB NO: 0575-0172 EXPIRATION DATE: 11/30/2002 RESPS:3,063,540 HOURS:921,952 COSTS(000):$0 Direct Single-Family Housing Loan and Grant Programs -- 7 CFR 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: 06/30/2004 RESPS:1,078 HOURS:859 COSTS(000):$0 7 CFR 3570-B, Community Facilities Grant Program 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: 0575-0179 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: 05/31/2004 RESPS:843 HOURS:1,702 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: 06/30/2004 RESPS:147 HOURS:175.5 COSTS(000):$0 Farm Labor Housing Technical Assistance Grants FORMS: NONE
OMB NO: 0575-0184 EXPIRATION DATE: 04/30/2005 RESPS:1,200 HOURS:600 COSTS(000):$0 RD 3550-28, "Authorization Agreement for Preauthorization Payments", RD 1951-65, "Customer Initiated Payments (CIP)", and RD 1951-66, "Fedwire Worksheet" FORMS: RD-3550-28 RD-1951-65 RD-1951-66
Natural Resources Conservation ServiceSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
40 6,776,574 4,324,607 $0
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: 06/30/2004 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
OMB NO: 0578-0028 EXPIRATION DATE: 01/31/2005 RESPS:5,000 HOURS:2,917 COSTS(000):$0 Risk Protection Programs FORMS: CCC-1200 CCC-1245
Animal and Plant Health Inspection ServiceSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
5 276,426 187,212 $0
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: 0579-0010 EXPIRATION DATE: 02/29/2004 RESPS:35,050 HOURS:1,445 COSTS(000):$0 National Agricultural Pest Information System FORMS: PPQ-391
OMB NO: 0579-0013 EXPIRATION DATE: 03/31/2005 RESPS:19,472 HOURS:51,177 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: 03/31/2005 RESPS:51,171 HOURS:17,830 COSTS(000):$0 Importation of Restricted and Controlled Animal and Poultry Products and Byproducts, Organisms, and Vectors into the US. FORMS: VS-16-3 VS-16-25 VS-16-26
OMB NO: 0579-0020 EXPIRATION DATE: 08/31/2004 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: 0579-0048 EXPIRATION DATE: 02/28/2005 RESPS:21,000 HOURS:10,500 COSTS(000):$0 Certificate for poultry and hatching eggs for export FORMS: VS-17-6
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: 0579-0054 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: 08/31/2004 RESPS:360 HOURS:90 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: 03/31/2005 RESPS:860 HOURS:584 COSTS(000):$0 Swine Health Protection FORMS: VS-13-2 VS-13-15 VS-13-16 VS-13-7
OMB NO: 0579-0070 EXPIRATION DATE: 02/28/2005 RESPS:80,250 HOURS:5,092 COSTS(000):$0 9 CFR 85 Psuedoriabies FORMS: 7-1 1-27
OMB NO: 0579-0071 EXPIRATION DATE: 03/31/2005 RESPS:1,070 HOURS:1,070 COSTS(000):$0 Foreign Animal Disease (Emerging Disease Investigation (FAD/EDI) Database FORMS: VS-12-27
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: 04/30/2005 RESPS:3,464 HOURS:2,984 COSTS(000):$0 7 CFR 340-Intro of Organisms and Products Altered or Produced Through Genetic Engineering FORMS: 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: 0579-0101 EXPIRATION DATE: 10/31/2004 RESPS:732,185 HOURS:81,526 COSTS(000):$0 Scrapie Flock Certification, Animal Identification and Indemnification Procedures FORMS: VS-5-18 VS-5-19 VS-5-20 VS-5-24 VS-1-23 VS-1-27
OMB NO: 0579-0104 EXPIRATION DATE: 04/30/2002 RESPS:214 HOURS:18 COSTS(000):$0 Gypsy Moth Identification Worksheet FORMS: PPQ-FORM-305
OMB NO: 0579-0116 EXPIRATION DATE: 01/31/2005 RESPS:57 HOURS:34 COSTS(000):$0 Exotic newcastle disease in birds and poultry; chlamydiosis in poultry FORMS: NONE
OMB NO: 0579-0117 EXPIRATION DATE: 03/31/2005 RESPS:3,000 HOURS:1,500 COSTS(000):$0 Environmental Monitoring Form FORMS: APHIS-2060
OMB NO: 0579-0122 EXPIRATION DATE: 02/28/2005 RESPS:315 HOURS:132 COSTS(000):$0 Asian Lonhorned Beetle Regulations FORMS: PPQ-527 PPQ-537 PPQ-530 PPQ-540
OMB NO: 0579-0123 EXPIRATION DATE: 04/30/2004 RESPS:2,746 HOURS:327 COSTS(000):$0 Fruit from Hawaii FORMS: PPQ-519 PPQ-530 PPQ-540
OMB NO: 0579-0124 EXPIRATION DATE: 04/30/2004 RESPS:30,000 HOURS:11,345 COSTS(000):$0 Imported Seed and Screening FORMS: PPQ-925 PPQ-519
OMB NO: 0579-0127 EXPIRATION DATE: 10/31/2004 RESPS:1,075,003 HOURS:98,156 COSTS(000):$0 9 CFR 75 Communicable Diseases in Horses FORMS: 10-11 10-12
OMB NO: 0579-0128 EXPIRATION DATE: 11/30/2004 RESPS:500 HOURS:501 COSTS(000):$0 Importation of Fruits and Vegetables FORMS: NONE
OMB NO: 0579-0129 EXPIRATION DATE: 01/31/2005 RESPS:630 HOURS:743 COSTS(000):$0 Hass Avocado FORMS: PPQ-587 PPQ-519
OMB NO: 0579-0130 EXPIRATION DATE: 03/31/2005 RESPS:87 HOURS:300 COSTS(000):$0 Export Certification, Accreditation on Non-Government Facilities FORMS: NONE
OMB NO: 0579-0131 EXPIRATION DATE: 02/28/2005 RESPS:2,448 HOURS:1,704 COSTS(000):$0 Importation of Tomatoes from France, Morocco, Western Sahara, Chile, Spain FORMS: NONE
OMB NO: 0579-0132 EXPIRATION DATE: 11/30/2004 RESPS:100 HOURS:120 COSTS(000):$0 Mexicali Valley - Karnal Bunt FORMS: NONE
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: 05/31/2005 RESPS:1,834 HOURS:1,343 COSTS(000):$0 7 CFR Part 319 - Importation of Fruits and Vegetables 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: 03/31/2005 RESPS:40 HOURS:40 COSTS(000):$0 9 CFR part 94 importation of Pork from Yucatan and Sonora, Mexico FORMS: NONE
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: 0579-0152 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: 07/31/2004 RESPS:900 HOURS:75 COSTS(000):$0 Interstate Movement of Certain Tortoises FORMS: APHIS-7001
OMB NO: 0579-0158 EXPIRATION DATE: 03/31/2004 RESPS:11,400 HOURS:11,400 COSTS(000):$0 Importation of Fruits and Vegetables FORMS: NONE
OMB NO: 0579-0159 EXPIRATION DATE: 05/31/2004 RESPS:12 HOURS:2 COSTS(000):$0 Plum Pox Compensation FORMS: PPQ-651
OMB NO: 0579-0160 EXPIRATION DATE: 01/31/2004 RESPS:100,100 HOURS:5,008 COSTS(000):$0 Commercial Transportation of Equines to Slaughter FORMS: VS-10-13
OMB NO: 0579-0161 EXPIRATION DATE: 02/29/2004 RESPS:12,000 HOURS:2,600 COSTS(000):$0 Interstate Movement of Swine Within A Production System FORMS: NONE
OMB NO: 0579-0162 EXPIRATION DATE: 09/30/2004 RESPS:840 HOURS:945 COSTS(000):$0 West Nile Virus Surveillance Report FORMS: WNV-1 WNV-2
OMB NO: 0579-0163 EXPIRATION DATE: 05/31/2004 RESPS:65 HOURS:15 COSTS(000):$0 Citrus Canker: Commercial citrus tree replacement program FORMS: PPQ-652
OMB NO: 0579-0165 EXPIRATION DATE: 10/31/2004 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: 04/30/2004 RESPS:200 HOURS:40 COSTS(000):$0 District of Columbia Plant Health Certificate FORMS: PPQ-571
OMB NO: 0579-0167 EXPIRATION DATE: 01/31/2004 RESPS:9,000 HOURS:153 COSTS(000):$0 Veterinary Services User Fees; Fees for Permit Applications FORMS: NONE
OMB NO: 0579-0168 EXPIRATION DATE: 01/31/2004 RESPS:65 HOURS:10 COSTS(000):$0 Citrus Canker Payments for Recovery of Lost Production FORMS: NONE
OMB NO: 0579-0170 EXPIRATION DATE: 09/30/2004 RESPS:37 HOURS:37 COSTS(000):$0 West Indian Fruit Fly FORMS: FORM-540
OMB NO: 0579-0172 EXPIRATION DATE: 03/31/2004 RESPS:40 HOURS:40 COSTS(000):$0 Importation of Mangoes from the Philippines FORMS: NONE
OMB NO: 0579-0173 EXPIRATION DATE: 05/31/2004 RESPS:10 HOURS:10 COSTS(000):$0 Importation of Unshu Oranges FORMS: PPQ-203
OMB NO: 0579-0175 EXPIRATION DATE: 10/31/2004 RESPS:1,455 HOURS:1,373 COSTS(000):$0 Bluetongue Surveillance Pilot Program (BSPP) FORMS: VS-11-3 VS-11-4 VS-11-5 VS-11-6A VS-11-6B VS-11-7 VS-11-8 VS-11-9
OMB NO: 0579-0176 EXPIRATION DATE: 05/31/2004 RESPS:100 HOURS:25 COSTS(000):$0 Importation of Artifically Dwarfed Plants FORMS: NONE
OMB NO: 0579-0182 EXPIRATION DATE: 08/31/2004 RESPS:340 HOURS:170 COSTS(000):$0 Karmal Bunt, Compensation for the 1999-2000 Crop Season and Subsequent Seasons FORMS: PPQ-926 PPQ-927
OMB NO: 0579-0183 EXPIRATION DATE: 11/30/2004 RESPS:9,000 HOURS:1,494 COSTS(000):$0 BSE - Certificate of Orgin FORMS: VS-16-3
OMB NO: 0579-0185 EXPIRATION DATE: 10/31/2004 RESPS:4 HOURS:1 COSTS(000):$0 Brucellosis in sheep, goats, horses; Payment of indemnity FORMS: VS-1-27
OMB NO: 0579-0186 EXPIRATION DATE: 11/30/2004 RESPS:8 HOURS:32 COSTS(000):$0 Black Stem Rust; Identification Requirements and Addition of Rust-Resistant Varieties FORMS: NONE
OMB NO: 0579-0188 EXPIRATION DATE: 01/31/2005 RESPS:10,731 HOURS:9,090 COSTS(000):$0 National Animal Health Monitoring System Sheep 2001 Study FORMS: NAHMS-120 NAHMS-121 NAHMS-123 NAHMS-124 NAHMS-125 NAHMS-126 NAHMS-127 NAHMS-128 NAHMS-122
OMB NO: 0579-0189 EXPIRATION DATE: 07/31/2002 RESPS:10 HOURS:10 COSTS(000):$0 CWD in Cervids payment of indemnity FORMS: VS-1-23
OMB NO: 0579-0190 EXPIRATION DATE: 03/31/2005 RESPS:20 HOURS:10 COSTS(000):$0 Update of the Nursery Stock Regulation FORMS: PPQ-203
OMB NO: 0579-0191 EXPIRATION DATE: 07/31/2002 RESPS:16,642 HOURS:1,227 COSTS(000):$0 Phytopthora ramorum; Quarantine and Regulations FORMS: PPQ-540 PPQ-519
OMB NO: 0579-0192 EXPIRATION DATE: 08/31/2002 RESPS:697 HOURS:2,934 COSTS(000):$0 ISA-Payment of Indemnity FORMS: VS-1-23
OMB NO: 0579-0193 EXPIRATION DATE: 08/31/2002 RESPS:590 HOURS:875 COSTS(000):$0 TB Payments to El Paso Texas FORMS: VS-1-27
OMB NO: 0579-0195 EXPIRATION DATE: 09/30/2002 RESPS:10,000 HOURS:2,000 COSTS(000):$0 Foot-and-Mouth Disease; Prohibition on Importation of Farm Equipment FORMS: NONE
Grain Inspection, Packers and Stockyards AdministrationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
76 7,661,420 782,219 $0
OMB NO: 0580-0013 EXPIRATION DATE: 12/31/2004 RESPS:2,494,098 HOURS:396,937 COSTS(000):$0 Reporting and Recordkeeping Requirements (US Grain Standards Act and Agricultural Marketing Act of 1946) FORMS: NONE
OMB NO: 0580-0014 EXPIRATION DATE: 02/28/2005 RESPS:4 HOURS:80 COSTS(000):$0 Guidelines for Preparation of Research Proposal FORMS: NONE
OMB NO: 0580-0015 EXPIRATION DATE: 09/30/2004 RESPS:25,015 HOURS:304,253 COSTS(000):$0 Regulations and Related Reporting and Recordkeeping Requirements- Packers and Stockyards Programs FORMS: 116 116-1 1 333 23 315 316 5 131 135
OMB NO: 0580-0016 EXPIRATION DATE: 10/31/2004 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
Agricultural Marketing ServiceSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
5 2,520,992 701,595 $0
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:3,663,030 HOURS:120,964 COSTS(000):$0 Fruit and Vegetable Market News Reports FORMS: FV-29 FV-498-1 FV-498-2
OMB NO: 0581-0008 EXPIRATION DATE: 05/31/2004 RESPS:1,697 HOURS:119 COSTS(000):$0 Cotton Classing, Testing, and Standards FORMS: 246 357 383
OMB NO: 0581-0009 EXPIRATION DATE: 05/31/2004 RESPS:2,417 HOURS:226 COSTS(000):$0 Cotton Classification and Market News Service FORMS: CN-59
OMB NO: 0581-0026 EXPIRATION DATE: 03/31/2004 RESPS:17,697 HOURS:37,215 COSTS(000):$0 Federal Seed Act Program FORMS: NONE
OMB NO: 0581-0031 EXPIRATION DATE: 09/30/2004 RESPS:40,609 HOURS:155,138 COSTS(000):$0 Reporting and Recordkeeping Requirements Under Regulations (Other than Rules of Practice) Under the Persihable Agricultural Commodities Act, 1930 FORMS: FV-211 FV-231 FV-231-2A
OMB NO: 0581-0032 EXPIRATION DATE: 09/30/2004 RESPS:20,026 HOURS:21,397 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: 06/30/2004 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 FORMS: ST-470 ST-470-E
OMB NO: 0581-0056 EXPIRATION DATE: 05/31/2004 RESPS:13,504 HOURS:5,569 COSTS(000):$0 Reporting and Recordkeeping Requirements for 7 CFR, Part 29 FORMS: TB-87 TB-92
OMB NO: 0581-0065 EXPIRATION DATE: 02/29/2004 RESPS:1,323 HOURS:162 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: 05/31/2004 RESPS:257 HOURS:107 COSTS(000):$0 Marketing Agreement No. 146, 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: 0581-0093 EXPIRATION DATE: 07/31/2004 RESPS:4,395,969 HOURS:354,349 COSTS(000):$0 National Research, Promotion and Consumer Information Programs FORMS: CN-100 DA-15 DA-19 DA-19-1 DA-20 DA-20-1 FV-182 FV-229 FV-258 FV-261
OMB NO: 0581-0102 EXPIRATION DATE: 02/29/2004 RESPS:1,382 HOURS:1,050 COSTS(000):$0 Papayas Grown in Hawaii-Marketing Order 928 FORMS: FV-86 FV-86-1 FV-87 FV-88
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: 04/30/2005 RESPS:23,347 HOURS:1,292 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: 02/29/2004 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 Requirements under Regulations Governing the Inspection and Grading Services of Manufactured or Processed Dairy Products- FINAL RULE FORMS: DA-132 DA-155 DA-156 DA-162 DA-201B
OMB NO: 0581-0127 EXPIRATION DATE: 06/30/2004 RESPS:22,978 HOURS:1,781 COSTS(000):$0 7 CFR Part 70, Regulations for Voluntary Grading of Poultry Products and Rabbit Products FORMS: PY-32 PY-33 PY-210 PY-212
OMB NO: 0581-0128 EXPIRATION DATE: 06/30/2002 RESPS:23,883 HOURS:5,673 COSTS(000):$0 Regulations Governing the Voluntary Grading of Shell Eggs FORMS: PY-100 PY-157 PY-240
OMB NO: 0581-0140 EXPIRATION DATE: 05/31/2004 RESPS:1,568 HOURS:392 COSTS(000):$0 Seed Service Program FORMS: NONE
OMB NO: 0581-0142 EXPIRATION DATE: 09/30/2003 RESPS:10,434 HOURS:2,947 COSTS(000):$0 Olives Grown in California FORMS: COC-149 COC-150
OMB NO: 0581-0143 EXPIRATION DATE: 05/31/2004 RESPS:445 HOURS:2,204 COSTS(000):$0 Export Fruit Regulations--Export Apple Act (7 CFR Part 33) and Export Grape and Plum Act (7 CFR Part 35) 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: 0581-0169 EXPIRATION DATE: 03/31/2004 RESPS:1,430 HOURS:358 COSTS(000):$0 Farmer's Market Questionnaire FORMS: TM-6
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: 02/29/2004 RESPS:4,649 HOURS:852 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: 04/30/2004 RESPS:121,037 HOURS:9,230 COSTS(000):$0 Vegetable and Specialty Crops FORMS: NONE
OMB NO: 0581-0182 EXPIRATION DATE: 10/31/2004 RESPS:8,400 HOURS:700 COSTS(000):$0 Customer Service Survey for USDA-Donated Food Products FORMS: AMS-11A 11B 11C
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: 07/31/2002 RESPS:135,824 HOURS:24,440 COSTS(000):$0 Livestock Mandatory Reporting Act of 1999 FORMS: LS-113-126 LS-128-129
OMB NO: 0581-0189 EXPIRATION DATE: 07/31/2004 RESPS:38,408 HOURS:10,817 COSTS(000):$0 Generic OMB Fruit Crops, Marketing Order Administration Branch FORMS: NONE
OMB NO: 0581-0190 EXPIRATION DATE: 02/29/2004 RESPS:13,100 HOURS:3,275 COSTS(000):$0 Pricing Pilot Program FORMS: Q-P Q-C Q-H
OMB NO: 0581-0191 EXPIRATION DATE: 01/31/2004 RESPS:321,635 HOURS:574,877 COSTS(000):$0 National Organic Program - Final Rule FORMS: N/A
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: 02/29/2004 RESPS:50 HOURS:50 COSTS(000):$0 Marketing Order Committee/Board Interview FORMS: NONE
OMB NO: 0581-0196 EXPIRATION DATE: 05/31/2004 RESPS:1,540 HOURS:128 COSTS(000):$0 Raisins Produced from Grapes Grown in California - Final Rule FORMS: NONE
OMB NO: 0581-0197 EXPIRATION DATE: 10/31/2004 RESPS:12,903 HOURS:6,134 COSTS(000):$0 Hass Avocados National Research, Promotion and Consumer Information Program FORMS: NONE
OMB NO: 0581-0198 EXPIRATION DATE: 05/31/2005 RESPS:145,362 HOURS:66,406 COSTS(000):$0 Lamb Promotion, Research and Information Program - Final Rule FORMS: LS-81 LS-82 LS-83 LS-84 LS-85 AD-755
OMB NO: 0581-0199 EXPIRATION DATE: 01/31/2005 RESPS:25 HOURS:2 COSTS(000):$0 Filberts/Hazelnuts Grown in Oregon and Washington FORMS: NONE
OMB NO: 0581-0201 EXPIRATION DATE: 06/30/2002 RESPS:1 HOURS:121 COSTS(000):$0 California Prune/Plum Tree Removal Program-Section 32 (as amended 7 USC 6120) FORMS: FV-298 FV-299
OMB NO: 0581-0202 EXPIRATION DATE: 01/31/2005 RESPS:4,504 HOURS:1,304 COSTS(000):$0 Beef Promotion and Research Act of 1985 - Proposed Rule FORMS: NONE
OMB NO: 0581-0203 EXPIRATION DATE: 11/30/2002 RESPS:39,916 HOURS:1,195 COSTS(000):$0 Lamb Promotion, Research and Information Program; Rules and Regulations FORMS: LS-78
Food Safety and Inspection ServiceSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
53 200,831,284 3,299,998 $0
OMB NO: 0583-0082 EXPIRATION DATE: 03/31/2004 RESPS:11,490 HOURS:1,091 COSTS(000):$0 Application for Inspection, Sanitation, Accredited Laboratories FORMS: 10-600-1 10-110-4 10-110-2 6200-18 5200-8 5200-2 5200-2 PY-38 PY-32
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: 0583-0092 EXPIRATION DATE: 09/30/2004 RESPS:858 HOURS:119,005 COSTS(000):$0 Marking, Labeling, and Packaging Material FORMS: FORM-7234-1
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
Food and Nutrition ServiceSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
5 3,163,777 311,124 $0
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: 05/31/2004 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: 08/31/2004 RESPS:5,700 HOURS:17,100 COSTS(000):$0 Food coupon Accountability Report FORMS: FNS-250
OMB NO: 0584-0012 EXPIRATION DATE: 05/31/2004 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: 09/30/2004 RESPS:1,326 HOURS:663 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: 08/31/2004 RESPS:12,193,997 HOURS:1,021,272 COSTS(000):$0 7 CFR 245, Determining Eligibility for F & RP Meals and Free Milk 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: 03/31/2005 RESPS:100 HOURS:97 COSTS(000):$0 Report of Coupon Issuance & Commodity Distribution for Disaster Relief 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: 01/31/2004 RESPS:26,149,238 HOURS:2,734,330 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: 03/31/2005 RESPS:30,000 HOURS:7,500 COSTS(000):$0 Affidavit of Return or Exchange of Food Coupons FORMS: FNS-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: 09/30/2004 RESPS:149,135,163 HOURS:29,643,514 COSTS(000):$44,818 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: 10/31/2004 RESPS:54 HOURS:4,320 COSTS(000):$0 Annual Report of State Revenue Matching 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: 10/31/2004 RESPS:2,808 HOURS:22,416 COSTS(000):$0 Issuance Reconciliation Report 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: 02/28/2005 RESPS:6,797,351 HOURS:135,947 COSTS(000):$0 Food Stamp Redemption Certificate FORMS: FNS-278B FNS-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: 10/31/2003 RESPS:54,663 HOURS:58,686 COSTS(000):$0 Quality Control Review Schedule FORMS: FNS-380-1
OMB NO: 0584-0303 EXPIRATION DATE: 08/31/2004 RESPS:4,326 HOURS:3,830 COSTS(000):$0 Food Stamp Program Regulations, Part 275 - Quality Control FORMS: NONE
OMB NO: 0584-0314 EXPIRATION DATE: 09/30/2004 RESPS:136,534 HOURS:1,327 COSTS(000):$0 Food Coupon Deposit Document FORMS: FNS-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: 12/31/2004 RESPS:3,386,325 HOURS:190,541 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: 09/30/2004 RESPS:1 HOURS:1,778 COSTS(000):$0 The Integrity Profile FORMS: FNS-698 FNS-699 FNS-700
OMB NO: 0584-0431 EXPIRATION DATE: 02/28/2005 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: 02/28/2005 RESPS:2,009 HOURS:4,912 COSTS(000):$0 WIC Farmers' Market Nutrition Program (FMNP) Forms: 683, 203 & Regulations 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: 0584-0492 EXPIRATION DATE: 11/30/2004 RESPS:1,536,129 HOURS:162,560 COSTS(000):$0 Repayment Demand and Program Disqualification FORMS: NONE
OMB NO: 0584-0494 EXPIRATION DATE: 02/28/2005 RESPS:100 HOURS:2,500 COSTS(000):$0 Child Nutrition Database FORMS: FNS-709 FNS-710
OMB NO: 0584-0496 EXPIRATION DATE: 09/30/2004 RESPS:135 HOURS:256 COSTS(000):$0 Food Stamp Program: State agency options 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: 0584-0505 EXPIRATION DATE: 03/31/2004 RESPS:15,942 HOURS:7,817 COSTS(000):$0 Evaluation of the School Breakfast Pilot Program FORMS: NONE
OMB NO: 0584-0506 EXPIRATION DATE: 09/30/2004 RESPS:334 HOURS:21,008 COSTS(000):$0 Food Stamp Program: Grants to Improve Food Stamp Program Access FORMS: NONE
OMB NO: 0584-0510 EXPIRATION DATE: 01/31/2005 RESPS:46 HOURS:23 COSTS(000):$0 The Prime Vendor Pilot Project Evaluation FORMS: NONE
OMB NO: 0584-0511 EXPIRATION DATE: 04/30/2005 RESPS:2,700 HOURS:1,035 COSTS(000):$0 Consumer Food Guide Pyramid Study FORMS: NONE
OMB NO: 0584-0512 EXPIRATION DATE: 05/31/2005 RESPS:505 HOURS:30,000 COSTS(000):$0 Uniform Grant Application for Non-Entitlement Discretionary Grants FORMS: FNS-728
Forest ServiceSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
54 214,863,490 56,695,285 $44,818
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: 0596-0009 EXPIRATION DATE: 03/31/2004 RESPS:2,919 HOURS:199 COSTS(000):$0 Residential Fuelwood and Post Assessment, Any State, Year FORMS: NONE
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: 0596-0017 EXPIRATION DATE: 04/30/2004 RESPS:20 HOURS:20 COSTS(000):$0 Timber Purchasers' Cost and Sales Data FORMS: NONE
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: 0596-0025 EXPIRATION DATE: 05/31/2004 RESPS:50 HOURS:25 COSTS(000):$0 Annual Wildfire Summary Report FORMS: FS-3100-8
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: 0596-0078 EXPIRATION DATE: 12/31/2004 RESPS:10,000 HOURS:2,500 COSTS(000):$0 National Woodland Owner Survey FORMS: NONE
OMB NO: 0596-0080 EXPIRATION DATE: 04/30/2004 RESPS:58,100 HOURS:14,525 COSTS(000):$0 Volunteer Application for Natural Resource Agencies FORMS: FORM-301
OMB NO: 0596-0081 EXPIRATION DATE: 05/31/2004 RESPS:3,000 HOURS:7,500 COSTS(000):$0 36 CFR Part 228, Subpart C-Disposal of Mineral Materials FORMS: FS-2800-9
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: 03/31/2005 RESPS:27,750 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: 0596-0086 EXPIRATION DATE: 01/31/2004 RESPS:3,750 HOURS:1,875 COSTS(000):$0 Operating Plans FORMS: NONE
OMB NO: 0596-0087 EXPIRATION DATE: 03/31/2004 RESPS:40 HOURS:20 COSTS(000):$0 Commercial Use of Woodsy Owl Symbol-36 CFR Part 272 FORMS: NONE
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: 0596-0141 EXPIRATION DATE: 05/31/2005 RESPS:80 HOURS:320 COSTS(000):$0 Small Business Timber Set-Aside Program: Appeal Procedures on Recompution of Shares FORMS: NONE
OMB NO: 0596-0149 EXPIRATION DATE: 03/31/2004 RESPS:9,250 HOURS:3,043 COSTS(000):$0 Public Information Survey for the Recreation Fee Demonstration Programs at Sedona, AZ on the Coconino National Forest and the Pacific Northwest Region FORMS: NONE
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:5,148 HOURS:1,922 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
OMB NO: 0596-0161 EXPIRATION DATE: 04/30/2004 RESPS:20,000 HOURS:1,667 COSTS(000):$0 Forest Stewarship and Stewardship Incentive Program Participant Demographics FORMS: NONE
OMB NO: 0596-0162 EXPIRATION DATE: 08/31/2004 RESPS:1,600 HOURS:800 COSTS(000):$0 Improve Management of the Tongass National Forest and Service to Southeast Alaska Residents FORMS: NONE
OMB NO: 0596-0163 EXPIRATION DATE: 07/31/2004 RESPS:22,000 HOURS:1,833 COSTS(000):$0 Title Publication Comment Card FORMS: NONE
OMB NO: 0596-0164 EXPIRATION DATE: 08/31/2004 RESPS:1,500 HOURS:1,250 COSTS(000):$0 Health Screen Questionarie (HSQ) FORMS: FS-5100-30 FS-5100-31
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
40 1,116,711 353,709 $0
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
458 464,546,494 88,449,685 $129,568
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
Bureau of the CensusSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
1 2,710 678 $0
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: 09/30/2002 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: 02/29/2004 RESPS:113,600 HOURS:20,693 COSTS(000):$0 Report of Privately-owned Residential Building or Zoning Permits FORMS: C-404
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: 06/30/2004 RESPS:11,106 HOURS:1,775 COSTS(000):$266 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:40,000 HOURS:10,000 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: 11/30/2004 RESPS:13,662 HOURS:40,986 COSTS(000):$0 Boundary and Annexation Survey (BAS) FORMS: BAS-1 BAS-1A BAS-2 BAS-2A BAS-2CUO BAS-3 BAS-3A BAS-4 BAS-5 BAS-5A
OMB NO: 0607-0152 EXPIRATION DATE: 04/30/2005 RESPS:15,043,756 HOURS:944,188 COSTS(000):$1,000 Shipper's Export Declaration (SED)/Automated Export System (AES) Program FORMS: 7525-V AES
OMB NO: 0607-0153 EXPIRATION DATE: 04/30/2004 RESPS:161,280 HOURS:40,320 COSTS(000):$0 Construction Project Reporting Surveys (Private Construction Projects (C-700), State and Local Governments Projects (C-700 (SL)), and Multifamily Residential Projects (C-700(R)) FORMS: C-700 C-700(SL) C-700(R)
OMB NO: 0607-0175 EXPIRATION DATE: 09/30/2004 RESPS:17,000 HOURS:38,250 COSTS(000):$0 Survey of Plant Capacity Utilization FORMS: MQC1
OMB NO: 0607-0179 EXPIRATION DATE: 11/30/2002 RESPS:57,600 HOURS:2,880 COSTS(000):$0 Housing Vacancy Survey (HVS) FORMS: NONE
OMB NO: 0607-0189 EXPIRATION DATE: 03/31/2003 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: 10/31/2004 RESPS:6,000 HOURS:2,364 COSTS(000):$0 Annual Trade Survey FORMS: SA-42 SA-42A
OMB NO: 0607-0206 EXPIRATION DATE: 08/31/2004 RESPS:5,835 HOURS:3,857 COSTS(000):$0 Current Industrial Reports (CIR) Program (WAVE II-Voluntary) FORMS: M327G M331J MQ311A MQ325A MQ325C MQ335F MQ335C MA311D MA333N MA335L
OMB NO: 0607-0350 EXPIRATION DATE: 03/31/2005 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: 0607-0368 EXPIRATION DATE: 05/31/2005 RESPS:851,525 HOURS:114,421 COSTS(000):$0 Special Census Program FORMS: SC-1 SC-1SUPP SC-2 SC-920 SC-116 SC-351 SC-921(HU) SC-921(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: 08/31/2004 RESPS:24,012 HOURS:16,954 COSTS(000):$0 Current Industrial Reports Program (WAVE-II - Mandatory) FORMS: MA316A MA321T MA325G M311J M311L M313N M313P MQ314X MQ315A MQ333W
OMB NO: 0607-0404 EXPIRATION DATE: 05/31/2005 RESPS:500 HOURS:59 COSTS(000):$0 Field Representative Exit Questionnaire, Enumerator Exit Questionnaire FORMS: BC-1294 BC-1294(D)
OMB NO: 0607-0422 EXPIRATION DATE: 11/30/2002 RESPS:50,000 HOURS:39,822 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: 07/31/2004 RESPS:37,800 HOURS:77,708 COSTS(000):$0 Quarterly Financial Report (QFR) FORMS: QFR-101(MG) 101A(MG) 102(TR) 103(NB)
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: 0607-0452 EXPIRATION DATE: 01/31/2005 RESPS:96,591 HOURS:82,520 COSTS(000):$0 Government Employment Forms FORMS: E-1 E-2 E-3 E-4 E-5 E-6 E-7 E-9
OMB NO: 0607-0459 EXPIRATION DATE: 09/30/2004 RESPS:30 HOURS:15 COSTS(000):$0 School Enrollment Report FORMS: P-4
OMB NO: 0607-0464 EXPIRATION DATE: 08/31/2004 RESPS:57,000 HOURS:3,325 COSTS(000):$0 The October 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: 0607-0585 EXPIRATION DATE: 03/31/2005 RESPS:47,981 HOURS:115,076 COSTS(000):$0 Governments - Finance Forms FORMS: F-5 F-11 F-12 F-13 F-21 F-22 F-25 F-28 F-29 F-32
OMB NO: 0607-0610 EXPIRATION DATE: 08/31/2002 RESPS:30,000 HOURS:250 COSTS(000):$0 CPS, June 2002 Fertililty Supplement FORMS: NONE
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: 08/31/2004 RESPS:5,500 HOURS:5,500 COSTS(000):$0 Questionnaire Pretesting Research FORMS: NONE
OMB NO: 0607-0757 EXPIRATION DATE: 08/31/2002 RESPS:19,200 HOURS:11,200 COSTS(000):$0 2002 New York City Housing and Vacancy Survey FORMS: H-100 H-105 H-108 H-100(L) H-100L(A)
OMB NO: 0607-0760 EXPIRATION DATE: 09/30/2004 RESPS:8,000 HOURS:4,000 COSTS(000):$0 Data User Evaluation Surveys FORMS: VARIOUS
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: 0607-0809 EXPIRATION DATE: 04/30/2004 RESPS:114,500 HOURS:3,725 COSTS(000):$0 MAF and TIGER Update Activities FORMS: NONE
OMB NO: 0607-0810 EXPIRATION DATE: 01/31/2003 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: 02/28/2003 RESPS:41,990 HOURS:25,138 COSTS(000):$0 2002 Survey of Program Dynamics (SPD) FORMS: SPD-22005 SPD-22105(L) SPD-22107(L) SPD-221103(L) SPD-22113(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: 0607-0872 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: 0607-0875 EXPIRATION DATE: 02/29/2004 RESPS:243,750 HOURS:121,478 COSTS(000):$0 2001 Panel of the Survey of Income and Program Participation, Wave 5 Topical Modules FORMS: SIPP-21505(L) SIPP/CAPI SIPP-21003
OMB NO: 0607-0877 EXPIRATION DATE: 12/31/2002 RESPS:3,039 HOURS:1,520 COSTS(000):$0 2002 Census of Governments Prelist Survey of Special Districts FORMS: G-24
OMB NO: 0607-0879 EXPIRATION DATE: 09/30/2003 RESPS:3,000 HOURS:15,600 COSTS(000):$0 Census 2000 Count Question Resolution Program FORMS: NONE
OMB NO: 0607-0880 EXPIRATION DATE: 06/30/2004 RESPS:480,000 HOURS:1 COSTS(000):$0 2002 Economic Census Covering the Wholesale Trade Sector FORMS: SEE-ATTACHED
OMB NO: 0607-0881 EXPIRATION DATE: 06/30/2004 RESPS:1,615,029 HOURS:1 COSTS(000):$0 2002 Economic Census Covering the Retail Trade and Accommodation and Food Services Sectors FORMS: SEE-ATTACHED
OMB NO: 0607-0882 EXPIRATION DATE: 07/31/2004 RESPS:633,007 HOURS:1 COSTS(000):$0 2002 Economic Census Covering Utilities; Transportation and Warehousing; Finance and Insurance, and Real Estate and Rental and Leasing Sectors FORMS: SEE-ATTACHED
OMB NO: 0607-0883 EXPIRATION DATE: 07/31/2004 RESPS:160,000 HOURS:13,333 COSTS(000):$0 2002 Economic Census Classification Report FORMS: NC-99026
OMB NO: 0607-0884 EXPIRATION DATE: 07/31/2004 RESPS:400,000 HOURS:38,333 COSTS(000):$0 2002 Economic Census General Classification Report FORMS: NC-99023 NC-99023-L-1 NC-99023-L-11 NC-99500
OMB NO: 0607-0885 EXPIRATION DATE: 11/30/2002 RESPS:57,000 HOURS:7,600 COSTS(000):$0 Current Population Survey, September 2001 Computer and Internet Use Supplement FORMS: CPS-263(L) BC-1428
OMB NO: 0607-0886 EXPIRATION DATE: 08/31/2004 RESPS:2,442,300 HOURS:1 COSTS(000):$0 2002 Economic Census Ownership or Control Flier FORMS: SEE-ATTACHED
OMB NO: 0607-0887 EXPIRATION DATE: 09/30/2004 RESPS:1,556,857 HOURS:1 COSTS(000):$0 2002 Economic Census Covering Information; Professional, Scientific, and Technical Services; Management of Companies and Enterprise; Administrative and Support and Waste Management ... FORMS: SEE-ATTACHED
OMB NO: 0607-0888 EXPIRATION DATE: 09/30/2004 RESPS:90,000 HOURS:22,500 COSTS(000):$0 2002 Census of Governments Local Government Directory Survey FORMS: G-26 G-28 G-29 G-30 G-32 G-33
OMB NO: 0607-0889 EXPIRATION DATE: 10/31/2004 RESPS:200,000 HOURS:400,000 COSTS(000):$0 2002 Economic Census - Commodity Flow Survey (CFS) FORMS: CFS-1000
OMB NO: 0607-0890 EXPIRATION DATE: 09/30/2002 RESPS:10,000 HOURS:2,500 COSTS(000):$0 2001 Survey of Business Owners and Self-Employed Persons (Pretest) FORMS: SBO-1 SBO-2
OMB NO: 0607-0892 EXPIRATION DATE: 08/31/2004 RESPS:135,300 HOURS:1 COSTS(000):$0 2002 Vehicle Inventory and Use Survey FORMS: TC-9501 TC-9502
OMB NO: 0607-0893 EXPIRATION DATE: 08/31/2004 RESPS:130,000 HOURS:1 COSTS(000):$0 2002 Economic Census Covering the Construction Sector FORMS: CC-23601 CC-23701 CC-23702 CC-23703 CC-23801 CC-23802 CC-23803 CC-23804 CC-23806 CC-23807
OMB NO: 0607-0894 EXPIRATION DATE: 06/30/2004 RESPS:61,500 HOURS:1 COSTS(000):$0 2002 Economic Census of Puerto Rico and Island Areas, covering Puerto Rico, U.S. Virgin Islands, Guam, the Commonwealth of the Northern Mariana Islands, and American Samoa FORMS: OA-97120 OA-97220 OA-97123 OA-97223 OA-97130 OA-97230 OA-97142 OA-97242 OA-97144 OA-97244
OMB NO: 0607-0898 EXPIRATION DATE: 06/30/2002 RESPS:57,000 HOURS:1,283 COSTS(000):$0 CPS, May 2002 Race and Ethnicity Supplement FORMS: NONE
Economic and Statistical AnalysisSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
68 28,024,152 3,360,880 $1,266
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: 10/31/2004 RESPS:248 HOURS:1,148 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: 05/31/2004 RESPS:160 HOURS:640 COSTS(000):$0 Foreign Ocean Carriers' Expenses in the United States FORMS: BE-29
OMB NO: 0608-0013 EXPIRATION DATE: 05/31/2004 RESPS:72 HOURS:360 COSTS(000):$0 Foreign Airline Operators' Revenues and Expenses in the United States FORMS: BE-36
OMB NO: 0608-0015 EXPIRATION DATE: 12/31/2004 RESPS:155 HOURS:700 COSTS(000):$0 Annual Survey of Construction, Engineering, Architectural, and Mining Services Provided by U.S. Firms to Unaffiliated Foreign Persons FORMS: BE-47
OMB NO: 0608-0016 EXPIRATION DATE: 10/31/2004 RESPS:325 HOURS:1,300 COSTS(000):$0 Annual Survey of Reinsurance and Other Insurance Transactions by US Insurance Companies with Foreign Persons FORMS: 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: 10/31/2004 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-15(SUPP-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: 0608-0058 EXPIRATION DATE: 10/31/2004 RESPS:1,100 HOURS:13,200 COSTS(000):$0 Benchmark Survey of Selected Services Transactions with Unaffili- ated Foreign Persons FORMS: 20
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
OMB NO: 0608-0064 EXPIRATION DATE: 12/31/2003 RESPS:1 HOURS:800 COSTS(000):$0 STAT-USA Customer Satisfaction Survey FORMS: NONE
Economic Development AdministrationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
18 82,241 817,069 $0
OMB NO: 0610-0091 EXPIRATION DATE: 03/31/2005 RESPS:193 HOURS:1,544 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
OMB NO: 0610-0097 EXPIRATION DATE: 02/29/2004 RESPS:50 HOURS:150 COSTS(000):$1 Award for Excellence in Economic Development FORMS: NONE
International Trade AdministrationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
6 4,973 119,474 $180
OMB NO: 0625-0035 EXPIRATION DATE: 05/31/2005 RESPS:2,000 HOURS:1,000 COSTS(000):$0 Product Characteristics-Design Check-Off Lists FORMS: ITA-426P
OMB NO: 0625-0037 EXPIRATION DATE: 07/31/2004 RESPS:50 HOURS:100 COSTS(000):$0 Request for Duty-Free Entry of Scientific Instrument or Apparatus FORMS: ITA-338P
OMB NO: 0625-0039 EXPIRATION DATE: 03/31/2005 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: 05/31/2005 RESPS:4,000 HOURS:3,000 COSTS(000):$0 Marketing Data Form FORMS: ITA-466P
OMB NO: 0625-0055 EXPIRATION DATE: 08/31/2004 RESPS:40 HOURS:40 COSTS(000):$0 NATO ICB Bidders List Application FORMS: ITA-4023P
OMB NO: 0625-0061 EXPIRATION DATE: 06/30/2002 RESPS:2,200 HOURS:733 COSTS(000):$0 Commercial News USA FORMS: ITA-4063P
OMB NO: 0625-0065 EXPIRATION DATE: 07/31/2004 RESPS:60 HOURS:1,644 COSTS(000):$0 Application for the President's "E" and "E Star" Awards for Export Expansion FORMS: 725A
OMB NO: 0625-0105 EXPIRATION DATE: 06/30/2002 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: 12/31/2004 RESPS:150 HOURS:13,352 COSTS(000):$0 Annual Report from Foreign-Trade Zones FORMS: ITA-359P
OMB NO: 0625-0118 EXPIRATION DATE: 10/31/2004 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: 06/30/2002 RESPS:9,500 HOURS:4,750 COSTS(000):$0 Export Trading Companies Contact Facilitation Service FORMS: ITA-4094P
OMB NO: 0625-0125 EXPIRATION DATE: 06/30/2002 RESPS:30 HOURS:960 COSTS(000):$0 Application for an Export Trade Certificate of Review FORMS: ITA-4093P
OMB NO: 0625-0130 EXPIRATION DATE: 05/31/2005 RESPS:90 HOURS:900 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: 12/31/2004 RESPS:100 HOURS:9,314 COSTS(000):$0 Foreign-Trade Zone Application FORMS: NONE
OMB NO: 0625-0143 EXPIRATION DATE: 06/30/2002 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: 06/30/2002 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: 05/31/2005 RESPS:60 HOURS:60 COSTS(000):$0 Certified Trade Mission: Application for Status FORMS: ITA-4127P
OMB NO: 0625-0217 EXPIRATION DATE: 06/30/2002 RESPS:22,356 HOURS:3,560 COSTS(000):$0 User Satisfaction Surveys FORMS: ITA-4107P ITA-4110P
OMB NO: 0625-0220 EXPIRATION DATE: 03/31/2005 RESPS:430 HOURS:205 COSTS(000):$0 Advocacy Questionnaire FORMS: ITA-4133P
OMB NO: 0625-0224 EXPIRATION DATE: 10/31/2004 RESPS:265 HOURS:465 COSTS(000):$0 American Management and Business Internship Training (AMBIT) Program: Applications FORMS: NONE
OMB NO: 0625-0225 EXPIRATION DATE: 10/31/2004 RESPS:2,800 HOURS:6,088 COSTS(000):$0 SABIT: Applications and Questionnaires FORMS: NONE
OMB NO: 0625-0227 EXPIRATION DATE: 06/30/2002 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: 09/30/2004 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: 05/31/2004 RESPS:1,500 HOURS:550 COSTS(000):$0 Information for Certification Under FAQ 6 of the Safe Harbor Privacy Principles FORMS: NONE
OMB NO: 0625-0240 EXPIRATION DATE: 07/31/2004 RESPS:68 HOURS:352 COSTS(000):$0 Imports of Certain Worsted Wool Fabric: Implementation of Tariff Rate Quotas Established Under Title VI of the Trade and Development Act of 2000. FORMS: ITA-4139P ITA-4140P
OMB NO: 0625-0241 EXPIRATION DATE: 04/30/2004 RESPS:200 HOURS:33 COSTS(000):$0 Non-Tariffs Barriers Survey FORMS: NONE
Minority Business Development AgencySUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
37 77,857 81,488 $0
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
National Oceanic and Atmospheric AdministrationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
1 40,046 10,046 $0
OMB NO: 0648-0007 EXPIRATION DATE: 07/31/2004 RESPS:100 HOURS:50 COSTS(000):$0 Coast Pilot Report FORMS: FORM-77-6
OMB NO: 0648-0009 EXPIRATION DATE: 03/31/2005 RESPS:760 HOURS:62 COSTS(000):$0 Billfish Tagging Report FORMS: 88-162
OMB NO: 0648-0012 EXPIRATION DATE: 04/30/2005 RESPS:1,250 HOURS:10,000 COSTS(000):$5 Fisheries Finance Program Requirements FORMS: 88-1
OMB NO: 0648-0013 EXPIRATION DATE: 08/31/2004 RESPS:19,812 HOURS:3,171 COSTS(000):$0 Southeast Region Dealer and Interview Family of Forms FORMS: NONE
OMB NO: 0648-0015 EXPIRATION DATE: 10/31/2004 RESPS:1,236 HOURS:165 COSTS(000):$0 Monthly Cold Storage Report FORMS: 88-16
OMB NO: 0648-0016 EXPIRATION DATE: 12/31/2003 RESPS:63,849 HOURS:14,086 COSTS(000):$0 Southeast Region Logbook Family of Forms FORMS: NONE
OMB NO: 0648-0018 EXPIRATION DATE: 12/31/2004 RESPS:1,400 HOURS:680 COSTS(000):$0 Processed Products Family of Forms FORMS: 88-13 88-13C
OMB NO: 0648-0020 EXPIRATION DATE: 05/31/2003 RESPS:750 HOURS:63 COSTS(000):$0 Pacific Billfish Angler Survey FORMS: 88-10
OMB NO: 0648-0021 EXPIRATION DATE: 06/30/2004 RESPS:1,600 HOURS:213 COSTS(000):$0 Small-Craft Facility Questionnaire FORMS: NOAA-FORM-77-1
OMB NO: 0648-0022 EXPIRATION DATE: 12/31/2004 RESPS:15,000 HOURS:45,000 COSTS(000):$0 Cooperative Charting Programs FORMS: 77-4 77-5
OMB NO: 0648-0025 EXPIRATION DATE: 09/30/2004 RESPS:110 HOURS:330 COSTS(000):$0 Weather Modification Activities Reports FORMS: 17-4 17-4A 17-4B
OMB NO: 0648-0040 EXPIRATION DATE: 01/31/2004 RESPS:1,550 HOURS:390 COSTS(000):$1 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: 11/30/2004 RESPS:770,504 HOURS:34,887 COSTS(000):$0 Marine Recreational Fisheries Statistics Survey FORMS: NONE
OMB NO: 0648-0075 EXPIRATION DATE: 07/31/2004 RESPS:2,350 HOURS:422 COSTS(000):$0 Foreign Fishing Reporting Requirements FORMS: NONE
OMB NO: 0648-0082 EXPIRATION DATE: 10/31/2004 RESPS:400 HOURS:2,017 COSTS(000):$1 Fishermen's Contingency Fund FORMS: 88-164 88-166
OMB NO: 0648-0084 EXPIRATION DATE: 07/31/2003 RESPS:604 HOURS:6,476 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: 03/31/2005 RESPS:25 HOURS:25 COSTS(000):$9 Foreign Fishing Vessel Permit Applications FORMS: NONE
OMB NO: 0648-0090 EXPIRATION DATE: 06/30/2004 RESPS:1,000 HOURS:2,250 COSTS(000):$3 Interim Capital Construction Fund Agreement and Certificate Family of Forms FORMS: NOAA-FORM-88-14
OMB NO: 0648-0119 EXPIRATION DATE: 11/30/2004 RESPS:195 HOURS:6,598 COSTS(000):$0 Coastal Zone Management Program Administration FORMS: NONE
OMB NO: 0648-0121 EXPIRATION DATE: 05/31/2004 RESPS:32 HOURS:14,180 COSTS(000):$31 Management and Oversight of the National Estuarine Research Reserve System FORMS: NONE
OMB NO: 0648-0135 EXPIRATION DATE: 10/31/2004 RESPS:310 HOURS:985 COSTS(000):$3 Saltonstall-Kennedy Grant Program (S-K Program) Applications and Reports FORMS: 88-204 88-205
OMB NO: 0648-0141 EXPIRATION DATE: 04/30/2005 RESPS:801 HOURS:1,018 COSTS(000):$1 National Marine Sanctuary Permits FORMS: NONE
OMB NO: 0648-0145 EXPIRATION DATE: 05/31/2005 RESPS:2 HOURS:40 COSTS(000):$0 Deep Seabed Mining Regulations for Exploration Licenses FORMS: NONE
OMB NO: 0648-0148 EXPIRATION DATE: 08/31/2004 RESPS:1,175 HOURS:117 COSTS(000):$0 Pacific Tuna Fisheries Logbook FORMS: NONE
OMB NO: 0648-0151 EXPIRATION DATE: 03/31/2004 RESPS:78 HOURS:7,512 COSTS(000):$1,673 Applications and Reporting Requirements for Small Takes of Marine Mammals by Specified Activities Under the Marine Mammal Protection Act FORMS: NONE
OMB NO: 0648-0157 EXPIRATION DATE: 05/31/2004 RESPS:390 HOURS:440 COSTS(000):$0 NOAA Space-Based Data Collection System (DCS) Agreements FORMS: NONE
OMB NO: 0648-0174 EXPIRATION DATE: 03/31/2004 RESPS:67 HOURS:314 COSTS(000):$1 Licensing of Private Land Remote-Sensing Space Systems FORMS: NONE
OMB NO: 0648-0175 EXPIRATION DATE: 03/31/2005 RESPS:130 HOURS:145 COSTS(000):$0 Marine Fisheries Initiative (MARFIN) Research and Development Grant and Cooperative Agreement Applications FORMS: NONE
OMB NO: 0648-0178 EXPIRATION DATE: 03/31/2004 RESPS:4,800 HOURS:1,600 COSTS(000):$2 Marine Mammal Stranding Report/Marine Mammal Rehabilitation Disposition Report FORMS: FORM-89-864
OMB NO: 0648-0192 EXPIRATION DATE: 03/31/2005 RESPS:195 HOURS:110 COSTS(000):$0 Statement of Financial Interests, Regional Fishery Management Councils FORMS: 88-195
OMB NO: 0648-0194 EXPIRATION DATE: 02/29/2004 RESPS:841 HOURS:149 COSTS(000):$2 Antarctic Marine Living Resources Conservation and Management Measures FORMS: NONE
OMB NO: 0648-0202 EXPIRATION DATE: 03/31/2004 RESPS:599,918 HOURS:21,332 COSTS(000):$1,368 Northeast Region Permit Family of Forms 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:12,126 HOURS:2,750 COSTS(000):$585 Southeast Region Permit Family of Forms FORMS: NONE
OMB NO: 0648-0206 EXPIRATION DATE: 09/30/2003 RESPS:941 HOURS:492 COSTS(000):$1 Alaska Region Permit Family of Forms FORMS: NONE
OMB NO: 0648-0212 EXPIRATION DATE: 06/30/2002 RESPS:80,648 HOURS:6,477 COSTS(000):$30 Northeast Region Logbook Family of Forms FORMS: FORM-88-30 FORM-88-140
OMB NO: 0648-0213 EXPIRATION DATE: 06/30/2002 RESPS:82,450 HOURS:45,086 COSTS(000):$211 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: 10/31/2004 RESPS:400 HOURS:43 COSTS(000):$0 Billfish Certificate of Eligibility FORMS: NONE
OMB NO: 0648-0218 EXPIRATION DATE: 07/31/2004 RESPS:672 HOURS:430 COSTS(000):$73 South Pacific Tuna Act FORMS: NONE
OMB NO: 0648-0223 EXPIRATION DATE: 03/31/2005 RESPS:400 HOURS:400 COSTS(000):$0 Pacific Albacore Logbook FORMS: 88-197
OMB NO: 0648-0227 EXPIRATION DATE: 10/31/2004 RESPS:300 HOURS:50 COSTS(000):$0 NOAA Satelite Ground Station Customer Questionnaire FORMS: NONE
OMB NO: 0648-0229 EXPIRATION DATE: 06/30/2002 RESPS:6,214 HOURS:3,572 COSTS(000):$0 Northeast Region Dealer Purchase Reports FORMS: NOAA-FORM-88-30
OMB NO: 0648-0230 EXPIRATION DATE: 03/31/2005 RESPS:24 HOURS:1,048 COSTS(000):$1 Permits for Incidental Taking of Endangered or Threatened Species 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: 0648-0243 EXPIRATION DATE: 04/30/2005 RESPS:40 HOURS:3 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: 04/30/2005 RESPS:12,000 HOURS:360 COSTS(000):$0 Cooperative Game Fish Tagging Report FORMS: 88-162
OMB NO: 0648-0259 EXPIRATION DATE: 08/31/2004 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: 0648-0269 EXPIRATION DATE: 10/31/2004 RESPS:8,157 HOURS:3,746 COSTS(000):$1 Western Alaska Community Development Quota 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: 03/31/2005 RESPS:46,718 HOURS:13,249 COSTS(000):$82 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: 03/31/2004 RESPS:420 HOURS:309 COSTS(000):$1 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:6,000 HOURS:1,120 COSTS(000):$101 Application for Commercial Fisheries Authorization under Section FORMS: NONE
OMB NO: 0648-0295 EXPIRATION DATE: 11/30/2004 RESPS:10,000 HOURS:2,500 COSTS(000):$3 Emergency Beacon Registrations FORMS: NONE
OMB NO: 0648-0304 EXPIRATION DATE: 03/31/2005 RESPS:200 HOURS:100 COSTS(000):$10 High Seas Fishing Permit Application Information 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: 03/31/2005 RESPS:6,841 HOURS:733 COSTS(000):$0 Prohibited Species Donation 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: 0648-0329 EXPIRATION DATE: 02/29/2004 RESPS:72 HOURS:36 COSTS(000):$0 Foreign Fishing Vessels Operating in Internal Waters FORMS: NONE
OMB NO: 0648-0330 EXPIRATION DATE: 02/29/2004 RESPS:8,002 HOURS:3,508 COSTS(000):$6 At-Sea Scale Certification Program 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: 0648-0335 EXPIRATION DATE: 03/31/2004 RESPS:4,000 HOURS:1,033 COSTS(000):$0 Fisheries Certificate of Origin FORMS: NOAA-FORM-370
OMB NO: 0648-0338 EXPIRATION DATE: 10/31/2004 RESPS:25 HOURS:15 COSTS(000):$0 Implantation and Recovery of Archival Tags FORMS: NONE
OMB NO: 0648-0342 EXPIRATION DATE: 07/31/2004 RESPS:70,000 HOURS:1,800 COSTS(000):$0 NOAA Customer Surveys FORMS: NONE
OMB NO: 0648-0345 EXPIRATION DATE: 03/31/2005 RESPS:4,926 HOURS:7,500 COSTS(000):$338 Southeast Region Bycatch Reduction Device Certification Family of Forms FORMS: NONE
OMB NO: 0648-0348 EXPIRATION DATE: 03/31/2005 RESPS:50 HOURS:37 COSTS(000):$1 High Seas Fishing Vessel Identification Requirements FORMS: NONE
OMB NO: 0648-0349 EXPIRATION DATE: 03/31/2005 RESPS:15,000 HOURS:850 COSTS(000):$2 High Seas Fishing Vessel Reporting Requirements FORMS: NONE
OMB NO: 0648-0350 EXPIRATION DATE: 10/31/2004 RESPS:5,821 HOURS:4,363 COSTS(000):$58 Northeast Region Vessel Identification Requirements FORMS: NONE
OMB NO: 0648-0351 EXPIRATION DATE: 10/31/2004 RESPS:1,950,283 HOURS:32,664 COSTS(000):$32 Northeast Region Gear Identification Requirements FORMS: NONE
OMB NO: 0648-0352 EXPIRATION DATE: 04/30/2005 RESPS:12,317 HOURS:3,079 COSTS(000):$3 Northwest Region Gear Identification Requirements FORMS: NONE
OMB NO: 0648-0353 EXPIRATION DATE: 07/31/2004 RESPS:15,000 HOURS:3,750 COSTS(000):$4 Alaska Region Gear Identification Requirements FORMS: NONE
OMB NO: 0648-0354 EXPIRATION DATE: 03/31/2005 RESPS:1 HOURS:1 COSTS(000):$0 Foreign Fishing Gear Identification Requirements FORMS: NONE
OMB NO: 0648-0355 EXPIRATION DATE: 03/31/2005 RESPS:1,984 HOURS:1,488 COSTS(000):$69 Northwest Region Vessel Identification Requirements FORMS: NONE
OMB NO: 0648-0356 EXPIRATION DATE: 03/31/2005 RESPS:10 HOURS:8 COSTS(000):$0 Foreign Fishing Vessel Identification Requirements FORMS: NONE
OMB NO: 0648-0357 EXPIRATION DATE: 09/30/2004 RESPS:1,225 HOURS:21 COSTS(000):$1 Gear-Marking Requirements for the Harbor Porpoise Take Reduction Plan FORMS: NONE
OMB NO: 0648-0358 EXPIRATION DATE: 04/30/2005 RESPS:7,000 HOURS:5,350 COSTS(000):$214 Southeast Region Vessel Identification Requirements FORMS: NONE
OMB NO: 0648-0359 EXPIRATION DATE: 04/30/2005 RESPS:112,700 HOURS:2,192 COSTS(000):$15 Southeast Region Gear Identification Requirements FORMS: NONE
OMB NO: 0648-0360 EXPIRATION DATE: 10/31/2004 RESPS:42,600 HOURS:1,420 COSTS(000):$23 Southwest Region Gear Identification Requirements FORMS: NONE
OMB NO: 0648-0361 EXPIRATION DATE: 12/31/2004 RESPS:436 HOURS:286 COSTS(000):$7 Southwest Region Vessel Identification Requirements FORMS: NONE
OMB NO: 0648-0362 EXPIRATION DATE: 09/30/2004 RESPS:1,611 HOURS:580 COSTS(000):$1 Sea Grant Program Application Requirements for Grants, for John A. Knauss Marine Policy Fellowships, and for Designation as a Sea Grant College or Regional Consortia FORMS: 90-1 90-2 90-4
OMB NO: 0648-0363 EXPIRATION DATE: 12/31/2004 RESPS:5,700 HOURS:5,700 COSTS(000):$0 Swordfish Import Certificate of Eligibility FORMS: NONE
OMB NO: 0648-0367 EXPIRATION DATE: 03/31/2005 RESPS:1 HOURS:10 COSTS(000):$0 Gear-Marking Requirements in Antarctic Fisheries 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:224 HOURS:2,680 COSTS(000):$4 Limits on Application of Take Prohibitions 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: 02/29/2004 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: 01/31/2004 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: 04/30/2005 RESPS:6,912 HOURS:230 COSTS(000):$2 Northeast Region Raised Footrope Trawal 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: 0648-0424 EXPIRATION DATE: 02/29/2004 RESPS:207 HOURS:37 COSTS(000):$0 Northeast Region Lobster-Black Sea Bass Area 5 Waiver Requirements FORMS: NONE
OMB NO: 0648-0425 EXPIRATION DATE: 03/31/2004 RESPS:1,944,000 HOURS:3,600 COSTS(000):$225 AFA Pollock Fishery Vessel Monitoring System FORMS: NONE
OMB NO: 0648-0427 EXPIRATION DATE: 03/31/2004 RESPS:100 HOURS:8 COSTS(000):$1 Hunger Relief Donation in the At-Sea Whiting Fishery FORMS: NONE
OMB NO: 0648-0428 EXPIRATION DATE: 03/31/2004 RESPS:134 HOURS:1,072 COSTS(000):$0 Commercial Operator's Annual Report (COAR) FORMS: NONE
OMB NO: 0648-0431 EXPIRATION DATE: 05/31/2004 RESPS:420 HOURS:564 COSTS(000):$2 Eastern Pacific Tuna Vessel Register Information FORMS: NONE
OMB NO: 0648-0432 EXPIRATION DATE: 08/31/2004 RESPS:2,020 HOURS:3,517 COSTS(000):$3 Dr. Nancy Foster Scholarship Program FORMS: CD-346
OMB NO: 0648-0433 EXPIRATION DATE: 09/30/2004 RESPS:40 HOURS:10 COSTS(000):$0 Reporting Requirements for the Ocean Salmon Fishery off the Coasts of Washington, Oregon, and California FORMS: NONE
OMB NO: 0648-0435 EXPIRATION DATE: 09/30/2002 RESPS:787 HOURS:316 COSTS(000):$0 Survey to Measure Effectiveness of Community-Oriented Policing for ESA Enforcement FORMS: NONE
OMB NO: 0648-0439 EXPIRATION DATE: 07/31/2004 RESPS:435 HOURS:154 COSTS(000):$0 North Carolina and Louisiana Commerical King and/or Spanish Mackerel Fishermen Pilot Economic Survey FORMS: NONE
OMB NO: 0648-0440 EXPIRATION DATE: 04/30/2005 RESPS:430 HOURS:2,150 COSTS(000):$4 Coastal Impact Assistance Program: Project Review Checklist FORMS: NONE
OMB NO: 0648-0441 EXPIRATION DATE: 07/31/2004 RESPS:1,445,568 HOURS:743 COSTS(000):$0 Vessel Monitoring System Requirements in the Western Pacific Pelagic Longline Fishery FORMS: NONE
OMB NO: 0648-0442 EXPIRATION DATE: 08/31/2004 RESPS:175 HOURS:44 COSTS(000):$0 Observer Workshop/Conference Survey FORMS: NONE
OMB NO: 0648-0445 EXPIRATION DATE: 06/30/2002 RESPS:6,985,979 HOURS:13,044 COSTS(000):$811 NMFS Alaska Region Vessel Monitoring System (VMS) Program FORMS: NONE
OMB NO: 0648-0446 EXPIRATION DATE: 03/31/2005 RESPS:1,000 HOURS:83 COSTS(000):$0 Atlantic Billfish and Swordfish Recreational Landings Call-in Report FORMS: NONE
OMB NO: 0648-0447 EXPIRATION DATE: 04/30/2005 RESPS:4,160 HOURS:1,048 COSTS(000):$0 Alaska Marine Sport Fishing Economics Survey FORMS: NONE
OMB NO: 0648-0448 EXPIRATION DATE: 03/31/2005 RESPS:78 HOURS:78 COSTS(000):$2 Coral Reef Conservation Program Administration FORMS: NONE
OMB NO: 0648-0449 EXPIRATION DATE: 03/31/2005 RESPS:1,000 HOURS:5,000 COSTS(000):$0 Data Collection on Marine Protected and Managed Areas FORMS: NONE
OMB NO: 0648-0450 EXPIRATION DATE: 03/31/2005 RESPS:1,087 HOURS:789 COSTS(000):$8 American Lobster Requirements for Historical Participation in Areas 3, 4, and 5 FORMS: NONE
OMB NO: 0648-0451 EXPIRATION DATE: 05/31/2005 RESPS:3,100 HOURS:2,200 COSTS(000):$199 Southeast Region Reef Fish/Coastal Migratory Pelagic Charter Vessel Permit Issuance FORMS: NONE
Patent and Trademark OfficeSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
146 16,104,052 454,412 $15,306
OMB NO: 0651-0009 EXPIRATION DATE: 03/31/2005 RESPS:677,151 HOURS:137,030 COSTS(000):$930,471 TRADEMARK PROCESSING (proposed rulemaking, ELECTRONIC SUBMISSION OF APPLICATIONS FOR REGISTRATION AND OTHER DOCUMENTS) FORMS: 4.8/4.9/4.16147 8/1478(A)/1553 1581/1583/1963 2000 4.16/1583
OMB NO: 0651-0012 EXPIRATION DATE: 12/31/2002 RESPS:15,200 HOURS:6,138 COSTS(000):$0 Admittance To Practice and Roster of Registered Patent Attorneys Office FORMS: PTO-158 PTO-158A PTO-275 PTO-107A
OMB NO: 0651-0016 EXPIRATION DATE: 12/31/2002 RESPS:279,796 HOURS:22,340 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: 10/31/2004 RESPS:26,858 HOURS:30,903 COSTS(000):$5,976 Patent Term Extension FORMS: NONE
OMB NO: 0651-0021 EXPIRATION DATE: 12/31/2003 RESPS:331,407 HOURS:401,202 COSTS(000):$78,889,386 Patent Cooperation Treaty FORMS: RO/101/134/144 PTO/1382 PCT/IPEA/401 PCT/IB/328
OMB NO: 0651-0022 EXPIRATION DATE: 01/31/2004 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:6,060 HOURS:7,990 COSTS(000):$0 Requirements for Patent Applications Containing Nucelotide FORMS: NONE
OMB NO: 0651-0027 EXPIRATION DATE: 06/30/2002 RESPS:275,500 HOURS:137,750 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:80 HOURS:14 COSTS(000):$0 Fastener Quality Act Insignia Recordal Process FORMS: PTO-1611
OMB NO: 0651-0030 EXPIRATION DATE: 03/31/2005 RESPS:20,250 HOURS:4,050 COSTS(000):$203 Disclosure Document Program FORMS: PTO/SB/95
OMB NO: 0651-0031 EXPIRATION DATE: 10/31/2002 RESPS:2,247,270 HOURS:1,021,822 COSTS(000):$15,251 Patent Processing (Updating) FORMS: PTO/SB/08A/08B 21/22/23/24/25 26/27/30/31/35 36/42/43/61 61/PCT/62/63/64 64PCT/67/68/91 92/96/97 PTO/SB/32/37 PTO-2053-A/B PTO-2054-A/B
OMB NO: 0651-0032 EXPIRATION DATE: 10/31/2002 RESPS:319,350 HOURS:2,984,360 COSTS(000):$75,095 Intial Patent Application FORMS: PTO/SB/01/01A 02A/02B/02C/03 03A/04/05/06/07 13PCT/17/18/19 29/29A/101/102/ 103/104/105/106 107/108/109/110
OMB NO: 0651-0033 EXPIRATION DATE: 01/31/2004 RESPS:205,480 HOURS:63,640 COSTS(000):$1,540 Post Allowance and Refiling FORMS: PTO/SB/44/50/51 51S/52/53/55/56 57/58 PTOL-85B
OMB NO: 0651-0034 EXPIRATION DATE: 03/31/2004 RESPS:2,194 HOURS:1,523 COSTS(000):$0 Secrecy, License to export FORMS: NONE
OMB NO: 0651-0035 EXPIRATION DATE: 10/31/2002 RESPS:300,525 HOURS:15,694 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:73 HOURS:29 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: 05/31/2004 RESPS:61,572 HOURS:17,179 COSTS(000):$3,471 Trademark Trail and Appeal Board (TTAB) Actions (formerly PETITION TO CANCEL) FORMS: NONE
OMB NO: 0651-0041 EXPIRATION DATE: 06/30/2002 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
OMB NO: 0651-0046 EXPIRATION DATE: 03/31/2004 RESPS:187 HOURS:28 COSTS(000):$650 Legal Processes FORMS: NONE
OMB NO: 0651-0047 EXPIRATION DATE: 03/31/2004 RESPS:100 HOURS:150 COSTS(000):$0 Required and Optional Search Criteria for Computer Implemented Business Method Patent Applications in Class 705 FORMS: NONE
OMB NO: 0651-0048 EXPIRATION DATE: 03/31/2005 RESPS:400 HOURS:74 COSTS(000):$0 Native American Tribal Insignai Database FORMS: NONE
National Telecommunications and Information AdministrationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
27 4,900,892 4,887,809 $79,922,044
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: 04/30/2005 RESPS:252 HOURS:42 COSTS(000):$0 Technology Opportunities Program (TOP) Review Information Form FORMS: NONE
OMB NO: 0660-0013 EXPIRATION DATE: 04/30/2005 RESPS:210 HOURS:210 COSTS(000):$0 Technology Opportunities Program (TOP) Grant Recipient Survey FORMS: NONE
OMB NO: 0660-0015 EXPIRATION DATE: 03/31/2005 RESPS:50 HOURS:1,492 COSTS(000):$0 Performance Reorting System (PRS) for the Technology Opportunities Program (TOP) FORMS: NONE
Office of the SecretarySUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
5 2,928 49,830 $0
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: 0690-0017 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: 0690-0018 EXPIRATION DATE: 02/29/2004 RESPS:33,750 HOURS:2,812 COSTS(000):$0 Applicant Background Survey FORMS: NONE
OMB NO: 0690-0019 EXPIRATION DATE: 08/31/2004 RESPS:32,832 HOURS:32,832 COSTS(000):$0 Commerce Opportunity On-Line FORMS: NONE
Bureau of Economic AnalysisSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
4 66,882 36,849 $0
OMB NO: 0691-0001 EXPIRATION DATE: 07/31/2003 RESPS:7,500 HOURS:1,875 COSTS(000):$0 BEA Customer Satisfaction Survey FORMS: NONE
Technology AdministrationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
1 7,500 1,875 $0
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
National Institute of Standards and TechnologySUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
2 2,002 3,750 $0
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: 0693-0029 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
OMB NO: 0693-0036 EXPIRATION DATE: 08/31/2004 RESPS:30 HOURS:1,875 COSTS(000):$6 BEES Please FORMS: NONE
Bureau of Industry and SecuritySUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
11 62,421 54,932 $630,077
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: 10/31/2004 RESPS:2 HOURS:510 COSTS(000):$0 Foreign Availability Procedures and Criteria FORMS: NONE
OMB NO: 0694-0009 EXPIRATION DATE: 10/31/2004 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: 07/31/2004 RESPS:1,177 HOURS:1,298 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: 03/31/2005 RESPS:80 HOURS:43 COSTS(000):$0 Computers and Related Equipment FORMS: NONE
OMB NO: 0694-0016 EXPIRATION DATE: 08/31/2004 RESPS:100 HOURS:31 COSTS(000):$0 Delivery Vertification Procedure FORMS: BXA-647P
OMB NO: 0694-0017 EXPIRATION DATE: 05/31/2004 RESPS:585 HOURS:156 COSTS(000):$0 International Import Certificate FORMS: FORM-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: 08/31/2004 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: 04/30/2004 RESPS:35 HOURS:35 COSTS(000):$0 Short Supply Regulations - Unprocessed Western Red Cedar FORMS: NONE
OMB NO: 0694-0026 EXPIRATION DATE: 04/30/2005 RESPS:1 HOURS:1 COSTS(000):$0 Short Supply Regulations, Petroleum Products FORMS: NONE
OMB NO: 0694-0027 EXPIRATION DATE: 05/31/2004 RESPS:15 HOURS:104 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: 05/31/2004 RESPS:10 HOURS:10 COSTS(000):$0 License Exception, Humanitarian Donations FORMS: NONE
OMB NO: 0694-0047 EXPIRATION DATE: 03/31/2005 RESPS:2,896 HOURS:3,602 COSTS(000):$0 Technology Letter of Explanation FORMS: NONE
OMB NO: 0694-0051 EXPIRATION DATE: 07/31/2004 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):$0 Defense Priorities and Allocations System FORMS: NONE
OMB NO: 0694-0057 EXPIRATION DATE: 03/31/2004 RESPS:1,200 HOURS:600 COSTS(000):$0 Request for Special Priorities Assistance FORMS: BXA-999
OMB NO: 0694-0058 EXPIRATION DATE: 08/31/2004 RESPS:80 HOURS:800 COSTS(000):$0 Procedure for Voluntary Self-Disclosure of Violations of the Export Administration Regulations FORMS: NONE
OMB NO: 0694-0073 EXPIRATION DATE: 05/31/2005 RESPS:22 HOURS:78 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: 04/30/2005 RESPS:14,137 HOURS:12,729 COSTS(000):$105 Multipurpose Application FORMS: BXA-748P
OMB NO: 0694-0089 EXPIRATION DATE: 07/31/2004 RESPS:867 HOURS:1,017 COSTS(000):$0 Special Comprehensive License FORMS: BXA-748P BXA-752P
OMB NO: 0694-0091 EXPIRATION DATE: 12/31/2002 RESPS:792 HOURS:27,020 COSTS(000):$43,732 Chemical Weapons Convention Declaration Forms, Inspections and 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: 10/31/2004 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: 04/30/2005 RESPS:6,900 HOURS:1,957 COSTS(000):$0 Import Certificates and End-User Certificates FORMS: NONE
OMB NO: 0694-0096 EXPIRATION DATE: 10/31/2004 RESPS:201,177 HOURS:249 COSTS(000):$0 Five 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: 05/31/2004 RESPS:35 HOURS:875 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:1,372 COSTS(000):$0 Commercial Encryption Items under the Jurisdiction of the FORMS: BXA-748P
OMB NO: 0694-0106 EXPIRATION DATE: 07/31/2004 RESPS:3,050 HOURS:559 COSTS(000):$0 Reporting and Recordkeeping Requirements under the Wassenaar Arrangement FORMS: NONE
OMB NO: 0694-0107 EXPIRATION DATE: 03/31/2005 RESPS:140 HOURS:35 COSTS(000):$0 National Defense Authorization Act FORMS: BXA-742R BXA-742S
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: 08/31/2002 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: 0694-0117 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: 0694-0119 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
OMB NO: 0694-0123 EXPIRATION DATE: 03/31/2005 RESPS:100 HOURS:93 COSTS(000):$0 Prior Notification of Exports Under License Exception AGR FORMS: BXA-748P
OMB NO: 0694-0124 EXPIRATION DATE: 10/31/2002 RESPS:4,000 HOURS:667 COSTS(000):$0 BXA Program Questionnaire FORMS: NONE
OMB NO: 0694-0125 EXPIRATION DATE: 11/30/2002 RESPS:4,000 HOURS:667 COSTS(000):$0 BXA Program Evaluation FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
46 3,094,746 199,652 $43,897
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
373 52,473,402 10,078,744 $80,612,770
OMB NO: 0701-0001 EXPIRATION DATE: 10/31/2003 RESPS:2,900 HOURS:8,700 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: 09/30/2004 RESPS:16,200 HOURS:8,100 COSTS(000):$0 Nomination for Appointment to the United States Military Academy, Naval Academy, and Air Force Academy FORMS: DD-1870
OMB NO: 0701-0050 EXPIRATION DATE: 02/29/2004 RESPS:3,600 HOURS:1,800 COSTS(000):$0 Civil Aircraft Landing Permit System FORMS: DD-2400 DD-2401 DD-2402
OMB NO: 0701-0063 EXPIRATION DATE: 01/31/2004 RESPS:7,010 HOURS:5,258 COSTS(000):$0 Air Force Academy Candidate Activities Record FORMS: USAF-147
OMB NO: 0701-0064 EXPIRATION DATE: 01/31/2004 RESPS:7,233 HOURS:3,617 COSTS(000):$0 Air Force Academy Candidate Personal Data Record FORMS: USAFA-146
OMB NO: 0701-0066 EXPIRATION DATE: 02/29/2004 RESPS:6,954 HOURS:3,477 COSTS(000):$0 Air Force Academy Request for Secondary School Transcript FORMS: USAFA-148
OMB NO: 0701-0070 EXPIRATION DATE: 01/31/2004 RESPS:30,000 HOURS:2,666 COSTS(000):$0 Family Support Center Information FORMS: AIR-FORCE-2800 AIR-FORCE-2801 AIR-FORCE-2805
OMB NO: 0701-0078 EXPIRATION DATE: 01/31/2004 RESPS:3,600 HOURS:3,600 COSTS(000):$0 Health Professions Accessions Forms FORMS: AETC-1402 AETC-1437
OMB NO: 0701-0079 EXPIRATION DATE: 12/31/2003 RESPS:110,231 HOURS:69,105 COSTS(000):$0 Non-Prior Service and Prior Service Accessions FORMS: AETC-1319 AETC-1325 AETC-1419
OMB NO: 0701-0080 EXPIRATION DATE: 01/31/2004 RESPS:1,200 HOURS:1,500 COSTS(000):$0 Air Force Officer Training School (OTS) Accession Forms FORMS: AETC-1413 AETC-1422
OMB NO: 0701-0087 EXPIRATION DATE: 03/31/2005 RESPS:9,850 HOURS:3,940 COSTS(000):$0 United States Air Force Academy Application FORMS: USAFA-149
OMB NO: 0701-0096 EXPIRATION DATE: 11/30/2004 RESPS:5,899 HOURS:1,966 COSTS(000):$0 Application for Appointment as Reserve of the Air Force or USAF Without Component FORMS: AF-24
OMB NO: 0701-0101 EXPIRATION DATE: 05/31/2004 RESPS:8,000 HOURS:4,000 COSTS(000):$0 Air Force ROTC College Scholarship Application FORMS: AF-113
OMB NO: 0701-0103 EXPIRATION DATE: 04/30/2004 RESPS:500 HOURS:350 COSTS(000):$0 Air Force ROTC Scholarship Nomination FORMS: AFOATS-36
OMB NO: 0701-0105 EXPIRATION DATE: 04/30/2004 RESPS:12,000 HOURS:4,000 COSTS(000):$0 Application for Air Force ROTC Membership FORMS: AFOATS-20
OMB NO: 0701-0114 EXPIRATION DATE: 04/30/2004 RESPS:40 HOURS:20 COSTS(000):$0 Application for Establishment of Air Force Junior ROTC Unit FORMS: AFOATS-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: 0701-0134 EXPIRATION DATE: 07/31/2004 RESPS:144 HOURS:144 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: 0701-0137 EXPIRATION DATE: 04/30/2003 RESPS:15 HOURS:300 COSTS(000):$0 Commercial Airlift Review FORMS: AMC-207
OMB NO: 0701-0141 EXPIRATION DATE: 06/30/2004 RESPS:4,000 HOURS:1,000 COSTS(000):$0 Intercontinental Ballistic Missile Hardened Intersite Cable System Right-of-Way Landowner/Tenant Questionnaire FORMS: AF-3951
OMB NO: 0701-0146 EXPIRATION DATE: 07/31/2004 RESPS:200 HOURS:17 COSTS(000):$0 Customer Comment Card, Air Force Form 3211 FORMS: 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: 0701-0149 EXPIRATION DATE: 03/31/2005 RESPS:441 HOURS:110 COSTS(000):$0 Air Force Research Laboratory Public Awareness Survey FORMS: NONE
Department of the ArmySUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
28 298,072 135,707 $0
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: 0702-0060 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: 0702-0110 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: 0702-0115 EXPIRATION DATE: 12/31/2003 RESPS:2,240 HOURS:784 COSTS(000):$0 Survey of Army Applicants who were Qualified not Enlisted (QNE) or Those Who Entered the Delayed Entry Program (DEP) But Chose Not to Enlist FORMS: NONE
OMB NO: 0702-0116 EXPIRATION DATE: 12/31/2004 RESPS:519 HOURS:218 COSTS(000):$0 West Point Engineering Graduates Surveys FORMS: NONE
Department of the NavySUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
11 197,059 40,453 $0
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: 09/30/2004 RESPS:2,500 HOURS:625 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: 09/30/2004 RESPS:440 HOURS:220 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: 0703-0029 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
Departmental and OthersSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
8 75,491 139,275 $0
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: 11/30/2004 RESPS:100,000 HOURS:8,300 COSTS(000):$0 Request for Verification of Birth FORMS: DD-372
OMB NO: 0704-0007 EXPIRATION DATE: 02/29/2004 RESPS:125,000 HOURS:56,250 COSTS(000):$5 Policy Record Check FORMS: DD-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: 10/31/2004 RESPS:610 HOURS:610 COSTS(000):$0 Department of Defense Application for Priority Rating for Production or Construction Equipment FORMS: DD-691
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: 10/31/2004 RESPS:3,000 HOURS:1,500 COSTS(000):$2 Application for Discharge of Member of 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: 09/30/2004 RESPS:2,403 HOURS:401 COSTS(000):$0 Post-election Survey of Overseas Citizens, Post-election Survey of Local Election Officials 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: 11/30/2004 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: 0704-0194 EXPIRATION DATE: 06/30/2004 RESPS:6,400 HOURS:9,493 COSTS(000):$0 Department of Defense Security Agreement, Appendage, and Certificate Pertaining to Foreign Interests FORMS: DD-441 DD-441-1 SF-328
OMB NO: 0704-0207 EXPIRATION DATE: 10/31/2004 RESPS:6,000 HOURS:2,000 COSTS(000):$0 Militarily Critical 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: 0704-0225 EXPIRATION DATE: 08/31/2004 RESPS:22,602 HOURS:13,758 COSTS(000):$0 Defense Federal Acquisition Regulation Supplement Part 204, Administrative Matters, and related clauses at 252.204 FORMS: DD-2051 DD-2051-1
OMB NO: 0704-0229 EXPIRATION DATE: 03/31/2004 RESPS:223,942 HOURS:374,268 COSTS(000):$0 Defense Federal Acquisition Supplement Part 225, Foreign Acquisition, and related clauses at Part 252.225. FORMS: DD-2139
OMB NO: 0704-0231 EXPIRATION DATE: 06/30/2004 RESPS:800 HOURS:400 COSTS(000):$0 Defense Federal Acquisition Regulation Supplement (DFARS) Subpart 237.70, Mortuary Services, DFARS clause 252.237-7011, Preparation History, and DD Form 2063, Record of Preparation... FORMS: DD-2063
OMB NO: 0704-0232 EXPIRATION DATE: 08/31/2004 RESPS:141 HOURS:5,350 COSTS(000):$0 Defense Federal Acquisition Regulation Supplement (DFARS) Subpart 215.8, Price Negotiation, and related clauses at 252.215. FORMS: NONE
OMB NO: 0704-0245 EXPIRATION DATE: 07/31/2004 RESPS:464,682 HOURS:149,874 COSTS(000):$0 Defense Federal Acquisition Regulation Supplement (DFARS) Part 247, Transportation, 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: 10/31/2004 RESPS:7,800,000 HOURS:988,000 COSTS(000):$0 Defense Federal Acquisition Regulation Supplement, Appendix F, Material Inspection and Receiving Report FORMS: DD-250 DD-250C DD-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: 10/31/2004 RESPS:10,500 HOURS:5,250 COSTS(000):$0 Defense Federal Acquisition Regulation Supplement, Use of Government Sources by Contractors, and related clauses in Part 252 FORMS: NONE
OMB NO: 0704-0253 EXPIRATION DATE: 07/31/2004 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: 10/31/2004 RESPS:2,740 HOURS:276,625 COSTS(000):$0 Defense Federal Acquisition Regulation Supplement Part 236, Construction and Architect-Engineer Contracts, 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: 0704-0264 EXPIRATION DATE: 06/30/2004 RESPS:2,000 HOURS:833 COSTS(000):$0 Registration for Scientific and Technical Information Services FORMS: DD-1540
OMB NO: 0704-0267 EXPIRATION DATE: 04/30/2004 RESPS:42,058 HOURS:420,580 COSTS(000):$0 Defense Federal Acquisition Regulation Supplement (DFARS) Part 230, Cost Accounting Standards Administration, and DD Form 1861, Contract Facilities Capital Cost of Money FORMS: DD-1861
OMB NO: 0704-0272 EXPIRATION DATE: 08/31/2004 RESPS:14,726 HOURS:9,997 COSTS(000):$0 Defense Federal Acquisition Regulation Supplement (DFARS) Subpart 223, Environment, Conservation, and Occupational Safety; and Related Clauses at DFARS Part 252 FORMS: NONE
OMB NO: 0704-0286 EXPIRATION DATE: 08/31/2004 RESPS:6,153 HOURS:6,153 COSTS(000):$0 Defense Federal Acquisition Regulation Supplement Part 205, Publicizing Contract Actions, and DFARS 252.205-7000, Provision of Information to Cooperative Acreement Holders 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: 0704-0305 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: 0704-0321 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: 0704-0324 EXPIRATION DATE: 05/31/2004 RESPS:1,165 HOURS:276 COSTS(000):$0 Department of Defense Public and Community Service (PACS) Program FORMS: 2581 2581-1
OMB NO: 0704-0328 EXPIRATION DATE: 05/31/2005 RESPS:102,000 HOURS:10,200 COSTS(000):$0 DOD Building Pass Application FORMS: DD-2249
OMB NO: 0704-0332 EXPIRATION DATE: 03/31/2004 RESPS:393 HOURS:931 COSTS(000):$0 Defense Federal Acquistion Regualtion Supplement (DFARS) Appendix I - - DOD Pilot Mentor Protege Program FORMS: NONE
OMB NO: 0704-0334 EXPIRATION DATE: 09/30/2004 RESPS:5,000 HOURS:1,667 COSTS(000):$0 Automated Repatriation Reporting System FORMS: DD-FORM_2585
OMB NO: 0704-0336 EXPIRATION DATE: 10/31/2004 RESPS:15,152 HOURS:821,052 COSTS(000):$0 Defense Federal Acquisition Regulation Supplement (DFARS) 223.570, Drug-Free Work Force, and DFARS clause 252.223-7004, Drug-Free Work Force FORMS: NONE
OMB NO: 0704-0341 EXPIRATION DATE: 10/31/2004 RESPS:1,598 HOURS:1,806 COSTS(000):$0 Defense Federal Acquisition Regulation Supplement (DFARS) Part 239, Acquisition of Information Technology, and 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: 08/31/2004 RESPS:800 HOURS:800 COSTS(000):$0 Defense Federal Acqusition Regulation Supplement (DFARS) Part 232 Contract Financing, and related clause at DFARS 252.232-7007, Limitation of Government's Obligation 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: 03/31/2004 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: 05/31/2004 RESPS:9,314 HOURS:4,657 COSTS(000):$17 Indebtedness of Military Personnel -Involuntary Allotments FORMS: DD-2653
OMB NO: 0704-0368 EXPIRATION DATE: 03/31/2004 RESPS:600 HOURS:100 COSTS(000):$0 National Security Education Program (Service Agreement Report for Scholarshi8p 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: 03/31/2005 RESPS:25,120 HOURS:4,127 COSTS(000):$15 Department of Defense Dependents Schools (DoDDS) Overseas Employment Opportunities for Education FORMS: DS-5010 DS-5011 DS-5013 DS-5012
OMB NO: 0704-0377 EXPIRATION DATE: 07/31/2002 RESPS:12,800 HOURS:153,600 COSTS(000):$0 Industrial Capabilities Questionnaire FORMS: 2737
OMB NO: 0704-0380 EXPIRATION DATE: 08/31/2004 RESPS:7,500 HOURS:500 COSTS(000):$0 Commissary Customer Service Survey FORMS: DECA-60-28
OMB NO: 0704-0382 EXPIRATION DATE: 12/31/2004 RESPS:40,000 HOURS:13,200 COSTS(000):$0 End-Use Certificate FORMS: DLA-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: 10/31/2004 RESPS:1 HOURS:41 COSTS(000):$0 Defense Federal Acquisition Regulation Supplement (DFARS) Part 219, Small Business Programs and Associated Clauses in Part 252.219 FORMS: NONE
OMB NO: 0704-0390 EXPIRATION DATE: 03/31/2005 RESPS:22 HOURS:88 COSTS(000):$0 Defense Federal Acquisition Regulation Supplement (DFARS) Part 229, Taxes, 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: 08/31/2004 RESPS:771 HOURS:771 COSTS(000):$0 Substitutions for Military or Federal Specifications and Standards, Defense Federal Acquisition Regulation Supplement (DFARS) Section 211.273, and related clause in DFARS 272.211-7005 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: 11/30/2004 RESPS:200 HOURS:200 COSTS(000):$2 Application for Annuity - Certain Military Surviving Spouses FORMS: DD-2769
OMB NO: 0704-0403 EXPIRATION DATE: 08/31/2004 RESPS:2,492 HOURS:415 COSTS(000):$0 Customer Satisfaction Survey - Generic Clearance FORMS: NONE
OMB NO: 0704-0407 EXPIRATION DATE: 05/31/2005 RESPS:50,000 HOURS:5,000 COSTS(000):$0 Commissary Evaluation and Utility Surveys - Generic 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: 03/31/2004 RESPS:300,000 HOURS:100,000 COSTS(000):$0 Application for Department of Defense Common Access Card - Deers Enrollment FORMS: DD-1172-2
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: 09/30/2004 RESPS:11,000 HOURS:13,750 COSTS(000):$0 Personnel Security Investigation Projection for Industry Survey FORMS: DSS-232
OMB NO: 0704-0418 EXPIRATION DATE: 02/29/2004 RESPS:225.800 HOURS:45,160 COSTS(000):$0 Personnel Security Clearance Change Notification FORMS: DISCOFORM562
OMB NO: 0704-0420 EXPIRATION DATE: 04/30/2004 RESPS:2,880 HOURS:144 COSTS(000):$0 Interactive Customer Evaluation System (ICE) FORMS: NONE
OMB NO: 0704-0421 EXPIRATION DATE: 03/31/2005 RESPS:7,275 HOURS:2,001 COSTS(000):$0 Department of Defense Education Activity Customer Satisfaction Survey for Parents and Students FORMS: NONE
OMB NO: 0704-0422 EXPIRATION DATE: 04/30/2005 RESPS:1,335 HOURS:334 COSTS(000):$0 2001 Biennial Review of Defense Agencies and DOD Field Activities FORMS: NONE
OMB NO: 0704-0424 EXPIRATION DATE: 04/30/2005 RESPS:6,000 HOURS:2,500 COSTS(000):$0 Defense Security Service Customer Satisfaction Survey FORMS: NONE
U.S. Army Corps of EngineersSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
85 17,702,809 87,005,866 $43
OMB NO: 0710-0001 EXPIRATION DATE: 06/30/2002 RESPS:112,400 HOURS:15,923 COSTS(000):$0 Corps of Engineers Civil Works Questionnaires, Generic Clearance FORMS: NONE
OMB NO: 0710-0003 EXPIRATION DATE: 12/31/2004 RESPS:85,500 HOURS:340,000 COSTS(000):$0 Application for a Department of the Army Permit FORMS: 4345
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: 0710-0009 EXPIRATION DATE: 10/31/2004 RESPS:2,500 HOURS:2,000 COSTS(000):$0 Description of Vessels, Description of Operations FORMS: 3931 3932
OMB NO: 0710-0013 EXPIRATION DATE: 02/29/2004 RESPS:164,367 HOURS:29,737 COSTS(000):$0 Shipper's Export Declaration (SED) Program FORMS: 7513
Office of Assistant Secretary for Health AffairsSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
6 598,919 434,639 $0
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: 0720-0013 EXPIRATION DATE: 03/31/2005 RESPS:2,100,000 HOURS:525,000 COSTS(000):$859 Health Insurance Claim Form, HCFA 1450 FORMS: HCF-1450-UB92
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: 0720-0018 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: 0720-0021 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
OMB NO: 0720-0024 EXPIRATION DATE: 06/30/2003 RESPS:900 HOURS:300 COSTS(000):$0 Survey of Prescribers in Military Treatment Facilities and TRICARE Contracts FORMS: NONE
OMB NO: 0720-0027 EXPIRATION DATE: 10/31/2004 RESPS:2,106,071 HOURS:703,248 COSTS(000):$0 Health Evaluation Assessment Review (HEAR 2.X) FORMS: NONE
OMB NO: 0720-0028 EXPIRATION DATE: 03/31/2005 RESPS:20,689 HOURS:2,150 COSTS(000):$0 TRICARE Plus Enrollment and Disenrollment Applications FORMS: DD-X437 DD-X438
Defense Finance and Accounting ServiceSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
14 21,177,530 5,306,496 $859
OMB NO: 0730-0002 EXPIRATION DATE: 04/30/2004 RESPS:108,500 HOURS:9,042 COSTS(000):$0 Statement of Claimant Requesting Recertified Check FORMS: DD-2660
OMB NO: 0730-0003 EXPIRATION DATE: 06/30/2004 RESPS:15,000 HOURS:2,000 COSTS(000):$0 Customer Satisfaction Surveys - Generic FORMS: NONE
OMB NO: 0730-0005 EXPIRATION DATE: 12/31/2003 RESPS:386,000 HOURS:193,000 COSTS(000):$0 Personal Check Cashing Agreement FORMS: DD-2761
OMB NO: 0730-0008 EXPIRATION DATE: 11/30/2004 RESPS:20,520 HOURS:5,064 COSTS(000):$0 Application for Former Spouse Payments from Retired Pay FORMS: DD-2293
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
OMB NO: 0730-0014 EXPIRATION DATE: 05/31/2004 RESPS:19,440 HOURS:24,300 COSTS(000):$0 Dependency Statements: Parent, Child Born Out of Wedlock, Incapacitated Child Over Age 21, Full ?Time Student 21-22 Years of Age, and Ward of a Court FORMS: DD-137-3 DD-137-4 DD-137-5 DD-137-6 DD-137-7
OMB NO: 0730-0015 EXPIRATION DATE: 04/30/2004 RESPS:10,000 HOURS:833 COSTS(000):$0 Request for Information Regarding Deceased Debtor FORMS: DD-2840
Office of the SecretarySUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
9 559,930 234,426 $0
OMB NO: 0790-0003 EXPIRATION DATE: 09/30/2004 RESPS:150 HOURS:150 COSTS(000):$0 Base Realignment and Closure (BRAC) Military Base Reuse Status FORMS: DD-2740
OMB NO: 0790-0004 EXPIRATION DATE: 02/29/2004 RESPS:71 HOURS:2,840 COSTS(000):$0 Revitalizing Base Closure Communities, Economic Development Conveyance Annual Financial Statement FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
2 221 2,990 $0
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
163 40,610,031 93,299,852 $902
OMB NO: 1800-0011 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
Office of Elementary and Secondary EducationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
1 10,000 25,120 $0
OMB NO: 1810-0021 EXPIRATION DATE: 11/30/2002 RESPS:11,270 HOURS:57,745 COSTS(000):$0 Indian Education Formula Grants to Local Educational Agencies (LEAs)(KA) FORMS: 84.060A 506
OMB NO: 1810-0036 EXPIRATION DATE: 02/28/2005 RESPS:1,061,320 HOURS:531,211 COSTS(000):$0 Applications for Assistance (sections 8002 and 8003) Impact Aid Program FORMS: ED-4019
OMB NO: 1810-0054 EXPIRATION DATE: 01/31/2004 RESPS:90 HOURS:2,180 COSTS(000):$0 Application for the High School Equivalency Program (HEP) and College Assistance Migrant Program (CAMP) (1890-0001)(KA) FORMS: NONE
OMB NO: 1810-0060 EXPIRATION DATE: 04/30/2005 RESPS:3,052 HOURS:4,224 COSTS(000):$0 Annual Report of Children in State Agency and Locally Operated Institutions for Neglected and Delinquent Children FORMS: ED-4376
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: 05/31/2005 RESPS:30 HOURS:720 COSTS(000):$0 Application for Grants, Public Charter Schools Program (1890-0001) (KA) FORMS: NONE
OMB NO: 1810-0576 EXPIRATION DATE: 11/30/2002 RESPS:52 HOURS:7,800 COSTS(000):$0 Consolidated State Application FORMS: NONE
OMB NO: 1810-0578 EXPIRATION DATE: 05/31/2005 RESPS:200 HOURS:8,000 COSTS(000):$0 Parental Assistance Program Application FORMS: CFDA#84.310A
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: 1810-0594 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: 1810-0604 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: 1810-0614 EXPIRATION DATE: 12/31/2002 RESPS:14,452 HOURS:134,768 COSTS(000):$0 consolidated State Performance Report and State Self-Review 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: 1810-0620 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: 1810-0621 EXPIRATION DATE: 05/31/2004 RESPS:450 HOURS:13,500 COSTS(000):$0 Safe Schools/Healthy Students Intiative FORMS: CFDA-84.184L
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: 10/31/2002 RESPS:52 HOURS:832 COSTS(000):$0 Criteria for Distribution of the $225 Million FY 2001 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: 1810-0631 EXPIRATION DATE: 09/30/2004 RESPS:700 HOURS:45,500 COSTS(000):$0 Applications for Grants Under the Smaller Learning Communities Program FORMS: NONE
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
OMB NO: 1810-0634 EXPIRATION DATE: 03/31/2004 RESPS:3,327 HOURS:7,835 COSTS(000):$0 Reading Excellence Act (REA) State-District-School Study FORMS: NONE
OMB NO: 1810-0637 EXPIRATION DATE: 05/31/2004 RESPS:200 HOURS:6,000 COSTS(000):$0 Applications for Grants Under the Dropout Prevention Demonstration Program FORMS: NONE
OMB NO: 1810-0638 EXPIRATION DATE: 05/31/2004 RESPS:60 HOURS:3,600 COSTS(000):$0 Applications for Grants Under the Arts in Education Demonstration and Dissemination Grant Program FORMS: NONE
OMB NO: 1810-0642 EXPIRATION DATE: 07/31/2002 RESPS:52 HOURS:104 COSTS(000):$0 School Renovation, IDEA, and Technology Grant Application (KA) FORMS: 84.352A
OMB NO: 1810-0646 EXPIRATION DATE: 09/30/2002 RESPS:4,552 HOURS:4,705 COSTS(000):$0 Application Package for the REAP Small, Rural School Achievement Program FORMS: CFDA#84.358A
OMB NO: 1810-0647 EXPIRATION DATE: 08/31/2002 RESPS:52 HOURS:104 COSTS(000):$0 Early Reading First Applicant Eligibility FORMS: NONE
OMB NO: 1810-0648 EXPIRATION DATE: 08/31/2002 RESPS:57 HOURS:3,306 COSTS(000):$0 Application for State Grants for Reading first (KA) FORMS: CFDA#84.357
OMB NO: 1810-0649 EXPIRATION DATE: 04/30/2003 RESPS:100 HOURS:500 COSTS(000):$0 FY 2002 Migrant Education Program (MEP) Consortium Incentive Grants (1890-0001) (KA) FORMS: CFDA384.144
OMB NO: 1810-0650 EXPIRATION DATE: 09/30/2002 RESPS:54 HOURS:1,080 COSTS(000):$0 State Plan Application for the McKinney-Vento Homeless Assistance Act (KA) FORMS: CDFA#84.196
OMB NO: 1810-0651 EXPIRATION DATE: 09/30/2002 RESPS:200 HOURS:2,400 COSTS(000):$0 Application Package for LEAs under the REAP Rural and Low-Income School Program FORMS: CFDA#84.358B
OMB NO: 1810-0652 EXPIRATION DATE: 05/31/2005 RESPS:1,500 HOURS:45,000 COSTS(000):$0 Application for Improving Literacy Through School Libraries Grant Program FORMS: 84.364
OMB NO: 1810-0654 EXPIRATION DATE: 10/31/2002 RESPS:900 HOURS:12,000 COSTS(000):$0 Early Reading First Program Federal Register Notice Inviting Applications, and Application Packet FORMS: NONE
Office of Special Education and Rehabilitative ServicesSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
45 1,771,227 1,451,504 $39
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: 08/31/2004 RESPS:1,000 HOURS:40,000 COSTS(000):$0 Application Kit for New Grants Under the Rehabilitation Services Administration FORMS: NONE
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: 08/31/2002 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: 07/31/2004 RESPS:58 HOURS:30,682 COSTS(000):$0 Report of Children with Disabilities Receiving Special Education under Part B of the Individuals with Disabilites Education Act (SC) FORMS: 869-5
OMB NO: 1820-0500 EXPIRATION DATE: 01/31/2004 RESPS:82 HOURS:1,002,050 COSTS(000):$0 State Vocational Rehabilitation Services Program Final Rules 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: 02/28/2005 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: 07/31/2004 RESPS:58 HOURS:272,890 COSTS(000):$0 Part B, Individuals with Disabilities Education Act Implementation of FAPE Requirements (SC) FORMS: NONE
OMB NO: 1820-0518 EXPIRATION DATE: 07/31/2004 RESPS:58 HOURS:7,685 COSTS(000):$0 Personnel Employed to Provide Special Education and Related Services for Children with Disabilities (SC) 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: 07/31/2004 RESPS:58 HOURS:53,244 COSTS(000):$0 Report of Children with Disabilities Exiting Special Education During the School Year (SC) FORMS: 869-3
OMB NO: 1820-0527 EXPIRATION DATE: 04/30/2004 RESPS:55 HOURS:3,300 COSTS(000):$0 State Plan for Independent Living and Center for Independent Living Programs (SC) FORMS: NONE
OMB NO: 1820-0528 EXPIRATION DATE: 02/29/2004 RESPS:56 HOURS:350 COSTS(000):$7 Annual Client Assistance Program (CAP) Report FORMS: RSA-227
OMB NO: 1820-0530 EXPIRATION DATE: 02/29/2004 RESPS:1 HOURS:2,250 COSTS(000):$0 Performance Report - Training Personnel for the Education of Individuals with Disabilities Education Act (IDEA) (SC) FORMS: NONE
OMB NO: 1820-0550 EXPIRATION DATE: 04/30/2005 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: 07/31/2004 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 Type of Personnel Employed and........ FORMS: NONE
OMB NO: 1820-0557 EXPIRATION DATE: 07/31/2004 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: 1820-0572 EXPIRATION DATE: 02/28/2005 RESPS:56 HOURS:2,240 COSTS(000):$0 Annual Progress Reporting form for Assistive Technology Grantees (SC) FORMS: NONE
OMB NO: 1820-0578 EXPIRATION DATE: 08/31/2002 RESPS:57 HOURS:855 COSTS(000):$10,610 Annual Performance Report and Report to the Secretary Under the Infants and Toddlers with Disabilities Program (Part C, IDEA) (SC) 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: 02/28/2005 RESPS:1,079 HOURS:10,790 COSTS(000):$0 Part B Complaint Procedures (SC) FORMS: NONE
OMB NO: 1820-0600 EXPIRATION DATE: 02/28/2005 RESPS:28,844 HOURS:28,844 COSTS(000):$0 Local Educational Agency Application Under Part B of the 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: 03/31/2004 RESPS:55 HOURS:440 COSTS(000):$0 Independent Living Services For Older Individuals Who Are Blind FORMS: ED(RSA)-7-OB
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: 02/29/2004 RESPS:1 HOURS:165 COSTS(000):$0 Grantee Reporting form (SC) FORMS: NONE
OMB NO: 1820-0620 EXPIRATION DATE: 07/31/2002 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: 07/31/2004 RESPS:58 HOURS:149,350 COSTS(000):$0 Report of Children with Disabilities Unilaterally Removed or Suspended/Expelled for More Than 10 Days (SC) FORMS: NONE
OMB NO: 1820-0622 EXPIRATION DATE: 05/31/2005 RESPS:8,000 HOURS:152,500 COSTS(000):$0 Special Education - Personnel Preparation to Improve Services and Results for Children with Disabilities 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: 1820-0629 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:5,595 HOURS:11,262 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 Alternative Financing Program and the Alternate Financing FORMS: NONE
OMB NO: 1820-0635 EXPIRATION DATE: 06/30/2002 RESPS:18,977 HOURS:7,843 COSTS(000):$0 National Longitudinal Transition Study-2 Survey Package (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
OMB NO: 1820-0640 EXPIRATION DATE: 03/31/2004 RESPS:1,003 HOURS:1,575 COSTS(000):$0 Evaluation of Independent Living Programs (SC) FORMS: NONE
OMB NO: 1820-0642 EXPIRATION DATE: 02/29/2004 RESPS:193 HOURS:3,088 COSTS(000):$0 Annual Performance Reporting Forms for NIDRR Grantees (RERCs, RRTCs, DBTACs, DRRPs, Model Systems, Dissemination & Utillization Projects) (SC) FORMS: NONE
OMB NO: 1820-0644 EXPIRATION DATE: 07/31/2004 RESPS:58 HOURS:18,312 COSTS(000):$0 Consolidated Data Collection on Students with Disabilities (SC) FORMS: NONE
OMB NO: 1820-0646 EXPIRATION DATE: 09/30/2004 RESPS:73 HOURS:2,044 COSTS(000):$0 Annual Progress Reporting Form for Special Demonstration Programs (SC) FORMS: NONE
OMB NO: 1820-0649 EXPIRATION DATE: 01/31/2004 RESPS:135 HOURS:333 COSTS(000):$0 An Evaluation of the State Program Improvement Grant (SIG) Program FORMS: NONE
OMB NO: 1820-0650 EXPIRATION DATE: 04/30/2005 RESPS:462 HOURS:498 COSTS(000):$0 Evaluation of the Projects With Industry (PWI) Program FORMS: NONE
Office of Vocational and Adult EducationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
52 1,381,965 1,989,759 $115,668
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:12,208 COSTS(000):$0 Carl D. Perkins Vocational and Technical Education FORMS: NONE
OMB NO: 1830-0503 EXPIRATION DATE: 12/31/2002 RESPS:54 HOURS:7,033 COSTS(000):$526 Vocational Technical Education Annual Performance and Financial Reports 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: 1830-0537 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: 1830-0541 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: 1830-0544 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
OMB NO: 1830-0548 EXPIRATION DATE: 01/31/2004 RESPS:59 HOURS:4,720 COSTS(000):$0 America's Career Resource Network State Grants Annual Performance Reports FORMS: NONE
OMB NO: 1830-0549 EXPIRATION DATE: 02/29/2004 RESPS:1,049 HOURS:831 COSTS(000):$0 New American High Schools Implementation Study FORMS: NONE
OMB NO: 1830-0550 EXPIRATION DATE: 06/30/2004 RESPS:40 HOURS:2,000 COSTS(000):$0 Tech Prep Demonstration Program (1890-0001) (SC) FORMS: NONE
OMB NO: 1830-0551 EXPIRATION DATE: 06/30/2004 RESPS:20 HOURS:1,000 COSTS(000):$0 High School Reform State Grants (1890-0001) (SC) FORMS: NONE
Office of Postsecondary EducationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
14 2,888 126,777 $1,352
OMB NO: 1840-0005 EXPIRATION DATE: 06/30/2004 RESPS:670 HOURS:12,560 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: 1840-0065 EXPIRATION DATE: 06/30/2004 RESPS:1,300 HOURS:44,200 COSTS(000):$0 Application for Grants Under Talent Search and Educational Opportunity Centers Programs FORMS: NONE
OMB NO: 1840-0068 EXPIRATION DATE: 06/30/2004 RESPS:528 HOURS:38,625 COSTS(000):$0 Applications for Title VI International Education Programs FORMS: CFDA-84.153 84.021 84.017 84.016 84.15A 84.15B 84.274 84.229
OMB NO: 1840-0103 EXPIRATION DATE: 10/31/2004 RESPS:1 HOURS:8,400 COSTS(000):$0 Application for Designation as an Eligible Institution (1890-0001) for Title III and V FORMS: 1049
OMB NO: 1840-0109 EXPIRATION DATE: 02/28/2005 RESPS:200 HOURS:8,000 COSTS(000):$0 Application for Grants Under the Minority Science and Engineering Improvement Program (1890-0001) (JS) FORMS: NONE
OMB NO: 1840-0113 EXPIRATION DATE: 11/30/2002 RESPS:117 HOURS:889 COSTS(000):$0 Application for the Strengthening Historically Black Colleges and Universities and Historically Black Graduate Institutions Programs FORMS: NONE
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: 08/31/2004 RESPS:25 HOURS:113 COSTS(000):$0 Performance Report for the Training Programs for Federal TRIO Programs FORMS: CFDA#84.103
OMB NO: 1840-0514 EXPIRATION DATE: 07/31/2002 RESPS:1,500 HOURS:19,500 COSTS(000):$0 Grant Application for the FIPSE Comprehensive Program FORMS: ED-40-XXX
OMB NO: 1840-0561 EXPIRATION DATE: 01/31/2003 RESPS:1 HOURS:3,000 COSTS(000):$0 Annual Performance Report for the Talent Search and Educational 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: 06/30/2004 RESPS:50 HOURS:750 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: 1840-0630 EXPIRATION DATE: 08/31/2004 RESPS:100 HOURS:400 COSTS(000):$8,000 Report of Financial Need and Certification for the Jacob K. Javits Fellowship Program FORMS: 40-1304 CFDA#84.170
OMB NO: 1840-0636 EXPIRATION DATE: 02/29/2004 RESPS:80 HOURS:2,400 COSTS(000):$0 European Community/United States of America Cooperation Program in Higher Education and Vocational Education and Training FORMS: ED40-514
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: 1840-0702 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: 1840-0729 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: 1840-0737 EXPIRATION DATE: 11/30/2002 RESPS:1 HOURS:18,000 COSTS(000):$0 Child Care Access Means Parents in School (CCAMPIS) Program A Guide for The Preparation of Application FORMS: NONE
OMB NO: 1840-0738 EXPIRATION DATE: 05/31/2005 RESPS:75 HOURS:2,250 COSTS(000):$0 Application Demonstration Projects for Faculty Training in Disability Issues (1890-0001) FORMS: 84.333
OMB NO: 1840-0740 EXPIRATION DATE: 04/30/2003 RESPS:300 HOURS:18,000 COSTS(000):$0 Application Package for Gaining Early Awareness and Readiness for 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: 1840-0748 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: 08/31/2004 RESPS:30,544 HOURS:6,340 COSTS(000):$0 Distance Education Demonstration Program Annual Reporting Form 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: 10/31/2004 RESPS:40 HOURS:1,600 COSTS(000):$0 Learning Anytime Anywhere Partnerships (LAAP) Guidelines for Annual Performance Reports with Auxiliary Collection Instruments (JS) 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: 02/28/2005 RESPS:1,411 HOURS:18,242 COSTS(000):$0 The Evaluation of Exchange, Language, International and Area Studies (EELIAS), NRC, FLAS and IIPP, UISFUL, Business and International Education Program (BIE), Centers for.............. 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
OMB NO: 1840-0763 EXPIRATION DATE: 02/29/2004 RESPS:1 HOURS:609 COSTS(000):$0 18 and 36 months Performance Reports for the Child Care Access Parents in Schools Program FORMS: NONE
OMB NO: 1840-0764 EXPIRATION DATE: 08/31/2004 RESPS:1 HOURS:2,000 COSTS(000):$0 Final Performance Report for Grants Under Title III - Institutional Aid Programs FORMS: CFDA#S-84.031A 84.031B 84.031N 84.031S 84.031T 84.031W 84.120A
OMB NO: 1840-0765 EXPIRATION DATE: 01/31/2003 RESPS:647 HOURS:3,882 COSTS(000):$0 (A) Interim Performance Report for 1st Year Title V Grantees; and (B) Interim Perforamnce Report for Title V Grantees FORMS: IPR-S1-S2 IPR-A1-A2 IPR-B1-B2 IPR-BG1-BG2 IPR-T1-T2 IPR-NW1-NW2 IPR-E1-E2
OMB NO: 1840-0766 EXPIRATION DATE: 04/30/2005 RESPS:631 HOURS:11,358 COSTS(000):$0 Annual Performance Report for Title III and Title V Grantees FORMS: 84.031A 84.031T 84.031N 84.031S 84.031W 84.120A
Office of Federal Student AidSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
50 51,911 514,906 $29,471
OMB NO: 1845-0001 EXPIRATION DATE: 06/30/2003 RESPS:10,979,031 HOURS:6,670,932 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: 12/31/2003 RESPS:16,807,154 HOURS:4,462,468 COSTS(000):$0 Student Aid Report (SAR) FORMS: ED-255-1
OMB NO: 1845-0009 EXPIRATION DATE: 10/31/2004 RESPS:100,000 HOURS:50,000 COSTS(000):$0 Federal PLUS Loan Program Application Documents (JS) FORMS: NONE
OMB NO: 1845-0010 EXPIRATION DATE: 09/30/2002 RESPS:1,800 HOURS:9,900 COSTS(000):$0 Equity in Athletics Disclosure Act FORMS: NONE
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: 07/31/2002 RESPS:17,200 HOURS:41,925 COSTS(000):$0 Lender's Request for Payment of Interest and Special Allowance (JS) 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: 11/30/2002 RESPS:70,200 HOURS:35,100 COSTS(000):$0 Federal Family Education Loan, Direct Loan, and Perkins 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: 04/30/2004 RESPS:846,034 HOURS:211,520 COSTS(000):$0 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: 07/31/2004 RESPS:56 HOURS:112 COSTS(000):$0 The joint application for the Leveraging Educational Assistance Partnership and Special LEAP Programs FORMS: ED-1288
OMB NO: 1845-0030 EXPIRATION DATE: 04/30/2004 RESPS:1 HOURS:26,280 COSTS(000):$0 Fiscal Operations Report and Application to Participate (FISAP) Opportunity Grant and Federal Work-Study Programs FORMS: ED-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: 10/31/2002 RESPS:121 HOURS:20 COSTS(000):$0 Lender's Application Process (LAP) 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: 02/28/2005 RESPS:210,000 HOURS:6,993 COSTS(000):$0 William D. Ford Federal Direct Loan (Direct Loan) Program Electronic Debit Account Application and Brochure (JS) FORMS: NONE
OMB NO: 1845-0041 EXPIRATION DATE: 06/30/2004 RESPS:1 HOURS:354,453 COSTS(000):$65,000 Student Assistance General Provisions - Subpart E (Verification of Student Aid Application Information) FORMS: NONE
OMB NO: 1845-0042 EXPIRATION DATE: 02/28/2005 RESPS:1,804 HOURS:487 COSTS(000):$0 Lender's Application for Payment of Insurance Claim FORMS: ED-1207
OMB NO: 1845-0044 EXPIRATION DATE: 03/31/2005 RESPS:56 HOURS:560 COSTS(000):$13,960 The Leveraging Educational Assistance Partnership (LEAP) and Special Leveraging Educational Assistance Partnership (SLEAP) Programs FORMS: ED-FORM-1288-1 CFDA-84.069A-B
OMB NO: 1845-0045 EXPIRATION DATE: 01/31/2004 RESPS:1 HOURS:6,000 COSTS(000):$0 Clearance Package for OSFA customer Satisfaction Survey Master Plan FORMS: NONE
OMB NO: 1845-0046 EXPIRATION DATE: 08/31/2004 RESPS:9,804 HOURS:10,621 COSTS(000):$0 Consolidation Loan Rebate Fee Report FORMS: ED-4-619
OMB NO: 1845-0047 EXPIRATION DATE: 08/31/2004 RESPS:300,000 HOURS:75,000 COSTS(000):$0 Income Contingent Repayment Plan Consent to Disclosure of Tax Information FORMS: NONE
OMB NO: 1845-0048 EXPIRATION DATE: 03/31/2003 RESPS:21,262 HOURS:10,631 COSTS(000):$0 Federal Perkins/NDSL Loan Assignment form (JS) FORMS: ED-553 CFDA#84.038
OMB NO: 1845-0049 EXPIRATION DATE: 08/31/2002 RESPS:150,090 HOURS:77,040 COSTS(000):$0 Application for Ability to Benefit Testing Approval FORMS: CFDA#84.032 84.063 84.268
OMB NO: 1845-0051 EXPIRATION DATE: 01/31/2003 RESPS:162,915 HOURS:81,458 COSTS(000):$55 Federal Direct PLUS Loan Application and Promissory Note FORMS: NONE
OMB NO: 1845-0052 EXPIRATION DATE: 04/30/2005 RESPS:93,837 HOURS:23,209 COSTS(000):$420 Student Assistance General Provisions--Subpart I--Immigration Status Confirmation FORMS: NONE
OMB NO: 1845-0053 EXPIRATION DATE: 01/31/2005 RESPS:1,028,500 HOURS:681,875 COSTS(000):$350 Federal Direct Coonsolidation Loan Program Application Documents (JS) FORMS: NONE
OMB NO: 1845-0054 EXPIRATION DATE: 10/31/2004 RESPS:500 HOURS:2,500 COSTS(000):$0 Notice Inviting Proposals for Participation in the Experimental Sites Initiative (JS) FORMS: 84.07 84.032 84.033 84.063 84.038 84.268
OMB NO: 1845-0055 EXPIRATION DATE: 10/31/2004 RESPS:125 HOURS:125 COSTS(000):$0 Federal Register Notice Inviting Applications for Participation in the Quality Assurance Program FORMS: NONE
OMB NO: 1845-0058 EXPIRATION DATE: 10/31/2004 RESPS:600 HOURS:300 COSTS(000):$0 Loan Discharge Application: Unpaid Refund FORMS: NONE
OMB NO: 1845-0059 EXPIRATION DATE: 10/31/2004 RESPS:21,425 HOURS:6,929 COSTS(000):$0 Federal Direct Loan Program and Federal Family Education Loan Program Teacher Loan Forgiveness Form FORMS: NONE
OMB NO: 1845-0060 EXPIRATION DATE: 01/31/2003 RESPS:40,729 HOURS:20,365 COSTS(000):$14 Endorser Addendum to Federal Direct PLUS Loan Application and Promissory Note (JS) FORMS: NONE
OMB NO: 1845-0061 EXPIRATION DATE: 10/31/2004 RESPS:690,000 HOURS:345,000 COSTS(000):$0 Federal Perkins Loan/NDSL Promissory Notes FORMS: CFDA#84-038
Office of Educational Research and ImprovementSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
50 53,007,164 31,448,559 $103,734
OMB NO: 1850-0067 EXPIRATION DATE: 11/30/2004 RESPS:284 HOURS:11,004 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: 08/31/2004 RESPS:2,764 HOURS:2,232 COSTS(000):$0 Field test activities and the 2003-2004 full-scale Schools and Staffing Survey (SASS): LEA, Principal, School, Teacher, Library 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: 1850-0617 EXPIRATION DATE: 05/31/2003 RESPS:18,279 HOURS:4,616 COSTS(000):$0 2000-01 Teacher Follow-up Survey FORMS: NONE
OMB NO: 1850-0628 EXPIRATION DATE: 10/31/2003 RESPS:621,800 HOURS:159,834 COSTS(000):$0 National Assessment of Educational Progress (NAEP) Year 2001 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: 11/30/2002 RESPS:500 HOURS:12,000 COSTS(000):$0 Fund for the Improvement of Education: Partnerships in Character Education Program FORMS: 84.215V 84.215S
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: 1850-0645 EXPIRATION DATE: 03/31/2004 RESPS:6,900 HOURS:3,885 COSTS(000):$0 IEA Progress in International Reading Literacy Study FORMS: NONE
OMB NO: 1850-0652 EXPIRATION DATE: 06/30/2003 RESPS:47,772 HOURS:28,706 COSTS(000):$0 Education Longitudinal Study of 2002 (ELS: 2002) FORMS: NONE
OMB NO: 1850-0654 EXPIRATION DATE: 06/30/2004 RESPS:2,456 HOURS:1,236 COSTS(000):$0 National Assessment of Adult Literacy 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: 1850-0682 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: 1850-0716 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: 01/31/2003 RESPS:1 HOURS:1 COSTS(000):$0 Standards for Conduct and Evaluation of Activities Carried Out By the Office of Educational Research and Improvement FORMS: NONE
OMB NO: 1850-0729 EXPIRATION DATE: 03/31/2005 RESPS:830 HOURS:385 COSTS(000):$0 Baccalaureate and Beyond Longitudinal Study, Third Followup (B&B:93/2003) 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: 1850-0745 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: 05/31/2004 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: 1850-0750 EXPIRATION DATE: 02/28/2005 RESPS:22,253 HOURS:14,990 COSTS(000):$0 Early Childhood Longitudinal Study (ECLS) - Kindergarten cohort, third grade followup, field test for fourth and fifth grade survey activities FORMS: NONE
OMB NO: 1850-0755 EXPIRATION DATE: 04/30/2003 RESPS:1,488 HOURS:4,944 COSTS(000):$0 Program for International Student Assessment (PISA) FORMS: NONE
OMB NO: 1850-0756 EXPIRATION DATE: 08/31/2002 RESPS:35,856 HOURS:22,965 COSTS(000):$0 Early Childhood Longitudinal Study-Birth Cohort 2000, Field Test FORMS: NONE
OMB NO: 1850-0758 EXPIRATION DATE: 10/31/2004 RESPS:97,750 HOURS:24,500 COSTS(000):$0 National Assessment of Educational Progress, 2002 Field Test and 2003 Full Scale Assessment of Reading, Math, and Foreign Language 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:211 HOURS:2,975 COSTS(000):$0 Technology Innovation Challenge Grant Program Online Annual FORMS: CFDA-84.303A
OMB NO: 1850-0768 EXPIRATION DATE: 02/28/2005 RESPS:2,400 HOURS:359 COSTS(000):$0 National Househld Education Surveys Program of 2003 (NHES: 2003) 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
OMB NO: 1850-0776 EXPIRATION DATE: 11/30/2002 RESPS:2,820 HOURS:5,240 COSTS(000):$0 Internatinal Adult Literacy and Lifeskills Survey FORMS: NONE
Office of Intergovernmental and Interagency AffairsSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
39 1,024,485 619,971 $0
OMB NO: 1860-0504 EXPIRATION DATE: 11/30/2004 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: 10/31/2004 RESPS:800 HOURS:67 COSTS(000):$0 Sign-on form for Partnership for Family Involvement in Education FORMS: NONE
Office of the Under SecretarySUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
2 3,400 41,667 $0
OMB NO: 1875-0106 EXPIRATION DATE: 11/30/2004 RESPS:17,000 HOURS:4,250 COSTS(000):$0 Application for Federal Education Assistance (AFEA) FORMS: NONE
OMB NO: 1875-0134 EXPIRATION DATE: 03/31/2003 RESPS:56 HOURS:2,240 COSTS(000):$0 Safe and Drug-Free Schools and Communities Act of the Governor's Report Forms FORMS: NONE
OMB NO: 1875-0137 EXPIRATION DATE: 08/31/2002 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: 1875-0154 EXPIRATION DATE: 12/31/2004 RESPS:1 HOURS:3,098 COSTS(000):$0 National Evaluation of Upward Bound and Upward Bound Math Science 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: 1875-0177 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: 1875-0180 EXPIRATION DATE: 07/31/2003 RESPS:185 HOURS:6,474 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:303 HOURS:1,515 COSTS(000):$37,731 Annual Performance Report for the Preparing Tomorrow's Teachers 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: 1875-0190 EXPIRATION DATE: 10/31/2003 RESPS:77 HOURS:3,161 COSTS(000):$0 Teacher Quality Enhancement Grants Program Annual Performance 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: 1875-0193 EXPIRATION DATE: 02/29/2004 RESPS:3,000 HOURS:1,500 COSTS(000):$0 Study to Assess the Quality of Vocational Education in the United States 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
OMB NO: 1875-0195 EXPIRATION DATE: 01/31/2004 RESPS:1 HOURS:15,408 COSTS(000):$0 Redesignation of Students Served by Title VII Projects (1890-0001) (JM) FORMS: NONE
OMB NO: 1875-0196 EXPIRATION DATE: 03/31/2004 RESPS:1,298 HOURS:1,044 COSTS(000):$0 Evaluation of the Federal Class Size Reduction Program (JM) FORMS: NONE
OMB NO: 1875-0199 EXPIRATION DATE: 05/31/2005 RESPS:1,275 HOURS:2,513 COSTS(000):$0 Evaluation of the Partnership Grants Program, Title II, Higher Education Act Revision of Collection FORMS: NONE
OMB NO: 1875-0201 EXPIRATION DATE: 05/31/2004 RESPS:2,200 HOURS:1,000 COSTS(000):$0 Evaluation of the State Grants Program and Teacher Recruitment FORMS: NONE
OMB NO: 1875-0203 EXPIRATION DATE: 05/31/2004 RESPS:249 HOURS:9,520 COSTS(000):$0 GEPA Section 424 Data Collection on the Distribution of Federal Education Funds (JM) FORMS: NONE
OMB NO: 1875-0204 EXPIRATION DATE: 06/30/2004 RESPS:14,326 HOURS:13,753 COSTS(000):$0 Study of the SDFSCA Middle School Coordinator Initiative FORMS: NONE
OMB NO: 1875-0205 EXPIRATION DATE: 01/31/2005 RESPS:6,384 HOURS:5,829 COSTS(000):$0 Evaluation of Title I Accountability Systems and School Improvement Efforts (TASSIE) FORMS: NONE
OMB NO: 1875-0207 EXPIRATION DATE: 08/31/2004 RESPS:2,000 HOURS:8,000 COSTS(000):$0 National Study of Title I Schools - Sampling Package FORMS: NONE
OMB NO: 1875-0210 EXPIRATION DATE: 08/31/2004 RESPS:168 HOURS:144 COSTS(000):$0 State Vocational Directors Survey on Perkins III Funding and Accountability Systems FORMS: NONE
OMB NO: 1875-0212 EXPIRATION DATE: 10/31/2004 RESPS:106 HOURS:264 COSTS(000):$0 Study of State Administration of Even Start and Statewide Family Literacy Initiative Grants FORMS: NONE
OMB NO: 1875-0215 EXPIRATION DATE: 02/28/2005 RESPS:1,035 HOURS:735 COSTS(000):$0 The Reading Excellence Act School and Classroom Implementation and Impact Study, Sampling Clearance Package FORMS: NONE
OMB NO: 1875-0216 EXPIRATION DATE: 02/28/2003 RESPS:1,370 HOURS:717 COSTS(000):$0 School and Community Prevention Activities: A National Study of the Safe and Drug-Free Schools Program--Phase I FORMS: NONE
OMB NO: 1875-0217 EXPIRATION DATE: 03/31/2005 RESPS:1,377 HOURS:3,123 COSTS(000):$282,745 The National Evaluation of Smaller Learning Communities (SC) FORMS: NONE
OMB NO: 1875-0218 EXPIRATION DATE: 02/28/2005 RESPS:1,005 HOURS:488 COSTS(000):$0 Information Technology Skill Certification Study FORMS: NONE
OMB NO: 1875-0219 EXPIRATION DATE: 04/30/2005 RESPS:2,897 HOURS:909 COSTS(000):$0 An Evaluation of the Rehabilitation Services Administration (RSA) Training Programs' Responsiveness to State VR Agency Needs for Qualified Personnel FORMS: NONE
Office of Bilingual Education and Minority Languages AffairsSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
38 455,985 303,138 $320,591
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: 1885-0513 EXPIRATION DATE: 08/31/2004 RESPS:1,313 HOURS:7,828 COSTS(000):$0 Biennial Report Form for the Emergency Immigrant Education FORMS: ED-T85-IP
OMB NO: 1885-0531 EXPIRATION DATE: 09/30/2002 RESPS:300 HOURS:14,000 COSTS(000):$0 Application for Grants Under School Improvement Elementary School Foreign Language Incentive Program FORMS: 84.294A
OMB NO: 1885-0548 EXPIRATION DATE: 06/30/2002 RESPS:30,564 HOURS:13,654 COSTS(000):$0 Descriptive Study of Services to Limited English Proficient (LEP) Students (SC) FORMS: NONE
OMB NO: 1885-0550 EXPIRATION DATE: 04/30/2004 RESPS:300 HOURS:30,600 COSTS(000):$0 Application for Grants Under English Language Acquisition: National Professional Development Program (1890-0001) (SC) FORMS: NONE
OMB NO: 1885-0551 EXPIRATION DATE: 09/30/2002 RESPS:100 HOURS:8,200 COSTS(000):$0 Application for Grants Under English Language Acquisition and Language Enhancement: Native American and Alaska Native Children in School (SC) FORMS: NONE
Office of the Chief Financial OfficerSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
6 32,634 83,459 $0
OMB NO: 1890-0001 EXPIRATION DATE: 03/31/2004 RESPS:1 HOURS:1 COSTS(000):$0 Streamlined Clearance Process for Discretionary Grant 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
OMB NO: 1890-0006 EXPIRATION DATE: 09/30/2004 RESPS:1 HOURS:1 COSTS(000):$0 Sreamlined Process for Education Department General Administrative Regulations (EDGAR) Approved Grant Applications FORMS: NONE
OMB NO: 1890-0007 EXPIRATION DATE: 09/30/2004 RESPS:21,200 HOURS:31,800 COSTS(000):$0 GEPA Section 427 Guidance for All Grant Applications (JM) FORMS: NONE
OMB NO: 1890-0009 EXPIRATION DATE: 06/30/2002 RESPS:8,432 HOURS:186,209 COSTS(000):$0 Generic Application Package for Discretionary Grant Programs FORMS: NONE
OMB NO: 1890-0012 EXPIRATION DATE: 10/31/2002 RESPS:250 HOURS:10,000 COSTS(000):$0 Small Business Innovation Research (SBIR) Program - Phase I - Grant Application Package FORMS: CFDA#84.133A 84.305K
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
6 53,132 728,066 $2
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
303 57,794,791 37,332,926 $570,857
OMB NO: 1901-0260 EXPIRATION DATE: 07/31/2003 RESPS:468 HOURS:2,664 COSTS(000):$0 Standard Contract for Disposal of Spent Nuclear Fuel and/or High- Level Radioactive Waste FORMS: 830-G
OMB NO: 1901-0287 EXPIRATION DATE: 02/28/2005 RESPS:127 HOURS:1,237 COSTS(000):$0 Nuclear Fuel Data Form FORMS: RW-859
OMB NO: 1901-0288 EXPIRATION DATE: 06/30/2002 RESPS:45 HOURS:130 COSTS(000):$0 Electric Power System Emergency Report FORMS: 417R
OMB NO: 1901-0294 EXPIRATION DATE: 03/31/2005 RESPS:1,370 HOURS:4,240 COSTS(000):$0 Import and Export of Natural Gas FORMS: FE-746R
OMB NO: 1901-0296 EXPIRATION DATE: 02/29/2004 RESPS:540 HOURS:1,650 COSTS(000):$0 Report of International Electrical Export/Import Data FORMS: FE-781R
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
Economic Regulatory AdministrationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
7 52,590 22,581 $0
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
Energy Efficiency and Renewable EnergySUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
1 100 400 $0
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
Energy Information AdministrationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
1 250 500 $0
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: 1905-0092 EXPIRATION DATE: 02/29/2004 RESPS:5,127 HOURS:2,842 COSTS(000):$0 Residential Energy Consumption Survey (RECS) FORMS: 457-A/G
OMB NO: 1905-0129 EXPIRATION DATE: 11/30/2004 RESPS:37,960 HOURS:173,990 COSTS(000):$0 Electric Power Surveys FORMS: EIA-411 EIA-412 EIA-423 EIA-767 EIA-826 EIA-860 EIA-861 EIA-906
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: 03/31/2005 RESPS:5,201 HOURS:9,246 COSTS(000):$0 Coal Program Package FORMS: EIA-1 3 4 5 6A 6Q 7A 20
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: 05/31/2004 RESPS:2,491 HOURS:10,323 COSTS(000):$0 Annual Survey of Alternative Fueled Vehicle Suppliers and Users FORMS: EIA-886
OMB NO: 1905-0194 EXPIRATION DATE: 10/31/2003 RESPS:220 HOURS:7,000 COSTS(000):$0 Voluntary Reporting of Greenhouse Gases FORMS: EIA-1605 EIA-1605EZ
OMB NO: 1905-0196 EXPIRATION DATE: 09/30/2004 RESPS:110 HOURS:330 COSTS(000):$0 Annual Solar Thermal Collector Manufacturers Survey and Annual Photovoltaic Module/Cell Manufacturers Survey FORMS: EIA-63A EIA-63B
OMB NO: 1905-0202 EXPIRATION DATE: 05/31/2004 RESPS:2,112 HOURS:6,572 COSTS(000):$0 Monthly Natural Gas Marketers Survey FORMS: EIA-910
OMB NO: 1905-0203 EXPIRATION DATE: 06/30/2002 RESPS:2,600 HOURS:2,600 COSTS(000):$0 Weekly Underground Natural Gas Storage Report FORMS: 912
Office of AdministrationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
16 254,421 532,392 $0
OMB NO: 1910-0068 EXPIRATION DATE: 10/31/2004 RESPS:75 HOURS:450 COSTS(000):$0 Renewable Energy Production Incentive FORMS: NONE
OMB NO: 1910-0100 EXPIRATION DATE: 04/30/2005 RESPS:438 HOURS:6,814 COSTS(000):$0 Information Management FORMS: NONE
OMB NO: 1910-0300 EXPIRATION DATE: 02/28/2003 RESPS:1,319 HOURS:205,050 COSTS(000):$0 Environment, Safety, and Health FORMS: NONE
OMB NO: 1910-0400 EXPIRATION DATE: 02/28/2003 RESPS:66,705 HOURS:664,673 COSTS(000):$0 Financial Assistance FORMS: NONE
OMB NO: 1910-0500 EXPIRATION DATE: 02/28/2003 RESPS:12,715 HOURS:164,528 COSTS(000):$0 Financial Management FORMS: NONE
OMB NO: 1910-0600 EXPIRATION DATE: 03/31/2005 RESPS:575 HOURS:10,421 COSTS(000):$0 Industrial Relations FORMS: NONE
OMB NO: 1910-0800 EXPIRATION DATE: 03/31/2005 RESPS:1 HOURS:14,100 COSTS(000):$0 Legal Collections Package FORMS: NONE
OMB NO: 1910-1000 EXPIRATION DATE: 02/28/2003 RESPS:3,857 HOURS:247,374 COSTS(000):$0 Personal Property FORMS: NONE
OMB NO: 1910-1400 EXPIRATION DATE: 02/29/2004 RESPS:99 HOURS:1,584 COSTS(000):$0 Compliance Statement: Energy/Water Conservation Standards for Appliances FORMS: NONE
OMB NO: 1910-1800 EXPIRATION DATE: 02/28/2003 RESPS:86,596 HOURS:612,985 COSTS(000):$0 Safe Guards and Security FORMS: NONE
OMB NO: 1910-4100 EXPIRATION DATE: 02/28/2005 RESPS:3,811 HOURS:1,086,529 COSTS(000):$0 Procurement (see attached chart for the collection requirements). 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: 1910-5102 EXPIRATION DATE: 02/28/2003 RESPS:36 HOURS:5,350 COSTS(000):$0 Reporting and Recordkeeping Requirements for Make-or-Buy Plans FORMS: NONE
OMB NO: 1910-5103 EXPIRATION DATE: 02/28/2003 RESPS:7 HOURS:2,450 COSTS(000):$0 Reporting and Recordkeeping Requirements for the Safety Management System FORMS: NONE
OMB NO: 1910-5104 EXPIRATION DATE: 08/31/2004 RESPS:41 HOURS:12,300 COSTS(000):$452 10 CFR 431 -- Energy Efficiency Program for Certain Commercial and Industrial Equipment: Test Procedures, Labeling, and Certification Requirements for Electric Motors FORMS: NONE
OMB NO: 1910-5105 EXPIRATION DATE: 08/31/2004 RESPS:50 HOURS:50,000 COSTS(000):$0 Occupational Radiation Protection Program 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
OMB NO: 1910-5115 EXPIRATION DATE: 04/30/2004 RESPS:36 HOURS:515 COSTS(000):$0 Contractor Legal Management Requirements FORMS: NONE
OMB NO: 1910-5117 EXPIRATION DATE: 03/31/2005 RESPS:124 HOURS:31,000 COSTS(000):$1,364 10 CFR Part 431 - Certification Requirements for Commercial Heating and Air Conditioning Equipment FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
20 208,366 3,182,985 $3,904
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
45 515,727 3,738,858 $3,904
OMB NO: 0910-0001 EXPIRATION DATE: 03/31/2005 RESPS:20,360 HOURS:1,984,003 COSTS(000):$0 Applications for FDA Approval to Market a New Drug -- Part 314 FORMS: NONE
OMB NO: 0910-0012 EXPIRATION DATE: 03/31/2003 RESPS:6,750 HOURS:54,225 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: 08/31/2004 RESPS:1 HOURS:20 COSTS(000):$0 Voluntary 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: 07/31/2004 RESPS:1,582 HOURS:383,793 COSTS(000):$0 New Animal Drug Application, 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: 07/31/2004 RESPS:66,223 HOURS:33,112 COSTS(000):$0 Registration of Producers of Drugs and Lisitng of Drugs in Commercial Distribution FORMS: 2656 2656E 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: 10/31/2004 RESPS:411 HOURS:2,910 COSTS(000):$0 Radioactive Drug Research Committee (RDRC) Report on Research Use of Radioactive Drug Study Summary FORMS: FDA-2914 FDA-2915
OMB NO: 0910-0073 EXPIRATION DATE: 07/31/2004 RESPS:1 HOURS:3,167,670 COSTS(000):$1,182 Medical Devices: Current Good Manufacturing Practice (CGMP), Quality System (Q/S) Regulation; 21 CFR Part 820 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: 03/31/2005 RESPS:21,510 HOURS:68,245 COSTS(000):$0 New Animal Drugs for Investigational Use - 21 CFR Part 511 FORMS: 3458
OMB NO: 0910-0119 EXPIRATION DATE: 09/30/2004 RESPS:36,150 HOURS:1,311,157 COSTS(000):$0 Good Laboratory Practice (GLP) Regulations for Nonclinical Laboratory Studies - 21 CFR Part 58 FORMS: NONE
OMB NO: 0910-0120 EXPIRATION DATE: 09/30/2004 RESPS:4,000 HOURS:331,000 COSTS(000):$0 Premarket Notification 510(K) Submissions FORMS: FDA-3514
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: 09/30/2004 RESPS:29,200 HOURS:131,400 COSTS(000):$0 Protection of Human Subjects; Recordkeeping and Reporting Requirements for Institutional Review Boards (IRB's) 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: 0910-0152 EXPIRATION DATE: 09/30/2004 RESPS:36,444,150 HOURS:7,317,151 COSTS(000):$0 Current Good Manufacturing Practice for Medicated Feed, 21 CFR Part 225 FORMS: NONE
OMB NO: 0910-0154 EXPIRATION DATE: 09/30/2004 RESPS:180,550 HOURS:187,450 COSTS(000):$0 Good Manufacturing Practice for Type A Medicated Articles, 21 CFR Part 226 FORMS: NONE
OMB NO: 0910-0167 EXPIRATION DATE: 07/31/2004 RESPS:1 HOURS:20,964 COSTS(000):$0 Orphan Drug Products FORMS: NONE
OMB NO: 0910-0182 EXPIRATION DATE: 04/30/2004 RESPS:23,070,000 HOURS:19,225 COSTS(000):$0 Use of Impact Resistant Lenses in Eyeglasses and Sunglasses OMB No. 0910-0182 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: 03/31/2004 RESPS:12 HOURS:120 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: 03/31/2004 RESPS:13 HOURS:130 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: 08/31/2004 RESPS:4,346 HOURS:2,172 COSTS(000):$0 Color Additive Certification Requests and Recordkeeping FORMS: NONE
OMB NO: 0910-0230 EXPIRATION DATE: 07/31/2002 RESPS:18 HOURS:345,114 COSTS(000):$0 Adverse Drug Experience Reporting FORMS: NONE
OMB NO: 0910-0231 EXPIRATION DATE: 08/31/2004 RESPS:487 HOURS:107,321 COSTS(000):$0 Premarket Approval of Medical Devices; 21 CFR Part 814 FORMS: NONE
OMB NO: 0910-0233 EXPIRATION DATE: 09/30/2004 RESPS:1 HOURS:100 COSTS(000):$0 Patent Term Restoration, due Diligence Petitions, Filing, Format, and Content of Petitions FORMS: NONE
OMB NO: 0910-0249 EXPIRATION DATE: 10/31/2004 RESPS:12,985 HOURS:157,675 COSTS(000):$0 FDA Recall Regulations FORMS: NONE
OMB NO: 0910-0256 EXPIRATION DATE: 02/29/2004 RESPS:40 HOURS:25,560 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: 0910-0279 EXPIRATION DATE: 06/30/2004 RESPS:1 HOURS:609 COSTS(000):$0 Year 2001 Updates of a National Survey of Prescription Drug Informaion Provided to Patients FORMS: NONE
OMB NO: 0910-0291 EXPIRATION DATE: 04/30/2003 RESPS:332,414 HOURS:332,414 COSTS(000):$0 MedWatch: The FDA Medical Products Reporting Program FORMS: FDA-3500 3500A
OMB NO: 0910-0297 EXPIRATION DATE: 02/29/2004 RESPS:2,921 HOURS:876 COSTS(000):$0 User Fee Cover Sheet FORMS: FDA-3397
OMB NO: 0910-0298 EXPIRATION DATE: 02/29/2004 RESPS:6 HOURS:288 COSTS(000):$0 Food additives; Threshold of Regulation for Substances Used in Food-Contact Articles FORMS: NONE
OMB NO: 0910-0302 EXPIRATION DATE: 03/31/2004 RESPS:56 HOURS:382,388 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: 0910-0308 EXPIRATION DATE: 04/30/2003 RESPS:17,406 HOURS:268,803 COSTS(000):$0 Adverse Experience Reporting for Licensed Biological Products; and General Records FORMS: N/A
OMB NO: 0910-0309 EXPIRATION DATE: 02/29/2004 RESPS:39,996,722 HOURS:3,516,183 COSTS(000):$21 Mammography Facilities, Standards, and Lay Summaries For Patients 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: 08/31/2004 RESPS:206 HOURS:555 COSTS(000):$0 Request for Information from U.S. Processors that Export 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: 0910-0339 EXPIRATION DATE: 02/29/2004 RESPS:1 HOURS:14,420 COSTS(000):$0 Substances Prohibited from use in Animal Food or Feed; Animal Proteins Prohibited in Ruminant Feed, 21 CFR 589.2000 FORMS: NONE
OMB NO: 0910-0340 EXPIRATION DATE: 04/30/2005 RESPS:39,910 HOURS:120,525 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: 0910-0345 EXPIRATION DATE: 02/29/2004 RESPS:2,000 HOURS:1,000 COSTS(000):$0 Food Safety Survey 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: 03/31/2004 RESPS:18 HOURS:1,178 COSTS(000):$0 Sterility Requirement for Aqueous-Based Drug Products for Oral Inhalation; final rule FORMS: NONE
OMB NO: 0910-0354 EXPIRATION DATE: 02/29/2004 RESPS:5,850 HOURS:627,075 COSTS(000):$0 Procedures for the Safe Processing and Importing of Fish and Fishery Products; 21 CFR Part 123 FORMS: NONE
OMB NO: 0910-0356 EXPIRATION DATE: 02/29/2004 RESPS:860 HOURS:544,036 COSTS(000):$0 Substantial Evidence of Effectiveness of New Animal Drugs FORMS: NONE
OMB NO: 0910-0359 EXPIRATION DATE: 03/31/2005 RESPS:880 HOURS:13,200 COSTS(000):$0 Reports of corrections and Removals; 21 CFR Part 806 FORMS: NONE
OMB NO: 0910-0360 EXPIRATION DATE: 03/31/2005 RESPS:20,000 HOURS:6,000 COSTS(000):$0 Customer/Partner Service Surveys - (Extension) FORMS: NONE
OMB NO: 0910-0361 EXPIRATION DATE: 03/31/2004 RESPS:300 HOURS:15,000 COSTS(000):$0 Classification/reclassification; Restricted Devices; Analyte Specific Reagents FORMS: N/A
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: 04/30/2004 RESPS:30 HOURS:30 COSTS(000):$15 Nutrition Labeline: Declaration of Caloric Amounts and Serving Sizes for Breath Mints FORMS: NONE
OMB NO: 0910-0368 EXPIRATION DATE: 03/31/2004 RESPS:20 HOURS:2,000 COSTS(000):$0 OTC Test Sample Collection Systems for Drugs of Abuse Testing - 21 CFR Part 809 FORMS: NONE
OMB NO: 0910-0370 EXPIRATION DATE: 07/31/2004 RESPS:588 HOURS:1,920 COSTS(000):$0 Specific Requirements on Content and Format of Labeling; Geriatric Use Subsection FORMS: NONE
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: 10/31/2004 RESPS:140 HOURS:7,960 COSTS(000):$0 Medical Devices; Third Party Review Under FDAMA FORMS: NONE
OMB NO: 0910-0376 EXPIRATION DATE: 10/31/2004 RESPS:16,640 HOURS:33,280 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: 03/31/2005 RESPS:220 HOURS:5,760 COSTS(000):$0 Medical Devices; Third-Party Premarket Submission Review and Quality System Inspections Under U.S./E.C. Mutual Recognition Agreement FORMS: NONE
OMB NO: 0910-0381 EXPIRATION DATE: 02/29/2004 RESPS:509,579 HOURS:1,594,269 COSTS(000):$16,800 Food Labeling Regulations FORMS: NONE
OMB NO: 0910-0387 EXPIRATION DATE: 03/31/2005 RESPS:1 HOURS:66,461 COSTS(000):$0 Medical Device Registration and Listing: 21 CFR Parts 807.22 and 807.31 FORMS: 2891 2891A 2782
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: 07/31/2002 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: 03/31/2005 RESPS:460,012 HOURS:2,651 COSTS(000):$0 Prescription Drug Product Labeling - Medication Guide Requirement FORMS: NONE
OMB NO: 0910-0395 EXPIRATION DATE: 01/31/2005 RESPS:850 HOURS:213 COSTS(000):$83 Food Labeling: Nutrition Labeling of Dietary Supplements on a "Per Day" Basis FORMS: NONE
OMB NO: 0910-0396 EXPIRATION DATE: 06/30/2002 RESPS:1 HOURS:6,250 COSTS(000):$0 Financial Disclosure by Clinical Investigators -- 21 CFR Part 54 (Final Rule) FORMS: 3454
OMB NO: 0910-0409 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: 0910-0423 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: 0910-0427 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: 03/31/2004 RESPS:12,278 HOURS:842,020 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: 0910-0433 EXPIRATION DATE: 02/29/2004 RESPS:548 HOURS:4,384 COSTS(000):$0 Postmarketing Studies for Human Drugs and Licensed Biological Products; Status Reports FORMS: FDA-2252
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: 04/30/2005 RESPS:10,174,876 HOURS:2,790,329 COSTS(000):$0 Medical Device Tracking Regulations 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):$1 Documentation for demonstrating compliance with the Channels FORMS: NONE
OMB NO: 0910-0456 EXPIRATION DATE: 01/31/2004 RESPS:53 HOURS:343 COSTS(000):$0 PHS (Public Health Service) Guideline on Infectious Disease Issues in Xenotransplantation FORMS: NONE
OMB NO: 0910-0457 EXPIRATION DATE: 03/31/2005 RESPS:2,000 HOURS:1,000 COSTS(000):$0 Rapid Response Surveys FORMS: NONE
OMB NO: 0910-0458 EXPIRATION DATE: 02/29/2004 RESPS:60,751 HOURS:261,648 COSTS(000):$0 Biological Products: Reporting of Biological Product Deviations FORMS: FDA-3486
OMB NO: 0910-0459 EXPIRATION DATE: 03/31/2004 RESPS:34,660 HOURS:202,496 COSTS(000):$0 Information Program on Clinical Trials for Serious and Life- Threatening Diseases FORMS: NONE
OMB NO: 0910-0461 EXPIRATION DATE: 02/29/2004 RESPS:10 HOURS:20 COSTS(000):$0 Substances Approved for Use in the Preparatin of Meat and Poultry Products FORMS: NONE
OMB NO: 0910-0466 EXPIRATION DATE: 03/31/2004 RESPS:15,035 HOURS:358,465 COSTS(000):$0 Hazard Analysis and Critical Control Point (HACCP) Procedures for the Safe and Sanitary Processing of Juice (21 CFR Part 120) FORMS: NONE
OMB NO: 0910-0467 EXPIRATION DATE: 04/30/2004 RESPS:6 HOURS:120 COSTS(000):$0 Request for Review of Scientific Disputes Concerning the Regulation of Medical Devices FORMS: NONE
OMB NO: 0910-0469 EXPIRATION DATE: 07/31/2004 RESPS:1,225 HOURS:1,525 COSTS(000):$0 Human Cells, Tissues, and Cellular and Tissue-Based Products; Establishments Registration and Listing; Final Rule FORMS: FDA-3356
OMB NO: 0910-0470 EXPIRATION DATE: 07/31/2004 RESPS:240 HOURS:3,180 COSTS(000):$0 Guidance for Industry on Special Protocol Assessment FORMS: NONE
OMB NO: 0910-0471 EXPIRATION DATE: 07/31/2004 RESPS:1,245 HOURS:934 COSTS(000):$0 Adverse Event Pilot Program for Medical Devices FORMS: NONE
OMB NO: 0910-0472 EXPIRATION DATE: 08/31/2004 RESPS:29,356 HOURS:3,125 COSTS(000):$0 Requirements for Testing Human Blood Donors for Evidence of Infection Due to Communicable Disease Agents FORMS: NONE
OMB NO: 0910-0474 EXPIRATION DATE: 08/31/2004 RESPS:416,021 HOURS:141,681 COSTS(000):$0 General Requirements for Blood, Blood Components, and Blood Derivatives; Donor Notification FORMS: NONE
OMB NO: 0910-0477 EXPIRATION DATE: 10/31/2004 RESPS:5,272 HOURS:659 COSTS(000):$0 Survey of Single-Use Medical Device (SUD) Reuse and Reprocessing in Hospitals FORMS: NONE
OMB NO: 0910-0478 EXPIRATION DATE: 05/31/2003 RESPS:5,000 HOURS:6,500 COSTS(000):$0 Consumer and Producer Surveys on Economic Issues FORMS: NONE
OMB NO: 0910-0479 EXPIRATION DATE: 06/30/2003 RESPS:1 HOURS:637 COSTS(000):$0 Assessment of Physician and Patient Attitudes Toward Direct-to-Consumer (DTC) Promotion of Prescription Drugs FORMS: NONE
OMB NO: 0910-0480 EXPIRATION DATE: 11/30/2003 RESPS:3 HOURS:17,403 COSTS(000):$56 Providing Regulatory Submissions in Electronic Format for Food Additive and Color Additive Petitions FORMS: FDA-3503 FDA-3504
OMB NO: 0910-0482 EXPIRATION DATE: 01/31/2005 RESPS:2,065 HOURS:31,106 COSTS(000):$0 Exports: Notification and Recordkeeping Requirements FORMS: NONE
OMB NO: 0910-0483 EXPIRATION DATE: 03/31/2005 RESPS:108,148 HOURS:52,333 COSTS(000):$0 Foreign Establishment Registration and Listing FORMS: FDA-2656 -2830 -2891
OMB NO: 0910-0484 EXPIRATION DATE: 03/31/2005 RESPS:307 HOURS:1,417 COSTS(000):$0 Suggested Documentation for Demonstrating Compliance with Channels of Trade Provision for Foods with Vinclozolin Residues FORMS: NONE
OMB NO: 0910-0485 EXPIRATION DATE: 03/31/2005 RESPS:2,320,385 HOURS:3,191,305 COSTS(000):$0 Medical Device Labeling Regulations FORMS: NONE
OMB NO: 0910-0486 EXPIRATION DATE: 04/30/2005 RESPS:53 HOURS:813 COSTS(000):$1 Requirements for States as Certification Agencies FORMS: NONE
OMB NO: 0910-0489 EXPIRATION DATE: 03/31/2005 RESPS:2,000 HOURS:922 COSTS(000):$0 Health and Diet Survey FORMS: NONE
OMB NO: 0910-0491 EXPIRATION DATE: 10/31/2002 RESPS:7,000 HOURS:700 COSTS(000):$0 Emergency Medical Device Shortage Program FORMS: NONE
Health Services AdministrationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
144 216,776,611 57,166,780 $18,828
OMB NO: 0915-0028 EXPIRATION DATE: 03/31/2004 RESPS:80 HOURS:14 COSTS(000):$0 Scholarship Program for Students of Exceptional Financial Need (EFN) and Program of Financial Assistance for Disadvantages Heal Professions Students (FADHPS) Application FORMS: HRSA-525
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: 07/31/2002 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: 04/30/2005 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: 03/31/2004 RESPS:1,050 HOURS:1,050 COSTS(000):$3 Nursing Education Loan Repayment Agreements 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: 02/28/2005 RESPS:125 HOURS:2,375 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: 02/29/2004 RESPS:700 HOURS:700 COSTS(000):$0 Deferment Request Form for the National Health Service Corps Scholarship Program FORMS: NONE
OMB NO: 0915-0184 EXPIRATION DATE: 06/30/2004 RESPS:36,460 HOURS:4,862 COSTS(000):$0 Organ Procurement and Transplantation Network FORMS: NONE
OMB NO: 0915-0185 EXPIRATION DATE: 04/30/2004 RESPS:550 HOURS:343 COSTS(000):$0 Pilot Test of the Community Health Center/National Health Service Corp User/Visit Survey FORMS: NONE
OMB NO: 0915-0186 EXPIRATION DATE: 01/31/2005 RESPS:2,785 HOURS:9,142 COSTS(000):$0 Main Study of the Community Health Center/National Health Service Corps Site User/Visit Survey FORMS: NONE
OMB NO: 0915-0188 EXPIRATION DATE: 10/31/2004 RESPS:265 HOURS:530 COSTS(000):$10 Data Collection and Reporting Requirements for Healty Schools, Healthy Communities 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: 07/31/2002 RESPS:712 HOURS:18,624 COSTS(000):$76 Uniform Data System FORMS: NONE
OMB NO: 0915-0204 EXPIRATION DATE: 03/31/2004 RESPS:351 HOURS:88 COSTS(000):$2 Health Education Assistant Loan (HEAL) Program: Physicians's Certification of Borrower's Total and Permanent Disability Form 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: 0915-0219 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: 10/31/2004 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: 10/31/2004 RESPS:3,704 HOURS:1,297 COSTS(000):$0 Health Education Assistance Loan (HEAL) Program: Refinancing Application/Promissory Note FORMS: HRSA-550
OMB NO: 0915-0230 EXPIRATION DATE: 04/30/2005 RESPS:1,200 HOURS:300 COSTS(000):$0 NHSC Recruitment and Retention Assistance Application FORMS: NONE
OMB NO: 0915-0232 EXPIRATION DATE: 04/30/2005 RESPS:900 HOURS:24,300 COSTS(000):$33 National Health Service Corps - Uniform Data System FORMS: NONE
OMB NO: 0915-0233 EXPIRATION DATE: 04/30/2005 RESPS:150 HOURS:150 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: 08/31/2002 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: 03/31/2004 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: 0915-0244 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: 02/29/2004 RESPS:60 HOURS:3,600 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: 0915-0250 EXPIRATION DATE: 02/29/2004 RESPS:1,350 HOURS:276 COSTS(000):$0 The National Health Service Corps Scholarship Program In-School Worksheets FORMS: NONE
OMB NO: 0915-0253 EXPIRATION DATE: 08/31/2004 RESPS:2,586 HOURS:96,600 COSTS(000):$0 Ryan White Comprehensive Aids Resources Emergency Act of 1990, Cross-Title Data Report (CTDR) System FORMS: NONE
OMB NO: 0915-0254 EXPIRATION DATE: 10/31/2004 RESPS:18,671 HOURS:13,440 COSTS(000):$0 U.S. Component of the 2001/2002 World Health Organization Study of Health Behavior in School Children (WHO-HPSC) FORMS: NONE
OMB NO: 0915-0256 EXPIRATION DATE: 09/30/2004 RESPS:5 HOURS:35 COSTS(000):$0 Charitable Facility Compliance Alternative (amended) - Final Rule FORMS: NONE
OMB NO: 0915-0259 EXPIRATION DATE: 01/31/2003 RESPS:162 HOURS:1,026 COSTS(000):$0 Survey of State/Local Efforts to Coordinate Trauma Care Delivery FORMS: NONE
OMB NO: 0915-0260 EXPIRATION DATE: 04/30/2005 RESPS:1,000 HOURS:750 COSTS(000):$0 Healthy Schools, Healthy Communities User/Visit Surveys FORMS: NONE
OMB NO: 0915-0261 EXPIRATION DATE: 05/31/2005 RESPS:400 HOURS:400 COSTS(000):$0 Hepatitis B and C Among Health Care for the Homeless Program Clients FORMS: NONE
Indian Health ServiceSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
57 6,503,750 1,382,646 $17,460
OMB NO: 0917-0002 EXPIRATION DATE: 01/31/2003 RESPS:327,114 HOURS:20,778 COSTS(000):$0 IHS Contract Health Service Report FORMS: IHS-843-1A
OMB NO: 0917-0006 EXPIRATION DATE: 12/31/2004 RESPS:15,830 HOURS:7,356 COSTS(000):$0 IHS Scholarship Program Application FORMS: IHS-856 856-2--856-8 IHS-815-818 D-02 F-02 F-04 G-02 G-04 H-07 H-08
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: 0917-0014 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
OMB NO: 0917-0024 EXPIRATION DATE: 05/31/2005 RESPS:7,500 HOURS:1,875 COSTS(000):$0 IHS Customer Satisfaction Survey FORMS: NONE
OMB NO: 0917-0025 EXPIRATION DATE: 11/30/2003 RESPS:1 HOURS:384 COSTS(000):$0 Hoz'ho'nii: An Intervention to Increase Breast and Cervical Cancer Screening Among Navajo Women FORMS: NONE
Centers for Disease Control and PreventionSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
9 357,240 34,900 $0
OMB NO: 0920-0004 EXPIRATION DATE: 03/31/2003 RESPS:326 HOURS:2,650 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: 05/31/2005 RESPS:200 HOURS:167 COSTS(000):$0 Statements in Support of Application for Waiver of Inadmissibility under Section 212(a)(1)(A)(i) or 212 (a)(1)(A) (iii)(1) or (11)of Immigration and Nationality Act FORMS: CDC-4.422-1 CDC-4.422-1A CDC-4.422-1B
OMB NO: 0920-0007 EXPIRATION DATE: 12/31/2003 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: 09/30/2002 RESPS:131,148 HOURS:34,038 COSTS(000):$0 National Disease Surveillance Program - 1. Case Reports FORMS: CDC-53.1 CDC-52.15 CDC-56.31A CDC-56.31B CDC-55.54 CDC-52.56 CDC-52.18 CDC-52.60 CDC-54.1 CDC-56.37
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: 02/28/2003 RESPS:614 HOURS:644 COSTS(000):$0 National Sexually Transmitted Diseases (STD) Morbidity Surveillance System FORMS: CDC-73.668 CDC-73.998 CDC-73.2638
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:55,025 HOURS:4,590 COSTS(000):$0 Application for Training FORMS: 32.1 36.5
OMB NO: 0920-0020 EXPIRATION DATE: 05/31/2004 RESPS:31,150 HOURS:4,791 COSTS(000):$0 X-Ray Examination Program (42 CFR Part 37) FORMS: CDC/NIOSH(M)2.8 (M)2.10 (M)2.11 (M)2.12
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: 12/31/2002 RESPS:16,675 HOURS:8,338 COSTS(000):$0 Report of Verified Case of Tuberculosis FORMS: 72.9 72.9A 72.9B 72.9C
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: 0920-0102 EXPIRATION DATE: 01/31/2005 RESPS:450 HOURS:90 COSTS(000):$0 Contents of a Request for Health Hazard Evaluation -- 42 CFR 85.3-1 FORMS: NONE
OMB NO: 0920-0106 EXPIRATION DATE: 01/31/2005 RESPS:122 HOURS:4,270 COSTS(000):$0 Preventive Health and Health Services Block Grant FORMS: NONE
OMB NO: 0920-0109 EXPIRATION DATE: 08/31/2004 RESPS:427 HOURS:97,783 COSTS(000):$0 Tests and Requirements for Certification and Approval of Respoiratory Protective Devices (42 CFR 84) 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: 09/30/2004 RESPS:1,923 HOURS:119 COSTS(000):$0 Foreign Quarantine Regulations FORMS: CDC-75.10A CDC-75.37
OMB NO: 0920-0138 EXPIRATION DATE: 12/31/2004 RESPS:70 HOURS:66 COSTS(000):$0 Pulmonary Function Testing Course Approval Program 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:48 HOURS:1,788 COSTS(000):$0 List of Ingredients Added to Tobacco in the Manufacture 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: 04/30/2003 RESPS:42,000 HOURS:48,600 COSTS(000):$0 National Health Interview Survey: 2002: Basic Module with Topical Modules FORMS: NONE
OMB NO: 0920-0215 EXPIRATION DATE: 11/30/2004 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-6425 CDC-6426 PHS-6205-3
OMB NO: 0920-0217 EXPIRATION DATE: 06/30/2004 RESPS:157 HOURS:44 COSTS(000):$0 NCHS Vital Statistics Training Form FORMS: CDC-64.52
OMB NO: 0920-0222 EXPIRATION DATE: 02/29/2004 RESPS:550 HOURS:600 COSTS(000):$0 Questionnaire Research Design Laboratory 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: 01/31/2003 RESPS:22,175 HOURS:44,322 COSTS(000):$0 National Health and Nutrition Examination Survey (NHANES) FORMS: NONE
OMB NO: 0920-0260 EXPIRATION DATE: 06/30/2004 RESPS:11,350 HOURS:4,093 COSTS(000):$0 Health Hazard Evaluations/Technical Assistance and Emerging Problems FORMS: NONE
OMB NO: 0920-0261 EXPIRATION DATE: 01/31/2004 RESPS:61 HOURS:6,150 COSTS(000):$0 NIOSH Training Grants, 42 CFR Part 86, Application and Regulations FORMS: CDC-2.145A CDC-2.145B
OMB NO: 0920-0262 EXPIRATION DATE: 06/30/2004 RESPS:3,625 HOURS:3,625 COSTS(000):$0 Supplement to HIV/AIDS Surveillance (SHAS) Project FORMS: NONE
OMB NO: 0920-0263 EXPIRATION DATE: 08/31/2002 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: 08/31/2004 RESPS:3,235 HOURS:941 COSTS(000):$0 CDC Model Performance Evaluation Program (MPEP) for Retroviral and AIDS-Related FORMS: NONE
OMB NO: 0920-0278 EXPIRATION DATE: 07/31/2003 RESPS:136,185 HOURS:13,670 COSTS(000):$0 National Hospital Ambulatory Medical Care Surey FORMS: 101 101/U
OMB NO: 0920-0282 EXPIRATION DATE: 06/30/2002 RESPS:176 HOURS:352 COSTS(000):$0 Childhood Lead Poisoning Prevention Program Quarterly Report FORMS: NONE
OMB NO: 0920-0295 EXPIRATION DATE: 06/30/2002 RESPS:35,380 HOURS:754 COSTS(000):$0 National AIDS and STD Hotline Survey of Callers FORMS: NONE
OMB NO: 0920-0307 EXPIRATION DATE: 11/30/2004 RESPS:1,308 HOURS:6,300 COSTS(000):$0 Gonococcal Isolate Surveillance Project FORMS: CDC-73.60A 73.60B 73.60C
OMB NO: 0920-0314 EXPIRATION DATE: 09/30/2003 RESPS:76,500 HOURS:27,624 COSTS(000):$0 National Survey of Family Growth, Cycle 6 Main Study 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: 06/30/2004 RESPS:188 HOURS:600 COSTS(000):$0 National Childhood blood Lead Surveillance System FORMS: NONE
OMB NO: 0920-0338 EXPIRATION DATE: 10/31/2003 RESPS:7 HOURS:296 COSTS(000):$0 List of Ingredients Added to Tobacco in the Manufacture 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: 0920-0401 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: 12/31/2004 RESPS:381,671 HOURS:150,606 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: 04/30/2003 RESPS:500 HOURS:500 COSTS(000):$0 The Sentinel Surveillance for Chronic Liver Disease FORMS: NONE
OMB NO: 0920-0428 EXPIRATION DATE: 08/31/2002 RESPS:413 HOURS:42,695 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: 0920-0441 EXPIRATION DATE: 09/30/2002 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: 06/30/2002 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: 06/30/2002 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: 0920-0449 EXPIRATION DATE: 07/31/2002 RESPS:184,150 HOURS:30,692 COSTS(000):$0 Evaluation of Customer Satisfaction with the Centers for Disease 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: 0920-0452 EXPIRATION DATE: 09/30/2002 RESPS:7,680 HOURS:7,680 COSTS(000):$0 Young People in Alternative Education Settings: Preventing HIV 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: 0920-0469 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: 0920-0472 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: 0920-0475 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: 0920-0478 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: 0920-0482 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: 0920-0485 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:299 COSTS(000):$0 Evaluation of Stop It Now! Public Awareness Campaign in 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
OMB NO: 0920-0497 EXPIRATION DATE: 04/30/2004 RESPS:1,040 HOURS:1,248 COSTS(000):$0 Evaluating CDC Funded Health Department HIV Prevention Programs FORMS: NONE
OMB NO: 0920-0499 EXPIRATION DATE: 03/31/2004 RESPS:64 HOURS:3,296 COSTS(000):$0 Jail STD Prevalence Monitoring System FORMS: NONE
OMB NO: 0920-0500 EXPIRATION DATE: 01/31/2003 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: 0920-0501 EXPIRATION DATE: 01/31/2003 RESPS:1,620 HOURS:485 COSTS(000):$0 A Research Program to Develop Optimal NIOSH Alerts for Occupational Safety and Health in Farming FORMS: NONE
OMB NO: 0920-0502 EXPIRATION DATE: 02/29/2004 RESPS:25,200 HOURS:7,918 COSTS(000):$0 Racial and Ethnic Approaches to Community Health (REACH) FORMS: NONE
OMB NO: 0920-0503 EXPIRATION DATE: 02/29/2004 RESPS:11,300 HOURS:10,525 COSTS(000):$0 The Incidence of Breast and Other Cancers Among Female Flight Attendants FORMS: NONE
OMB NO: 0920-0504 EXPIRATION DATE: 02/29/2004 RESPS:40,236 HOURS:13,607 COSTS(000):$0 Thyroid Disease in Persons Exposed to Radioactive Fallout from Atomic Weapons Testing at the Nevada Test Site: Phase III FORMS: NONE
OMB NO: 0920-0505 EXPIRATION DATE: 08/31/2002 RESPS:800 HOURS:425 COSTS(000):$0 National Survey of Hospital Coagulation Laboratories FORMS: NONE
OMB NO: 0920-0507 EXPIRATION DATE: 01/31/2003 RESPS:2,000 HOURS:1,000 COSTS(000):$0 Geo-Analysis of HIV Prevention Services Provided by CDC to Directly and Indirectly Funded Community Based Organizations (CBOs) FORMS: NONE
OMB NO: 0920-0508 EXPIRATION DATE: 03/31/2004 RESPS:4,000 HOURS:1,666 COSTS(000):$0 Evaluation Research for the National Bone Health Campaign FORMS: NONE
OMB NO: 0920-0510 EXPIRATION DATE: 04/30/2003 RESPS:680 HOURS:230 COSTS(000):$0 Evaluating the Role of Positive and Negative Emotion in Promoting Hearing Conservation Behaviors Among Coal Miners FORMS: NONE
OMB NO: 0920-0511 EXPIRATION DATE: 04/30/2003 RESPS:6,435 HOURS:285 COSTS(000):$0 Developing Communication to Reduce Workplace Violence and FORMS: NONE
OMB NO: 0920-0512 EXPIRATION DATE: 06/30/2003 RESPS:4,960 HOURS:300 COSTS(000):$0 Preventing Latex Allergy Among Non-healthcare Workers FORMS: NONE
OMB NO: 0920-0513 EXPIRATION DATE: 12/31/2002 RESPS:8,500 HOURS:5,897 COSTS(000):$0 Injury Control & Risk Survey-2 (CARIS-2) FORMS: NONE
OMB NO: 0920-0515 EXPIRATION DATE: 07/31/2002 RESPS:650 HOURS:274 COSTS(000):$0 Telephone Survey Measuirng HIV/STD Risk Using Standard Methodology FORMS: NONE
OMB NO: 0920-0518 EXPIRATION DATE: 10/31/2002 RESPS:680 HOURS:360 COSTS(000):$0 Study of Air Transportation Safety Among Air Carrier Operators and Pilots in Alaska FORMS: NONE
OMB NO: 0920-0519 EXPIRATION DATE: 12/31/2002 RESPS:5,600 HOURS:1,400 COSTS(000):$0 Travelers' Health Survey FORMS: NONE
OMB NO: 0920-0521 EXPIRATION DATE: 07/31/2003 RESPS:955 HOURS:455 COSTS(000):$0 National Survey of STD Services Provided to US College Students FORMS: NONE
OMB NO: 0920-0522 EXPIRATION DATE: 02/28/2003 RESPS:3,500 HOURS:750 COSTS(000):$0 Validation of Self-Reported Arthritis Case Definitions in a Managed Care Setting: A Pilot Study FORMS: NONE
OMB NO: 0920-0523 EXPIRATION DATE: 08/31/2002 RESPS:7,200 HOURS:1,800 COSTS(000):$0 SAFE "Know Now" Media Campaign Evaluation FORMS: NONE
OMB NO: 0920-0525 EXPIRATION DATE: 10/31/2004 RESPS:955 HOURS:1,910 COSTS(000):$0 Assessing the Effectiveness of Community-Based Organizations for Evaluation FORMS: NONE
OMB NO: 0920-0526 EXPIRATION DATE: 11/30/2004 RESPS:2,456 HOURS:614 COSTS(000):$0 Evaluation of Viral Hepatitis B Educational Slide Materials FORMS: NONE
OMB NO: 0920-0527 EXPIRATION DATE: 11/30/2002 RESPS:300 HOURS:350 COSTS(000):$0 Human Exposure to Cyanobacterial (Blue-green Algal) Toxins in Drinking Water: Risk of Exposure to Microcystins from Public Water Systems FORMS: NONE
OMB NO: 0920-0528 EXPIRATION DATE: 11/30/2002 RESPS:65 HOURS:22 COSTS(000):$0 Factors and Strategies that are Effective in Establisning Policy and Environmental Interventions Designed to Promote Good Nutrition and Physical Activity FORMS: NONE
OMB NO: 0920-0529 EXPIRATION DATE: 07/31/2002 RESPS:100 HOURS:63 COSTS(000):$0 Questionnaires for State Epidemiologists Reporting Q Fever (Coxiella burnetii) and for the State Laboratories Testing for Q Fever FORMS: NONE
OMB NO: 0920-0530 EXPIRATION DATE: 05/31/2005 RESPS:15,000 HOURS:16,250 COSTS(000):$0 EEOICPA Dose Reconstruction Inerviews and Form FORMS: OCAS-1
OMB NO: 0920-0533 EXPIRATION DATE: 04/30/2003 RESPS:900 HOURS:300 COSTS(000):$0 A Survey of Pediatricians' attitudes and practices about promoting commmunication between parents and their children about sexuality and sexual risk FORMS: NONE
OMB NO: 0920-0534 EXPIRATION DATE: 12/31/2002 RESPS:4,080 HOURS:3,040 COSTS(000):$0 2002 Methodological Study of the Youth Risk Behavior Survey Quesitonnaire FORMS: NONE
OMB NO: 0920-0535 EXPIRATION DATE: 01/31/2003 RESPS:1,792 HOURS:363 COSTS(000):$0 Evaluating Toolbox Training Safety Programs for Construction and Mining FORMS: NONE
OMB NO: 0920-0537 EXPIRATION DATE: 01/31/2003 RESPS:1,500 HOURS:3,000 COSTS(000):$0 Communicating NIOSH Safety Information to Youth FORMS: NONE
OMB NO: 0920-0539 EXPIRATION DATE: 03/31/2003 RESPS:3,550 HOURS:880 COSTS(000):$0 National Survey of Endoscopic Capacity (SECAP) FORMS: NONE
OMB NO: 0920-0541 EXPIRATION DATE: 02/28/2003 RESPS:590 HOURS:89 COSTS(000):$0 Key Informant Interviews to Identify the Barriers to the Implementation of the New Targeted Testing and Treatment of Latent TB Infection Recommendations FORMS: NONE
OMB NO: 0920-0543 EXPIRATION DATE: 07/31/2002 RESPS:17,500 HOURS:917 COSTS(000):$0 Program Evaluation of the Distribution of Antimicrobial Agents to Prevent Anthrax, Assessment of Adverse Events and Adherence FORMS: NONE
OMB NO: 0920-0544 EXPIRATION DATE: 03/31/2003 RESPS:1,200 HOURS:400 COSTS(000):$0 Evaluation of Effectiveness of NIOSH Publications FORMS: NONE
OMB NO: 0920-0545 EXPIRATION DATE: 09/30/2002 RESPS:525 HOURS:350 COSTS(000):$0 Pilot Study of the U.S. Action Plan for Laboratory Containment of Wild Polioviruses FORMS: NONE
OMB NO: 0920-0546 EXPIRATION DATE: 03/31/2003 RESPS:86,117 HOURS:3,584 COSTS(000):$0 Outcome Evaluation of CDC's Youth Media Campaign FORMS: NONE
OMB NO: 0920-0548 EXPIRATION DATE: 05/31/2005 RESPS:143 HOURS:48 COSTS(000):$0 National Telephone Survey of Urban Mosquito Control Programs FORMS: NONE
OMB NO: 0920-0551 EXPIRATION DATE: 05/31/2005 RESPS:1,883 HOURS:1,993 COSTS(000):$0 NIOSH Research Study for the Prevention of Work-Related Musculoskeletal Disorders FORMS: NONE
OMB NO: 0920-0556 EXPIRATION DATE: 11/30/2002 RESPS:400 HOURS:7,333 COSTS(000):$1 Assisted Reproductive Technology (ART) Program Reporting System FORMS: NONE
Agency for Toxic Substances and Disease RegistrySUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
127 2,083,890 851,245 $119
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: 10/31/2004 RESPS:6,927 HOURS:3,053 COSTS(000):$0 National Exposure Registry FORMS: NONE
OMB NO: 0923-0007 EXPIRATION DATE: 09/30/2004 RESPS:150 HOURS:25 COSTS(000):$0 Community Assistance Panels Nomination Form FORMS: NONE
OMB NO: 0923-0008 EXPIRATION DATE: 11/30/2004 RESPS:9,808 HOURS:7,356 COSTS(000):$0 Hazardous Substances Emergency Events Surveillance FORMS: NONE
OMB NO: 0923-0015 EXPIRATION DATE: 06/30/2002 RESPS:2,118 HOURS:838 COSTS(000):$0 Lead Exposure and Blood Pressure During Pregnancy Study, Charles Drew Medical School FORMS: NONE
OMB NO: 0923-0023 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: 0923-0030 EXPIRATION DATE: 12/31/2003 RESPS:6,667 HOURS:2,222 COSTS(000):$0 ATSDR Market Survey of Priority Populations FORMS: NONE
OMB NO: 0923-0033 EXPIRATION DATE: 12/31/2002 RESPS:2,300 HOURS:1,025 COSTS(000):$0 Hanford Birth Cohort Study FORMS: NONE
National Institutes of HealthSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
11 52,356 19,105 $0
OMB NO: 0925-0001 EXPIRATION DATE: 05/31/2004 RESPS:114,407 HOURS:1,376,468 COSTS(000):$480 Research and Research Training Grant Applications and Related Forms FORMS: PHS-398 PHS-2590 PHS-2271 PHS-3734 HHS-568
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: 0925-0208 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: 08/31/2004 RESPS:10,717 HOURS:8,639 COSTS(000):$0 The Framingham Study FORMS: NONE
OMB NO: 0925-0240 EXPIRATION DATE: 04/30/2004 RESPS:9 HOURS:2,516 COSTS(000):$0 Drug Accountability Record FORMS: NIH-2564 NIH-2564-1
OMB NO: 0925-0281 EXPIRATION DATE: 02/29/2004 RESPS:15,113 HOURS:3,746 COSTS(000):$0 The 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: 04/30/2004 RESPS:6,992 HOURS:1,719 COSTS(000):$0 The Cardiovascular Health Study FORMS: NONE
OMB NO: 0925-0348 EXPIRATION DATE: 02/28/2005 RESPS:2 HOURS:360 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: 12/31/2004 RESPS:8,045 HOURS:12,611 COSTS(000):$0 National Institutes of Health Loan Repayment Programs FORMS: NIH-2674-1 NIH-2674-2 NIH-2674-3 NIH-2674-4 NIH-2674-5 NIH-2674-6 NIH-2674-7 NIH-2674-8 NIH-2674-9 NIH-2674-10--12
OMB NO: 0925-0368 EXPIRATION DATE: 02/28/2003 RESPS:97,666 HOURS:17,125 COSTS(000):$0 Tobacco Use Supplement to the Current Population Survey in 2001-2002 FORMS: NONE
OMB NO: 0925-0378 EXPIRATION DATE: 06/30/2004 RESPS:200 HOURS:125 COSTS(000):$0 Application for the Pharmacology Research Associate Program FORMS: NIH-2721-1 NIH-2721-2
OMB NO: 0925-0406 EXPIRATION DATE: 11/30/2003 RESPS:25,012 HOURS:13,433 COSTS(000):$0 Agricultural health Study (A Prospective Cohort Study of Cancer and Other Diseases Among Men and Women in Agriculture) - Validation Sub-Study on Rheumatoid Arthritis 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: 0925-0418 EXPIRATION DATE: 08/31/2002 RESPS:217,634 HOURS:164,428 COSTS(000):$0 Protection of Human Subjects: Assurance Identification/ Certification/Declaration FORMS: 310
OMB NO: 0925-0423 EXPIRATION DATE: 12/31/2003 RESPS:150,166 HOURS:55,977 COSTS(000):$0 A Prospective Study of Diet and Cancer in Members of the American Association of Retired Persons (AARP) FORMS: NONE
OMB NO: 0925-0424 EXPIRATION DATE: 03/31/2005 RESPS:16,481 HOURS:16,481 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: 07/31/2004 RESPS:1,330 HOURS:1,727 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 NIH-2762-5
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: 07/31/2004 RESPS:590 HOURS:216 COSTS(000):$0 Case-Cohort Study of Cancer and Related Disorders Among Benzene-Exposed Workers in China FORMS: NONE
OMB NO: 0925-0458 EXPIRATION DATE: 03/31/2004 RESPS:5,604 HOURS:1,776 COSTS(000):$0 Generic Clearance for Satisfaction Surveys of Customers and Other Partners 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: 04/30/2004 RESPS:14,390 HOURS:7,774 COSTS(000):$0 Evaluation of the National Youth Anti-Drug Media Campaign (NYAMC): Revision 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
OMB NO: 0925-0482 EXPIRATION DATE: 02/29/2004 RESPS:5,277 HOURS:1,867 COSTS(000):$0 The Family Health Study (Validation of a Family History of Cancer Questionnaire for Risk Factor Surveillance) FORMS: NONE
OMB NO: 0925-0483 EXPIRATION DATE: 02/28/2003 RESPS:2,100 HOURS:351 COSTS(000):$0 Environmental Factors in the Development of Polycystic Ovary Syndrome FORMS: NONE
OMB NO: 0925-0484 EXPIRATION DATE: 03/31/2004 RESPS:48,000 HOURS:48,000 COSTS(000):$0 National Epidemiologic Survey on Alcohol and Related Conditions FORMS: N/A
OMB NO: 0925-0486 EXPIRATION DATE: 04/30/2004 RESPS:104,000 HOURS:8,684 COSTS(000):$0 Evaluation of User Satisfaction with NIH Internet Sites FORMS: NONE
OMB NO: 0925-0487 EXPIRATION DATE: 10/31/2002 RESPS:878 HOURS:439 COSTS(000):$0 The National Survey of Nonhuman Primate Research Use FORMS: NONE
OMB NO: 0925-0488 EXPIRATION DATE: 05/31/2003 RESPS:400 HOURS:233 COSTS(000):$0 Survey of IRB Chairs Concerning the Implementatin of Pediatric Research Regulation FORMS: NONE
OMB NO: 0925-0489 EXPIRATION DATE: 06/30/2004 RESPS:200 HOURS:100 COSTS(000):$0 Customer/Partner Satisfaction Survey of the NIDCD Minority and Disability Supplement Program FORMS: NONE
OMB NO: 0925-0490 EXPIRATION DATE: 07/31/2002 RESPS:360 HOURS:120 COSTS(000):$0 Enhancing Access and Measuring the Effectiveness of HIV/AIDS Information Methods FORMS: NONE
OMB NO: 0925-0491 EXPIRATION DATE: 07/31/2004 RESPS:480 HOURS:160 COSTS(000):$0 The Jackson Heart Study: Annual Follow-up with Third Party Respondents FORMS: NONE
OMB NO: 0925-0492 EXPIRATION DATE: 10/31/2003 RESPS:1 HOURS:60 COSTS(000):$0 Validation of Questionnaires Used for Occupational Exposure Assessment in Case-Control Studies: Occupational History Questionnaire with Foundry Worker & Textile Industry Job Modules FORMS: NONE
OMB NO: 0925-0493 EXPIRATION DATE: 09/30/2004 RESPS:555 HOURS:42 COSTS(000):$0 Multi-Ethnic Study of Atherosclerosis (MESA) Event Surveillance FORMS: NONE
OMB NO: 0925-0494 EXPIRATION DATE: 10/31/2003 RESPS:340 HOURS:340 COSTS(000):$0 A Nested Case-Control Study of Lung Cancer and Diesel Exhaust Among Non-Metal Miners FORMS: NONE
OMB NO: 0925-0495 EXPIRATION DATE: 10/31/2004 RESPS:700 HOURS:400 COSTS(000):$0 Leukemia and Other Hematological Diseases Among Cleanup Workers in Ukraine Following the Chornobyl Accident FORMS: NONE
OMB NO: 0925-0496 EXPIRATION DATE: 10/31/2002 RESPS:6,223 HOURS:1,556 COSTS(000):$0 Extended Lung Cancer Incidence Follow-Up for the Mayo Lung Project Participants (MLP-EI) FORMS: NONE
OMB NO: 0925-0498 EXPIRATION DATE: 04/30/2005 RESPS:520 HOURS:520 COSTS(000):$0 Study of Testicular Germ Cell Cancer in U.S. Military Servicemen: Sub-study of Maternal Risk Factors FORMS: NONE
OMB NO: 0925-0499 EXPIRATION DATE: 04/30/2003 RESPS:1,000 HOURS:500 COSTS(000):$0 The National Survey to Evaluate the NIH SBIR Program FORMS: NONE
Substance Abuse and Mental Health Services AdministrationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
58 1,103,104 1,936,207 $480
OMB NO: 0930-0074 EXPIRATION DATE: 03/31/2004 RESPS:900 HOURS:176 COSTS(000):$0 Obligated Service for Mental Health Traineeships: Regulations and Forms FORMS: SMA-111 SMA-111-1 SMA-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: 07/31/2004 RESPS:60 HOURS:34,640 COSTS(000):$0 Substance Abuse Prevention and Treatment Block Grant Application Format - FY2002-2004 FORMS: NONE
OMB NO: 0930-0092 EXPIRATION DATE: 07/31/2004 RESPS:1,485,000 HOURS:259,876 COSTS(000):$73 Confidentiality of Alcohol and Drug Abuse Patient Records - 42 CFR Part 2 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: 06/30/2004 RESPS:16 HOURS:7 COSTS(000):$0 Community Mental Health Centers Construction Grantee Checklist - Form and Regulations 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: 01/31/2003 RESPS:202,500 HOURS:85,400 COSTS(000):$0 2002 National Survey on Drug Use and Health FORMS: NONE
OMB NO: 0930-0119 EXPIRATION DATE: 02/29/2004 RESPS:4,878 HOURS:3,890 COSTS(000):$0 2000 Survey of Mental Health Organizations, General Hospital Mental Health Services, and Managed Care Organizations (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: 02/29/2004 RESPS:60 HOURS:961 COSTS(000):$0 Substance Abuse Prevention and Treatment Block Grant Regulations- 45 CFR Part 96 FORMS: NONE
OMB NO: 0930-0168 EXPIRATION DATE: 07/31/2004 RESPS:59 HOURS:16,360 COSTS(000):$0 FY 2002-2004 Community Mental Health Services Block Grant Application: Voluntary Format and Content 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: 02/29/2004 RESPS:136 HOURS:168 COSTS(000):$0 Protection and Advocacy Program for Individuals with Mental Illness Regulations -- 45 CFR Part 51 FORMS: NONE
OMB NO: 0930-0185 EXPIRATION DATE: 06/30/2002 RESPS:3,590 HOURS:2,740 COSTS(000):$0 State Prevention Needs Assesssment: Alcohol and Other Drugs 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: 0930-0195 EXPIRATION DATE: 09/30/2004 RESPS:12,901 HOURS:2,252 COSTS(000):$0 Participant Feedback for the Mental Health Care Provider Education in HIV/AIDS Program II and III FORMS: NONE
OMB NO: 0930-0197 EXPIRATION DATE: 12/31/2004 RESPS:30,150 HOURS:10,375 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: 0930-0202 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: 04/30/2005 RESPS:1,940 HOURS:372 COSTS(000):$0 Assessment of the National Leadership Institute (NLI) Program and Services and the Minority Community-based Organization (MCBO) Program 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: 0930-0213 EXPIRATION DATE: 06/30/2003 RESPS:24,525 HOURS:17,959 COSTS(000):$0 State Prevention Needs Assessment Surveys: Alcohol and FORMS: NONE
OMB NO: 0930-0214 EXPIRATION DATE: 09/30/2002 RESPS:6,669 HOURS:2,785 COSTS(000):$0 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
OMB NO: 0930-0217 EXPIRATION DATE: 01/31/2004 RESPS:10 HOURS:100 COSTS(000):$0 Administrative Reporting Form for the "Women, Co-occurring Disorders and Violence Cooperative Agreement Program (Phase II)" FORMS: NONE
OMB NO: 0930-0220 EXPIRATION DATE: 09/30/2002 RESPS:312 HOURS:41 COSTS(000):$0 Provider Survey for the Primary Care Research in Substance Abuse and Mental Health Services for the Elderly (PRISMe) Cooperative Agreement Program FORMS: NONE
OMB NO: 0930-0222 EXPIRATION DATE: 07/31/2004 RESPS:59 HOURS:1,947 COSTS(000):$0 Substance Abuse Prevention and Treatment Block Grant Synar Report Format, FY 2002-2004 FORMS: NONE
OMB NO: 0930-0223 EXPIRATION DATE: 09/30/2004 RESPS:2,280 HOURS:3,032 COSTS(000):$0 Evaluation of the CMHS/CSAT Collaborative Program on Homeless Families: Women with Psychiatric, Substance Use, or Co-occuring Disorders and Their Dependent Children FORMS: NONE
OMB NO: 0930-0224 EXPIRATION DATE: 12/31/2002 RESPS:7,014 HOURS:1,164 COSTS(000):$0 The Treatment Improvement Protocol (TIP) #35 Prospective Study FORMS: NONE
OMB NO: 0930-0226 EXPIRATION DATE: 07/31/2004 RESPS:313 HOURS:1,204 COSTS(000):$0 Protocols for the Cross-Site Process Evaluation of the State FORMS: NONE
OMB NO: 0930-0229 EXPIRATION DATE: 04/30/2005 RESPS:6 HOURS:18 COSTS(000):$0 Emergency Response Grants - 42 CFR Part 51 FORMS: NONE
OMB NO: 0930-0230 EXPIRATION DATE: 01/31/2005 RESPS:404 HOURS:1,212 COSTS(000):$0 Core Measures for the Center for Substance Abuse Prevention FORMS: NONE
OMB NO: 0930-0231 EXPIRATION DATE: 02/28/2005 RESPS:721 HOURS:577 COSTS(000):$0 National Survey on Drug Use and Health: Clinical Validation Study of Substance Abuse and Dependence Measures FORMS: NONE
OMB NO: 0930-0232 EXPIRATION DATE: 02/28/2005 RESPS:5,160 HOURS:1,210 COSTS(000):$0 Workplace Helpline Call Record Form and Technical Assistance Follow-up Survey Form FORMS: NONE
OMB NO: 0930-0233 EXPIRATION DATE: 05/31/2005 RESPS:2,022 HOURS:170 COSTS(000):$0 Mexican Border Youth Survey FORMS: NONE
OMB NO: 0930-0234 EXPIRATION DATE: 10/31/2002 RESPS:2,233 HOURS:203 COSTS(000):$0 Notification of Intent to Use Schedule III, IV, or V Opioid Drugs for the Maintanance and Detoxification Treatment of Opiate Addiction Under 21 USC Sec. 823(g)(2) FORMS: SMA-167
Agency for Health Care Policy and ResearchSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
41 9,487,391 2,351,014 $3,885
OMB NO: 0935-0104 EXPIRATION DATE: 03/31/2004 RESPS:52,306 HOURS:49,105 COSTS(000):$0 Medical Expenditure Panel Survey Household Component (MEPS-HC) - 2001 through 2004 FORMS: NONE
OMB NO: 0935-0106 EXPIRATION DATE: 09/30/2004 RESPS:112,800 HOURS:20,667 COSTS(000):$515,732 Voluntary Customer Satisfaction Survey Generic Clearance for FORMS: NONE
OMB NO: 0935-0108 EXPIRATION DATE: 02/28/2005 RESPS:53,660 HOURS:23,216 COSTS(000):$0 Medical Expenditure Panel Survey Medical Provider Component (MEPS-MPC) for 2001 and 2002 FORMS: NONE
OMB NO: 0935-0110 EXPIRATION DATE: 02/28/2005 RESPS:35,131 HOURS:21,191 COSTS(000):$0 2001-2003 Medical Expenditure Panel Survey-Insurance Component (MEPS-IC) FORMS: NONE
OMB NO: 0935-0112 EXPIRATION DATE: 10/31/2002 RESPS:1,000 HOURS:1,150 COSTS(000):$86,250 Primary Care Network Survey (PRINS) FORMS: NONE
Office of Assistant Secretary for HealthSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
5 254,897 115,329 $601,982
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: 08/31/2002 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: 07/31/2004 RESPS:32 HOURS:6,400 COSTS(000):$226 Application Packets for Real Property for Public Health Purposes FORMS: HHS-696
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
Centers for Medicare and Medicaid ServicesSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
6 134,685 333,885 $226
OMB NO: 0938-0008 EXPIRATION DATE: 06/30/2002 RESPS:714,391,083 HOURS:44,189,007 COSTS(000):$0 Medicare/Medicaid Health Insurance Common Claim Form, Instructions, and Supporting Regulations: 42 CFR 414.40, 424.32, 424.44 FORMS: HCFA-1500 HCFA-1490U HCFA-1490S
OMB NO: 0938-0022 EXPIRATION DATE: 05/31/2004 RESPS:7,310 HOURS:1,311,060 COSTS(000):$0 Home Health Agency Cost Report and Supporting Regulations in 42 CFR 413.20, 413.24, 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: 02/28/2005 RESPS:716 HOURS:71,600 COSTS(000):$0 Outpatient Rehabilitation Cost Report and Supporting Regulations in 42 CFR 413.20 and 413.24 FORMS: CMS-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: 0938-0042 EXPIRATION DATE: 03/31/2004 RESPS:9,301,183 HOURS:390,418 COSTS(000):$0 Request for Medicare Payment - Ambulance and Supporting Regulations in 42 CFR Section 410.40 and 424.124 FORMS: HCFA-1491
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: 08/31/2004 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 in 42 CFR, 405.2133 FORMS: HCFA-2728(ESRD)
OMB NO: 0938-0050 EXPIRATION DATE: 05/31/2004 RESPS:6,057 HOURS:4,011,669 COSTS(000):$0 Hospital 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: 04/30/2005 RESPS:224 HOURS:18,144 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: 0938-0101 EXPIRATION DATE: 07/31/2002 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: 0938-0146 EXPIRATION DATE: 08/31/2002 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: 05/31/2004 RESPS:56 HOURS:560 COSTS(000):$0 Transmittal and Notice of Approval of State Plan Material and Supporting Regulations in 42 CFR 430.10-430.20 and 440.167 FORMS: HCFA-179
OMB NO: 0938-0202 EXPIRATION DATE: 06/30/2002 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: 05/31/2004 RESPS:867,863,540 HOURS:1,339,982 COSTS(000):$0 Medicare Secondary Payer Information Collection and Supporting Regulations in 42 CFR 411.25, 489.2, and 489.20 FORMS: CMS-250-254
OMB NO: 0938-0236 EXPIRATION DATE: 08/31/2004 RESPS:3,085 HOURS:604,660 COSTS(000):$0 Independent Renal Dialysis Facility Cost Report and Supporting Regulations 42 CFR 413.20 and 42 CFR 413.24 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: 09/30/2004 RESPS:50,000 HOURS:12,500 COSTS(000):$0 Application for Hospital Insurance in 42 CFR 406.7 FORMS: HCFA-18F5
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: 09/30/2004 RESPS:500 HOURS:1,000 COSTS(000):$0 The Financial Statement of Debtor and Supporting Regulations in 42 CFR, Section 405.376 FORMS: HCFA-379
OMB NO: 0938-0272 EXPIRATION DATE: 10/31/2003 RESPS:243 HOURS:18,225 COSTS(000):$0 Annual Report on Home and Community-Based Services Waivers 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: 07/31/2002 RESPS:147,343,290 HOURS:1,960,991 COSTS(000):$0 Medicare Uniform Institutonal Provider Bill 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: 04/30/2004 RESPS:291 HOURS:14,000 COSTS(000):$0 Provider Reimbursement Manual, Part 1-Chapter 27, Sections 2721, 2722 & 2725, Request for Exception to End Stage Renal Disease Composite Rates & Supporting Regulations in 42 CFR 413.170...... FORMS: HCFA-9044
OMB NO: 0938-0300 EXPIRATION DATE: 10/31/2004 RESPS:51 HOURS:6,891 COSTS(000):$0 Quality Control of Negative Case Actions (NCA) FORMS: CMS-6401
OMB NO: 0938-0301 EXPIRATION DATE: 08/31/2002 RESPS:33,144 HOURS:1,342,332 COSTS(000):$0 Medicare Provider Cost Report Reimbursement Questionnaire and Support Regs. 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: 08/31/2004 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: 09/30/2003 RESPS:13,994 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 - 42 CFR Part 484.52 FORMS: HCFA-1572 HCFA-1515
OMB NO: 0938-0357 EXPIRATION DATE: 06/30/2002 RESPS:5,580,000 HOURS:1,395,000 COSTS(000):$0 Home Health Services Under Hospital Insurance, Manuel Instructions and Supporting Regulations in 42 CFR 409.40 - 50, 410.36, 410.170, 411.4-.15, 421.100, 424.22, 484.18, and 489.21 FORMS: HCFA-485
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: 03/31/2005 RESPS:899,340 HOURS:26,982 COSTS(000):$0 Medical Records Review Under PPS and Supporting Regulations at 42 CFR 412.40-412.52 FORMS: CMS-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: 05/31/2004 RESPS:7,500 HOURS:862,585 COSTS(000):$0 Home Health Medicare Conditions of Participation (CoP) Information Collection Requirements as Outlined in Regulation -- 42 CFR 484 FORMS: HCFA-R-39
OMB NO: 0938-0372 EXPIRATION DATE: 03/31/2004 RESPS:8,600 HOURS:717 COSTS(000):$0 ESRD Beneficiary Selection and Supporting Regulations Contained in 42 CFR 414.330 FORMS: HCFA-382
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: 08/31/2004 RESPS:250 HOURS:125 COSTS(000):$0 The Medicare/Medicaid Psychiatric Hospital Survey Data Contained in 42 CFR and Supporting Regultions 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: 0938-0386 EXPIRATION DATE: 04/30/2003 RESPS:3,940 HOURS:143,721 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: 12/31/2002 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: 05/31/2004 RESPS:2 HOURS:20 COSTS(000):$0 Imposition of Cost Sharing Charges Under Medicaid and Supporting Regulations contained in 42 CFR Section 447.53 FORMS: HCFA-R-0053
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: 10/31/2002 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: 06/30/2002 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: 12/31/2002 RESPS:56,258 HOURS:9,564 COSTS(000):$0 End Stage Renal Disease Death Notification FORMS: CMS-2746
OMB NO: 0938-0449 EXPIRATION DATE: 06/30/2002 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: 05/31/2004 RESPS:15,700 HOURS:2,943,354 COSTS(000):$0 Skilled Nursing Facility and Skilled Nursing Facility Cost Report and Supporting Regulations in 42 CFR 413.20, 413.24, and 413.106 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: 07/31/2002 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: 12/31/2004 RESPS:300 HOURS:3,130 COSTS(000):$6,000 The Fiscal Soundness Reporting Requirements (FSRR) FORMS: 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: 0938-0484 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: 0938-0490 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: 04/30/2004 RESPS:4,300 HOURS:731 COSTS(000):$0 Medicare Qualification Statement for Federal Employees and Supporting Regulations in 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: 0938-0512 EXPIRATION DATE: 11/30/2003 RESPS:69 HOURS:138 COSTS(000):$0 Organ Procurement Organization's Request for Designation and Supporting Regulations in 42 CFR 486.301 - 486.325 FORMS: CMS-576
OMB NO: 0938-0526 EXPIRATION DATE: 08/31/2004 RESPS:53 HOURS:1 COSTS(000):$0 Peer Review Organization Contracts: Solicitation of Statements of Interest from In-State Organizations, General Notice--CFR 475 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: 06/30/2002 RESPS:18,823,150 HOURS:1,568,596 COSTS(000):$0 Advance Beneficiary Notice and Supporting Regulations in 42 CFR 411.404, 411.406, and 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: 04/30/2004 RESPS:49,500 HOURS:50,325 COSTS(000):$0 Medicare Current Beneficiary Survey (MCBS): Rounds 29-37 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: 04/30/2004 RESPS:12 HOURS:2,110 COSTS(000):$0 Criteria for Medicare Coverage of Liver Transplants FORMS: HCFA-R-108
OMB NO: 0938-0581 EXPIRATION DATE: 09/30/2004 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: 11/30/2004 RESPS:50 HOURS:4,500 COSTS(000):$0 CLIA Budget Workload Reports and Supporting Regulations Contained in 42 CFR 493.1-.2001 FORMS: CMS-102 CMS-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: 06/30/2002 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: 06/30/2004 RESPS:700,650 HOURS:10,230,714 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: 01/31/2005 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 in 42 CFR 433.68,. 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: 05/31/2004 RESPS:4,000 HOURS:10,000 COSTS(000):$0 Alternate Quality Assessment Survey 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: 0938-0667 EXPIRATION DATE: 10/31/2002 RESPS:5,600 HOURS:1 COSTS(000):$0 ICRs contained in BPD-393, Examination and treatment for Emergency Medical Condiitons and Women in Labor, 42 CFR 488.18, 489.20, and 489.24, and HCFA-1005-IFC, PPS for Hospital....... FORMS: HCFA-R-142
OMB NO: 0938-0670 EXPIRATION DATE: 05/31/2004 RESPS:6 HOURS:1,010 COSTS(000):$0 Criteria for Medicare Coverage of Lung Transplants FORMS: HCFA-R-170
OMB NO: 0938-0673 EXPIRATION DATE: 07/31/2004 RESPS:5 HOURS:15 COSTS(000):$0 Medicaid Post-Eligibility Preprint--And Supporting Regulations at 42 CFR 430.10 FORMS: SP0001
OMB NO: 0938-0676 EXPIRATION DATE: 05/31/2004 RESPS:3,744 HOURS:139,560 COSTS(000):$350 Reconciliation of State Invoice and Prior Quarter Adjustment Statement (Medicaid Drug Rebate Program - Labelers) FORMS: HCFA-304 HCFA-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: 11/30/2002 RESPS:274,000 HOURS:642,000 COSTS(000):$0 Medicare Federal Health Care Provider/Supplier Enrollment Application FORMS: HCFA-855A HCFA-855B HCFA-855I HCFA-855R HCFA-855S
OMB NO: 0938-0686 EXPIRATION DATE: 03/31/2005 RESPS:76 HOURS:768 COSTS(000):$0 Granting and Withdrawal of Deeming Authority to Private Nonprofit Accrediation Organizations and of State Exemption Under State Laboratory Programs & Supporting Regulation in 42 CFR 493.551-... FORMS: HCFA-R-185
OMB NO: 0938-0688 EXPIRATION DATE: 02/28/2003 RESPS:59 HOURS:1 COSTS(000):$0 Conditions of coverage for Organ Procurement Organizations (OPOs) and Supporting Regulations in 42 CFR, Section 486.301-.325 FORMS: CMS-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: 0938-0700 EXPIRATION DATE: 04/30/2004 RESPS:450 HOURS:45,000 COSTS(000):$0 Incentive Arrangement Disclosure Form and Supporting Regulations 42 CFR 417.479, 417.500, 422.208, 422.210, 434.44, 434.67, 434.70, 1003.100, 1003.101, 1003.103, 1003.106 FORMS: HCFA-R-201
OMB NO: 0938-0701 EXPIRATION DATE: 09/30/2003 RESPS:313,825 HOURS:186,320 COSTS(000):$0 Health Plan Employer Data and Information Set (HEDIS ) and Health Outcome Survey (HOS) and Supporting Regulations at CFR 422.152 FORMS: CMS-R-200
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: 10/31/2003 RESPS:92,803 HOURS:415 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: 05/31/2005 RESPS:42 HOURS:6,720 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, & Model Application Template and Instructions FORMS: HCFA-R-211
OMB NO: 0938-0708 EXPIRATION DATE: 04/30/2004 RESPS:1,200 HOURS:744 COSTS(000):$0 Evaluation of the State Medicaid Reform Demonstrations and Evaluation of the Medicaid Health Reform Demonstrations FORMS: HCFA-R-207
OMB NO: 0938-0709 EXPIRATION DATE: 03/31/2004 RESPS:69,717 HOURS:32,917 COSTS(000):$0 Data Collection for the Second Generation Social Health Maintenance Organization Demonstration FORMS: HCFA-R-204
OMB NO: 0938-0711 EXPIRATION DATE: 10/31/2003 RESPS:1,353,500 HOURS:6,533 COSTS(000):$0 Managed Care Data Using the Uniform Institutional Providers Form FORMS: NONE
OMB NO: 0938-0714 EXPIRATION DATE: 10/31/2004 RESPS:200 HOURS:2,000 COSTS(000):$0 Procedures for Advisory Opinions Concerning Physician Referrals and Supporting Regulations in 42 CFR Sections 411.370 through 411.389 FORMS: HCFA-R-216
OMB NO: 0938-0717 EXPIRATION DATE: 11/30/2004 RESPS:35,000 HOURS:280,000 COSTS(000):$0 Information Collection Requirements Referenced in 42 CFR Section 424.57: Additional DMEPOS Supplier Standards FORMS: HCFA-R-215
OMB NO: 0938-0721 EXPIRATION DATE: 08/31/2004 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: 09/30/2004 RESPS:10 HOURS:100 COSTS(000):$0 Medicare+Choice Provider Sponsored Organization Waiver Request Form and Supporting Regulations at 42 CFR 422.370 through 422.378 FORMS: HCFA-R-231
OMB NO: 0938-0723 EXPIRATION DATE: 09/30/2002 RESPS:10 HOURS:2,400 COSTS(000):$0 Medicare Integrity Program Organizations Conflict of Interest Disclosure Certificate and Supporting Regulations at 42 CFR 421.300 - 421.318 FORMS: HCFA-R-232
OMB NO: 0938-0730 EXPIRATION DATE: 08/31/2004 RESPS:26,280 HOURS:7,197 COSTS(000):$0 Subpart D-Private Contracts and Supporting Regulations in 42 CFR 405.410, 405.430, 405.435, 405.440, 405.445, 405.455, 410.61, 415.110, and 424.24 FORMS: R-234
OMB NO: 0938-0731 EXPIRATION DATE: 04/30/2005 RESPS:448 HOURS:7,840 COSTS(000):$0 Quarterly Children's Health Insurance Program Statement of Expenditures for Title XXI FORMS: HCFA-21 HCFA-21B
OMB NO: 0938-0732 EXPIRATION DATE: 05/31/2004 RESPS:168,000 HOURS:55,450 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: 09/30/2004 RESPS:1,500 HOURS:750 COSTS(000):$0 Data Use Agreement Information Collection Requirements, model language, and supporting regulations in 42 CFR Section 5b FORMS: HCFA-R-235
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: 0938-0741 EXPIRATION DATE: 10/31/2002 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: 11/30/2002 RESPS:700 HOURS:66,500 COSTS(000):$0 Adjusted Community Rate (ACR) Proposal medicare + Choice FORMS: CMS-R-228
OMB NO: 0938-0745 EXPIRATION DATE: 07/31/2002 RESPS:261 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: 10/31/2004 RESPS:20,000 HOURS:10,000 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: 0938-0753 EXPIRATION DATE: 08/31/2002 RESPS:7,657,534 HOURS:2,120,006 COSTS(000):$0 Medicare Plus Choice Program Requirements Refernced in 42 CFR 422.000 - 422.700 FORMS: HCFA-R-0267
OMB NO: 0938-0754 EXPIRATION DATE: 03/31/2005 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: CMS-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: 03/31/2005 RESPS:7,000 HOURS:583 COSTS(000):$0 MSInteractive Survey Tool for www.medicare.gov FORMS: CMS-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: 03/31/2005 RESPS:1,720 HOURS:302,720 COSTS(000):$0 Hospice Cost Report and Supporting Regulations in 42 CFR 413.20 and 413.24 FORMS: CMS-R-249
OMB NO: 0938-0760 EXPIRATION DATE: 12/31/2002 RESPS:9,510,900 HOURS:10,454,100 COSTS(000):$25,780 Medicare and Medicaid Programs Use of the OASIS as Part of the CoPs for HHAs and Supporting Regulations in Part 484 of 42 CFR FORMS: HCFA-R-245
OMB NO: 0938-0761 EXPIRATION DATE: 12/31/2002 RESPS:85,200 HOURS:862,709 COSTS(000):$17,800 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: 08/31/2004 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: 06/30/2002 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: 0938-0784 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: 08/31/2004 RESPS:5,000 HOURS:750 COSTS(000):$0 Request for Employment Information FORMS: HCFA-R-297
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: 08/31/2002 RESPS:93,970 HOURS:21,692 COSTS(000):$0 A Project to Develop an Outcome-Based Continuous Quality Improvement System and Core comprehensive Assessment Data Set for PACE FORMS: HCFA-R-299
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: 0938-0795 EXPIRATION DATE: 08/31/2004 RESPS:37 HOURS:11,100 COSTS(000):$0 Conflict of Interest and Ownership and Control Information FORMS: HCFA-R-312
OMB NO: 0938-0796 EXPIRATION DATE: 05/31/2004 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: 09/30/2003 RESPS:56 HOURS:5,600 COSTS(000):$0 TWWIA Demonstration to Maintain Independence and Employment 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: 05/31/2005 RESPS:55 HOURS:193 COSTS(000):$0 Recognition of pass-through payment for drugs and biologicals under the Outpatient Prospective Payment System and Supporting Regulations in 42 CFR, Section 419.43, formerly known as...... FORMS: CMS-10008
OMB NO: 0938-0805 EXPIRATION DATE: 05/31/2003 RESPS:75,600,000 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: 07/31/2002 RESPS:10,043 HOURS:19,999 COSTS(000):$0 Informatics, Telemedicine, and Education Demonstration Project FORMS: HCFA-10014
OMB NO: 0938-0807 EXPIRATION DATE: 12/31/2002 RESPS:10,000 HOURS:2,900 COSTS(000):$0 Oxygen Consumer Survey: Medical Equipment and Supplies 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
OMB NO: 0938-0817 EXPIRATION DATE: 11/30/2003 RESPS:3,600 HOURS:684 COSTS(000):$0 Survey of Medicare Beneficiaries Who Involuntarily Disenroll From Their Health Plan FORMS: CMS-10026
OMB NO: 0938-0818 EXPIRATION DATE: 05/31/2003 RESPS:3,291 HOURS:23,218 COSTS(000):$0 Expanded Coverage for Diabetes Outpatient Self-Management 42 CFR 410.141-410-145 and 414.63 FORMS: R-247
OMB NO: 0938-0819 EXPIRATION DATE: 05/31/2004 RESPS:2,600 HOURS:100 COSTS(000):$0 HIPAAA Nondiscrimination Provisions (Regulation HCFA-2078-P) FORMS: HCFA-10009
OMB NO: 0938-0820 EXPIRATION DATE: 05/31/2003 RESPS:500 HOURS:542 COSTS(000):$0 Follow-Up of Medicare+Choice Disenrollees Receiving Fee-for-Service Inpatient Hospital Care FORMS: HCFA-10017
OMB NO: 0938-0823 EXPIRATION DATE: 04/30/2004 RESPS:150 HOURS:50 COSTS(000):$0 Suggestion Program on Methods to Improve Medicare Efficiency and Supporting Regulations in 42 CFR 420.410 FORMS: HCFA-R-0255
OMB NO: 0938-0824 EXPIRATION DATE: 05/31/2004 RESPS:75 HOURS:3 COSTS(000):$0 Restraints/Seclusion Death Reporting for Hospitals and Supporting Regulations at 42 CFR 482.13 FORMS: HCFA-10004
OMB NO: 0938-0825 EXPIRATION DATE: 12/31/2002 RESPS:560 HOURS:327 COSTS(000):$0 Stages of Change Survey for Informed Choice in the Medicare Population FORMS: HCFA-10011
OMB NO: 0938-0826 EXPIRATION DATE: 06/30/2004 RESPS:4,800 HOURS:3,200 COSTS(000):$0 Survey of Medicaid Home and Community-Based Services Waiver and Personal Care Option Recipients for the Multi-Site Study of Medicaid HOme and Community-Based Services FORMS: HCFA-10018
OMB NO: 0938-0827 EXPIRATION DATE: 05/31/2005 RESPS:18 HOURS:194 COSTS(000):$0 HIPA Nondiscrimination Provisions (Regulation HCFA-2022-IFC) FORMS: HCFA-10001
OMB NO: 0938-0828 EXPIRATION DATE: 06/30/2004 RESPS:1,500 HOURS:500 COSTS(000):$0 Medicare Beneficiary Customer Service Survey FORMS: HCFA-10022
OMB NO: 0938-0829 EXPIRATION DATE: 05/31/2004 RESPS:29,892 HOURS:2,994 COSTS(000):$0 Medicare+Choice Beneficiary Appeal Notices, "Notice of Denial of Medical Services", "Notice of Denial of Request for Payment" and Supporting Regulations in 42 CFR 422.568 FORMS: HCFA-10003
OMB NO: 0938-0832 EXPIRATION DATE: 07/31/2004 RESPS:3,000 HOURS:150 COSTS(000):$0 Health Insurance Benefit Agreement and Supporting Regulations at 42 CFR Part 489 FORMS: HCFA-1561
OMB NO: 0938-0833 EXPIRATION DATE: 03/31/2005 RESPS:2,600,000 HOURS:877,750 COSTS(000):$0 Restraint and Seclusion Standards for Psychiatric Residential Treatment Facilities FORMS: CMM-R-306
OMB NO: 0938-0834 EXPIRATION DATE: 12/31/2002 RESPS:340 HOURS:620 COSTS(000):$0 Durable Medical Equipment and Prosthetics, Orthotics, and Supplies (DMEPOS) Supplier Survey FORMS: HCFA-10019
OMB NO: 0938-0836 EXPIRATION DATE: 02/28/2005 RESPS:108 HOURS:540 COSTS(000):$0 Real Choice Systems Change Grants; Nursing Facility Transition/ Access Housing Grants; Community Personal Assistance Service and Supports Grants, National Technical Assistance and Learning..... FORMS: CMS-10037
OMB NO: 0938-0837 EXPIRATION DATE: 08/31/2002 RESPS:5,250 HOURS:782 COSTS(000):$0 Medicare Program Integrity Customer Service Project FORMS: NONE
OMB NO: 0938-0838 EXPIRATION DATE: 12/31/2002 RESPS:200 HOURS:1,600 COSTS(000):$0 Data Collection to Support Policy Analysis of Choices Offered to Medicare + Choice Enrollees and Choices Made by Enrollees FORMS: HCFA-10033
OMB NO: 0938-0839 EXPIRATION DATE: 09/30/2002 RESPS:9,000 HOURS:3,600 COSTS(000):$0 National Medicare Practitioner and Provider Survey FORMS: HCFA-10030
OMB NO: 0938-0840 EXPIRATION DATE: 09/30/2003 RESPS:125 HOURS:11 COSTS(000):$0 Collection of Data on Quality Indicators for Congestive Heart Failure Submitted by Medicare+Choice Organizations Requesting Extra Payments in CY2002 and CY2003 and Supporting Regulations... FORMS: HCFA-10035
OMB NO: 0938-0841 EXPIRATION DATE: 06/30/2004 RESPS:3,748,463 HOURS:720,999 COSTS(000):$0 State Children's Health Insurance Program and Supporting Regulations in 42 CFR. FORMS: HCFA-0308
OMB NO: 0938-0842 EXPIRATION DATE: 01/31/2003 RESPS:359,000 HOURS:269,250 COSTS(000):$0 Request to Use Inpatient Rehabilitation Assessment Instrument and Data Set for PPS for Inpatient Rehabilitation Facilities: Implementation Phase and Supporting Regulations in 42 CFR, .... FORMS: HCFA-10036
OMB NO: 0938-0843 EXPIRATION DATE: 10/31/2004 RESPS:130,500 HOURS:58,000 COSTS(000):$0 Healthy Aging Smoking Cessation Demonstration FORMS: HCFA-10012
OMB NO: 0938-0844 EXPIRATION DATE: 10/31/2003 RESPS:2,160 HOURS:498 COSTS(000):$0 Development of Survey Instrument for Special Populations FORMS: HCFA-10024
OMB NO: 0938-0846 EXPIRATION DATE: 10/31/2004 RESPS:1 HOURS:1 COSTS(000):$0 Physicians' Referral to Health Care Entities With Which They Have Financial Relationships and Supporting Regulations in 42 CFR, Sections 411.1, 411.350 through 411.357 and 424.22 FORMS: CMS-10047
OMB NO: 0938-0847 EXPIRATION DATE: 12/31/2002 RESPS:3,900 HOURS:800 COSTS(000):$0 Long Term Care Awareness Project FORMS: CMS-10041
OMB NO: 0938-0848 EXPIRATION DATE: 05/31/2005 RESPS:10 HOURS:80 COSTS(000):$0 Health Insurance Flexibility and Accountability Section 1115 Model Waiver FORMS: 10048
OMB NO: 0938-0850 EXPIRATION DATE: 12/31/2003 RESPS:265 HOURS:159 COSTS(000):$0 State Health Insurance Assistance Program (SHIP) Client Report FORMS: HCFA-10028A-C
OMB NO: 0938-0852 EXPIRATION DATE: 11/30/2004 RESPS:384 HOURS:768 COSTS(000):$0 Durable Medicare Equipment and Prosthetics, Orthotics, and Supplies (DMEPOS) Supplier Survey: Texas FORMS: HCFA-10045
OMB NO: 0938-0857 EXPIRATION DATE: 01/31/2005 RESPS:100 HOURS:1,600 COSTS(000):$0 Recognition of pass-through payment for additional (new) categories of devices under the Outpatient Prospective Payment System and Supporting Regulations in 42 CFR, Part 419 FORMS: CMS-10052
OMB NO: 0938-0859 EXPIRATION DATE: 02/28/2005 RESPS:20,000 HOURS:5,000 COSTS(000):$0 NMEP Regional Survey of Medicare Beneficiaries FORMS: CMS-10040
OMB NO: 0938-0860 EXPIRATION DATE: 03/31/2005 RESPS:25 HOURS:250 COSTS(000):$0 Recognition of payment for new technology services for Ambulatory Payment Classification (APCs) under the Outpatient Prospective Payment System and Supporting Regulation in....... FORMS: CMS-10054
OMB NO: 0938-0863 EXPIRATION DATE: 02/28/2005 RESPS:5,680 HOURS:1,914 COSTS(000):$0 Evaluation of the BadgerCare Medicaid Demonstration FORMS: HCFA-10043
OMB NO: 0938-0864 EXPIRATION DATE: 09/30/2002 RESPS:16,000 HOURS:2,666 COSTS(000):$0 Medicare Current Beneficiary Survey -- Supplement on Patient Activation FORMS: CMS-P-0015SPA
OMB NO: 0938-0866 EXPIRATION DATE: 05/31/2005 RESPS:3,400,000 HOURS:34,000,000 COSTS(000):$0 ICRs Contained in 45 CFR Part 162; HIPAA Standards for Electronic Transactions FORMS: CMS-R-0218
OMB NO: 0938-0868 EXPIRATION DATE: 10/31/2002 RESPS:20 HOURS:800 COSTS(000):$0 Administration Demonstration Initiatives Proposal Solicitation Package FORMS: CMS-10063
Administration for Children and FamiliesSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
238 1,933,883,143 148,210,014 $51,548
OMB NO: 0970-0004 EXPIRATION DATE: 04/30/2005 RESPS:1 HOURS:13,746 COSTS(000):$0 Annual Statistical Report on Children in Foster Homes and Children in Famillies Receiving Payment in Excess of the Poverty Income Level from a Program Funded Under Part A of Title IV.... FORMS: ACF-4125
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: 08/31/2004 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: 12/31/2004 RESPS:1 HOURS:14 COSTS(000):$0 LIHEAP Quarterly Allocation Estimates Form ACF-535 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: 0970-0060 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: 01/31/2004 RESPS:940 HOURS:20,300 COSTS(000):$0 Information collection from applicants who will respond to Request for Applications for funding of OCS competitive grants FORMS: NONE
OMB NO: 0970-0075 EXPIRATION DATE: 02/28/2005 RESPS:180 HOURS:103 COSTS(000):$0 Application Requirements for the Low Income Home Energy Assistance Program (LIHEAP) Model Plan FORMS: NONE
OMB NO: 0970-0076 EXPIRATION DATE: 08/31/2004 RESPS:51 HOURS:178 COSTS(000):$0 The Low Income Home Energy Assistance Program (LIHEAP) Grantee Survey 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: 11/30/2004 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: 02/29/2004 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: 04/30/2004 RESPS:135,080 HOURS:62,012 COSTS(000):$330 Runaway and Homeless Youth Management Information System 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: 0970-0148 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: 10/31/2004 RESPS:1,749 HOURS:5,439 COSTS(000):$0 Head Start Family and Child Experiences survey FORMS: NONE
OMB NO: 0970-0152 EXPIRATION DATE: 03/31/2004 RESPS:24,694 HOURS:12,347 COSTS(000):$0 Administrative Subpoena FORMS: N/A
OMB NO: 0970-0153 EXPIRATION DATE: 03/31/2004 RESPS:29,776 HOURS:7,444 COSTS(000):$0 Notice of Lien FORMS: N/A
OMB NO: 0970-0154 EXPIRATION DATE: 03/31/2004 RESPS:54 HOURS:16,056 COSTS(000):$0 Order/Notice to Withhold Income for Child Support FORMS: N/A
OMB NO: 0970-0155 EXPIRATION DATE: 04/30/2005 RESPS:52 HOURS:3,328 COSTS(000):$0 Community-Based Family Resource and Support Program FORMS: NONE
OMB NO: 0970-0157 EXPIRATION DATE: 06/30/2004 RESPS:20 HOURS:1,080 COSTS(000):$0 Guidance for the Tribal Temporary Assistance for Needy Families Program FORMS: NONE
OMB NO: 0970-0159 EXPIRATION DATE: 05/31/2005 RESPS:1 HOURS:1,000 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: 04/30/2004 RESPS:7,074 HOURS:2,535 COSTS(000):$128 Federal Tax Offset, Administrative Offest, and Passport Denial Programs 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: 01/31/2004 RESPS:60,000,000 HOURS:1,962,402 COSTS(000):$86,400 National Directory of New Hires FORMS: NONE
OMB NO: 0970-0167 EXPIRATION DATE: 03/31/2003 RESPS:224 HOURS:4,480 COSTS(000):$224 Child Care Casse-Level Report FORMS: ACF-801
OMB NO: 0970-0171 EXPIRATION DATE: 07/31/2004 RESPS:448,600 HOURS:74,468 COSTS(000):$0 Required Data Elements for Paternity Establishment Affidavits FORMS: NONE
OMB NO: 0970-0173 EXPIRATION DATE: 05/31/2004 RESPS:1 HOURS:1,120 COSTS(000):$0 Request for State Data Needed to Determine the Amount of a Tribal Family Assistance Grant FORMS: NONE
OMB NO: 0970-0175 EXPIRATION DATE: 07/31/2004 RESPS:6,905,480 HOURS:76,059 COSTS(000):$0 Voluntary Establishment of Paternity FORMS: NONE
OMB NO: 0970-0177 EXPIRATION DATE: 06/30/2004 RESPS:54 HOURS:216 COSTS(000):$0 The OCSE-157 Child Support Enforcement Annual Data Report FORMS: NONE
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: 01/31/2005 RESPS:144 HOURS:288 COSTS(000):$0 Project 1099 FORMS: NONE
OMB NO: 0970-0186 EXPIRATION DATE: 02/28/2005 RESPS:1 HOURS:15,552 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(s) in the State FORMS: NONE
OMB NO: 0970-0193 EXPIRATION DATE: 10/31/2002 RESPS:200 HOURS:8,200 COSTS(000):$0 Final Rule Information Collection Burden -- 45 CFR 1309 FORMS: NONE
OMB NO: 0970-0195 EXPIRATION DATE: 03/31/2005 RESPS:232 HOURS:1,856 COSTS(000):$0 Child Care and Development Fund Annual Financial Report for Tribes FORMS: ACF-696T
OMB NO: 0970-0196 EXPIRATION DATE: 08/31/2004 RESPS:17,173 HOURS:8,586 COSTS(000):$157 Financial Institution Data Match FORMS: NONE
OMB NO: 0970-0198 EXPIRATION DATE: 06/30/2002 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:15,936 HOURS:19,461 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: 05/31/2004 RESPS:4 HOURS:5,200 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
OMB NO: 0970-0223 EXPIRATION DATE: 01/31/2004 RESPS:54 HOURS:208,764 COSTS(000):$450 State Self-Assessemtn Review and Report FORMS: NONE
OMB NO: 0970-0226 EXPIRATION DATE: 09/30/2004 RESPS:1,404 HOURS:975 COSTS(000):$0 Study of the TANF Application Process FORMS: NONE
OMB NO: 0970-0228 EXPIRATION DATE: 09/30/2004 RESPS:540 HOURS:360 COSTS(000):$0 Assets for Independence Act (AFIA) Participant Survey FORMS: NONE
OMB NO: 0970-0229 EXPIRATION DATE: 10/31/2002 RESPS:3,078 HOURS:2,107 COSTS(000):$0 Head Start Impact Study (HSIS) FORMS: NONE
OMB NO: 0970-0231 EXPIRATION DATE: 06/30/2002 RESPS:100 HOURS:25 COSTS(000):$0 Confirmation of Immigration Status for Recently-Released Indefinite Detainees FORMS: NONE
OMB NO: 0970-0232 EXPIRATION DATE: 03/31/2005 RESPS:264 HOURS:150 COSTS(000):$0 Tribal TANF (Temporary Assistance for Needy Families) Experience: Problems, Solutions, and Lessons Learned FORMS: NONE
OMB NO: 0970-0234 EXPIRATION DATE: 03/31/2005 RESPS:56 HOURS:6,160 COSTS(000):$157 Social Services Block Grant Post-Expenditure Report FORMS: NONE
Office of Human Development ServicesSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
65 67,739,714 5,543,090 $104,951
OMB NO: 0980-0017 EXPIRATION DATE: 11/30/2004 RESPS:2,437 HOURS:9,748 COSTS(000):$0 Head Start Program Information Report FORMS: NONE
OMB NO: 0980-0047 EXPIRATION DATE: 06/30/2002 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: 0980-0140 EXPIRATION DATE: 07/31/2004 RESPS:714,056 HOURS:1,872,392 COSTS(000):$0 Case Plan Requirements, Section 422(b); 471(a)(16), 475(5) and 475(6) of the Social Security Act (SSA); 45 CFR 1356.21(f)(g) FORMS: NONE
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: 0980-0196 EXPIRATION DATE: 04/30/2005 RESPS:52 HOURS:3,120 COSTS(000):$0 Application and Program Reporting Requirements for Children's Justice Act Grants 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: 11/30/2004 RESPS:257 HOURS:8,995 COSTS(000):$0 Child Care and Development Fund Tribal Annual Report 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: 08/31/2004 RESPS:1,505 HOURS:496 COSTS(000):$0 Voluntary Survey of Program Partners to implement Executive Order 12862 within the Administration for Children Families 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: 0980-0271 EXPIRATION DATE: 10/31/2004 RESPS:4,021,364 HOURS:221,325 COSTS(000):$259 Computerized Support Enforcement Systems - Final Rule FORMS: NONE
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
OMB NO: 0980-0273 EXPIRATION DATE: 12/31/2002 RESPS:51 HOURS:825 COSTS(000):$0 TANF Time Limits Questionnaire FORMS: NONE
Administration on AgingSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
17 4,744,444 2,561,315 $885
OMB NO: 0985-0004 EXPIRATION DATE: 08/31/2004 RESPS:112 HOURS:112 COSTS(000):$1,426 Supplemental Form to the Financial Status Report (SF269), Title III of the Older Americans Act, Grants for State and Community Programs on Aging FORMS: NONE
OMB NO: 0985-0005 EXPIRATION DATE: 08/31/2002 RESPS:52 HOURS:7,235 COSTS(000):$0 State Annual Long-Term Care Ombudsman Report and Instructions FORMS: NONE
OMB NO: 0985-0006 EXPIRATION DATE: 08/31/2004 RESPS:398 HOURS:7,960 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: 0985-0011 EXPIRATION DATE: 02/28/2003 RESPS:130 HOURS:80 COSTS(000):$0 Operation Restore Trust FORMS: NONE
OMB NO: 0985-0012 EXPIRATION DATE: 02/28/2005 RESPS:50 HOURS:1,000 COSTS(000):$0 Alzheimer's Disease Demonstration Grants to States Program Semi-Annual Report and Instructions FORMS: NONE
OMB NO: 0985-0013 EXPIRATION DATE: 02/28/2005 RESPS:9,250 HOURS:1,713 COSTS(000):$0 Alzheimer's Disease Demonstration Grants to States Program Evaluation Data Collection FORMS: NONE
OMB NO: 0985-0014 EXPIRATION DATE: 05/31/2003 RESPS:3,708 HOURS:2,046 COSTS(000):$0 National Survey of Older American Act Participants FORMS: NONE
Departmental ManagementSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
9 13,703 161,959 $1,428
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: 0990-0115 EXPIRATION DATE: 09/30/2004 RESPS:4,269 HOURS:986,280 COSTS(000):$0 Procurement - Solicitation and Contracts FORMS: NONE
OMB NO: 0990-0124 EXPIRATION DATE: 05/31/2004 RESPS:2,600 HOURS:41,600 COSTS(000):$0 Self-Evaluation & Recordkeeping Required by Regulations Implementing Section 504 of the Rehabilitation Act of 1973 FORMS: NONE
OMB NO: 0990-0128 EXPIRATION DATE: 05/31/2004 RESPS:122 HOURS:1,102 COSTS(000):$0 HHS Acquisition Regulations: HHSAR Section 352.270-9 and Section 252.223-70 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: 04/30/2004 RESPS:1 HOURS:1 COSTS(000):$0 Uniform Relocation and Real Property Acquisition Under Federal and Federally Assisted Program 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: 03/31/2004 RESPS:30,000 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: 09/30/2004 RESPS:85 HOURS:1,870 COSTS(000):$47 Title X Family Planning Annual Report FORMS: NONE
OMB NO: 0990-0223 EXPIRATION DATE: 12/31/2003 RESPS:7,350 HOURS:3,496 COSTS(000):$0 Evaluation of the Cash and Counseling Demonstration 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: 07/31/2002 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: 0990-0243 EXPIRATION DATE: 10/31/2003 RESPS:3,000 HOURS:48,000 COSTS(000):$0 OCR Pre-grant Automation Project FORMS: NONE
OMB NO: 0990-0244 EXPIRATION DATE: 03/31/2004 RESPS:3,000 HOURS:1,000 COSTS(000):$0 National Centers of Excellence in Women's Health Program Quantitative Evaluation Survey FORMS: NONE
OMB NO: 0990-0245 EXPIRATION DATE: 06/30/2002 RESPS:500 HOURS:84 COSTS(000):$0 ORI Educational Program: A Needs Assessment FORMS: NONE
OMB NO: 0990-0248 EXPIRATION DATE: 06/30/2002 RESPS:1,000 HOURS:333 COSTS(000):$0 Organizing an Institutional Investigation Assistance Program: A Feasibility Study FORMS: NONE
OMB NO: 0990-0250 EXPIRATION DATE: 10/31/2004 RESPS:600 HOURS:150 COSTS(000):$0 National Centers of Excellence in Women's Health Program Supplemental Quantiative Community Survey FORMS: NONE
OMB NO: 0990-0253 EXPIRATION DATE: 06/30/2004 RESPS:1,104 HOURS:1,288 COSTS(000):$0 National Study of Child Protective Services Systems and Reform Efforts FORMS: NONE
OMB NO: 0990-0255 EXPIRATION DATE: 06/30/2003 RESPS:720 HOURS:300 COSTS(000):$0 National Study of Culturally and Linguistically Appropriate Services in Managed Care Organization FORMS: NONE
OMB NO: 0990-0256 EXPIRATION DATE: 02/28/2005 RESPS:21,600 HOURS:12,744 COSTS(000):$0 Survey of SCHIP Enrollees and Disenrollees for the Congressionally Mandated Evaluation of the State Children's Health Insurance Program FORMS: NONE
OMB NO: 0990-0257 EXPIRATION DATE: 05/31/2005 RESPS:2,872 HOURS:1,436 COSTS(000):$0 Wave Three Survey of Youth for the Evaluation of Initiatives Funded Under Section 510 of the Maternal & Child Health Block Grant FORMS: NONE
OMB NO: 0990-0258 EXPIRATION DATE: 05/31/2005 RESPS:2,044 HOURS:1,515 COSTS(000):$0 A Study of Stroke Post-Acute Care Outcomes FORMS: NONE
OMB NO: 0990-0260 EXPIRATION DATE: 05/31/2005 RESPS:88,566 HOURS:194,376 COSTS(000):$0 Protection of Human Subjects: Common Rule (56 FR 28003) FORMS: NONE
Office of Family AssistanceSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
39 231,565 1,659,653 $197
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
OMB NO: 0992-0007 EXPIRATION DATE: 07/31/2004 RESPS:216 HOURS:4,320 COSTS(000):$0 TANF High Performance Bonus Report, Assessment of Medicaid and SCHIP Enrollment Among Individuals After Leaving TANF Assistance FORMS: ACF-210
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
2 476 10,072 $0
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
828 2,243,366,969 222,337,214 $801,989
OMB NO: 2501-0009 EXPIRATION DATE: 04/30/2005 RESPS:20,000 HOURS:10,000 COSTS(000):$0 Record of Employee Interview FORMS: HUD-11
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
OMB NO: 2501-0017 EXPIRATION DATE: 03/31/2005 RESPS:1 HOURS:1 COSTS(000):$0 HUD Alternative for SF 424 Forms, Application for Federal Assistance and Attendent forms FORMS: HUD-424 HUD-424-B HUD-424-C HUD-424-CB HUD-424-F
Office of HousingSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
3 10,814,340 375,859 $0
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: 2502-0011 EXPIRATION DATE: 01/31/2004 RESPS:4,000 HOURS:20,300 COSTS(000):$0 Request for Construction Change FORMS: HUD-92437 HUD-92442 HUD-92442A HUD-92442-CA HUD-92442-A-CA HUD-92441
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: 2502-0016 EXPIRATION DATE: 02/29/2004 RESPS:465 HOURS:465 COSTS(000):$0 Final Endorsement of Credit Instrument FORMS: HUD-92023
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: 2502-0029 EXPIRATION DATE: 07/31/2004 RESPS:6,300 HOURS:168,280 COSTS(000):$0 Application for Multifamily Housing Project FORMS: HUD-92013 HUD-92013-SUPP HUD-92013-NHICP
OMB NO: 2502-0041 EXPIRATION DATE: 01/31/2004 RESPS:1,935 HOURS:322 COSTS(000):$0 Multifamily Default Status FORMS: HUD-92426
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: 2502-0057 EXPIRATION DATE: 06/30/2002 RESPS:270 HOURS:90 COSTS(000):$0 Eligibility of a Nonprofit Corporation FORMS: HUD-3433 HUD-3434 HUD-3435
OMB NO: 2502-0058 EXPIRATION DATE: 01/31/2004 RESPS:1,500 HOURS:3,000 COSTS(000):$0 Financial Statement of Corporate Applicant for Cooperative Housing Mortgage FORMS: HUD-93232-A
OMB NO: 2502-0059 EXPIRATION DATE: 07/31/2004 RESPS:1,000,000 HOURS:235,025 COSTS(000):$0 Application for FHA Insured Mortgage (Addendum to Uniform Residential Loan Application/Mortgage Credit Analysis FORMS: HUD-92900-A HUD-92900-B HUD-92900-WS HUD-92900-PUR HUD-92561 HUD-92544
OMB NO: 2502-0082 EXPIRATION DATE: 06/30/2004 RESPS:100,073 HOURS:97,175 COSTS(000):$0 Recertification of Family Income and Composition, Section 235(b) and Statistical Report Section 235(b), (i) and (j) FORMS: HUD-93101 HUD-93101A
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: 2502-0097 EXPIRATION DATE: 03/31/2004 RESPS:5,000 HOURS:1,000 COSTS(000):$0 Application for Insurance of Advance of Mortgage Proceeds FORMS: HUD-92403
OMB NO: 2502-0098 EXPIRATION DATE: 06/30/2002 RESPS:1,258 HOURS:1,258 COSTS(000):$0 Financial Statement FORMS: HUD-56142
OMB NO: 2502-0108 EXPIRATION DATE: 01/31/2004 RESPS:48,000 HOURS:168,000 COSTS(000):$0 Monthly Reports for Establishing Income FORMS: HUD-93479 93480 93481
OMB NO: 2502-0112 EXPIRATION DATE: 03/31/2005 RESPS:500 HOURS:4,000 COSTS(000):$0 Mortgagor's Certificate of Actual Cost FORMS: HUD-92330
OMB NO: 2502-0118 EXPIRATION DATE: 02/29/2004 RESPS:4,300 HOURS:2,150 COSTS(000):$0 Previous Participation Certification FORMS: HUD-2530
OMB NO: 2502-0178 EXPIRATION DATE: 04/30/2005 RESPS:1,120 HOURS:4,480 COSTS(000):$0 Management Reviews of Multifamily Housing Projects FORMS: HUD-9834
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: 06/30/2002 RESPS:930 HOURS:465 COSTS(000):$0 Requisition for Disbursement of Section 202 Loan Funds FORMS: HUD-92403-CA
OMB NO: 2502-0189 EXPIRATION DATE: 10/31/2004 RESPS:3,639,500 HOURS:909,875 COSTS(000):$0 Compliance Inspection Report - HUD 92051 Mortgagee's Assurance of Completion - HUD-92300 FORMS: HUD-92051 HUD-92300
OMB NO: 2502-0192 EXPIRATION DATE: 04/30/2004 RESPS:50,000 HOURS:25,000 COSTS(000):$0 Description of Materials FORMS: HUD-92005
OMB NO: 2502-0204 EXPIRATION DATE: 10/31/2004 RESPS:2,207,339 HOURS:2,008,457 COSTS(000):$0 Owner's Certification of Compliance with HUD Tenant Eligibility and Rent Procedures FORMS: HUD-50059
OMB NO: 2502-0210 EXPIRATION DATE: 02/29/2004 RESPS:50 HOURS:10 COSTS(000):$0 Certificate of Need for Health Facility and Assurance of Enforcement of State Standards FORMS: HUD-2576-HF
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: 05/31/2005 RESPS:136,435 HOURS:19,579 COSTS(000):$0 Interstate Land Sales Registration and Consumer Notification FORMS: NONE
OMB NO: 2502-0253 EXPIRATION DATE: 01/31/2005 RESPS:1,383,997 HOURS:245,493 COSTS(000):$0 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: 04/30/2005 RESPS:7,275 HOURS:3,100 COSTS(000):$0 Housing Counseling Program FORMS: HUD-9900 HUD-9902 HUD-9908
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: 2502-0306 EXPIRATION DATE: 06/30/2004 RESPS:1,127,580 HOURS:563,765 COSTS(000):$0 Single Family Property Disposition and Acquisition (Conveyance) or Mortgaged Properties FORMS: HUD-9516-A 9519 9519-A 9733 9544 9548 9548-A 9548-B 9548-C
OMB NO: 2502-0313 EXPIRATION DATE: 01/31/2005 RESPS:50 HOURS:2,200 COSTS(000):$0 Technical Suitability of Products Program Section 521 of the National Housing Act FORMS: HUD-92005
OMB NO: 2502-0321 EXPIRATION DATE: 07/31/2004 RESPS:1,350 HOURS:10,800 COSTS(000):$0 Minimum Property Standards for Housing, HUD Handbook 4910.1 FORMS: NONE
OMB NO: 2502-0322 EXPIRATION DATE: 03/31/2004 RESPS:100,000 HOURS:7,000 COSTS(000):$0 Adjustable Rate Mortgages (ARMS) 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: 06/30/2002 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: 2502-0342 EXPIRATION DATE: 07/31/2004 RESPS:123,602 HOURS:28,671 COSTS(000):$0 Pet Ownership in Assisted Rental Housing for the Elderly or Handicapped 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: 2502-0355 EXPIRATION DATE: 10/31/2004 RESPS:1,138 HOURS:1,138 COSTS(000):$0 Contract and Subcontract Activity Reporting for Housing's Multifamily Programs - Minority Business Enterprise (MBE) FORMS: HUD-2516
OMB NO: 2502-0369 EXPIRATION DATE: 01/31/2004 RESPS:17,100 HOURS:153,900 COSTS(000):$0 Uniform Physical Standards & Physical Inspection Requirements for Certain HUD Housing, Administrative Process for Assessment of Insured and Assisted Properties FORMS: NONE
OMB NO: 2502-0382 EXPIRATION DATE: 02/29/2004 RESPS:15 HOURS:120 COSTS(000):$0 Housing Development Grant Program Project Settlement Procedures FORMS: HUD-90024 HUD-90025 HUD-90026 HUD-90027 HUD-90028
OMB NO: 2502-0404 EXPIRATION DATE: 06/30/2002 RESPS:1,000,000 HOURS:190,916 COSTS(000):$0 Requirements for Single-Family Mortgage Instruments FORMS: NONE
OMB NO: 2502-0412 EXPIRATION DATE: 01/31/2004 RESPS:300 HOURS:600 COSTS(000):$0 Lease and Sale of HUD-Acquired Single Family Properties for the Homeless FORMS: NONE
OMB NO: 2502-0414 EXPIRATION DATE: 02/29/2004 RESPS:807,500 HOURS:129,700 COSTS(000):$0 Mortgage Insurance Termination; Application for Premium Refund or Distribute Share Payment FORMS: HUD-27050-A HUD-27050-B
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: 06/30/2002 RESPS:250 HOURS:125 COSTS(000):$0 Statement of Taxes FORMS: HUD-434
OMB NO: 2502-0419 EXPIRATION DATE: 02/29/2004 RESPS:215 HOURS:18 COSTS(000):$0 Mortgagee's Application for Insurance Benefits (Multifamily Mortgage) FORMS: HUD-2747
OMB NO: 2502-0420 EXPIRATION DATE: 02/29/2004 RESPS:12 HOURS:72 COSTS(000):$0 Multifamily Coinsurance Claims Package, Section 223(f) FORMS: HUD-27008 27009B 27009D 27009F
OMB NO: 2502-0422 EXPIRATION DATE: 07/31/2004 RESPS:2,800,000 HOURS:262,600 COSTS(000):$0 Mortgage Record Change FORMS: NONE
OMB NO: 2502-0423 EXPIRATION DATE: 01/31/2004 RESPS:804,000 HOURS:40,200 COSTS(000):$0 Single Family Premium Collection Subsystem-Upfront FORMS: NONE
OMB NO: 2502-0424 EXPIRATION DATE: 12/31/2004 RESPS:70 HOURS:18 COSTS(000):$0 Preauthorized Debits, HUD PAD Authorization FORMS: HUD-92090
OMB NO: 2502-0427 EXPIRATION DATE: 02/29/2004 RESPS:215 HOURS:54 COSTS(000):$0 Mortgagee's Application for Partial Settlement (Multifamily Mortgage) FORMS: HUD-2537
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: 2502-0460 EXPIRATION DATE: 01/31/2005 RESPS:186 HOURS:104 COSTS(000):$0 Reporting Requirements for the Auction of Section 221(g)(4) Multifamily Mortgages FORMS: HUD-93487 HUD-93487-A
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-92043
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: 2502-0485 EXPIRATION DATE: 11/30/2004 RESPS:648 HOURS:1,013 COSTS(000):$0 Congregate Housing Services Program FORMS: HUD-90006 HUD-90198 HUD-91180-A SF-269
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: 2502-0494 EXPIRATION DATE: 06/30/2004 RESPS:1,200,000 HOURS:140,000 COSTS(000):$0 HUD Conditional Commitment/Direct Endorsement Statement of Appraised Value FORMS: HUD-92800.5B
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: 03/31/2005 RESPS:6,000 HOURS:9,000 COSTS(000):$0 AAF Rent Increase Requirement Pursuant to the Housing Appropriations Act of 1994 FORMS: HUD-92273-S8
OMB NO: 2502-0512 EXPIRATION DATE: 12/31/2004 RESPS:750 HOURS:188 COSTS(000):$3 Automated Cleaning House (ACH) Program Application - Title I Insurance Charge Payments System 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: 2502-0518 EXPIRATION DATE: 10/31/2004 RESPS:15 HOURS:960 COSTS(000):$1,200 Hospital, Section 242, Application for Project Mortgage Insurance FORMS: HUD-92013-HOSP
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: 08/31/2004 RESPS:20 HOURS:400 COSTS(000):$0 Use of Materials Bulletins for the HUD Building Products Standards and Certification Program FORMS: NONE
OMB NO: 2502-0527 EXPIRATION DATE: 04/30/2004 RESPS:259,200 HOURS:319,450 COSTS(000):$0 203(K) Rehabilitation Mortgage Insurance FORMS: HUD-92700 HUD-9746-A
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: 2502-0533 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: 2502-0535 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: 08/31/2002 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: 08/31/2002 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: 2502-0541 EXPIRATION DATE: 02/29/2004 RESPS:130 HOURS:1,300 COSTS(000):$0 Lender Qualifications for Multifamily Accelerated Processing (MAP) 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-92045
OMB NO: 2502-0545 EXPIRATION DATE: 10/31/2004 RESPS:15 HOURS:1,200 COSTS(000):$0 Review of Health Care Facility Portfolios FORMS: NONE
OMB NO: 2502-0546 EXPIRATION DATE: 06/30/2004 RESPS:4,000 HOURS:2,000 COSTS(000):$0 Home Equity Conversion Mortgage (HECM) Program; Insurance for Mortgages to Refinance Existing HECMs (FR-4667) FORMS: NONE
OMB NO: 2502-0547 EXPIRATION DATE: 10/31/2004 RESPS:500 HOURS:250 COSTS(000):$0 Request for Approval of Exception to Predatory Lending Restrictions FORMS: NONE
OMB NO: 2502-0548 EXPIRATION DATE: 04/30/2005 RESPS:9,000 HOURS:5,250 COSTS(000):$0 FHA Fee Inspector Panel Application Package FORMS: HUD-92563
Government National Mortgage AssociationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
94 19,881,383 8,073,541 $3,887
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: 2503-0004 EXPIRATION DATE: 07/31/2004 RESPS:263,340 HOURS:42,135 COSTS(000):$0 Issuer's Monthly Accounting Reports FORMS: 11710-A 11710-B 11710-C 11710-D 11710-E
OMB NO: 2503-0009 EXPIRATION DATE: 08/31/2002 RESPS:23,541 HOURS:4,002 COSTS(000):$0 Schedule of Subscribers and Ginnie Mae Guaranty/Contractual Agreement FORMS: 11705
OMB NO: 2503-0010 EXPIRATION DATE: 08/31/2004 RESPS:31,540 HOURS:7,885 COSTS(000):$0 Schedule of Pooled Mortgages FORMS: 11706
OMB NO: 2503-0015 EXPIRATION DATE: 06/30/2004 RESPS:263,340 HOURS:2,633 COSTS(000):$0 Issuer's Monthly Remittance Advice and Issuer's Monthly Serial Note Remittance Advice FORMS: HUD-11714 HUD-11714SN
OMB NO: 2503-0016 EXPIRATION DATE: 06/30/2002 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: 2503-0018 EXPIRATION DATE: 04/30/2004 RESPS:31,540 HOURS:7,885 COSTS(000):$0 Prospectus FORMS: 11712/11712-11 11717/11717-11 1724 11728/11728-11 1731 1734 11747 11747-11 11772-11
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
Office of Community Planning and DevelopmentSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
9 641,484 69,594 $0
OMB NO: 2506-0016 EXPIRATION DATE: 04/30/2005 RESPS:36,800 HOURS:31,000 COSTS(000):$0 Application for Relocation/Displacement Assistance FORMS: HUD-40054 40055 40056 40057 40058 40061 40072
OMB NO: 2506-0020 EXPIRATION DATE: 05/31/2005 RESPS:800 HOURS:6,400 COSTS(000):$0 HUD-Administered Small Cities Program Performance Assessment Report FORMS: HUD-4052
OMB NO: 2506-0042 EXPIRATION DATE: 04/30/2003 RESPS:150 HOURS:350 COSTS(000):$0 Urban Homesteading Program FORMS: NONE
OMB NO: 2506-0077 EXPIRATION DATE: 01/31/2004 RESPS:1 HOURS:434,040 COSTS(000):$0 24 CFR Part 570 - Community Development Block Grant Entitlement Program FORMS: NONE
OMB NO: 2506-0080 EXPIRATION DATE: 01/31/2004 RESPS:900 HOURS:1,571 COSTS(000):$0 Rental Rehabilitation Program FORMS: HUD-40014 40014B 40021 40070 40014-A 40018 40018-A 40022
OMB NO: 2506-0085 EXPIRATION DATE: 10/31/2004 RESPS:50 HOURS:107,400 COSTS(000):$0 State Community Development Block Grant (CDBG) Program FORMS: NONE
OMB NO: 2506-0087 EXPIRATION DATE: 11/30/2004 RESPS:18,785 HOURS:11,271 COSTS(000):$0 Environmental Review Procedures for Entities Assuming HUD Environmental Review Responsibilities 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: 2506-0121 EXPIRATION DATE: 04/30/2005 RESPS:80,000 HOURS:260,000 COSTS(000):$0 Relocation and Real Property Acquisition, Recordkeeping Requirements Under the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1979 FORMS: NONE
OMB NO: 2506-0122 EXPIRATION DATE: 02/29/2004 RESPS:1,115 HOURS:42,700 COSTS(000):$0 Historically Black Colleges and Universities (HBCUs) FORMS: 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: 12/31/2004 RESPS:97 HOURS:6,111 COSTS(000):$0 Third Round Designation of Seven Urban Empowerment Zones FORMS: HUD-40003
OMB NO: 2506-0151 EXPIRATION DATE: 08/31/2004 RESPS:300 HOURS:2,700 COSTS(000):$0 24 CFR Part 55, Floodplain Management FORMS: NONE
OMB NO: 2506-0153 EXPIRATION DATE: 08/31/2004 RESPS:100 HOURS:8,160 COSTS(000):$0 Economic Development Initiative (EDI) & Brownfields Economic Development Initiative (BEDI) Grant Programs FORMS: HUD-40076
OMB NO: 2506-0159 EXPIRATION DATE: 03/31/2005 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: 07/31/2004 RESPS:580 HOURS:18,560 COSTS(000):$52 Disaster Recovery Grant Reporting System FORMS: NONE
OMB NO: 2506-0166 EXPIRATION DATE: 11/30/2004 RESPS:3,688 HOURS:23,264 COSTS(000):$0 Technical Assistance for Community Planning and Development Programs FORMS: SF-424 SF-424B SF-LLL HUD-424M HUD-50070 HUD-50071 HUD-2880 HUD-2992
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: 03/31/2005 RESPS:245,539 HOURS:379,941 COSTS(000):$0 HOME Investment Partnerships Program FORMS: HUD-40093 HUD-40093A HUD-40107 HUD-40107-A
OMB NO: 2506-0173 EXPIRATION DATE: 12/31/2004 RESPS:94 HOURS:9,360 COSTS(000):$0 Designation of Round III Empowerment Zones and Renewal Communities FORMS: HUD-40005
Real Estate Assessment CenterSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
25 401,151 2,381,853 $514
OMB NO: 2507-0001 EXPIRATION DATE: 09/30/2002 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
OMB NO: 2507-0004 EXPIRATION DATE: 01/31/2005 RESPS:7,000 HOURS:21,000 COSTS(000):$0 Electronic Financial Submissions for Certain HUD Lenders (HUD Approved Nonsupervised Lenders, Nonsupervised Mortgagees, and Loan Correspondents) FORMS: NONE
Office of the General CounselSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
3 963,700 114,600 $0
OMB NO: 2510-0008 EXPIRATION DATE: 11/30/2004 RESPS:213 HOURS:213 COSTS(000):$0 Information request to owners of HUD-assisted multifamily housing in Boston, pursuant to Section III.A of Consent Decree in N.A.A.C.P., Boston Chapter v. Martinez FORMS: HUD-23002
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
Policy Development and ResearchSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
2 17,113 40,773 $0
OMB NO: 2528-0013 EXPIRATION DATE: 10/31/2004 RESPS:48,000 HOURS:4,000 COSTS(000):$0 Survey of Market Absorption of New Apartment Buildings FORMS: H-31 SOMA-1
OMB NO: 2528-0016 EXPIRATION DATE: 03/31/2003 RESPS:51,967 HOURS:33,527 COSTS(000):$0 American Housing Survey (AHS) - 2002 Metropolitan Sample FORMS: AHS-66 AHS-68
OMB NO: 2528-0017 EXPIRATION DATE: 04/30/2004 RESPS:47,300 HOURS:30,517 COSTS(000):$0 American Housing Survey (AHS) - 2001 National Survey 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: 06/30/2002 RESPS:463,159 HOURS:11,454 COSTS(000):$0 Section 8 Random Digit Dialing Fair Market Rent Telephone Surveys FORMS: NONE
OMB NO: 2528-0165 EXPIRATION DATE: 06/30/2004 RESPS:58 HOURS:1,392 COSTS(000):$0 Low Income Housing Tax Credit Database 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: 2528-0180 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: 2528-0198 EXPIRATION DATE: 09/30/2002 RESPS:104 HOURS:4,224 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: 2528-0201 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: 2528-0209 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: 2528-0211 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
OMB NO: 2528-0213 EXPIRATION DATE: 01/31/2004 RESPS:125 HOURS:2,710 COSTS(000):$0 Doctoral Dissertation Research Grant Program FORMS: NONE
OMB NO: 2528-0214 EXPIRATION DATE: 09/30/2004 RESPS:120 HOURS:3,320 COSTS(000):$0 HUD Urban Scholars Fellowship Program FORMS: HUD-424
OMB NO: 2528-0215 EXPIRATION DATE: 10/31/2004 RESPS:52 HOURS:3,208 COSTS(000):$0 Tribal Colleges and Universities Program FORMS: HUD-50070 50071 SF-424 HUD-424-M SF-424B SF-LLL HUD-2880
OMB NO: 2528-0216 EXPIRATION DATE: 04/30/2004 RESPS:125 HOURS:2,710 COSTS(000):$0 Early Doctoral Student Grant Program FORMS: NONE
OMB NO: 2528-0217 EXPIRATION DATE: 10/31/2004 RESPS:1,595 HOURS:661 COSTS(000):$0 An Assessment of Third-Party Economic Development Loans Funded Through HUD's Community Planning and Development Programs FORMS: NONE
OMB NO: 2528-0218 EXPIRATION DATE: 10/31/2004 RESPS:10,277 HOURS:13,933 COSTS(000):$0 Data Collection for The Interim Impact Evaluation for the Moving to Opportunity Demonstration FORMS: NONE
OMB NO: 2528-0219 EXPIRATION DATE: 01/31/2005 RESPS:200 HOURS:400 COSTS(000):$0 Information collection to establish the needs for and uses of electronic permitting systems in use in building code offices in communities FORMS: NONE
OMB NO: 2528-0220 EXPIRATION DATE: 01/31/2005 RESPS:480 HOURS:160 COSTS(000):$0 HUD Mobility-Impaired Tenant Survey FORMS: NONE
Office of Fair Housing and Equal OpportunitySUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
25 848,965 193,789 $0
OMB NO: 2529-0011 EXPIRATION DATE: 09/30/2004 RESPS:10,750 HOURS:7,148 COSTS(000):$0 Housing Discrimination Information Form 903.1 and the Housing Discrimination Form HUD-903 (English) and HUD-903A (Spanish) 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: 06/30/2004 RESPS:58,593 HOURS:117,186 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
Office of AdministrationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
5 85,239 167,262 $0
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: 2535-0102 EXPIRATION DATE: 01/31/2004 RESPS:237,200 HOURS:40,324 COSTS(000):$0 Request Voucher for Grant Payment and LOCCS Voice Response System Access Authorization FORMS: HUD-27053 HUD-27054
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: 09/30/2002 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
Office of Lead-Based Paint and Poison PreventionSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
4 267,739 116,352 $1,862
OMB NO: 2539-0008 EXPIRATION DATE: 01/31/2004 RESPS:520 HOURS:6,240 COSTS(000):$0 Lead-Based Paint Hazard Control Grant Program Data Collection FORMS: HUD-96006
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: 2539-0015 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
OMB NO: 2539-0019 EXPIRATION DATE: 06/30/2004 RESPS:150 HOURS:700 COSTS(000):$0 First National Survey of Environmental Hazards in Child Care Centers FORMS: NONE
Office of Public and Indian HousingSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
8 1,290,175 254,980 $2,621
OMB NO: 2577-0012 EXPIRATION DATE: 08/31/2004 RESPS:716 HOURS:2,652 COSTS(000):$0 Outline Specifications FORMS: HUD-5087
OMB NO: 2577-0015 EXPIRATION DATE: 06/30/2002 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: 2577-0021 EXPIRATION DATE: 06/30/2004 RESPS:147 HOURS:147 COSTS(000):$0 Consolidated Public Housing Certificate of Completion FORMS: NONE
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: 09/30/2004 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: 2577-0027 EXPIRATION DATE: 05/31/2003 RESPS:3,792 HOURS:720 COSTS(000):$0 Public Housing Construction Report FORMS: HUD-5378
OMB NO: 2577-0029 EXPIRATION DATE: 10/31/2004 RESPS:22,400 HOURS:16,038 COSTS(000):$0 Allocation of Operating Subsidies Under the Operating Fund Formula: Data Collection (formerly the Performance Funding System (PFS)). FORMS: HUD-52720-A HUD-52720-B HUD-52720-C HUD-52721 HUD-52722-A HUD-52722-B HUD-52723 HUD-53087
OMB NO: 2577-0033 EXPIRATION DATE: 06/30/2004 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-51971-I HUD-51971-II HUD-52482 HUD-52483-A HUD-52485 HUD-52651-A
OMB NO: 2577-0036 EXPIRATION DATE: 05/31/2004 RESPS:2,435 HOURS:11,667 COSTS(000):$0 Public Housing Agency (PHA) Development cost Budget/Cost Statement, Actual Development Cost Certification, Acquisition and Relocation Report FORMS: HUD-52427 HUD-52484
OMB NO: 2577-0037 EXPIRATION DATE: 08/31/2004 RESPS:110 HOURS:248 COSTS(000):$0 Analysis of Proposed Main Construction Contract FORMS: HUD-52396
OMB NO: 2577-0039 EXPIRATION DATE: 03/31/2004 RESPS:11,608 HOURS:14,506 COSTS(000):$0 Contract Administration - Public and Indian Housing FORMS: HUD-5372 HUD-5100
OMB NO: 2577-0044 EXPIRATION DATE: 04/30/2004 RESPS:1,000 HOURS:10,000 COSTS(000):$0 Comprehensive Improvement Assistance Program (CIAP) Budget/Progress Report and Actual Modernization Cost Certificate FORMS: HUD-52825 HUD-53001
OMB NO: 2577-0045 EXPIRATION DATE: 05/31/2004 RESPS:60 HOURS:60 COSTS(000):$0 Insurance Information FORMS: HUD-5460
OMB NO: 2577-0046 EXPIRATION DATE: 10/31/2004 RESPS:12,000 HOURS:12,000 COSTS(000):$0 Procedure for Obtaining Certificates of Insurance for Capital Program 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: 2577-0067 EXPIRATION DATE: 10/31/2002 RESPS:3,300 HOURS:3,300 COSTS(000):$0 Low-Income Public and Indian Housing Financial Statements FORMS: HUD-52599
OMB NO: 2577-0075 EXPIRATION DATE: 03/31/2005 RESPS:120 HOURS:2,040 COSTS(000):$0 Demolition/Disposition Application and Reporting FORMS: HUD-52860
OMB NO: 2577-0078 EXPIRATION DATE: 10/31/2004 RESPS:32,000 HOURS:256 COSTS(000):$0 Pet Ownership in Public Housing for the Elderly or Persons with Disabilities 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: 2577-0087 EXPIRATION DATE: 03/31/2004 RESPS:1,916 HOURS:3,832 COSTS(000):$0 Tenant Opportunities Program (TOP) Semi-Annual Report FORMS: HUD-52370
OMB NO: 2577-0088 EXPIRATION DATE: 06/30/2004 RESPS:3,596 HOURS:3,596 COSTS(000):$0 Contract and Subcontract Activity FORMS: HUD-2516
OMB NO: 2577-0090 EXPIRATION DATE: 06/30/2004 RESPS:3,100 HOURS:3,100 COSTS(000):$0 Annual Lead-Based Paint Activity Report FORMS: HUD-52850
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:94,412 COSTS(000):$10,000 Public Housing Drug Elimination Program Formula Allocation: FORMS: NONE
OMB NO: 2577-0133 EXPIRATION DATE: 02/29/2004 RESPS:1,500 HOURS:30,000 COSTS(000):$0 Public and Indian Housing Drug Elimination Technical Assistance Program (DETAP) Consultant Services - Application Kit FORMS: HUD-52354
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: 2577-0166 EXPIRATION DATE: 02/29/2004 RESPS:116,864 HOURS:17,540 COSTS(000):$0 Public and Indian Housing-LOCCS/VRS Payment Vouchers FORMS: HUD-50080SERIES
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: 2577-0186 EXPIRATION DATE: 04/30/2004 RESPS:19 HOURS:190 COSTS(000):$0 Financial Standards for Housing Agency-Owned Insurance Entities FORMS: NONE
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: 2577-0192 EXPIRATION DATE: 06/30/2004 RESPS:176 HOURS:3,358 COSTS(000):$0 Requirements for Designating Housing Projects Plan FORMS: NONE
OMB NO: 2577-0201 EXPIRATION DATE: 01/31/2005 RESPS:73 HOURS:5,421 COSTS(000):$0 Section 5(h) Homeownership Program for Public Housing: Submission of Plan and Reporting FORMS: NONE
OMB NO: 2577-0208 EXPIRATION DATE: 12/31/2004 RESPS:80 HOURS:29,773 COSTS(000):$0 HOPE VI Application Requirements (Data Forms, Budget, etc.), Reporting, Procurement FORMS: HUD-52600-A HUD-52825-A
OMB NO: 2577-0211 EXPIRATION DATE: 04/30/2004 RESPS:224 HOURS:1,792 COSTS(000):$0 Economic Development and Supportive Services Program: Reporting Requirements 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: 11/30/2004 RESPS:1 HOURS:134,592 COSTS(000):$0 Indian Housing Plan (IHP); Annual Performance Report (APR); FORMS: IHP-52735 APR-52735-AS
OMB NO: 2577-0220 EXPIRATION DATE: 11/30/2004 RESPS:3,200 HOURS:256,000 COSTS(000):$0 Admission to, and Occupancy of Public Housing: Admission and Tenant Selection Policies, Verification, Notification Preference, Waiting List, Exemption of Police Officers FORMS: NONE
OMB NO: 2577-0226 EXPIRATION DATE: 06/30/2002 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 HOURS:4,200 COSTS(000):$0 Voluntary Conversion of Developments from Public Housing Stock; Required Initial Assessments 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
OMB NO: 2577-0237 EXPIRATION DATE: 08/31/2004 RESPS:939 HOURS:34,026 COSTS(000):$0 Public Housing Assessment System (PHAS) Memorandum of Agreement (MOA) and Improvement Plan (IP) FORMS: NONE
OMB NO: 2577-0238 EXPIRATION DATE: 12/31/2004 RESPS:365 HOURS:820 COSTS(000):$7,500 Revision to Cost Limits for Native American Housing FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
47 7,176,410 3,811,851 $17,612
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
225 42,387,699 15,600,454 $26,496
OMB NO: 1004-0001 EXPIRATION DATE: 01/31/2004 RESPS:450 HOURS:215 COSTS(000):$0 Free Use Application and Permit - Vegetative or Mineral Material (as required by 43 CFR 3620, 5510) FORMS: FORM-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: 02/28/2005 RESPS:6,000 HOURS:2,000 COSTS(000):$0 Grazing Application - Grazing Schedules (43 CFR 4130) FORMS: 4130-1
OMB NO: 1004-0009 EXPIRATION DATE: 10/31/2004 RESPS:641 HOURS:3,140 COSTS(000):$312 Land Use Application and Permit (43 CFR 2920) FORMS: 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: 01/31/2004 RESPS:60 HOURS:20 COSTS(000):$0 Range Improvement Permit (43 CFR 4120.3) FORMS: FORM-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: 10/31/2004 RESPS:60,000 HOURS:30,000 COSTS(000):$3,000 Oil and Gas Lease Transfers by Assignment or Operating Rights (Sublease) (43 CFR 3106, 3135, adn 3216) FORMS: 3000-1 3000-3A
OMB NO: 1004-0041 EXPIRATION DATE: 02/28/2005 RESPS:7,689 HOURS:1,794 COSTS(000):$0 Automated Grazing Application (formerly Grazing Preference Statement) (43 CFR 4130) FORMS: 4130-3A
OMB NO: 1004-0042 EXPIRATION DATE: 06/30/2004 RESPS:30,000 HOURS:5,000 COSTS(000):$0 The Application for Adoption of Wild Horses(s) and Burro(s) (43 CFR 4700) FORMS: 4710-10
OMB NO: 1004-0051 EXPIRATION DATE: 06/30/2004 RESPS:15,000 HOURS:6,250 COSTS(000):$0 Actual Grazing Use Report (43 CFR 4130) FORMS: 4130-5
OMB NO: 1004-0058 EXPIRATION DATE: 01/31/2004 RESPS:25 HOURS:45 COSTS(000):$0 Timber Export Reporting and Substitution Determination (43 CFR Subpart 5424) FORMS: FORM-5460-17
OMB NO: 1004-0068 EXPIRATION DATE: 05/31/2005 RESPS:600 HOURS:200 COSTS(000):$0 Cooperative Range Improvement Agreement (43 CFR 4120.3-2) FORMS: 4120-5
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
OMB NO: 1004-0074 EXPIRATION DATE: 07/31/2003 RESPS:443 HOURS:886 COSTS(000):$0 Oil and Gas and Geothemal Resources Leasing FORMS: 3000-2 3200-9
OMB NO: 1004-0103 EXPIRATION DATE: 02/28/2005 RESPS:4,400 HOURS:2,200 COSTS(000):$0 Mineral Materials Disposal (43 CFR 3600, 3601, and 3602) FORMS: 3600-9
OMB NO: 1004-0109 EXPIRATION DATE: 06/30/2003 RESPS:50 HOURS:1,000 COSTS(000):$0 Payments in Lieu of Taxes (43 CFR 1881) FORMS: 1004-0109
OMB NO: 1004-0114 EXPIRATION DATE: 12/31/2002 RESPS:364,175 HOURS:48,562 COSTS(000):$33,389 Recordation of Location Notices and Annual for Mining Claims, Mill Sites, and Tunnel Sites; Payments of Location and Maintenance Fees and Service Charges FORMS: 3820-2 3830-3
OMB NO: 1004-0119 EXPIRATION DATE: 05/31/2004 RESPS:31,000 HOURS:15,500 COSTS(000):$0 Special Recreation Application and Permit (43 CFR 8370) FORMS: 8370-1
OMB NO: 1004-0121 EXPIRATION DATE: 06/30/2003 RESPS:276 HOURS:3,760 COSTS(000):$3 Leasing of Solid Minerals Other Than Coal and Oil Shale: 43 CFR Part 3500 through 3590 FORMS: 3510-1 3520-7 3510-2 3504-1 3504-3 3504-4
OMB NO: 1004-0132 EXPIRATION DATE: 01/31/2004 RESPS:760 HOURS:1,700 COSTS(000):$0 Geothermal Resources Operations (as required by 43 CFR 3260) FORMS: 3260-2 3260-3 3260-4 3260-5
OMB NO: 1004-0133 EXPIRATION DATE: 05/31/2004 RESPS:353,000 HOURS:11,767 COSTS(000):$0 Permit Fee Envelope (36 CFR 71) FORMS: FORM-1370-36
OMB NO: 1004-0134 EXPIRATION DATE: 01/31/2004 RESPS:193,855 HOURS:96,885 COSTS(000):$0 Onshore Oil and Gas Operations Nonform Items (as required by 43 CFR 3160) FORMS: NONE
OMB NO: 1004-0135 EXPIRATION DATE: 01/31/2004 RESPS:34,000 HOURS:14,166 COSTS(000):$0 Sundry Notices and Reports on Wells (as required by 43 CFR 3162) FORMS: 3160-5
OMB NO: 1004-0136 EXPIRATION DATE: 01/31/2004 RESPS:4,000 HOURS:2,250 COSTS(000):$0 Application for Permit to Drill (as required by 43 CFR 3162) FORMS: 3160-3
OMB NO: 1004-0137 EXPIRATION DATE: 01/31/2004 RESPS:2,200 HOURS:2,290 COSTS(000):$0 Well Completion or Recompletion Report and Log (as required by 43 CFR Part 3160) FORMS: 3160-4
OMB NO: 1004-0145 EXPIRATION DATE: 09/30/2002 RESPS:1,400 HOURS:1,400 COSTS(000):$0 Oil and Gas Exploration and Leasing FORMS: NONE
OMB NO: 1004-0153 EXPIRATION DATE: 09/30/2002 RESPS:13 HOURS:130 COSTS(000):$0 Conveyance of Federally Owned Mineral Interest -- 43 CFR 2720 FORMS: NONE
OMB NO: 1004-0157 EXPIRATION DATE: 12/31/2003 RESPS:80 HOURS:240 COSTS(000):$0 43 CFR Subpart 2808 - Reimbursement of Costs FORMS: NONE
OMB NO: 1004-0160 EXPIRATION DATE: 10/31/2004 RESPS:75 HOURS:150 COSTS(000):$0 Geothermal Leasing Reports (43 CFR 3208) FORMS: NONE
OMB NO: 1004-0162 EXPIRATION DATE: 10/31/2002 RESPS:1,200 HOURS:800 COSTS(000):$0 Oil and Gas Geophysical Exploration Operations FORMS: 3150-4 315-5
OMB NO: 1004-0165 EXPIRATION DATE: 08/31/2003 RESPS:60 HOURS:155 COSTS(000):$0 Cave Management: Cave Nominations and Confidential Information 43 CFR Part 37 FORMS: NONE
OMB NO: 1004-0168 EXPIRATION DATE: 06/30/2004 RESPS:1,600 HOURS:1,600 COSTS(000):$0 Report on Road Use (43 CFR 2812) FORMS: OR-2812-6
OMB NO: 1004-0169 EXPIRATION DATE: 09/30/2002 RESPS:280 HOURS:560 COSTS(000):$0 Use and Occupancy -- 43 CFR 3715 FORMS: NONE
OMB NO: 1004-0172 EXPIRATION DATE: 12/31/2004 RESPS:10,000 HOURS:500 COSTS(000):$0 Generic Clearance for Customer Comment Cards FORMS: NONE
OMB NO: 1004-0175 EXPIRATION DATE: 08/31/2002 RESPS:1,500 HOURS:1,500 COSTS(000):$0 Identification of Communications Sites Tenants and Tenant Uses FORMS: NONE
OMB NO: 1004-0179 EXPIRATION DATE: 06/30/2004 RESPS:304 HOURS:912 COSTS(000):$0 In-Kind Crude Helium Sales Contract (43 CFR 3195) FORMS: NONE
OMB NO: 1004-0180 EXPIRATION DATE: 08/31/2004 RESPS:200 HOURS:50 COSTS(000):$0 Gas Well Data Survey of Helium-Bearing Natural Gas (PL 104-273) FORMS: 3100-12
OMB NO: 1004-0181 EXPIRATION DATE: 12/31/2004 RESPS:13,000 HOURS:3,250 COSTS(000):$0 Generic Clearance for Customer Surveys FORMS: NONE
OMB NO: 1004-0182 EXPIRATION DATE: 09/30/2004 RESPS:6 HOURS:7 COSTS(000):$0 Alaska Reindeer Grazing (43 CFR 4300) FORMS: AK-4201-1 AK-4132-2
OMB NO: 1004-0184 EXPIRATION DATE: 04/30/2005 RESPS:22,945 HOURS:9,441 COSTS(000):$0 Onshore Oil and Gas Leasing and Operations (43 CFR Part 3100 et al.) FORMS: NONE
OMB NO: 1004-0185 EXPIRATION DATE: 06/30/2002 RESPS:1,110 HOURS:4,600 COSTS(000):$0 Drainage Protection FORMS: NONE
OMB NO: 1004-0187 EXPIRATION DATE: 07/31/2002 RESPS:12,000 HOURS:20,000 COSTS(000):$0 Taxpayer Identification/Social Security Number Request FORMS: 1372-6
OMB NO: 1004-0188 EXPIRATION DATE: 08/31/2002 RESPS:4,050 HOURS:19,550 COSTS(000):$0 Rights-of-Way: Principles and Procedures -- 43 CFR Part 2800 Rights-of-Way under the Mineral Leasing Act -- 43 CFR Part 2880 FORMS: NONE
OMB NO: 1004-0189 EXPIRATION DATE: 08/31/2002 RESPS:4,900 HOURS:9,800 COSTS(000):$4,780 Application for Transportation and Utility Systems and Facility FORMS: 299
OMB NO: 1004-0190 EXPIRATION DATE: 08/31/2002 RESPS:16 HOURS:13 COSTS(000):$1 Indian Allotment Regulations FORMS: 2530-3
OMB NO: 1004-0191 EXPIRATION DATE: 03/31/2003 RESPS:732 HOURS:20,496 COSTS(000):$0 Alaska Veteran's Native Allotment Regulations and Application Form, Public Law 105-276 FORMS: AK-2561-10
OMB NO: 1004-0192 EXPIRATION DATE: 06/30/2003 RESPS:1,760 HOURS:440 COSTS(000):$0 Trans-Alaska Pipeline System Survey of the Employee Concerns Program FORMS: NONE
OMB NO: 1004-0193 EXPIRATION DATE: 08/31/2003 RESPS:1,720 HOURS:430 COSTS(000):$0 Generic Clearance for Customer Surveys for Stakeholders/Partners and State and Local Government FORMS: NONE
OMB NO: 1004-0194 EXPIRATION DATE: 11/30/2003 RESPS:1,897 HOURS:306,536 COSTS(000):$0 Surface Management Activities Under the General Mining Law, 43 CFR Subpart 3809 FORMS: 3809-1 3809-2 3809-4
OMB NO: 1004-0195 EXPIRATION DATE: 02/29/2004 RESPS:540 HOURS:240 COSTS(000):$0 Program Evaluation for the National Riparian Management Service Team (NRST) and the extended riparian network FORMS: NONE
OMB NO: 1004-0196 EXPIRATION DATE: 12/31/2004 RESPS:35 HOURS:410 COSTS(000):$0 Oil and Gas Leasing: National Petroleum Reserve, Alaska (NPRA) (43 CFR 3130, 3133, 3135, 3137, 3138, 3160) FORMS: NONE
Bureau of ReclamationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
55 1,191,589 690,095 $48,140
OMB NO: 1006-0001 EXPIRATION DATE: 02/28/2003 RESPS:25,225 HOURS:8,050 COSTS(000):$0 Crop Acreage and Yields and Water Distribution FORMS: 7-332 7-2045
OMB NO: 1006-0002 EXPIRATION DATE: 04/30/2003 RESPS:535 HOURS:1,070 COSTS(000):$0 Recreation Use Data Report FORMS: 7-2534-PART1 7-2535-PART2
OMB NO: 1006-0005 EXPIRATION DATE: 12/31/2003 RESPS:19,586 HOURS:14,829 COSTS(000):$0 Individual Landholder's Certification and Reporting Forms for Acreage Limitation, 43 CFR Part 426 and 43 CFR Part 428 FORMS: 7-21INFO 7-2180 7-2180EZ 7-2181 7-2184 7-2190 7-2190EZ 7-2191 7-2194 7-21PE
OMB NO: 1006-0006 EXPIRATION DATE: 12/31/2003 RESPS:345 HOURS:13,800 COSTS(000):$235 Certification Summary Form, Reporting Summary Form for Acreage Limitation, 43 CFR Part 426 and 43 CFR Part 428 FORMS: 7-21SUMM-C 7-21SUMM-R
OMB NO: 1006-0014 EXPIRATION DATE: 12/31/2002 RESPS:1,000 HOURS:500 COSTS(000):$0 Lower Colorado River Well Inventory FORMS: NONE
OMB NO: 1006-0015 EXPIRATION DATE: 08/31/2003 RESPS:54 HOURS:290 COSTS(000):$0 Diversions, Return Flows, and Consumptive Use of Colorado River Water in the Lower Colorado River Basin FORMS: LC-72 LC-72A LC-72B
OMB NO: 1006-0023 EXPIRATION DATE: 12/31/2003 RESPS:1,105 HOURS:92 COSTS(000):$0 Limited Recipient Identification Sheet and Trust Information Sheet for Acreage Limitation, 43 CFR Part 426 FORMS: 7-2536 7-2537
OMB NO: 1006-0024 EXPIRATION DATE: 09/30/2002 RESPS:44 HOURS:44 COSTS(000):$0 Summary of Water Requirements for Crops Grown on Eligible Lend FORMS: LS-924
OMB NO: 1006-0025 EXPIRATION DATE: 09/30/2003 RESPS:250 HOURS:125 COSTS(000):$0 Ririe Reservoir Recreation Survey FORMS: NONE
Minerals Management ServiceSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
9 48,144 38,800 $235
OMB NO: 1010-0006 EXPIRATION DATE: 03/31/2004 RESPS:8,815 HOURS:16,329 COSTS(000):$414 30 CFR Part 256, Leasing of Sulphur or Oil and Gas in the Outer Continental Shelf (OCS) FORMS: FORM-MMS-2028 FORM-MMS-2028A
OMB NO: 1010-0017 EXPIRATION DATE: 09/30/2002 RESPS:1,660 HOURS:2,490 COSTS(000):$0 Semiannual Well Test Report -- Form MMS-128 FORMS: MMS-128
OMB NO: 1010-0018 EXPIRATION DATE: 08/31/2004 RESPS:960 HOURS:960 COSTS(000):$0 Form MMS-127, Sensitive Reservior Informaiton Report (SRI) FORMS: MMS-127
OMB NO: 1010-0039 EXPIRATION DATE: 08/31/2004 RESPS:1,250 HOURS:1,250 COSTS(000):$0 Form MMS-126, Well Potential Test Report (WPT) FORMS: MMS-126
OMB NO: 1010-0041 EXPIRATION DATE: 06/30/2003 RESPS:1,949 HOURS:14,189 COSTS(000):$0 30 CFR 250, Subpart K, Oil and Gas Production Rates FORMS: MMS-140
OMB NO: 1010-0042 EXPIRATION DATE: 04/30/2004 RESPS:17 HOURS:19 COSTS(000):$0 Sale of Federal Royalty Oil, 30 CFR Part 208 (Originally titled "Application for the Purchase of Royalty Oil" FORMS: MMS-4070
OMB NO: 1010-0043 EXPIRATION DATE: 08/31/2004 RESPS:11,625 HOURS:19,205 COSTS(000):$0 30 CFR 250, Subpart F, Oil and Gas Well-Workover Operations FORMS: NONE
OMB NO: 1010-0044 EXPIRATION DATE: 09/30/2002 RESPS:1,165 HOURS:4,078 COSTS(000):$0 Application for Permit to Drill -- Form MMS-123 FORMS: MMS-123
OMB NO: 1010-0045 EXPIRATION DATE: 09/30/2002 RESPS:9,500 HOURS:11,875 COSTS(000):$0 Sundry Notices and Reports on Wells -- Form MMS-124 FORMS: MMS-124
OMB NO: 1010-0046 EXPIRATION DATE: 09/30/2002 RESPS:2,275 HOURS:2,275 COSTS(000):$0 Well Summary Report -- Form MMS-125 FORMS: MMS-125
OMB NO: 1010-0048 EXPIRATION DATE: 05/31/2003 RESPS:963 HOURS:8,109 COSTS(000):$0 30 CFR Part 251, Geological and Geophysical (G&G) Explorations of the OCS FORMS: MMS-327 MMS-328 MMS-329
OMB NO: 1010-0049 EXPIRATION DATE: 09/30/2003 RESPS:1,016 HOURS:257,470 COSTS(000):$0 30 CFR 250, Subpart B, Exploration and Development and Production FORMS: MMS-137 MMS-138 MMS-139 MMS-141
OMB NO: 1010-0050 EXPIRATION DATE: 08/31/2003 RESPS:2,190 HOURS:78,910 COSTS(000):$332 30 CFR 250, Subpart J, Pipelines and Pipeline Rights-of-way FORMS: NONE
OMB NO: 1010-0051 EXPIRATION DATE: 07/31/2004 RESPS:36,098 HOURS:6,540 COSTS(000):$0 30 CFR 250, Subpart L, Oil and Gas Production Measurement, Surface Commingling, and Security FORMS: NONE
OMB NO: 1010-0053 EXPIRATION DATE: 09/30/2003 RESPS:2,543 HOURS:113,827 COSTS(000):$0 30 CFR 250, Subpart D, Oil and Gas Drilling Operations FORMS: NONE
OMB NO: 1010-0057 EXPIRATION DATE: 12/31/2002 RESPS:4,040 HOURS:194,311 COSTS(000):$750 Pollution Prevention and Control -- 30 CFR 250, Subpart C FORMS: NONE
OMB NO: 1010-0058 EXPIRATION DATE: 09/30/2004 RESPS:1,035 HOURS:30,824 COSTS(000):$0 30, CFR 250, Subpart I, Platforms and Structures FORMS: NONE
OMB NO: 1010-0059 EXPIRATION DATE: 12/31/2002 RESPS:727 HOURS:5,204 COSTS(000):$0 Oil and Gas Production Safety Systems -- 30 CFR 250, Subpart H FORMS: NONE
OMB NO: 1010-0061 EXPIRATION DATE: 10/31/2004 RESPS:20 HOURS:5 COSTS(000):$0 Oil Transportation Allowances (30 CFR Part 206.55(a)(1)(i); (b) (1); (c)(1)(i) and (iii), and (iv)) FORMS: MMS-4110
OMB NO: 1010-0067 EXPIRATION DATE: 08/31/2004 RESPS:2,835 HOURS:9,575 COSTS(000):$0 30 CFR 250, Subpart E, Oil and Gas Well-Completion Operations FORMS: NONE
OMB NO: 1010-0068 EXPIRATION DATE: 09/30/2002 RESPS:27 HOURS:2,742 COSTS(000):$0 Unitization -- 30 CFR 250, Subpart M FORMS: NONE
OMB NO: 1010-0071 EXPIRATION DATE: 09/30/2003 RESPS:22 HOURS:8,650 COSTS(000):$661 30 CFR Part 203, Relief or Reduction in Royalty Rates FORMS: NONE
OMB NO: 1010-0072 EXPIRATION DATE: 01/31/2003 RESPS:12 HOURS:88 COSTS(000):$0 Prospecting for Minerals Other Than Oil, Gas, and Sulphur in the OCS -- 30 CFR Part 280 FORMS: MMS-134 MMS-135 MMS-136
OMB NO: 1010-0073 EXPIRATION DATE: 08/31/2002 RESPS:183 HOURS:2,946 COSTS(000):$0 Net Profit Share Leases FORMS: NONE
OMB NO: 1010-0074 EXPIRATION DATE: 10/31/2004 RESPS:2 HOURS:4 COSTS(000):$0 Coal Washing and transportation Allowances (30 CFR 206.458(a)(1), (b)(1), (c)(1)(i)&(iii), (c)(2)(i)&(iii) and 206.461(a)(1), (b)(1), (c)(1)(i)&(iii), (c)(2)(i)&(iii)) FORMS: MMS-4292 MMS-4293
OMB NO: 1010-0075 EXPIRATION DATE: 10/31/2004 RESPS:3,000 HOURS:750 COSTS(000):$0 Gas Processing and Transportation Allowances (30 CFR Part 206.178 (b)(1)(ii) and 206.180(b)(1)(ii)) FORMS: MMS-4109 MMS-4295
OMB NO: 1010-0078 EXPIRATION DATE: 08/31/2003 RESPS:2,188 HOURS:2,300 COSTS(000):$0 30 CFR 250, Subpart o, Training FORMS: NONE
OMB NO: 1010-0079 EXPIRATION DATE: 09/30/2002 RESPS:200 HOURS:650 COSTS(000):$0 Abandonment of Wells -- 30 CFR 250, Subpart G FORMS: NONE
OMB NO: 1010-0086 EXPIRATION DATE: 08/31/2004 RESPS:29 HOURS:903 COSTS(000):$0 30 CFR 250, Subpart P, Sulphur Operations FORMS: NONE
OMB NO: 1010-0087 EXPIRATION DATE: 08/31/2003 RESPS:85 HOURS:1,224 COSTS(000):$0 Cooperative Agreements FORMS: NONE
OMB NO: 1010-0088 EXPIRATION DATE: 08/31/2003 RESPS:48,050 HOURS:210,400 COSTS(000):$80 Delegation of Authority to States FORMS: NONE
OMB NO: 1010-0090 EXPIRATION DATE: 09/30/2004 RESPS:1,600 HOURS:800 COSTS(000):$0 Stripper Royalty Rate Reduction Notification (43 CFR Part 3103.4- 2) FORMS: MMS-4377
OMB NO: 1010-0091 EXPIRATION DATE: 10/31/2003 RESPS:801 HOURS:42,233 COSTS(000):$0 30 CFR part 254, Oil-Spill Responses Requirements for Facilities Located Seaward of the Coast Line FORMS: NONE
OMB NO: 1010-0095 EXPIRATION DATE: 03/31/2005 RESPS:75 HOURS:37 COSTS(000):$0 Request to Exceed Regulatory Allowance Limitation (30 CFR 206.54(b)(2), 206.109(c)(2), 206.156(c)(3), 206.158(c)(3) and 206.177(c)(3)) FORMS: MMS-4393
OMB NO: 1010-0098 EXPIRATION DATE: 03/31/2004 RESPS:200 HOURS:7 COSTS(000):$0 Office of Indian Royalty Assistance (OIRA) Customer Satisfaction Postcard FORMS: NONE
OMB NO: 1010-0103 EXPIRATION DATE: 01/31/2003 RESPS:420 HOURS:10,500 COSTS(000):$0 Safety Net Report FORMS: MMS-4411
OMB NO: 1010-0104 EXPIRATION DATE: 01/31/2005 RESPS:475 HOURS:1,000 COSTS(000):$0 Accounting for Comparison (Dual Accounting) (30 CFR 206.172(b)(1)(iii), 206.173(a)(1) and (2), 206.176(b) and (c)) FORMS: MMS-4410
OMB NO: 1010-0106 EXPIRATION DATE: 09/30/2004 RESPS:1,834 HOURS:19,504 COSTS(000):$0 30 CFR Part 253, Oil Spill Financial Responsibility for Offshore Facilities FORMS: MMS-1016 MMS-1017 MMS-1018 MMS-1019 MMS-1020 MMS-1021 MMS-1022
OMB NO: 1010-0107 EXPIRATION DATE: 06/30/2002 RESPS:11,500 HOURS:8,625 COSTS(000):$0 Designation of Royalty Payment Responsibility FORMS: MMS-4425
OMB NO: 1010-0110 EXPIRATION DATE: 08/31/2004 RESPS:3,500 HOURS:350 COSTS(000):$0 Training and Outreach Evaluation Forms FORMS: MMS-4420A-H
OMB NO: 1010-0112 EXPIRATION DATE: 12/31/2004 RESPS:63 HOURS:756 COSTS(000):$0 Form MMS-131, Performance Data Form FORMS: MMS-131
OMB NO: 1010-0113 EXPIRATION DATE: 02/28/2003 RESPS:6,075 HOURS:1 COSTS(000):$0 Indian Crude Oil Valuation Report FORMS: MMS-4416
OMB NO: 1010-0114 EXPIRATION DATE: 09/30/2002 RESPS:3,899 HOURS:10,716 COSTS(000):$2 General -- 30 CFR 250, Subpart A FORMS: MMS-132
OMB NO: 1010-0118 EXPIRATION DATE: 06/30/2002 RESPS:10,000 HOURS:330 COSTS(000):$0 Royalty-In-Kind Pilot Program Spreadsheets: Federal Oil and Gas Purchase System and Joint Effort Royalty Oil and Gas Purchase System FORMS: NONE
OMB NO: 1010-0119 EXPIRATION DATE: 08/31/2002 RESPS:25 HOURS:100 COSTS(000):$0 Royalty-in-Kind (RIK) Determination of Need FORMS: NONE
OMB NO: 1010-0120 EXPIRATION DATE: 08/31/2004 RESPS:5,495 HOURS:1,452 COSTS(000):$0 Solid Minerals Compliance and Asset Management Process, 30 CFR Parts 206, 210, 216, and 218 (Current title: Solid Minerals Operational Model) FORMS: MMS-4430
OMB NO: 1010-0121 EXPIRATION DATE: 07/31/2002 RESPS:400 HOURS:36,100 COSTS(000):$0 Preliminary Statement of Issues and Fee Waiver FORMS: NONE
OMB NO: 1010-0122 EXPIRATION DATE: 06/30/2002 RESPS:300 HOURS:300 COSTS(000):$0 Filing Sureties FORMS: MMS-4435 MMS-4436
OMB NO: 1010-0123 EXPIRATION DATE: 07/31/2002 RESPS:12 HOURS:180 COSTS(000):$0 Issuing Orders Requested by Indian Lessors FORMS: NONE
OMB NO: 1010-0126 EXPIRATION DATE: 02/28/2003 RESPS:4,320 HOURS:3,720 COSTS(000):$0 Royalty-In-Kind Pilot Program Directed Third-Party Communications Between Operators and Purchasers of RIK Federal Oil and Gas Purchase System FORMS: NONE
OMB NO: 1010-0128 EXPIRATION DATE: 08/31/2003 RESPS:717 HOURS:5,739 COSTS(000):$0 30 CFR 250, Subpart O-Well Control & Production Safety Training FORMS: NONE
OMB NO: 1010-0129 EXPIRATION DATE: 06/30/2003 RESPS:1,869 HOURS:1,324 COSTS(000):$0 Bids and Financial Statements for Sale of Royalty Oil and Gas (RIK Pilots) FORMS: FORM-MMS-4440
OMB NO: 1010-0130 EXPIRATION DATE: 04/30/2003 RESPS:30 HOURS:201 COSTS(000):$0 Directed Communications Between Operators of Federaal RIK Leases and Deliverers of Equivalent Oil Production to the Strategic Petroleum Reserve FORMS: NONE
OMB NO: 1010-0131 EXPIRATION DATE: 09/30/2002 RESPS:1,365 HOURS:683 COSTS(000):$0 Supplemental APD Information Sheet -- Form MMS-123S FORMS: MMS-123S
OMB NO: 1010-0132 EXPIRATION DATE: 09/30/2002 RESPS:4,550 HOURS:2,275 COSTS(000):$0 Weekly Activity Report -- Form MMS-133 FORMS: MMS-133
OMB NO: 1010-0134 EXPIRATION DATE: 11/30/2002 RESPS:4 HOURS:176 COSTS(000):$0 Further Implementation of the Memorandum of Understanding FORMS: NONE
OMB NO: 1010-0135 EXPIRATION DATE: 05/31/2003 RESPS:25 HOURS:25 COSTS(000):$0 Royalty-in-King (RIK) Small Refiner Sale Program FORMS: MMS-4071 MMS-4072
OMB NO: 1010-0136 EXPIRATION DATE: 02/28/2003 RESPS:85 HOURS:17,711 COSTS(000):$0 Federal Oil Valuation FORMS: NONE
OMB NO: 1010-0137 EXPIRATION DATE: 08/31/2003 RESPS:130 HOURS:90,000 COSTS(000):$0 Historical Well Data Cleanup (HWDC) Project FORMS: NONE
OMB NO: 1010-0138 EXPIRATION DATE: 04/30/2003 RESPS:2,714 HOURS:1 COSTS(000):$0 Indian Crude Oil Valuation Report FORMS: NONE
OMB NO: 1010-0139 EXPIRATION DATE: 07/31/2003 RESPS:360,400 HOURS:89,129 COSTS(000):$1,533 Production Accounting and Auditing System Oil and Gas Reports FORMS: MMS-4054 MMS-4055 MMS-4056 MMS-4058
OMB NO: 1010-0140 EXPIRATION DATE: 08/31/2003 RESPS:2,496,000 HOURS:133,120 COSTS(000):$4,700 Report of Sales and Royalty Remittance FORMS: MMS-2014
OMB NO: 1010-0141 EXPIRATION DATE: 08/31/2003 RESPS:10,516 HOURS:1 COSTS(000):$0 Proposed Rule - 30 CFR 250, Subpart D, Oil and Gas Drilling FORMS: NONE
OMB NO: 1010-0142 EXPIRATION DATE: 07/31/2004 RESPS:1,334 HOURS:1 COSTS(000):$0 30 CFR 250, Subpart Q - Decommissioning Activities FORMS: NONE
OMB NO: 1010-0143 EXPIRATION DATE: 11/30/2003 RESPS:7 HOURS:1,603 COSTS(000):$0 30 CFR Part 260, Outer Continental Shelf Oil and Gas Leasing FORMS: NONE
OMB NO: 1010-0145 EXPIRATION DATE: 02/29/2004 RESPS:6,338 HOURS:10,792 COSTS(000):$0 Survey-Gulf of Mexico Labor Needs FORMS: NONE
OMB NO: 1010-0146 EXPIRATION DATE: 09/30/2004 RESPS:130 HOURS:260 COSTS(000):$0 Proposed Rulemaking-30 CFR 250, Subpart A, Crane Requirements FORMS: NONE
OMB NO: 1010-0147 EXPIRATION DATE: 10/31/2004 RESPS:200 HOURS:800 COSTS(000):$0 Proposed Rulemaking - 30 CFR 250, Subpart J - Safety Measure and Procedures for Pipeline Modifications and Repairs FORMS: NONE
OMB NO: 1010-0148 EXPIRATION DATE: 12/31/2004 RESPS:650 HOURS:1,300 COSTS(000):$0 Proposed Rulemaking - 30, CFR 250, Subpart E-Procedures for Dealing with Sustained Casing Pressure FORMS: NONE
OMB NO: 1010-0149 EXPIRATION DATE: 02/28/2005 RESPS:806 HOURS:1 COSTS(000):$0 Proposed Rulemaking-30, CFR 250, Subparts J, H, and I, Fixed and Floating Platforms and Structures FORMS: NONE
OMB NO: 1010-0150 EXPIRATION DATE: 05/31/2005 RESPS:1,800 HOURS:180 COSTS(000):$0 Form MMS-144-RIG Movement Notification Report FORMS: MMS-144
United States Fish and Wildlife ServiceSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
71 3,085,145 1,500,135 $8,472
OMB NO: 1018-0007 EXPIRATION DATE: 09/30/2003 RESPS:56 HOURS:56 COSTS(000):$0 State cert. of hunting and fishing licenses issued annually; 50 CFR 80 FORMS: FORM-3-154A FORM-3-154B
OMB NO: 1018-0010 EXPIRATION DATE: 08/31/2002 RESPS:1,062 HOURS:2,655 COSTS(000):$0 Mourning Dove Call-Count Survey FORMS: 3-159
OMB NO: 1018-0012 EXPIRATION DATE: 10/31/2003 RESPS:85,000 HOURS:21,250 COSTS(000):$0 Declaration for Import or Export of Fish/Wildlife, 50 CFR 14.61- 14.64 FORMS: 3-177
OMB NO: 1018-0014 EXPIRATION DATE: 08/31/2003 RESPS:212 HOURS:1,820 COSTS(000):$0 Special Use Permit Applications on National Wildlife Refuges in Alaska covers 50 CFR 25.61, 26.22(b), 26.25, 36.33, 36.37, and 36.41. FORMS: 3-2001
OMB NO: 1018-0015 EXPIRATION DATE: 10/31/2004 RESPS:3,852,000 HOURS:138,917 COSTS(000):$0 Migratory Bird Harvest Surveys FORMS: 3-1823A 3-2056G 3-2056J 3-2056K 3-2056M 3-165 3-165A 3-165B 3-165C
OMB NO: 1018-0019 EXPIRATION DATE: 08/31/2002 RESPS:750 HOURS:500 COSTS(000):$0 North American Woodcock Singing Ground Survey FORMS: 3-156
OMB NO: 1018-0022 EXPIRATION DATE: 04/30/2004 RESPS:47,326 HOURS:22,234 COSTS(000):$246 Federal Fish and Wildlife License/Permit Application and Report FORMS: 3-200-6THRU18 3-200-67THRU70 3-202-1THRU9 3-186 3-186A
OMB NO: 1018-0023 EXPIRATION DATE: 07/31/2003 RESPS:7,400 HOURS:614 COSTS(000):$0 Sandhill Crane Harvest Survey FORMS: 3-530 3-530A 3-2056N
OMB NO: 1018-0049 EXPIRATION DATE: 09/30/2003 RESPS:1,456 HOURS:5,250 COSTS(000):$0 Grant agreement and amendment to grant agreement FORMS: FORM-3-1552 FORM-3-1591
OMB NO: 1018-0066 EXPIRATION DATE: 10/31/2004 RESPS:2,695 HOURS:674 COSTS(000):$0 Marine Mammal Marking, Tagging, and Reporting Certificates-50 CFR 18.23(f) FORMS: R7-50 R7-51 R7-52
OMB NO: 1018-0067 EXPIRATION DATE: 10/31/2003 RESPS:1 HOURS:3,200 COSTS(000):$0 Protocol for Nontoxic Approval Procedures for Shot and Shot Coatings Migratory Bird Treaty Act FORMS: NONE
OMB NO: 1018-0070 EXPIRATION DATE: 09/30/2004 RESPS:49 HOURS:1,047 COSTS(000):$0 Incidental Take of Marine Mammals During Specified Activities Applications; 50 CFR Part 18, Subpart J FORMS: NONE
OMB NO: 1018-0075 EXPIRATION DATE: 07/31/2003 RESPS:6,900 HOURS:1,725 COSTS(000):$0 Fed. Subsistence Hunt Application, Designated Hunter, Fish/ Shellfish; 50 CFR 100 FORMS: 7-FS-1 7FS-2 7FS-3
OMB NO: 1018-0088 EXPIRATION DATE: 09/30/2003 RESPS:161,000 HOURS:27,000 COSTS(000):$0 FHWAR SURVEY. 16 U.S.C. 669-699i, 742d-f, 777-777k P.L. 98-369 FORMS: FH-2 FH-3 FH-4
OMB NO: 1018-0092 EXPIRATION DATE: 07/31/2004 RESPS:8,236 HOURS:8,233 COSTS(000):$308 Federal Fish and Wildlife License/Permit Application, Law Enforcement--50 CFR Parts 13, 14, 15, 16, 17, 18, 23 FORMS: 3-200-1 3-200-2 3-200-3 3-200-26
OMB NO: 1018-0093 EXPIRATION DATE: 03/31/2004 RESPS:5,959 HOURS:4,500 COSTS(000):$149 Federal Fish and Wildlife License/Permit Application-Management Authority; 50 CFR 13, 15, 17, 18, 21, 23 FORMS: 3-200-19/20/21 22/23/24/25 3-200-27/28/29 30/31/32/33/34 35/36/37/38/39 40/41/42/43/44 45/46/47/48/49 50
OMB NO: 1018-0094 EXPIRATION DATE: 07/31/2004 RESPS:1,275 HOURS:4,125 COSTS(000):$17 Federal Fish and Wildlife License Permit Application Forms-Native Endangered and Threatened Species. 50 CFR 13, 50 CFR 17.22 50 CFR 17.32, 50 CFR 17.62, 50 CFR 17.72 FORMS: 3-200-54 3-200-55 3-200-56
OMB NO: 1018-0095 EXPIRATION DATE: 10/31/2004 RESPS:62 HOURS:16 COSTS(000):$0 Endangered and Threatened Wildlife, 50 CFR 17.84, Experimental populations. FORMS: NONE
OMB NO: 1018-0097 EXPIRATION DATE: 01/31/2004 RESPS:2,450 HOURS:875 COSTS(000):$0 Depredation Order for Double-crested Cormorant 50 CFR 21.47 FORMS: NONE
OMB NO: 1018-0098 EXPIRATION DATE: 07/31/2002 RESPS:2,400 HOURS:400 COSTS(000):$0 Evaluation of Visitor Responses to Recreation Fee Demonstration Programs in the U.S. Fish and Wildlife Service National Wildlife Refuges FORMS: NONE
OMB NO: 1018-0100 EXPIRATION DATE: 08/31/2002 RESPS:150 HOURS:37,600 COSTS(000):$0 Information Collection in Support of Grant Programs Authorized by the North American Wetlands Conservation Act (NAWCA) FORMS: NONE
OMB NO: 1018-0101 EXPIRATION DATE: 03/31/2005 RESPS:135 HOURS:270 COSTS(000):$0 Monitoring Recovered Species After Delisting As Required Under Section 4(g) of the Endangered Species Act FORMS: N/A
OMB NO: 1018-0102 EXPIRATION DATE: 11/30/2004 RESPS:10,440 HOURS:10,440 COSTS(000):$0 Special use permit application on National Wildlife Refuges outside Alaska covering 50 CFR 25.41, 25.61, 30.11, 31.13, and 31.16 FORMS: 3-1383
OMB NO: 1018-0103 EXPIRATION DATE: 03/31/2005 RESPS:24 HOURS:720 COSTS(000):$0 Conservation Order for Control of Mid-Continent Light Geese, 50 CFR 21.60 FORMS: NONE
OMB NO: 1018-0104 EXPIRATION DATE: 09/30/2002 RESPS:40 HOURS:640 COSTS(000):$0 Information Collection in Support of Grant Programs Authorized by the North American Wetlands Conservation Act (NAWCA) and Council FORMS: NONE
OMB NO: 1018-0105 EXPIRATION DATE: 08/31/2002 RESPS:60 HOURS:125 COSTS(000):$0 Information Collection for Bald Eagle Monitoring FORMS: NONE
OMB NO: 1018-0109 EXPIRATION DATE: 01/31/2004 RESPS:5,250 HOURS:283,500 COSTS(000):$0 Federal Aid Grant Application Booklet 50 CFR 80 FORMS: NONE
OMB NO: 1018-0110 EXPIRATION DATE: 03/31/2004 RESPS:160 HOURS:80 COSTS(000):$0 NEPA Compliance Checklist FORMS: FWS-FORM-3-2185
OMB NO: 1018-0111 EXPIRATION DATE: 09/30/2004 RESPS:34 HOURS:17 COSTS(000):$0 Summary Information for Ranking National Coastal Wetlands Grant Program Proposals, 50 CFR 84. FORMS: FORM-3-2179
OMB NO: 1018-0112 EXPIRATION DATE: 11/30/2004 RESPS:400 HOURS:100 COSTS(000):$0 U.S. Fish & Wildlife Service Employee Exit Follow-up, authorized by the Merit System Principles (5 U.S.C. 2301) FORMS: 3-2186
OMB NO: 1018-0113 EXPIRATION DATE: 06/30/2002 RESPS:30 HOURS:1,200 COSTS(000):$0 Grant program authorized by the Neotropical Migratory Bird Conservation Act FORMS: NONE
OMB NO: 1018-0114 EXPIRATION DATE: 07/31/2002 RESPS:2,040 HOURS:510 COSTS(000):$0 Management of Elk and Bison in the Jackson Hole area FORMS: 3-2209
OMB NO: 1018-0115 EXPIRATION DATE: 04/30/2005 RESPS:1,227 HOURS:61 COSTS(000):$0 USFWS Training Records: Application for FWS Training Request FORMS: FORM-3-2193
OMB NO: 1018-0116 EXPIRATION DATE: 11/30/2002 RESPS:2,880 HOURS:587 COSTS(000):$0 Management of Elk and Bison in the Jackson Hole Area-Household Survey FORMS: 3-2209
OMB NO: 1018-0117 EXPIRATION DATE: 05/31/2005 RESPS:60 HOURS:30 COSTS(000):$0 State Certification of Expenditures, Public Law 106-408 FORMS: 3-2197A
National Park ServiceSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
35 4,209,219 580,971 $720
OMB NO: 1024-0009 EXPIRATION DATE: 05/31/2003 RESPS:3,000 HOURS:7,500 COSTS(000):$764 Historic Preservation Certification Application FORMS: 10-168
OMB NO: 1024-0018 EXPIRATION DATE: 01/31/2005 RESPS:1,575 HOURS:56,700 COSTS(000):$0 36 CFR 60 and 63. National Register of Historic Places Registration form; Continuation Sheet; Multiple Property Documentation Form. FORMS: 10-900 10-900-A 10-900B
OMB NO: 1024-0021 EXPIRATION DATE: 04/30/2004 RESPS:4,200 HOURS:2,100 COSTS(000):$0 National Capital Region Application for Public Gathering, 36 CFR 7.96(g) FORMS: NONE
OMB NO: 1024-0022 EXPIRATION DATE: 01/31/2004 RESPS:295,339 HOURS:24,612 COSTS(000):$0 Backcountry Use Permit (36 CFR 1.5, 1.6, and 2.10) FORMS: 10-404
OMB NO: 1024-0026 EXPIRATION DATE: 09/30/2003 RESPS:18,600 HOURS:11,150 COSTS(000):$930 Special Park Use Applications (36 CFR) FORMS: NPS-10-939 NPS-10-931 NPS-10-932
OMB NO: 1024-0028 EXPIRATION DATE: 02/29/2004 RESPS:164 HOURS:248 COSTS(000):$0 Urban Park and Recreation Recovery Program Project Performance Report FORMS: CONSTR.11/80 NONCONSTR.11/80
OMB NO: 1024-0031 EXPIRATION DATE: 02/29/2004 RESPS:450 HOURS:115 COSTS(000):$0 Land and Water Conservation Fund Description and Notification Form FORMS: 10-903
OMB NO: 1024-0032 EXPIRATION DATE: 02/29/2004 RESPS:700 HOURS:700 COSTS(000):$0 Land and Water Conservation Fund Program Performance Report FORMS: N/A
OMB NO: 1024-0033 EXPIRATION DATE: 02/29/2004 RESPS:450 HOURS:450 COSTS(000):$0 Land and Water Conservation Fund Project Agreement and Amendment FORMS: 10-902 10-902A
OMB NO: 1024-0034 EXPIRATION DATE: 02/29/2004 RESPS:7,400 HOURS:3,700 COSTS(000):$0 Land and Water Conservation Fund On-Site Inspection Report FORMS: N/A
OMB NO: 1024-0037 EXPIRATION DATE: 11/30/2004 RESPS:2,100 HOURS:1,750 COSTS(000):$0 Archeology Permits and Reports - 43 CFR parts 3 & 7 FORMS: DI-1926 DI-1991
OMB NO: 1024-0038 EXPIRATION DATE: 07/31/2004 RESPS:29,500 HOURS:21,508 COSTS(000):$0 Procedures for State, Tribal, and Local Government Historic Preservation Programs; 36 CFR 61 FORMS: NONE
OMB NO: 1024-0047 EXPIRATION DATE: 02/29/2004 RESPS:50 HOURS:1,750 COSTS(000):$0 Land and Water Conservation Fund Conversion of Use Provisions FORMS: N/A
OMB NO: 1024-0048 EXPIRATION DATE: 02/29/2004 RESPS:3 HOURS:75 COSTS(000):$0 Urban Park and Recreation Recovery Program Conversion of Use Provisions FORMS: N/A
OMB NO: 1024-0064 EXPIRATION DATE: 06/30/2003 RESPS:23 HOURS:4,048 COSTS(000):$0 36 CFR Part 9, Subpart A - Mining and Minimg Claims 36 CFR Part 9, Subpart B - Non-Federal Oil and Gas FORMS: NONE
OMB NO: 1024-0089 EXPIRATION DATE: 02/29/2004 RESPS:20 HOURS:20 COSTS(000):$0 Urban Park and Recreation Recovery Program Project Agreement and Amendment FORMS: FNP10-912 FNP10-915
OMB NO: 1024-0125 EXPIRATION DATE: 08/31/2003 RESPS:240 HOURS:76,800 COSTS(000):$1,120 Submission of Offers in Response to Concession Opportunities FORMS: NONE
OMB NO: 1024-0126 EXPIRATION DATE: 08/31/2002 RESPS:20 HOURS:1,600 COSTS(000):$5 Proposed Sale of Concession Operations FORMS: NONE
OMB NO: 1024-0224 EXPIRATION DATE: 09/30/2004 RESPS:90,000 HOURS:15,000 COSTS(000):$0 Programmatic Approval for National Park Service-Sponsored Public Surveys FORMS: NONE
OMB NO: 1024-0231 EXPIRATION DATE: 11/30/2003 RESPS:758 HOURS:3,276 COSTS(000):$0 Concession Contract - 36 CFR 51 FORMS: NONE
OMB NO: 1024-0232 EXPIRATION DATE: 11/30/2003 RESPS:100 HOURS:1,000 COSTS(000):$0 NPS Underground Railroad Network to Freedom Application FORMS: NONE
OMB NO: 1024-0233 EXPIRATION DATE: 01/31/2004 RESPS:627 HOURS:4,392 COSTS(000):$0 National Park Service leasing Program -- 36 CFR Part 18 FORMS: NONE
OMB NO: 1024-0236 EXPIRATION DATE: 04/30/2004 RESPS:6,000 HOURS:4,875 COSTS(000):$0 Application for a Scientific Research and Collecting Permit: Investigator's Annual Report; re 36 CFR 2.1 and 2.5 FORMS: 10-741 10-226
OMB NO: 1024-0241 EXPIRATION DATE: 09/30/2002 RESPS:2,800 HOURS:600 COSTS(000):$0 Golden Gate National Recreation Area Water Shuttle Access Plan Resident Surveys FORMS: NONE
OMB NO: 1024-0242 EXPIRATION DATE: 09/30/2004 RESPS:400 HOURS:125 COSTS(000):$0 National Park Service Urban and Adjacent Parks: Assessment and Development of Community Outreach FORMS: NONE
OMB NO: 1024-0243 EXPIRATION DATE: 09/30/2002 RESPS:1,000 HOURS:167 COSTS(000):$0 Charleston Harbor Water Taxi Resident and Non-Resident Survey- Fort Sumter Group Parks FORMS: NONE
Geological SurveySUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
26 465,519 244,261 $2,819
OMB NO: 1028-0048 EXPIRATION DATE: 08/31/2002 RESPS:3,500 HOURS:350 COSTS(000):$0 Earthquake Report FORMS: 9-3013
OMB NO: 1028-0051 EXPIRATION DATE: 09/30/2002 RESPS:300 HOURS:12,000 COSTS(000):$0 National Earthquake Hazards Reduction Program, Annual Announcement of Availability of Funds FORMS: SF424 SF269 SF270
OMB NO: 1028-0053 EXPIRATION DATE: 08/31/2002 RESPS:6,633 HOURS:5,453 COSTS(000):$0 Nonferrous Metals Surveys FORMS: NONE
OMB NO: 1028-0056 EXPIRATION DATE: 05/31/2004 RESPS:450 HOURS:150 COSTS(000):$0 North American Reporting Center for Amphibian Malformations FORMS: NONE
OMB NO: 1028-0057 EXPIRATION DATE: 11/30/2003 RESPS:1,000 HOURS:350 COSTS(000):$0 The National Atlas of the United States of America FORMS: NONE
OMB NO: 1028-0059 EXPIRATION DATE: 02/29/2004 RESPS:3,000 HOURS:750 COSTS(000):$0 Comprehensive Test Ban Treaty FORMS: 9-4040-A
OMB NO: 1028-0060 EXPIRATION DATE: 12/31/2003 RESPS:739 HOURS:555 COSTS(000):$0 Mine, Development, and Mineral Exploration Supplement FORMS: 9-4000-A
OMB NO: 1028-0062 EXPIRATION DATE: 02/29/2004 RESPS:19,008 HOURS:13,185 COSTS(000):$0 Industrial Minerals Survey FORMS: NONE
OMB NO: 1028-0065 EXPIRATION DATE: 02/29/2004 RESPS:3,450 HOURS:742 COSTS(000):$0 Production Estimate, Quarterly Construction Sand and Gravel and Crushed and Broken Stone FORMS: 9-4042-A 9-4124-A
OMB NO: 1028-0068 EXPIRATION DATE: 09/30/2004 RESPS:3,479 HOURS:1,970 COSTS(000):$0 Ferrous Metals Surveys FORMS: NONE
OMB NO: 1028-0069 EXPIRATION DATE: 10/31/2004 RESPS:3,000 HOURS:150 COSTS(000):$0 User Survey for National Biological Information Infrastructure FORMS: NONE
OMB NO: 1028-0070 EXPIRATION DATE: 09/30/2004 RESPS:3,670 HOURS:2,753 COSTS(000):$0 Consolidated Consumers' Report FORMS: 9-4117-MA
OMB NO: 1028-0072 EXPIRATION DATE: 08/31/2002 RESPS:14,500 HOURS:3,625 COSTS(000):$4 Frogwatch USA FORMS: NONE
OMB NO: 1028-0074 EXPIRATION DATE: 07/31/2004 RESPS:700 HOURS:292 COSTS(000):$0 Assessment of the Use and Benefits of Waterfowl Production Areas in Minnesota FORMS: NONE
OMB NO: 1028-0075 EXPIRATION DATE: 07/31/2004 RESPS:1,000 HOURS:416 COSTS(000):$0 Understanding Visitor Uses, Motives, and Benefits at Sherburne National Wildlife Refuge FORMS: NONE
OMB NO: 1028-0076 EXPIRATION DATE: 07/31/2004 RESPS:1,400 HOURS:268 COSTS(000):$0 Conservation Reserve Program (CRP) Contractee Perceptions on Environmental Benefits and Management FORMS: NONE
OMB NO: 1028-0077 EXPIRATION DATE: 03/31/2005 RESPS:600 HOURS:150 COSTS(000):$0 Visitor knowledge and economic impact at Arapaho, Arrowwod and Sand Lake National Wildlife Refuges FORMS: NONE
OMB NO: 1028-0078 EXPIRATION DATE: 03/31/2005 RESPS:1,000 HOURS:7,000 COSTS(000):$0 North American Amphibian Monitoring Program FORMS: NONE
OMB NO: 1028-0079 EXPIRATION DATE: 03/31/2005 RESPS:2,500 HOURS:12,500 COSTS(000):$0 North American Breeding Bird Survey FORMS: NONE
Office of Surface Mining Reclamation and EnforcementSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
19 69,929 62,659 $4
OMB NO: 1029-0024 EXPIRATION DATE: 08/31/2004 RESPS:65 HOURS:9,205 COSTS(000):$0 Procedures and Criteria for Approval or Disapproval of State Program Submissions, 30 CFR PART 732 FORMS: NONE
OMB NO: 1029-0025 EXPIRATION DATE: 08/31/2003 RESPS:2 HOURS:200 COSTS(000):$0 Maintenance of State programs and procedures for substituting Federal enforcement of State programs and withdrawing approval of State programs, 30 CFR 733. FORMS: NONE
OMB NO: 1029-0027 EXPIRATION DATE: 09/30/2002 RESPS:31 HOURS:1,582 COSTS(000):$0 General Requirements for Surface Coal Mining and Reclamation Operations on Federal Lands -- 30 CFR 740 FORMS: NONE
OMB NO: 1029-0030 EXPIRATION DATE: 07/31/2004 RESPS:4 HOURS:7,240 COSTS(000):$0 State processes for designating areas unsuitable for surface coal mining operations, 30 CFR Part 764 FORMS: NONE
OMB NO: 1029-0035 EXPIRATION DATE: 06/30/2003 RESPS:315 HOURS:51,188 COSTS(000):$0 Surface Mining Permit Applications - Minimum Requirements for Environmental Resources - Part 779 FORMS: NONE
OMB NO: 1029-0036 EXPIRATION DATE: 09/30/2002 RESPS:420 HOURS:186,081 COSTS(000):$3,147 Surface Mining Permit Applications, Minimum Requirements for Reclamation and Operation Plans -- 30 CFR Part 780 FORMS: NONE
OMB NO: 1029-0038 EXPIRATION DATE: 03/31/2003 RESPS:105 HOURS:16,918 COSTS(000):$0 Underground Mining Permit Applications - Minimum Requirements for Information on Environmental Resources - 30 CFR Part 783 FORMS: NONE
OMB NO: 1029-0039 EXPIRATION DATE: 06/30/2004 RESPS:100 HOURS:96,460 COSTS(000):$850 Underground Mining Permit Applications - Minimum Requirements for Reclamation and Operations Plans, 30 CFR 784. FORMS: NONE
OMB NO: 1029-0040 EXPIRATION DATE: 08/31/2003 RESPS:347 HOURS:16,372 COSTS(000):$0 30 CFR Part 785 -- Requirements for permits for special categories of mining FORMS: NONE
OMB NO: 1029-0043 EXPIRATION DATE: 11/30/2002 RESPS:16,974 HOURS:188,736 COSTS(000):$5,734 Bond and Insurance Requirements for Surface Coal Mining and Reclamation Operations under Regulatory Programs -- 30 CFR Part 800 FORMS: NONE
OMB NO: 1029-0047 EXPIRATION DATE: 02/29/2004 RESPS:731,787 HOURS:355,405 COSTS(000):$0 Permanent Program Performance Standards - Surface Mining Activities, 30 CFR Part 816. FORMS: NONE
OMB NO: 1029-0048 EXPIRATION DATE: 06/30/2004 RESPS:20,745 HOURS:95,618 COSTS(000):$1,272 Permanent Program Performance Standards - Underground Mining Activities, 30 CFR Part 817 FORMS: NONE
OMB NO: 1029-0049 EXPIRATION DATE: 07/31/2004 RESPS:10 HOURS:1,000 COSTS(000):$0 Special permanent program performance standards-operations in alluvial valley floors, 30 CFR Part 822 FORMS: NONE
OMB NO: 1029-0051 EXPIRATION DATE: 01/31/2004 RESPS:99,013 HOURS:578,509 COSTS(000):$1 Permanent Program Inspection and Enforcement Procedures, 30 CFR Part 840. FORMS: NONE
OMB NO: 1029-0054 EXPIRATION DATE: 08/31/2002 RESPS:1 HOURS:1 COSTS(000):$0 Abandoned Mine Reclamation Funds -- 30 CFR 872 FORMS: NONE
OMB NO: 1029-0055 EXPIRATION DATE: 05/31/2005 RESPS:20 HOURS:20 COSTS(000):$1 Rights of Entry - Part 877 FORMS: NONE
OMB NO: 1029-0057 EXPIRATION DATE: 03/31/2004 RESPS:1 HOURS:16 COSTS(000):$0 Reclamation on Private Land - 30 CFR 882 FORMS: NONE
OMB NO: 1029-0059 EXPIRATION DATE: 12/31/2002 RESPS:131 HOURS:655 COSTS(000):$0 Budget Information, Financial Reporting, and Performance/Program Narrative Forms FORMS: OSM-47 OSM-49 OSM-51
OMB NO: 1029-0061 EXPIRATION DATE: 06/30/2003 RESPS:160 HOURS:10,635 COSTS(000):$0 Small Operator Assistance Program - Part 795 FORMS: FORM-FS-6
OMB NO: 1029-0063 EXPIRATION DATE: 06/30/2003 RESPS:15,804 HOURS:4,280 COSTS(000):$0 Coal Production and Reclamation Fee Report FORMS: OSM-1
OMB NO: 1029-0067 EXPIRATION DATE: 08/31/2002 RESPS:3,321 HOURS:1,111 COSTS(000):$0 Statement of Employment and Financial Interests for Use by State Employees -- 30 CFR Part 705 FORMS: ODM-23
OMB NO: 1029-0080 EXPIRATION DATE: 03/31/2004 RESPS:1 HOURS:173 COSTS(000):$0 Permanent regulatory program requirements-standards for certification of blasters, 30 CFR 850 FORMS: NONE
OMB NO: 1029-0083 EXPIRATION DATE: 08/31/2002 RESPS:33 HOURS:57 COSTS(000):$3 Application for Blaster Certification in Federal Program States and Indian Lands -- 30 CFR Part 955 FORMS: FORM-OSM-74
OMB NO: 1029-0087 EXPIRATION DATE: 03/31/2004 RESPS:1,800 HOURS:4,000 COSTS(000):$0 Abandoned Mine Land Problem Area Description Form, OSM 76 FORMS: OSM-76
OMB NO: 1029-0089 EXPIRATION DATE: 03/31/2004 RESPS:61 HOURS:513 COSTS(000):$0 Exemption for Coal Extraction Incidental to the Extraction of Other Minerals, 30 CFR Part 702 FORMS: NONE
OMB NO: 1029-0090 EXPIRATION DATE: 12/31/2002 RESPS:1,000 HOURS:750 COSTS(000):$0 Abandoned Mine Reclamation Fund Fee Collection and Coal FORMS: NONE
OMB NO: 1029-0091 EXPIRATION DATE: 05/31/2005 RESPS:75 HOURS:1,400 COSTS(000):$15 Requirements for Surface Coal Mining and Reclamation Operations on Indian Lands-30 CFR 750 FORMS: NONE
OMB NO: 1029-0092 EXPIRATION DATE: 09/30/2002 RESPS:12 HOURS:12,344 COSTS(000):$0 State-Federal Cooperative Agreements -- 30 CFR 745 FORMS: NONE
OMB NO: 1029-0094 EXPIRATION DATE: 11/30/2003 RESPS:6 HOURS:12 COSTS(000):$0 General - 30 CFR Part 700 FORMS: NONE
OMB NO: 1029-0098 EXPIRATION DATE: 11/30/2003 RESPS:1 HOURS:120 COSTS(000):$0 Petition process for designation of Federal lands as unsuitable for all or certain types of surface coal mining operations and for termination of previous designation - 30 CFR 769 FORMS: NONE
OMB NO: 1029-0103 EXPIRATION DATE: 09/30/2003 RESPS:7 HOURS:340 COSTS(000):$0 Noncoal Reclamation - 30 CFR 875 FORMS: NONE
OMB NO: 1029-0104 EXPIRATION DATE: 08/31/2003 RESPS:1 HOURS:350 COSTS(000):$0 Acid Mine Drainage Treatment of Abatement Program - 30 CFR 876 FORMS: NONE
OMB NO: 1029-0107 EXPIRATION DATE: 09/30/2002 RESPS:1 HOURS:8 COSTS(000):$0 Subsidence Insurance Program Grants -- 30 CFR Part 887 FORMS: NONE
OMB NO: 1029-0110 EXPIRATION DATE: 06/30/2003 RESPS:315 HOURS:53 COSTS(000):$0 Technical Training Program Course Effectiveness Evaluation FORMS: NONE
OMB NO: 1029-0111 EXPIRATION DATE: 11/30/2002 RESPS:253 HOURS:2,417 COSTS(000):$10 Areas Designated by Act of Congress -- 30 CFR Part 761 FORMS: NONE
OMB NO: 1029-0112 EXPIRATION DATE: 11/30/2002 RESPS:905 HOURS:10,963 COSTS(000):$1 30 CFR Part 772 - Requirements for Coal Exploration FORMS: NONE
OMB NO: 1029-0113 EXPIRATION DATE: 08/31/2004 RESPS:45 HOURS:3,240 COSTS(000):$0 General Reclamation Requirements 30 CFR 874 FORMS: NONE
OMB NO: 1029-0114 EXPIRATION DATE: 11/30/2004 RESPS:750 HOURS:125 COSTS(000):$0 Technical Evaluations Series FORMS: NONE
OMB NO: 1029-0115 EXPIRATION DATE: 12/31/2003 RESPS:310 HOURS:11,116 COSTS(000):$12 Requirements for permits and permit processing - 30 CFR Part 773 FORMS: NONE
OMB NO: 1029-0116 EXPIRATION DATE: 12/31/2003 RESPS:12,090 HOURS:97,780 COSTS(000):$0 Revision; Renewal; and Transfer, Assignment, or Sale of Permit Rights - 30 CFR 774 FORMS: NONE
OMB NO: 1029-0117 EXPIRATION DATE: 12/31/2003 RESPS:310 HOURS:8,437 COSTS(000):$0 Permit Applications - minimum requirements for legal, financial, compliance, and related information-Part 778 FORMS: NONE
OMB NO: 1029-0118 EXPIRATION DATE: 06/30/2002 RESPS:140 HOURS:105 COSTS(000):$0 Federal Inspections and Monitoring -- 30 CFR Part 842 FORMS: NONE
OMB NO: 1029-0119 EXPIRATION DATE: 11/30/2003 RESPS:519 HOURS:465 COSTS(000):$0 Abandoned Mine Land Contractor Information Form FORMS: NONE
OMB NO: 1029-0120 EXPIRATION DATE: 01/31/2004 RESPS:1,600 HOURS:134 COSTS(000):$0 Technical Training Program Course Nomination and Payment for Travel and Per Diem Forms FORMS: OSM-105 OSM-140
Office of the Special TrusteeSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
44 909,591 1,776,134 $11,046
OMB NO: 1035-0001 EXPIRATION DATE: 05/31/2003 RESPS:12 HOURS:468 COSTS(000):$0 Application for Technical Assistance to Withdraw Tribal Funds from Trust Status (Specific Budget) FORMS: SF-424A
OMB NO: 1035-0002 EXPIRATION DATE: 05/31/2003 RESPS:12 HOURS:156 COSTS(000):$0 Application for assistance to withdraw Tribal funds from Trust Status (General) FORMS: SF-424
OMB NO: 1035-0003 EXPIRATION DATE: 05/31/2003 RESPS:12 HOURS:4,104 COSTS(000):$0 Application to Withdraw Tribal funds from Trust Status FORMS: NONE
Office of Planning and Performance ManagementSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
3 36 4,728 $0
OMB NO: 1040-0001 EXPIRATION DATE: 01/31/2005 RESPS:120,000 HOURS:18,000 COSTS(000):$0 DOI Programmatic Clearance for Customer Satisfaction Surveys FORMS: NONE
Bureau of Indian AffairsSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
1 120,000 18,000 $0
OMB NO: 1076-0017 EXPIRATION DATE: 06/30/2002 RESPS:200,000 HOURS:50,000 COSTS(000):$0 U.S. Department of the Interior, Bureau of Indian Affairs, Financial Assistance and Social Services Program FORMS: BIA-FORM-5.6601
OMB NO: 1076-0018 EXPIRATION DATE: 09/30/2002 RESPS:26 HOURS:26 COSTS(000):$0 Tribal Colleges and Universities Grant Application Form -- 25 CFR 41 FORMS: 62107
OMB NO: 1076-0020 EXPIRATION DATE: 10/31/2003 RESPS:852 HOURS:519 COSTS(000):$0 25 CFR 103- Loan Guaranty, Insurance, and Interest Subsidy FORMS: 5-4749 5-4753 5-4754 5-4755 5-4759 5-4760
OMB NO: 1076-0021 EXPIRATION DATE: 11/30/2002 RESPS:4,750 HOURS:1,188 COSTS(000):$0 Electrical Service Application -- 25 CFR 175 FORMS: NONE
OMB NO: 1076-0062 EXPIRATION DATE: 01/31/2003 RESPS:4,900 HOURS:2,450 COSTS(000):$0 Application for Training or Employment FORMS: BIA-8205
OMB NO: 1076-0084 EXPIRATION DATE: 10/31/2004 RESPS:3,500 HOURS:1,750 COSTS(000):$0 25 CFR 256 United States Department of the Interior, Burau of Indian Affairs Housing Improvement Program FORMS: BIA-6407
OMB NO: 1076-0094 EXPIRATION DATE: 06/30/2002 RESPS:260 HOURS:65 COSTS(000):$0 25 CFR 11, Subpart F, Law & Order on Indian Reservations FORMS: NONE
OMB NO: 1076-0096 EXPIRATION DATE: 07/31/2002 RESPS:360 HOURS:1,800 COSTS(000):$0 Education Contracts under Johnson-O'Malley Act Application and Regulatory Requirements FORMS: BIA-NO.-62118
OMB NO: 1076-0100 EXPIRATION DATE: 12/31/2003 RESPS:9,200 HOURS:36,800 COSTS(000):$0 25 CFR 151, Acquisition of Title to Land in Trust FORMS: NONE
OMB NO: 1076-0101 EXPIRATION DATE: 10/31/2004 RESPS:14,000 HOURS:14,000 COSTS(000):$0 Higher Education Grant Application 25 CFR 40 FORMS: 6237
OMB NO: 1076-0104 EXPIRATION DATE: 09/30/2003 RESPS:10 HOURS:22,377 COSTS(000):$0 Documented Petitions for Federal Acknowledgment as an Indian Tribe, 25 CFR 83 FORMS: 8304 8305 8306
OMB NO: 1076-0105 EXPIRATION DATE: 09/30/2002 RESPS:26 HOURS:78 COSTS(000):$0 Tribal Colleges and Universities Annual Report Form -- 25 CFR 41 FORMS: 6259
OMB NO: 1076-0106 EXPIRATION DATE: 10/31/2004 RESPS:125 HOURS:375 COSTS(000):$0 Higher Education Annual Report, 25 CFR 40 Subchapter E FORMS: NONE
OMB NO: 1076-0111 EXPIRATION DATE: 10/31/2003 RESPS:4 HOURS:12 COSTS(000):$0 25 CFR 23.13, Payment for Appointed Counsel in Involuntary Indian Child Custody Proceedings in State Courts FORMS: NONE
OMB NO: 1076-0112 EXPIRATION DATE: 02/28/2003 RESPS:2 HOURS:16 COSTS(000):$0 Contents of Reassumption Petition -- 25 CFR 13.11 FORMS: NONE
OMB NO: 1076-0114 EXPIRATION DATE: 08/31/2002 RESPS:3,943 HOURS:2,214 COSTS(000):$15 Applications for Admission to Haskell Indian Nations University and to Southwestern Indian Polytechnic Institute FORMS: NONE
OMB NO: 1076-0120 EXPIRATION DATE: 01/31/2005 RESPS:70 HOURS:280 COSTS(000):$0 Adult Education Annual Report Form FORMS: 6-2123
OMB NO: 1076-0122 EXPIRATION DATE: 06/30/2002 RESPS:48,000 HOURS:12,000 COSTS(000):$0 Data Elements for Student Enrollment in Bureau-funded Schools FORMS: NONE
OMB NO: 1076-0131 EXPIRATION DATE: 01/31/2005 RESPS:2,144 HOURS:1,072 COSTS(000):$0 Indian Child Welfare Assistance Annual Report (25 CFR 23/47) FORMS: NONE
OMB NO: 1076-0134 EXPIRATION DATE: 07/31/2002 RESPS:116 HOURS:696 COSTS(000):$0 Student Transportation Form FORMS: NONE
OMB NO: 1076-0135 EXPIRATION DATE: 03/31/2003 RESPS:37 HOURS:370 COSTS(000):$0 A Reporting System for P.L. 102-477 Deomonstration Project FORMS: NONE
OMB NO: 1076-0136 EXPIRATION DATE: 09/30/2003 RESPS:5,507 HOURS:238,992 COSTS(000):$0 Indian Self-Determination and Education Assistance Act Programs FORMS: NONE
OMB NO: 1076-0141 EXPIRATION DATE: 11/30/2002 RESPS:51,500 HOURS:4,292 COSTS(000):$0 Water Request -- 25 CFR 171 FORMS: NONE
OMB NO: 1076-0143 EXPIRATION DATE: 04/30/2003 RESPS:257 HOURS:10,766 COSTS(000):$16 Tribal Self-Governance Program, 25 CFR Part 1000 FORMS: NONE
OMB NO: 1076-0146 EXPIRATION DATE: 06/30/2002 RESPS:63 HOURS:1,512 COSTS(000):$0 Evaluation of the Performance of Trust Functions Performed by Tribes under Self Governance Compacts FORMS: NONE
OMB NO: 1076-0147 EXPIRATION DATE: 05/31/2005 RESPS:280 HOURS:140 COSTS(000):$0 U.S. Department of the Interior, Bureau of Indian Affairs Indian Service Population and Labor Force Estimates Report FORMS: NONE
OMB NO: 1076-0149 EXPIRATION DATE: 03/31/2003 RESPS:12 HOURS:3,840 COSTS(000):$0 Class III Gaming Procedures 25 CFR 522 FORMS: NONE
OMB NO: 1076-0152 EXPIRATION DATE: 03/31/2003 RESPS:50 HOURS:5,000 COSTS(000):$0 Tribal Revenue Allocation Plans 25 CFR 290 FORMS: NONE
OMB NO: 1076-0153 EXPIRATION DATE: 06/30/2003 RESPS:287,400 HOURS:433,500 COSTS(000):$0 Request for Certificate of Degree of Indian or Alaska Native Blood, 25 CFR Part 70 FORMS: NONE
OMB NO: 1076-0154 EXPIRATION DATE: 10/31/2003 RESPS:1,997,500 HOURS:1,577,125 COSTS(000):$0 Funds Held in Trust for Tribes and Individuals 25 CFR-115 FORMS: NONE
OMB NO: 1076-0155 EXPIRATION DATE: 09/30/2003 RESPS:79,843 HOURS:70,237 COSTS(000):$0 Leases and Permits 25 CFR 162 FORMS: NONE
OMB NO: 1076-0156 EXPIRATION DATE: 09/30/2003 RESPS:32,589 HOURS:156,407 COSTS(000):$60 Probate of Indian Estates, Except for Members of the Five Civilized Tribes 25 CFR 15 FORMS: NONE
OMB NO: 1076-0157 EXPIRATION DATE: 09/30/2003 RESPS:4,200 HOURS:3,088 COSTS(000):$0 Grazing Permits 25 CFR 166 FORMS: 5-5513 5-5514 5-5515 5-5516 5-5517 5-5519 5-5423 5-5522 5-5523 5-5524
OMB NO: 1076-0158 EXPIRATION DATE: 11/30/2003 RESPS:2 HOURS:2,000 COSTS(000):$0 Gaming on Trust Lands Acquired After October 17, 1988 25 CFR 292 FORMS: NONE
OMB NO: 1076-0159 EXPIRATION DATE: 03/31/2004 RESPS:1,325 HOURS:68,035 COSTS(000):$0 25 CFR 151, Acquisition of Title to Land in Trust and Tribal Land Acquisition Area FORMS: NONE
OMB NO: 1076-0160 EXPIRATION DATE: 05/31/2005 RESPS:5,000 HOURS:2,500 COSTS(000):$6 Verification of Indian Preference for Employment in BIA & IHS FORMS: BIA-4432
Office of Acquisition and Property ManagementSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
36 2,757,853 2,725,522 $97
OMB NO: 1084-0010 EXPIRATION DATE: 12/31/2002 RESPS:200 HOURS:88 COSTS(000):$0 Claim for Relocation Payments, Residential -- DI-381 Clain for Relocation Payments, Nonresidential -- DI-382 FORMS: DI-381 DI-382
OMB NO: 1084-0033 EXPIRATION DATE: 01/31/2004 RESPS:5,279 HOURS:1,046 COSTS(000):$0 Private Rental Survey FORMS: OS-2000 OS-2001
Assistant Secretary for Policy, Management and BudgetSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
2 5,479 1,134 $0
OMB NO: 1090-0004 EXPIRATION DATE: 06/30/2002 RESPS:1,000 HOURS:2,000 COSTS(000):$0 Pilot Testing of Individual Indian Money Account-holder Customer Feedback Methods for Historical Accounting FORMS: NONE
OMB NO: 1090-0005 EXPIRATION DATE: 06/30/2002 RESPS:2,000 HOURS:8,000 COSTS(000):$0 Cobell v. Norton Litigation; project to correct "Collection of Missing Information" breach of trust duty. FORMS: NONE
Office for Equal OpportunitySUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
2 3,000 10,000 $0
OMB NO: 1091-0001 EXPIRATION DATE: 01/31/2003 RESPS:120,000 HOURS:9,960 COSTS(000):$0 U.S. Department of the Interior, Applicant Background Survey FORMS: 1935
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
1 120,000 9,960 $0
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
304 12,985,504 7,662,399 $71,533
OMB NO: 1103-0016 EXPIRATION DATE: 02/29/2004 RESPS:153,333 HOURS:38,333 COSTS(000):$77 Certification of Identify FORMS: DOJ-361
OMB NO: 1103-0018 EXPIRATION DATE: 02/29/2004 RESPS:7,462 HOURS:149,240 COSTS(000):$0 Department of Justice Procurement Blanket Clearance FORMS: NONE
OMB NO: 1103-0019 EXPIRATION DATE: 06/30/2002 RESPS:1,150 HOURS:35,880 COSTS(000):$359 Making Officer Redeployment Effective Application (MORE) FORMS: NONE
OMB NO: 1103-0027 EXPIRATION DATE: 06/30/2002 RESPS:3,500 HOURS:31,500 COSTS(000):$0 Universal Hiring Grant Program/COPS in Schools Application Kit FORMS: NONE
OMB NO: 1103-0030 EXPIRATION DATE: 04/30/2003 RESPS:1,600 HOURS:2,400 COSTS(000):$0 COPS Department Initial Report FORMS: COPS-012/01
OMB NO: 1103-0037 EXPIRATION DATE: 06/30/2003 RESPS:1,830 HOURS:9,150 COSTS(000):$0 COPS MORE (Making Officer Redeployment Effective) '98 Progress Report FORMS: NONE
OMB NO: 1103-0058 EXPIRATION DATE: 08/31/2002 RESPS:1 HOURS:750 COSTS(000):$3,750 Trust '99 FORMS: NONE
OMB NO: 1103-0061 EXPIRATION DATE: 02/29/2004 RESPS:23,118 HOURS:11,559 COSTS(000):$0 COPS Grant Status Survey FORMS: 301/02
OMB NO: 1103-0066 EXPIRATION DATE: 02/29/2004 RESPS:10,000 HOURS:2,500 COSTS(000):$0 National Center for Victims of Crime: Service Referral Questionnaire FORMS: COPS/PPSE/02
OMB NO: 1103-0067 EXPIRATION DATE: 05/31/2003 RESPS:1,550 HOURS:975 COSTS(000):$0 COPS Crime Analysis Unit Survey FORMS: COPS-034/01
OMB NO: 1103-0072 EXPIRATION DATE: 01/31/2005 RESPS:200 HOURS:1,800 COSTS(000):$0 Tribal Resources Grant Program Application FORMS: NONE
OMB NO: 1103-0073 EXPIRATION DATE: 11/30/2002 RESPS:15 HOURS:67 COSTS(000):$0 Mental Health and Community Safety Initiative Appilication FORMS: NONE
Legal ActivitiesSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
12 203,759 284,154 $4,186
OMB NO: 1105-0001 EXPIRATION DATE: 04/30/2004 RESPS:54 HOURS:81 COSTS(000):$0 Registration Statement of Individuals (Foreign Agents) FORMS: OBD-63(CRM) FORM-CRM-153
OMB NO: 1105-0002 EXPIRATION DATE: 04/30/2004 RESPS:1,034 HOURS:1,421 COSTS(000):$0 Supplemental Registration Statement of Individuals (Foreign Agents) FORMS: OBD-64 FORM-CRM-154
OMB NO: 1105-0003 EXPIRATION DATE: 04/30/2004 RESPS:127 HOURS:62 COSTS(000):$0 Exhibit A to Registration Statement (Foreign Agents) FORMS: OBD-67 FORM-CRM-157
OMB NO: 1105-0004 EXPIRATION DATE: 04/30/2004 RESPS:175 HOURS:262 COSTS(000):$0 Amendment to Registration or Supplemental Registration Reports (Foreign Agents) FORMS: OBD-68 CRM FORM-CRM-158
OMB NO: 1105-0007 EXPIRATION DATE: 04/30/2004 RESPS:127 HOURS:41 COSTS(000):$0 Exhibit B to Registration Statement (Foreign Agents) FORMS: OBD-65(CRM) FORM-CRM-155
OMB NO: 1105-0008 EXPIRATION DATE: 05/31/2005 RESPS:300,000 HOURS:1,800,000 COSTS(000):$0 Claim for Damage, Injury, or Death FORMS: SF-95
OMB NO: 1105-0013 EXPIRATION DATE: 04/30/2004 RESPS:388 HOURS:166 COSTS(000):$0 Short-form Registration Statement of Individuals (Foreign Agents) FORMS: OBD-66 FORM-CRM-156
OMB NO: 1105-0025 EXPIRATION DATE: 07/31/2002 RESPS:20 HOURS:40 COSTS(000):$0 Department of Justice Federal Coal Lease Review Information FORMS: ATR-139 ATR-140
OMB NO: 1105-0030 EXPIRATION DATE: 07/31/2004 RESPS:4,500 HOURS:4,500 COSTS(000):$0 Application Booklets-Attorney General's Honor Program; Summer Law Intern Program FORMS: NONE
OMB NO: 1105-0063 EXPIRATION DATE: 07/31/2002 RESPS:75 HOURS:200 COSTS(000):$0 Data Base of Offender Job Training and Placement Service Providers FORMS: NONE
OMB NO: 1105-0071 EXPIRATION DATE: 07/31/2002 RESPS:2,500 HOURS:7,500 COSTS(000):$0 National Drug Threat Survey FORMS: NONE
OMB NO: 1105-0072 EXPIRATION DATE: 02/28/2005 RESPS:1,000 HOURS:500 COSTS(000):$0 Applicant Qualification Form FORMS: NONE
OMB NO: 1105-0073 EXPIRATION DATE: 06/30/2002 RESPS:5,000 HOURS:30,000 COSTS(000):$0 Registration/Eligibility Form and Application for Emergency FORMS: SM-001
OMB NO: 1105-0074 EXPIRATION DATE: 10/31/2002 RESPS:203,500 HOURS:25,050 COSTS(000):$0 Flight Training Candidate Checks Program FORMS: FTTTF-1 FTTTF-2
OMB NO: 1105-0076 EXPIRATION DATE: 07/31/2002 RESPS:53 HOURS:159 COSTS(000):$0 Survey for State Correctional Agencies on High Risk and Special Management Inmates FORMS: NONE
OMB NO: 1105-0077 EXPIRATION DATE: 08/31/2002 RESPS:250 HOURS:500 COSTS(000):$0 Victim Compensation Fund Objection Form FORMS: SM-002
OMB NO: 1105-0078 EXPIRATION DATE: 09/30/2002 RESPS:5,000 HOURS:75,000 COSTS(000):$500 The Death Compensation Form for the September 11 Victim Compensation Fund and The Personal Injury Compensation Form for the September 11 Victim Compensation Fund FORMS: SM-003
Federal Bureau of InvestigationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
17 523,803 1,945,482 $500
OMB NO: 1110-0001 EXPIRATION DATE: 09/30/2003 RESPS:212,004 HOURS:74,201 COSTS(000):$449 Return A-Monthly Return of Offenses known to Police and Supplement to Return A-Monthly Return of Offenses known to Police. FORMS: 4-927A 4-919
OMB NO: 1110-0002 EXPIRATION DATE: 07/31/2004 RESPS:201,456 HOURS:30,218 COSTS(000):$0 Supplementary Homicide Report FORMS: I-704
OMB NO: 1110-0004 EXPIRATION DATE: 07/31/2002 RESPS:17,667 HOURS:2,356 COSTS(000):$0 Full-Time Law Enforcement Employees as of October 31 FORMS: 1-711A 1-711B 1-711C
OMB NO: 1110-0005 EXPIRATION DATE: 07/31/2002 RESPS:411,480 HOURS:205,740 COSTS(000):$0 Age, Sex, and Race of Persons Arrested (18 Years of Age and Over) Age, Sex, and Race of Persons Arrested (Under 18 Years of Age) FORMS: 1-708 1-708A
OMB NO: 1110-0006 EXPIRATION DATE: 02/29/2004 RESPS:212,004 HOURS:24,734 COSTS(000):$0 Law Enforcement Officers Killed and Assaulted FORMS: I-750
OMB NO: 1110-0008 EXPIRATION DATE: 07/31/2002 RESPS:212,004 HOURS:31,801 COSTS(000):$0 Monthly Return of Arson Offenses Known to Law Enforcement FORMS: I-725
OMB NO: 1110-0009 EXPIRATION DATE: 02/29/2004 RESPS:570 HOURS:570 COSTS(000):$0 Analysis of Law Enforcement Officers Killed And Assaulted FORMS: I-701
OMB NO: 1110-0011 EXPIRATION DATE: 12/31/2004 RESPS:10,000 HOURS:10,000 COSTS(000):$0 VICAP Crime Analysis Report FORMS: FD-676-REV
OMB NO: 1110-0015 EXPIRATION DATE: 09/30/2003 RESPS:106,002 HOURS:15,900 COSTS(000):$216 Hate Crime Incident Report/Quarterly Hate Crime Report FORMS: 11-1 11-2
OMB NO: 1110-0016 EXPIRATION DATE: 06/30/2002 RESPS:50,000 HOURS:400,000 COSTS(000):$0 Application for Employment/Federal Bureau of Investigation FORMS: FD-140
OMB NO: 1110-0022 EXPIRATION DATE: 04/30/2003 RESPS:11,500 HOURS:46,000 COSTS(000):$0 Cost Recovery Regulations, Communications Assistance for Law Enforcement Act of 1994 FORMS: NONE
OMB NO: 1110-0026 EXPIRATION DATE: 09/30/2002 RESPS:6,000 HOURS:1,800 COSTS(000):$21,980 Federal Firearms Licensee Enrollment Form FORMS: NONE
OMB NO: 1110-0030 EXPIRATION DATE: 04/30/2003 RESPS:5,000 HOURS:21,250 COSTS(000):$0 Flexible Deployment Assistance Guide FORMS: NONE
OMB NO: 1110-0031 EXPIRATION DATE: 05/31/2003 RESPS:3,200 HOURS:1,600 COSTS(000):$0 Emergency Law Enforcement Services Vulnerability Survey FORMS: NONE
OMB NO: 1110-0033 EXPIRATION DATE: 05/31/2004 RESPS:250,000 HOURS:8,333 COSTS(000):$0 National Sex: Offender Registry FORMS: NONE
OMB NO: 1110-0036 EXPIRATION DATE: 01/31/2005 RESPS:150,000 HOURS:702,000 COSTS(000):$0 National Stolen Passenger Motor Vehicle Information System FORMS: NONE
OMB NO: 1110-0037 EXPIRATION DATE: 05/31/2003 RESPS:10,000 HOURS:10,000 COSTS(000):$0 VICAP Sexual Assault Crime Analysis Report FORMS: NONE
Immigration and Naturalization ServiceSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
17 1,868,887 1,586,503 $22,645
OMB NO: 1115-0003 EXPIRATION DATE: 10/31/2004 RESPS:250,000 HOURS:20,750 COSTS(000):$0 Alien Change of Address Card FORMS: AR-11
OMB NO: 1115-0004 EXPIRATION DATE: 12/31/2002 RESPS:410,799 HOURS:376,292 COSTS(000):$55,457 Application to Replace Alien Registration Card FORMS: I-90
OMB NO: 1115-0005 EXPIRATION DATE: 06/30/2004 RESPS:453,318 HOURS:407,986 COSTS(000):$43,065 Application for Travel Document FORMS: I-131
OMB NO: 1115-0007 EXPIRATION DATE: 10/31/2002 RESPS:1,000 HOURS:250 COSTS(000):$0 Request for Verification of Naturalization FORMS: N-336
OMB NO: 1115-0008 EXPIRATION DATE: 02/29/2004 RESPS:433 HOURS:325 COSTS(000):$21 Application to File Declaration of Intention FORMS: N-300
OMB NO: 1115-0009 EXPIRATION DATE: 06/30/2002 RESPS:700,000 HOURS:4,291,000 COSTS(000):$157,500 Application for Naturalization FORMS: N-400
OMB NO: 1115-0014 EXPIRATION DATE: 08/31/2003 RESPS:375 HOURS:375 COSTS(000):$43 Application to Preserve Residence for Naturalization FORMS: N-470
OMB NO: 1115-0015 EXPIRATION DATE: 09/30/2002 RESPS:22,567 HOURS:20,671 COSTS(000):$3,272 Application for Replacement Naturalization/Citizenship Document FORMS: N-565
OMB NO: 1115-0018 EXPIRATION DATE: 04/30/2004 RESPS:67,936 HOURS:67,936 COSTS(000):$10,870 Application for Certificate of Citizenship FORMS: N-600
OMB NO: 1115-0019 EXPIRATION DATE: 07/31/2002 RESPS:270,410 HOURS:22,444 COSTS(000):$7,031 Application for Nonresident Alien's Mexican Border Crossing Card FORMS: I-190
OMB NO: 1115-0020 EXPIRATION DATE: 02/28/2005 RESPS:41 HOURS:7 COSTS(000):$0 Application for Removal FORMS: I-243
OMB NO: 1115-0022 EXPIRATION DATE: 02/29/2004 RESPS:45,000 HOURS:33,750 COSTS(000):$0 Request for Certification of Military or Naval Service FORMS: N-426
OMB NO: 1115-0028 EXPIRATION DATE: 01/31/2005 RESPS:12,000 HOURS:3,000 COSTS(000):$2,040 Application for Advance Permission to Enter as Nonimmigrant (Pusuant to 212(d)(3) of the Immigration and Nationality Act) FORMS: FORM-I-192
OMB NO: 1115-0029 EXPIRATION DATE: 09/30/2002 RESPS:100 HOURS:8 COSTS(000):$0 Guarantee of Payment FORMS: I-510
OMB NO: 1115-0032 EXPIRATION DATE: 06/30/2003 RESPS:300 HOURS:75 COSTS(000):$51 Application for Advance Permission to Return to Unrelinquished Domicile FORMS: I-191
OMB NO: 1115-0035 EXPIRATION DATE: 06/30/2002 RESPS:100 HOURS:17 COSTS(000):$9 Application for Transfer of Petition for Naturalization FORMS: N-455
OMB NO: 1115-0037 EXPIRATION DATE: 06/30/2002 RESPS:1,800 HOURS:150 COSTS(000):$0 Waiver of Rights, Privileges, Exemptions, and Immunities FORMS: I-508
OMB NO: 1115-0040 EXPIRATION DATE: 10/31/2004 RESPS:433,000 HOURS:35,939 COSTS(000):$0 Alien Crewman Landing Permit FORMS: I-95A I-95B
OMB NO: 1115-0042 EXPIRATION DATE: 06/30/2002 RESPS:25,000 HOURS:4,150 COSTS(000):$4,250 Application for Waiver of Passport and/or Visa FORMS: I-193
OMB NO: 1115-0044 EXPIRATION DATE: 06/30/2002 RESPS:100 HOURS:100 COSTS(000):$0 Data Relating to Beneficiary of Private Bill FORMS: G-79A
OMB NO: 1115-0046 EXPIRATION DATE: 01/31/2005 RESPS:2,000 HOURS:500 COSTS(000):$0 Request for Cancellation of Public Charge Bond FORMS: FORM-I-356
OMB NO: 1115-0048 EXPIRATION DATE: 06/30/2003 RESPS:3,000 HOURS:1,500 COSTS(000):$510 Application for Waiver of Ground of Excludability FORMS: I-601
OMB NO: 1115-0049 EXPIRATION DATE: 06/30/2002 RESPS:34,000 HOURS:17,000 COSTS(000):$13,770 Petition to Classify Orphan as an Immediate Relative and Application for Advance Processing of Orphan Petition FORMS: I-600 I-600A
OMB NO: 1115-0051 EXPIRATION DATE: 01/31/2003 RESPS:260,000 HOURS:130,000 COSTS(000):$0 Certificate of Eligibility for Nonimmigrant Student (F-1) Status - for Academic and Language Students FORMS: I-20AB/ID
OMB NO: 1115-0052 EXPIRATION DATE: 08/31/2002 RESPS:650,000 HOURS:53,950 COSTS(000):$0 Notice of Naturalization Oath Ceremony FORMS: FORM-N-445
OMB NO: 1115-0053 EXPIRATION DATE: 05/31/2005 RESPS:635,500 HOURS:2,781,321 COSTS(000):$193,256 Application to Register Permanent Residence or Adjust Status, and Supplement A to Form I-485 FORMS: I-485 SUPP.A-I-485
OMB NO: 1115-0054 EXPIRATION DATE: 05/31/2003 RESPS:506,358 HOURS:253,179 COSTS(000):$55,699 Petition for Alien relative FORMS: I-130
OMB NO: 1115-0055 EXPIRATION DATE: 11/30/2004 RESPS:10,000 HOURS:5,000 COSTS(000):$1,550 Application for Stay of Deportation or Removal FORMS: I-246
OMB NO: 1115-0057 EXPIRATION DATE: 08/31/2002 RESPS:140,000 HOURS:81,620 COSTS(000):$0 Registration for Classification as Refugee FORMS: I-590
OMB NO: 1115-0059 EXPIRATION DATE: 06/30/2002 RESPS:1,300 HOURS:432 COSTS(000):$221 Application for Waiver of the Foreign Residence Requirement of Section 212(e) of the Immigration and Nationality Act FORMS: I-612
OMB NO: 1115-0060 EXPIRATION DATE: 01/31/2003 RESPS:165,000 HOURS:10,890 COSTS(000):$11,550 Certification by Designated School Official FORMS: I-538
OMB NO: 1115-0061 EXPIRATION DATE: 08/31/2004 RESPS:96,000 HOURS:96,000 COSTS(000):$11,040 Immigrant Petition for Alien Workers FORMS: I-140
OMB NO: 1115-0062 EXPIRATION DATE: 06/30/2003 RESPS:44,000 HOURS:14,652 COSTS(000):$0 Affidavit of Support FORMS: I-134
OMB NO: 1115-0063 EXPIRATION DATE: 06/30/2002 RESPS:600,000 HOURS:10,200 COSTS(000):$0 Baggage and Personal Effects of Detained Alien FORMS: I-43
OMB NO: 1115-0065 EXPIRATION DATE: 02/28/2005 RESPS:68,000 HOURS:11,288 COSTS(000):$1,088 Canadian Border Boat Landing Permit FORMS: I-68
OMB NO: 1115-0066 EXPIRATION DATE: 01/31/2005 RESPS:1,144,994 HOURS:286,249 COSTS(000):$0 Biographic Information FORMS: G-325
OMB NO: 1115-0068 EXPIRATION DATE: 01/31/2003 RESPS:3,000 HOURS:249 COSTS(000):$0 Notice to Student or Exchange Visitor FORMS: I-515
OMB NO: 1115-0070 EXPIRATION DATE: 10/31/2002 RESPS:322 HOURS:322 COSTS(000):$64 Petition for Approval of School for Attendance by Nonimmigrant Students FORMS: I-17 I-17A I-17B
OMB NO: 1115-0071 EXPIRATION DATE: 11/30/2004 RESPS:200,000 HOURS:100,000 COSTS(000):$19,000 Petition for Alien Fiance(e) FORMS: I-129F
OMB NO: 1115-0073 EXPIRATION DATE: 06/30/2002 RESPS:85,000 HOURS:35,360 COSTS(000):$0 Application to Payoff or Discharge Alien Crewman FORMS: I-408
OMB NO: 1115-0075 EXPIRATION DATE: 02/29/2004 RESPS:20,000 HOURS:3,320 COSTS(000):$0 Nonimmigrant Checkout Letter FORMS: G-146
OMB NO: 1115-0077 EXPIRATION DATE: 07/31/2002 RESPS:13,924,380 HOURS:919,009 COSTS(000):$83,546 Arrival and Departure Record FORMS: I-94
OMB NO: 1115-0078 EXPIRATION DATE: 02/28/2003 RESPS:720,000 HOURS:129,600 COSTS(000):$0 Aircraft/Vessel Report FORMS: I-92
OMB NO: 1115-0079 EXPIRATION DATE: 02/29/2004 RESPS:20,000 HOURS:5,073 COSTS(000):$1,700 Application for Replacement/Initial Nonimmigrant Arrival- Departure Document FORMS: I-102
OMB NO: 1115-0081 EXPIRATION DATE: 02/28/2005 RESPS:1,368 HOURS:1,710 COSTS(000):$547 Immigrant Petition by Alien Entrepreneur FORMS: I-526
OMB NO: 1115-0083 EXPIRATION DATE: 02/28/2003 RESPS:95,000 HOURS:95,000 COSTS(000):$0 Passenger List, Crew List FORMS: I-418
OMB NO: 1115-0085 EXPIRATION DATE: 12/31/2002 RESPS:25,000 HOURS:12,500 COSTS(000):$0 Immigration Bond FORMS: I-352
OMB NO: 1115-0086 EXPIRATION DATE: 05/31/2004 RESPS:72,687 HOURS:872,244 COSTS(000):$500 Application for Asylum and for Withholding of Removal FORMS: I-589
OMB NO: 1115-0087 EXPIRATION DATE: 06/30/2002 RESPS:100,000 HOURS:25,000 COSTS(000):$0 Freedom of Information/Privacy Act Request FORMS: FORM-G-639
OMB NO: 1115-0090 EXPIRATION DATE: 05/31/2003 RESPS:4,400 HOURS:1,100 COSTS(000):$0 Inter-Agency Record of Individual Requesting Change/Adjustment to or form A or g Status; or Requesting A, G. or NATO Dependent Employment Authorization FORMS: I-566
OMB NO: 1115-0093 EXPIRATION DATE: 07/31/2004 RESPS:683,210 HOURS:512,407 COSTS(000):$81,985 Application to Extend/Change Nonimmigrant Status FORMS: I-539
OMB NO: 1115-0098 EXPIRATION DATE: 05/31/2002 RESPS:2,500 HOURS:625 COSTS(000):$0 Application by Refugee for Waiver of Grounds of Excludability FORMS: I-602
OMB NO: 1115-0099 EXPIRATION DATE: 09/30/2002 RESPS:7,250 HOURS:2,414 COSTS(000):$1,233 Application for Admission to Reapply for Admission into the United States after Deportation or Removal FORMS: I-212
OMB NO: 1115-0104 EXPIRATION DATE: 01/31/2004 RESPS:195,000 HOURS:32,370 COSTS(000):$0 Health and Human Services Statistical Data for Refugee/Asylee Adjusting Status FORMS: I-643
OMB NO: 1115-0108 EXPIRATION DATE: 06/30/2002 RESPS:3,000 HOURS:249 COSTS(000):$0 Supplementary Statement for Graduate Medical Trainees FORMS: I-644
OMB NO: 1115-0115 EXPIRATION DATE: 09/30/2002 RESPS:1 HOURS:1 COSTS(000):$0 Alien Address Report Card FORMS: I-104
OMB NO: 1115-0116 EXPIRATION DATE: 10/31/2004 RESPS:50 HOURS:25 COSTS(000):$0 Request to Enforce Affidavit of Financial Support and Intent to Petition for custody for Pub.L. 97-359 Amerasian FORMS: I-363
OMB NO: 1115-0117 EXPIRATION DATE: 02/28/2005 RESPS:8,397 HOURS:16,794 COSTS(000):$1,071 Petition ofr Amerasian, Widow or Special Immigrant FORMS: I-360
OMB NO: 1115-0118 EXPIRATION DATE: 10/31/2002 RESPS:50 HOURS:25 COSTS(000):$0 Affidavit of Financial Support and Intent to Petition for Legal Custody for Public Law 97-359 Amerasian FORMS: I-361
OMB NO: 1115-0121 EXPIRATION DATE: 04/30/2005 RESPS:86,400 HOURS:50,371 COSTS(000):$0 Refugee/Asylee Relative Position FORMS: I-730
OMB NO: 1115-0122 EXPIRATION DATE: 04/30/2005 RESPS:500,000 HOURS:41,500 COSTS(000):$0 Document Verification Request and Document Verification Request Supplement FORMS: G-845
OMB NO: 1115-0128 EXPIRATION DATE: 07/31/2002 RESPS:250,000 HOURS:145,750 COSTS(000):$0 Nonimmigrant Petition Based on Blanket L Petition FORMS: I-129S
OMB NO: 1115-0129 EXPIRATION DATE: 06/30/2002 RESPS:396 HOURS:66 COSTS(000):$7 Application of Temporary Replacement Card FORMS: I-695
OMB NO: 1115-0130 EXPIRATION DATE: 08/31/2002 RESPS:200,000 HOURS:16,600 COSTS(000):$0 Change of Address Card FORMS: I-697A
OMB NO: 1115-0132 EXPIRATION DATE: 07/31/2002 RESPS:85 HOURS:21 COSTS(000):$3 Application for Waiver of Grounds of Excludability FORMS: I-690
OMB NO: 1115-0134 EXPIRATION DATE: 04/30/2005 RESPS:800,000 HOURS:1,200,000 COSTS(000):$0 Medical Examination of Aliens Seeking Adjustment of Status FORMS: I-693
OMB NO: 1115-0135 EXPIRATION DATE: 06/30/2002 RESPS:1,192 HOURS:596 COSTS(000):$60 Notice of Appeal of Decision under Section 210 or 245A of the Immigration and Nationality Act FORMS: I-694
OMB NO: 1115-0136 EXPIRATION DATE: 08/31/2002 RESPS:78,000,000 HOURS:13,020,000 COSTS(000):$0 Employment eligibility Verification FORMS: I-9
OMB NO: 1115-0139 EXPIRATION DATE: 12/31/2002 RESPS:200,000 HOURS:13,200 COSTS(000):$0 Arrival/Departure Record; Transit Without Visa FORMS: I-94T
OMB NO: 1115-0140 EXPIRATION DATE: 06/30/2002 RESPS:5 HOURS:1 COSTS(000):$0 Guam Visa Waiver Agreement FORMS: I-760
OMB NO: 1115-0141 EXPIRATION DATE: 12/31/2002 RESPS:170,000 HOURS:14,110 COSTS(000):$0 Guam Visa Waiver Information FORMS: I-736
OMB NO: 1115-0142 EXPIRATION DATE: 04/30/2005 RESPS:13 HOURS:331 COSTS(000):$0 Immigration User Fee FORMS: NONE
OMB NO: 1115-0145 EXPIRATION DATE: 01/31/2005 RESPS:118,008 HOURS:156,951 COSTS(000):$17,111 Petition to Remove the Conditions on Residence FORMS: I-751
OMB NO: 1115-0148 EXPIRATION DATE: 06/30/2002 RESPS:4,000,000 HOURS:420,000 COSTS(000):$24,000 Visa Waiver Nonimmigrant Arrival/Departure Record FORMS: I-94W
OMB NO: 1115-0149 EXPIRATION DATE: 10/31/2003 RESPS:50 HOURS:50 COSTS(000):$0 Visa Waiver Pilot Program Carrier Agreement FORMS: I-775
OMB NO: 1115-0151 EXPIRATION DATE: 03/31/2004 RESPS:100 HOURS:50 COSTS(000):$2 Application for Issuance or Replacement of Nothern Mariana Card FORMS: I-777
OMB NO: 1115-0152 EXPIRATION DATE: 08/31/2002 RESPS:11,159 HOURS:11,159 COSTS(000):$1,395 Application for Certificate of Citizenship in Behalf of an Adopted Child FORMS: N-643
OMB NO: 1115-0154 EXPIRATION DATE: 10/31/2002 RESPS:100,000 HOURS:16,600 COSTS(000):$0 Certificate of Satisfactory Pursuit FORMS: I-699
OMB NO: 1115-0155 EXPIRATION DATE: 11/30/2004 RESPS:1,179 HOURS:1,179 COSTS(000):$141 Application to Adjust Status from Temporary to Permanent Resident FORMS: I-698
OMB NO: 1115-0162 EXPIRATION DATE: 03/31/2005 RESPS:2,500 HOURS:625 COSTS(000):$0 Request for the Return of Original Document(s) FORMS: G-884
OMB NO: 1115-0163 EXPIRATION DATE: 04/30/2005 RESPS:1,873,296 HOURS:6,406,672 COSTS(000):$224,795 Application for Employment Authorization FORMS: FORM-I-765
OMB NO: 1115-0166 EXPIRATION DATE: 11/30/2004 RESPS:40,000 HOURS:100,000 COSTS(000):$6,600 Application for Benefits Under the Family Unity Program FORMS: I-817
OMB NO: 1115-0168 EXPIRATION DATE: 03/31/2003 RESPS:368,948 HOURS:1,014,607 COSTS(000):$168,676 Petition for Nonimmigrant Worker FORMS: I-129
OMB NO: 1115-0170 EXPIRATION DATE: 03/31/2004 RESPS:181,000 HOURS:90,500 COSTS(000):$8,800 Application for Temporary Protected Status FORMS: I-821 I-821A
OMB NO: 1115-0173 EXPIRATION DATE: 12/31/2002 RESPS:50 HOURS:92 COSTS(000):$4 Application for Posthumous Citizenship FORMS: N-644
OMB NO: 1115-0174 EXPIRATION DATE: 08/31/2003 RESPS:500,000 HOURS:583,000 COSTS(000):$12,740 Application - Alternative Inspection Services FORMS: I-823
OMB NO: 1115-0176 EXPIRATION DATE: 03/31/2004 RESPS:43,772 HOURS:18,209 COSTS(000):$5,253 Application for Action on an Approved Application or Petition FORMS: I-824
OMB NO: 1115-0182 EXPIRATION DATE: 06/30/2002 RESPS:20 HOURS:1,600 COSTS(000):$0 Guidelines on Producing Master Exhibits for Asylum Applications FORMS: NONE
OMB NO: 1115-0183 EXPIRATION DATE: 06/30/2002 RESPS:50 HOURS:2,000 COSTS(000):$0 Notice of Immigration Pilot Program FORMS: NONE
OMB NO: 1115-0184 EXPIRATION DATE: 06/30/2002 RESPS:10,000 HOURS:300 COSTS(000):$0 Emergency Federal Law Enforcement Assistance FORMS: NONE
OMB NO: 1115-0188 EXPIRATION DATE: 03/31/2003 RESPS:75,000 HOURS:4,950 COSTS(000):$0 Applicant FORMS: G-942
OMB NO: 1115-0189 EXPIRATION DATE: 12/31/2002 RESPS:1,920 HOURS:960 COSTS(000):$0 Monthly Report Naturalization Papers FORMS: N-4
OMB NO: 1115-0190 EXPIRATION DATE: 09/30/2002 RESPS:200 HOURS:216 COSTS(000):$69 Petition by Entrepreneur to Remove Conditions FORMS: I-829
OMB NO: 1115-0191 EXPIRATION DATE: 09/30/2003 RESPS:250 HOURS:63 COSTS(000):$0 Report of Complaint FORMS: I-847
OMB NO: 1115-0195 EXPIRATION DATE: 04/30/2004 RESPS:150,000 HOURS:75,000 COSTS(000):$0 Generic Clearance of Customer Service Surveys (PREMIUM PROCESSING SURVEY) FORMS: OMB-9
OMB NO: 1115-0196 EXPIRATION DATE: 07/31/2002 RESPS:50 HOURS:213 COSTS(000):$0 Interagency Alien Witness and Informant Record FORMS: I-854
OMB NO: 1115-0197 EXPIRATION DATE: 08/31/2002 RESPS:250,000 HOURS:5,000 COSTS(000):$0 ABC Change of Address Form and Special Filing Instructions for ABC Class Members FORMS: I-855 M-426
OMB NO: 1115-0203 EXPIRATION DATE: 08/31/2002 RESPS:9,641 HOURS:4,820 COSTS(000):$0 Application for Transmission of Citizenship Through a Grandparent FORMS: N-600 N-643
OMB NO: 1115-0205 EXPIRATION DATE: 03/31/2005 RESPS:20,000 HOURS:40,000 COSTS(000):$1,600 Medical Certification for Disability Exceptions FORMS: N-648
OMB NO: 1115-0210 EXPIRATION DATE: 01/31/2004 RESPS:12,500 HOURS:6,625 COSTS(000):$0 Application - Checkpoint Pre-enrolled Access Lane FORMS: I-866
OMB NO: 1115-0211 EXPIRATION DATE: 12/31/2003 RESPS:25,000 HOURS:1,250 COSTS(000):$0 Arrival Record FORMS: I-94A-OT
OMB NO: 1115-0214 EXPIRATION DATE: 08/31/2004 RESPS:950,300 HOURS:2,443,350 COSTS(000):$0 Affidavit of Support Under Sction 213A of the Act, and Contract Between Sponsor and Household Member FORMS: I-864
OMB NO: 1115-0215 EXPIRATION DATE: 08/31/2004 RESPS:100,000 HOURS:23,300 COSTS(000):$0 Sponsor's Notice of Change of Address FORMS: I-865
OMB NO: 1115-0219 EXPIRATION DATE: 06/30/2002 RESPS:12,000 HOURS:3,996 COSTS(000):$0 Fax Request Form from Benefit Agency to INS for Confirmation of Status of I-130 and Fax Request Form Benefit Agency to EOIR for Confirmation of Status FORMS: NONE
OMB NO: 1115-0220 EXPIRATION DATE: 06/30/2003 RESPS:15,000 HOURS:26,250 COSTS(000):$0 Liberian Deferred Enforced Departure (DED) Supplement to Form I-765 FORMS: I-765D
OMB NO: 1115-0223 EXPIRATION DATE: 08/31/2004 RESPS:65 HOURS:6,500 COSTS(000):$0 Screening Requirements of Carriers FORMS: NONE
OMB NO: 1115-0225 EXPIRATION DATE: 12/31/2002 RESPS:128,092 HOURS:64,046 COSTS(000):$64,046 H-1B Data Collection and Filing Fee Exemption FORMS: I-129W
OMB NO: 1115-0226 EXPIRATION DATE: 07/31/2002 RESPS:14,000 HOURS:25,620 COSTS(000):$2,100 Certificate for Health Care Benefits FORMS: NONE
OMB NO: 1115-0227 EXPIRATION DATE: 12/31/2002 RESPS:100,000 HOURS:1,200,000 COSTS(000):$21,500 Application for Suspension of Deportation or Special Rule Cancellation of Removal (Pursuant to Section 203 of Public Law 105-100) FORMS: I-881
OMB NO: 1115-0228 EXPIRATION DATE: 10/31/2002 RESPS:419,750 HOURS:22,161 COSTS(000):$0 Memorandum of Understanding to Participate in Employment Eligibility Confirmation Pilot Program FORMS: NONE
OMB NO: 1115-0229 EXPIRATION DATE: 10/31/2002 RESPS:50,000 HOURS:25,000 COSTS(000):$0 HRIFA Supplement to Form I-485 Instructions FORMS: FORMI-485 SUPPLEMENTC
OMB NO: 1115-0230 EXPIRATION DATE: 08/31/2002 RESPS:75,000 HOURS:37,500 COSTS(000):$0 Sworn Statement of Refugee Applying for Admission to the United States FORMS: G-646
OMB NO: 1115-0232 EXPIRATION DATE: 11/30/2002 RESPS:1,500,400 HOURS:26,000 COSTS(000):$0 Inspection of Persons Applying for Admission; Transit Without Visa (TWOV) and International-to-International Agreements FORMS: NONE
OMB NO: 1115-0234 EXPIRATION DATE: 01/31/2003 RESPS:7,158 HOURS:5,323 COSTS(000):$0 Study of Employment Eligibility FORMS: NONE
OMB NO: 1115-0236 EXPIRATION DATE: 03/31/2004 RESPS:8,000 HOURS:8,000 COSTS(000):$3,240 National Interest Waivers; Supplemental Evidence to I-140 and I-485 FORMS: NONE
OMB NO: 1115-0237 EXPIRATION DATE: 11/30/2004 RESPS:427,000 HOURS:213,500 COSTS(000):$0 Supplement A to form I-539 (Filing Instructions for V Nonimmigrant Status) FORMS: I-539-SUPP.A
OMB NO: 1115-0238 EXPIRATION DATE: 06/30/2004 RESPS:10 HOURS:40 COSTS(000):$2 Application for Authorization to Issue Health Care Certificates FORMS: I-905
OMB NO: 1115-0239 EXPIRATION DATE: 09/30/2002 RESPS:400,000 HOURS:400,000 COSTS(000):$126,000 LIFE Legalization Supplement to Form I-485 Instructions FORMS: I-485-SUPP.D
OMB NO: 1115-0240 EXPIRATION DATE: 12/31/2004 RESPS:2,000 HOURS:4,000 COSTS(000):$0 Petitioning Requirements for H-1C Nonimmigrant Classification FORMS: NONE
OMB NO: 1115-0241 EXPIRATION DATE: 01/31/2005 RESPS:80,000 HOURS:40,000 COSTS(000):$8,000 Request for Premium Processing Service FORMS: I-907
OMB NO: 1115-0244 EXPIRATION DATE: 05/31/2005 RESPS:100 HOURS:200 COSTS(000):$0 Special Immigrant Visas for Fourth Preference Employment-Based Broadcasters FORMS: NONE
OMB NO: 1115-0245 EXPIRATION DATE: 03/31/2003 RESPS:1,000 HOURS:5,000 COSTS(000):$0 Biographical Information/Program Eligibility Questionnaire and Practitioner Fraud Pilot Program Initial Interview form FORMS: I-908 I-909
OMB NO: 1115-0246 EXPIRATION DATE: 06/30/2002 RESPS:34,500 HOURS:41,938 COSTS(000):$3,787 Application for T Nonimmigrant Status; Application for Immediate Family Member of T-1 Recipient; and Declaration of Law Enforcement Officer for Victim of Trafficking in Persons FORMS: I-914 I-914-SUPP.-A I-914-SUPP.-B
OMB NO: 1115-0249 EXPIRATION DATE: 03/31/2003 RESPS:12 HOURS:51,960 COSTS(000):$0 Contacts Concerning Project Speak Out! FORMS: G-1046
Drug Enforcement AdministrationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
124 115,552,217 39,943,324 $1,461,870
OMB NO: 1117-0001 EXPIRATION DATE: 01/31/2005 RESPS:6,151 HOURS:3,076 COSTS(000):$0 Report of Theft or Loss of Controlled Substances--DEA Form 106 FORMS: FORM-106
OMB NO: 1117-0003 EXPIRATION DATE: 03/31/2005 RESPS:5,630 HOURS:1,700 COSTS(000):$0 ARCOS Transaction Reporting--DEA Form 333 FORMS: FORM-333
OMB NO: 1117-0004 EXPIRATION DATE: 01/31/2005 RESPS:2,000 HOURS:1,000 COSTS(000):$0 Application for Permit to Export Controlled Substances--DEA Form 161 FORMS: FORM-161
OMB NO: 1117-0006 EXPIRATION DATE: 01/31/2003 RESPS:263 HOURS:132 COSTS(000):$0 Application for Individual Manufacturing Quota for a Basic Class of Controlled Substance FORMS: FORM-189
OMB NO: 1117-0007 EXPIRATION DATE: 01/31/2005 RESPS:20,000 HOURS:10,000 COSTS(000):$0 Registrants Inventory of Drugs Surrendered--DEA Form 41 FORMS: FORM-41
OMB NO: 1117-0008 EXPIRATION DATE: 01/31/2003 RESPS:807 HOURS:807 COSTS(000):$0 Application for Procurement Quota for Controlled Substances FORMS: DEA-250
OMB NO: 1117-0009 EXPIRATION DATE: 01/31/2005 RESPS:2,864 HOURS:1,432 COSTS(000):$0 Controlled Substances Import/Export Declaration--DEA Form 236 FORMS: FORM-236
OMB NO: 1117-0010 EXPIRATION DATE: 03/31/2005 RESPS:663,523 HOURS:193,508 COSTS(000):$10,279 U.S. Official Order Forms for Schedules I and II Controlled Substances (ACCOUNTABLE FORMS), Order Form Requisition FORMS: DEA-222 DEA-222A
OMB NO: 1117-0012 EXPIRATION DATE: 08/31/2002 RESPS:9,807 HOURS:4,907 COSTS(000):$1,268 Application for Registration (DEA Form 225); Application for Registration Renewal (DEA Form 225a); Affidavit for Chain Renewal DEA Analytical Lab. Registrations (DEA Form 225B); Affidavit FORMS: DEA-FORM-225 DEA-FORM-225A DEA-FORM-225B
OMB NO: 1117-0013 EXPIRATION DATE: 06/30/2004 RESPS:320 HOURS:80 COSTS(000):$0 Application for Permit to Import Controlled Substances for Domestic and/or Scientific Purposes pursuant to 21 U.S.C. 952 FORMS: FORM-357
OMB NO: 1117-0014 EXPIRATION DATE: 08/31/2002 RESPS:374,713 HOURS:75,000 COSTS(000):$79,661 Application for Registration (DEA Form 224); Application for Registration Renewal (DEA Form 224a); and Affidavit for Chain Renewal DEA Retail Pharmacy Registration (DEA Form 224B). FORMS: DEA-FORM-224 DEA-FORM-224A DEA-FORM-224B
OMB NO: 1117-0015 EXPIRATION DATE: 08/31/2002 RESPS:1,114 HOURS:557 COSTS(000):$65 Application for Registration (DEA Form 363) and Application for Registration Renewal (DEA Form 363a). FORMS: DEA-FORM-363 DEA-FORM-363A
OMB NO: 1117-0021 EXPIRATION DATE: 03/31/2005 RESPS:500 HOURS:50,250 COSTS(000):$0 Records and Reports of Registrants: Changes in Record Requirements for Individual Practitioners FORMS: NONE
OMB NO: 1117-0023 EXPIRATION DATE: 02/28/2005 RESPS:7,000 HOURS:1,600 COSTS(000):$0 Import/Export Declaration: Precursor and Essential Chemicals FORMS: FORM-486
OMB NO: 1117-0024 EXPIRATION DATE: 03/31/2005 RESPS:1,996 HOURS:499 COSTS(000):$0 Reports of Suspicious Orders or Theft/Loss of Listed Chemicals/ Machines FORMS: NONE
OMB NO: 1117-0029 EXPIRATION DATE: 09/30/2003 RESPS:100 HOURS:400 COSTS(000):$0 Annual Reporting Requirement for Manufacturers of Listed Chemicals FORMS: NONE
OMB NO: 1117-0031 EXPIRATION DATE: 01/31/2005 RESPS:3,200 HOURS:1,600 COSTS(000):$0 Application for Registration Under Domestic Chemical Diversion Control Act of 1993 and Renewal Application for Registration under Domestic Chemical Diversion Control Act of 1993 FORMS: FORM-510 FORM-510A
OMB NO: 1117-0033 EXPIRATION DATE: 09/30/2003 RESPS:1,200 HOURS:1,200 COSTS(000):$0 Report of Mail Order Transactions FORMS: NONE
OMB NO: 1117-0034 EXPIRATION DATE: 09/30/2003 RESPS:1,200 HOURS:1,200 COSTS(000):$0 Collection of Laboratory Analysis Data on Drug Samples Testes by Non-Federal (State and Local Government) Crime Laboratories FORMS: NONE
OMB NO: 1117-0035 EXPIRATION DATE: 04/30/2003 RESPS:50 HOURS:100 COSTS(000):$0 Notice of Intent to Operate a Freight Forwarding Facility FORMS: NONE
Office of Justice ProgramsSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
20 1,102,438 349,048 $91,273
OMB NO: 1121-0030 EXPIRATION DATE: 03/31/2004 RESPS:3,796 HOURS:1,885 COSTS(000):$0 Capital Punishment report of inmates under sentence of death FORMS: NPS-8 NPS-8A NPS-8B NPS-8C
OMB NO: 1121-0064 EXPIRATION DATE: 06/30/2002 RESPS:343 HOURS:515 COSTS(000):$8 The Parole Data Survey and The Probation Data Survey FORMS: CJ-7 CJ-8
OMB NO: 1121-0065 EXPIRATION DATE: 06/30/2003 RESPS:2 HOURS:2,196 COSTS(000):$0 National Corrections Reporting Program FORMS: NCRP-1A NCRP-1B NCRP-1C NCRP-1D
OMB NO: 1121-0078 EXPIRATION DATE: 05/31/2005 RESPS:52 HOURS:338 COSTS(000):$0 Summary of Sentenced Population Movement FORMS: NPS-1
OMB NO: 1121-0094 EXPIRATION DATE: 05/31/2005 RESPS:946 HOURS:1,183 COSTS(000):$0 Annual Survey of Jails FORMS: CJ-5 CJ-5A CJ-5B
OMB NO: 1121-0098 EXPIRATION DATE: 09/30/2004 RESPS:8,420 HOURS:7,730 COSTS(000):$0 Survey of Inmates in Local Jails, 2001 FORMS: SIJ-43(X) SIJ-50(X)
OMB NO: 1121-0102 EXPIRATION DATE: 12/31/2004 RESPS:104 HOURS:156 COSTS(000):$0 National Prisoner Statistics-Prison Population Reports NPS-1A: Midyear Population Counts NPS-1B: Advance Endyear Population Counts FORMS: NPS-1A NPS-1B
OMB NO: 1121-0114 EXPIRATION DATE: 10/31/2004 RESPS:53 HOURS:106 COSTS(000):$0 Victims of Crime Act, Victim Compensation Grant Program, State Performance Report FORMS: FORM-7390/6
OMB NO: 1121-0115 EXPIRATION DATE: 07/31/2002 RESPS:57 HOURS:1,197 COSTS(000):$23 Victims of Crime Act, Crime Victim Assistance Grant Program, Performance Report FORMS: FORME-7330
OMB NO: 1121-0130 EXPIRATION DATE: 04/30/2005 RESPS:445,000 HOURS:2,778 COSTS(000):$0 National Judicial Reporting Program (NJRP) FORMS: NJRP-1
OMB NO: 1121-0137 EXPIRATION DATE: 05/31/2005 RESPS:70,000 HOURS:43,750 COSTS(000):$0 Firearms Addendum to the Arrestee Drug Abuse Monitoring Program (ADAM) FORMS: AD-1
OMB NO: 1121-0140 EXPIRATION DATE: 09/30/2002 RESPS:11,500 HOURS:4,000 COSTS(000):$0 Equal Employment Opportuity Program Guidelines -- 28 CFR Section 42.301 et seq. FORMS: NONE
OMB NO: 1121-0147 EXPIRATION DATE: 04/30/2003 RESPS:1,750 HOURS:5,250 COSTS(000):$0 2000 Census of State and Federal Adult Correctional Facilities FORMS: CJ-43
OMB NO: 1121-0149 EXPIRATION DATE: 03/31/2004 RESPS:2,400 HOURS:850 COSTS(000):$0 2000 National Survey of Prosecutors FORMS: NSP-5L NSP-5S
OMB NO: 1121-0184 EXPIRATION DATE: 05/31/2004 RESPS:12,200 HOURS:2,038 COSTS(000):$0 School Crime Supplement (SCS) FORMS: SCS-1
OMB NO: 1121-0189 EXPIRATION DATE: 04/30/2005 RESPS:20 HOURS:60 COSTS(000):$0 Nomination for Young American Medal for Bravery FORMS: 1673/1
OMB NO: 1121-0190 EXPIRATION DATE: 04/30/2005 RESPS:20 HOURS:60 COSTS(000):$0 Nomination for Young American Medal for Service FORMS: 1673/2
OMB NO: 1121-0196 EXPIRATION DATE: 05/31/2003 RESPS:1 HOURS:3,500 COSTS(000):$0 Local Law Enforcement Block Grants Program Application FORMS: NONE
OMB NO: 1121-0204 EXPIRATION DATE: 04/30/2004 RESPS:1 HOURS:3,500 COSTS(000):$0 Local Law Enforcement Block Grants Program FORMS: NONE
OMB NO: 1121-0218 EXPIRATION DATE: 07/31/2004 RESPS:1 HOURS:10,675 COSTS(000):$0 Census of Juveniles in Residential Placement FORMS: CJ-14
OMB NO: 1121-0219 EXPIRATION DATE: 03/31/2004 RESPS:1 HOURS:7,000 COSTS(000):$0 Juvenile Residential Facility Census FORMS: CJ-15
OMB NO: 1121-0223 EXPIRATION DATE: 02/29/2004 RESPS:2,798 HOURS:562 COSTS(000):$0 Crime Mapping Survey FORMS: NONE
OMB NO: 1121-0224 EXPIRATION DATE: 04/30/2005 RESPS:2,565 HOURS:641 COSTS(000):$0 National Youth Gang Survey FORMS: NONE
OMB NO: 1121-0233 EXPIRATION DATE: 10/31/2002 RESPS:25 HOURS:12 COSTS(000):$0 Certification of Compliance with Eligibility Requirements of Section 826 of the Higher Education Amendments of 1998 FORMS: NONE
OMB NO: 1121-0234 EXPIRATION DATE: 04/30/2003 RESPS:4,200 HOURS:4,200 COSTS(000):$0 Requirements: Data Collection Application for the Juvenile Accountability Incentive Block Grant Program FORMS: NONE
OMB NO: 1121-0235 EXPIRATION DATE: 04/30/2003 RESPS:3 HOURS:125,000 COSTS(000):$0 Bulletproof Vest Partnership FORMS: NONE
OMB NO: 1121-0237 EXPIRATION DATE: 03/31/2003 RESPS:7,000 HOURS:1,650 COSTS(000):$0 Generic Clearance of Customer Satisfaction Surveys FORMS: NCJ-CR-01-001 NCJ-CR-01-002 NCJ-CR-01-003 NCJ-CR-01-004 NCJ-CR-01-005 NCJ-CR-01-006
OMB NO: 1121-0238 EXPIRATION DATE: 04/30/2003 RESPS:10,780 HOURS:7,875 COSTS(000):$0 Survey of Youth in Residential Placement FORMS: NONE
OMB NO: 1121-0240 EXPIRATION DATE: 05/31/2003 RESPS:19,000 HOURS:14,000 COSTS(000):$0 2000 Census of State and Local Law Enforcement Agencies FORMS: CJ-38L CJ-38S
OMB NO: 1121-0242 EXPIRATION DATE: 06/30/2004 RESPS:250 HOURS:375 COSTS(000):$0 Comprehensive Strategy Stakeholder Survey FORMS: NONE
OMB NO: 1121-0243 EXPIRATION DATE: 02/29/2004 RESPS:3,000 HOURS:12,000 COSTS(000):$0 Grants Management System Online Application FORMS: NONE
OMB NO: 1121-0244 EXPIRATION DATE: 12/31/2002 RESPS:1 HOURS:66,200 COSTS(000):$0 Fiscal Year 1999 State Domestic Preparedness Equipment Program Needs Assessment FORMS: N/A
OMB NO: 1121-0245 EXPIRATION DATE: 05/31/2004 RESPS:550 HOURS:416,150 COSTS(000):$23,045 Program Guidance on Environmental Protection Requirements and Project Status Report FORMS: N/A
OMB NO: 1121-0246 EXPIRATION DATE: 08/31/2004 RESPS:1,070 HOURS:450 COSTS(000):$0 National Business Survey on White Collar Crime FORMS: NONE
OMB NO: 1121-0247 EXPIRATION DATE: 10/31/2004 RESPS:19,426 HOURS:17,796 COSTS(000):$0 National Evaluation of the Safe Schools/Healthy Students Initiative FORMS: NONE
OMB NO: 1121-0249 EXPIRATION DATE: 09/30/2004 RESPS:16,067 HOURS:3,802 COSTS(000):$0 Deaths in Custody, 2001--series of collections on local jail jurisdictions, State prisons, and State juvenile facilities FORMS: NPS-4 NPS-4A NPS-5 NPS-5A CJ-9 CJ-9A CJ-10 CJ-10A
OMB NO: 1121-0250 EXPIRATION DATE: 12/31/2004 RESPS:1,000 HOURS:4,000 COSTS(000):$0 Community Gun Violence Prosecution Program FORMS: NONE
OMB NO: 1121-0251 EXPIRATION DATE: 09/30/2004 RESPS:300 HOURS:187 COSTS(000):$0 Victimization of People With Disabilities FORMS: CDER-1A CDER-1B CDER-2A CDER-2B
OMB NO: 1121-0252 EXPIRATION DATE: 12/31/2004 RESPS:556 HOURS:185 COSTS(000):$0 2001 Census of Tribal Justice Agencies FORMS: CTJA01
OMB NO: 1121-0253 EXPIRATION DATE: 09/30/2004 RESPS:20,732 HOURS:41,464 COSTS(000):$0 Categorical Assistance Progress Report FORMS: 4587/1
OMB NO: 1121-0255 EXPIRATION DATE: 04/30/2005 RESPS:800 HOURS:1,200 COSTS(000):$0 2002 Census of Law Enforcement Training Academies FORMS: CJ-52
OMB NO: 1121-0258 EXPIRATION DATE: 10/31/2002 RESPS:45 HOURS:45 COSTS(000):$0 Data Collection from Grantees from the Grantees to Reduce Violent Crimes on Campus Program FORMS: NONE
OMB NO: 1121-0259 EXPIRATION DATE: 10/31/2002 RESPS:500 HOURS:500 COSTS(000):$0 Public Safety Officer Medal of Valor Application FORMS: 1121
Executive Office for Immigration ReviewSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
43 667,335 817,061 $23,076
OMB NO: 1125-0001 EXPIRATION DATE: 06/30/2002 RESPS:4,125 HOURS:23,718 COSTS(000):$413 Application for Cancellation of Removal FORMS: FORM-EOIR-42
OMB NO: 1125-0002 EXPIRATION DATE: 06/30/2002 RESPS:27,000 HOURS:13,500 COSTS(000):$0 Notice of Appeal to the Board of Immigration Appeals of Decision of Immigration Judge FORMS: EOIR-26
OMB NO: 1125-0003 EXPIRATION DATE: 07/31/2002 RESPS:6,100 HOURS:6,100 COSTS(000):$0 Appeal Fee Waiver Request FORMS: EOIR-26A
OMB NO: 1125-0004 EXPIRATION DATE: 06/30/2002 RESPS:15,000 HOURS:600 COSTS(000):$0 Change of Address Form FORMS: EOIR-33
OMB NO: 1125-0005 EXPIRATION DATE: 10/31/2002 RESPS:26,000 HOURS:2,600 COSTS(000):$130 Notice of Entry of Appearance as Attorney or Representative Before the Board of Immigration Appeals Executive Office for Immigration Review FORMS: EOIR-27
OMB NO: 1125-0006 EXPIRATION DATE: 10/31/2002 RESPS:77,000 HOURS:7,700 COSTS(000):$385 Notice of Entry of Appearance as Attorney or Representative Before the Immigration Court FORMS: EOIR-28
OMB NO: 1125-0007 EXPIRATION DATE: 10/31/2002 RESPS:500 HOURS:1,000 COSTS(000):$0 Immigration Practitioner Complaint Form FORMS: EOIR-44
OMB NO: 1125-0008 EXPIRATION DATE: 10/31/2002 RESPS:50 HOURS:50 COSTS(000):$0 Immigration Practitioner Appeal Form from Adverse Decision of Adjudicating Official FORMS: EOIR-45
Civil Rights DivisionSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
8 155,775 55,268 $928
OMB NO: 1190-0004 EXPIRATION DATE: 02/29/2004 RESPS:6,000 HOURS:48,000 COSTS(000):$0 Nondiscrimination on the Basis of Disability in State and Local Government Services FORMS: NONE
OMB NO: 1190-0005 EXPIRATION DATE: 02/29/2004 RESPS:10 HOURS:320 COSTS(000):$0 Nondiscrimination on the Basis of Disability in State and Local Government Services (Certification). FORMS: NONE
OMB NO: 1190-0006 EXPIRATION DATE: 02/29/2004 RESPS:15,000 HOURS:90,000 COSTS(000):$0 Nondiscrimination on the Basis of Disability in State and Local Government Services (Self-Evaluation). FORMS: NONE
OMB NO: 1190-0008 EXPIRATION DATE: 02/29/2004 RESPS:1,560 HOURS:780 COSTS(000):$0 Complaint Form, Coordination and Review Section, Civil Rights Division, Department of Justice FORMS: NONE
OMB NO: 1190-0009 EXPIRATION DATE: 02/29/2004 RESPS:5,000 HOURS:3,750 COSTS(000):$0 Title II of the Americans with Disabilities Act of 1990/Section 504 of the Rehabilitation Act of 1973 Discrimination Complaint Form. FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
5 27,570 142,850 $0
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
246 120,101,784 45,123,690 $1,604,478
OMB NO: 1205-0001 EXPIRATION DATE: 02/29/2004 RESPS:416 HOURS:416 COSTS(000):$0 Work Application/Job Order Recordkeeping FORMS: N/A
OMB NO: 1205-0009 EXPIRATION DATE: 12/31/2002 RESPS:12 HOURS:5,512 COSTS(000):$0 Distribution of Characteristics of the Insured Unemployed FORMS: ETA-203
OMB NO: 1205-0010 EXPIRATION DATE: 03/31/2003 RESPS:714 HOURS:1,359 COSTS(000):$0 Claims and Payment Activities FORMS: ETA-5159
OMB NO: 1205-0015 EXPIRATION DATE: 11/30/2002 RESPS:73,500 HOURS:196,000 COSTS(000):$0 Application for Alien Employment Certification FORMS: ETA-750
OMB NO: 1205-0016 EXPIRATION DATE: 12/31/2002 RESPS:17,100 HOURS:3,420 COSTS(000):$0 Quarterly Determinations, Allowance Activities, and Employability Services under the Trade Act FORMS: ETA-563
OMB NO: 1205-0017 EXPIRATION DATE: 03/31/2004 RESPS:39,405 HOURS:16,301 COSTS(000):$0 Domestic Agricultural In-Season Wage Report FORMS: ETA-232 ETA-232A
OMB NO: 1205-0025 EXPIRATION DATE: 09/30/2003 RESPS:94,792 HOURS:47,781 COSTS(000):$3,060 Job Corps Application Data FORMS: ETA-652 ETA-655 ETA-682
OMB NO: 1205-0028 EXPIRATION DATE: 07/31/2003 RESPS:5,512 HOURS:3,675 COSTS(000):$0 Weekly Claims and Extended Benefits Data and Weekly Initial and Continued Weeks Claimed FORMS: 539 538
OMB NO: 1205-0029 EXPIRATION DATE: 12/31/2004 RESPS:212 HOURS:848 COSTS(000):$0 Interstate Arrangement for Combining Employment and Wages FORMS: ETA-586
OMB NO: 1205-0030 EXPIRATION DATE: 02/29/2004 RESPS:1 HOURS:1,500 COSTS(000):$0 Job Corps Enrollee Allotment Determination FORMS: ETA-658
OMB NO: 1205-0033 EXPIRATION DATE: 01/31/2004 RESPS:93,000 HOURS:7,750 COSTS(000):$0 Job Corps Health Questionnaire FORMS: ETA-6-53
OMB NO: 1205-0035 EXPIRATION DATE: 02/29/2004 RESPS:62,429 HOURS:13,567 COSTS(000):$177 Job Corps Placement and Assistance Record FORMS: ETA-678
OMB NO: 1205-0039 EXPIRATION DATE: 09/30/2002 RESPS:208 HOURS:5,530 COSTS(000):$0 Program Monitoring Report and Job Service Complaint Form FORMS: ETA-8429 ETA-5184
OMB NO: 1205-0040 EXPIRATION DATE: 08/31/2003 RESPS:434 HOURS:1,776 COSTS(000):$0 Senior Community Service Employment Program (SCSEP) FORMS: ETA-5140 ETA-8705 ETA-5163
OMB NO: 1205-0051 EXPIRATION DATE: 10/31/2002 RESPS:81,035 HOURS:8,075 COSTS(000):$0 Employment and Training Administration (ETA) Disaster Unemployment Assistance (DUA) Handbook & Program Operating Forms, Including ETA 90-2, Disaster Payment Activities under the.... FORMS: ETA-90-2
OMB NO: 1205-0132 EXPIRATION DATE: 03/31/2005 RESPS:835 HOURS:2,121 COSTS(000):$0 Unemployment Insurance (UI) State Quality Service Plan (SQSP) FORMS: NONE
OMB NO: 1205-0134 EXPIRATION DATE: 06/30/2004 RESPS:5,000 HOURS:3,500 COSTS(000):$0 Forms for Agricultural Recruitment System of Services to Migratory Workers and Their Employers; Application for Alien Certification FORMS: ETA-790 ETA-795
OMB NO: 1205-0137 EXPIRATION DATE: 10/31/2003 RESPS:95 HOURS:47 COSTS(000):$0 Occupational Code Request FORMS: ETA-741
OMB NO: 1205-0150 EXPIRATION DATE: 10/31/2004 RESPS:224 HOURS:896 COSTS(000):$0 Non-monetary Determination Activity Report FORMS: NONE
OMB NO: 1205-0154 EXPIRATION DATE: 01/31/2003 RESPS:72 HOURS:2,226 COSTS(000):$55 Unemployment Insurance Trust Fund Activity FORMS: ETA-2112 8401 8403 8405 8413 8414
OMB NO: 1205-0162 EXPIRATION DATE: 07/31/2003 RESPS:212 HOURS:1,272 COSTS(000):$0 Statement of Expenditures and Adjustments of Federal Funds for Unemployment Compensation for Federal Employees and Ex-Servicemembers FORMS: ETA-191
OMB NO: 1205-0164 EXPIRATION DATE: 01/31/2003 RESPS:53 HOURS:14 COSTS(000):$0 Experience Rating Report FORMS: ETA-204
OMB NO: 1205-0172 EXPIRATION DATE: 10/31/2004 RESPS:648 HOURS:648 COSTS(000):$0 Benefit Appeals Report FORMS: ETA-5130
OMB NO: 1205-0173 EXPIRATION DATE: 11/30/2003 RESPS:212 HOURS:2,968 COSTS(000):$0 Overpayment Detection and recovery Activities FORMS: ETA-227
OMB NO: 1205-0176 EXPIRATION DATE: 03/31/2003 RESPS:66,126 HOURS:1,708 COSTS(000):$1,527 Unemployment Compensation for Ex-Servicemembers (UCX) Handbook (ETA Handbook No. 384) FORMS: ETA-841 ETA-843
OMB NO: 1205-0177 EXPIRATION DATE: 07/31/2004 RESPS:216 HOURS:108 COSTS(000):$0 Benefit Rights and Experience Report FORMS: ETA-218
OMB NO: 1205-0178 EXPIRATION DATE: 08/31/2002 RESPS:212 HOURS:1,802 COSTS(000):$0 Contribution Operations FORMS: ETA-581
OMB NO: 1205-0179 EXPIRATION DATE: 01/31/2003 RESPS:209,521 HOURS:216 COSTS(000):$0 Unemployment Compensation for Former Federal Employees Handbook No. 391 FORMS: ES-931 ES-931A ES-933 ES-934 ES-935 ES-936 ES-939 ETA-8-32
OMB NO: 1205-0187 EXPIRATION DATE: 02/28/2005 RESPS:53 HOURS:159 COSTS(000):$0 Internal Fraud Activities FORMS: ETA-9000
OMB NO: 1205-0190 EXPIRATION DATE: 10/31/2003 RESPS:2,220 HOURS:3,951 COSTS(000):$0 Customer Survey FORMS: ETA-8562
OMB NO: 1205-0192 EXPIRATION DATE: 07/31/2003 RESPS:1,400 HOURS:350 COSTS(000):$0 Petition for Adjustment Assistance/Solicitud De Asistencia Para Ajuste FORMS: ETA-8560 ETA-8559
OMB NO: 1205-0197 EXPIRATION DATE: 10/31/2003 RESPS:1,500 HOURS:4,500 COSTS(000):$0 Business Confidential Data Request FORMS: ETA-9014
OMB NO: 1205-0199 EXPIRATION DATE: 04/30/2003 RESPS:1 HOURS:1 COSTS(000):$0 Title XII Advances and Voluntary Repayment Process FORMS: NONE
OMB NO: 1205-0207 EXPIRATION DATE: 09/30/2004 RESPS:1 HOURS:3 COSTS(000):$0 Procedures for Classifying Labor Surplus Areas FORMS: NONE
OMB NO: 1205-0219 EXPIRATION DATE: 04/30/2003 RESPS:314,570 HOURS:84,741 COSTS(000):$0 Standard Job Corps Request for Proposal and Related Contractor Information Gathering FORMS: NONE
OMB NO: 1205-0222 EXPIRATION DATE: 04/30/2004 RESPS:3,180 HOURS:53 COSTS(000):$0 Administrative Procedures - 20 CFR 601 Including Form MA 8-7 FORMS: MA-8-7
OMB NO: 1205-0223 EXPIRATION DATE: 10/31/2003 RESPS:238,929 HOURS:47,520 COSTS(000):$0 Title 29 CFR Part 29 -- Labor Standards for the Registration of Apprenticeship Programs FORMS: ETA-671
OMB NO: 1205-0224 EXPIRATION DATE: 10/31/2003 RESPS:63,736 HOURS:6,264 COSTS(000):$0 Title 29 CFR Part 30 - Equal Employment Opportunity in Apprenticeship and Training FORMS: ETA-9039
OMB NO: 1205-0228 EXPIRATION DATE: 01/31/2004 RESPS:1 HOURS:14 COSTS(000):$0 Preliminary Estimates of Average Employer Contribution Rates FORMS: ETA-205
OMB NO: 1205-0238 EXPIRATION DATE: 04/30/2004 RESPS:212 HOURS:39,388 COSTS(000):$985 Income and Eligibility Verification FORMS: NONE
OMB NO: 1205-0240 EXPIRATION DATE: 04/30/2005 RESPS:28,824 HOURS:27,294 COSTS(000):$10,819 Labor Exchange Reporting System FORMS: ETA-9002A 9002B 9002C 9002D 9002E VETS-200A-C
OMB NO: 1205-0245 EXPIRATION DATE: 03/31/2004 RESPS:47,160 HOURS:255,694 COSTS(000):$442 Benefit Accuracy Measurement FORMS: ETAHANDBOOK395
OMB NO: 1205-0268 EXPIRATION DATE: 02/28/2005 RESPS:212 HOURS:212 COSTS(000):$0 Alien Claims Activity Report FORMS: ETA-9016
OMB NO: 1205-0272 EXPIRATION DATE: 10/31/2003 RESPS:75 HOURS:225 COSTS(000):$0 Oil and Gas Drilling and Exploration Oilfield Services FORMS: ETA-9018
OMB NO: 1205-0275 EXPIRATION DATE: 04/30/2003 RESPS:500 HOURS:1,000 COSTS(000):$26 Trade Adjustment Assistance/NAFTA (Financial Status/Requests for funds Report) FORMS: ETA-9023
OMB NO: 1205-0309 EXPIRATION DATE: 04/30/2004 RESPS:1 HOURS:4 COSTS(000):$0 Attestations by Employers Using Alien Crewmmembers for Longshore Activities in U.S. Ports FORMS: ETA-9033
OMB NO: 1205-0310 EXPIRATION DATE: 06/30/2002 RESPS:260,000 HOURS:285,663 COSTS(000):$0 Labor Condition Application and Requirements for Employers Using Nonimmigrants on H-18 Visas; Implementation of Electronic Filing FORMS: ETA-9035 ETA-9035-E WH4
OMB NO: 1205-0319 EXPIRATION DATE: 06/30/2002 RESPS:108 HOURS:216 COSTS(000):$0 State Alien Labor Certification Activity Report FORMS: ETA-9037
OMB NO: 1205-0332 EXPIRATION DATE: 09/30/2002 RESPS:52 HOURS:91,000 COSTS(000):$0 Revenue Quality Control-Tax Performance System FORMS: ETA-407
OMB NO: 1205-0337 EXPIRATION DATE: 07/31/2004 RESPS:1,050 HOURS:2,100 COSTS(000):$0 NAFTA Customer Survey Data Request FORMS: ETA-9044
OMB NO: 1205-0339 EXPIRATION DATE: 08/31/2004 RESPS:1,000 HOURS:7,500 COSTS(000):$0 NAFTA Confidential Data Request FORMS: ETA-9043
OMB NO: 1205-0342 EXPIRATION DATE: 08/31/2004 RESPS:1,000 HOURS:330 COSTS(000):$0 Petition for NAFTA Transitional Adjustment Assistance; Solicitud del Programs de Assitencia Para Ajsute Bajo NAFTA FORMS: ETA-9042 ETA-9042-1
OMB NO: 1205-0352 EXPIRATION DATE: 03/31/2005 RESPS:350 HOURS:1,050 COSTS(000):$0 Attestations by Employers Using Alien Crewmembers for Longshore Activities at Locations in the State of Alaska FORMS: ETA-9033A
OMB NO: 1205-0353 EXPIRATION DATE: 02/29/2004 RESPS:424 HOURS:106 COSTS(000):$0 Worker Profiling and Reemployment Services Activity and Worker Profiling and Reemployment Services Outcomes FORMS: ETA9048 ETA9049
OMB NO: 1205-0359 EXPIRATION DATE: 11/30/2004 RESPS:28,912 HOURS:38,168 COSTS(000):$0 Benefits, Timeliness and Quality (BTQ) Review System FORMS: ETA-9050 ETA-9051 ETA-9052 ETA-9053 ETA-9054 ETA-9055 ETA-9056 ETA-9057
OMB NO: 1205-0371 EXPIRATION DATE: 06/30/2002 RESPS:2,034 HOURS:69,300 COSTS(000):$0 Work Opportunity Tax Credit (WOTC) and Welfare-to-Work (WtW) Tax Credit FORMS: ETA-9057-59 9061-63 9065
OMB NO: 1205-0373 EXPIRATION DATE: 02/28/2003 RESPS:1 HOURS:2,176 COSTS(000):$0 Baseline and Post-Program Employment Rate for the Youth Opportunity Area Demonstration FORMS: NONE
OMB NO: 1205-0385 EXPIRATION DATE: 03/31/2004 RESPS:1,204 HOURS:2,026 COSTS(000):$0 Welfare to Work (WtW) Formula/Competitive Cumulative Quarterly Status Reports FORMS: ETA-9068 ETA-9068-1
OMB NO: 1205-0391 EXPIRATION DATE: 08/31/2004 RESPS:2,302 HOURS:1,420 COSTS(000):$0 Center for Employment and Training (CET) Follow-up Survey FORMS: NONE
OMB NO: 1205-0392 EXPIRATION DATE: 02/29/2004 RESPS:200 HOURS:9,500 COSTS(000):$325 Trade Act Participant Report (TAPR), a GPRA-compliant data collection and reporting system FORMS: NONE
OMB NO: 1205-0397 EXPIRATION DATE: 04/30/2005 RESPS:846 HOURS:282 COSTS(000):$0 Quantum Opportunity Program (QOP) Demonsration Net Impact Evaluation FORMS: NONE
OMB NO: 1205-0398 EXPIRATION DATE: 05/31/2004 RESPS:59 HOURS:1,475 COSTS(000):$0 Planning Guidance and Instructions for Submission of the Strategic Five Year State Plan and Plan Modifications for Title I of the Workforce Investment Act of 1988 (Workforce Investment.... FORMS: NONE
OMB NO: 1205-0404 EXPIRATION DATE: 08/31/2002 RESPS:3,189 HOURS:533 COSTS(000):$0 Labor Certification for the Temporary Employment of Nonimmigrant Aliens in Agriculture in the United States; Administrative Measures to Improve Program Performance FORMS: NONE
OMB NO: 1205-0407 EXPIRATION DATE: 01/31/2003 RESPS:57 HOURS:19,095 COSTS(000):$0 State Unified Plan Planning Guidance for State Unified Plans Submitted Under Section 501 of the Workforce Invesment Act of 1998. FORMS: NONE
OMB NO: 1205-0408 EXPIRATION DATE: 02/29/2004 RESPS:672 HOURS:672 COSTS(000):$0 Workforce Investment Act Cumulative Quarterly Financial Reporting for Funds Allotted to States for: 1) Services to Youth, 2) Services to Adults, 3) Services to Dislocated Workers........ FORMS: 9076-A 9076-B 9076-C 9076-D 9076-E 9076-F
OMB NO: 1205-0410 EXPIRATION DATE: 06/30/2003 RESPS:16 HOURS:64 COSTS(000):$0 Employers' Use and Assessment of the WOTC and Welfare-to-Work Tax Credit Programs FORMS: NONE
OMB NO: 1205-0412 EXPIRATION DATE: 08/31/2003 RESPS:1,200 HOURS:300 COSTS(000):$0 Benefit-Cost Analysis of the Self-Employment Assistance Program for the United States Unemployment Insurance Program FORMS: NONE
OMB NO: 1205-0414 EXPIRATION DATE: 10/31/2002 RESPS:432 HOURS:51,840 COSTS(000):$0 MIS Requirements for Youth Opportunity grants FORMS: ETA-9086 ETA-9087
OMB NO: 1205-0415 EXPIRATION DATE: 05/31/2004 RESPS:172 HOURS:68 COSTS(000):$0 Attestations by Facilities Temporarily Employing H-1C Nonimmigrant Aliens as Registered Nurses FORMS: ETA-9081
OMB NO: 1205-0416 EXPIRATION DATE: 10/31/2003 RESPS:75 HOURS:1,500 COSTS(000):$0 Disability Employment and Initiatives Grant Program FORMS: APR-ETA-9077 PCR-ETA-9078
OMB NO: 1205-0417 EXPIRATION DATE: 05/31/2004 RESPS:162 HOURS:2,592 COSTS(000):$0 One-Stop Labor Market Information Grant Plan and Progress Reports FORMS: NONE
OMB NO: 1205-0420 EXPIRATION DATE: 06/30/2002 RESPS:318 HOURS:758,236 COSTS(000):$19,905 WIA Management Information and Reporting System FORMS: ETA-9090 ETA-9091
OMB NO: 1205-0421 EXPIRATION DATE: 09/30/2002 RESPS:51,300 HOURS:23,305 COSTS(000):$0 O*Net Data Collection Program FORMS: NONE
OMB NO: 1205-0422 EXPIRATION DATE: 03/31/2003 RESPS:27,795 HOURS:78,615 COSTS(000):$0 Reporting and Performance Standards System for Indian and Native American Programs Under Title I, Section 166 of the Workforce Investment Act (WIA) FORMS: ETA-9084 ETA-9085
OMB NO: 1205-0423 EXPIRATION DATE: 03/31/2004 RESPS:1,800 HOURS:1,800 COSTS(000):$0 Workforce Investment Act (WIA) Employment and Training Administration (ETA) Financial Reporting Requirements for Indian and Native American (INA) Grantee Activities FORMS: ETA-9080
OMB NO: 1205-0424 EXPIRATION DATE: 11/30/2004 RESPS:108 HOURS:3,024 COSTS(000):$0 Re-employment Services Plan Narrative and Progress Report FORMS: ETA-9096
OMB NO: 1205-0425 EXPIRATION DATE: 12/31/2004 RESPS:42,833 HOURS:88,899 COSTS(000):$0 Reporting and Performance Standards System for Migrant and Seasonal Farmworker Programs Under Title I, Section 167 of the Workforce Investment Act (WIA) FORMS: ETA-9093 ETA-9094 ETA-9095
OMB NO: 1205-0426 EXPIRATION DATE: 08/31/2004 RESPS:83,728 HOURS:17,485 COSTS(000):$0 Placement Verification and Follow-up of Job Corps Participants FORMS: NONE
OMB NO: 1205-0428 EXPIRATION DATE: 10/31/2004 RESPS:636 HOURS:636 COSTS(000):$0 Workforce Investment Act (WIA) Employment and Training Administration (ETA) Financial Reporting Requirements for NATIONAL FARMWORKERS JOBS PROGRAM (NFJP) UNDER TITLE I of the Act FORMS: ETA-9092
OMB NO: 1205-0429 EXPIRATION DATE: 07/31/2003 RESPS:5,080 HOURS:15,650 COSTS(000):$0 Reporting and Performance Standards System for Migrant and Seasonal Farmworker :Youth Programs Under Title I-D, Section 167 of the Workforce Investment Act (WIA) FORMS: ETA-9096 ETA-9097 ETA-9098
OMB NO: 1205-0430 EXPIRATION DATE: 11/30/2004 RESPS:424 HOURS:12,349 COSTS(000):$875 Resource Justification Model (RJM) FORMS: NONE
OMB NO: 1205-0431 EXPIRATION DATE: 12/31/2004 RESPS:30 HOURS:30,187 COSTS(000):$4,399 Unemployment Insurance Data Validation Program FORMS: HANDBOOK-361
OMB NO: 1205-0432 EXPIRATION DATE: 12/31/2004 RESPS:25 HOURS:960 COSTS(000):$0 Workforce Flexibility (Work-Flex) Program FORMS: NONE
Pension and Welfare Benefits AdministrationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
83 1,974,365 2,422,531 $42,595
OMB NO: 1210-0034 EXPIRATION DATE: 02/28/2005 RESPS:20,693 HOURS:1,954 COSTS(000):$8 Regulation--Alternative Method of Compliance for Certain FORMS: NONE
OMB NO: 1210-0039 EXPIRATION DATE: 11/30/2003 RESPS:52,771,000 HOURS:710,134 COSTS(000):$243,226 Summar Plan Description Requirements under ERISA FORMS: NONE
OMB NO: 1210-0040 EXPIRATION DATE: 02/28/2003 RESPS:235,000,000 HOURS:1,404,924 COSTS(000):$119,327 ERISA Summary Annual Report Requirement FORMS: NONE
OMB NO: 1210-0048 EXPIRATION DATE: 02/28/2005 RESPS:74,872 HOURS:18,718 COSTS(000):$63 Suspension of Pension Benefits Regulation Pursuant to 29 CFR FORMS: NONE
OMB NO: 1210-0049 EXPIRATION DATE: 02/28/2005 RESPS:82,240 HOURS:7,069 COSTS(000):$31 Prohibited Transaction Class Exemption 77-44 for Certain Benefit Plans FORMS: NONE
OMB NO: 1210-0053 EXPIRATION DATE: 11/30/2003 RESPS:118,000,000 HOURS:316,000 COSTS(000):$95,637 Employee Benefit Plan Claim Procedures under the Employee Retirement Income Security Act of 1974 (ERISA) FORMS: NONE
OMB NO: 1210-0058 EXPIRATION DATE: 06/30/2003 RESPS:3,187 HOURS:797 COSTS(000):$0 Prohibited Transaction Class Exemption 76-1 and Prohibited Transaction Class Exemption 77-10 FORMS: NONE
OMB NO: 1210-0059 EXPIRATION DATE: 02/28/2005 RESPS:542,813 HOURS:98,158 COSTS(000):$188 Prohibited Transaction Exemption 86-128 FORMS: NONE
OMB NO: 1210-0060 EXPIRATION DATE: 02/28/2005 RESPS:116 HOURS:1 COSTS(000):$163 Procedure for Application for Exemption from the Prohibited Transaction Provisions of Section 408(a) of the Employee Retirement Income Security Act of 1974 (ERISA) FORMS: NONE
OMB NO: 1210-0061 EXPIRATION DATE: 11/30/2004 RESPS:191,000 HOURS:31,900 COSTS(000):$71 Class Exemption 81-8 for Investment of Plan Assets in Certain types of Short-Term Investments FORMS: NONE
OMB NO: 1210-0062 EXPIRATION DATE: 06/30/2004 RESPS:126,000 HOURS:3,500 COSTS(000):$0 Prohibited Transaction Class Exemption 82-63 FORMS: NONE
OMB NO: 1210-0063 EXPIRATION DATE: 06/30/2004 RESPS:7,656 HOURS:1,531 COSTS(000):$3 Prohibited Transaction Class Exemption 92-6 FORMS: NONE
OMB NO: 1210-0064 EXPIRATION DATE: 01/31/2004 RESPS:25 HOURS:2 COSTS(000):$0 Prohibited Transaction Exemption 80-83--Involving Purchase of Securities where issuer may use proceeds to Reduce indebtedness to parties in interest FORMS: NONE
OMB NO: 1210-0065 EXPIRATION DATE: 07/31/2004 RESPS:126,000 HOURS:10,500 COSTS(000):$48 Prohibited Transaction Class Exemption 81-6 FORMS: NONE
OMB NO: 1210-0066 EXPIRATION DATE: 01/31/2003 RESPS:83 HOURS:101 COSTS(000):$88 Advisory Opinion Procedure -- ERISA Procedure 76-1 FORMS: NONE
OMB NO: 1210-0074 EXPIRATION DATE: 11/30/2004 RESPS:1 HOURS:1 COSTS(000):$0 Prohibited Transaction Class Exemption T88-1 FORMS: NONE
OMB NO: 1210-0076 EXPIRATION DATE: 08/31/2004 RESPS:1,310 HOURS:1 COSTS(000):$283 Regulatoin Relating to Loans to Plan Participants and to the Plan FORMS: NONE
OMB NO: 1210-0079 EXPIRATION DATE: 06/30/2004 RESPS:3 HOURS:2,384 COSTS(000):$0 Prohibited Transaction Class Exeption 91-55 FORMS: NONE
OMB NO: 1210-0080 EXPIRATION DATE: 06/30/2003 RESPS:1,275 HOURS:106 COSTS(000):$0 Prohibited Exemption 786-6 FORMS: NONE
OMB NO: 1210-0082 EXPIRATION DATE: 06/30/2003 RESPS:1,000 HOURS:83 COSTS(000):$0 Prohibition Transaction Exemption 91-38 FORMS: NONE
OMB NO: 1210-0083 EXPIRATION DATE: 06/30/2003 RESPS:128 HOURS:11 COSTS(000):$0 Prohibited Transaction Class Exemption 90-1 -- Pooled Separate Accounts FORMS: NONE
OMB NO: 1210-0084 EXPIRATION DATE: 12/31/2002 RESPS:66 HOURS:5,775 COSTS(000):$90 ERISA Technical Release 91-1 FORMS: NONE
OMB NO: 1210-0085 EXPIRATION DATE: 06/30/2003 RESPS:175 HOURS:15 COSTS(000):$0 Prohibited Transaction Class Exemption 94-20, Purchases and Sales of Foreign Currencies FORMS: NONE
OMB NO: 1210-0089 EXPIRATION DATE: 02/28/2005 RESPS:3,100 HOURS:109 COSTS(000):$74 Delinquesnt Filer Voluntary Compliance Program FORMS: NONE
OMB NO: 1210-0090 EXPIRATION DATE: 12/31/2002 RESPS:294,800 HOURS:52,900 COSTS(000):$22,126 Regulation Regarding Participant Directed Individual Account Plans (ERISA section 404(c) Plans) FORMS: NONE
OMB NO: 1210-0091 EXPIRATION DATE: 11/30/2004 RESPS:1,080 HOURS:40 COSTS(000):$0 Prohibited Transaction Class Exemption 94-71 FORMS: NONE
OMB NO: 1210-0092 EXPIRATION DATE: 01/31/2004 RESPS:42,000 HOURS:3,500 COSTS(000):$0 Prohibited Transaction Exemption 75-1- Broker-Dealers, Reporting Dealers, Banks Engaging in Securities Transactions FORMS: NONE
OMB NO: 1210-0094 EXPIRATION DATE: 07/31/2004 RESPS:960 HOURS:960 COSTS(000):$0 Prohibited Transaction Class Exemption 85-68 to Permit Employee Benefit Plans to Invest in Customer Notes of Employers FORMS: NONE
OMB NO: 1210-0095 EXPIRATION DATE: 01/31/2004 RESPS:2,500 HOURS:208 COSTS(000):$0 Prohibited Transaction Exemption 88-59 Residential Mortgage Financing Arrangements Involving Employee Benefit Plans FORMS: NONE
OMB NO: 1210-0098 EXPIRATION DATE: 11/30/2004 RESPS:42 HOURS:53 COSTS(000):$38 Prohibited Transaction Class Exemption 96-62; Process for Expedited Approval of an Exemption for Prohibited Transaction FORMS: NONE
OMB NO: 1210-0100 EXPIRATION DATE: 05/31/2003 RESPS:1 HOURS:3 COSTS(000):$0 Definition of Plan Assets - Participant Contributions FORMS: NONE
OMB NO: 1210-0101 EXPIRATION DATE: 06/30/2003 RESPS:9,602,000 HOURS:7,200 COSTS(000):$841 Notice of Enrollment Rights FORMS: NONE
OMB NO: 1210-0102 EXPIRATION DATE: 06/30/2003 RESPS:8,570,000 HOURS:9,004 COSTS(000):$1,088 Notice of Pre-Existing Condition Exclusion FORMS: NONE
OMB NO: 1210-0103 EXPIRATION DATE: 06/30/2003 RESPS:44,396,000 HOURS:351,150 COSTS(000):$34,689 Establishing Creditable Coverage FORMS: NONE
OMB NO: 1210-0104 EXPIRATION DATE: 08/31/2003 RESPS:75 HOURS:2,625 COSTS(000):$162 Prohibition Transaction Exemption 97-41 FORMS: NONE
OMB NO: 1210-0105 EXPIRATION DATE: 11/30/2004 RESPS:10,000 HOURS:333 COSTS(000):$5 Notice to Participants and Beneficiaries and the Federal Government to Electing one Percent Increased Cost Exemption FORMS: NONE
OMB NO: 1210-0106 EXPIRATION DATE: 10/31/2004 RESPS:200 HOURS:10 COSTS(000):$0 Calculation and Disclosure of Documentation of Eligibility for Exemption FORMS: NONE
OMB NO: 1210-0110 EXPIRATION DATE: 10/31/2004 RESPS:863,682 HOURS:1,847,163 COSTS(000):$546,789 Form 5500 Annual Return/Report of Employee Benefit Plan FORMS: FORM-5500
OMB NO: 1210-0111 EXPIRATION DATE: 02/28/2005 RESPS:8,400 HOURS:4,200 COSTS(000):$0 Prohibited Transactions Exemption 98-54 Relating to Certain Employee Benefit Plan Foreign Exchange Transactions Executed Pursuant to Standing Instructions FORMS: NONE
OMB NO: 1210-0112 EXPIRATION DATE: 10/31/2002 RESPS:1,000 HOURS:95 COSTS(000):$4 Furnishing Documents to the Secreaty of Labor on Request under ERISA Section 104(a)(6) and Assessment of Civil Penalties under ERISA Section 502(c)(6) FORMS: NONE
OMB NO: 1210-0113 EXPIRATION DATE: 01/31/2003 RESPS:770,000 HOURS:785,000 COSTS(000):$1,100 National Medical Support Notice -- Part B FORMS: NONE
OMB NO: 1210-0114 EXPIRATION DATE: 12/31/2002 RESPS:123,500 HOURS:466,667 COSTS(000):$30 Disclosures by Insurers to General Account Policyholders FORMS: NONE
OMB NO: 1210-0115 EXPIRATION DATE: 04/30/2003 RESPS:840 HOURS:9,100 COSTS(000):$421 Proposed Class Exemption for Cross-Trades of Securities by Index and Model-Driven Funds FORMS: NONE
OMB NO: 1210-0116 EXPIRATION DATE: 11/30/2003 RESPS:2,678 HOURS:874 COSTS(000):$394 Annual Report for Multiple Employer Welfare Arrangements and Certain Entities Claiming Exception (Form M-1) FORMS: M-1
OMB NO: 1210-0117 EXPIRATION DATE: 05/31/2005 RESPS:7,200 HOURS:2,400 COSTS(000):$3 Application for EFAST-1 Electronic Signature and Codes for EFAST Transmitters and Software Developers FORMS: EFAST-1
OMB NO: 1210-0118 EXPIRATION DATE: 11/30/2003 RESPS:1,050 HOURS:5,710 COSTS(000):$272 The Voluntary Fiduciary Correction Program and Prohibited Transaction Class Exemption FORMS: NONE
OMB NO: 1210-0119 EXPIRATION DATE: 01/31/2004 RESPS:45 HOURS:1 COSTS(000):$104 Petition for Finding under Section 3(40) of ERISA FORMS: NONE
OMB NO: 1210-0121 EXPIRATION DATE: 05/31/2005 RESPS:50,000 HOURS:5,042 COSTS(000):$2,447 Consent to Receive Employee Benefit Plan Disclosure Electronically FORMS: NONE
Employment Standards AdministrationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
48 471,700,796 6,168,012 $1,069,813
OMB NO: 1215-0001 EXPIRATION DATE: 06/30/2004 RESPS:39,000 HOURS:13,000 COSTS(000):$0 Employment Information Forms FORMS: WH-3 WH-3SP.
OMB NO: 1215-0005 EXPIRATION DATE: 11/30/2004 RESPS:16,550 HOURS:12,400 COSTS(000):$2 Applications to Employ Special Industrial Homeworkers and FORMS: WH-2 WH-226 WH-226A
OMB NO: 1215-0013 EXPIRATION DATE: 09/30/2003 RESPS:18,985 HOURS:9,757 COSTS(000):$0 Applications to Employ Homeworkers Piece Rate Measurements, Homeworker Handbooks FORMS: WH-46 WH-75
OMB NO: 1215-0017 EXPIRATION DATE: 05/31/2004 RESPS:5,800,000 HOURS:926,156 COSTS(000):$0 Records To Be Kept By Employers - FLSA FORMS: NONE
OMB NO: 1215-0022 EXPIRATION DATE: 02/28/2003 RESPS:26,100 HOURS:6,525 COSTS(000):$10 Payment of Compensation Without Award FORMS: LS-206
OMB NO: 1215-0023 EXPIRATION DATE: 02/28/2003 RESPS:18,900 HOURS:4,725 COSTS(000):$7 Notice of Controversion of Right to Compensation FORMS: LS-207
OMB NO: 1215-0024 EXPIRATION DATE: 04/30/2003 RESPS:19,350 HOURS:4,838 COSTS(000):$10 Notice of Final Payment of Suspension of Compensation Benefits FORMS: LS-208
OMB NO: 1215-0027 EXPIRATION DATE: 04/30/2005 RESPS:195 HOURS:49 COSTS(000):$0 Certification of Funeral Expenses FORMS: LS-265
OMB NO: 1215-0028 EXPIRATION DATE: 08/31/2003 RESPS:50 HOURS:38 COSTS(000):$0 Economic Survey Schedule FORMS: WH-1
OMB NO: 1215-0031 EXPIRATION DATE: 10/31/2004 RESPS:26,660 HOURS:6,705 COSTS(000):$11 Employer's First Report of Injury or Occupational Disease LS-202; Physician's Report on Impairment of Vision LS-205; Employer's Supplementary Report of Accident or Occupational Illness LS-210 FORMS: LS-202 LS-205 LS-210
OMB NO: 1215-0032 EXPIRATION DATE: 07/31/2002 RESPS:2,000 HOURS:400 COSTS(000):$1 Application for Authority to Employ Full-Time Students at Subminimum Wages in Retail or Service Establishments or Agriculture FORMS: WH-200-MIS
OMB NO: 1215-0034 EXPIRATION DATE: 01/31/2003 RESPS:300 HOURS:75 COSTS(000):$0 Agreement and Undertaking FORMS: OWCP01
OMB NO: 1215-0036 EXPIRATION DATE: 07/31/2004 RESPS:3,600 HOURS:300 COSTS(000):$166 Vehicle Mechanical Inspection Report for Transportation Subject to DOT Requirements; Subject to DOL Safety Standards FORMS: WH-514 WH-514A
OMB NO: 1215-0037 EXPIRATION DATE: 06/30/2002 RESPS:9,200 HOURS:4,600 COSTS(000):$2 Application for Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration FORMS: WH-530
OMB NO: 1215-0046 EXPIRATION DATE: 02/28/2005 RESPS:75,000 HOURS:25,000 COSTS(000):$0 Report of Construction Contractor's Wage Rates FORMS: WD-10
OMB NO: 1215-0052 EXPIRATION DATE: 06/30/2002 RESPS:20,200 HOURS:9,116 COSTS(000):$4 1) Miner's Claim for Benefits under the Black Lung Benefits Act; 2) Employment History; 3) Miner Reimbursement Form FORMS: CM-911 CM-911A CM-915
OMB NO: 1215-0054 EXPIRATION DATE: 06/30/2004 RESPS:8,700 HOURS:1,450 COSTS(000):$2 Medical Travel Refund Requst FORMS: OWCP-957
OMB NO: 1215-0055 EXPIRATION DATE: 11/30/2003 RESPS:1,610,030 HOURS:187,663 COSTS(000):$0 Health Insurance Claim Form FORMS: OWCP-1500
OMB NO: 1215-0056 EXPIRATION DATE: 04/30/2005 RESPS:1,700 HOURS:800 COSTS(000):$1 (1) Comparability of Current Work to Coal Mine Employment; (2) Coal Mine Employment Afidavit; (3) Afidavit of Deceased Miner's Condition FORMS: CM-913 CM-918 CM-1093
OMB NO: 1215-0057 EXPIRATION DATE: 11/30/2003 RESPS:2,700 HOURS:225 COSTS(000):$0 Authorization for Release of Medical Information FORMS: CM-936
OMB NO: 1215-0058 EXPIRATION DATE: 10/31/2004 RESPS:10,800 HOURS:2,283 COSTS(000):$4 Operator Controversion, Operator Response, Operator Response to Response to Notice of Claim FORMS: CM-970 CM-970A CM-2970 CM-2970A
OMB NO: 1215-0059 EXPIRATION DATE: 03/31/2004 RESPS:4,000 HOURS:667 COSTS(000):$2 Notice of Issuance of Insurance Policy FORMS: CM-921
OMB NO: 1215-0060 EXPIRATION DATE: 10/31/2004 RESPS:3,522 HOURS:881 COSTS(000):$12 Request for State or Federal Workers' Compensation Information FORMS: CM-905
OMB NO: 1215-0061 EXPIRATION DATE: 04/30/2004 RESPS:1,000 HOURS:167 COSTS(000):$0 Certification by School Official FORMS: CM-981
OMB NO: 1215-0064 EXPIRATION DATE: 08/31/2003 RESPS:9,000 HOURS:1,800 COSTS(000):$3 Notice of Termination, Suspension, Reduction or Increase in Benefit Payments FORMS: CM-908
OMB NO: 1215-0066 EXPIRATION DATE: 11/30/2002 RESPS:115,500 HOURS:124,740 COSTS(000):$42 Request for Examination and/or Treatment FORMS: LS-1
OMB NO: 1215-0067 EXPIRATION DATE: 07/31/2002 RESPS:7,000 HOURS:3,500 COSTS(000):$0 Rehabilitation Plan and Award FORMS: OWCP-16
OMB NO: 1215-0069 EXPIRATION DATE: 08/31/2004 RESPS:2,500 HOURS:333 COSTS(000):$1 Survivor's Form for Benefits FORMS: CM-912
OMB NO: 1215-0072 EXPIRATION DATE: 06/30/2002 RESPS:107,414 HOURS:10,895,679 COSTS(000):$24 OFCCP Recordkeeping and Reporting Requirements - Supply and Service FORMS: NONE
OMB NO: 1215-0073 EXPIRATION DATE: 12/31/2004 RESPS:43 HOURS:22 COSTS(000):$0 Application for Continuation of Death Benefit for Student FORMS: LS-266
OMB NO: 1215-0078 EXPIRATION DATE: 12/31/2002 RESPS:13,720 HOURS:9,860 COSTS(000):$17 Representative Fee Request FORMS: CA-143 CA-1066
OMB NO: 1215-0080 EXPIRATION DATE: 01/31/2003 RESPS:15 HOURS:5 COSTS(000):$0 Application for Authority for an Institution of Higher Education to Employ Its Full-Time Students at Subminimum Wages under Regulations Part 519 FORMS: WH-201
OMB NO: 1215-0083 EXPIRATION DATE: 01/31/2003 RESPS:45 HOURS:8 COSTS(000):$0 Application for Federal Certificate of Age FORMS: WH-14
OMB NO: 1215-0084 EXPIRATION DATE: 07/31/2002 RESPS:30,000 HOURS:2,650 COSTS(000):$0 Report of Changes That May Affect Your Black Lung Benefits FORMS: CM-929
OMB NO: 1215-0085 EXPIRATION DATE: 05/31/2005 RESPS:6,800 HOURS:1,088 COSTS(000):$3 Pre-Hearing Statement FORMS: LS-18
OMB NO: 1215-0090 EXPIRATION DATE: 04/30/2005 RESPS:26,000 HOURS:6,334 COSTS(000):$0 Report of Ventilator Study (CM-907), Roentgenograhic Interpretation (CM-933) Roentgenographic Quality Rereading (CM-933b), Medical History and Examination for Coal Mine....... FORMS: CM-907 CM-933 CM-933B CM-988 CM-1159 CM-2907
OMB NO: 1215-0103 EXPIRATION DATE: 08/31/2002 RESPS:302,628 HOURS:30,766 COSTS(000):$109 FECA Medical Report Forms FORMS: CA-7 CA-16-17 CA-20 CA-1090 CA-1303 CA-1305-1306 CA-1314 CA-1316 CA-1331-1332 CA-1336
OMB NO: 1215-0105 EXPIRATION DATE: 03/31/2004 RESPS:500 HOURS:125 COSTS(000):$0 Request for Employment Information FORMS: CA-1027
OMB NO: 1215-0112 EXPIRATION DATE: 06/30/2003 RESPS:1,700 HOURS:425 COSTS(000):$0 Request for Earnings Information FORMS: LS-426
OMB NO: 1215-0113 EXPIRATION DATE: 11/30/2002 RESPS:9,000 HOURS:3,600 COSTS(000):$0 Certificate of Medical Necessity FORMS: CM-893
OMB NO: 1215-0116 EXPIRATION DATE: 08/31/2004 RESPS:23 HOURS:31 COSTS(000):$0 Notice of Law Enforcement Officer's Injury or Occupational Disease (CA-721); Notice of Law Enforcement Officer's Death (CA-722) FORMS: CA-721 CA-722
OMB NO: 1215-0119 EXPIRATION DATE: 02/28/2003 RESPS:1,924,000 HOURS:2 COSTS(000):$0 Requirements of a Bona Fide Thrift or Saving Plan -- 29 CFR Part 547 and Requirements of a Bona Fide Profit-Sharing Plan or Trust -- 29 CFR Part 549 FORMS: NONE
OMB NO: 1215-0120 EXPIRATION DATE: 08/31/2004 RESPS:1 HOURS:4 COSTS(000):$0 29 CFR Part 575 - Waiver of Child Labor Provisions for Agricultural Employment of 10 and 11 Year Old Minors in Hand Harvesting of Short Season Crops FORMS: NONE
OMB NO: 1215-0121 EXPIRATION DATE: 02/28/2003 RESPS:14,014 HOURS:7,145 COSTS(000):$0 Work Experience and Career Exploration Programs (29 CFR 570.35A) FORMS: NONE
OMB NO: 1215-0124 EXPIRATION DATE: 06/30/2004 RESPS:150 HOURS:1 COSTS(000):$0 Maintenance of Receipt for Benefits Paid by a Coal Mine Operator FORMS: CM-200
OMB NO: 1215-0131 EXPIRATION DATE: 11/30/2004 RESPS:1,046 HOURS:1,339 COSTS(000):$0 OFCCP Complaint Form FORMS: CC-4
OMB NO: 1215-0137 EXPIRATION DATE: 02/28/2005 RESPS:9,000 HOURS:1,017 COSTS(000):$3 Provider Enrollment Form FORMS: OWCP-1168
OMB NO: 1215-0140 EXPIRATION DATE: 04/30/2004 RESPS:3,506 HOURS:881 COSTS(000):$1 Davis-Bacon and Related Acts/Contract Work Hours and Safety Standards Act Reporting Requirements - Regulations, 29 CFR Part 5 FORMS: NONE
OMB NO: 1215-0144 EXPIRATION DATE: 10/31/2003 RESPS:4,500 HOURS:4,500 COSTS(000):$2 Overpayment Recovery Questionnaire FORMS: OWCP-20
OMB NO: 1215-0146 EXPIRATION DATE: 09/30/2002 RESPS:1,300 HOURS:650 COSTS(000):$0 Housing Terms and Conditions FORMS: WH-521
OMB NO: 1215-0148 EXPIRATION DATE: 08/31/2003 RESPS:34,000,000 HOURS:566,667 COSTS(000):$0 Wage Statement FORMS: WH-501 WH-501S
OMB NO: 1215-0149 EXPIRATION DATE: 03/31/2003 RESPS:9,840,320 HOURS:9,200,000 COSTS(000):$354 Optional Use Payroll form Under the Davis-Bacon Act FORMS: WH-347
OMB NO: 1215-0150 EXPIRATION DATE: 09/30/2004 RESPS:64,026 HOURS:62,554 COSTS(000):$0 Labor Standards for Federal Service Contracts - 29 CFR, Part 4 FORMS: NONE
OMB NO: 1215-0151 EXPIRATION DATE: 02/28/2005 RESPS:50,000 HOURS:16,667 COSTS(000):$18 Request for Information on Earnings, Dual Benefits, Dependents and Third Party Settlements FORMS: CA-1032
OMB NO: 1215-0154 EXPIRATION DATE: 05/31/2005 RESPS:5,900 HOURS:492 COSTS(000):$2 Claim for Continuance of Compensation FORMS: CA-12
OMB NO: 1215-0155 EXPIRATION DATE: 04/30/2004 RESPS:1,895 HOURS:1,210 COSTS(000):$0 Claim for Compensation by Dependents Information Reports FORMS: CA-5 CA-5B CA-1031 CA-1074 CA-1085 CA-1093 CA-1615 CA-1617 CA-1618
OMB NO: 1215-0158 EXPIRATION DATE: 06/30/2002 RESPS:60 HOURS:4 COSTS(000):$0 Housing Occupancy Certificate, Migrant and Seasonal Agricultural Worker Protection Act FORMS: WH-520
OMB NO: 1215-0160 EXPIRATION DATE: 11/30/2003 RESPS:189,144 HOURS:76,326 COSTS(000):$59 Regulations Governing the Administration of the Longshore and Harbor Workers' Compensation Act FORMS: LS-200 LS-271 LS-201 LS-513 LS-267 LS-203 LS-204 LS-262
OMB NO: 1215-0161 EXPIRATION DATE: 09/30/2003 RESPS:15,600 HOURS:2,605 COSTS(000):$0 Rehabilitation Maintenance Certificate FORMS: OWCP-17
OMB NO: 1215-0163 EXPIRATION DATE: 12/31/2003 RESPS:103,711 HOURS:4,841,475 COSTS(000):$0 Recordkeeping and Reporting Requirements, Construction FORMS: CC-41
OMB NO: 1215-0166 EXPIRATION DATE: 02/28/2003 RESPS:2,350 HOURS:783 COSTS(000):$1 Request To Be Selected as a Payee FORMS: CM-910
OMB NO: 1215-0167 EXPIRATION DATE: 08/31/2002 RESPS:550 HOURS:275 COSTS(000):$0 Notice of Recurrence of Disability and Claim for Continuation of Pay/Compensation FORMS: CA-2A
OMB NO: 1215-0170 EXPIRATION DATE: 10/31/2002 RESPS:328,000 HOURS:82,406 COSTS(000):$0 Application of the Employee Polygraph Protection Act FORMS: NONE
OMB NO: 1215-0171 EXPIRATION DATE: 11/30/2004 RESPS:500 HOURS:350 COSTS(000):$0 Application for Approval of a Representative's Fee in Black Laor FORMS: CM-972
OMB NO: 1215-0173 EXPIRATION DATE: 10/31/2002 RESPS:3,098 HOURS:3,569 COSTS(000):$0 Representative Payee Report -- CM-623 Representative Payee Report, Short Form -- CM-623S Physician's/Medical Officer's Report -- CM-787 FORMS: CM-623 CM-623S CM-787
OMB NO: 1215-0175 EXPIRATION DATE: 06/30/2003 RESPS:15,000 HOURS:5,000 COSTS(000):$0 The Remedial Education Provisions of the Fair Labor Standards Act FORMS: NONE
OMB NO: 1215-0176 EXPIRATION DATE: 12/31/2003 RESPS:170,755 HOURS:29,261 COSTS(000):$0 Uniform Health Insurance Claim Form FORMS: OWCP-92(UB-92)
OMB NO: 1215-0178 EXPIRATION DATE: 06/30/2004 RESPS:80 HOURS:40 COSTS(000):$0 Claim for Reimbursement-Assisted Reemployment FORMS: CA-2231
OMB NO: 1215-0181 EXPIRATION DATE: 06/30/2002 RESPS:9,142,500 HOURS:645,625 COSTS(000):$0 The Family and Medical Leave Act of 1993 -- 29 CFR Part 825 FORMS: WH-380 WH-381
OMB NO: 1215-0182 EXPIRATION DATE: 08/31/2002 RESPS:7,000 HOURS:3,500 COSTS(000):$0 Rehabilitation Action Report FORMS: OWCP-44
OMB NO: 1215-0187 EXPIRATION DATE: 02/28/2005 RESPS:3.24000000 HOURS:73,067 COSTS(000):$29 Worker Information - Terms and Conditions of Employment FORMS: WH-516-ENGLISH WH-516-ESPANOL
OMB NO: 1215-0188 EXPIRATION DATE: 11/30/2002 RESPS:33,652 HOURS:197,630 COSTS(000):$0 Labor Organization and Auxiliary Reports FORMS: LM-1-4 LM-10 LM-15 LM-15A LM-16 LM-20 LM-21 S-1
OMB NO: 1215-0192 EXPIRATION DATE: 07/31/2003 RESPS:651 HOURS:325 COSTS(000):$0 Employment Under Special Certificate of Apprentices, Messengers and Learners (including Student Learners) FORMS: WH-205 WH-209
OMB NO: 1215-0193 EXPIRATION DATE: 01/31/2004 RESPS:41,907 HOURS:6,957 COSTS(000):$15 Claimant Medical Reimbursement Form FORMS: CA-915
OMB NO: 1215-0194 EXPIRATION DATE: 01/31/2004 RESPS:607,762 HOURS:50,443 COSTS(000):$0 The NCPDP Universal Pharmacy Billing Form FORMS: 79-1A
OMB NO: 1215-0196 EXPIRATION DATE: 03/31/2003 RESPS:50,000 HOURS:1,050,000 COSTS(000):$150 Equal Opportunity Survey FORMS: NONE
OMB NO: 1215-0197 EXPIRATION DATE: 07/31/2004 RESPS:269,946 HOURS:125,943 COSTS(000):$62 Energy Employees' Occupational Illness Compensation Program Act forms (various) FORMS: EE-1 EE-2 EE-3 EE-4 EE-7 EE-15 EE-20 EE-915
Occupational Safety and Health AdministrationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
77 65,252,357 29,357,499 $1,129
OMB NO: 1218-0003 EXPIRATION DATE: 10/31/2004 RESPS:340 HOURS:81 COSTS(000):$1,433 GEAR Certification (29 CFR Part 1919) FORMS: OSHA-70 OSHA-71 OSHA-72
OMB NO: 1218-0010 EXPIRATION DATE: 02/28/2003 RESPS:5,512 HOURS:2,978 COSTS(000):$258 Vinyl Chloride FORMS: NONE
OMB NO: 1218-0011 EXPIRATION DATE: 03/31/2005 RESPS:885,304 HOURS:134,819 COSTS(000):$0 Subpart A (General Provisions) and Subpart B (Confined and Enclosed Spaces and Other Dangerous Atmpospheres) of 29 CFR part 1915 FORMS: NONE
OMB NO: 1218-0020 EXPIRATION DATE: 06/30/2004 RESPS:200 HOURS:11,050 COSTS(000):$0 Application for Training Grant FORMS: NONE
OMB NO: 1218-0048 EXPIRATION DATE: 02/29/2004 RESPS:17,982,447 HOURS:5,175,645 COSTS(000):$98,815 Noise (29 CFR 1910.95) FORMS: NONE
OMB NO: 1218-0054 EXPIRATION DATE: 11/30/2004 RESPS:2,900 HOURS:97 COSTS(000):$9 Cranes and Derricks Standards for Construction: Recording Tests for toxic Gases and Oxygen-Deficient Atmospheres in Enclosed Speces FORMS: NONE
OMB NO: 1218-0061 EXPIRATION DATE: 09/30/2003 RESPS:234,447 HOURS:74,267 COSTS(000):$6,526 Cotton Dust 29 CFR 1910.1043 FORMS: NONE
OMB NO: 1218-0064 EXPIRATION DATE: 12/31/2004 RESPS:55,132 HOURS:14,767 COSTS(000):$1 Notice of Alleged Safety and Health Hazards, OSHA-7 Form FORMS: OSHA-7
OMB NO: 1218-0065 EXPIRATION DATE: 02/29/2004 RESPS:5,030,002 HOURS:613,127 COSTS(000):$0 Access to Employee Exposure and Medical Records (29 CFR 1910.1020) FORMS: NONE
OMB NO: 1218-0067 EXPIRATION DATE: 02/28/2005 RESPS:88,578 HOURS:57,464 COSTS(000):$117 Underground Construction Standard FORMS: NONE
OMB NO: 1218-0069 EXPIRATION DATE: 01/31/2005 RESPS:4,005,966 HOURS:205,397 COSTS(000):$0 Commercial Diving Operations (29 CFR Part 1910, Subpart T) FORMS: NONE
OMB NO: 1218-0070 EXPIRATION DATE: 05/31/2003 RESPS:123 HOURS:41 COSTS(000):$0 Reports of Injuries to Employees Operating Mechanical Power Presses (29 CFR 1910.217(g)) FORMS: NONE
OMB NO: 1218-0072 EXPIRATION DATE: 06/30/2002 RESPS:474,129,468 HOURS:7,560,232 COSTS(000):$0 Hazard Communication -- 29 CFR 1200, 1915, 1917, 1918, 1926, 1928 FORMS: NONE
OMB NO: 1218-0075 EXPIRATION DATE: 01/31/2005 RESPS:8,391 HOURS:6,042 COSTS(000):$0 Fire Brigades (29 CFR 1910.156) FORMS: NONE
OMB NO: 1218-0085 EXPIRATION DATE: 03/31/2003 RESPS:1,121 HOURS:2,798 COSTS(000):$86 The 13 Carcinogens Standard (29 CFR 1910.1003, 1915.1003 and 1926.1103) FORMS: NONE
OMB NO: 1218-0092 EXPIRATION DATE: 04/30/2004 RESPS:4,990,031 HOURS:1,280,916 COSTS(000):$137,352 Lead in General Industry FORMS: NONE
OMB NO: 1218-0093 EXPIRATION DATE: 11/30/2004 RESPS:140,325 HOURS:5,726 COSTS(000):$0 Construction Standards on Posting Emergency Telephone Numbers and Floor Load Limits FORMS: NONE
OMB NO: 1218-0095 EXPIRATION DATE: 10/31/2004 RESPS:280,000 HOURS:22,400 COSTS(000):$0 Concrete and Masonry Construction FORMS: NONE
OMB NO: 1218-0096 EXPIRATION DATE: 12/31/2002 RESPS:838 HOURS:67 COSTS(000):$0 Temporary Labor Camps -- 29 CFR 1910.142 FORMS: NONE
OMB NO: 1218-0099 EXPIRATION DATE: 09/30/2004 RESPS:18,112,941 HOURS:6,685,348 COSTS(000):$72,901 Respiratory Protection FORMS: NONE
OMB NO: 1218-0100 EXPIRATION DATE: 06/30/2004 RESPS:244 HOURS:2,928 COSTS(000):$0 Grantee Quarterly Progress Report FORMS: OSHA-171
OMB NO: 1218-0101 EXPIRATION DATE: 06/30/2003 RESPS:1 HOURS:1 COSTS(000):$0 1,2-Dibromo-3-Chloropropane (DBCP) 29 CFR 1910.1044 FORMS: NONE
OMB NO: 1218-0103 EXPIRATION DATE: 09/30/2004 RESPS:159,043 HOURS:29,661 COSTS(000):$1,720 Ionizing Radiation 29 CFR 1910.1096 FORMS: NONE
OMB NO: 1218-0104 EXPIRATION DATE: 05/31/2003 RESPS:58,763 HOURS:7,376 COSTS(000):$1,132 Inorganic Arsenic (29 CFR 1910.1018) FORMS: NONE
OMB NO: 1218-0108 EXPIRATION DATE: 09/30/2003 RESPS:232,564 HOURS:49,200 COSTS(000):$7,056 Ethylene Oxide (29 CFR 1910.1047) FORMS: NONE
OMB NO: 1218-0110 EXPIRATION DATE: 06/30/2002 RESPS:27,048 HOURS:11,905 COSTS(000):$0 Consultation Agreements FORMS: NONE
OMB NO: 1218-0113 EXPIRATION DATE: 09/30/2004 RESPS:132,737 HOURS:218,090 COSTS(000):$0 Construction Crane or Derrick Annual Inspection Record FORMS: NONE
OMB NO: 1218-0115 EXPIRATION DATE: 11/30/2004 RESPS:67,773 HOURS:5,416 COSTS(000):$431 Cranes and Derricks Standards for Construction: Notification of Operational Specification and Hand Signals FORMS: NONE
OMB NO: 1218-0121 EXPIRATION DATE: 09/30/2004 RESPS:167,569 HOURS:124,357 COSTS(000):$0 Powered Platforms for Building Maintenace (29 CFR 1910.66) FORMS: NONE
OMB NO: 1218-0126 EXPIRATION DATE: 09/30/2003 RESPS:19,446 HOURS:4,433 COSTS(000):$223 Acrylonitrile (29 CFR 1910.1045) FORMS: NONE
OMB NO: 1218-0128 EXPIRATION DATE: 05/31/2003 RESPS:83,111 HOURS:60,664 COSTS(000):$1,365 Coke Oven Emissions (29 CFR 1910.1028) FORMS: NONE
OMB NO: 1218-0129 EXPIRATION DATE: 05/31/2003 RESPS:185,719 HOURS:125,195 COSTS(000):$8,180 Benzene 29 CFR 1910.1028 FORMS: NONE
OMB NO: 1218-0130 EXPIRATION DATE: 03/31/2005 RESPS:2,829,582 HOURS:84,803 COSTS(000):$933 Electrical Standards for Construction (29 CFR Part 1926, Subpart K) FORMS: NONE
OMB NO: 1218-0131 EXPIRATION DATE: 02/28/2005 RESPS:866,756 HOURS:269,273 COSTS(000):$18,235 Occupational Exposure to Hazardous Chemicals in Laboratories FORMS: NONE
OMB NO: 1218-0132 EXPIRATION DATE: 09/30/2004 RESPS:112,000 HOURS:30,225 COSTS(000):$0 Specifications for Accident Prevention Signs and Tags (29 CFR 1910.145) FORMS: NONE
OMB NO: 1218-0133 EXPIRATION DATE: 03/31/2004 RESPS:65,893 HOURS:23,849 COSTS(000):$1,625 Asbestos in General Industry 1910.1001 FORMS: NONE
OMB NO: 1218-0134 EXPIRATION DATE: 02/29/2004 RESPS:52,828,437 HOURS:5,569,659 COSTS(000):$30,730 Asbestos in Construction (29 CFR 1926.1101) FORMS: NONE
OMB NO: 1218-0137 EXPIRATION DATE: 10/31/2004 RESPS:10,000 HOURS:120,011 COSTS(000):$307 Design of Cave-in Protection Systems FORMS: NONE
OMB NO: 1218-0143 EXPIRATION DATE: 03/31/2003 RESPS:1 HOURS:1 COSTS(000):$0 Presence Sensing Device Initiation (PSDI) (29 CFR 1910.217(h)) FORMS: NONE
OMB NO: 1218-0145 EXPIRATION DATE: 02/29/2004 RESPS:1,569,329 HOURS:591,079 COSTS(000):$56,531 Formaldehyde (29 CFR 1910.1048) FORMS: NONE
OMB NO: 1218-0147 EXPIRATION DATE: 02/29/2004 RESPS:58 HOURS:1,345 COSTS(000):$0 Definition and Requirements for a Nationally Recognized Testing Laboratory (29 CFR 1910.7) FORMS: NONE
OMB NO: 1218-0150 EXPIRATION DATE: 06/30/2002 RESPS:93,801,974 HOURS:1,109,040 COSTS(000):$0 Standard on the Control of Hazardous Energy Sources (Lockout/Tagout) (29 CFR 1910.147) FORMS: NONE
OMB NO: 1218-0151 EXPIRATION DATE: 11/30/2004 RESPS:2,750 HOURS:229 COSTS(000):$0 Cranes and Derricks Standards for Construction: Posting Weight and Load Capacity of Personnel Platforms FORMS: NONE
OMB NO: 1218-0170 EXPIRATION DATE: 05/31/2003 RESPS:335,944 HOURS:2,909 COSTS(000):$82 1,3-Butadiene (29 CFR 1910.1051) FORMS: NONE
OMB NO: 1218-0172 EXPIRATION DATE: 07/31/2004 RESPS:5,000 HOURS:417 COSTS(000):$0 Student Data Form FORMS: OSHA-182
OMB NO: 1218-0173 EXPIRATION DATE: 08/31/2004 RESPS:16,300 HOURS:2,716 COSTS(000):$0 Course Evaluation FORMS: OSHA-49
OMB NO: 1218-0176 EXPIRATION DATE: 10/31/2004 RESPS:1,444,000 HOURS:4,425,351 COSTS(000):$0 29 CFR Part 1904 Recording and Reporting Occupational Injuries and Illnesses FORMS: OSHA-300 OSHA-300A OSHA-301
OMB NO: 1218-0179 EXPIRATION DATE: 10/31/2004 RESPS:418,496 HOURS:103,282 COSTS(000):$23,700 Methylene Chloride 1910.1052 FORMS: NONE
OMB NO: 1218-0180 EXPIRATION DATE: 03/31/2004 RESPS:1,569,329 HOURS:12,719,062 COSTS(000):$27,362 Bloodborne Pathogens Standard (29 CFR 1910.1030) FORMS: NONE
OMB NO: 1218-0183 EXPIRATION DATE: 09/30/2003 RESPS:3,962 HOURS:1,609 COSTS(000):$80 4,4'-Methylenedianline (MDA) Construction 29 CFR 1926.60 FORMS: NONE
OMB NO: 1218-0184 EXPIRATION DATE: 09/30/2003 RESPS:785 HOURS:394 COSTS(000):$26 4,4'-Methylenedianline (MDA) General Industry 1910.1050 FORMS: NONE
OMB NO: 1218-0185 EXPIRATION DATE: 02/28/2005 RESPS:379,051 HOURS:124,259 COSTS(000):$6,191 Cadmium in General Industry (29 CFR 1910.1027) FORMS: NONE
OMB NO: 1218-0186 EXPIRATION DATE: 08/31/2004 RESPS:349,889 HOURS:40,771 COSTS(000):$2,237 Cadmium in Construction FORMS: NONE
OMB NO: 1218-0189 EXPIRATION DATE: 02/29/2004 RESPS:6,155,640 HOURS:1,697,383 COSTS(000):$69,083 Lead in Construction 1926.62 FORMS: NONE
OMB NO: 1218-0190 EXPIRATION DATE: 09/30/2003 RESPS:515,094 HOURS:34,496 COSTS(000):$0 Electrical Protective Equipment (1910.137), and Electric Power Generation, Transmission, and Distribution (1910.269) Standard FORMS: NONE
OMB NO: 1218-0195 EXPIRATION DATE: 03/31/2004 RESPS:2,470 HOURS:1,483 COSTS(000):$34 Asbestos in Shipyards 1915.1001 FORMS: NONE
OMB NO: 1218-0196 EXPIRATION DATE: 08/31/2002 RESPS:170,749 HOURS:23,161 COSTS(000):$0 Longshoring and Marine Terminals -- 29 CFR Parts 1910, 1917, and 1918 FORMS: NONE
OMB NO: 1218-0197 EXPIRATION DATE: 02/29/2004 RESPS:100,000 HOURS:771,166 COSTS(000):$0 Construction Fall Protection Plans and Records FORMS: NONE
OMB NO: 1218-0198 EXPIRATION DATE: 09/30/2004 RESPS:166,040 HOURS:22,730 COSTS(000):$0 Logging Operations (29 CFR 1910.266) FORMS: NONE
OMB NO: 1218-0199 EXPIRATION DATE: 06/30/2003 RESPS:10,100 HOURS:33,837 COSTS(000):$0 Standard on Walking-Working Surfaces (29 CFR Part 1910, Subpart D) FORMS: NONE
OMB NO: 1218-0200 EXPIRATION DATE: 10/31/2002 RESPS:1,406,075 HOURS:79,045,232 COSTS(000):$0 Process Safety Management of Highly Hazardous Chemicals (PSM) -- 1910.119 FORMS: NONE
OMB NO: 1218-0202 EXPIRATION DATE: 10/31/2002 RESPS:31,643 HOURS:1,412,915 COSTS(000):$5,045 Hazardous Waste Operations and Emergency Response (HAZWOPER) -- 29 CFR 1910.120 FORMS: NONE
OMB NO: 1218-0203 EXPIRATION DATE: 08/31/2002 RESPS:9,571,943 HOURS:1,634,663 COSTS(000):$0 Permit-Required Confined Spaces -- 29 CFR 1910.146 FORMS: NONE
OMB NO: 1218-0205 EXPIRATION DATE: 05/31/2003 RESPS:5,965,572 HOURS:1,834,279 COSTS(000):$0 Personal Protection Equipment for General Industry (29 CFR 1910.132) FORMS: NONE
OMB NO: 1218-0206 EXPIRATION DATE: 10/31/2004 RESPS:1,774,166 HOURS:136,781 COSTS(000):$0 Grain Handling Facilities (29 CFR 1910.272) FORMS: NONE
OMB NO: 1218-0207 EXPIRATION DATE: 08/31/2004 RESPS:101,492 HOURS:8,119 COSTS(000):$0 Welding, Cutting and Brazing (29 CFR part 1910, Subpart Q) FORMS: NONE
OMB NO: 1218-0208 EXPIRATION DATE: 09/30/2004 RESPS:330 HOURS:2,500 COSTS(000):$0 Storage and Handling of Anhydrous Ammonia (29 CFR 1910.111(b)(3) and (b)(4)) FORMS: NONE
OMB NO: 1218-0209 EXPIRATION DATE: 02/28/2003 RESPS:100,175 HOURS:48,088 COSTS(000):$0 OSHA Data Initiative (ODI) FORMS: OSHA-196A OSHA-196B
OMB NO: 1218-0215 EXPIRATION DATE: 05/31/2003 RESPS:87,000 HOURS:2,255 COSTS(000):$0 Personal Protective Equipment (PPE) for Shipyard Employment (29 CFR Part 1915) FORMS: NONE
OMB NO: 1218-0216 EXPIRATION DATE: 12/31/2003 RESPS:60 HOURS:3 COSTS(000):$0 Manfacturer's Certification of Modifications Made to Construction Aerial Lifts FORMS: NONE
OMB NO: 1218-0217 EXPIRATION DATE: 06/30/2002 RESPS:160 HOURS:1,280 COSTS(000):$227 Blasting Operations (29 CFR 1926.900(k)(3)(i)) FORMS: NONE
OMB NO: 1218-0218 EXPIRATION DATE: 06/30/2002 RESPS:1,133,333 HOURS:127,500 COSTS(000):$11,560 Portable Fire Extinguishers, Hydrostatic Testing Certification Record (29 CFr 1910.157(f)(16)) FORMS: NONE
OMB NO: 1218-0219 EXPIRATION DATE: 06/30/2002 RESPS:80 HOURS:6 COSTS(000):$0 Servicing Multi-Piece and Single Piece Rim Wheels, Manufacturer's Certification Record (29 CFR 1910.177(d)(3)(iv)) FORMS: NONE
OMB NO: 1218-0220 EXPIRATION DATE: 06/30/2002 RESPS:19,200 HOURS:4,461 COSTS(000):$0 Shipyard Certification Records (29 CFR 1915.113(b)((1) and 1915.172(d)) FORMS: NONE
OMB NO: 1218-0221 EXPIRATION DATE: 06/30/2002 RESPS:462,000 HOURS:174,000 COSTS(000):$0 Crawler, Locomotive, and Truck Cranes, Inspection Certifications (29 CFR 1910.180(d)(2), (d)(6), (g)(1), and (g)(2)(ii)) FORMS: NONE
OMB NO: 1218-0222 EXPIRATION DATE: 06/30/2002 RESPS:114,000 HOURS:28,500 COSTS(000):$0 Derricks, Inspection Certifications -- 29 CFR 1910.181(g)(1) and (g)(3) FORMS: NONE
OMB NO: 1218-0223 EXPIRATION DATE: 06/30/2002 RESPS:155,675 HOURS:21,435 COSTS(000):$0 Inspection Certification Records for Slings (20 CFR 1910.184) FORMS: NONE
OMB NO: 1218-0224 EXPIRATION DATE: 06/30/2002 RESPS:1,110,000 HOURS:367,500 COSTS(000):$0 Overhead and Gantry Cranes, Inspection Certification Records (29 CFR 1910.179(j)(2)(iii), (j)(2)(iv), (m)(1), and (m)(2) FORMS: NONE
OMB NO: 1218-0225 EXPIRATION DATE: 06/30/2002 RESPS:107,138 HOURS:7,487 COSTS(000):$0 Telecommunications, Training Certification (29 CFR 1910.268(c)) FORMS: NONE
OMB NO: 1218-0226 EXPIRATION DATE: 06/30/2002 RESPS:156,000 HOURS:51,000 COSTS(000):$0 Manlifts, Inspection Certifications (29 CFR 1910.68(e)(3)) FORMS: NONE
OMB NO: 1218-0227 EXPIRATION DATE: 06/30/2002 RESPS:52 HOURS:9 COSTS(000):$0 Trucks Used Underground to Transport Explosives (29 CFR 1926.903(e) -- Inspection Certifications FORMS: NONE
OMB NO: 1218-0228 EXPIRATION DATE: 06/30/2002 RESPS:1,440,400 HOURS:244,868 COSTS(000):$0 Forging Machines, Inspection Certification Records (29 CFR 1910.218(a)(2)(i) and (a)(2)(ii)) FORMS: NONE
OMB NO: 1218-0229 EXPIRATION DATE: 06/30/2002 RESPS:9,971,000 HOURS:1,372,930 COSTS(000):$0 Mechanical Power Presses, Inspection Certification Records (29 CFR 1910.217(e)(1)(i) and (e)(1)(ii)) FORMS: NONE
OMB NO: 1218-0230 EXPIRATION DATE: 06/30/2002 RESPS:900 HOURS:45 COSTS(000):$0 Aerial Lifts, Manufacturer's Certification Record of Modification (29 CFR 1910.67(b)(2)) FORMS: NONE
OMB NO: 1218-0231 EXPIRATION DATE: 06/30/2002 RESPS:63,360 HOURS:15,840 COSTS(000):$0 Construction Records for Tests and Inspection for Personnel Hoists (29 CFR 1926.552(c)(15)) FORMS: NONE
OMB NO: 1218-0232 EXPIRATION DATE: 06/30/2002 RESPS:1,128,000 HOURS:169,200 COSTS(000):$0 Crawler, ruck and Locomotive Cranes (29 CFR 1926.550(b)(2)) FORMS: NONE
OMB NO: 1218-0233 EXPIRATION DATE: 06/30/2002 RESPS:18,940 HOURS:1,515 COSTS(000):$0 Rigging Equipment for Material Handling (29 CFR 1926.251)(c)(15)(ii) FORMS: NONE
OMB NO: 1218-0236 EXPIRATION DATE: 06/30/2004 RESPS:250 HOURS:250 COSTS(000):$0 Regulations, 29 CFR Part 24, Procedures for Handling of Discrimination Complaints Under Federal Employee Protection Statutes FORMS: NONE
OMB NO: 1218-0237 EXPIRATION DATE: 05/31/2004 RESPS:1 HOURS:1 COSTS(000):$0 Dipping and Coating Operations (Dip Tanks) FORMS: NONE
OMB NO: 1218-0238 EXPIRATION DATE: 05/31/2004 RESPS:132,000 HOURS:66,000 COSTS(000):$19,008 Portable Fire Extinguishers (Annual Maintenance Certification Record) (29 CFR 1910.157(e)(3)) FORMS: NONE
OMB NO: 1218-0239 EXPIRATION DATE: 10/31/2004 RESPS:1,107 HOURS:48,443 COSTS(000):$0 Voluntary Protection Program Application Information FORMS: NONE
OMB NO: 1218-0241 EXPIRATION DATE: 02/28/2005 RESPS:252,975 HOURS:30,786 COSTS(000):$0 Subpart R Steel Erection 29 CFR 1926.750 through 1926.761 FORMS: NONE
OMB NO: 1218-0242 EXPIRATION DATE: 01/31/2005 RESPS:1,423,368 HOURS:949,505 COSTS(000):$210 Powered Industrial Trucks (29 CFR 1910.178) FORMS: NONE
OMB NO: 1218-0244 EXPIRATION DATE: 10/31/2002 RESPS:1,000 HOURS:14,860 COSTS(000):$0 Strategic Partnerships for Worker Safety and Health (OSP) FORMS: NONE
OMB NO: 1218-0246 EXPIRATION DATE: 03/31/2004 RESPS:5,340,499 HOURS:1,236,764 COSTS(000):$0 Bloodborne Pathogens Standard (Needlestick Safety and Prevention Act) FORMS: NONE
OMB NO: 1218-0247 EXPIRATION DATE: 02/28/2005 RESPS:1,552 HOURS:9,874 COSTS(000):$0 Occupational Safety and Health State Plan Information FORMS: N/A
Mine Safety and Health AdministrationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
96 732,889,159 139,365,922 $610,811
OMB NO: 1219-0001 EXPIRATION DATE: 04/30/2004 RESPS:2,886 HOURS:13,297 COSTS(000):$410 Certificate of Electrical Training (30 CFR 75.153(a)(2) and 77.103(a)(2) FORMS: MSHA-5000-1
OMB NO: 1219-0003 EXPIRATION DATE: 10/31/2004 RESPS:100 HOURS:800 COSTS(000):$0 Radiation Sampling and Exposure Records (30 CFR 57.5037, and 57.5040) FORMS: 4000-9
OMB NO: 1219-0004 EXPIRATION DATE: 05/31/2003 RESPS:3,517 HOURS:5,967 COSTS(000):$6 Roof Control Plans (30 CFR 75.220, 75.221, and 75.223) FORMS: NONE
OMB NO: 1219-0006 EXPIRATION DATE: 09/30/2002 RESPS:89,205 HOURS:43,915 COSTS(000):$23 Quarterly Mine Employment and Coal Reduction Report -- 30 CFR FORMS: MSHA-7000-2
OMB NO: 1219-0007 EXPIRATION DATE: 09/30/2002 RESPS:70,344 HOURS:69,930 COSTS(000):$19 Mine Accident, Injury, and Illness Report -- 30 CFR 50.10; 50.11; and 50.20(a) FORMS: 7000-1
OMB NO: 1219-0008 EXPIRATION DATE: 02/28/2005 RESPS:6,625 HOURS:1,735 COSTS(000):$2 Notification of Legal Identity (30 CFR Section 41.10, 41.11, 41.12, and 41.20 FORMS: MSHA-2000-7
OMB NO: 1219-0009 EXPIRATION DATE: 11/30/2004 RESPS:1,294 HOURS:10,352 COSTS(000):$2 Training Plan Regulations (30 CFR 48.3 and 48.23) FORMS: NONE
OMB NO: 1219-0011 EXPIRATION DATE: 02/28/2003 RESPS:58,162 HOURS:42,454 COSTS(000):$3,128 Mine Operator Dust Data Cards -- 70/71/90.209; 70/71/90.201(c); 70/71/90.202(b); 70/7l/90.220(a); 7l/90.300; and 70/90.301(d) FORMS: NONE
OMB NO: 1219-0012 EXPIRATION DATE: 06/30/2003 RESPS:7 HOURS:11 COSTS(000):$0 Main Fan Maintenance Record FORMS: NONE
OMB NO: 1219-0014 EXPIRATION DATE: 09/30/2004 RESPS:651 HOURS:130 COSTS(000):$0 Hazardous Conditions Complaints (30 CFR 43.4 and 43.7) FORMS: NONE
OMB NO: 1219-0015 EXPIRATION DATE: 03/31/2005 RESPS:12,428 HOURS:95,753 COSTS(000):$0 Refuse Piles and Impounding Structures, Recordkeeping and Reporting Requirements (30 CFR 77.215(j); 77.215-2 thur 4; 77.216-2 through 5) FORMS: NONE
OMB NO: 1219-0016 EXPIRATION DATE: 09/30/2004 RESPS:284 HOURS:6,816 COSTS(000):$0 Mine Ventilation System Plan (57.8520) FORMS: NONE
OMB NO: 1219-0019 EXPIRATION DATE: 09/30/2004 RESPS:48 HOURS:960 COSTS(000):$1 Slope and Shaft Sinking Plans (30 CFR 77.1900) FORMS: NONE
OMB NO: 1219-0020 EXPIRATION DATE: 08/31/2004 RESPS:10 HOURS:50 COSTS(000):$0 Operations Under Water (30 CFR 75.1716, 75.1716-1, and 75.1716.3 FORMS: NONE
OMB NO: 1219-0024 EXPIRATION DATE: 10/31/2004 RESPS:546 HOURS:221 COSTS(000):$0 Application for Waiver of Surface Facilities Requirements (30 CFR 71.403, 71.404, 75.1712-4, and 75.1712-5) FORMS: NONE
OMB NO: 1219-0025 EXPIRATION DATE: 06/30/2004 RESPS:161 HOURS:90 COSTS(000):$1 Application for a Permit to Fire More than 20 Boreholes for the use of Nonpermissible Blasting Units, Explosive, and Shot-firing Units FORMS: NONE
OMB NO: 1219-0026 EXPIRATION DATE: 09/30/2003 RESPS:159 HOURS:1,404 COSTS(000):$0 Ground Control Plan (30 CFR 77.1000 and 77.1000-1) FORMS: NONE
OMB NO: 1219-0030 EXPIRATION DATE: 12/31/2003 RESPS:2,625 HOURS:1,313 COSTS(000):$2 Main Fan Operation and Inspection (30 CFR 57.22204) FORMS: NONE
OMB NO: 1219-0034 EXPIRATION DATE: 03/31/2005 RESPS:276,032 HOURS:136,038 COSTS(000):$209 Records of Tests and Examinations of Personnel Hoisting Equipment FORMS: NONE
OMB NO: 1219-0039 EXPIRATION DATE: 01/31/2004 RESPS:2 HOURS:2 COSTS(000):$0 Gamma Radiation Exposure Records FORMS: NONE
OMB NO: 1219-0040 EXPIRATION DATE: 12/31/2002 RESPS:92,528 HOURS:12,334 COSTS(000):$200 Independent Contractor Register -- 30 CFR 45.4(b) FORMS: NONE
OMB NO: 1219-0041 EXPIRATION DATE: 08/31/2004 RESPS:188 HOURS:94 COSTS(000):$0 Program to Prevent Smoking in Hazardous Areas (30 CFR 75.1702) FORMS: NONE
OMB NO: 1219-0042 EXPIRATION DATE: 10/31/2004 RESPS:108 HOURS:81 COSTS(000):$0 representative of Miners (30 CFR 40.3, 40.4, and 40.5) FORMS: NONE
OMB NO: 1219-0043 EXPIRATION DATE: 07/31/2003 RESPS:1,687 HOURS:191 COSTS(000):$1 Identification of Independent Contractors (30 CFR 45.3) FORMS: NONE
OMB NO: 1219-0044 EXPIRATION DATE: 11/30/2004 RESPS:236,632 HOURS:118,268 COSTS(000):$0 Record of Results of Examinations of Self-Rescuers, Underground Coal Mines -- 30 CFR 75.1714-3(e) FORMS: NONE
OMB NO: 1219-0046 EXPIRATION DATE: 11/30/2004 RESPS:568 HOURS:4,544 COSTS(000):$2 Escape and Evacuation Plans (30 CFR 57.11053) FORMS: NONE
OMB NO: 1219-0048 EXPIRATION DATE: 02/28/2005 RESPS:5,530 HOURS:2,235 COSTS(000):$156 Respirator Program Records (30 CFR 56.5005 and 57.5005) FORMS: NONE
OMB NO: 1219-0049 EXPIRATION DATE: 03/31/2005 RESPS:235 HOURS:8 COSTS(000):$72 Hoist Operators' Physical Fitness FORMS: NONE
OMB NO: 1219-0051 EXPIRATION DATE: 11/30/2003 RESPS:59 HOURS:263 COSTS(000):$0 Fire Protection, Escape and Evacuation Plan -- 30 CFR 77.1101 FORMS: NONE
OMB NO: 1219-0054 EXPIRATION DATE: 09/30/2003 RESPS:398,339 HOURS:89,263 COSTS(000):$2 Fire Protection for Underground Coal Mines (30 CFR Part 75, Subpart L) FORMS: NONE
OMB NO: 1219-0065 EXPIRATION DATE: 10/31/2003 RESPS:174 HOURS:5,400 COSTS(000):$79 Petitions for Modification - Pertains to All Mines (30 CFR 44,9, 44.10, and 44.11) FORMS: NONE
OMB NO: 1219-0066 EXPIRATION DATE: 06/30/2002 RESPS:876 HOURS:8,831 COSTS(000):$1,849 Permissible Equipment Testing FORMS: NONE
OMB NO: 1219-0067 EXPIRATION DATE: 05/31/2005 RESPS:1,591,866 HOURS:1,011,034 COSTS(000):$30,000 Examinations and Tests of Electrical Equipment (30 CFR 75.512, 75.703(d)(II), 77.502, 75.800, 77.900, 75.1001-1(c), and 75.351) FORMS: NONE
OMB NO: 1219-0069 EXPIRATION DATE: 05/31/2003 RESPS:611 HOURS:213 COSTS(000):$0 Qualification and Certification Program (30 CFR 75.100; 75.155; 77.100; and 77.105) FORMS: 5000-4 5000-7
OMB NO: 1219-0070 EXPIRATION DATE: 11/30/2004 RESPS:105,050 HOURS:8,393 COSTS(000):$210 Certificate of Training (30 CFR 48.9 and 48.29) FORMS: 5000-23
OMB NO: 1219-0073 EXPIRATION DATE: 10/31/2002 RESPS:2,108 HOURS:28,212 COSTS(000):$24,007 Records of Mine Closures, Opening and Reopening of Mines -- 30 CFR 75/77.1200 and -1; 1202 and -1; 75.1203, 1204, and 1204-1; 75.373; 75.1721 FORMS: NONE
OMB NO: 1219-0078 EXPIRATION DATE: 01/31/2004 RESPS:46,282 HOURS:24,975 COSTS(000):$468 Mine Rescue Teams; Arrangements for Emergency Medical Assistance; and Arrangements for Transportation of Injured Persons FORMS: 5000-3
OMB NO: 1219-0082 EXPIRATION DATE: 11/30/2003 RESPS:11,858 HOURS:14,823 COSTS(000):$0 Records of Preshift and Onshift Inspections of Slope and Shaft Areas (30 CFR 77.1901) FORMS: NONE
OMB NO: 1219-0083 EXPIRATION DATE: 12/31/2003 RESPS:411,885 HOURS:617,828 COSTS(000):$0 Record of Examinations for Hazardous Conditions (30 CFR 77.1713) FORMS: NONE
OMB NO: 1219-0088 EXPIRATION DATE: 03/31/2004 RESPS:2,262,566 HOURS:2,725,770 COSTS(000):$194 Ventilation Plans, Tests, and Examinations in Underground Coal Mines (30 CFR 7 70.205(a); 70.211(b); 212(b); .216(a); 75.310; 312; 342; 351; 360; 361; 362; 363; 364; 370; and 382 FORMS: NONE
OMB NO: 1219-0089 EXPIRATION DATE: 09/30/2004 RESPS:18,203,818 HOURS:1,224,406 COSTS(000):$0 Safety Defects; Examination, Correction and Records (30 CFR 56/57.13015; 13030; 14100; and 56/57.18002) FORMS: NONE
OMB NO: 1219-0092 EXPIRATION DATE: 04/30/2003 RESPS:2,070 HOURS:259 COSTS(000):$1 Notification of Commencement of Operations and Closing of Mines (30 CFR 56.1000 and 57.1000) FORMS: NONE
OMB NO: 1219-0095 EXPIRATION DATE: 12/31/2003 RESPS:7 HOURS:7 COSTS(000):$0 Explosive Materials and Blasting Units (30 CFR 57.22606) FORMS: NONE
OMB NO: 1219-0096 EXPIRATION DATE: 08/31/2003 RESPS:1 HOURS:160 COSTS(000):$0 Underground Retorts (30 CFR 57.22401) FORMS: NONE
OMB NO: 1219-0097 EXPIRATION DATE: 02/28/2005 RESPS:2 HOURS:24 COSTS(000):$0 Rock Burst Control Plan (Pertains to Underground Metal/Nonmetal Mines (30 CFR 57.3461) FORMS: NONE
OMB NO: 1219-0100 EXPIRATION DATE: 08/31/2003 RESPS:307 HOURS:565 COSTS(000):$42 Product Testing by Applicant or Third Part (30 CFR Part 7, Subparts A through F, and J through K) FORMS: NONE
OMB NO: 1219-0101 EXPIRATION DATE: 11/30/2003 RESPS:2 HOURS:16 COSTS(000):$0 Applications for Approval of Sanitary Toilet Facilities (30 CFR 71.500 and 75.1712-6) FORMS: NONE
OMB NO: 1219-0103 EXPIRATION DATE: 08/31/2003 RESPS:372 HOURS:31 COSTS(000):$0 Notification of Methane Detected in Mine Atmosphere (30 CFR 57.220004(c); 57.22229; 57.22230; 57.22231, and 57.22239) FORMS: NONE
OMB NO: 1219-0116 EXPIRATION DATE: 04/30/2005 RESPS:24,762 HOURS:5,736 COSTS(000):$0 High-Voltage Longwall Equipment Standards for Underground Coal Mines (75.820(b), 75.820(e), and 75.821(d)) FORMS: NONE
OMB NO: 1219-0119 EXPIRATION DATE: 02/28/2003 RESPS:234,308 HOURS:56,332 COSTS(000):$662 Approval, Exhaust Gas Monitoring, and Safety Requirements for the Use of Diesel-Powered Equipment in Underground Coal Mines FORMS: NONE
OMB NO: 1219-0120 EXPIRATION DATE: 11/30/2002 RESPS:1,461,150 HOURS:123,099 COSTS(000):$18,835 Noise Exposure Assessment; Audiometric Testing Evaluation and Records and Training in All Mines FORMS: NONE
OMB NO: 1219-0121 EXPIRATION DATE: 08/31/2003 RESPS:8,616 HOURS:431 COSTS(000):$0 Safety Standard for Roof Bolts in Metal and Nonmetal Mines and Underground Coal Mines (30 CFR 56/57.3203(a), and 75.204(a)) FORMS: NONE
OMB NO: 1219-0124 EXPIRATION DATE: 05/31/2004 RESPS:5,758 HOURS:1,697 COSTS(000):$171 Diesel Particulate Matter Exposure of Underground Coal Miners. (30 CFR 75.1915, 72.503, 72.510, 72.520, 72.500, Part 7 of Part 36) FORMS: NONE
OMB NO: 1219-0125 EXPIRATION DATE: 02/28/2005 RESPS:102,000 HOURS:78,001 COSTS(000):$0 Safety Standards for Underground Coal Mine Ventilation (30 CFR 75.360(a)(1) and 75.360(f)) FORMS: NONE
OMB NO: 1219-0127 EXPIRATION DATE: 04/30/2005 RESPS:11,825 HOURS:20,888 COSTS(000):$0 Records of All Certified and Qualified Persons; and Man Hoist Operators Physicial Fitness (30 CFR 75.155, 75.159 - 161, 77.105, 77.107, 77.107-1, 77.106) FORMS: NONE
OMB NO: 1219-0131 EXPIRATION DATE: 12/31/2002 RESPS:239,871 HOURS:253,393 COSTS(000):$604 Training Plus, New Miner Training, Newly-Hired Experienced Miner Training -- 30 CFR 46.3, .5, .6, .7, .9, and .11 FORMS: NONE
OMB NO: 1219-0133 EXPIRATION DATE: 08/31/2002 RESPS:21,166 HOURS:511,721 COSTS(000):$1,235 Hazard Communication - 30 CFR part 47 - (Interim Final Rule) FORMS: NONE
OMB NO: 1219-0135 EXPIRATION DATE: 09/30/2004 RESPS:152,565 HOURS:6,047 COSTS(000):$781 Health Standards for Diesel Particulates (Underground Metal and Nonmetal Mines) 57.5060; 5062; 5066; 5071; and 5075 FORMS: NONE
Bureau of Labor StatisticsSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
58 26,162,836 7,386,811 $83,374
OMB NO: 1220-0008 EXPIRATION DATE: 05/31/2005 RESPS:1,266,340 HOURS:390,680 COSTS(000):$0 Producer Price Index Survey FORMS: BLS-473P BLS-1810A A1 B C C1 E
OMB NO: 1220-0011 EXPIRATION DATE: 02/28/2005 RESPS:4,482,000 HOURS:508,180 COSTS(000):$0 Report on Employment, Payroll, and Hours FORMS: BLS-790
OMB NO: 1220-0012 EXPIRATION DATE: 09/30/2004 RESPS:212 HOURS:954,720 COSTS(000):$0 Employment, Wages, and Contributions Program - ES-202 FORMS: NONE
OMB NO: 1220-0017 EXPIRATION DATE: 11/30/2002 RESPS:82,718 HOURS:131,600 COSTS(000):$0 Local Area Unemployment Statistics Program FORMS: LAUS-8 LAUS-15 LAUS-16 LAUS-17 LAUS-3040
OMB NO: 1220-0025 EXPIRATION DATE: 09/30/2003 RESPS:40,240 HOURS:23,379 COSTS(000):$0 International Price Program (IPP) U.S. Export Price Indexes FORMS: BLS-3007D BLS-3008
OMB NO: 1220-0026 EXPIRATION DATE: 09/30/2003 RESPS:40,240 HOURS:24,246 COSTS(000):$0 International Price Program/U.S. Import Product Information FORMS: BLS-3007D BLS-3008
OMB NO: 1220-0032 EXPIRATION DATE: 10/31/2004 RESPS:2,272,998 HOURS:206,903 COSTS(000):$0 Annual Refiling Survey (ARS) [formerly called the Standard Industrial Classification (SIC) forms] FORMS: BLS-3023-NVS BLS-3023-NVM BLS-3023-NCA
OMB NO: 1220-0039 EXPIRATION DATE: 06/30/2002 RESPS:337,361 HOURS:89,749 COSTS(000):$0 Consumer Price Index Commodities and Service Survey FORMS: BLS-3400 BLS-3400-A.2 BLS-3400-B BLS-3400-C BLS-3401
OMB NO: 1220-0042 EXPIRATION DATE: 08/31/2004 RESPS:317,492 HOURS:238,119 COSTS(000):$0 Report on Occupational Employment FORMS: BLS-2877
OMB NO: 1220-0044 EXPIRATION DATE: 12/31/2002 RESPS:67,200 HOURS:12,409 COSTS(000):$0 Point of Purchase Survey FORMS: NONE
OMB NO: 1220-0045 EXPIRATION DATE: 10/31/2004 RESPS:230,000 HOURS:327,666 COSTS(000):$0 Survey of Occupational Injuries and Illnesses FORMS: BLS-9300
OMB NO: 1220-0050 EXPIRATION DATE: 05/31/2003 RESPS:74,743 HOURS:109,134 COSTS(000):$0 The Consumer Expenditure Surveys: The Quarterly Interview FORMS: CE-300-302 CE-303(L)1 CE-303(L)2 CE-303(L)5 CE-303(L)6 CE-303A CE-803A CE-380 CE-386 CE-880
OMB NO: 1220-0076 EXPIRATION DATE: 08/31/2002 RESPS:7,000 HOURS:6,250 COSTS(000):$0 Hours at Work Survey (HWS) FORMS: BLS-2000P BLS-2000N
OMB NO: 1220-0079 EXPIRATION DATE: 07/31/2002 RESPS:832 HOURS:781 COSTS(000):$0 Labor Market Information (LMI) Cooperative Agreement FORMS: BLS-LMI-1A BLS-LMI-1B BLS-LMI-2A BLS-LMI-2B
OMB NO: 1220-0090 EXPIRATION DATE: 11/30/2002 RESPS:16,432 HOURS:73,320 COSTS(000):$0 Mass Layoff Statistics Program FORMS: NONE
OMB NO: 1220-0100 EXPIRATION DATE: 08/31/2002 RESPS:576,000 HOURS:67,200 COSTS(000):$0 Current Population Survey (CPS) Basic Labor Force FORMS: NONE
OMB NO: 1220-0104 EXPIRATION DATE: 08/31/2002 RESPS:58,000 HOURS:7,733 COSTS(000):$0 CPS Displaced Worker, Job Tenure, and Occupational Mobility Supplement FORMS: NONE
OMB NO: 1220-0109 EXPIRATION DATE: 12/31/2002 RESPS:19,350 HOURS:13,297 COSTS(000):$0 National Longitudinal Survey of Youth 1979 FORMS: NONE
OMB NO: 1220-0133 EXPIRATION DATE: 02/28/2005 RESPS:27,500 HOURS:5,000 COSTS(000):$0 Census of Fatal Occupational Injuries FORMS: BLS-CFOI-1
OMB NO: 1220-0134 EXPIRATION DATE: 02/29/2004 RESPS:459,068 HOURS:169,855 COSTS(000):$0 Multiple Workshie Report and the Report of Federal Employment and Wages FORMS: BLS-3020 BLS-3021
OMB NO: 1220-0141 EXPIRATION DATE: 12/31/2002 RESPS:4,150 HOURS:9,000 COSTS(000):$0 Cognitive and Psychological Research FORMS: NONE
OMB NO: 1220-0149 EXPIRATION DATE: 10/31/2003 RESPS:285 HOURS:342 COSTS(000):$0 BLS/OSHS Federal/State Cooperative Agreement (Application Package) FORMS: BLS-OSHS1 BLS-OSHS2
OMB NO: 1220-0157 EXPIRATION DATE: 09/30/2004 RESPS:17,151 HOURS:10,972 COSTS(000):$0 National Longitudinal Survey of Youth 1997 FORMS: NONE
OMB NO: 1220-0163 EXPIRATION DATE: 08/31/2003 RESPS:163,394 HOURS:19,299 COSTS(000):$0 Consumer Price Index (CPI) Housing Survey (CADC) FORMS: NONE
OMB NO: 1220-0164 EXPIRATION DATE: 10/31/2004 RESPS:70,886 HOURS:66,593 COSTS(000):$0 National Compensation Survey FORMS: NONE
OMB NO: 1220-0168 EXPIRATION DATE: 09/30/2003 RESPS:23,890 HOURS:15,762 COSTS(000):$0 General Inquiries to State Agency Contacts FORMS: NONE
OMB NO: 1220-0170 EXPIRATION DATE: 03/31/2003 RESPS:111,440 HOURS:24,765 COSTS(000):$0 Job Openings and Labor Turnover Survey (JOLTS) FORMS: BLS-1411-C1 BLS-1411-C2 BLS-1411-C3 BLS-1411-TD1 BLS-1411-TD2 BLS-1411-TD3 BLS-1411-FM2 BLS-1411-FM3
OMB NO: 1220-0171 EXPIRATION DATE: 07/31/2002 RESPS:40,000 HOURS:20,000 COSTS(000):$0 Survey of Respirator Use and Practices FORMS: BLS-2000-RUS
Departmental ManagementSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
28 10,806,922 3,526,954 $0
OMB NO: 1225-0013 EXPIRATION DATE: 02/28/2005 RESPS:10 HOURS:50 COSTS(000):$0 Equal Access to Justice Act FORMS: NONE
OMB NO: 1225-0030 EXPIRATION DATE: 09/30/2003 RESPS:7,000 HOURS:12,250 COSTS(000):$0 Disclosure of Information to Credit Reporting Agencies; Administrative Offset, Interest, Penalties and Administrative Costs FORMS: NONE
OMB NO: 1225-0038 EXPIRATION DATE: 11/30/2003 RESPS:300 HOURS:375 COSTS(000):$0 Salary Offset FORMS: NONE
OMB NO: 1225-0044 EXPIRATION DATE: 11/30/2003 RESPS:5,500 HOURS:5,840 COSTS(000):$0 National Agricultural Workers Survey FORMS: NONE
OMB NO: 1225-0059 EXPIRATION DATE: 06/30/2003 RESPS:63,750 HOURS:13,500 COSTS(000):$0 Customer Satisfaction Surveys and Conference Evaluations Generic Clearance FORMS: NONE
OMB NO: 1225-0072 EXPIRATION DATE: 06/30/2002 RESPS:3,000 HOURS:250 COSTS(000):$0 Applicant Background Survey FORMS: NONE
OMB NO: 1225-0077 EXPIRATION DATE: 01/31/2003 RESPS:5,105,979 HOURS:149,166 COSTS(000):$122 Compliance Information Report -- 29 CFR Part 37 Nondiscrimination-Workforce Investment Act of 1998 -- 29 CFR 37 FORMS: DL-1-2014A
Office of the SecretarySUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
7 5,185,539 181,431 $122
OMB NO: 1290-0002 EXPIRATION DATE: 08/31/2004 RESPS:6,000 HOURS:540 COSTS(000):$0 Small Business Program Information Management System FORMS: NONE
OMB NO: 1290-0003 EXPIRATION DATE: 10/31/2002 RESPS:500,000 HOURS:20,000 COSTS(000):$0 Information Collection Plan for GovBenefits Online FORMS: NONE
Office of the Assistant Secretary for Veterans' Employment and TrainingSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
2 506,000 20,540 $0
OMB NO: 1293-0002 EXPIRATION DATE: 02/28/2003 RESPS:1,500 HOURS:375 COSTS(000):$0 Eligibility Data Form: Uniformed Services Employment and Reemployment Rights Act and Veteran's Preference FORMS: USERRA/VP-1010
OMB NO: 1293-0005 EXPIRATION DATE: 12/31/2002 RESPS:194,580 HOURS:145,935 COSTS(000):$0 Federal Contractor Veterans' Employment Report - VETS-100 FORMS: VETS-100
OMB NO: 1293-0009 EXPIRATION DATE: 09/30/2004 RESPS:5,065 HOURS:19,465 COSTS(000):$0 VETS 300 Cost Accounting Report and Manager's Report FORMS: VETS-300
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
3 201,145 165,775 $0
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
402 1,314,679,119 188,595,475 $1,807,844
OMB NO: 1405-0004 EXPIRATION DATE: 03/31/2005 RESPS:8,411,550 HOURS:2,803,850 COSTS(000):$720,500 Application for Passport/Registration FORMS: DS-11
OMB NO: 1405-0007 EXPIRATION DATE: 11/30/2002 RESPS:279,400 HOURS:69,850 COSTS(000):$0 Passport Amendment/Validation Application FORMS: DS-19
OMB NO: 1405-0008 EXPIRATION DATE: 04/30/2003 RESPS:13,660 HOURS:3,415 COSTS(000):$0 Department of State-Foreign Service Officer Written Examination Registration FORMS: DS-1998
OMB NO: 1405-0014 EXPIRATION DATE: 11/30/2002 RESPS:70,000 HOURS:17,500 COSTS(000):$0 Statement Regarding Lost or Stolen Passport FORMS: DS-64
OMB NO: 1405-0015 EXPIRATION DATE: 05/31/2004 RESPS:750,000 HOURS:1,500,000 COSTS(000):$0 Application for Immigrant Visa and Alien Registration FORMS: DS-230
OMB NO: 1405-0018 EXPIRATION DATE: 08/31/2004 RESPS:9,600,000 HOURS:9,600,000 COSTS(000):$432,000 Nonimmigrant Visa Application FORMS: DS-156 FORMERLY/OF-156
OMB NO: 1405-0020 EXPIRATION DATE: 03/31/2005 RESPS:1,462,200 HOURS:365,300 COSTS(000):$125,916 Application for Passport by mail FORMS: DS-82
OMB NO: 1405-0033 EXPIRATION DATE: 01/31/2004 RESPS:190 HOURS:217 COSTS(000):$7 Overseas Schools - Grant Status Report FORMS: DS-2028
OMB NO: 1405-0050 EXPIRATION DATE: 11/30/2002 RESPS:2,790 HOURS:225,503 COSTS(000):$0 Department of State Acquisition Regulation (DOSAR) FORMS: NONE
OMB NO: 1405-0060 EXPIRATION DATE: 08/31/2002 RESPS:5,000 HOURS:2,125 COSTS(000):$100 Notification of Appointment of Foreign Government Employee FORMS: DSP-111
OMB NO: 1405-0061 EXPIRATION DATE: 08/31/2002 RESPS:6,000 HOURS:720 COSTS(000):$0 Notice of Termination of Diplomatic, Consular, or Foreign Government Employees FORMS: DSP-115
OMB NO: 1405-0062 EXPIRATION DATE: 08/31/2002 RESPS:2,000 HOURS:850 COSTS(000):$40 Notification of Appointment of Foreign Diplomatic Officer FORMS: DSP-110
OMB NO: 1405-0064 EXPIRATION DATE: 08/31/2002 RESPS:200 HOURS:80 COSTS(000):$4 Notification of Appointment of Honorary Consular Officer FORMS: DSP-112
OMB NO: 1405-0068 EXPIRATION DATE: 08/31/2002 RESPS:12,000 HOURS:12,000 COSTS(000):$0 Medical History and Examination for Foreign Service FORMS: DS-1843 DS-1622
OMB NO: 1405-0072 EXPIRATION DATE: 11/30/2002 RESPS:18,488 HOURS:9,244 COSTS(000):$0 Diplomatic Motor Vehicles Application for: Vehicle Registration, Title & Replacement Plates FORMS: 100 101 102 104
OMB NO: 1405-0076 EXPIRATION DATE: 10/31/2003 RESPS:500 HOURS:500 COSTS(000):$0 Application for Assistance Under the Hague Convention on Child Abduction FORMS: DS-3013
OMB NO: 1405-0082 EXPIRATION DATE: 05/31/2003 RESPS:500 HOURS:250 COSTS(000):$0 Petition to Classify Special Immigrant Under INA 203(b)(4) as an employee or former employee of the U.S. Government FORMS: DS-1884
OMB NO: 1405-0088 EXPIRATION DATE: 11/30/2002 RESPS:118,000 HOURS:9,833 COSTS(000):$0 Affidavit of identifying witness FORMS: DS-71
OMB NO: 1405-0089 EXPIRATION DATE: 08/31/2002 RESPS:5,000 HOURS:600 COSTS(000):$0 Notification of Change Identification Card Request FORMS: DSP-113
OMB NO: 1405-0090 EXPIRATION DATE: 08/31/2002 RESPS:7,000 HOURS:840 COSTS(000):$140 Notification of Dependents of Diplomatic, Consular, and Foreign Government Employees FORMS: DSP-114
OMB NO: 1405-0091 EXPIRATION DATE: 05/31/2004 RESPS:1,000 HOURS:500 COSTS(000):$0 Application to Determine Returning Resident Status FORMS: DS-117
OMB NO: 1405-0095 EXPIRATION DATE: 07/31/2004 RESPS:10,000 HOURS:1,666 COSTS(000):$0 Shrimp Exporter's/Importer's Declaration FORMS: DS-2031
OMB NO: 1405-0096 EXPIRATION DATE: 05/31/2004 RESPS:18,500 HOURS:18,500 COSTS(000):$0 Nonimmigrant Fiance(e) Visa Application FORMS: DS-156K
OMB NO: 1405-0098 EXPIRATION DATE: 06/30/2003 RESPS:90,000 HOURS:45,000 COSTS(000):$0 Supplemental Registration for the Diversity Immigrant Visa Program FORMS: DSP-122
OMB NO: 1405-0100 EXPIRATION DATE: 06/30/2003 RESPS:20,000 HOURS:10,000 COSTS(000):$0 Application for A, G, or NATO Visa FORMS: DS-1648
OMB NO: 1405-0101 EXPIRATION DATE: 05/31/2004 RESPS:17,000 HOURS:34,000 COSTS(000):$0 Nonimmigrant Treaty Trader/Investor Application FORMS: DS-156E
OMB NO: 1405-0102 EXPIRATION DATE: 12/31/2004 RESPS:80,000 HOURS:40,000 COSTS(000):$0 Refugee BiographicDData FORMS: NONE
OMB NO: 1405-0104 EXPIRATION DATE: 02/28/2005 RESPS:13,200 HOURS:3,072 COSTS(000):$0 Request for Customs Clearance of Merchandise FORMS: DS-1504
OMB NO: 1405-0105 EXPIRATION DATE: 04/30/2005 RESPS:12,500 HOURS:6,250 COSTS(000):$0 United States Department of State Driver License and Tax Exemption Card Application FORMS: DS-1972
OMB NO: 1405-0113 EXPIRATION DATE: 01/31/2004 RESPS:700,000 HOURS:1,400,000 COSTS(000):$70,000 Medical Examination of Applicants for United States Visas FORMS: DS-2053 DS-3024 DS-3025 DS-3026
OMB NO: 1405-0115 EXPIRATION DATE: 03/31/2005 RESPS:800 HOURS:16,000 COSTS(000):$418 Proposal Submission Instructions FORMS: DS-2011 DS-2012 DS-2013 DS-2014 DS-2015 DS-2016 DS-2017 DS-2018
OMB NO: 1405-0118 EXPIRATION DATE: 02/28/2005 RESPS:3,877 HOURS:1,938 COSTS(000):$0 Evaluation of DOS-sponsored Educational and Cultural Exchange Programs (formerly, USIA-sponsored Educational and Cultural Exchange Activities; USIA Program Participant Survey FORMS: NONE
OMB NO: 1405-0119 EXPIRATION DATE: 02/28/2005 RESPS:300,000 HOURS:225,000 COSTS(000):$5,625 Certificate of Eligibility for Exchange Visitor (J-1) Status FORMS: DS-2019
OMB NO: 1405-0120 EXPIRATION DATE: 08/31/2002 RESPS:202 HOURS:2,061 COSTS(000):$0 Exchange Visitor Program Application and Update of Information on Exchange Visitor Program Sponsor FORMS: DS-3036 DS-3037
OMB NO: 1405-0122 EXPIRATION DATE: 08/31/2002 RESPS:444 HOURS:182 COSTS(000):$0 Application for Certificate of International Educational FORMS: DS-2038
OMB NO: 1405-0124 EXPIRATION DATE: 08/31/2003 RESPS:20,200 HOURS:12,400 COSTS(000):$0 Irish Peace Process Cultural and Training Program (IPPCTP) Employer Information Collection FORMS: NONE
OMB NO: 1405-0126 EXPIRATION DATE: 10/31/2003 RESPS:350,000 HOURS:175,000 COSTS(000):$0 Choice of Address and Agent for US Department of State Immigrant Visa Applicants FORMS: NONE
OMB NO: 1405-0128 EXPIRATION DATE: 03/31/2003 RESPS:100,000 HOURS:100,000 COSTS(000):$0 Nonimmigrant V Visa Application FORMS: DS-3052
OMB NO: 1405-0129 EXPIRATION DATE: 03/31/2005 RESPS:1,300,000 HOURS:108,300 COSTS(000):$0 Statement of Consent: Issuance of a passport to a minor under the age of 14 FORMS: DS-3053
OMB NO: 1405-0131 EXPIRATION DATE: 05/31/2005 RESPS:12,000 HOURS:3,000 COSTS(000):$0 Medical Clearance Update FORMS: DS-3057
OMB NO: 1405-0132 EXPIRATION DATE: 11/30/2004 RESPS:81,500 HOURS:20,375 COSTS(000):$0 Birth Affidavit FORMS: DS-10
OMB NO: 1405-0133 EXPIRATION DATE: 11/30/2004 RESPS:106,800 HOURS:26,700 COSTS(000):$0 Affidavit regarding change of name FORMS: DS-60
OMB NO: 1405-0134 EXPIRATION DATE: 06/30/2002 RESPS:9,600,000 HOURS:9,600,000 COSTS(000):$0 Supplemental Nonimmigrant Visa Application FORMS: DS-157
OMB NO: 1405-0135 EXPIRATION DATE: 03/31/2005 RESPS:10,000 HOURS:20,000 COSTS(000):$1,360 J-1 Visa Waiver Review Application FORMS: DS-3035
OMB NO: 1405-0137 EXPIRATION DATE: 04/30/2005 RESPS:1,485 HOURS:743 COSTS(000):$0 Evaluation of DOS-Sponsored Citizen Exchange Programs FORMS: NONE
OMB NO: 1405-0138 EXPIRATION DATE: 04/30/2005 RESPS:2,386 HOURS:1,193 COSTS(000):$0 Evaluation of DOS-Sponsored Academic Exchange Programs FORMS: NONE
OMB NO: 1405-0139 EXPIRATION DATE: 05/31/2005 RESPS:25,000 HOURS:12,500 COSTS(000):$0 U.S. Department of State, Application for Employment, DS-1950 FORMS: DS-1950
OMB NO: 1405-0143 EXPIRATION DATE: 05/31/2005 RESPS:250 HOURS:3,750 COSTS(000):$0 Thomas R. Pickering Foreign Affairs Fellowship Program FORMS: DS-3091
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
48 33,641,622 26,510,807 $1,356,110
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
48 33,641,622 26,510,807 $1,356,110
OMB NO: 2105-0009 EXPIRATION DATE: 12/31/2002 RESPS:1 HOURS:25 COSTS(000):$0 Advisory Committee Candidate Biographical Information Request FORMS: DOT-F-1120.1
OMB NO: 2105-0508 EXPIRATION DATE: 09/30/2004 RESPS:1,460 HOURS:29,043 COSTS(000):$0 Uniform Relocation Assistance and Real Property Acquisition Regulations for Federal and Federally Assisted Programs FORMS: NONE
OMB NO: 2105-0510 EXPIRATION DATE: 10/31/2002 RESPS:1,798 HOURS:1,456,683 COSTS(000):$0 Report of DBE Awards and Commitments FORMS: DOT-F4630
OMB NO: 2105-0517 EXPIRATION DATE: 05/31/2003 RESPS:25,094 HOURS:33,115 COSTS(000):$0 Transportation Acquisition Regulation (TAR) FORMS: DOT-F-4220.4 4220.7 4220.43 4220.45 4220.46 FORM-DD882
OMB NO: 2105-0520 EXPIRATION DATE: 10/31/2004 RESPS:7,180 HOURS:125,650 COSTS(000):$0 Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governments FORMS: 269 270 271 272 424
OMB NO: 2105-0529 EXPIRATION DATE: 01/31/2004 RESPS:8,475,340 HOURS:842,478 COSTS(000):$0 Procedures for Transportation Drug and Alcohol Testing Program FORMS: NONE
OMB NO: 2105-0531 EXPIRATION DATE: 08/31/2004 RESPS:600 HOURS:10,500 COSTS(000):$0 Uniform Administrative Requirements for Grants and Agreements with Institutions of Higher Education, Hospitals and Other Non- Profit Organizations FORMS: NONE
OMB NO: 2105-0534 EXPIRATION DATE: 10/31/2002 RESPS:530,800 HOURS:1,050,000 COSTS(000):$0 Final Rulemaking Passenger Manifest Information FORMS: NONE
OMB NO: 2105-0537 EXPIRATION DATE: 06/30/2002 RESPS:102,000,000 HOURS:849,988 COSTS(000):$29,600 Disclosure of Code-Sharing Arrangements and Long-Term Wet Leases FORMS: NONE
OMB NO: 2105-0538 EXPIRATION DATE: 06/30/2002 RESPS:74,000,000 HOURS:308,861 COSTS(000):$0 Disclosure of Change-of-Gauge Services (Final Rule) FORMS: NONE
OMB NO: 2105-0547 EXPIRATION DATE: 09/30/2002 RESPS:10 HOURS:3,200 COSTS(000):$0 Study of Air Travel Services Related to Orbitz FORMS: NONE
OMB NO: 2105-0548 EXPIRATION DATE: 07/31/2002 RESPS:1 HOURS:43,164 COSTS(000):$0 Procedures for Compensatsion of Air Carriers FORMS: NONE
Office of the Secretary - AviationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
12 185,042,284 4,752,707 $29,600
OMB NO: 2106-0005 EXPIRATION DATE: 12/31/2002 RESPS:1,738 HOURS:1,343 COSTS(000):$0 Public Charters -- 14 CFR Part 380 FORMS: 4532 4533 4534 4535
OMB NO: 2106-0009 EXPIRATION DATE: 09/30/2002 RESPS:3,068,200 HOURS:650,000 COSTS(000):$0 Construction, Publication, Filing, and Posting of Tariffs of Air Carriers and Foreign Air Carriers -- 14 CFR Part 221 FORMS: NONE
OMB NO: 2106-0023 EXPIRATION DATE: 11/30/2003 RESPS:127 HOURS:4,604 COSTS(000):$0 Procedures & Evidence rules for Air Carrier Authority Applications FORMS: NONE
OMB NO: 2106-0030 EXPIRATION DATE: 02/29/2004 RESPS:5,525 HOURS:2,763 COSTS(000):$0 Aircraft Accident Liability Insurance FORMS: OST-FORM-6410 OST-FORM-6411
OMB NO: 2106-0043 EXPIRATION DATE: 09/30/2003 RESPS:15 HOURS:69 COSTS(000):$0 Use and Change of Names of Air Carriers, Foreign Air Carriers, and Commuter Air Carriers FORMS: NONE
OMB NO: 2106-0044 EXPIRATION DATE: 09/30/2003 RESPS:816 HOURS:4,176 COSTS(000):$0 Supporting Statements--Air Carriers' claims for subsidy payments FORMS: OST-FORM-397 OST-FORM-398
Transportation Security AdministrationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
6 3,076,421 662,955 $0
OMB NO: 2110-0001 EXPIRATION DATE: 07/31/2002 RESPS:780 HOURS:3,440 COSTS(000):$95 Imposition of Passenger Civil Aviation Security Service Fees FORMS: NONE
OMB NO: 2110-0002 EXPIRATION DATE: 08/31/2002 RESPS:195 HOURS:31,200 COSTS(000):$3,900 Aviation Security Infrastructure Fee FORMS: NONE
OMB NO: 2110-0003 EXPIRATION DATE: 03/31/2005 RESPS:458 HOURS:512,426 COSTS(000):$23 Airport Security, Part 107 FORMS: NONE
OMB NO: 2110-0004 EXPIRATION DATE: 12/31/2003 RESPS:1,580 HOURS:8,855 COSTS(000):$0 Aircraft Operator Security, 14 CFR Part 108 Revision FORMS: 1650-7 1650-17
OMB NO: 2110-0005 EXPIRATION DATE: 09/30/2002 RESPS:2,820 HOURS:664 COSTS(000):$0 Indirect Air Carrier Security -- 14 CFR Part 109 FORMS: N/A
OMB NO: 2110-0006 EXPIRATION DATE: 10/31/2002 RESPS:229 HOURS:5,193 COSTS(000):$0 Security Programs for Foreign Air Carriers -- 14 CFR Part 129 FORMS: 1650-17 1650-8
OMB NO: 2110-0007 EXPIRATION DATE: 03/31/2003 RESPS:1,305 HOURS:16,297 COSTS(000):$0 Employment Standards, FAR Part 107 and FAR Part 108 FORMS: NONE
OMB NO: 2110-0008 EXPIRATION DATE: 02/28/2005 RESPS:1 HOURS:5,193 COSTS(000):$0 Security Programs for Foreign Air Carriers, 14 CFR Part 129 FORMS: NONE
OMB NO: 2110-0010 EXPIRATION DATE: 09/30/2002 RESPS:11 HOURS:775 COSTS(000):$0 Explosives Detection System Certification Testing FORMS: NONE
U.S. Coast GuardSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
9 7,379 584,043 $4,018
OMB NO: 2115-0003 EXPIRATION DATE: 01/31/2005 RESPS:181,089 HOURS:19,195 COSTS(000):$0 Marine Casualty Information; Chemical Drug and Alcohol Testing of Commercial Vessel Personnel; and Management Information System Requirements FORMS: CG-2692 CG-2692A CG-2692B CG-5573
OMB NO: 2115-0007 EXPIRATION DATE: 05/31/2003 RESPS:2,443 HOURS:613 COSTS(000):$0 Application for Vessel Inspection and Waiver FORMS: CG-2633 CG-3752
OMB NO: 2115-0010 EXPIRATION DATE: 03/31/2003 RESPS:8,000 HOURS:4,000 COSTS(000):$0 Recreational Boating Accident Report FORMS: CG-3865
OMB NO: 2115-0012 EXPIRATION DATE: 02/29/2004 RESPS:13,600 HOURS:6,640 COSTS(000):$0 U.S. Coast Guard Academy Preliminary Application and Supplemental Forms FORMS: NONE
OMB NO: 2115-0013 EXPIRATION DATE: 04/30/2005 RESPS:265 HOURS:292 COSTS(000):$0 Application and Permit to Handle Hazardous Material FORMS: CG-4260
OMB NO: 2115-0015 EXPIRATION DATE: 10/31/2002 RESPS:12,000 HOURS:18,000 COSTS(000):$0 Shipping Articles FORMS: CG-705A
OMB NO: 2115-0016 EXPIRATION DATE: 01/31/2004 RESPS:43 HOURS:129 COSTS(000):$0 Characteristics of Liquid Chemicals Proposed for Bulk Water Movement FORMS: CG-4355
OMB NO: 2115-0017 EXPIRATION DATE: 08/31/2003 RESPS:1,500 HOURS:1,540 COSTS(000):$0 Regattas and Marine Parades FORMS: NONE
OMB NO: 2115-0025 EXPIRATION DATE: 05/31/2003 RESPS:1,697 HOURS:35,828 COSTS(000):$0 Oil Record Book for Ships FORMS: CG-4602A
OMB NO: 2115-0035 EXPIRATION DATE: 09/30/2002 RESPS:4 HOURS:351 COSTS(000):$0 Defect/Noncompliance Report and Campaign Update Report FORMS: CG-4917 CG-4918
OMB NO: 2115-0038 EXPIRATION DATE: 09/30/2002 RESPS:1 HOURS:3,073 COSTS(000):$0 Private Aids to Navigation Application -- CG-2554 Application for Class I Private Aids to Navigation -- CG-4143 FORMS: CG-2554 CG-4143
OMB NO: 2115-0042 EXPIRATION DATE: 04/30/2003 RESPS:130,000 HOURS:4,500 COSTS(000):$0 Certificate of Discharge to Merchant Mariners FORMS: CG-718A
OMB NO: 2115-0043 EXPIRATION DATE: 05/31/2005 RESPS:20,495 HOURS:1,979 COSTS(000):$0 Plan Approval and Records for Load Lines FORMS: 98-USA-LL A21-HSSC-LL- EXEMPT LL-14-A LL-18-E LL-40-A LL-19 LL-13-C LL-18-F
OMB NO: 2115-0050 EXPIRATION DATE: 09/30/2002 RESPS:70 HOURS:2,800 COSTS(000):$0 Bridge Permit Application Guide FORMS: NONE
OMB NO: 2115-0053 EXPIRATION DATE: 05/31/2003 RESPS:29 HOURS:29 COSTS(000):$0 Request for Designation and Exemption of Oceanographic Research Vessels FORMS: NONE
OMB NO: 2115-0054 EXPIRATION DATE: 11/30/2004 RESPS:518 HOURS:226 COSTS(000):$0 Welding and Hot Work Permits; Posting of Warning Signs FORMS: CG-4201
OMB NO: 2115-0056 EXPIRATION DATE: 11/30/2003 RESPS:458 HOURS:38 COSTS(000):$0 Various International Agreement Safety Certificates and Documents FORMS: CG-967 CG-968 CG-968A CG-969 CG-3347 CG-3347B CG-4359 CG-5643 CG-5679 CG-5679A
OMB NO: 2115-0071 EXPIRATION DATE: 06/30/2002 RESPS:1,750 HOURS:1,750 COSTS(000):$0 Official Logbook FORMS: 706B
OMB NO: 2115-0073 EXPIRATION DATE: 09/30/2004 RESPS:34 HOURS:153 COSTS(000):$0 Alternative Compliance for International and Inland Navigation Rules -- 33 CFR Parts 81 and 89 FORMS: NONE
OMB NO: 2115-0076 EXPIRATION DATE: 01/31/2005 RESPS:333 HOURS:417 COSTS(000):$0 Security Zones, Regulated Navigation Areas, and Safety Zones FORMS: NONE
OMB NO: 2115-0077 EXPIRATION DATE: 12/31/2002 RESPS:230 HOURS:460 COSTS(000):$0 Facilities Transferring Oil or Hazardous Materials in Bulk, Letter of Intent FORMS: NONE
OMB NO: 2115-0078 EXPIRATION DATE: 03/31/2005 RESPS:1,012 HOURS:27,369 COSTS(000):$0 Operations Manual and Amendments for Facilities Transferring Oil and Hazardous Materials in Bulk FORMS: NONE
OMB NO: 2115-0086 EXPIRATION DATE: 12/31/2002 RESPS:12,720 HOURS:27,600 COSTS(000):$0 Application for Tonnage Measurement of Vessels FORMS: CG-5397
OMB NO: 2115-0089 EXPIRATION DATE: 12/31/2002 RESPS:102 HOURS:471 COSTS(000):$0 Ships Carrying Bulk Hazardous Liquid FORMS: CG-4602B
OMB NO: 2115-0092 EXPIRATION DATE: 11/30/2003 RESPS:50 HOURS:30,618 COSTS(000):$0 Barge Fleeting Facility Records FORMS: NONE
OMB NO: 2115-0094 EXPIRATION DATE: 12/31/2004 RESPS:2,622,656 HOURS:101,732 COSTS(000):$0 Safety Approval of Cargo Containers FORMS: NONE
OMB NO: 2115-0096 EXPIRATION DATE: 12/31/2002 RESPS:230 HOURS:1,840 COSTS(000):$0 Oil and Hazardous Material Pollution Prevention and Safety Records, Equivalent/Alternative and Exemptions FORMS: NONE
OMB NO: 2115-0100 EXPIRATION DATE: 07/31/2004 RESPS:1,538 HOURS:830 COSTS(000):$0 Carriage of Bulk Solids Requiring Special Handling -- 46 CFR Part 148 FORMS: NONE
OMB NO: 2115-0106 EXPIRATION DATE: 09/30/2003 RESPS:61 HOURS:65 COSTS(000):$0 Plan Approval and Records for Foreign Vessels Carrying Oil in Bulk FORMS: NONE
OMB NO: 2115-0110 EXPIRATION DATE: 06/30/2004 RESPS:180,030 HOURS:50,452 COSTS(000):$0 Vessel Documentation FORMS: CG1258 CG1261 CG1270 CG1280 CG1280A CG1280B CG1340 CG1356 CG4593 CG5542
OMB NO: 2115-0111 EXPIRATION DATE: 09/30/2002 RESPS:420 HOURS:19,026 COSTS(000):$0 Course Approvals for Merchant Marine Training Schools FORMS: NONE
OMB NO: 2115-0113 EXPIRATION DATE: 03/31/2005 RESPS:326 HOURS:5,131 COSTS(000):$0 Self-propelled Liquefied Gas Vessels FORMS: CG-4355
OMB NO: 2115-0115 EXPIRATION DATE: 03/31/2005 RESPS:1,153 HOURS:1,153 COSTS(000):$0 Electrical Engineering Regulations--Title 46 CFR Subchapter J FORMS: NONE
OMB NO: 2115-0120 EXPIRATION DATE: 04/30/2004 RESPS:211 HOURS:106 COSTS(000):$0 Oil and Hazardous Materials Transfer Procedures FORMS: NONE
OMB NO: 2115-0121 EXPIRATION DATE: 09/30/2002 RESPS:26 HOURS:268 COSTS(000):$0 Electrical Equipment and Fire Protection Materials/Systems -- 46 CFR Subchapter Q FORMS: NONE
OMB NO: 2115-0133 EXPIRATION DATE: 04/30/2003 RESPS:3,338 HOURS:1,444 COSTS(000):$0 Vessel Inspection Related Forms and Posting Requirements Under Title 46 U.S. Code FORMS: CG-841 CG-854 CG-948 CG-949 CG-950 CG-2832 CG-4504
OMB NO: 2115-0135 EXPIRATION DATE: 09/30/2003 RESPS:1,596 HOURS:798 COSTS(000):$0 Display of Fire Control Plans for Vessels FORMS: NONE
OMB NO: 2115-0137 EXPIRATION DATE: 01/31/2003 RESPS:95,000 HOURS:7,917 COSTS(000):$0 Report of Oil or Hazardous Substance Discharge FORMS: NONE
OMB NO: 2115-0139 EXPIRATION DATE: 09/30/2002 RESPS:2 HOURS:6 COSTS(000):$0 Ships' Stores Certification for Hazardous Materials Aboard Ships FORMS: NONE
OMB NO: 2115-0141 EXPIRATION DATE: 09/30/2002 RESPS:261 HOURS:7,220 COSTS(000):$0 Firefighting Equipment, Structural Fire Protection Materials, Lifesaving Equipment, and Marine Sanitation Devices -- 46 CFR 2.90-2.95, 159-164, and 33 CFR 159 FORMS: NONE
OMB NO: 2115-0142 EXPIRATION DATE: 12/31/2002 RESPS:3,433 HOURS:3,433 COSTS(000):$0 Plan Approval and Records for Marine Engineering Systems -- 46 CFR Subchapter F FORMS: NONE
OMB NO: 2115-0143 EXPIRATION DATE: 12/31/2002 RESPS:6,746 HOURS:449 COSTS(000):$0 Records Relating to Citizenship of Personnel on Units Engaged in Outer Continental Shelf (OCS) Activities FORMS: NONE
OMB NO: 2115-0503 EXPIRATION DATE: 12/31/2004 RESPS:2,023 HOURS:443 COSTS(000):$0 Plan Approval and Records for Vessels Carrying Oil in Bulk FORMS: NONE
OMB NO: 2115-0504 EXPIRATION DATE: 06/30/2002 RESPS:45,143 HOURS:21,531 COSTS(000):$0 Tank Vessel Examination Letter -- CG 840S-1 & 2, Certificate of Compliance, Boiler/Pressure Vessel Repairs, Cargo Gear Records, and Shipping Papers FORMS: CG-840S-1 CG-840S-2
OMB NO: 2115-0505 EXPIRATION DATE: 08/31/2003 RESPS:11,963 HOURS:6,472 COSTS(000):$0 Plan Approval & Records for Tank, Passenger, Cargo & Miscellan- eous Vessels, Mobile Off-shore Drilling Units, Nautical Schools, Oceanographic Vessels & Electrictal Engineering FORMS: NONE
OMB NO: 2115-0506 EXPIRATION DATE: 08/31/2003 RESPS:92,283 HOURS:28,332 COSTS(000):$0 Declaration of Inspection Before Transfer of Liquid Cargo in Bulk FORMS: NONE
OMB NO: 2115-0514 EXPIRATION DATE: 01/31/2005 RESPS:48,029 HOURS:21,358 COSTS(000):$0 Submission of continuous discharge book, revised merchant mariner application, physical report new sea service, chemical testing and entry level physical forms. FORMS: CG-719A CG-719B CG-719K CG-719S CG-719P CG-719K/E
OMB NO: 2115-0518 EXPIRATION DATE: 02/29/2004 RESPS:1,889 HOURS:6,858 COSTS(000):$0 International Oil Pollution Prevention Certificate FORMS: CG-5352 CG-5352A CG-5352B
OMB NO: 2115-0525 EXPIRATION DATE: 05/31/2003 RESPS:4 HOURS:58 COSTS(000):$0 Plan/Drawing Approval and Records for Safety Valves -- 46 CFR Part 162 FORMS: NONE
OMB NO: 2115-0539 EXPIRATION DATE: 06/30/2002 RESPS:1,800 HOURS:315 COSTS(000):$0 Requirements for Lightering of Oil and Hazardous Material Cargoes FORMS: NONE
OMB NO: 2115-0540 EXPIRATION DATE: 11/30/2003 RESPS:1,329 HOURS:2,924 COSTS(000):$0 Ports and Waterways Safety --Title 33 CFR Subchapter P FORMS: NONE
OMB NO: 2115-0541 EXPIRATION DATE: 12/31/2002 RESPS:982 HOURS:11,724 COSTS(000):$0 Barges Carrying Bulk Hazardous Materials FORMS: NONE
OMB NO: 2115-0542 EXPIRATION DATE: 09/30/2003 RESPS:263 HOURS:526 COSTS(000):$0 Station Bill for Manned Outer Continental Shelf Facilities FORMS: NONE
OMB NO: 2115-0543 EXPIRATION DATE: 12/31/2004 RESPS:4,182 HOURS:1,215 COSTS(000):$0 Advance Notice and Adequacy Certification for Reception Facilities FORMS: CG-5401 CG-5401A CG-5401B CG-5401C
OMB NO: 2115-0545 EXPIRATION DATE: 06/30/2003 RESPS:1 HOURS:2,162 COSTS(000):$0 Financial Responsibility for Water Pollution (Vessels) FORMS: CG-5585 CG-5586 CG-5586-1 CG-5586-2 CG-5586-3 CG-5586-4 CG-5586-5
OMB NO: 2115-0548 EXPIRATION DATE: 05/31/2003 RESPS:765 HOURS:57,375 COSTS(000):$0 Vital System Automation -- 46 CFR Parts 52, 56, 58, 61, 62, 110, 111, and 113 FORMS: NONE
OMB NO: 2115-0549 EXPIRATION DATE: 12/31/2002 RESPS:4,724 HOURS:2,362 COSTS(000):$0 Requirements for the Use of Liquefied Petroleum Gas and Compressed Natural Gas as Cooking Fuel on Passenger Vessels FORMS: NONE
OMB NO: 2115-0551 EXPIRATION DATE: 01/31/2003 RESPS:546 HOURS:137 COSTS(000):$0 Vessel Reporting Requirement FORMS: NONE
OMB NO: 2115-0552 EXPIRATION DATE: 01/31/2004 RESPS:463 HOURS:3,272 COSTS(000):$0 Liquefied Natural Gas and Liquefied Hazardous Gas Waterfront Facilities FORMS: NONE
OMB NO: 2115-0553 EXPIRATION DATE: 12/31/2004 RESPS:5 HOURS:50 COSTS(000):$0 Approval of Equivalent Equipment or Procedures Other than those Specified in Title 33 CFR Subchapter N FORMS: NONE
OMB NO: 2115-0556 EXPIRATION DATE: 09/30/2002 RESPS:35 HOURS:15 COSTS(000):$0 a) Reports of MARPOL 73/78 Oil, Noxious Liquid Substance (NLS), and Garbage Discharge; b) Application for Equivalents, Exemptions, and Alternatives; c) Pollution Sightings FORMS: NONE
OMB NO: 2115-0557 EXPIRATION DATE: 09/30/2002 RESPS:136,278 HOURS:39,037 COSTS(000):$0 Advance Notice of Vessel Arrival and Departure FORMS: I-418
OMB NO: 2115-0563 EXPIRATION DATE: 09/30/2003 RESPS:13 HOURS:84 COSTS(000):$0 Nondestructive Testing Proposal and Results for Pressure Vessel Cargo Tanks on Unmanned Barges FORMS: NONE
OMB NO: 2115-0565 EXPIRATION DATE: 01/31/2004 RESPS:15 HOURS:46 COSTS(000):$0 Hopper Dredge Working Freeboard - - Load Line and Stability FORMS: NONE
OMB NO: 2115-0569 EXPIRATION DATE: 03/31/2005 RESPS:3,489 HOURS:3,884 COSTS(000):$0 Self Inspection of Fixed Outer Continental Shelf (OCS) Facilities FORMS: CG-5432
OMB NO: 2115-0571 EXPIRATION DATE: 01/31/2004 RESPS:13 HOURS:143 COSTS(000):$0 Alternative Provisions for Reinspection of Offshore Supply Vessels in Foreign Ports FORMS: NONE
OMB NO: 2115-0573 EXPIRATION DATE: 08/31/2003 RESPS:261 HOURS:382,798 COSTS(000):$0 Labeling Requirements in 33 CFR Parts 181 and 183 FORMS: NONE
OMB NO: 2115-0576 EXPIRATION DATE: 06/30/2002 RESPS:30,000 HOURS:8,512 COSTS(000):$0 Instructional Material for Lifesaving, Fire Protection, and Emergency Equipment FORMS: NONE
OMB NO: 2115-0577 EXPIRATION DATE: 12/31/2002 RESPS:30,000 HOURS:4,012 COSTS(000):$0 Identification Markings on Lifesaving, Fire Protection, and Emergency Equipment FORMS: NONE
OMB NO: 2115-0578 EXPIRATION DATE: 09/30/2003 RESPS:6,753 HOURS:436,173 COSTS(000):$0 Small Passenger Vessels -- Title 46 CFR Subchapters K and T FORMS: CG-841 CG-854 CG-948 CG-949 CG-3752 CG-5256
OMB NO: 2115-0579 EXPIRATION DATE: 12/31/2004 RESPS:350 HOURS:391 COSTS(000):$0 Application for Permit to Transport Municipal and Commercial Waste FORMS: NONE
OMB NO: 2115-0580 EXPIRATION DATE: 06/30/2004 RESPS:268 HOURS:884 COSTS(000):$0 Outer Continental Shelf Activities -- Emergency Evacuation Plans for Manned OCS Facilities; Design & Plan Approvals; In-service Inspection & Letter of Compliance FORMS: NONE
OMB NO: 2115-0581 EXPIRATION DATE: 06/30/2002 RESPS:43 HOURS:1,390 COSTS(000):$0 Plan Review for Facilities with Vapor Control Systems FORMS: NONE
OMB NO: 2115-0582 EXPIRATION DATE: 12/31/2004 RESPS:6,925 HOURS:8,205 COSTS(000):$0 Commercial Fishing Industry Vessel Safety Regulations FORMS: NONE
OMB NO: 2115-0585 EXPIRATION DATE: 10/31/2004 RESPS:1 HOURS:18 COSTS(000):$0 Approval of Alterations to Marine Portable Tanks; Approval of Non-Specification Portable Tanks FORMS: NONE
OMB NO: 2115-0586 EXPIRATION DATE: 06/30/2003 RESPS:200 HOURS:59,755 COSTS(000):$0 Marine Occupational Health and Safety Standards for Benzene--46 CFR 197 Subpart C FORMS: NONE
OMB NO: 2115-0589 EXPIRATION DATE: 01/31/2004 RESPS:3,250 HOURS:10,003 COSTS(000):$0 Plan Approval and Records for Subdivision and Stability Regulations--Title 46 CFR Subchapter S FORMS: NONE
OMB NO: 2115-0592 EXPIRATION DATE: 09/30/2003 RESPS:580 HOURS:5,931 COSTS(000):$0 Offshore Supply Vessels -- 46 CFR Subchapter L FORMS: NONE
OMB NO: 2115-0595 EXPIRATION DATE: 08/31/2003 RESPS:5,207 HOURS:188,733 COSTS(000):$0 Vessel Response Plans, Facility Response Plans, Shipboard Oil Pollution Emergency Plans, and Additional Response Equipment Requirements for Prince William Sound FORMS: NONE
OMB NO: 2115-0596 EXPIRATION DATE: 04/30/2005 RESPS:831 HOURS:13,722 COSTS(000):$0 Claims under the Oil Pollution Act of 1990 FORMS: NONE
OMB NO: 2115-0597 EXPIRATION DATE: 04/30/2005 RESPS:1 HOURS:3 COSTS(000):$0 State access to the oil spill liability trust fund for removal costs under the Oil Pollution Act of 1990 FORMS: NONE
OMB NO: 2115-0598 EXPIRATION DATE: 08/31/2002 RESPS:30,877 HOURS:20,688 COSTS(000):$0 Ballast Water Management for Vessels with Ballast Tanks Entering U.S. Waters FORMS: NONE
OMB NO: 2115-0603 EXPIRATION DATE: 12/31/2002 RESPS:319 HOURS:18,502 COSTS(000):$0 Periodic Gauging and Engineering Analyses for Certain Tank Vessels Over 30 Years Old FORMS: NONE
OMB NO: 2115-0606 EXPIRATION DATE: 12/31/2002 RESPS:142 HOURS:1,446 COSTS(000):$0 National Response Resource Inventory FORMS: NONE
OMB NO: 2115-0607 EXPIRATION DATE: 06/30/2003 RESPS:123,582 HOURS:5,697 COSTS(000):$308 Vessel Identification System FORMS: NONE
OMB NO: 2115-0611 EXPIRATION DATE: 07/31/2003 RESPS:1 HOURS:80 COSTS(000):$0 Boat Owner's Report - Possible Safety Defect FORMS: CG-5578
OMB NO: 2115-0613 EXPIRATION DATE: 04/30/2004 RESPS:5,707 HOURS:59,653 COSTS(000):$0 Waste Management Plans, Refuse Discharge Logs, and Letters of Instruction for Certain Persons-in-Charge (PIC) FORMS: NONE
OMB NO: 2115-0614 EXPIRATION DATE: 06/30/2003 RESPS:3 HOURS:120 COSTS(000):$0 Alteration of Unreasonably Obstructive Bridges under the Truman-Hobbs (T-H) Act FORMS: NONE
OMB NO: 2115-0617 EXPIRATION DATE: 02/29/2004 RESPS:18,823 HOURS:4,648 COSTS(000):$0 Direct User Fees for Inspection or Examination of U.S. and Foreign Commercial Vessels FORMS: CG-5565 CG-5565A
OMB NO: 2115-0618 EXPIRATION DATE: 06/30/2004 RESPS:1,600 HOURS:320 COSTS(000):$0 Boating Statistics Questionnaire FORMS: NONE
OMB NO: 2115-0619 EXPIRATION DATE: 09/30/2004 RESPS:50 HOURS:1,406 COSTS(000):$0 Inflatable Personal Flotation Devices for Recreational Vessels FORMS: NONE
OMB NO: 2115-0622 EXPIRATION DATE: 06/30/2003 RESPS:95 HOURS:1,811 COSTS(000):$0 Security of Passenger Vessels and Passenger Terminals FORMS: NONE
OMB NO: 2115-0623 EXPIRATION DATE: 05/31/2004 RESPS:226 HOURS:15,338 COSTS(000):$0 Licensing and Manning Requirements for Officers on Towing Vessels FORMS: NONE
OMB NO: 2115-0624 EXPIRATION DATE: 09/30/2003 RESPS:13,986 HOURS:18,331 COSTS(000):$0 Standards of Training, Certification and Watchkeeping for Seafarers (STCW), 1995 Amendments FORMS: NONE
OMB NO: 2115-0625 EXPIRATION DATE: 09/30/2003 RESPS:13,485 HOURS:4,712 COSTS(000):$0 Customer Satisfaction Surveys FORMS: NONE
OMB NO: 2115-0626 EXPIRATION DATE: 06/30/2002 RESPS:3 HOURS:190 COSTS(000):$0 Alternate Compliance Program, Record of Inspections FORMS: NONE
OMB NO: 2115-0628 EXPIRATION DATE: 03/31/2004 RESPS:26,830 HOURS:281,998 COSTS(000):$0 Navigation Safety Equipment and Emergency Instructions for Certain Towing Vessels FORMS: NONE
OMB NO: 2115-0629 EXPIRATION DATE: 06/30/2002 RESPS:813,886 HOURS:30,136 COSTS(000):$0 Operational Measures for Existing Tank Vessels Without Double Hulls FORMS: NONE
OMB NO: 2115-0630 EXPIRATION DATE: 07/31/2003 RESPS:2,988 HOURS:3,650 COSTS(000):$0 International Safety Management Code Audit Reports FORMS: NONE
OMB NO: 2115-0633 EXPIRATION DATE: 01/31/2005 RESPS:1,907 HOURS:32,244 COSTS(000):$0 Streamlined Inspection Program FORMS: NONE
OMB NO: 2115-0635 EXPIRATION DATE: 10/31/2003 RESPS:60 HOURS:18 COSTS(000):$0 Great Lakes Pilotage Rate Methodology FORMS: NONE
OMB NO: 2115-0636 EXPIRATION DATE: 03/31/2005 RESPS:300 HOURS:125 COSTS(000):$0 U.S. Coast Guard International Ice Patrol (IIP) Customer Survey FORMS: NONE
OMB NO: 2115-0637 EXPIRATION DATE: 10/31/2004 RESPS:877 HOURS:439 COSTS(000):$0 Voyage Planning for Tank Barge Transits in the Northeast United States FORMS: NONE
OMB NO: 2115-0638 EXPIRATION DATE: 07/31/2002 RESPS:237,000 HOURS:3,926 COSTS(000):$0 National Recreational Boating Survey FORMS: NONE
OMB NO: 2115-0639 EXPIRATION DATE: 01/31/2003 RESPS:69,967 HOURS:5,939 COSTS(000):$0 Year 2000 (Y2K) Preparedness Reporting Requirements FORMS: NONE
OMB NO: 2115-0640 EXPIRATION DATE: 12/31/2002 RESPS:4,400 HOURS:352 COSTS(000):$0 Mandatory Ship Reporting System for the Northeast and Southeast Coasts of the United States FORMS: NONE
OMB NO: 2115-0644 EXPIRATION DATE: 09/30/2003 RESPS:2,784 HOURS:1,624 COSTS(000):$0 Understanding How Mariners Use Aids to Navigation - A Tool for the Coast Guard's Office of Aids to Navigation FORMS: NONE
OMB NO: 2115-0645 EXPIRATION DATE: 09/30/2003 RESPS:27 HOURS:54 COSTS(000):$0 Certification of Navigation Lights for Recreational and Uninspected Vessels FORMS: NONE
OMB NO: 2115-0647 EXPIRATION DATE: 09/30/2004 RESPS:23 HOURS:230 COSTS(000):$0 Sewage and Graywater Discharge Records for Certain Cruise Vessels Operating on Alaskan Waters FORMS: NONE
Federal Aviation AdministrationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
109 5,116,325 2,234,471 $308
OMB NO: 2120-0001 EXPIRATION DATE: 05/31/2004 RESPS:53,000 HOURS:15,500 COSTS(000):$0 Notice of Proposed Construction or Alteration, Notice of Actual Construction or Alteration, & Project Status Report FORMS: FORM-7460-1 FORM-7460-2
OMB NO: 2120-0003 EXPIRATION DATE: 07/31/2002 RESPS:46,239 HOURS:6,935 COSTS(000):$0 Malfunction or Defect Report FORMS: FAA-FORM-8010-4
OMB NO: 2120-0005 EXPIRATION DATE: 02/28/2005 RESPS:21,197 HOURS:231,064 COSTS(000):$0 General Operating and Flight Rules - 14 CFR Part 91 FORMS: NONE
OMB NO: 2120-0007 EXPIRATION DATE: 12/31/2002 RESPS:4,071 HOURS:1,009 COSTS(000):$0 Flight Engineers and Flight Navigators -- FAR 63 FORMS: FAA-FORM-8400-3
OMB NO: 2120-0008 EXPIRATION DATE: 11/30/2002 RESPS:61,844 HOURS:1,278,856 COSTS(000):$0 Operating Requirements: Domestic, Flag, and Supplemental Operations -- Part 121 FORMS: FAA-FORM-8070-1
OMB NO: 2120-0009 EXPIRATION DATE: 09/30/2002 RESPS:524 HOURS:28,878 COSTS(000):$0 Pilot Schools -- FAR 141 FORMS: FAA8420-8
OMB NO: 2120-0010 EXPIRATION DATE: 04/30/2003 RESPS:1,100 HOURS:304,647 COSTS(000):$0 Repair Station Certification FORMS: 8310-3
OMB NO: 2120-0014 EXPIRATION DATE: 11/30/2002 RESPS:1,273 HOURS:29,516 COSTS(000):$0 Procedures for Non-Federal Navigational Facilities -- FAR Part 171 FORMS: 6030-1 6030-17 6790-4 6790-5
OMB NO: 2120-0015 EXPIRATION DATE: 10/31/2002 RESPS:14,420 HOURS:4,355 COSTS(000):$0 Airport Master Record FORMS: 5010-1 5010-2 5010-3 5010-5
OMB NO: 2120-0018 EXPIRATION DATE: 07/31/2004 RESPS:52,020 HOURS:44,101 COSTS(000):$0 Certification Procedures for Products and Parts FAR 21 FORMS: 8110-12 8130-1 8130-6 8130-9 8130-12
OMB NO: 2120-0020 EXPIRATION DATE: 08/31/2004 RESPS:184,006 HOURS:1,432,784 COSTS(000):$0 Maintenance, Preventive Maintenance, Rebuilding and Alteration FAR Part 43 FORMS: FAA-337
OMB NO: 2120-0021 EXPIRATION DATE: 04/30/2004 RESPS:125,500 HOURS:252,100 COSTS(000):$0 Certification: Pilots and Flight Instructors FORMS: FAA8710-1
OMB NO: 2120-0022 EXPIRATION DATE: 06/30/2004 RESPS:34,970 HOURS:34,432 COSTS(000):$0 Certificate: Mechanics, Repairmen, Parachute Riggers, and Inspection Authorizations-FAR Part 65 FORMS: FAA-FORM-8610-1 FAA-FORM-8610-2
OMB NO: 2120-0024 EXPIRATION DATE: 05/31/2005 RESPS:2,077 HOURS:1,557 COSTS(000):$0 Dealer's Aircraft Registration Application FORMS: 8050-5
OMB NO: 2120-0026 EXPIRATION DATE: 04/30/2003 RESPS:17,584,302 HOURS:293,072 COSTS(000):$0 Domestic and International Flight Plan Forms FORMS: 7233-1 7233-4
OMB NO: 2120-0027 EXPIRATION DATE: 07/31/2002 RESPS:25,231 HOURS:12,202 COSTS(000):$0 Application for Certificate of Waiver or Authorization FORMS: FAA-FORM-7711-2
OMB NO: 2120-0033 EXPIRATION DATE: 12/31/2003 RESPS:4,840 HOURS:3,974 COSTS(000):$0 Representatives of the Administrator, FAR 183 FORMS: FAA-8110-14 FAA-8110-28 FAA-8710-9 FAA-8110-10
OMB NO: 2120-0034 EXPIRATION DATE: 11/30/2004 RESPS:483,554 HOURS:707,253 COSTS(000):$0 Medical Standards and Certification (14 CFR part 67) Duration of Medical Certificates (14 CFR part 61) FORMS: 8500-7 8500-8 8500-14 8500-20
OMB NO: 2120-0036 EXPIRATION DATE: 01/31/2004 RESPS:3,868 HOURS:2,901 COSTS(000):$0 Notice of Landing Area Proposal FORMS: FAA/7480-1
OMB NO: 2120-0039 EXPIRATION DATE: 04/30/2003 RESPS:9,050,493 HOURS:1,128,904 COSTS(000):$0 Operating Requirements: Commuter and On-Demand Operation -- 14 CFR Part 135 FORMS: 8070-1
OMB NO: 2120-0040 EXPIRATION DATE: 11/30/2004 RESPS:174 HOURS:66,134 COSTS(000):$0 Aviation Maintenance Technician Schools - FAR Part 147 FORMS: 8310-6
OMB NO: 2120-0042 EXPIRATION DATE: 06/30/2002 RESPS:122,271 HOURS:67,153 COSTS(000):$0 Aircraft Registration FORMS: AC8050-1 AC8050-2 AC8050-4 AC8050-81 AC8050-98 AC8050-117 8050-88
OMB NO: 2120-0043 EXPIRATION DATE: 04/30/2003 RESPS:55,406 HOURS:55,406 COSTS(000):$0 Recording of Aircraft Conveyanes and Security Documents FORMS: AC8050-41
OMB NO: 2120-0044 EXPIRATION DATE: 09/30/2002 RESPS:1,449 HOURS:3,268 COSTS(000):$0 Rotorcraft External-Load Certificate Application FORMS: FAA-FORM-8710-4
OMB NO: 2120-0045 EXPIRATION DATE: 08/31/2003 RESPS:5,000 HOURS:400 COSTS(000):$0 Bird/Other Wildlife Strike FORMS: FAA-FORM-5200-7
OMB NO: 2120-0049 EXPIRATION DATE: 02/28/2003 RESPS:1,075 HOURS:14,037 COSTS(000):$0 Agricultural Aircraft Operator Certificate Application FORMS: FAA-FORM-8710-3
OMB NO: 2120-0056 EXPIRATION DATE: 07/31/2004 RESPS:25,725 HOURS:2,144 COSTS(000):$0 Report of Inspections Required by Airworthiness Directives, 14 CFR Part 39 FORMS: NONE
OMB NO: 2120-0057 EXPIRATION DATE: 01/31/2005 RESPS:17,392 HOURS:1,769 COSTS(000):$0 Safety Improvement Report, Accident Prevention Counselor Activity Reports FORMS: 8740-5 8740-6
OMB NO: 2120-0060 EXPIRATION DATE: 09/30/2002 RESPS:19,500 HOURS:4,875 COSTS(000):$0 General Aviation/Air Taxi Activity and Avionics Survey FORMS: FORM-1800-54
OMB NO: 2120-0063 EXPIRATION DATE: 05/31/2005 RESPS:274,885 HOURS:173,869 COSTS(000):$0 Certificationof Airports FORMS: 5280-1
OMB NO: 2120-0067 EXPIRATION DATE: 07/31/2004 RESPS:500 HOURS:750 COSTS(000):$0 Air Taxi and Commercial Operator Activity Survey FORMS: 1800-31
OMB NO: 2120-0085 EXPIRATION DATE: 04/30/2004 RESPS:45,999 HOURS:29,445 COSTS(000):$0 Certification and Operations: Federal Aviation Regulations Part 125 FORMS: NONE
OMB NO: 2120-0101 EXPIRATION DATE: 07/31/2004 RESPS:5,500 HOURS:733 COSTS(000):$0 Physiological Training FORMS: FORM-3150-7
OMB NO: 2120-0507 EXPIRATION DATE: 07/31/2002 RESPS:6 HOURS:530 COSTS(000):$0 Development of Major Repair Data -- Special Federal Aviation Regulation (SFAR) 36 FORMS: NONE
OMB NO: 2120-0508 EXPIRATION DATE: 07/31/2004 RESPS:1,200 HOURS:100 COSTS(000):$0 Fuel Venting and Exhaust Emission Requirements for Turbine Engine Powered Airplanes FORMS: NONE
OMB NO: 2120-0514 EXPIRATION DATE: 07/31/2002 RESPS:36 HOURS:68 COSTS(000):$0 Aviation Insurance FORMS: NONE
OMB NO: 2120-0517 EXPIRATION DATE: 02/28/2005 RESPS:28 HOURS:50,400 COSTS(000):$0 14 CFR Part 150-Airport Noise Compatibility Planning FORMS: NONE
OMB NO: 2120-0524 EXPIRATION DATE: 09/30/2004 RESPS:2,742 HOURS:3,064 COSTS(000):$0 High Density Traffic Airports; Slot Allocation and Transfer Methods FORMS: NONE
OMB NO: 2120-0535 EXPIRATION DATE: 11/30/2002 RESPS:251,729 HOURS:24,602 COSTS(000):$0 Antidrug and Alcohol Program for Personnel Engaged in Specified Aviation Activities FORMS: 9000-2
OMB NO: 2120-0539 EXPIRATION DATE: 01/31/2005 RESPS:15 HOURS:600 COSTS(000):$0 Implementation of the Equal Access to Justice Act FORMS: NONE
OMB NO: 2120-0543 EXPIRATION DATE: 01/31/2003 RESPS:2,222 HOURS:370 COSTS(000):$0 Pilots Convicted of Alcohol or Drug-Related Motor Vehicle Offenses or Subject to State Motor Vehicle Administrative Procedures FORMS: 8500-8
OMB NO: 2120-0552 EXPIRATION DATE: 02/28/2003 RESPS:400 HOURS:60 COSTS(000):$0 Suspected Unapproved Parts Notification FORMS: FORM-8120-11
OMB NO: 2120-0557 EXPIRATION DATE: 08/31/2003 RESPS:1,655 HOURS:26,592 COSTS(000):$0 Passenger Facility Charge (PFC) Application FORMS: FAA-FORM-5500-1
OMB NO: 2120-0559 EXPIRATION DATE: 09/30/2003 RESPS:100 HOURS:1,400 COSTS(000):$0 Aviation Research Grants Program FORMS: FAA-9550-1 FAA-9550-2 FAA-9550-3 FAA-9550-5 SF-269 SF-270 SF-272 SF-3881 SF-LLL
OMB NO: 2120-0563 EXPIRATION DATE: 11/30/2003 RESPS:8 HOURS:30,000 COSTS(000):$0 Notice and Approval of Airport Noise and Access Restrictions FORMS: NONE
OMB NO: 2120-0568 EXPIRATION DATE: 05/31/2004 RESPS:33,333 HOURS:6,667 COSTS(000):$0 FAA Flight Standards Customer Satisfaction Survey FORMS: NONE
OMB NO: 2120-0569 EXPIRATION DATE: 07/31/2004 RESPS:10,176 HOURS:67,714 COSTS(000):$0 Airports Grants Program FORMS: 5100-100 5100-108 5100-125 5100-126 5370-1
OMB NO: 2120-0570 EXPIRATION DATE: 04/30/2005 RESPS:75 HOURS:6,822 COSTS(000):$0 Part 142-Certificated Training Centers, Simulator Rule FORMS: 8400-8
OMB NO: 2120-0572 EXPIRATION DATE: 10/31/2002 RESPS:264 HOURS:1,606 COSTS(000):$0 Operating Procedures for Airport Traffic Control Towers (ATCT) That Are Not Operated By or Under Contract with the U.S. (Non-Federal) FORMS: 7210-2 7210-3 7230-4 7230-7.2 7230-8 7230-10 8020-9 8020-11 8020-17 8020-19
OMB NO: 2120-0574 EXPIRATION DATE: 07/31/2002 RESPS:180 HOURS:180 COSTS(000):$0 Aviation Safety Counselor of the Year Award Competition FORMS: FAA-FORM8740-14
OMB NO: 2120-0576 EXPIRATION DATE: 12/31/2002 RESPS:100 HOURS:25 COSTS(000):$0 Kansas City Center Customer Satisfaction Questionnaire FORMS: ZKC-FORM-7010-1
OMB NO: 2120-0587 EXPIRATION DATE: 09/30/2002 RESPS:1 HOURS:13,333 COSTS(000):$0 Aviator Safety Studies FORMS: NONE
OMB NO: 2120-0593 EXPIRATION DATE: 12/31/2004 RESPS:1,702 HOURS:8,855 COSTS(000):$0 Part 119-Certification: Air Carrier and Commercial Operators FORMS: FORM-8400-6
OMB NO: 2120-0595 EXPIRATION DATE: 05/31/2005 RESPS:264,718 HOURS:1,701,099 COSTS(000):$0 Federal Aviation Administration Acquisition Management System (FAAAMS) FORMS: NONE
OMB NO: 2120-0597 EXPIRATION DATE: 11/30/2002 RESPS:50,000 HOURS:75,000 COSTS(000):$0 Application for Employment with the Federal Aviation Administration FORMS: 3330.76
OMB NO: 2120-0600 EXPIRATION DATE: 11/30/2002 RESPS:3,100 HOURS:13 COSTS(000):$0 Training and Qualification Requirements for Check Airmen and Flight Instructors FORMS: NONE
OMB NO: 2120-0601 EXPIRATION DATE: 08/31/2002 RESPS:7 HOURS:1,827 COSTS(000):$0 Financial Responsibility for Licensed Launch Activities FORMS: NONE
OMB NO: 2120-0604 EXPIRATION DATE: 11/30/2002 RESPS:450 HOURS:225 COSTS(000):$0 Aviation Medical Examiner Program FORMS: FAA-FORM-8520-2
OMB NO: 2120-0605 EXPIRATION DATE: 12/31/2002 RESPS:450 HOURS:225 COSTS(000):$0 ACSEP Evaluation Customer Feedback Report FORMS: FAA-FORM-8100.7
OMB NO: 2120-0606 EXPIRATION DATE: 03/31/2003 RESPS:48 HOURS:48 COSTS(000):$0 Fleet and Operations Reporting: Grand Canyon National Park FORMS: NONE
OMB NO: 2120-0607 EXPIRATION DATE: 02/29/2004 RESPS:232,488 HOURS:101,708 COSTS(000):$0 Pilot Records Improvement Act of 1996 FORMS: 8060-10 8060-11
OMB NO: 2120-0608 EXPIRATION DATE: 04/30/2003 RESPS:8 HOURS:3,236 COSTS(000):$0 Commercial Space Transportation Licensing Regulations FORMS: NONE
OMB NO: 2120-0611 EXPIRATION DATE: 11/30/2003 RESPS:300 HOURS:300 COSTS(000):$0 Associate Administrator for Commercial Space Transportation (AST) Customer Service Survey FORMS: NONE
OMB NO: 2120-0614 EXPIRATION DATE: 08/31/2003 RESPS:360 HOURS:720 COSTS(000):$0 Revised Standards for Cargo or Baggage Compartments in Transport Category Airplanes FORMS: NONE
OMB NO: 2120-0616 EXPIRATION DATE: 08/31/2003 RESPS:2,960 HOURS:1 COSTS(000):$54,600 Revisions to Digital Flight Data Recorders FORMS: NONE
OMB NO: 2120-0618 EXPIRATION DATE: 12/31/2003 RESPS:600 HOURS:50 COSTS(000):$0 Overflight Billing and Collection Customer Information Form FORMS: NONE
OMB NO: 2120-0620 EXPIRATION DATE: 01/31/2004 RESPS:100,000 HOURS:6,667 COSTS(000):$0 Special Federal Aviation Regulation No. 71 FORMS: NONE
OMB NO: 2120-0631 EXPIRATION DATE: 07/31/2004 RESPS:1 HOURS:1 COSTS(000):$140,000 Terrain Awareness and Warning System (TAWS) FORMS: NONE
OMB NO: 2120-0632 EXPIRATION DATE: 01/31/2005 RESPS:40 HOURS:820 COSTS(000):$0 Office of Dispute Resolution Procedures for Protests and Contract Disputes, 14 CFR part 17 FORMS: NONE
OMB NO: 2120-0633 EXPIRATION DATE: 08/31/2002 RESPS:1,586 HOURS:793 COSTS(000):$0 Exemptions for Air Taxi and Commuter Air Carrier Operations FORMS: OST-FORM-4507
OMB NO: 2120-0643 EXPIRATION DATE: 05/31/2005 RESPS:35 HOURS:4,384 COSTS(000):$0 Commerical Space Transportation Reusable Launch Vehicle and Reentry Licensing Regulations FORMS: NONE
OMB NO: 2120-0644 EXPIRATION DATE: 07/31/2002 RESPS:2 HOURS:1,592 COSTS(000):$0 License Requirements for Operation of a Launch Site FORMS: NONE
OMB NO: 2120-0646 EXPIRATION DATE: 08/31/2002 RESPS:5 HOURS:5 COSTS(000):$0 Protection of Voluntarily Submitted Information FORMS: NONE
OMB NO: 2120-0648 EXPIRATION DATE: 10/31/2002 RESPS:70 HOURS:3,911 COSTS(000):$0 Certification: Airmen Other Than Flight Crewmembers -- Part 65; Aircraft Dispatches -- Subpart C; and Aircraft Dispatcher Courses -- Appendix A FORMS: NONE
OMB NO: 2120-0649 EXPIRATION DATE: 11/30/2002 RESPS:6 HOURS:1,566 COSTS(000):$0 Financial Responsibility Requirements for Licensed Reentry Activities FORMS: NONE
OMB NO: 2120-0651 EXPIRATION DATE: 12/31/2002 RESPS:1,200 HOURS:1 COSTS(000):$205,000 Additional Flight Data Recorder Requirements for Certain Boeing 737 Airplanes FORMS: NONE
OMB NO: 2120-0652 EXPIRATION DATE: 04/30/2003 RESPS:100 HOURS:25 COSTS(000):$0 Changes in Permissible Stage 2 Airplane Operations FORMS: NONE
OMB NO: 2120-0653 EXPIRATION DATE: 01/31/2003 RESPS:138 HOURS:466 COSTS(000):$0 Commercial Air Tour Limitation in the Grand Canyon National Park Special Flight Rules Area FORMS: NONE
OMB NO: 2120-0657 EXPIRATION DATE: 09/30/2003 RESPS:2,558 HOURS:18,815 COSTS(000):$0 Type Certification Procedures for Changed Products FORMS: NONE
OMB NO: 2120-0659 EXPIRATION DATE: 09/30/2003 RESPS:10 HOURS:1,350 COSTS(000):$0 Noise Certification Standards for Subsonic Jet Airplanes and Subsonic Transport Category Large Airplanes FORMS: NONE
OMB NO: 2120-0660 EXPIRATION DATE: 09/30/2003 RESPS:360 HOURS:360 COSTS(000):$0 Flight Operational Quality Assurance (FOQA) Program FORMS: NONE
OMB NO: 2120-0661 EXPIRATION DATE: 09/30/2003 RESPS:82 HOURS:5,945 COSTS(000):$0 Competition Plans, Passenger Facility Charges FORMS: NONE
OMB NO: 2120-0662 EXPIRATION DATE: 09/30/2003 RESPS:200 HOURS:2,200 COSTS(000):$0 Laser Operations in the Navigable Airspace (Advisory Circular (AC), Outdoor Laser Operations) FORMS: NONE
OMB NO: 2120-0663 EXPIRATION DATE: 11/30/2003 RESPS:41,500 HOURS:6,107 COSTS(000):$0 Service Difficulty Report (SDR) FORMS: FAA-FORM-8070-1
OMB NO: 2120-0664 EXPIRATION DATE: 11/30/2003 RESPS:100 HOURS:100 COSTS(000):$0 Volcanic Activity User Needs Analysis Questionnaire FORMS: NONE
OMB NO: 2120-0665 EXPIRATION DATE: 12/31/2003 RESPS:625,000 HOURS:52,000 COSTS(000):$0 Safe Disposition of Life-Limited Aircraft Parts FORMS: NONE
OMB NO: 2120-0666 EXPIRATION DATE: 04/30/2004 RESPS:50 HOURS:875 COSTS(000):$0 Noise Levels for U.S. Certificated and Foreign Aircraft; Estimat Estimated Airplan Noise Levels in A-Weighted Decibels FORMS: NONE
OMB NO: 2120-0668 EXPIRATION DATE: 08/31/2004 RESPS:9 HOURS:27 COSTS(000):$0 FAA Form 1200-5, NAS Data Release Request FORMS: FORM-1200-5
OMB NO: 2120-0669 EXPIRATION DATE: 12/31/2003 RESPS:50 HOURS:67 COSTS(000):$0 Flight Data Recorder Resolution Requirements FORMS: NONE
OMB NO: 2120-0672 EXPIRATION DATE: 12/31/2004 RESPS:10 HOURS:5,680 COSTS(000):$0 Criteria for internet communications of aviation weather, notam and aeronautical data FORMS: NONE
OMB NO: 2120-0674 EXPIRATION DATE: 05/31/2005 RESPS:49 HOURS:2,352 COSTS(000):$0 Special Federal Aviation Regulation (SFAR) 92, Flightcrew Compartment Access and Door Designs FORMS: NONE
OMB NO: 2120-0675 EXPIRATION DATE: 02/28/2005 RESPS:2,269 HOURS:52,993 COSTS(000):$0 Certification of Airports, 14 CFR Part 139 (Final Rule) FORMS: 5281-1
OMB NO: 2120-0677 EXPIRATION DATE: 08/31/2002 RESPS:89,450 HOURS:8,299 COSTS(000):$0 Enhanced Security Procedures at Certain Airports, Washington DC Area FORMS: NONE
Federal Highway AdministrationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
93 30,055,746 8,538,864 $399,600
OMB NO: 2125-0010 EXPIRATION DATE: 03/31/2004 RESPS:1,300 HOURS:975 COSTS(000):$0 Bid Price Data FORMS: FHWA-45
OMB NO: 2125-0019 EXPIRATION DATE: 01/31/2004 RESPS:4,552 HOURS:3,916 COSTS(000):$0 Federal-Aid Highway Construction Equal Employment Opportunity FORMS: PR-1391 PR-1392
OMB NO: 2125-0025 EXPIRATION DATE: 05/31/2004 RESPS:52 HOURS:10,400 COSTS(000):$0 Highway Safety Improvement Programs FORMS: NONE
OMB NO: 2125-0028 EXPIRATION DATE: 02/28/2003 RESPS:56 HOURS:74,960 COSTS(000):$0 Highway Performance Monitoring System (HPMS) Field Manual FORMS: NONE
OMB NO: 2125-0032 EXPIRATION DATE: 03/31/2003 RESPS:1,826 HOURS:40,880 COSTS(000):$0 A Guide to Reporting Highway Statistics FORMS: FHWA-531 532-534 536-539 541-542-543 551M 556 561 562 566 571
OMB NO: 2125-0033 EXPIRATION DATE: 12/31/2003 RESPS:1,300 HOURS:8,450 COSTS(000):$0 Statement of Materials and Labor used by Contractors on Highway Construction involving Federal Funds FORMS: FHWA-47
OMB NO: 2125-0034 EXPIRATION DATE: 05/31/2003 RESPS:104 HOURS:4,160 COSTS(000):$0 Certification of Enforcement of Vehicle Size and Weight Laws FORMS: NONE
OMB NO: 2125-0039 EXPIRATION DATE: 04/30/2004 RESPS:52 HOURS:29,120 COSTS(000):$0 Planning and Research Program Administration FORMS: NONE
OMB NO: 2125-0501 EXPIRATION DATE: 04/30/2004 RESPS:270,000 HOURS:540,000 COSTS(000):$0 Structure Inventory and Appraisal Sheet FORMS: NONE
OMB NO: 2125-0507 EXPIRATION DATE: 08/31/2004 RESPS:12,300 HOURS:6,150 COSTS(000):$0 Voucher for Federal-aid Reimbursements FORMS: PR-20
OMB NO: 2125-0514 EXPIRATION DATE: 08/31/2004 RESPS:5 HOURS:1,400 COSTS(000):$3 Develop and Submit Utility Accommodation Policies FORMS: NONE
OMB NO: 2125-0515 EXPIRATION DATE: 08/31/2004 RESPS:5 HOURS:90 COSTS(000):$1 Eligibility Statement for Utility Adjustment FORMS: NONE
OMB NO: 2125-0519 EXPIRATION DATE: 10/31/2003 RESPS:9,000 HOURS:72,000 COSTS(000):$180 Developing and Recording Costs for Utility Adjustments FORMS: NONE
OMB NO: 2125-0521 EXPIRATION DATE: 10/31/2003 RESPS:1,200 HOURS:9,600 COSTS(000):$24 Developing and Recording Costs for Railroad Adjustments FORMS: NONE
OMB NO: 2125-0522 EXPIRATION DATE: 10/31/2003 RESPS:69,000 HOURS:414,000 COSTS(000):$690 Utility Use and Occupancy Agreements FORMS: NONE
OMB NO: 2125-0525 EXPIRATION DATE: 05/31/2004 RESPS:30 HOURS:6,000 COSTS(000):$1 Emergency Relief Funding Applications FORMS: NONE
OMB NO: 2125-0529 EXPIRATION DATE: 06/30/2004 RESPS:12,040 HOURS:12,040 COSTS(000):$0 Preparation and Execution of the Project Agreement and Modifications FORMS: NONE
OMB NO: 2125-0541 EXPIRATION DATE: 08/31/2004 RESPS:51 HOURS:612 COSTS(000):$0 Certification of Enforcement of Heavy Vehicle Use Tax FORMS: NONE
OMB NO: 2125-0545 EXPIRATION DATE: 02/29/2004 RESPS:25,000 HOURS:20,833 COSTS(000):$0 Nationwide Personal Transportation Survey (NPTS) FORMS: NONE
OMB NO: 2125-0579 EXPIRATION DATE: 06/30/2004 RESPS:52 HOURS:260 COSTS(000):$0 Drug Offenders' Drivers' License Suspension Certification FORMS: NONE
OMB NO: 2125-0586 EXPIRATION DATE: 08/31/2003 RESPS:52 HOURS:4,000 COSTS(000):$0 State Right-of-Way Operations Manuals FORMS: NONE
OMB NO: 2125-0587 EXPIRATION DATE: 04/30/2004 RESPS:51 HOURS:2,550 COSTS(000):$0 Heavy Vehicle Travel Information System (HVTIS) FORMS: NONE
OMB NO: 2125-0589 EXPIRATION DATE: 01/31/2005 RESPS:500 HOURS:84 COSTS(000):$0 FHWA Highway Design Handbook for Older Drivers and Pedestrians Workshop Participants' Feedback Survey FORMS: NONE
OMB NO: 2125-0590 EXPIRATION DATE: 02/28/2005 RESPS:65,662 HOURS:12,433 COSTS(000):$0 Customer Satisfaction Surveys FORMS: 2125-0590M
Federal Motor Carrier Safety AdministrationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
24 474,190 1,274,913 $899
OMB NO: 2126-0001 EXPIRATION DATE: 03/31/2005 RESPS:1,544,743,200 HOURS:161,364,492 COSTS(000):$63,696 Driver's Record of Duty Status FORMS: NONE
OMB NO: 2126-0003 EXPIRATION DATE: 05/31/2004 RESPS:4,800,000 HOURS:35,107,856 COSTS(000):$226 Inspection, Repair, and Maintenance FORMS: NONE
OMB NO: 2126-0004 EXPIRATION DATE: 08/31/2004 RESPS:6,436,400 HOURS:941,856 COSTS(000):$27,998 Driver Qualification Files FORMS: NONE
OMB NO: 2126-0006 EXPIRATION DATE: 10/31/2003 RESPS:3,218,215 HOURS:1,180,792 COSTS(000):$0 Medical Qualification Requirements FORMS: NONE
OMB NO: 2126-0008 EXPIRATION DATE: 06/30/2003 RESPS:118,590 HOURS:5,285 COSTS(000):$0 Financial Responsibility for Motor Carriers of Passengers and Motor Carriers of Property FORMS: MCS-90 MCS-90B MCS-82 MCS-82B
OMB NO: 2126-0009 EXPIRATION DATE: 08/31/2002 RESPS:125,150 HOURS:37,500 COSTS(000):$0 Accident Recordkeeping Requirements FORMS: NONE
OMB NO: 2126-0010 EXPIRATION DATE: 06/30/2004 RESPS:2,200,265 HOURS:8,520 COSTS(000):$250 Motor Carrier Safety Assistance Program (MCSAP) FORMS: MCSAP-1 MCSAP-2 MCSAP-2A
OMB NO: 2126-0011 EXPIRATION DATE: 10/31/2004 RESPS:5,241,829 HOURS:620,802 COSTS(000):$0 Commercial Driver Licensing and Test Standards FORMS: NONE
OMB NO: 2126-0012 EXPIRATION DATE: 08/31/2004 RESPS:5,969,686 HOURS:573,490 COSTS(000):$0 Controlled Substances and Alcohol Use and Testing FORMS: MCS-154 NCS-155
OMB NO: 2126-0013 EXPIRATION DATE: 05/31/2004 RESPS:274,500 HOURS:68,250 COSTS(000):$0 Motor Carrier Identification Report FORMS: MCS-150
OMB NO: 2126-0014 EXPIRATION DATE: 08/31/2004 RESPS:53 HOURS:13 COSTS(000):$0 Transportation of Hazardous Materials; Highway Routing FORMS: NONE
OMB NO: 2126-0015 EXPIRATION DATE: 11/30/2004 RESPS:30,000 HOURS:5,000 COSTS(000):$1 Designation of Agents, Motor Carriers, Brokers and Freight Forwarders FORMS: BOC-3
OMB NO: 2126-0016 EXPIRATION DATE: 03/31/2005 RESPS:26,637 HOURS:59,001 COSTS(000):$7,479 Revision of Licensing Application Forms, Application Procedures, and Corresponding Regulations FORMS: OP-1(MX) OP-1 OP-1(FF) OP-1(P)
OMB NO: 2126-0017 EXPIRATION DATE: 07/31/2002 RESPS:180,000 HOURS:30,400 COSTS(000):$145 Financial Responsibility Trucking and Freight Forwarding FORMS: BMC-91 BMC-91X BMC-34 BMC-82 BMC-83 BMC-84 BMC-85 BMC-90 BMC-32 BMC-35-36-40
OMB NO: 2126-0018 EXPIRATION DATE: 04/30/2004 RESPS:1,000 HOURS:250 COSTS(000):$0 Request for Revocation of Authority Granted FORMS: OCE-46
OMB NO: 2126-0019 EXPIRATION DATE: 03/31/2005 RESPS:7,218 HOURS:23,818 COSTS(000):$307 Application for Certificate of Registration for Foreign Motor Carriers and Foreign Motor Private Carriers FORMS: OP-2
National Highway Traffic Safety AdministrationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
16 1,573,372,743 200,027,325 $100,102
OMB NO: 2127-0001 EXPIRATION DATE: 07/31/2003 RESPS:10,470,555 HOURS:1,852 COSTS(000):$0 National Driver Register (NDR) FORMS: NONE
OMB NO: 2127-0002 EXPIRATION DATE: 05/31/2003 RESPS:838,000 HOURS:72,500 COSTS(000):$2 Motor Vehicle Importation FORMS: HS-7 HS-474
OMB NO: 2127-0003 EXPIRATION DATE: 03/31/2005 RESPS:1,140 HOURS:570 COSTS(000):$0 23 CFR Parts Uniform Safety Program Cost Summary Form for Highway Safety Plan FORMS: FORM-217
OMB NO: 2127-0004 EXPIRATION DATE: 08/31/2002 RESPS:445 HOURS:6,348 COSTS(000):$0 Defect Noncompliance Determination FORMS: NONE
OMB NO: 2127-0006 EXPIRATION DATE: 01/31/2005 RESPS:136,500 HOURS:45,045 COSTS(000):$0 Consumer Compliant/Recall Audit Information FORMS: 350 350C
OMB NO: 2127-0008 EXPIRATION DATE: 02/28/2005 RESPS:136,500 HOURS:45,045 COSTS(000):$0 Consumer Complaint/Recall Audit Information FORMS: 350 350C
OMB NO: 2127-0019 EXPIRATION DATE: 09/30/2004 RESPS:36 HOURS:3,474 COSTS(000):$721 49 CFR Part 537--Automotive Fuel Economy Reports FORMS: NONE
OMB NO: 2127-0021 EXPIRATION DATE: 05/31/2003 RESPS:13,500 HOURS:5,807 COSTS(000):$0 National Automotive Sampling System (NASS) Crashworthiness Data Systems (CDS) FORMS: HS-433A HS-433B HS-435H HS-435I
OMB NO: 2127-0025 EXPIRATION DATE: 02/28/2005 RESPS:266 HOURS:1,064 COSTS(000):$0 49 CFR Part 512, Confidential Business Information FORMS: NONE
OMB NO: 2127-0038 EXPIRATION DATE: 11/30/2004 RESPS:23 HOURS:11 COSTS(000):$0 Assigning DOT Code Numbers to Glazing Material Manufacturers FORMS: NONE
OMB NO: 2127-0039 EXPIRATION DATE: 02/28/2005 RESPS:21 HOURS:21 COSTS(000):$0 49 CFR Part 557, Petitions for Hearings on Notification and Remedy of Defects. FORMS: NONE
OMB NO: 2127-0040 EXPIRATION DATE: 05/31/2003 RESPS:70 HOURS:70 COSTS(000):$0 Designation of Agents FORMS: NONE
OMB NO: 2127-0042 EXPIRATION DATE: 02/28/2005 RESPS:1,000 HOURS:40,000 COSTS(000):$0 49 CFR Part 576 Record Retention FORMS: NONE
OMB NO: 2127-0043 EXPIRATION DATE: 02/28/2005 RESPS:100 HOURS:25 COSTS(000):$0 49 CFR Part 566 Manufacturers' Identification FORMS: NONE
OMB NO: 2127-0044 EXPIRATION DATE: 02/28/2005 RESPS:14,250,000 HOURS:950,000 COSTS(000):$467 Names and Addresses of First Purchasers of Motor Vehicles FORMS: NONE
OMB NO: 2127-0045 EXPIRATION DATE: 02/28/2005 RESPS:15 HOURS:30 COSTS(000):$0 49 CFR 556, Petitions for Inconsequentiality FORMS: NONE
OMB NO: 2127-0046 EXPIRATION DATE: 02/28/2005 RESPS:20 HOURS:20 COSTS(000):$0 49 CFR Part 552, Petitions for Rulemaking Defect and Noncompliance Orders FORMS: NONE
OMB NO: 2127-0047 EXPIRATION DATE: 02/28/2005 RESPS:130,772,582 HOURS:2,432,879 COSTS(000):$0 49 CFR Part 580 Odometer Disclosure Statement FORMS: NONE
OMB NO: 2127-0049 EXPIRATION DATE: 04/30/2003 RESPS:15 HOURS:300 COSTS(000):$2,362 49 CFR Part 575 Consumer Information Regulations (Section 103 and 105) FORMS: NONE
OMB NO: 2127-0050 EXPIRATION DATE: 09/30/2003 RESPS:54,000,000 HOURS:245,000 COSTS(000):$5,340 Tire Identification and Recordkeeping FORMS: NONE
OMB NO: 2127-0052 EXPIRATION DATE: 11/30/2004 RESPS:20 HOURS:30 COSTS(000):$0 Brake Hose Manufacturers Identification FORMS: NONE
OMB NO: 2127-0501 EXPIRATION DATE: 04/30/2003 RESPS:52 HOURS:2,340 COSTS(000):$0 23 CFR Part 1313 Certification Requirements for State Grants for Drunk Driving Prevention Programs. FORMS: HS-217
OMB NO: 2127-0503 EXPIRATION DATE: 09/30/2003 RESPS:190,000,000 HOURS:128,979 COSTS(000):$1,787 Tires and Rims Labeling FORMS: NONE
OMB NO: 2127-0506 EXPIRATION DATE: 11/30/2004 RESPS:2,850,000 HOURS:1 COSTS(000):$0 49 CFR Section 571.125, Warning Devices FORMS: NONE
OMB NO: 2127-0510 EXPIRATION DATE: 01/31/2005 RESPS:22,725,000 HOURS:456,212 COSTS(000):$2 49 CFR Part 541, Consolidated Labeling Requirements for 49 CFR 571.115 Parts 565, 541 and 587 FORMS: NONE
OMB NO: 2127-0511 EXPIRATION DATE: 06/30/2003 RESPS:4,500,000 HOURS:90,000 COSTS(000):$1,229 49 CFR Part 571.213, "Child Restraint Systems" FORMS: NONE
OMB NO: 2127-0512 EXPIRATION DATE: 11/30/2004 RESPS:83,759,930 HOURS:72,959 COSTS(000):$1,459 Consolidated Labeling Requirements for Motor Vehicles (Except the V.I.N) FORMS: NONE
OMB NO: 2127-0518 EXPIRATION DATE: 11/30/2004 RESPS:1,600,000 HOURS:5,333 COSTS(000):$640 49 CFR 571.218, Motorcycle helmets (Labeling) FORMS: NONE
OMB NO: 2127-0519 EXPIRATION DATE: 11/30/2004 RESPS:131 HOURS:79,650 COSTS(000):$23,000 49 CFR Part 575, 104; Uniform Tire Quality Grading Standard FORMS: NONE
OMB NO: 2127-0521 EXPIRATION DATE: 07/31/2004 RESPS:70,000,000 HOURS:7,000 COSTS(000):$81 49 CFR Part 571.116 Motor Vehicle Brake Fluids FORMS: NONE
OMB NO: 2127-0539 EXPIRATION DATE: 11/30/2004 RESPS:40 HOURS:640 COSTS(000):$0 49 CFR Part 542, Procedures for Selecting Lines To Be Covered by the Theft Prevention Standard FORMS: NONE
OMB NO: 2127-0541 EXPIRATION DATE: 01/31/2005 RESPS:204 HOURS:1,371 COSTS(000):$3,887 Consolidated Justification of Owner's Manual Requirements for Motor Vehicles and Equipment FORMS: NONE
OMB NO: 2127-0542 EXPIRATION DATE: 11/30/2004 RESPS:4 HOURS:64 COSTS(000):$0 49 CFR Part 543, Exemption from Vehicle Theft Prevention Standard FORMS: NONE
OMB NO: 2127-0547 EXPIRATION DATE: 08/31/2003 RESPS:46 HOURS:68,325 COSTS(000):$2,010 Part 544 - Insurer Reporting Requirements -- Motor Vechicle Theft Law Enforcement Act of 1984 FORMS: NONE
OMB NO: 2127-0563 EXPIRATION DATE: 11/30/2004 RESPS:7 HOURS:28 COSTS(000):$0 Replaceable Light Source Dimensional Information Collection, 49 CFR Part 564 FORMS: NONE
OMB NO: 2127-0569 EXPIRATION DATE: 11/30/2004 RESPS:10,000,000 HOURS:1 COSTS(000):$1 Compliance Labeling of Retroreflective Materials for Heavy Trailer Conspicuity FORMS: NONE
OMB NO: 2127-0573 EXPIRATION DATE: 10/31/2004 RESPS:57 HOURS:47,918 COSTS(000):$2,130 49 CFR Part 583--Motor Vehicle Content Labeling FORMS: NONE
OMB NO: 2127-0576 EXPIRATION DATE: 01/31/2005 RESPS:1,200 HOURS:120 COSTS(000):$0 Voluntary Child Safety Registration Form FORMS: NONE
OMB NO: 2127-0579 EXPIRATION DATE: 11/30/2004 RESPS:131,334 HOURS:13,468 COSTS(000):$0 Generic Clearance for Customer Surveys FORMS: 2127-0579K
OMB NO: 2127-0581 EXPIRATION DATE: 11/30/2004 RESPS:35 HOURS:1,260 COSTS(000):$0 Part 589-Upper Interior Component Head Impact Protection Phase-in Reporting Requirements FORMS: NONE
OMB NO: 2127-0582 EXPIRATION DATE: 10/31/2002 RESPS:52 HOURS:52 COSTS(000):$0 Certification Requirements for State Laws Concerning Intoxicated Minor Age Drivers -- 23 CFR Part 1210 FORMS: NONE
OMB NO: 2127-0588 EXPIRATION DATE: 01/31/2004 RESPS:15,000 HOURS:7,500 COSTS(000):$5 Air Bag Deactivation FORMS: HS-FORM-603 DOT-HS-808-629
OMB NO: 2127-0597 EXPIRATION DATE: 03/31/2005 RESPS:52 HOURS:17,942 COSTS(000):$0 Uniform criteria for State observational surveys of seat belt use FORMS: NONE
OMB NO: 2127-0599 EXPIRATION DATE: 03/31/2005 RESPS:21 HOURS:1,260 COSTS(000):$0 Part 585 - Advanced Air Bag Phase-In Reporting Requirements FORMS: NONE
OMB NO: 2127-0600 EXPIRATION DATE: 03/31/2005 RESPS:56 HOURS:1,736 COSTS(000):$0 23 Part 1345 Occupant Protection Incentive Grant Section 405 FORMS: HS-217
OMB NO: 2127-0603 EXPIRATION DATE: 08/31/2002 RESPS:4,240 HOURS:1,514 COSTS(000):$0 National Survey of Pedestrian and Bicyclist Attitudes, Knowledge, and Behaviors FORMS: DTNH-22-9605082
OMB NO: 2127-0606 EXPIRATION DATE: 06/30/2003 RESPS:57 HOURS:114 COSTS(000):$0 23 CFR Part 1335-State Highway Safety Data and Traffice Records Improvements FORMS: NONE
OMB NO: 2127-0607 EXPIRATION DATE: 10/31/2003 RESPS:12,000 HOURS:3,845 COSTS(000):$0 2000 Motor Vehicle Occupant Safety Survey FORMS: NONE
OMB NO: 2127-0608 EXPIRATION DATE: 11/30/2003 RESPS:1,520 HOURS:253 COSTS(000):$0 Part Time Seat Belt User Program FORMS: NONE
OMB NO: 2127-0609 EXPIRATION DATE: 08/31/2004 RESPS:9 HOURS:18 COSTS(000):$0 Criminal Penalty Safe Harbor Provision FORMS: NONE
OMB NO: 2127-0610 EXPIRATION DATE: 07/31/2004 RESPS:9 HOURS:4 COSTS(000):$0 Reporting of Sale or Lease of Defective or Noncompliant Tires FORMS: NONE
OMB NO: 2127-0612 EXPIRATION DATE: 10/31/2004 RESPS:5,600 HOURS:1,680 COSTS(000):$0 National Survey of Drinking and Driving Attitudes & Behaviors - 2001 FORMS: NONE
OMB NO: 2127-0613 EXPIRATION DATE: 11/30/2004 RESPS:4,000 HOURS:1,000 COSTS(000):$0 National Survey of Speeding, Driving While Distracted and other Unsafe Driving Behaviors FORMS: NONE
OMB NO: 2127-0614 EXPIRATION DATE: 04/30/2005 RESPS:7,500 HOURS:4,373 COSTS(000):$0 Highway Crash Data Collection for Evaluation of Antilock Braking Systems (ABS) & Rear Impact Guards FORMS: NONE
OMB NO: 2127-0615 EXPIRATION DATE: 12/31/2004 RESPS:54,800 HOURS:9,133 COSTS(000):$0 Buckle Up America Telephone Surveys 2002-2004 FORMS: NONE
Federal Railroad AdministrationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
55 596,293,764 4,876,184 $45,123
OMB NO: 2130-0004 EXPIRATION DATE: 09/30/2003 RESPS:5,666,801 HOURS:1,150,330 COSTS(000):$23 Railroad Locomotive Safety Standards and Event Recorders FORMS: FRA-F-6180.49A
OMB NO: 2130-0005 EXPIRATION DATE: 09/30/2003 RESPS:27,431,566 HOURS:4,067,432 COSTS(000):$1 Hours of Service Regulations FORMS: FRA-F-6180.3
OMB NO: 2130-0006 EXPIRATION DATE: 07/31/2003 RESPS:1,673,786 HOURS:480,326 COSTS(000):$5 Railroad Signal System Requirements FORMS: FRA-F-6180.14 FRA-F-6180.47
OMB NO: 2130-0008 EXPIRATION DATE: 12/31/2003 RESPS:12,013,516,275 HOURS:696,174 COSTS(000):$9,438 Inspection Brake System Safety Standards for Freight and Other FORMS: NONE
OMB NO: 2130-0010 EXPIRATION DATE: 03/31/2004 RESPS:1,635,052 HOURS:1,767,433 COSTS(000):$0 Track Safety Standards (Gage Restraint Measurement Systems Amendment) FORMS: NONE
OMB NO: 2130-0017 EXPIRATION DATE: 03/31/2003 RESPS:65,377 HOURS:3,104 COSTS(000):$0 U.S. DOT Crossing Inventory Form FORMS: FRA-6180.71
OMB NO: 2130-0035 EXPIRATION DATE: 08/31/2003 RESPS:500,343 HOURS:131,192 COSTS(000):$0 Railroad Operating Rules FORMS: NONE
OMB NO: 2130-0500 EXPIRATION DATE: 07/31/2003 RESPS:75,352 HOURS:58,841 COSTS(000):$171 Accident/Incident Reporting and Recordkeeping FORMS: 6180.33 54 55 55A 56 57 78 81 97 98
OMB NO: 2130-0502 EXPIRATION DATE: 07/31/2003 RESPS:4 HOURS:4 COSTS(000):$0 Filing of Dedicated Cars FORMS: NONE
OMB NO: 2130-0504 EXPIRATION DATE: 03/31/2004 RESPS:58 HOURS:7 COSTS(000):$0 Special Notice for Repairs FORMS: 6180.8 6180.8A
OMB NO: 2130-0505 EXPIRATION DATE: 01/31/2003 RESPS:4,900 HOURS:369 COSTS(000):$1 Inspection and Maintenance Standards for Steam Locomotives (Formerly Steam Locomotive Inspection) FORMS: FRA-FORM-NO.1 FRA-FORM-NO.2 FRA-FORM-NO.3 FRA-FORM-NO.4 FRA-FORM-NO.5 FRA-FORM-NO.19
OMB NO: 2130-0506 EXPIRATION DATE: 06/30/2003 RESPS:800 HOURS:67 COSTS(000):$0 Identification of Cars Moved in Accordance with Order 13528 FORMS: NONE
OMB NO: 2130-0509 EXPIRATION DATE: 08/31/2003 RESPS:25,362 HOURS:9,467 COSTS(000):$30 State Safety Participation Regulations and Remedial Actions FORMS: FRA-F-6180.10 FRA-F-6180.29 FRA-F-6180.29A FRA-F-6180.33 FRA-F-6180.61 FRA-F-6180.67 FRA-F-6180.68 FRA-F-6180.68A FRA-F-6180.96 FRA-F-6180.96A
OMB NO: 2130-0511 EXPIRATION DATE: 03/31/2004 RESPS:1,200 HOURS:40 COSTS(000):$0 Designation of Qualified Persons FORMS: NONE
OMB NO: 2130-0516 EXPIRATION DATE: 07/31/2003 RESPS:3,604,000 HOURS:240,267 COSTS(000):$0 Remotely Controlled Switch Operations FORMS: NONE
OMB NO: 2130-0517 EXPIRATION DATE: 08/31/2002 RESPS:2,000 HOURS:6,000 COSTS(000):$6 Supplemental Qualifications Statement for Railroad Safety Inspector Applicants FORMS: FRA-F-120
OMB NO: 2130-0519 EXPIRATION DATE: 07/31/2003 RESPS:150,000 HOURS:10,833 COSTS(000):$1 Bad Order and Home Shop Card FORMS: NONE
OMB NO: 2130-0520 EXPIRATION DATE: 07/31/2003 RESPS:35,000 HOURS:26,250 COSTS(000):$0 Stenciling Reporting Mark on Freight Cars FORMS: NONE
OMB NO: 2130-0523 EXPIRATION DATE: 08/31/2003 RESPS:4 HOURS:8 COSTS(000):$0 Rear-End Marking Devices FORMS: NONE
OMB NO: 2130-0524 EXPIRATION DATE: 11/30/2004 RESPS:8,786,542 HOURS:255,372 COSTS(000):$10 Railroad Communications (Formerly Radio Standards and Procedures) FORMS: NONE
OMB NO: 2130-0525 EXPIRATION DATE: 08/31/2003 RESPS:28,776 HOURS:1,010 COSTS(000):$29 Certification of Glazing Materials FORMS: FRA-F-6180.3
OMB NO: 2130-0526 EXPIRATION DATE: 06/30/2003 RESPS:360,124 HOURS:129,916 COSTS(000):$56 Control of Alcohol and Drug Use in Railroad Operations FORMS: FRA-F-6180.73 6180.74 6180-94A 6180.94B
OMB NO: 2130-0527 EXPIRATION DATE: 07/31/2003 RESPS:120 HOURS:160 COSTS(000):$0 New Locomotive Certification (Noise Compliance Regulations) FORMS: NONE
OMB NO: 2130-0529 EXPIRATION DATE: 07/31/2003 RESPS:3 HOURS:5 COSTS(000):$0 Disqualification Proceedings FORMS: NONE
OMB NO: 2130-0533 EXPIRATION DATE: 07/31/2002 RESPS:166,844 HOURS:209,061 COSTS(000):$154 Qualifications for Locomotive Engineers FORMS: NONE
OMB NO: 2130-0534 EXPIRATION DATE: 07/31/2003 RESPS:3,204 HOURS:601 COSTS(000):$0 Grade Crossing Signal System Safety FORMS: FRA-F-6180.83
OMB NO: 2130-0535 EXPIRATION DATE: 08/31/2003 RESPS:6 HOURS:1 COSTS(000):$0 Bridge Worker Safety Rules FORMS: NONE
OMB NO: 2130-0537 EXPIRATION DATE: 06/30/2003 RESPS:60 HOURS:155 COSTS(000):$5 Railroad Polic Officers FORMS: NONE
OMB NO: 2130-0539 EXPIRATION DATE: 03/31/2004 RESPS:19,373,189 HOURS:588,570 COSTS(000):$3,051 Roadway Worker Protection: Roadway Maintenance Machine Safety FORMS: NONE
OMB NO: 2130-0540 EXPIRATION DATE: 08/31/2003 RESPS:537,571 HOURS:5,797 COSTS(000):$3 Two-way End-of-Train Devices FORMS: NONE
OMB NO: 2130-0544 EXPIRATION DATE: 06/30/2002 RESPS:5,370,913 HOURS:99,903 COSTS(000):$62 Passenger Equipment Safety Standards FORMS: NONE
OMB NO: 2130-0545 EXPIRATION DATE: 05/31/2004 RESPS:35,363 HOURS:4,595 COSTS(000):$18 Passenger Train Emergency Preparedness FORMS: NONE
OMB NO: 2130-0548 EXPIRATION DATE: 01/31/2003 RESPS:159 HOURS:5,881 COSTS(000):$151 Railroad Rehabilitation and Improvement Financing Program FORMS: NONE
OMB NO: 2130-0550 EXPIRATION DATE: 09/30/2003 RESPS:1,120 HOURS:1,150 COSTS(000):$0 Rail-Equipment Accident/Incident Cost Analysis Study FORMS: F6180.105
OMB NO: 2130-0551 EXPIRATION DATE: 12/31/2003 RESPS:8,135 HOURS:3,387 COSTS(000):$0 Regional Inspection Point Listing Forms FORMS: FRA-F-6180.106 (A)-(E)
OMB NO: 2130-0552 EXPIRATION DATE: 03/31/2004 RESPS:114,400 HOURS:1,300 COSTS(000):$0 Locomotive Cab Sanitation Standards FORMS: NONE
OMB NO: 2130-0553 EXPIRATION DATE: 09/30/2004 RESPS:15,058 HOURS:23,513 COSTS(000):$2 Positive Train Control FORMS: NONE
OMB NO: 2130-0555 EXPIRATION DATE: 01/31/2005 RESPS:417 HOURS:622 COSTS(000):$2 Foreign Railroads Foreign-Based (FRFB) Employees Who Perform Train or Dispatching Service in the United States FORMS: NONE
OMB NO: 2130-0556 EXPIRATION DATE: 01/31/2005 RESPS:2 HOURS:12 COSTS(000):$0 U.S. Locational Requirement For Dispatching U.S. Rail Operations FORMS: NONE
OMB NO: 2130-0557 EXPIRATION DATE: 03/31/2005 RESPS:79 HOURS:496 COSTS(000):$1 Safety Integration Plans FORMS: NONE
Federal Transit AdministrationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
40 12,089,189,965 9,979,651 $13,220
OMB NO: 2132-0008 EXPIRATION DATE: 06/30/2002 RESPS:567 HOURS:238,140 COSTS(000):$0 National Transit Data Base -- 49 U.S.C. Section 5335 (a), (b) FORMS: 001 100 200 400
OMB NO: 2132-0500 EXPIRATION DATE: 05/31/2004 RESPS:111 HOURS:6,540 COSTS(000):$0 49 U.S.C. Section 5310-Capital Assistance Program for Elderly Persons and Persons with Disabilities and Section 5311- Nonurbanized Area Formula Program FORMS: NONE
OMB NO: 2132-0502 EXPIRATION DATE: 12/31/2004 RESPS:198,466 HOURS:198,466 COSTS(000):$0 49 U.S.C. Section 5309 Capital Program and Section 5307 Urbanized Area Formula Progrm FORMS: NONE
OMB NO: 2132-0529 EXPIRATION DATE: 03/31/2004 RESPS:101,339 HOURS:253,250 COSTS(000):$1,460 Metropolitan and Statewide Transportation Planning FORMS: NONE
OMB NO: 2132-0540 EXPIRATION DATE: 07/31/2003 RESPS:200 HOURS:4,454 COSTS(000):$11 Title VI as it Applies to FTA Grant Programs FORMS: NONE
OMB NO: 2132-0542 EXPIRATION DATE: 06/30/2003 RESPS:150 HOURS:4,500 COSTS(000):$0 Nondiscrimination as it Applies to FTA Grant Programs FORMS: NONE
OMB NO: 2132-0543 EXPIRATION DATE: 12/31/2004 RESPS:1,656 HOURS:1,984 COSTS(000):$0 Charter Service Operations FORMS: NONE
OMB NO: 2132-0544 EXPIRATION DATE: 04/30/2004 RESPS:3 HOURS:3,024 COSTS(000):$0 Pre-Award, Post-Delivery Review Requirements under Buy America FORMS: NONE
OMB NO: 2132-0546 EXPIRATION DATE: 06/30/2003 RESPS:2,210 HOURS:13,940 COSTS(000):$0 49 U.S.C. Section 5312(a) Transit Research, Development, Demonstration and Training Projects FORMS: NONE
OMB NO: 2132-0549 EXPIRATION DATE: 06/30/2003 RESPS:104 HOURS:156 COSTS(000):$3 Technical Activities Form FORMS: NONE
OMB NO: 2132-0550 EXPIRATION DATE: 06/30/2003 RESPS:15 HOURS:53 COSTS(000):$103 Bus Testing Program FORMS: NONE
OMB NO: 2132-0555 EXPIRATION DATE: 04/30/2004 RESPS:750 HOURS:40,000 COSTS(000):$0 Americans with Disabilities Act FORMS: NONE
OMB NO: 2132-0556 EXPIRATION DATE: 09/30/2003 RESPS:87,568 HOURS:10,113 COSTS(000):$0 Prevention of Prohibited Drug Use & Control of Alcohol Misuse in Transit Operations (Was 2 separate information collections: 2132-0556 Prevention of Prohibited Drug Use in Transit Operations FORMS: NONE
OMB NO: 2132-0558 EXPIRATION DATE: 10/31/2002 RESPS:160 HOURS:37,158 COSTS(000):$0 Rail Fixed Guideway Systems; State Safety Oversight FORMS: NONE
OMB NO: 2132-0559 EXPIRATION DATE: 06/30/2002 RESPS:2,035 HOURS:1,693 COSTS(000):$0 Customer Service Surveys FORMS: NONE
OMB NO: 2132-0560 EXPIRATION DATE: 08/31/2003 RESPS:1,770 HOURS:32,742 COSTS(000):$0 49 U.S.C. Section 5308 Clean Fuels Formula Grant Program FORMS: NONE
OMB NO: 2132-0561 EXPIRATION DATE: 08/31/2004 RESPS:1 HOURS:47,200 COSTS(000):$0 49 CFR Part 611 Major Capital Investment Projects; Final Rule FORMS: NONE
Maritime AdministrationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
17 397,105 893,413 $1,577
OMB NO: 2133-0005 EXPIRATION DATE: 01/31/2005 RESPS:198 HOURS:1,881 COSTS(000):$0 Uniform Financial Reporting Requirements FORMS: MA-172
OMB NO: 2133-0006 EXPIRATION DATE: 07/31/2003 RESPS:100 HOURS:200 COSTS(000):$0 Request for Transfer of Ownership, Registry, and Flag, or Charter, Lease, or Mortgage of U.S. Citizen Owned Documented Vessels FORMS: MA-29 MA-29A MA-29B
OMB NO: 2133-0007 EXPIRATION DATE: 07/31/2003 RESPS:25 HOURS:300 COSTS(000):$0 Maintenance and Repair Cumulative Summary FORMS: MA-140
OMB NO: 2133-0010 EXPIRATION DATE: 10/31/2002 RESPS:2,500 HOURS:12,500 COSTS(000):$0 U.S. Merchant Marine Academy Application for Admission and Pre-Candidate Application FORMS: KP-2-65
OMB NO: 2133-0011 EXPIRATION DATE: 10/31/2004 RESPS:1,165 HOURS:626 COSTS(000):$0 War Risk Insurance - Applications and Related Information FORMS: MA-355 MA-528 MA-742 MA-828 MA-942
OMB NO: 2133-0012 EXPIRATION DATE: 12/31/2004 RESPS:300 HOURS:1,500 COSTS(000):$0 Requirements for establishing U.S. Citizenship (46 CFR 355) FORMS: NONE
OMB NO: 2133-0013 EXPIRATION DATE: 05/31/2003 RESPS:336 HOURS:168 COSTS(000):$0 Monthly Report of Ocean Shipments Moving Under Export-Import Bank (Eximbank) Financing FORMS: MA-518
OMB NO: 2133-0018 EXPIRATION DATE: 10/31/2002 RESPS:25 HOURS:1,750 COSTS(000):$0 Obligation Guarantees -- 46 CFR Part 298, Title XI FORMS: MA-163 MA-163A
OMB NO: 2133-0024 EXPIRATION DATE: 12/31/2004 RESPS:8 HOURS:16 COSTS(000):$0 Subsidy Voucher - Operating Differential Subsidy (Bulk & Liner Cargo Vessels FORMS: MA-790 SF-1034
OMB NO: 2133-0025 EXPIRATION DATE: 01/31/2004 RESPS:32,480 HOURS:2,598 COSTS(000):$0 Automated Mutual-Assistance Vessel Rescue System (AMVER) FORMS: CG-47960A(MA) (REV.8-88)
OMB NO: 2133-0027 EXPIRATION DATE: 02/28/2003 RESPS:140 HOURS:2,130 COSTS(000):$0 Capital Construction Fund and Exhibits FORMS: NONE
OMB NO: 2133-0029 EXPIRATION DATE: 12/31/2002 RESPS:800 HOURS:400 COSTS(000):$0 Shipbuilding Orderbook and Shipyard Employment FORMS: MA-832
OMB NO: 2133-0030 EXPIRATION DATE: 02/28/2005 RESPS:20,000 HOURS:100 COSTS(000):$0 Supplementary Training Course Application FORMS: MA-823
OMB NO: 2133-0032 EXPIRATION DATE: 11/30/2002 RESPS:17 HOURS:153 COSTS(000):$0 Application for Construction Reserve Fund and Annual Statements (CRF) FORMS: NONE
OMB NO: 2133-0501 EXPIRATION DATE: 04/30/2003 RESPS:3 HOURS:150 COSTS(000):$0 Records Retention Schedule FORMS: NONE
OMB NO: 2133-0503 EXPIRATION DATE: 05/31/2003 RESPS:22 HOURS:66 COSTS(000):$0 Inventory of American Intermodel Equipment FORMS: NONE
OMB NO: 2133-0504 EXPIRATION DATE: 04/30/2005 RESPS:60 HOURS:60 COSTS(000):$0 Regulations for Making Excess or Surplus Federal Property Available to the U.S. Merchant Marine Academy State Maritime Academies FORMS: NONE
OMB NO: 2133-0505 EXPIRATION DATE: 01/31/2004 RESPS:20 HOURS:20 COSTS(000):$0 Voluntary Tanker Agreement FORMS: NONE
OMB NO: 2133-0506 EXPIRATION DATE: 05/31/2004 RESPS:1,500 HOURS:1,500 COSTS(000):$0 Merchant Marine Medals and Awards FORMS: NONE
OMB NO: 2133-0509 EXPIRATION DATE: 04/30/2003 RESPS:3,000 HOURS:1,500 COSTS(000):$0 Maritime Administration Service Obligation Compliance Report and Merchant Marine Reserve, US Naval Reserve (USNR), Annual Report FORMS: MA-930
OMB NO: 2133-0510 EXPIRATION DATE: 04/30/2005 RESPS:61 HOURS:21 COSTS(000):$0 Request for Waiver of Service Obligation; Request for Deferment of Service Obligation; Application for Review FORMS: MA-935 MA-936 MA-937
OMB NO: 2133-0511 EXPIRATION DATE: 04/30/2003 RESPS:92 HOURS:46 COSTS(000):$0 EUSC/Parent Company FORMS: NONE
OMB NO: 2133-0514 EXPIRATION DATE: 05/31/2003 RESPS:160 HOURS:640 COSTS(000):$0 Determination of Fair and Reasonable Rates for the Carriage of Bulk and Packaged Cargoes on U.S.-flag Commercial Vessels FORMS: NONE
OMB NO: 2133-0517 EXPIRATION DATE: 06/30/2003 RESPS:62 HOURS:46 COSTS(000):$0 Approval of Underwriters for Marine Hull Insurance FORMS: NONE
OMB NO: 2133-0521 EXPIRATION DATE: 03/31/2005 RESPS:1 HOURS:1 COSTS(000):$0 Part 380, Subpart B-Application for Designation of Vessels as American Great Lakes Vessels FORMS: NONE
OMB NO: 2133-0522 EXPIRATION DATE: 05/31/2003 RESPS:250 HOURS:3,125 COSTS(000):$37 Seamen's Claims; Administrative Action and Litigation FORMS: NONE
OMB NO: 2133-0524 EXPIRATION DATE: 01/31/2004 RESPS:30 HOURS:1,280 COSTS(000):$0 Port Facility Conveyance Information FORMS: NONE
OMB NO: 2133-0525 EXPIRATION DATE: 09/30/2002 RESPS:132 HOURS:152 COSTS(000):$0 Application and Reporting Elements for Participation in the Maritime Security Program under Subtitle B, Title VI, Merchant Marine Act 1936, and Related Regulations FORMS: NONE
OMB NO: 2133-0526 EXPIRATION DATE: 05/31/2003 RESPS:50 HOURS:50 COSTS(000):$0 Information to Determine Seamen's Reemployment - National Emergency FORMS: NONE
OMB NO: 2133-0528 EXPIRATION DATE: 09/30/2003 RESPS:6,650 HOURS:256 COSTS(000):$0 Customer Service Surveys FORMS: MA-1016 MA-1017 MA-1021
OMB NO: 2133-0529 EXPIRATION DATE: 12/31/2002 RESPS:100 HOURS:100 COSTS(000):$0 Application for Waiver of the Coastwise Trade Laws for Small Passenger Vessels FORMS: NONE
OMB NO: 2133-0530 EXPIRATION DATE: 06/30/2003 RESPS:500 HOURS:2,950 COSTS(000):$0 Eligibility of US-flag Vessels of 100 Feet or Greater in Registered Length to Obtain a Fishery Endorsement to the Vessel's Documentation FORMS: NONE
OMB NO: 2133-0532 EXPIRATION DATE: 07/31/2003 RESPS:40 HOURS:200 COSTS(000):$0 Voluntary Intermodal Sealift Agreement (VISA) FORMS: MA-1020
OMB NO: 2133-0533 EXPIRATION DATE: 03/31/2004 RESPS:230 HOURS:115 COSTS(000):$0 "Intermodal Access to U.S. Ports Survey" "Intermodal Access to U.S. Marine Terminals Survey" FORMS: NONE
Research and Special Programs AdministrationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
34 71,057 36,600 $37
OMB NO: 2137-0014 EXPIRATION DATE: 01/31/2005 RESPS:132,600 HOURS:102,021 COSTS(000):$1,595,000 Cargo Tank Specification Requirements FORMS: NONE
OMB NO: 2137-0018 EXPIRATION DATE: 07/31/2004 RESPS:86,100 HOURS:66,390 COSTS(000):$0 Inspection and Testing of Portable Tanks and Intermediate Bulk Containers FORMS: NONE
OMB NO: 2137-0022 EXPIRATION DATE: 10/31/2004 RESPS:153,287 HOURS:168,431 COSTS(000):$0 Testing, Inspection, and Marking Requirements for Cylinders FORMS: NONE
OMB NO: 2137-0034 EXPIRATION DATE: 01/31/2004 RESPS:260,000,000 HOURS:6,500,000 COSTS(000):$0 "Hazardous Materials Shipping Papers & Emergency Response Information" FORMS: NONE
OMB NO: 2137-0039 EXPIRATION DATE: 10/31/2004 RESPS:20,600 HOURS:30,942 COSTS(000):$0 Hazardous Materials Incident Reports FORMS: F-5800-1
OMB NO: 2137-0047 EXPIRATION DATE: 04/30/2005 RESPS:1,849 HOURS:51,011 COSTS(000):$0 Transportation of Hazardous Liquids by Pipeline: Recordkeeping and Accident Reporting Requirements FORMS: 7000-1
OMB NO: 2137-0048 EXPIRATION DATE: 04/30/2005 RESPS:150 HOURS:19,000 COSTS(000):$0 Recordkeeping for LNG Facilities (LNG) FORMS: NONE
OMB NO: 2137-0049 EXPIRATION DATE: 04/30/2005 RESPS:22,700 HOURS:940,991 COSTS(000):$0 Recordkeeping for Gas Pipeline Operators FORMS: NONE
OMB NO: 2137-0051 EXPIRATION DATE: 08/31/2003 RESPS:4,294 HOURS:4,219 COSTS(000):$0 Rulemaking, Exemption, and Preemption Requirements FORMS: NONE
OMB NO: 2137-0510 EXPIRATION DATE: 01/31/2004 RESPS:21,319 HOURS:14,480 COSTS(000):$0 "Radioactive (RAM) Transportation Requirements" FORMS: NONE
OMB NO: 2137-0522 EXPIRATION DATE: 06/30/2004 RESPS:3,960 HOURS:6,725 COSTS(000):$0 Incident and Annual Report for Gas Pipeline Operators FORMS: 7100.01 7100.2 7100.1-1 7100.2-1
OMB NO: 2137-0542 EXPIRATION DATE: 10/31/2004 RESPS:18,200 HOURS:1,213 COSTS(000):$0 Flammable Cryogenic Liquids FORMS: NONE
OMB NO: 2137-0557 EXPIRATION DATE: 07/31/2004 RESPS:3,869 HOURS:18,381 COSTS(000):$0 Approvals for Hazardous Materials FORMS: NONE
OMB NO: 2137-0559 EXPIRATION DATE: 08/31/2003 RESPS:16,640 HOURS:2,759 COSTS(000):$0 (Rail Carriers and Tank Car Tank Requirements) Requirements for Rail Tank Car Tanks--Transportation of Hazardous Materials by Rail FORMS: NONE
OMB NO: 2137-0572 EXPIRATION DATE: 09/30/2004 RESPS:15,000 HOURS:30,000 COSTS(000):$0 Testing Requirements for Non-Bulk Packaging FORMS: NONE
OMB NO: 2137-0578 EXPIRATION DATE: 06/30/2004 RESPS:47 HOURS:282 COSTS(000):$0 Reporting on Safety Related Conditions on Gas Hazardous Liquid Pipelines and LNG Facilities FORMS: NONE
OMB NO: 2137-0579 EXPIRATION DATE: 05/31/2004 RESPS:2,419 HOURS:2,963 COSTS(000):$0 Drug and Alcohol Testing of Pipeline Operators FORMS: NONE
OMB NO: 2137-0582 EXPIRATION DATE: 09/30/2004 RESPS:864,400 HOURS:14,409 COSTS(000):$0 Container Certification Statements FORMS: NONE
OMB NO: 2137-0584 EXPIRATION DATE: 04/30/2005 RESPS:61 HOURS:3,660 COSTS(000):$0 Certification and Agreement Forms for the Gas and Hazardous Liquid Pipeline Safety Program FORMS: NONE
OMB NO: 2137-0586 EXPIRATION DATE: 09/30/2004 RESPS:1 HOURS:4,080 COSTS(000):$0 Hazardous Materials Public Sector Training and Planning Grants FORMS: NONE
OMB NO: 2137-0589 EXPIRATION DATE: 01/31/2003 RESPS:700 HOURS:65,467 COSTS(000):$0 Response Plans for Onshore Oil Pipelines FORMS: NONE
OMB NO: 2137-0591 EXPIRATION DATE: 10/31/2004 RESPS:8,000 HOURS:10,560 COSTS(000):$0 Response Plans for Shipments of Oil FORMS: NONE
OMB NO: 2137-0593 EXPIRATION DATE: 07/31/2002 RESPS:900,000 HOURS:20,000 COSTS(000):$479 Recordkeeping Requirements for Excess Flow Valves, Customer FORMS: NONE
OMB NO: 2137-0594 EXPIRATION DATE: 07/31/2002 RESPS:550,000 HOURS:9,167 COSTS(000):$0 Customer-Owned Service Lines FORMS: NONE
OMB NO: 2137-0595 EXPIRATION DATE: 10/31/2004 RESPS:920,530 HOURS:200,615 COSTS(000):$0 Cargo Tank Motor Vehicles in Liquefied Compressed Gas Service FORMS: NONE
OMB NO: 2137-0596 EXPIRATION DATE: 01/31/2004 RESPS:1,350 HOURS:40,500 COSTS(000):$0 Nation Pipeline Mapping System FORMS: NONE
OMB NO: 2137-0598 EXPIRATION DATE: 04/30/2004 RESPS:50 HOURS:100 COSTS(000):$0 Incorporation by Reference of Industry Standard on Leak Detection FORMS: NONE
OMB NO: 2137-0600 EXPIRATION DATE: 08/31/2002 RESPS:50,000 HOURS:466,667 COSTS(000):$29 Qualification of Pipeline Personnel FORMS: NONE
OMB NO: 2137-0601 EXPIRATION DATE: 10/31/2002 RESPS:400 HOURS:3,700 COSTS(000):$0 Pipeline Safety Report of Abandonded Underwater Pipelines FORMS: NONE
OMB NO: 2137-0602 EXPIRATION DATE: 03/31/2003 RESPS:30 HOURS:1,800 COSTS(000):$0 Damage Prevention State Grant Program FORMS: NONE
OMB NO: 2137-0604 EXPIRATION DATE: 12/31/2003 RESPS:66 HOURS:245,980 COSTS(000):$0 Pipeline Integrity Management in High Consequence Areas FORMS: NONE
OMB NO: 2137-0605 EXPIRATION DATE: 04/30/2005 RESPS:132 HOURS:501,000 COSTS(000):$0 Pipeline Integrity Management in High Consequence Areas less than 500 miles FORMS: NONE
Bureau of Transportation Statistics - AviationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
32 263,798,754 9,547,513 $1,595,508
OMB NO: 2138-0004 EXPIRATION DATE: 11/30/2002 RESPS:84 HOURS:21 COSTS(000):$0 Submission of Audit Reports -- Part 248 FORMS: NONE
OMB NO: 2138-0006 EXPIRATION DATE: 06/30/2003 RESPS:482 HOURS:710 COSTS(000):$55 Part 249 Preservation of Records FORMS: NONE
OMB NO: 2138-0009 EXPIRATION DATE: 06/30/2002 RESPS:4 HOURS:4,720 COSTS(000):$25 Form 298-C Report of Financial and Operating Statistics for Small Aircraft Operators FORMS: BTS-FORM-298-C
OMB NO: 2138-0013 EXPIRATION DATE: 06/30/2002 RESPS:8,631 HOURS:33,121 COSTS(000):$0 Report of Financial and Operating Statistics for Large Certificated Air Carriers FORMS: BTS-FORM-41
OMB NO: 2138-0016 EXPIRATION DATE: 06/30/2003 RESPS:24 HOURS:24 COSTS(000):$600 Report of Extension of Credit to Political Candidates FORMS: FORM-183
OMB NO: 2138-0018 EXPIRATION DATE: 01/31/2004 RESPS:560 HOURS:2,200 COSTS(000):$0 Form 251 Report of Passengers Denied Confirmed Space FORMS: BTS-FORM-251
OMB NO: 2138-0039 EXPIRATION DATE: 11/30/2002 RESPS:47 HOURS:16 COSTS(000):$0 Reporting Required for International Civil Aviation Organization FORMS: BTS-FORM-EF
OMB NO: 2138-0040 EXPIRATION DATE: 06/30/2003 RESPS:3,000 HOURS:15,084 COSTS(000):$0 Report of Traffic and Capacity Statistics - The T-100 System FORMS: T-100 T-100(F)
OMB NO: 2138-0041 EXPIRATION DATE: 02/28/2005 RESPS:276 HOURS:1,908 COSTS(000):$0 Airline Service Quality Performance FORMS: NONE
Bureau of Transportation StatisticsSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
9 13,108 57,804 $680
OMB NO: 2139-0001 EXPIRATION DATE: 09/30/2003 RESPS:160 HOURS:38,080 COSTS(000):$8,000 Passenger Origin-Destination Survey Report FORMS: NONE
OMB NO: 2139-0002 EXPIRATION DATE: 05/31/2005 RESPS:4,000 HOURS:1,800 COSTS(000):$0 Quarterly Report of Class I Motor Carriers of Property (OMB 2139- 0002) FORMS: NONE
OMB NO: 2139-0003 EXPIRATION DATE: 02/28/2003 RESPS:130 HOURS:195 COSTS(000):$0 Class I Quarterly and Annual Report of Motor Carriers of Passengers FORMS: FORM-MP-1
OMB NO: 2139-0004 EXPIRATION DATE: 05/31/2005 RESPS:3,000 HOURS:27,000 COSTS(000):$0 Annual Report of Class I and Class II Motor Carriers of Property (OMB 2139-0004) FORMS: NONE
OMB NO: 2139-0007 EXPIRATION DATE: 04/30/2004 RESPS:22,000 HOURS:8,700 COSTS(000):$0 Bureau of Transportation Statistics' Customer Satisfaction Surveys Program FORMS: NONE
OMB NO: 2139-0008 EXPIRATION DATE: 02/29/2004 RESPS:25,000 HOURS:13,750 COSTS(000):$0 American Travel Survey (ATS) FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
6 54,290 89,525 $8,000
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
462 14,746,963,131 243,555,968 $2,198,672
OMB NO: 2900-0001 EXPIRATION DATE: 11/30/2003 RESPS:395,000 HOURS:592,500 COSTS(000):$0 Veteran's Application for Compensation and/or Pension FORMS: 21-526
OMB NO: 2900-0002 EXPIRATION DATE: 05/31/2003 RESPS:104,440 HOURS:104,440 COSTS(000):$0 Income-Net Worth and Employment Statement FORMS: 21-527
OMB NO: 2900-0003 EXPIRATION DATE: 11/30/2002 RESPS:300,000 HOURS:100,000 COSTS(000):$0 Application for Burial Benefits FORMS: 21-530
OMB NO: 2900-0004 EXPIRATION DATE: 02/28/2003 RESPS:63,300 HOURS:79,125 COSTS(000):$0 Application for Dependency and Indemnity Compensation, Death Pension, and Accrued Benefits by a Surviving Spouse or Child (Including Death Compensation if Applicable) FORMS: 21-534
OMB NO: 2900-0005 EXPIRATION DATE: 04/30/2003 RESPS:20,880 HOURS:25,056 COSTS(000):$0 Application for Dependency and Indemnity Compensation by parents(s) (Including Accrued Benfits and Death Compensation When Applicable) FORMS: 21-535
OMB NO: 2900-0006 EXPIRATION DATE: 02/28/2003 RESPS:2,400 HOURS:1,200 COSTS(000):$0 Application for Accrued Amounts of Veteran's Benefits Payable to Surviving Spouse, Child, or Dependent Parents FORMS: 21-614
OMB NO: 2900-0009 EXPIRATION DATE: 04/30/2005 RESPS:54,000 HOURS:13,500 COSTS(000):$0 Disabled Veterans Application for Vocational Rehabilitation FORMS: 28-1900
OMB NO: 2900-0011 EXPIRATION DATE: 12/31/2004 RESPS:1,500 HOURS:875 COSTS(000):$0 Application for Reinstatement FORMS: 29-352 29-353
OMB NO: 2900-0012 EXPIRATION DATE: 07/31/2004 RESPS:29,636 HOURS:4,939 COSTS(000):$0 Application for Cash Surrender or Policy Loan FORMS: 29-1546 29-1546-1
OMB NO: 2900-0013 EXPIRATION DATE: 06/30/2003 RESPS:650,000 HOURS:162,500 COSTS(000):$0 Application for United States Flag for Burial Purposes FORMS: 21-2008
OMB NO: 2900-0014 EXPIRATION DATE: 08/31/2002 RESPS:35,000 HOURS:2,917 COSTS(000):$0 Authorization and Certification of Entrance or Reentrance into Rehabilitation and Certification of Status FORMS: 28-1905
OMB NO: 2900-0016 EXPIRATION DATE: 02/28/2003 RESPS:8,100 HOURS:14,175 COSTS(000):$0 Claim for Disability Insurance Benefits FORMS: 29-357
OMB NO: 2900-0017 EXPIRATION DATE: 10/31/2003 RESPS:24,868 HOURS:22,946 COSTS(000):$0 Court Appointed Fiduciarys Account (letter size), Federal Fiduciary's Account, Account Book, and Court Appointed Fiduciary's Account (legal size) FORMS: 21-4706 21-4706B 21-4706C 21-4718
OMB NO: 2900-0018 EXPIRATION DATE: 04/30/2003 RESPS:11,100 HOURS:2,775 COSTS(000):$0 (1) Application for Accreditation as Service Organization Representative, (2) Appointment of Individual as Claimant's Representative FORMS: VA-FORM-21 VA-FORM-22A
OMB NO: 2900-0020 EXPIRATION DATE: 09/30/2004 RESPS:83,500 HOURS:13,917 COSTS(000):$0 Designation of Beneficiary, Government Life Insurance FORMS: VA-29-336
OMB NO: 2900-0021 EXPIRATION DATE: 05/31/2004 RESPS:279,000 HOURS:66,166 COSTS(000):$0 Notice of Default; Notice of Default and Intention to Foreclose; Notice of Intention to Foreclose FORMS: 26-6850 26-6850A 26-6851
OMB NO: 2900-0024 EXPIRATION DATE: 08/31/2002 RESPS:3,732 HOURS:622 COSTS(000):$0 Insurance Deduction Authorization FORMS: 29-888
OMB NO: 2900-0025 EXPIRATION DATE: 10/31/2003 RESPS:151,000 HOURS:18,875 COSTS(000):$0 Request for and Consent to Release of Information from Claimant's Records FORMS: 3288
OMB NO: 2900-0027 EXPIRATION DATE: 06/30/2002 RESPS:100 HOURS:33 COSTS(000):$0 Application for Accrued Benefits by Veteran's Surviving Spouse, Child, or Dependent Parent FORMS: 21-551
OMB NO: 2900-0028 EXPIRATION DATE: 11/30/2002 RESPS:150 HOURS:25 COSTS(000):$0 Application of Service Representative for Placement on Mailing List FORMS: 3215
OMB NO: 2900-0029 EXPIRATION DATE: 06/30/2002 RESPS:172,500 HOURS:57,917 COSTS(000):$0 VA Forms 26-6705, Offer to Purchase and Contract of Sale, VA Form 26-6705b, Credit Statement of Propsective Purchaser, VA Form 26-6705d, Addendum to VA Form 26-6705 (Virginia) FORMS: 26-6705 26-6705B 26-6705D
OMB NO: 2900-0031 EXPIRATION DATE: 12/31/2002 RESPS:460 HOURS:115 COSTS(000):$0 Veteran's Supplemental Application for Assistance in Acquiring Specially Adapted Housing FORMS: 26-4555C
OMB NO: 2900-0032 EXPIRATION DATE: 04/30/2005 RESPS:200,000 HOURS:50,000 COSTS(000):$0 Report and Certification of Loan Disbursement FORMS: 26-1820
OMB NO: 2900-0034 EXPIRATION DATE: 10/31/2003 RESPS:30,000 HOURS:7,500 COSTS(000):$0 Trainee Request for Leave - Chapter 31, Title 38, U.S. Code FORMS: 28-1905H
OMB NO: 2900-0036 EXPIRATION DATE: 03/31/2005 RESPS:10 HOURS:28 COSTS(000):$0 Statement of Disappearance FORMS: VA-21-1775
OMB NO: 2900-0038 EXPIRATION DATE: 03/31/2005 RESPS:9,000 HOURS:3,000 COSTS(000):$0 Information from Remarried Widow(er) FORMS: 21-4103
OMB NO: 2900-0040 EXPIRATION DATE: 12/31/2002 RESPS:5,000 HOURS:2,500 COSTS(000):$0 Request for Postponement of Offsite or Exterior Onsite Improvements, Home Loan FORMS: 26-1847
OMB NO: 2900-0041 EXPIRATION DATE: 12/31/2004 RESPS:31,500 HOURS:5,925 COSTS(000):$0 Compliance Inspection Report FORMS: 26-1839
OMB NO: 2900-0042 EXPIRATION DATE: 10/31/2003 RESPS:32,895 HOURS:32,895 COSTS(000):$0 Statement of Accredited Representative in Appealed Case FORMS: 646
OMB NO: 2900-0043 EXPIRATION DATE: 03/31/2005 RESPS:226,000 HOURS:56,500 COSTS(000):$0 Declaration of Status of Dependents FORMS: 21-686C
OMB NO: 2900-0045 EXPIRATION DATE: 12/31/2004 RESPS:300,000 HOURS:60,000 COSTS(000):$0 VA Request for Determination of Reasonable Value FORMS: 26-1805
OMB NO: 2900-0046 EXPIRATION DATE: 09/30/2004 RESPS:312 HOURS:78 COSTS(000):$0 Statement of Heirs for Payment of Credits Due Estate of Veteran FORMS: FL29-596
OMB NO: 2900-0047 EXPIRATION DATE: 05/31/2005 RESPS:40,000 HOURS:30,000 COSTS(000):$0 Financial Statement FORMS: 26-6807
OMB NO: 2900-0049 EXPIRATION DATE: 11/30/2002 RESPS:138,000 HOURS:34,500 COSTS(000):$0 Request for Approval of School Attendance FORMS: 21-674 674C
OMB NO: 2900-0051 EXPIRATION DATE: 10/31/2003 RESPS:228 HOURS:228 COSTS(000):$0 Quarterly Report of State Approving Agency Activities FORMS: 22-7398
OMB NO: 2900-0052 EXPIRATION DATE: 06/30/2005 RESPS:180,000 HOURS:45,000 COSTS(000):$0 Report of Medical Examination for Disability Evaluation FORMS: 21-2545
OMB NO: 2900-0055 EXPIRATION DATE: 11/30/2002 RESPS:1,000 HOURS:250 COSTS(000):$0 Request for Determination of Loan Guaranty Eligibiity, Unremarried Surviving Spouses FORMS: 26-1817
OMB NO: 2900-0057 EXPIRATION DATE: 06/30/2002 RESPS:39,500 HOURS:3,292 COSTS(000):$0 School Attendance Report FORMS: 21-674B
OMB NO: 2900-0059 EXPIRATION DATE: 03/31/2005 RESPS:2,000 HOURS:4,000 COSTS(000):$0 Statement of Person Claiming to Have Stood in Relation of Parent FORMS: VA-21-524
OMB NO: 2900-0060 EXPIRATION DATE: 06/30/2002 RESPS:85,850 HOURS:8,938 COSTS(000):$0 Claim for Life Insurance Proceeds (NSLI&USGLI), Claim for Monthly Install. (NSLI), Claim for One Sum Payment (NSLI & USGLI), Claim for Monthly Install. (USGLI), Invitation & Claim for One Sum Paym FORMS: VA-29-4125 VA-29-4125A VA-29-4125B VA-29-4125K VA-29-764
OMB NO: 2900-0061 EXPIRATION DATE: 11/30/2002 RESPS:1,000 HOURS:1,000 COSTS(000):$0 Request for Supplies FORMS: 28-1905M
OMB NO: 2900-0064 EXPIRATION DATE: 08/31/2002 RESPS:750 HOURS:375 COSTS(000):$0 Application for Amounts Due Estates of Person Entitled to Benefits FORMS: 21-609
OMB NO: 2900-0065 EXPIRATION DATE: 09/30/2004 RESPS:60,000 HOURS:15,000 COSTS(000):$0 Request for Employment Information in Connection with Claim for Disability Benefits FORMS: VA-21-4192
OMB NO: 2900-0066 EXPIRATION DATE: 09/30/2004 RESPS:5,167 HOURS:862 COSTS(000):$0 Request for Employment Information FORMS: 29-459
OMB NO: 2900-0067 EXPIRATION DATE: 04/30/2003 RESPS:1,500 HOURS:375 COSTS(000):$0 Application for Automobile or Other Conveyance and Adaptive Equipment (38 U.S.C. 3901-3904) FORMS: 21-4502
OMB NO: 2900-0068 EXPIRATION DATE: 08/31/2002 RESPS:4,250 HOURS:2,833 COSTS(000):$0 Application for Service Disabled Veterans Insurance FORMS: 29-4364
OMB NO: 2900-0073 EXPIRATION DATE: 10/31/2003 RESPS:725,802 HOURS:120,967 COSTS(000):$0 Enrollment Certification FORMS: 22-1999 22-1999-1 22-1999-2 22-1999-3
OMB NO: 2900-0074 EXPIRATION DATE: 12/31/2003 RESPS:120,300 HOURS:24,060 COSTS(000):$0 Request for Change of Program or Place of Training (Under Chapters 30 and 32, Title 38, U.S. Code; Section 903 of Public Law 96-342; or Chapter 1606, Title 10, U.S. Code) FORMS: 22-1995
OMB NO: 2900-0075 EXPIRATION DATE: 06/30/2002 RESPS:752,000 HOURS:188,000 COSTS(000):$0 Statement in Support of Claim FORMS: 21-4138
OMB NO: 2900-0078 EXPIRATION DATE: 10/31/2003 RESPS:45,000 HOURS:3,750 COSTS(000):$0 Request to Correspondent for Identifying Information FORMS: 70-2
OMB NO: 2900-0079 EXPIRATION DATE: 06/30/2003 RESPS:45,480 HOURS:3,790 COSTS(000):$0 Employment Questionnaire FORMS: 21-4140 21-4140-1 21-4140A
OMB NO: 2900-0080 EXPIRATION DATE: 10/31/2004 RESPS:480,100 HOURS:32,742 COSTS(000):$0 Claim for Payment of Cost of Unauthorized Medical Services; Funeral Arrangements; Authority & Invoice for Travel by Ambulance or other Hired Vehicle; Authorization & Invoice for Medical.... FORMS: 10-583 10-2065 10-2511 10-7078
OMB NO: 2900-0085 EXPIRATION DATE: 06/30/2002 RESPS:41,644 HOURS:36,837 COSTS(000):$0 Appeal to Board of Veterans' Appeal, Withdrawal of Services by a Representative, Filing of Representatives' Fee Agreements, and Motions for Review of Such Agreements, Motion for Review of.... FORMS: 9
OMB NO: 2900-0086 EXPIRATION DATE: 11/30/2002 RESPS:523,639 HOURS:130,910 COSTS(000):$0 Request for a Certification of Eligibility for VA Home Loan Benefits FORMS: 26-1880
OMB NO: 2900-0089 EXPIRATION DATE: 03/31/2005 RESPS:40,000 HOURS:20,000 COSTS(000):$0 Statement of Dependency of Parent(s) FORMS: 21-509
OMB NO: 2900-0090 EXPIRATION DATE: 11/30/2003 RESPS:30,000 HOURS:7,500 COSTS(000):$0 Application for Voluntary Service FORMS: 10-7055
OMB NO: 2900-0091 EXPIRATION DATE: 03/31/2005 RESPS:3,485,000 HOURS:2,613,750 COSTS(000):$0 Application for Health Benefits FORMS: VA-10-10EZ
OMB NO: 2900-0092 EXPIRATION DATE: 05/31/2004 RESPS:60,000 HOURS:30,000 COSTS(000):$0 Counseling Record - Personal Information FORMS: 28-1902
OMB NO: 2900-0094 EXPIRATION DATE: 06/30/2005 RESPS:1,000 HOURS:250 COSTS(000):$0 Supplement to VA Forms 21-526, 21-534, and 21-535 (For Philippine Claims) FORMS: VA-21-4169
OMB NO: 2900-0095 EXPIRATION DATE: 03/31/2005 RESPS:25,000 HOURS:12,500 COSTS(000):$0 Pension Claim Questionnair for Farm Income FORMS: VA-21-4165
OMB NO: 2900-0098 EXPIRATION DATE: 07/31/2003 RESPS:20,100 HOURS:10,050 COSTS(000):$0 Application for Survivors' and Dependents' Educational Assistance (Under Chapter 35, Title 38 U.S.C.) FORMS: 22-5490
OMB NO: 2900-0099 EXPIRATION DATE: 09/30/2004 RESPS:12,000 HOURS:3,000 COSTS(000):$0 Request for Change of Program or Place of Training Survivors' and Dependents' Education Assistance (Under Provisions of Chapter 35, Title 38 U.S.C.) FORMS: VA-22-5495
OMB NO: 2900-0101 EXPIRATION DATE: 05/31/2005 RESPS:293,894 HOURS:146,947 COSTS(000):$0 Eligibility Verification Reports FORMS: 21-0510 21-0511S 21-0511S-1 21-0511V 21-0511V-1 21-0512S 21-0512S-1 21-0512V 21-0512V-1 21-0513
OMB NO: 2900-0103 EXPIRATION DATE: 03/31/2005 RESPS:7,900 HOURS:1,975 COSTS(000):$0 Application for Dependency and Indemnity Compensation by Child FORMS: VA-21-4183
OMB NO: 2900-0104 EXPIRATION DATE: 04/30/2003 RESPS:4,400 HOURS:2,200 COSTS(000):$0 Report of Accidental Injury in Support of Claim for Compensation or Pension FORMS: 21-4176
OMB NO: 2900-0105 EXPIRATION DATE: 03/31/2005 RESPS:13,200 HOURS:4,400 COSTS(000):$0 Statement of Witness to Accident FORMS: 21-806
OMB NO: 2900-0107 EXPIRATION DATE: 12/31/2002 RESPS:4,316 HOURS:863 COSTS(000):$0 Certificate as to Securities FORMS: 21-4709
OMB NO: 2900-0108 EXPIRATION DATE: 12/31/2002 RESPS:59,000 HOURS:29,500 COSTS(000):$0 Report of Income from Property or Business FORMS: 21-4185
OMB NO: 2900-0110 EXPIRATION DATE: 07/31/2003 RESPS:4,082 HOURS:680 COSTS(000):$0 Application for Assumption Approval and/or Release From Personal Liability to the Government on a Home Loan FORMS: 26-6381
OMB NO: 2900-0111 EXPIRATION DATE: 10/31/2004 RESPS:9,000 HOURS:2,250 COSTS(000):$0 Statement of Purchaser or Owner Assuming Seller's Loan FORMS: 26-6382
OMB NO: 2900-0112 EXPIRATION DATE: 08/31/2003 RESPS:7,000 HOURS:1,167 COSTS(000):$0 Statement of Holder or Servicer of Veteran's Loan FORMS: 26-559
OMB NO: 2900-0113 EXPIRATION DATE: 09/30/2003 RESPS:6,200 HOURS:2,067 COSTS(000):$0 Application for Fee Personnel Designation FORMS: 26-6681
OMB NO: 2900-0114 EXPIRATION DATE: 04/30/2005 RESPS:6,000 HOURS:3,000 COSTS(000):$0 Statement of Marital Relationship FORMS: 21-4170
OMB NO: 2900-0115 EXPIRATION DATE: 06/30/2002 RESPS:2,400 HOURS:800 COSTS(000):$0 Supporting Statement Regarding Marriage FORMS: 21-4171
OMB NO: 2900-0116 EXPIRATION DATE: 05/31/2005 RESPS:1,664 HOURS:416 COSTS(000):$0 Notice of Department of Veterans Affairs of Veteran or Beneficiary Incarcerated in Penal Institution FORMS: 21-4193
OMB NO: 2900-0117 EXPIRATION DATE: 07/31/2004 RESPS:12,500 HOURS:3,125 COSTS(000):$0 Inquiry Concerning Application for Employment FORMS: VAFL-5-127
OMB NO: 2900-0118 EXPIRATION DATE: 07/31/2004 RESPS:20,600 HOURS:3,433 COSTS(000):$0 Transfer of Scholastic Credit (Schools) FORMS: 22-315
OMB NO: 2900-0119 EXPIRATION DATE: 02/28/2003 RESPS:20,277 HOURS:4,055 COSTS(000):$0 Report of Treatment in Hospital FORMS: FL29-551
OMB NO: 2900-0120 EXPIRATION DATE: 05/31/2005 RESPS:20,277 HOURS:5,069 COSTS(000):$0 Report of Treatment of Attending Physician FORMS: FL-29-551A
OMB NO: 2900-0121 EXPIRATION DATE: 03/31/2003 RESPS:244 HOURS:61 COSTS(000):$0 Obtaining Supplemental Information from Hospital or Doctor FORMS: FL29-551B
OMB NO: 2900-0129 EXPIRATION DATE: 04/30/2005 RESPS:6,570 HOURS:548 COSTS(000):$0 Supplemental Disability Report FORMS: FL-29-30A
OMB NO: 2900-0130 EXPIRATION DATE: 03/31/2005 RESPS:40,000 HOURS:20,000 COSTS(000):$0 Status of Loan Account - Foreclosure or Other Liquidation FORMS: 26-567
OMB NO: 2900-0131 EXPIRATION DATE: 06/30/2002 RESPS:9,000 HOURS:3,000 COSTS(000):$0 Request for Supplemental Information on Medical and Nonmedical Application FORMS: FL29-615
OMB NO: 2900-0132 EXPIRATION DATE: 04/30/2003 RESPS:800 HOURS:133 COSTS(000):$0 Veteran's Application in Acquiring Specially Adapted Housing or Special Home Adaptation Grant FORMS: 26-4555
OMB NO: 2900-0133 EXPIRATION DATE: 09/30/2004 RESPS:700 HOURS:175 COSTS(000):$0 Application for Amounts on Deposit for Deceased Veteran FORMS: VA-21-6898
OMB NO: 2900-0138 EXPIRATION DATE: 11/30/2004 RESPS:22,800 HOURS:5,700 COSTS(000):$0 Request for Details of Expenses FORMS: 21-8049
OMB NO: 2900-0139 EXPIRATION DATE: 03/31/2005 RESPS:1,200 HOURS:300 COSTS(000):$0 Notice - Payment Not Applied FORMS: 29-4499A
OMB NO: 2900-0143 EXPIRATION DATE: 10/31/2004 RESPS:100 HOURS:33 COSTS(000):$0 Offer To Rent On Month-To-Month Basis and Credit Statement Of Prospective Tenant FORMS: 26-6725
OMB NO: 2900-0144 EXPIRATION DATE: 10/31/2004 RESPS:200,000 HOURS:20,000 COSTS(000):$0 HUD/VA Addendum to Uniform Residential Loan Application and Uniform Residential Loan Application FORMS: 26-1802A FREDDIEMAC-65 FANNIEMAE-1003
OMB NO: 2900-0149 EXPIRATION DATE: 03/31/2005 RESPS:4,000 HOURS:1,125 COSTS(000):$0 Application for Conversion FORMS: 29-0152
OMB NO: 2900-0153 EXPIRATION DATE: 04/30/2005 RESPS:60,000 HOURS:15,000 COSTS(000):$0 Disability Benefits Questionnaire FORMS: 29-8313 29-8313-1
OMB NO: 2900-0154 EXPIRATION DATE: 01/31/2004 RESPS:126,093 HOURS:73,554 COSTS(000):$0 Application for VA Education Benefits FORMS: 22-1990
OMB NO: 2900-0156 EXPIRATION DATE: 04/30/2003 RESPS:824,588 HOURS:68,716 COSTS(000):$0 Notice of Change in Student Status FORMS: 22-1999B
OMB NO: 2900-0159 EXPIRATION DATE: 03/31/2005 RESPS:8,600 HOURS:2,867 COSTS(000):$0 Application for Payment of Matured Endowment FORMS: 29-5767
OMB NO: 2900-0160 EXPIRATION DATE: 09/30/2003 RESPS:55,993 HOURS:14,245 COSTS(000):$0 Title 38, CFR Part 51 and Title 38, CFR Part 52 FORMS: VA-10-10SH VA-10-3567 VA-10-5588 VA-10-0143 VA-10-0143A VA-10-0144 VA-10-0144A
OMB NO: 2900-0161 EXPIRATION DATE: 05/31/2005 RESPS:96,400 HOURS:48,200 COSTS(000):$0 Medical Expense Report FORMS: 21-8416
OMB NO: 2900-0162 EXPIRATION DATE: 07/31/2004 RESPS:12,100 HOURS:6,050 COSTS(000):$0 Monthly Certification of Flight Training FORMS: 22-6553C
OMB NO: 2900-0165 EXPIRATION DATE: 07/31/2003 RESPS:41,800 HOURS:41,800 COSTS(000):$0 Financial Status Report FORMS: 20-5655
OMB NO: 2900-0166 EXPIRATION DATE: 05/31/2005 RESPS:15,400 HOURS:1,284 COSTS(000):$0 Application for Ordinary Life Insurance and Information about Modified Life FORMS: 29-8485 29-8485A 29-8700A-E 29-8701A-E
OMB NO: 2900-0171 EXPIRATION DATE: 07/31/2003 RESPS:2,000 HOURS:1,000 COSTS(000):$0 Application and Enrollment Certification for Individualized Tutorial Assistance FORMS: 22-1990T
OMB NO: 2900-0176 EXPIRATION DATE: 03/31/2004 RESPS:12,000 HOURS:3,000 COSTS(000):$30 Monthly Record of Training and Wages FORMS: 28-1905C
OMB NO: 2900-0178 EXPIRATION DATE: 08/31/2003 RESPS:95,850 HOURS:15,975 COSTS(000):$34 Monthly Certification of On-The-Job and Apprenticeship Training FORMS: 22-6553D 22-6553D-1
OMB NO: 2900-0179 EXPIRATION DATE: 03/31/2005 RESPS:28 HOURS:14 COSTS(000):$0 Application for Change of Permanent Plan (Medical) FORMS: 29-1549
OMB NO: 2900-0180 EXPIRATION DATE: 08/31/2003 RESPS:1 HOURS:124 COSTS(000):$0 Compliance Report of Proprietary Institutions FORMS: 27-4274
OMB NO: 2900-0188 EXPIRATION DATE: 10/31/2004 RESPS:519,844 HOURS:37,079 COSTS(000):$0 Claim, Authorization and Invoice for Prosthetic Items and Services FORMS: 10-90 10-426 10-0103 10-1394 10-2421 10-2520 10-2914
OMB NO: 2900-0198 EXPIRATION DATE: 07/31/2003 RESPS:6,720 HOURS:1,120 COSTS(000):$0 Application for Annual Clothing Allowance FORMS: 21-8678
OMB NO: 2900-0205 EXPIRATION DATE: 02/28/2003 RESPS:151,220 HOURS:68,610 COSTS(000):$0 Application for Employment and Appraisal of Applicant for Title 38 Positions FORMS: 10-2850 10-2850A 10-2850B 10-2850C FL-10-341A
OMB NO: 2900-0208 EXPIRATION DATE: 02/28/2003 RESPS:21,200 HOURS:7,400 COSTS(000):$0 Daily Report of Workmen and Material Daily Log, Formal Contract, Architect/Engineer Fee Proposal, and Supplement to SF-129 Solicitation Mailing List Application FORMS: 10-6131 10-6298 10-6299
OMB NO: 2900-0209 EXPIRATION DATE: 11/30/2002 RESPS:28,000 HOURS:4,667 COSTS(000):$0 Application for Work-Study Allowance FORMS: 22-8691
OMB NO: 2900-0212 EXPIRATION DATE: 09/30/2004 RESPS:450 HOURS:113 COSTS(000):$0 Veterans Mortgage Life Insurance Statement FORMS: 29-8636
OMB NO: 2900-0215 EXPIRATION DATE: 03/31/2005 RESPS:22,600 HOURS:3,767 COSTS(000):$0 Request for Information to make Direct Payment to Child Reaching Majority FORMS: 21-863
OMB NO: 2900-0216 EXPIRATION DATE: 08/31/2002 RESPS:3,750 HOURS:1,875 COSTS(000):$0 Application for Reimbursement from Accured Amounts Due a Deceased Beneficiary FORMS: 21-601
OMB NO: 2900-0219 EXPIRATION DATE: 03/31/2004 RESPS:381,000 HOURS:63,000 COSTS(000):$0 CHAMPVA Benefits - Application, Claim, OHI, Potential Liability and Spina Bifida Benefits FORMS: 10-10D 10-7959A 10-7959C 10-7959D
OMB NO: 2900-0222 EXPIRATION DATE: 04/30/2004 RESPS:334,000 HOURS:83,500 COSTS(000):$0 Application for Standard Government Headstone or Marker for Installation in Private or State Veterans' Cemetery FORMS: 40-1330
OMB NO: 2900-0227 EXPIRATION DATE: 06/30/2003 RESPS:278,062 HOURS:49,099 COSTS(000):$0 Nation-wide Customer Satisfaction Surveys FORMS: 10-0142B 10-0142C 10-1465-1 10-1465-3 10-1465-7 10-1465-9 10-5387
OMB NO: 2900-0241 EXPIRATION DATE: 12/31/2002 RESPS:225 HOURS:117 COSTS(000):$0 Request for Determination of Reasonable Value (Used Manufactured Home) FORMS: 26-8728
OMB NO: 2900-0249 EXPIRATION DATE: 08/31/2004 RESPS:65,000 HOURS:27,083 COSTS(000):$0 Loan Service Report FORMS: 26-6808
OMB NO: 2900-0251 EXPIRATION DATE: 11/30/2002 RESPS:175,000 HOURS:29,167 COSTS(000):$0 Request to Lender for Status of Loan Account, LCS FORMS: 26-8778
OMB NO: 2900-0252 EXPIRATION DATE: 12/31/2004 RESPS:120 HOURS:50 COSTS(000):$0 Application for Authority to Close Loans on an Automatic Basis - Nonsupervised Lenders FORMS: 26-8736
OMB NO: 2900-0253 EXPIRATION DATE: 08/31/2002 RESPS:3,000 HOURS:1,000 COSTS(000):$0 Nonsupervised Lender's Nomination and Recommendation of Credit Underwriter FORMS: 26-8736A
OMB NO: 2900-0260 EXPIRATION DATE: 10/31/2004 RESPS:326,000 HOURS:10,867 COSTS(000):$0 Request for and Consent to Release of Medical Records Protected by 38 U.S.C. 7332 FORMS: 10-5345
OMB NO: 2900-0261 EXPIRATION DATE: 03/31/2005 RESPS:50,000 HOURS:8,333 COSTS(000):$0 Application for Refund of Educational Contributions FORMS: 24-5281
OMB NO: 2900-0262 EXPIRATION DATE: 10/31/2003 RESPS:2,500 HOURS:417 COSTS(000):$0 Designation of Certifying Official FORMS: 22-8794
OMB NO: 2900-0265 EXPIRATION DATE: 10/31/2003 RESPS:5,000 HOURS:417 COSTS(000):$0 Application for Counseling FORMS: 28-8832
OMB NO: 2900-0270 EXPIRATION DATE: 06/30/2002 RESPS:5,000 HOURS:3,750 COSTS(000):$0 Financial Counseling Statement FORMS: 26-8844
OMB NO: 2900-0276 EXPIRATION DATE: 11/30/2003 RESPS:124 HOURS:186 COSTS(000):$0 Manufactured Home Appraisal Report FORMS: 26-8712
OMB NO: 2900-0300 EXPIRATION DATE: 07/31/2004 RESPS:75 HOURS:25 COSTS(000):$0 Veterans Application for Assistance in Acquiring Special Housing Adaptations FORMS: 26-4555D
OMB NO: 2900-0317 EXPIRATION DATE: 09/30/2004 RESPS:2,400 HOURS:200 COSTS(000):$0 Request for Identifying Information Re: Veteran's Loan Records FORMS: 26-626
OMB NO: 2900-0319 EXPIRATION DATE: 10/31/2003 RESPS:16,676 HOURS:1,390 COSTS(000):$0 Fiduciary Agreement FORMS: 21-4703
OMB NO: 2900-0320 EXPIRATION DATE: 07/31/2002 RESPS:10,000 HOURS:1 COSTS(000):$0 Escrow Agreement for Postponed Exterior Onsite Improvements FORMS: 26-1849
OMB NO: 2900-0321 EXPIRATION DATE: 06/30/2003 RESPS:325,000 HOURS:27,083 COSTS(000):$0 Appointment of Veterans Service Organization as Claimant's Representatives FORMS: 21-22
OMB NO: 2900-0324 EXPIRATION DATE: 06/30/2002 RESPS:1,440 HOURS:1,080 COSTS(000):$0 Insurance, Life Insurance FORMS: 29-1800(SERIES)
OMB NO: 2900-0325 EXPIRATION DATE: 07/31/2004 RESPS:21,353 HOURS:1,779 COSTS(000):$0 Certificate of Delivery of Advance Payment and Enrollment FORMS: 22-1999V
OMB NO: 2900-0335 EXPIRATION DATE: 03/31/2004 RESPS:43,000 HOURS:14,333 COSTS(000):$0 Dental Record Authorization and Invoice for Outpatient Services FORMS: 10-2570D
OMB NO: 2900-0342 EXPIRATION DATE: 08/31/2004 RESPS:600 HOURS:450 COSTS(000):$0 Application and On-the-Job Training Agreement and Standards and Employer's Application to Provide Training FORMS: 22-8864 22-8865
OMB NO: 2900-0353 EXPIRATION DATE: 12/31/2002 RESPS:12,188 HOURS:2,031 COSTS(000):$0 Certification of Lessons Completed FORMS: 22-6553B 22-6553B-1
OMB NO: 2900-0355 EXPIRATION DATE: 03/31/2005 RESPS:56,000 HOURS:9,333 COSTS(000):$0 Verification of Pursuit of Course (Leading to a Standard College Degree) FORMS: VA-22-6553
OMB NO: 2900-0358 EXPIRATION DATE: 08/31/2003 RESPS:16,500 HOURS:8,250 COSTS(000):$0 Supplemental Information for Change of Program or Reenrollment After Unsatisfactory Attendance, Conduct or Progress FORMS: 22-8873
OMB NO: 2900-0362 EXPIRATION DATE: 07/31/2002 RESPS:26,806 HOURS:26,139 COSTS(000):$0 Claim under Loan Guaranty Supplemental Claim Form, Adjustable Rate Mortgages FORMS: 26-1874 26-1874A
OMB NO: 2900-0365 EXPIRATION DATE: 06/30/2004 RESPS:329 HOURS:33 COSTS(000):$0 Request for Disinterment FORMS: 40-4970
OMB NO: 2900-0368 EXPIRATION DATE: 02/28/2003 RESPS:3,600 HOURS:1,800 COSTS(000):$0 Monthly Statement of Wages Paid to Trainee -- Chapter 31, Title 38 U.S.C. FORMS: 28-1917
OMB NO: 2900-0376 EXPIRATION DATE: 03/31/2004 RESPS:5,500 HOURS:1,833 COSTS(000):$0 Agent Orange Registry Codesheet FORMS: 10-9009
OMB NO: 2900-0377 EXPIRATION DATE: 02/29/2004 RESPS:842 HOURS:421 COSTS(000):$0 Claim for Repurchase of Loan FORMS: VA/FORM26-8084
OMB NO: 2900-0379 EXPIRATION DATE: 09/30/2002 RESPS:120,000 HOURS:10,000 COSTS(000):$0 Time Record (Work-Study Program) FORMS: 22-8690
OMB NO: 2900-0381 EXPIRATION DATE: 02/28/2003 RESPS:30,000 HOURS:5,000 COSTS(000):$0 Notice for Election to Convey and/or Invoice for Transfer of Property FORMS: 26-8903
OMB NO: 2900-0383 EXPIRATION DATE: 09/30/2004 RESPS:12 HOURS:6 COSTS(000):$0 Application for Educational Assistance Test Program Benefits (Section 901, PL 96-342) FORMS: 22-8889
OMB NO: 2900-0386 EXPIRATION DATE: 10/31/2003 RESPS:50,000 HOURS:8,333 COSTS(000):$0 Interest Rate Reduction Refinancing Loan Worksheet FORMS: 26-8923
OMB NO: 2900-0387 EXPIRATION DATE: 09/30/2004 RESPS:195,817 HOURS:16,318 COSTS(000):$0 Request for Verification of Deposit FORMS: VA-26-8497A
OMB NO: 2900-0390 EXPIRATION DATE: 06/30/2002 RESPS:7,500 HOURS:2,500 COSTS(000):$0 Application of Surviving Spouse or Child for REPS Benefits (Restored Entitlement Program for Survivors) FORMS: 21-8924
OMB NO: 2900-0393 EXPIRATION DATE: 03/31/2005 RESPS:10,650 HOURS:10,650 COSTS(000):$0 Department of Veterans Affairs Acquisition Regulation (VAAR) Part 813 FORMS: NONE
OMB NO: 2900-0394 EXPIRATION DATE: 04/30/2005 RESPS:1,200 HOURS:300 COSTS(000):$0 Certification of School Attendance - REPS FORMS: 21-8926
OMB NO: 2900-0399 EXPIRATION DATE: 04/30/2003 RESPS:5,300 HOURS:1,767 COSTS(000):$0 Student Beneficiary Report - REPS FORMS: 21-8938
OMB NO: 2900-0404 EXPIRATION DATE: 03/31/2005 RESPS:24,000 HOURS:18,000 COSTS(000):$0 Veteran's Application for Increased Compensation Based on Individual Unemployability FORMS: 21-8940
OMB NO: 2900-0405 EXPIRATION DATE: 09/30/2002 RESPS:2,200 HOURS:550 COSTS(000):$0 REPS Annual Eligibility Report FORMS: 21-8941
OMB NO: 2900-0406 EXPIRATION DATE: 02/29/2004 RESPS:75,000 HOURS:6,250 COSTS(000):$0 Verification of a Benefit-Related Indebtedness FORMS: 26-8937
OMB NO: 2900-0408 EXPIRATION DATE: 09/30/2002 RESPS:1 HOURS:36 COSTS(000):$0 Manufactured Home Loan Claim Under Loan Guaranty (Manufactured Home Unit Only) and Manufactured Home Loan Claim Under Loan Guaranty (Combination Loan - Manufactured Home Unit and Lot..... FORMS: 26-8629 26-8630
OMB NO: 2900-0418 EXPIRATION DATE: 03/31/2005 RESPS:1,600 HOURS:1,030 COSTS(000):$0 VAAR Sections 809.106-1 and 809.504(d) and VAAR Clause 852.209-70 FORMS: NONE
OMB NO: 2900-0422 EXPIRATION DATE: 03/31/2005 RESPS:3,534 HOURS:4,802 COSTS(000):$0 VAAR Clauses 852-236-72, 852.236-81, 852.236-82, 852.236-83, 852.236-84, and 852.236-88 FORMS: NONE
OMB NO: 2900-0427 EXPIRATION DATE: 11/30/2003 RESPS:50 HOURS:50 COSTS(000):$0 Former POW Medical History FORMS: 10-0048
OMB NO: 2900-0432 EXPIRATION DATE: 02/29/2004 RESPS:60,000 HOURS:1 COSTS(000):$0 Invitation, Bid, and/or Acceptance or Authorization FORMS: 26-6724
OMB NO: 2900-0438 EXPIRATION DATE: 04/30/2004 RESPS:50 HOURS:50 COSTS(000):$0 38 CFR 1.519 Lists of Names and Addresses FORMS: NONE
OMB NO: 2900-0442 EXPIRATION DATE: 10/31/2004 RESPS:102,000 HOURS:17,000 COSTS(000):$0 Request for Armed Forces Separation Records from Veteran FORMS: FL-21-80E
OMB NO: 2900-0455 EXPIRATION DATE: 09/30/2004 RESPS:228 HOURS:247 COSTS(000):$0 Equal Opportunity Compliance Review Report and Supplement to Equal Opportunity Compliance Review Report FORMS: 20-8734 20-8734A
OMB NO: 2900-0458 EXPIRATION DATE: 11/30/2002 RESPS:70,000 HOURS:11,667 COSTS(000):$0 Certification of School Attendance or Termination FORMS: 21-8960
OMB NO: 2900-0459 EXPIRATION DATE: 11/30/2003 RESPS:22,000 HOURS:44,000 COSTS(000):$0 Property Management Consolidated Invoice FORMS: 26-8974
OMB NO: 2900-0460 EXPIRATION DATE: 04/30/2003 RESPS:300,000 HOURS:50,000 COSTS(000):$0 Request for Verification of Employment FORMS: 26-8497
OMB NO: 2900-0463 EXPIRATION DATE: 06/30/2002 RESPS:29,000 HOURS:4,833 COSTS(000):$0 Notice of Waiver of VA Compensation or Pension to Receive Military Pay and Allowances FORMS: 21-8951
OMB NO: 2900-0465 EXPIRATION DATE: 01/31/2004 RESPS:2,190,000 HOURS:146,000 COSTS(000):$0 Student Verification of Enrollment FORMS: 22-8979
OMB NO: 2900-0466 EXPIRATION DATE: 10/31/2003 RESPS:23,700 HOURS:1,185 COSTS(000):$0 Certificate of Balance on Deposit and Authorization to Disclose Financial Records FORMS: 21-4178A
OMB NO: 2900-0469 EXPIRATION DATE: 05/31/2005 RESPS:2,078 HOURS:1,039 COSTS(000):$0 Certificate Showing Residence and Heirs of Dec. Vet. or Bene. FORMS: 29-541
OMB NO: 2900-0474 EXPIRATION DATE: 12/31/2004 RESPS:200,000 HOURS:6,667 COSTS(000):$0 A Computer Generated Funding Fee Receipt FORMS: NONE
OMB NO: 2900-0492 EXPIRATION DATE: 08/31/2002 RESPS:3,000 HOURS:1,500 COSTS(000):$0 Vamatic Authorization FORMS: 29-0532-1
OMB NO: 2900-0495 EXPIRATION DATE: 10/31/2004 RESPS:34,500 HOURS:2,875 COSTS(000):$0 Marital Status Questionnaire FORMS: 21-0537
OMB NO: 2900-0500 EXPIRATION DATE: 05/31/2005 RESPS:84,500 HOURS:14,083 COSTS(000):$0 Status of Dependents Questionnaire FORMS: 21-0538
OMB NO: 2900-0501 EXPIRATION DATE: 06/30/2002 RESPS:540 HOURS:45 COSTS(000):$0 Veterans Mortgage Life Insurance Inquiry FORMS: 29-0543
OMB NO: 2900-0503 EXPIRATION DATE: 06/30/2002 RESPS:240 HOURS:20 COSTS(000):$0 Veterans Mortgage Life Insurance Change of Address Statement FORMS: 29-0563
OMB NO: 2900-0510 EXPIRATION DATE: 05/31/2002 RESPS:25,000 HOURS:18,750 COSTS(000):$0 Application for Exclusion of Children's Income FORMS: 21-0571
OMB NO: 2900-0518 EXPIRATION DATE: 05/31/2004 RESPS:114,000 HOURS:15,000 COSTS(000):$0 Income Verification FORMS: 21-0161A
OMB NO: 2900-0519 EXPIRATION DATE: 08/31/2002 RESPS:3,375 HOURS:2,531 COSTS(000):$0 Locality Pay System Survey, DVA Nurse Pay Act of 1990 FORMS: 10-0132
OMB NO: 2900-0521 EXPIRATION DATE: 10/31/2004 RESPS:300,000 HOURS:1 COSTS(000):$0 Credit Underwriting Standards and Procedures for Processing VA Guaranteed Loans FORMS: NONE
OMB NO: 2900-0523 EXPIRATION DATE: 04/30/2004 RESPS:200,000 HOURS:100,000 COSTS(000):$0 Loan Analysis FORMS: 26-6393
OMB NO: 2900-0524 EXPIRATION DATE: 10/31/2003 RESPS:1,800 HOURS:300 COSTS(000):$0 VA Police Officer Pre-Employment Screening Checklist FORMS: 0120
OMB NO: 2900-0525 EXPIRATION DATE: 09/30/2004 RESPS:5,000 HOURS:1,250 COSTS(000):$0 VA MATIC Change FORMS: 29-0165
OMB NO: 2900-0539 EXPIRATION DATE: 09/30/2004 RESPS:10,000 HOURS:3,333 COSTS(000):$0 Application for Supplemental Service Disabled Veterans Insurance FORMS: 29-0188 29-0189 29-0190
OMB NO: 2900-0545 EXPIRATION DATE: 06/30/2002 RESPS:10,000 HOURS:7,500 COSTS(000):$0 Report of Medical, Legal, and Other Expenses Incident to Recovery for Injury or Death FORMS: 21-8416B
OMB NO: 2900-0546 EXPIRATION DATE: 08/31/2004 RESPS:18,000 HOURS:3,000 COSTS(000):$0 Gravesite Reservation Survey (2 Year) FORMS: FL-40-40
OMB NO: 2900-0554 EXPIRATION DATE: 04/30/2004 RESPS:1,100 HOURS:3,527 COSTS(000):$0 Homeless Providers Grant and Per Diem Program FORMS: 10-0361
OMB NO: 2900-0556 EXPIRATION DATE: 08/31/2002 RESPS:243,000 HOURS:101,250 COSTS(000):$0 Living Will and Durable Power of Attorney for Health Care FORMS: 10-0317
OMB NO: 2900-0559 EXPIRATION DATE: 06/30/2004 RESPS:65 HOURS:65 COSTS(000):$0 State Cemetery Data FORMS: 40-0241
OMB NO: 2900-0563 EXPIRATION DATE: 04/30/2003 RESPS:4,895 HOURS:7,343 COSTS(000):$0 Army Chemical Corps Vietnam Veterans Health Study, Phase II FORMS: VA-10-20998(NR)
OMB NO: 2900-0564 EXPIRATION DATE: 07/31/2003 RESPS:198,000 HOURS:6,600 COSTS(000):$0 Direct Deposit Enrollment FORMS: 24-0296
OMB NO: 2900-0565 EXPIRATION DATE: 08/31/2003 RESPS:40,000 HOURS:20,000 COSTS(000):$0 State Application for Interment Allowance Under 38 U.S.C. FORMS: 21-530A
OMB NO: 2900-0567 EXPIRATION DATE: 02/29/2004 RESPS:38,952 HOURS:1,298 COSTS(000):$0 PMC Insert FORMS: 40-0247
OMB NO: 2900-0569 EXPIRATION DATE: 12/31/2003 RESPS:195,966 HOURS:26,810 COSTS(000):$0 VA Voluntary Customer Surveys to Implement E.O. 12862 FORMS: NONE
OMB NO: 2900-0570 EXPIRATION DATE: 05/31/2003 RESPS:338,780 HOURS:75,069 COSTS(000):$0 Generic Veterans Health Administration Customer Satisfaction Surveys FORMS: NONE
OMB NO: 2900-0571 EXPIRATION DATE: 10/31/2003 RESPS:21,400 HOURS:9,496 COSTS(000):$0 Generic Clearance for NCA, OFM, and IG Customer Satisfaction Surveys FORMS: NONE
OMB NO: 2900-0572 EXPIRATION DATE: 05/31/2004 RESPS:2,000 HOURS:335 COSTS(000):$0 Application for Spina Bifida Benefits FORMS: 21-0304
OMB NO: 2900-0577 EXPIRATION DATE: 03/31/2004 RESPS:2,000 HOURS:500 COSTS(000):$0 Spina Bifida Award Attachment Important Information FORMS: 21-0307
OMB NO: 2900-0578 EXPIRATION DATE: 07/31/2004 RESPS:12,000 HOURS:1 COSTS(000):$0 Provision of Health Care to Vietnam Veterans' Children with Spina Bifida-Regulation FORMS: 10-7959E
OMB NO: 2900-0583 EXPIRATION DATE: 11/30/2004 RESPS:240,000 HOURS:60,000 COSTS(000):$0 Regulation for Informed Consent for Patient Care (Title 38 CFR 17.32) FORMS: NONE
OMB NO: 2900-0585 EXPIRATION DATE: 08/31/2004 RESPS:10,000 HOURS:833 COSTS(000):$0 VA Acquisition Regulation Clause 852.211-77, Brand Name or Equal (was 852.210-77) FORMS: NONE
OMB NO: 2900-0586 EXPIRATION DATE: 08/31/2004 RESPS:100 HOURS:50 COSTS(000):$0 VA Acquisition Regulation Provision 852.211-75, Technical Industry Standards FORMS: NONE
OMB NO: 2900-0587 EXPIRATION DATE: 08/31/2004 RESPS:15,000 HOURS:2,500 COSTS(000):$0 VA Acquisition Regulation Clause 852.211-70, Service Data Manual (previously 852.210-70) FORMS: NONE
OMB NO: 2900-0588 EXPIRATION DATE: 08/31/2004 RESPS:30 HOURS:150 COSTS(000):$0 VA Acquisition Regulation Provision 852.211-74, Special Notice (previously 852.210-74) FORMS: NONE
OMB NO: 2900-0589 EXPIRATION DATE: 08/31/2004 RESPS:1,000 HOURS:17 COSTS(000):$0 VA Acquisition Regulation Provision 852.270-3, Shellfish FORMS: NONE
OMB NO: 2900-0590 EXPIRATION DATE: 03/31/2005 RESPS:2,600 HOURS:1,300 COSTS(000):$0 VAAR Clauses 852.237-7, 852.237-71, and 852.207-70 FORMS: NONE
OMB NO: 2900-0593 EXPIRATION DATE: 08/31/2004 RESPS:346,000 HOURS:960 COSTS(000):$0 VA Acquisition Regulation Provision 852.214-70, Caution to Bidders - Bid Envelopes FORMS: NONE
OMB NO: 2900-0600 EXPIRATION DATE: 06/30/2004 RESPS:101,652 HOURS:50,826 COSTS(000):$0 Regulation for Reconsideration of Denied claims FORMS: NONE
OMB NO: 2900-0601 EXPIRATION DATE: 04/30/2005 RESPS:170 HOURS:85 COSTS(000):$0 Loan Guaranty: Requirements for Interest Rate Reduction Refinancing Loans FORMS: NONE
OMB NO: 2900-0605 EXPIRATION DATE: 04/30/2005 RESPS:20 HOURS:15 COSTS(000):$0 Application for Accreditation as a Claims Agent FORMS: 21A
OMB NO: 2900-0606 EXPIRATION DATE: 05/31/2005 RESPS:400 HOURS:800 COSTS(000):$0 Regulation for Submission of Evidence - Title 38 CFR 17.1C1(a)(2) FORMS: NONE
OMB NO: 2900-0609 EXPIRATION DATE: 01/31/2003 RESPS:27,000 HOURS:254,050 COSTS(000):$0 Census of Enrollment Status and Health of Veterans FORMS: 36 10-21034A
OMB NO: 2900-0610 EXPIRATION DATE: 02/28/2003 RESPS:11 HOURS:3 COSTS(000):$0 Ecclesiastical Endorsing Organization Verification/Reverification Information FORMS: 10-0379
OMB NO: 2900-0611 EXPIRATION DATE: 02/28/2003 RESPS:5,492 HOURS:2,145 COSTS(000):$0 Survey of Department of Veterans Affairs (VA) Benefits Usage FORMS: NONE
OMB NO: 2900-0613 EXPIRATION DATE: 07/31/2003 RESPS:2,000 HOURS:667 COSTS(000):$0 Recordkeeping at Flight Schools FORMS: NONE
OMB NO: 2900-0614 EXPIRATION DATE: 01/31/2003 RESPS:417 HOURS:313 COSTS(000):$0 4th Phase Supplement, "Measurement/Validation of Psychosocial Risk & Resilience Factors Accounting for Physical/Mental Health & Health Related Quality of Life Among Veterans" FORMS: 10-21036(NR)
OMB NO: 2900-0615 EXPIRATION DATE: 01/31/2004 RESPS:20,000 HOURS:22,957 COSTS(000):$0 National Survey of Veterans (NSV) FORMS: NONE
OMB NO: 2900-0616 EXPIRATION DATE: 04/30/2004 RESPS:1,500 HOURS:250 COSTS(000):$0 Application for Furnishing Nursing Home Care to Beneficiaries of Veterans Affairs FORMS: 10-1170 10-2407
OMB NO: 2900-0619 EXPIRATION DATE: 09/30/2004 RESPS:1,392,000 HOURS:23,200 COSTS(000):$0 Inquiry Routing and Information System (IRIS) FORMS: NONE
OMB NO: 2900-0620 EXPIRATION DATE: 06/30/2002 RESPS:241,457 HOURS:120,729 COSTS(000):$0 Emergency Care Regulations FORMS: NONE
OMB NO: 2900-0621 EXPIRATION DATE: 04/30/2005 RESPS:350 HOURS:1,750 COSTS(000):$0 National Practitioner Data Bank Regulations FORMS: NONE
OMB NO: 2900-0622 EXPIRATION DATE: 05/31/2005 RESPS:40 HOURS:20 COSTS(000):$0 VAAR Clause 852.236-89, Buy American Act FORMS: NONE
OMB NO: 2900-0623 EXPIRATION DATE: 05/31/2005 RESPS:870 HOURS:445 COSTS(000):$0 VAAR Clause 852.236-91, Special Notes FORMS: NONE
OMB NO: 2900-0624 EXPIRATION DATE: 11/30/2004 RESPS:372,209 HOURS:31,017 COSTS(000):$0 Obligation to Report Factors Affecting Entitlement-38CFR 3.204(a)1)/3.256(a)(1)/3.277(b) FORMS: NONE
OMB NO: 2900-0627 EXPIRATION DATE: 03/31/2003 RESPS:4,500 HOURS:3,375 COSTS(000):$0 Study of Military Sexual Trauma Among the Reserve Components of the Armed Forces FORMS: 10-21052(NR)
OMB NO: 2900-0629 EXPIRATION DATE: 05/31/2005 RESPS:8,600 HOURS:12,900 COSTS(000):$0 Application for Extended Care Services FORMS: 10-10EC
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
226 23,469,245 7,322,572 $64
OMB NO: 2009-0001 EXPIRATION DATE: 08/31/2004 RESPS:145 HOURS:290 COSTS(000):$0 2001 Emergency Planning and Community Right-to-know Act (EPCRA) and Risk Management Program (RMP) Implementation Status Questionnaire for Tribal Emergency Response Commission ... FORMS: 2004.01
Policy Planning and EvaluationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
1 145 290 $0
OMB NO: 2010-0026 EXPIRATION DATE: 06/30/2002 RESPS:287 HOURS:236,130 COSTS(000):$24 Regulatory Reinvention Pilot Projects Under Project XL: Pre- treatment Program FORMS: 1755.05
OMB NO: 2010-0031 EXPIRATION DATE: 10/31/2004 RESPS:2,800 HOURS:3,150 COSTS(000):$0 Valuing Inland Water Quality Improvements FORMS: 1914.01
OMB NO: 2010-0032 EXPIRATION DATE: 06/30/2003 RESPS:200 HOURS:50,450 COSTS(000):$0 Performance Track Program Level One: The Environmental Achieve- ment Track FORMS: 1949.01
Office of Enforcement and Compliance AssuranceSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
3 3,287 289,730 $24
OMB NO: 2020-0003 EXPIRATION DATE: 09/30/2003 RESPS:1,101 HOURS:6,432 COSTS(000):$0 Confidentiality Rules FORMS: 1665.03
OMB NO: 2020-0007 EXPIRATION DATE: 10/31/2004 RESPS:5 HOURS:562 COSTS(000):$0 Environmental Impact Assessment of Nongovernmental Activities in FORMS: 1808.03
OMB NO: 2020-0015 EXPIRATION DATE: 02/28/2005 RESPS:25,676 HOURS:3,956 COSTS(000):$0 Assessment of Compliance Assistance Projects FORMS: 1860.02
OMB NO: 2020-0017 EXPIRATION DATE: 07/31/2002 RESPS:193 HOURS:11,391 COSTS(000):$0 Star Track Program FORMS: 1825.01
OMB NO: 2020-0020 EXPIRATION DATE: 09/30/2004 RESPS:54 HOURS:4,300 COSTS(000):$0 Safe Drinking Water Act: Annual Public Water Systems Compliance Report FORMS: 1812.02
OMB NO: 2020-0022 EXPIRATION DATE: 08/31/2004 RESPS:700 HOURS:1,900 COSTS(000):$0 Compliance Assistance Surveys for the Marina, Metal Finishing, Construction Site, and Auto Salvage Yard Sectors FORMS: 2021.01
OMB NO: 2020-0023 EXPIRATION DATE: 10/31/2004 RESPS:289 HOURS:2,000 COSTS(000):$0 Proposed Information Collection Request for the Evaluation of Print STEP. FORMS: 1941.02
Administration and Resources ManagementSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
7 28,018 30,541 $0
OMB NO: 2030-0005 EXPIRATION DATE: 02/28/2003 RESPS:4,884 HOURS:177,045 COSTS(000):$49 Monthly Progress Reports FORMS: 1039.09
OMB NO: 2030-0006 EXPIRATION DATE: 02/29/2004 RESPS:1,261 HOURS:246,527 COSTS(000):$0 Invitation for Bids and Request for Proposals (IFBs and RFPs) FORMS: 1038.10
OMB NO: 2030-0007 EXPIRATION DATE: 02/28/2003 RESPS:37,492 HOURS:9,373 COSTS(000):$0 Oral and Written Purchase Orders FORMS: 1900-8 1900-13 1037.06
OMB NO: 2030-0016 EXPIRATION DATE: 02/28/2003 RESPS:65 HOURS:43 COSTS(000):$0 Contractor Cumulative Claim and Reconciliation FORMS: 1900-10 0246.07
OMB NO: 2030-0020 EXPIRATION DATE: 12/31/2002 RESPS:6,623 HOURS:142,601 COSTS(000):$0 General Administrative Requirement for Assistance Programs (Lobbing and Litigation Certification Amendment) FORMS: 0938.08
OMB NO: 2030-0023 EXPIRATION DATE: 02/29/2004 RESPS:165 HOURS:324,885 COSTS(000):$0 Conflict of Interest, Rule #1 FORMS: 1550.05
OMB NO: 2030-0039 EXPIRATION DATE: 12/31/2002 RESPS:8,100 HOURS:24,559 COSTS(000):$0 Synopses of Proposed Contract Actions and Market Research Activity FORMS: 1910.01
OMB NO: 2030-0041 EXPIRATION DATE: 11/30/2002 RESPS:240 HOURS:12 COSTS(000):$0 Business Ownership Representation FORMS: 1962.01
WaterSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
8 58,830 925,045 $49
OMB NO: 2040-0004 EXPIRATION DATE: 02/28/2005 RESPS:598,016 HOURS:14,221,957 COSTS(000):$0 NPDES and Sewage Sludge Monitoring Reports FORMS: 0229.15
OMB NO: 2040-0009 EXPIRATION DATE: 09/30/2003 RESPS:2,028,826 HOURS:2,847,167 COSTS(000):$0 Information Collection Request for the National Pretreatment Program FORMS: 0002.09
OMB NO: 2040-0027 EXPIRATION DATE: 03/31/2003 RESPS:280 HOURS:76,752 COSTS(000):$0 Construction Grants Program Information Collection Request FORMS: 0827.05
OMB NO: 2040-0042 EXPIRATION DATE: 01/31/2005 RESPS:422,287 HOURS:1,091,945 COSTS(000):$31,828 Underground Injection Control Program FORMS: 0370.18 7520-1-TO-4 7520-6-TO-12 7520-14 7520-16
OMB NO: 2040-0049 EXPIRATION DATE: 07/31/2002 RESPS:83 HOURS:190,336 COSTS(000):$0 Water Quality Standards Regulation -- 40 CFR Part 131 FORMS: 988.07
OMB NO: 2040-0050 EXPIRATION DATE: 06/30/2002 RESPS:14,291 HOURS:21,000 COSTS(000):$6 Clean Water Needs Survey FORMS: 0318.08
OMB NO: 2040-0057 EXPIRATION DATE: 04/30/2003 RESPS:23,086 HOURS:1,140,794 COSTS(000):$0 Pollutant Discharge Elimination System and Sewage Sludge Management State Programs FORMS: 0168.07
OMB NO: 2040-0068 EXPIRATION DATE: 04/30/2003 RESPS:15,594 HOURS:293,323 COSTS(000):$0 National Pollutant Discharge Elimination System (NPDES) Modification and Variance Requests FORMS: 0029.07
OMB NO: 2040-0071 EXPIRATION DATE: 07/31/2003 RESPS:59 HOURS:4,489,147 COSTS(000):$0 National Water Quality Inventory Reports (TMDL Final Rule: Clean Water Act Sections 305(b), 303(d), 314(a) and 106(e)). FORMS: 1560.06
OMB NO: 2040-0086 EXPIRATION DATE: 04/30/2003 RESPS:88,209 HOURS:2,038,694 COSTS(000):$1,005 Applications for NPDES Discharge Permits and the Sewage Management Permits FORMS: 0226.15
OMB NO: 2040-0088 EXPIRATION DATE: 07/31/2002 RESPS:128 HOURS:71,049 COSTS(000):$0 Modification of Secondary Treatment Requirements for Discharges into Marine Waters FORMS: 0138.06
OMB NO: 2040-0090 EXPIRATION DATE: 11/30/2004 RESPS:244,209 HOURS:1,836,258 COSTS(000):$13,552 Public Water System Supervision Program FORMS: 0270.40
OMB NO: 2040-0095 EXPIRATION DATE: 03/31/2003 RESPS:111 HOURS:6,016 COSTS(000):$0 Construction Grants Delegation to States FORMS: 0909.06
OMB NO: 2040-0101 EXPIRATION DATE: 02/29/2004 RESPS:200 HOURS:2,800 COSTS(000):$0 Questionnaire for Nominees for the Annual National Clean Water Excellence Awards Program). FORMS: 1287.06
OMB NO: 2040-0110 EXPIRATION DATE: 02/29/2004 RESPS:1,026,264 HOURS:1,375,412 COSTS(000):$0 Information Collection Request for the National Pollutant Discharge Elimination System (NPDES) Compliance Assessment/ Certification Information FORMS: ICR-1427.06
OMB NO: 2040-0118 EXPIRATION DATE: 11/30/2004 RESPS:2,244 HOURS:262,905 COSTS(000):$0 CWA State Revolving Fund Program FORMS: 1391.06
OMB NO: 2040-0138 EXPIRATION DATE: 04/30/2003 RESPS:41 HOURS:46,767 COSTS(000):$0 National Estuary Program FORMS: 1500.04
OMB NO: 2040-0153 EXPIRATION DATE: 04/30/2003 RESPS:29 HOURS:3,625 COSTS(000):$0 Approval of State Coastal Nonpoint Control Program -- CZARA Section 6217 FORMS: EPA-1569.04
OMB NO: 2040-0164 EXPIRATION DATE: 03/31/2003 RESPS:895 HOURS:2,556 COSTS(000):$0 Reporting Requirements under EPA's Water Alliances for Voluntary Efficiency (WAVE) Program FORMS: 1654.03
OMB NO: 2040-0168 EXPIRATION DATE: 01/31/2003 RESPS:20,005 HOURS:100,667 COSTS(000):$0 Clean Water Act Section 404 State-Assumed Programs FORMS: 0220.08
OMB NO: 2040-0170 EXPIRATION DATE: 10/31/2004 RESPS:2.483 HOURS:580,044 COSTS(000):$182 Information Collection Request for the Combined Sewer Overflow Policy FORMS: 1680.03
OMB NO: 2040-0180 EXPIRATION DATE: 11/30/2004 RESPS:1,257 HOURS:122,863 COSTS(000):$0 National Pollutant Discharge Elimination System Great Lakes Water Quality Guidance FORMS: 1639.04
OMB NO: 2040-0185 EXPIRATION DATE: 06/30/2003 RESPS:1,377 HOURS:192,950 COSTS(000):$0 Information Collection Request for Drinking Water State Revolving Fund Programs FORMS: 1803.03
OMB NO: 2040-0187 EXPIRATION DATE: 10/31/2004 RESPS:15 HOURS:2,207 COSTS(000):$2 Establishing No-Discharge Zones (NDZs) Under Clean Water Act Section 312 FORMS: 1791.03
OMB NO: 2040-0188 EXPIRATION DATE: 03/31/2003 RESPS:186,121 HOURS:4,753,452 COSTS(000):$2,045 Notice of Intent for Storm Water Discharges Associated with Construction Activity under a NPDES General Permit FORMS: 3510-9 1842.02
OMB NO: 2040-0189 EXPIRATION DATE: 01/31/2003 RESPS:533 HOURS:1,280 COSTS(000):$1 National Health Protection Survey of Beaches FORMS: 1814.02
OMB NO: 2040-0197 EXPIRATION DATE: 10/31/2004 RESPS:104 HOURS:2,608,787 COSTS(000):$7,102 State Source Water Assessment and Protection Programs FORMS: 1816.02
OMB NO: 2040-0202 EXPIRATION DATE: 06/30/2002 RESPS:29 HOURS:1,302 COSTS(000):$78 Milestones Plan for the Bleached Papergrade Kraft and Soda Subcategory of the Pulp, Paper, and Paperboard Point Source Category FORMS: 1877.01
OMB NO: 2040-0204 EXPIRATION DATE: 11/30/2004 RESPS:2,675,559 HOURS:4,337,534 COSTS(000):$148,458 Disinfectant/Disinfection Byproducts, Chemical, and Radio- nuclides Rules FORMS: 1896.02
OMB NO: 2040-0205 EXPIRATION DATE: 11/30/2004 RESPS:22,602,222 HOURS:8,193,200 COSTS(000):$82,564 Microbial Rules FORMS: 1895.02
OMB NO: 2040-0207 EXPIRATION DATE: 06/30/2002 RESPS:130 HOURS:142,369 COSTS(000):$7,255 Best Management Practices for the Bleached Papergrade Kraft and Soda Subcategory and the Papergrade Sulfite Subcategory of the Pulp, Paper, and Paperboard Point Source Category FORMS: 1829.01
OMB NO: 2040-0208 EXPIRATION DATE: 12/31/2003 RESPS:170 HOURS:11,519 COSTS(000):$3,407 Unregulated Contiminant Monitoring Regulations for Public Water systems; Analytical Methods for List 2 Contaminants (Proposed Rule) FORMS: 1882.02
OMB NO: 2040-0209 EXPIRATION DATE: 06/30/2002 RESPS:51,449 HOURS:748,811 COSTS(000):$4,035 Public Water System Supervision Program Public Notification Requirements FORMS: 1898.02
OMB NO: 2040-0210 EXPIRATION DATE: 09/30/2002 RESPS:159,929 HOURS:2,431,728 COSTS(000):$14,026 Information Collection Request: National Primary Drinking Water Regulation for Lead and Copper (Final Rule) FORMS: 1912.01
OMB NO: 2040-0211 EXPIRATION DATE: 10/31/2002 RESPS:36,421 HOURS:56,369 COSTS(000):$0 Phase II of the NPDES Storm Water Program (Final Rule ICR) FORMS: 1820.02
OMB NO: 2040-0213 EXPIRATION DATE: 12/31/2002 RESPS:1,836 HOURS:128,736 COSTS(000):$14 Industry Detailed Questionnaire: Phase II Cooling Water Intake Structures FORMS: 1838.01
OMB NO: 2040-0214 EXPIRATION DATE: 11/30/2002 RESPS:855 HOURS:21,007 COSTS(000):$418 Revisions to the Underground Injection Control Regulations for Class V Injection Wells (Final Rule) FORMS: 1874.02
OMB NO: 2040-0216 EXPIRATION DATE: 09/30/2003 RESPS:20 HOURS:3,603 COSTS(000):$0 Information Collection Request for the State Water Quality Pro- gram management Gap Analysis. FORMS: 1945.01
OMB NO: 2040-0224 EXPIRATION DATE: 08/31/2004 RESPS:7,942 HOURS:66,363 COSTS(000):$0 Information Collection Request for Filter Backwash Recycling Rule (Final Rule) FORMS: 1928.02
OMB NO: 2040-0225 EXPIRATION DATE: 02/29/2004 RESPS:2,000 HOURS:20,060 COSTS(000):$3 Meat Products Industry Survey FORMS: 1961.01
OMB NO: 2040-0226 EXPIRATION DATE: 01/31/2004 RESPS:92 HOURS:3,565 COSTS(000):$1 Information Collection Request for the National Listing of Advisories FORMS: 1959.01
OMB NO: 2040-0227 EXPIRATION DATE: 02/29/2004 RESPS:1,442 HOURS:3,381 COSTS(000):$0 Community Water System Survey FORMS: 1946.01
OMB NO: 2040-0228 EXPIRATION DATE: 11/30/2003 RESPS:33 HOURS:342,873 COSTS(000):$0 Information Collection Request for National Primary Drinking Water Regulations: Radionuclides FORMS: 1972.01
OMB NO: 2040-0229 EXPIRATION DATE: 10/31/2004 RESPS:15,131 HOURS:330,329 COSTS(000):$6,653 Information Collection Request for Long Term 1 Enhanced Surface Water Treatment Rule (Final Rule) FORMS: 1928.03
OMB NO: 2040-0230 EXPIRATION DATE: 01/31/2004 RESPS:67 HOURS:47,168 COSTS(000):$0 Information Collection Request for Best Management Practices Alternatives, Effluent Limitations Guidelines and Standards, Oil and Gas Extraction Point Source Category (40 CFR Part 435) FORMS: 1953.02
OMB NO: 2040-0231 EXPIRATION DATE: 01/31/2004 RESPS:49,813 HOURS:667,179 COSTS(000):$0 National Primary Drinking Water Regulations: Arsenic and Clarifications to Compliance and New Source Contaminants Monitoring FORMS: EPA-ICR-1948.02
OMB NO: 2040-0235 EXPIRATION DATE: 10/31/2004 RESPS:79 HOURS:19,144 COSTS(000):$0 Pollution Prevention Compliance Alternative; Transportation Equipment Cleaning (TEC) Point Source Category (40 CFR Part 442) FORMS: 2018.01
OMB NO: 2040-0236 EXPIRATION DATE: 06/30/2002 RESPS:22,799 HOURS:100,808 COSTS(000):$914 Operator Certification Guidelines and Operator Certificate Expense Reimbursement Grants Program FORMS: 1955.01
OMB NO: 2040-0237 EXPIRATION DATE: 08/31/2004 RESPS:6,000 HOURS:6,000 COSTS(000):$16 200 Aquatic Animal Production Industry Surveys FORMS: 1988.01
OMB NO: 2040-0238 EXPIRATION DATE: 09/30/2004 RESPS:144 HOURS:336 COSTS(000):$0 National Wastewater Operator Training and Technical Assistance Program - CWA 104(g)(1) FORMS: 1977.01
OMB NO: 2040-0239 EXPIRATION DATE: 11/30/2004 RESPS:93 HOURS:9,261 COSTS(000):$0 Information Collection Request for Baseline Standards and Best Management Practices for the Coal Mining Point Source Category (40 CFR Part 434) - Coal Remining Subcategory and Western Alkalin FORMS: 1944.02
OMB NO: 2040-0240 EXPIRATION DATE: 11/30/2004 RESPS:825 HOURS:19,840 COSTS(000):$12 2000 Aquatic Animal Production Industry Surveys FORMS: 2038.01
OMB NO: 2040-0241 EXPIRATION DATE: 11/30/2004 RESPS:152 HOURS:40,376 COSTS(000):$1,766 Cooling Water Intake Structures New Facility Final Rule FORMS: 1973.02
OMB NO: 2040-0242 EXPIRATION DATE: 02/28/2005 RESPS:86 HOURS:480 COSTS(000):$0 Certification in Lieu of Chloroform Minimum Monitoring Require- ments for Direct and Indirect Discharging Mills in the Bleached Papergrade Kraft and Soda Subcategory of the Public, Paper,... FORMS: 2015.01
OMB NO: 2040-0243 EXPIRATION DATE: 02/28/2005 RESPS:104 HOURS:36,858 COSTS(000):$19,002 Minimum Monitoring Requirements for Direct and Indirect Discharg- ing Mills in the Bleached Papergrade Kraft and Soda Subcategory and the Papergrade Sulfite Subcategory of the Pulp, Paper, ... FORMS: 1878.01
OMB NO: 2040-0246 EXPIRATION DATE: 07/31/2002 RESPS:60 HOURS:4,347 COSTS(000):$12 Laboratory Quality Assurance Evaluation Program for Analysis of Cryptosporidum Under the Safe Drinking Water Act FORMS: 2067.01
Solid Waste and Emergency ResponseSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
56 30,309,748 56,175,299 $344,357
OMB NO: 2050-0009 EXPIRATION DATE: 03/31/2003 RESPS:51 HOURS:177,544 COSTS(000):$48,342 Part B Permit Application, Permit Modifications, and Special Permits (Corrective Action Management Proposed Rule) FORMS: 1573.07
OMB NO: 2050-0021 EXPIRATION DATE: 06/30/2002 RESPS:469,993 HOURS:2,828,150 COSTS(000):$28,743 Spill Prevention, Control and Countermeasures (SPCC) Plans FORMS: 0328.08
OMB NO: 2050-0024 EXPIRATION DATE: 06/30/2003 RESPS:505,047 HOURS:188,624 COSTS(000):$26 The 2001 Hazardous Waste Report (Biennial Report) FORMS: 0976.10
OMB NO: 2050-0028 EXPIRATION DATE: 12/31/2002 RESPS:31,125 HOURS:96,330 COSTS(000):$131 Notification of Regulated Waste Activity FORMS: 8700 261.13
OMB NO: 2050-0033 EXPIRATION DATE: 01/31/2005 RESPS:824 HOURS:96,913 COSTS(000):$16,757 Facility Ground-water Monitoring Requirments FORMS: 0959.11
OMB NO: 2050-0034 EXPIRATION DATE: 10/31/2002 RESPS:59 HOURS:910 COSTS(000):$0 RCRA Hazardous Waste Permit Application and Modification, Part A FORMS: 8700-23 262.09
OMB NO: 2050-0035 EXPIRATION DATE: 10/31/2004 RESPS:140,877 HOURS:475,802 COSTS(000):$54 Hazardous Waste Generator Standards FORMS: 0820.08
OMB NO: 2050-0039 EXPIRATION DATE: 05/31/2005 RESPS:2.20 HOURS:3,612,539 COSTS(000):$2,416 Requirements for Generators, Transporters, and Disposers under the RCRA Hazardous Waste Manifest System FORMS: 0801.14
OMB NO: 2050-0041 EXPIRATION DATE: 06/30/2002 RESPS:18 HOURS:21,357 COSTS(000):$0 Final Authorization for Hazardous Waste Management FORMS: 0969.05
OMB NO: 2050-0046 EXPIRATION DATE: 04/30/2004 RESPS:23,726 HOURS:97,277 COSTS(000):$0 Notification of Episodic Releases of Oil and Hazardous Sub- stances (Renewal) FORMS: 1049.09
OMB NO: 2050-0050 EXPIRATION DATE: 12/31/2003 RESPS:6,341 HOURS:287,069 COSTS(000):$875 Hazardous Waste Specific Unit Requirements, and Special Waste processes and Types FORMS: 1572.05
OMB NO: 2050-0053 EXPIRATION DATE: 11/30/2004 RESPS:126 HOURS:20,802 COSTS(000):$886 Identification Listing and Rulemaking Petitions FORMS: 1189.09
OMB NO: 2050-0062 EXPIRATION DATE: 09/30/2003 RESPS:0.33 HOURS:3,137 COSTS(000):$1 Land Disposal Restrictions No-Migration Variances FORMS: 1353.06
OMB NO: 2050-0068 EXPIRATION DATE: 10/31/2004 RESPS:500,000 HOURS:6,025,543 COSTS(000):$363 Underground Storage Tanks: Technical & Financial Require- ments & State Program Approval Procedures FORMS: 1360.06
OMB NO: 2050-0072 EXPIRATION DATE: 10/31/2004 RESPS:563,470 HOURS:2,028,700 COSTS(000):$6,390 Community Right-to-Know Reporting Requirements under Sections 311 and 312 of the Emergency Planning and Communiy Right-to-know Act (EPCRA). FORMS: ICR-1352.08
OMB NO: 2050-0073 EXPIRATION DATE: 10/31/2002 RESPS:1,850 HOURS:316,892 COSTS(000):$26,221 Information Collection Request for New RCRA Reporting and Recordkeeping Requirements for Incinerators, Boilers, and Industrial Furnaces Burning Hazardous Waste FORMS: 1361.08
OMB NO: 2050-0077 EXPIRATION DATE: 08/31/2004 RESPS:200 HOURS:1,800 COSTS(000):$0 Application for Reimbursement to Local Governments for Emergency Response to Hazardous Substance Releases Under CERCLA section 123 FORMS: 1425.05 9310-1
OMB NO: 2050-0078 EXPIRATION DATE: 09/30/2003 RESPS:315 HOURS:3,121 COSTS(000):$0 Trade Secret Claims for Emergency Planning and Community Right-to-Know (EPCRA Section 322) FORMS: ICR-1428.05
OMB NO: 2050-0085 EXPIRATION DATE: 02/29/2004 RESPS:274,033 HOURS:1,182,612 COSTS(000):$72,851 Lland Disposal Restrictions FORMS: 1442.17
OMB NO: 2050-0086 EXPIRATION DATE: 11/30/2004 RESPS:23,280 HOURS:249,451 COSTS(000):$76 Continuous Release Reporting Regulations (CRRR) under the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA) FORMS: 1445.05
OMB NO: 2050-0092 EXPIRATION DATE: 01/31/2003 RESPS:99,170 HOURS:251,700 COSTS(000):$64 Emergency Planning and Release Notification Requirements -- EPCRA Sections 302, 303, and 304 FORMS: 1395.04
OMB NO: 2050-0095 EXPIRATION DATE: 11/30/2004 RESPS:60 HOURS:230,533 COSTS(000):$0 Superfund Site Evaluation and Hazard Ranking System FORMS: 1488.05
OMB NO: 2050-0096 EXPIRATION DATE: 10/31/2004 RESPS:7,560 HOURS:185,860 COSTS(000):$0 National Oil and Hazardous Substances Pollution Contingency Plan (NCP); (40 CFR Part 300) FORMS: ICR-1463.05
OMB NO: 2050-0105 EXPIRATION DATE: 07/31/2002 RESPS:24,000 HOURS:255,427 COSTS(000):$0 EPA Worker Protection Standard for Hazardous Waste Operations and Emergency Response FORMS: 1426.05
OMB NO: 2050-0120 EXPIRATION DATE: 12/31/2002 RESPS:2,724 HOURS:790,453 COSTS(000):$1,374 General Hazardous Waste Facility Standards FORMS: 1571.06
OMB NO: 2050-0122 EXPIRATION DATE: 08/31/2003 RESPS:2,300 HOURS:239,858 COSTS(000):$0 Recordkeeping and Reporting Requirements for 40 CFR Part 258 - Solid Waste Disposal Facilities and Practices FORMS: 1381.06
OMB NO: 2050-0124 EXPIRATION DATE: 06/30/2002 RESPS:983 HOURS:540,582 COSTS(000):$9,510 Used Oil Management Standards Recordkeeping and Reporting Requirements FORMS: 1286.05
OMB NO: 2050-0135 EXPIRATION DATE: 05/31/2004 RESPS:10,310 HOURS:583,130 COSTS(000):$22 Oil Pollution Act Facility Response Plans - 40 CFR Part 112.20 FORMS: 1630.07
OMB NO: 2050-0139 EXPIRATION DATE: 05/31/2004 RESPS:1,740 HOURS:64,260 COSTS(000):$0 Reporting and Recordkeeping Requirements Under EPA's WasteWise Program FORMS: 1698.04
OMB NO: 2050-0141 EXPIRATION DATE: 01/31/2004 RESPS:28 HOURS:826 COSTS(000):$150 The National Oil and Hazardous Substances Pollution Contingency Plan Subpart J (Product Schedule) FORMS: 1664.04
OMB NO: 2050-0143 EXPIRATION DATE: 04/30/2004 RESPS:1,562 HOURS:9,334 COSTS(000):$1 Exports from and Imports to the United States under International and Bilateral Waste Agreements FORMS: 1647.03
OMB NO: 2050-0144 EXPIRATION DATE: 09/30/2002 RESPS:12,300 HOURS:109,800 COSTS(000):$9 Risk Management Program Requirements and Petitions to Modify the Air Act FORMS: 1656.06
OMB NO: 2050-0145 EXPIRATION DATE: 11/30/2004 RESPS:133,181 HOURS:218,168 COSTS(000):$3 Reporting and Recording Requirements for the Universal Waste Handlers and Destination Facilities FORMS: 1597.04
OMB NO: 2050-0149 EXPIRATION DATE: 06/30/2002 RESPS:395 HOURS:7,253 COSTS(000):$9 RCRA Expanded Public Participation FORMS: 1688.03
OMB NO: 2050-0152 EXPIRATION DATE: 06/30/2002 RESPS:13 HOURS:6,510 COSTS(000):$0 State Program Adequacy Determination: Non-Municipal, Non-Hazardous Waste Disposal Units that Receive Conditionally Exempt Small Quatity Generator (CESQG) Hazardous Waste and MSWLFs FORMS: 1608.02
OMB NO: 2050-0154 EXPIRATION DATE: 10/31/2002 RESPS:164 HOURS:11,105 COSTS(000):$0 Criteria for Classification of Solid Waste Disposal Facilities -- RCRA-257 FORMS: 1745.03
OMB NO: 2050-0161 EXPIRATION DATE: 06/30/2002 RESPS:66 HOURS:34,619 COSTS(000):$50 Hazardous Remediation Waste Management Requirements (HWIR-Media) -- #1775.02 FORMS: NONE
OMB NO: 2050-0162 EXPIRATION DATE: 06/30/2002 RESPS:3,300 HOURS:1,650 COSTS(000):$0 The 1999 National Survey of Local Emergency Planning Committees FORMS: 1903.01
OMB NO: 2050-0164 EXPIRATION DATE: 09/30/2002 RESPS:101,500 HOURS:127,300 COSTS(000):$2 Reporting and Recordkeeping Requirements for Generators of Hazardous Waste Lamps FORMS: 1699.02
OMB NO: 2050-0171 EXPIRATION DATE: 10/31/2004 RESPS:930 HOURS:68,269 COSTS(000):$1,611 Amendments to the Reporting and Recordkeeping Requirements for National Emissions Standards for Hazardous Air Pollutants (NESHAP) for Hazardous Waste Combustors - Direct Final Rule. FORMS: 1773.05
OMB NO: 2050-0172 EXPIRATION DATE: 10/31/2003 RESPS:10,380 HOURS:99,518 COSTS(000):$126 Distribution of Off-site Consequence Analysis Information under Section 112(r) of the Clean Air Act. FORMS: 1981.01
OMB NO: 2050-0173 EXPIRATION DATE: 01/31/2004 RESPS:5 HOURS:93 COSTS(000):$1 Hazardous Waste Listing for Chlorinated Aliphatics Production Wastes FORMS: 1924.02
OMB NO: 2050-0175 EXPIRATION DATE: 12/31/2003 RESPS:10,157 HOURS:2,590 COSTS(000):$143 The RCRA Subtitle C Site Identification Form FORMS: 2005.01 8700-13A/B
OMB NO: 2050-0179 EXPIRATION DATE: 11/30/2004 RESPS:581 HOURS:5,115 COSTS(000):$0 Cooperative Agreements and Superfund State Contracts for Superfund Response Actions FORMS: 1487.07
OMB NO: 2050-0181 EXPIRATION DATE: 08/31/2004 RESPS:7,010 HOURS:3,079 COSTS(000):$4 Storage, Treatment, Transportation, and Disposal of Mixed Waste (Final Rule) FORMS: 1922.02
OMB NO: 2050-0182 EXPIRATION DATE: 12/31/2004 RESPS:175 HOURS:1 COSTS(000):$2 Standardized Permit for RCRA Hazardous Waste FORMS: 1935.01
OMB NO: 2050-0183 EXPIRATION DATE: 06/30/2002 RESPS:50 HOURS:100 COSTS(000):$0 Anthrax Decontamination Vendor Letter: Request for Test and supporting information to determine efficacy. FORMS: 2058.01
OMB NO: 2050-0184 EXPIRATION DATE: 03/31/2005 RESPS:6 HOURS:188 COSTS(000):$124 Part B Permit Application, Permit Modifications and Special Permits (Corrective Action Management Final Ruel) FORMS: 1573.08
OMB NO: 2050-0185 EXPIRATION DATE: 05/31/2005 RESPS:262 HOURS:2,620 COSTS(000):$0 Institional Controls Tracking Systems and Costs Survey FORMS: 2043.01
OMB NO: 2050-0186 EXPIRATION DATE: 10/31/2004 RESPS:962 HOURS:756 COSTS(000):$1 Reporting and Recordkeeping Requirements for National Emissions Standards for NESHAP: Interim Standards for Hazardous Wastes Combustors (Interim Standards Rule); Final Rule FORMS: 2069.01
OMB NO: 2050-0187 EXPIRATION DATE: 10/31/2004 RESPS:1,034 HOURS:2,050 COSTS(000):$1 Reporting and Recordkeeping Requirements for NESHAP: Standards for Hazardous Air Pollutants for Hazardous Waste Combustors (Final Amendments Rule); Final Rule FORMS: 2070.01
OMB NO: 2050-0188 EXPIRATION DATE: 05/31/2005 RESPS:200 HOURS:2,000 COSTS(000):$0 Soil Ingestion Research FORMS: 1965.01
Air and RadiationSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
52 2,974,445 21,569,320 $217,339
OMB NO: 2060-0001 EXPIRATION DATE: 01/31/2003 RESPS:105 HOURS:3,092 COSTS(000):$50 NSPS for Beverage Can Surface Coating -- 40 CFR Part 60, Subpart WW FORMS: 0663.07
OMB NO: 2060-0002 EXPIRATION DATE: 11/30/2004 RESPS:10 HOURS:15,089 COSTS(000):$3,105 NSPS for Asphalt Processing and Asphalt Roofing Manufacture, Subpart UU - Reporting and Recordkeeping Requirements FORMS: 0661.06
OMB NO: 2060-0003 EXPIRATION DATE: 10/31/2004 RESPS:114,820 HOURS:4,715,260 COSTS(000):$0 Prevention of Significnt Deterioration and Nonattainment Area FORMS: 1230.10
OMB NO: 2060-0004 EXPIRATION DATE: 01/31/2003 RESPS:1,025 HOURS:39,104 COSTS(000):$1,880 Pressure-Sensitive Tape and Lable Surface Coating Operations, Information Request -- NSPS Subpart RR FORMS: 0658.07
OMB NO: 2060-0006 EXPIRATION DATE: 09/30/2002 RESPS:40 HOURS:11,420 COSTS(000):$0 Bulk Gasoline Terminals -- NSPS Subpart XX FORMS: 0664.06
OMB NO: 2060-0012 EXPIRATION DATE: 08/31/2002 RESPS:2,240 HOURS:104,198 COSTS(000):$18 NSPS for VOC Equipment Leaks in the Synthetic Organic Chemical FORMS: 0662.06
OMB NO: 2060-0015 EXPIRATION DATE: 08/31/2003 RESPS:22,846 HOURS:8,363 COSTS(000):$0 Environmental Radiation Ambient Monitoring System (ERAMS) FORMS: NONE
OMB NO: 2060-0016 EXPIRATION DATE: 07/31/2002 RESPS:44 HOURS:1,760 COSTS(000):$14 Metallic Mineral Processing Plants, Standards of Performance for NSPS -- Subpart LL FORMS: 0982.06
OMB NO: 2060-0019 EXPIRATION DATE: 01/31/2004 RESPS:71 HOURS:1,796 COSTS(000):$3,568 New Source Performace Standards for Nitric Acid Plants, Subpart G, Part 60 FORMS: 1056.07
OMB NO: 2060-0021 EXPIRATION DATE: 02/28/2003 RESPS:170 HOURS:9,959 COSTS(000):$2,828 New Source Performance Standard (NSPS) for Kraft Pulp Mills -- Subpart BB FORMS: 1055.06
OMB NO: 2060-0022 EXPIRATION DATE: 08/31/2002 RESPS:197 HOURS:19,045 COSTS(000):$123 Standard of Performance for Petroleum Refineries -- NSPS, Subpart J FORMS: 1054.07
OMB NO: 2060-0023 EXPIRATION DATE: 02/28/2003 RESPS:494 HOURS:28,606 COSTS(000):$3,095 Standard of Performance for Electric Utility Steam Generating Units -- NSPS Subpart Da FORMS: 1053.06
OMB NO: 2060-0025 EXPIRATION DATE: 11/30/2004 RESPS:448 HOURS:7,968 COSTS(000):$987 New Source Performance Standard for Portland Cement Plants, 40 CFR Part 60, Subpart F FORMS: 1051.08
OMB NO: 2060-0026 EXPIRATION DATE: 02/28/2003 RESPS:2,640 HOURS:62,865 COSTS(000):$9,900 Standards of Performance for Fossil-Fuel-Fired Steam Generating Units -- NSPS Subpart D FORMS: 1052.06
OMB NO: 2060-0028 EXPIRATION DATE: 07/31/2004 RESPS:1,650 HOURS:93,439 COSTS(000):$0 NSPS-Standard of Performance for Stationary Gas Turbines 40 CFR Part 60, Subpart GG FORMS: 1071.07
OMB NO: 2060-0029 EXPIRATION DATE: 09/30/2002 RESPS:13 HOURS:1,795 COSTS(000):$35 Standard of Performance for Primary and Secondary Emissions from Basic Oxygen Process Furnaces -- NSPS Subparts N and Na FORMS: 1069.06
OMB NO: 2060-0032 EXPIRATION DATE: 01/31/2004 RESPS:2 HOURS:182 COSTS(000):$0 NSPS for Ammonium Sulfate Manufacturing Plants, 40 CFR Part 60, Subpart PP FORMS: 1066.03
OMB NO: 2060-0034 EXPIRATION DATE: 09/30/2003 RESPS:171 HOURS:145,599 COSTS(000):$7 NSPS Subpart MM-Automobile and Light Duty Truck Surface Coating Opeations 40 CFR Part 63, Subpart MM FORMS: 1064.09
OMB NO: 2060-0035 EXPIRATION DATE: 09/30/2004 RESPS:294 HOURS:9,089 COSTS(000):$5,845 NSPS for Sewage Sludge Treatment Plant Incineration (40 CFR Part 60, Subpart O) FORMS: 1063.08
OMB NO: 2060-0037 EXPIRATION DATE: 06/30/2003 RESPS:11 HOURS:963 COSTS(000):$0 NSPS for Phosphate Fertilizer Industry, 40 CFR Part 60, Subparts T, U, V, W, and X FORMS: 1061.08
OMB NO: 2060-0038 EXPIRATION DATE: 06/30/2003 RESPS:182 HOURS:48,413 COSTS(000):$95 The New Source Performance Standards (NSPS) for Steel Plants: Electric Arc Furnaces and Argon-Oxygen Decarburization Vessels. FORMS: 1060.10 40CFR PART60 SUBPARTAA SUBPARTAAA
OMB NO: 2060-0040 EXPIRATION DATE: 10/31/2004 RESPS:96 HOURS:8,544 COSTS(000):$240 NSPS Subpart E: Standards of Performance for Incinerators (40 CFR Part 60, subpart E) FORMS: 1058.07
OMB NO: 2060-0041 EXPIRATION DATE: 08/31/2002 RESPS:212 HOURS:23,320 COSTS(000):$477 New Source Performance Standards, Sulfuric Acid Plants -- Subpart H FORMS: 1057.08
OMB NO: 2060-0043 EXPIRATION DATE: 08/31/2002 RESPS:43 HOURS:6,769 COSTS(000):$164 Inorganic Arsenic Emissions from Glass Manufacturing Plants FORMS: 1081.06
OMB NO: 2060-0048 EXPIRATION DATE: 01/31/2004 RESPS:46 HOURS:4,925 COSTS(000):$0 Emission Defect Information Reports (DIR) and Voluntary Emission Recall Reports (VERR) for manufacturers of on-highway heavy-duty engines, non-road compression-ignition, engines, non-road... FORMS: 0282.12
OMB NO: 2060-0050 EXPIRATION DATE: 06/30/2003 RESPS:2,320 HOURS:31,746 COSTS(000):$0 NSPS 40 CFR, Part 60, Subpart OOO - Nonmetallic Mineral Pro- cessing FORMS: 1084.06
OMB NO: 2060-0054 EXPIRATION DATE: 10/31/2002 RESPS:61 HOURS:398 COSTS(000):$174 NSPS 40 CFR Part 60, Subpart CC, Glass Manufacturing Plants FORMS: ICR1131.06
OMB NO: 2060-0059 EXPIRATION DATE: 01/31/2003 RESPS:85 HOURS:2,696 COSTS(000):$228 Synthetic Fiber Production Facilities -- NSPS Subpart HHH FORMS: 1156.08
OMB NO: 2060-0060 EXPIRATION DATE: 02/29/2004 RESPS:2 HOURS:1,722 COSTS(000):$0 Emission Control System Performance Warranty Regulations and Voluntary Aftermath Part Certification Program, 40 CFR Part 85, Subpart V FORMS: 0116.06
OMB NO: 2060-0063 EXPIRATION DATE: 01/31/2003 RESPS:102 HOURS:4,190 COSTS(000):$95 Lime Manufacturing -- NSPS Subpart HH FORMS: 1167.06
OMB NO: 2060-0067 EXPIRATION DATE: 10/31/2002 RESPS:108 HOURS:6,137 COSTS(000):$0 Equipment Leaks of VOC in Petroleum Refineries -- NSPS Subpart GGG FORMS: 0983.06
OMB NO: 2060-0068 EXPIRATION DATE: 10/31/2003 RESPS:42 HOURS:23,558 COSTS(000):$0 NESHAP for Equipment Leaks (Fugitive Emission Sources), 40 CFR Part 61, Subpart V FORMS: 1153.07
OMB NO: 2060-0071 EXPIRATION DATE: 11/30/2004 RESPS:308 HOURS:16,159 COSTS(000):$1,980 NESHAP for Vinyl Chloride 40 CFR Part 61, Subpart F FORMS: 0186.09
OMB NO: 2060-0072 EXPIRATION DATE: 02/28/2003 RESPS:3,016 HOURS:575,033 COSTS(000):$25,955 NSPS Subpart Db, Standards of Performance for Industrial-Commer- cial-Institutional Steam Generating Units FORMS: 1088.09
OMB NO: 2060-0073 EXPIRATION DATE: 06/30/2003 RESPS:21 HOURS:329 COSTS(000):$52 NSPS, 40 CFR Part 60, Subpart FFF for Flexible Vinyl and Urethane Coating and Printing FORMS: 1157.06
OMB NO: 2060-0074 EXPIRATION DATE: 10/31/2004 RESPS:7,458 HOURS:74,606 COSTS(000):$4,715 NSPS for Volatile Organic Liquid Storage Vessels - Subpart Kb 40 CFR Part 60 FORMS: 1132.06
OMB NO: 2060-0078 EXPIRATION DATE: 06/30/2003 RESPS:3,750 HOURS:1,649 COSTS(000):$0 Mobile Source Emission Factor Recruitment Questionnaire FORMS: 0619.08
OMB NO: 2060-0079 EXPIRATION DATE: 01/31/2003 RESPS:93 HOURS:1,483 COSTS(000):$0 Petroleum Dry Cleaners -- NSPS Subpart JJ FORMS: 0997.06
OMB NO: 2060-0080 EXPIRATION DATE: 06/30/2003 RESPS:23 HOURS:35 COSTS(000):$0 NSPS CFR 40, Part 60, Subpart L - Secondary Lead Smelters FORMS: 112.06
OMB NO: 2060-0081 EXPIRATION DATE: 06/30/2003 RESPS:82 HOURS:123 COSTS(000):$18 NSPS Subpart KK - Lead-Acid Battery Manufacturing, 40 CFR Part 60 Subpart KK FORMS: 1072.06
OMB NO: 2060-0082 EXPIRATION DATE: 01/31/2003 RESPS:121 HOURS:250 COSTS(000):$0 Information Requirements for Grain Elevators -- NSPS Subpart DD FORMS: 1130.06
OMB NO: 2060-0083 EXPIRATION DATE: 01/31/2003 RESPS:200 HOURS:6,890 COSTS(000):$0 Hot Mix Asphalt Facilities -- NSPS Subpart I FORMS: 1127.06
OMB NO: 2060-0084 EXPIRATION DATE: 09/30/2002 RESPS:520 HOURS:2,404,606 COSTS(000):$73,642 Ambient Air Quality Surveillance -- 40 CFR Part 58 FORMS: 0940.16
OMB NO: 2060-0086 EXPIRATION DATE: 06/30/2002 RESPS:985 HOURS:587 COSTS(000):$0 Investigation into Possible Noncompliance of Motor Vehicles with Federal Emission Standards FORMS: 222.05
OMB NO: 2060-0088 EXPIRATION DATE: 10/31/2004 RESPS:54 HOURS:11,448 COSTS(000):$29 Annual Updates of Emission Data to the Aerometric Information Retrieval System (AIRS) FORMS: 0916.11
OMB NO: 2060-0092 EXPIRATION DATE: 09/30/2004 RESPS:166 HOURS:2,232 COSTS(000):$35 NESHAP for Beryllium (40 CFR part 61, subpart C) FORMS: 0193.07
OMB NO: 2060-0094 EXPIRATION DATE: 08/31/2002 RESPS:75 HOURS:150 COSTS(000):$0 Verification of Test Parameters and Parts Lists for Light-Duty Vehicles and Light-Duty Trucks FORMS: 0167.06
OMB NO: 2060-0095 EXPIRATION DATE: 08/31/2003 RESPS:21,200 HOURS:14,400 COSTS(000):$1,296 Importation Requirements for Importation of Nonconforming Vehi- cles FORMS: 0010.09
OMB NO: 2060-0096 EXPIRATION DATE: 01/31/2005 RESPS:356 HOURS:85,496 COSTS(000):$0 Source Compliance and State Action Reporting FORMS: 0107.07
OMB NO: 2060-0097 EXPIRATION DATE: 06/30/2003 RESPS:24 HOURS:26,504 COSTS(000):$0 National Emission Standard for Mercury -- NESHAP Part 61 Subpart E FORMS: 0113.07
OMB NO: 2060-0101 EXPIRATION DATE: 02/28/2003 RESPS:134,384 HOURS:362,159 COSTS(000):$0 National Emission Standard for Asbestos -- NESHAP Subpart M FORMS: 0111.09
OMB NO: 2060-0104 EXPIRATION DATE: 06/30/2002 RESPS:70 HOURS:530,664 COSTS(000):$7,113 Motor Vehicle Emission Standards and Emission Credits Provisions FORMS: 783.40
OMB NO: 2060-0105 EXPIRATION DATE: 10/31/2004 RESPS:60 HOURS:3,871 COSTS(000):$0 New Source Performance Standards for Graphic Arts Industry, 40 CFR Part 60, Subpart QQ FORMS: 0657.07
OMB NO: 2060-0106 EXPIRATION DATE: 01/31/2003 RESPS:1,600 HOURS:101,070 COSTS(000):$1,120 NSPS for Metal Furniture Coating -- 40 CFR Part 60, Subpart EE FORMS: 0649.07
OMB NO: 2060-0107 EXPIRATION DATE: 01/31/2003 RESPS:585 HOURS:15,335 COSTS(000):$398 NSPS for Metal Coil Surface Coating -- 40 CFR Part 60, Subpart TT Coating FORMS: 0660.07
OMB NO: 2060-0108 EXPIRATION DATE: 01/31/2003 RESPS:1,273 HOURS:29,564 COSTS(000):$618 NSPS for Large Appliance Surface Coating -- 40 CFR Part 60, Subpart SS FORMS: 0659.07
OMB NO: 2060-0110 EXPIRATION DATE: 02/29/2004 RESPS:82 HOURS:5,351 COSTS(000):$232 NSPS Smelters: Subpart M - Secondary Brass and Bronze Production Subpart P - Primary Copper; Subpart Q - Primary Zinc, Subpart R - Primary Lead; Subpart S - Primary Aluminum Reduction Plants; ... FORMS: 1604.06
OMB NO: 2060-0111 EXPIRATION DATE: 10/31/2004 RESPS:31 HOURS:3,002 COSTS(000):$327 NSPS Subpart NN Phosphate Rock Plants FORMS: ICR-1078.06
OMB NO: 2060-0114 EXPIRATION DATE: 07/31/2003 RESPS:128 HOURS:19,098 COSTS(000):$689 NSPS - Wool Fiberglas Insulation Manufacturing Plants, 40 CFR Part 60, Subpart PPP. NESHAP-MACT - Wool Fiberglass Manufactur- ing Plants, 40 CFR Part 63, Subpart NNN FORMS: 1160.06
OMB NO: 2060-0120 EXPIRATION DATE: 10/31/2004 RESPS:1,116 HOURS:114,036 COSTS(000):$74 NSPS Subparts KKK and LLL Standards of Performance for Onshore Natural gas Processing Plants FORMS: 1086.06
OMB NO: 2060-0121 EXPIRATION DATE: 10/31/2004 RESPS:6,514 HOURS:39,139 COSTS(000):$0 NSPS for Storage Vessels for Petroleum Liquids 40 CFR part 60, subpart Ka FORMS: 1050.07
OMB NO: 2060-0122 EXPIRATION DATE: 11/30/2002 RESPS:390 HOURS:15,463 COSTS(000):$15 NSPS for Coal Preparation Plants - Subpart Y FORMS: 1062.07
OMB NO: 2060-0124 EXPIRATION DATE: 08/31/2002 RESPS:60 HOURS:90 COSTS(000):$0 Motor Vehicle Exclusion Determination -- 40 CFR 85.1703 FORMS: 0012.11
OMB NO: 2060-0135 EXPIRATION DATE: 06/30/2002 RESPS:17,020 HOURS:65,788 COSTS(000):$756 Enforcement Policy Regarding the Sale and Use of Aftermarket Catalytic Converters FORMS: 1292.05
OMB NO: 2060-0145 EXPIRATION DATE: 09/30/2002 RESPS:190 HOURS:12,490 COSTS(000):$965 Standards of Performance for Volatile Organic Compound Emissions FORMS: 1150.05
OMB NO: 2060-0150 EXPIRATION DATE: 01/31/2004 RESPS:9,200 HOURS:18,500 COSTS(000):$28 Registration of Fuels and Fuel Additives: Requirements for Manufacturers (40 CFR 79) FORMS: 309.10 3520-12 3250-13 3520-16 3520-13A
OMB NO: 2060-0156 EXPIRATION DATE: 10/31/2004 RESPS:79 HOURS:13,151 COSTS(000):$17 Standards of Performance for New Stationary Sources; Rubber Tire Manufacturing, Subpart 40 CFR Part 60, Subpart BBB FORMS: 1158.07
OMB NO: 2060-0161 EXPIRATION DATE: 02/29/2004 RESPS:3,093 HOURS:7,653 COSTS(000):$1,501 40 CFR 60.530 thru 60.539(b), New Source Performance Standards for New Residential Wood Heaters (Subpart AAA) FORMS: 1176.06
OMB NO: 2060-0162 EXPIRATION DATE: 07/31/2003 RESPS:121 HOURS:3,639 COSTS(000):$0 New Source Performance Standards (NSPS), 40 CFR Part 60, Subpart TTT, Surface Coating of Plastic Parts for Business Machines FORMS: 1093.06
OMB NO: 2060-0170 EXPIRATION DATE: 05/31/2005 RESPS:1,842 HOURS:7,357 COSTS(000):$0 Recordkeeping and Periodic Reporting of the Production, Import, Recycling, Destruction, Transshipment and Feedstock Use of Ozone- Depleting Substances FORMS: 1432.21
OMB NO: 2060-0171 EXPIRATION DATE: 02/29/2004 RESPS:56 HOURS:3,891 COSTS(000):$93 New Source Performance Standards (NSPS) for Magnetic Tape Coat- ing Facilities, 40 CFR Part 60, Subpart SSS FORMS: 1135.07
OMB NO: 2060-0172 EXPIRATION DATE: 09/30/2004 RESPS:320 HOURS:36,866 COSTS(000):$57 NSPS 40 CFR Part 60, Subpart QQQ - Standards of Performance for VOC Emissions form Petroleum Refinery Wastewater Systems - Re- porting and Recordkeeping FORMS: 1136.06
OMB NO: 2060-0178 EXPIRATION DATE: 12/31/2004 RESPS:3,000,002 HOURS:4,178 COSTS(000):$0 Regulation of Fuels and Fuel Additives: Gasoline Volatility: Reporting Requirements (40 CFR 80.27) FORMS: 1367.06
OMB NO: 2060-0181 EXPIRATION DATE: 01/31/2005 RESPS:173 HOURS:14,366 COSTS(000):$564 Standards of Performance for New Stationary Sources, Polymeric Coating of Supporting Substrates Facilities, Subpart VVV FORMS: 1284.06
OMB NO: 2060-0182 EXPIRATION DATE: 08/31/2002 RESPS:216 HOURS:7,889 COSTS(000):$0 NESHAP Benzene Emissions from Bulk Transfer Operations FORMS: 1154.05
OMB NO: 2060-0183 EXPIRATION DATE: 02/28/2003 RESPS:240 HOURS:17,028 COSTS(000):$0 Benzene Waste Operations -- NESHAP Subpart FF FORMS: 1541.06
OMB NO: 2060-0185 EXPIRATION DATE: 08/31/2004 RESPS:76 HOURS:7,131 COSTS(000):$0 National Emission Standards for Hazardous Air Pollutants, Benzene Emission from Benzene Storage Vessels and Coke by-product re- covery plants. 40 CFR Part 61, Subparts L & Y FORMS: 1080.10
OMB NO: 2060-0191 EXPIRATION DATE: 06/30/2002 RESPS:87 HOURS:45,748 COSTS(000):$1,737 National Emission Standards for Hazardous Air Pollutants: Radionuclides -- 40 CFR Part 61, Subparts B, H, K, R, and W FORMS: 1100.09
OMB NO: 2060-0197 EXPIRATION DATE: 01/31/2003 RESPS:2,712 HOURS:136,312 COSTS(000):$4,248 Standards of Performance of Volatile Organic Compound (VOC) Industry (SOCMI), Air Oxidation Unit Processes, Subpart III; ... FORMS: 0998.06
OMB NO: 2060-0202 EXPIRATION DATE: 10/31/2004 RESPS:1,696 HOURS:432,767 COSTS(000):$13,185 NSPS 40 CFR Part 60, Subpart Dc - Standards of Performance for Small Industrial-Commercial-Institutional Steam Generating Units FORMS: 1564.05
OMB NO: 2060-0210 EXPIRATION DATE: 04/30/2005 RESPS:50 HOURS:11,885 COSTS(000):$132 NSPS Municipal Waste Combustors (MWC) for Subpart Ea and Subpart Eb FORMS: 1506.09
OMB NO: 2060-0220 EXPIRATION DATE: 09/30/2002 RESPS:299 HOURS:3,379 COSTS(000):$80 New Source Performance Standards for Municipal Solid Waste Landfills -- 40 CFR Part 60, Subpart WWW FORMS: 1557.04
OMB NO: 2060-0226 EXPIRATION DATE: 10/31/2004 RESPS:330 HOURS:10,363 COSTS(000):$45 Information Collection Activities: Significant New Alternatives Policy (SNAP) Program Final Rulemaking under Title VI of the Clean Air Act Amendments of 1990, 40 CFR part 82, Subpart G. FORMS: 1596.05
OMB NO: 2060-0234 EXPIRATION DATE: 09/30/2003 RESPS:5,270 HOURS:1,212,129 COSTS(000):$47 NESHAP for Perchloroethylene (PCE) Dry Cleaning Facilities, FORMS: 1415.04
OMB NO: 2060-0243 EXPIRATION DATE: 10/31/2004 RESPS:21,036 HOURS:4,779,620 COSTS(000):$0 Part 70 Operating Permits Regulations FORMS: 1587.05
OMB NO: 2060-0247 EXPIRATION DATE: 06/30/2002 RESPS:70,037 HOURS:8,882 COSTS(000):$0 Stratospheric Ozone Protection, Servicing of Motor Vehicle Air Conditioners -- 40 CFR Subpart B (82.30 et seq.) FORMS: 1617.03
OMB NO: 2060-0249 EXPIRATION DATE: 06/30/2002 RESPS:119 HOURS:44,642 COSTS(000):$219 Air Pollution Regulations for Outer Continental Shelf Activities: FORMS: 1601.04
OMB NO: 2060-0251 EXPIRATION DATE: 08/31/2002 RESPS:310 HOURS:6,019 COSTS(000):$121 NSPS for Calciners and Dryers in Mineral Industries -- Subpart UUU FORMS: 0746.04
OMB NO: 2060-0253 EXPIRATION DATE: 05/31/2005 RESPS:58 HOURS:104,659 COSTS(000):$0 National Emission Standards for Coke Oven Batteries, 40 CFR Part 63, Subpart L FORMS: 1362.04
OMB NO: 2060-0256 EXPIRATION DATE: 07/31/2003 RESPS:2,342,047 HOURS:419,546 COSTS(000):$0 National Recycling and Emissions Reduction Program FORMS: 1626.07
OMB NO: 2060-0258 EXPIRATION DATE: 09/30/2002 RESPS:10,085 HOURS:1,330,327 COSTS(000):$135,632 Information Collection Request for the Acid Rain Program under Title IV of the Clean Air Act Amendments of 1990 FORMS: 1633.12
OMB NO: 2060-0264 EXPIRATION DATE: 06/30/2004 RESPS:4,555 HOURS:137,549 COSTS(000):$0 Application Requirements for the Approval and Delegation of Federal Air Toxics Programs to State, Territorial, Local, and Tribal Agencies FORMS: 1643.04
OMB NO: 2060-0266 EXPIRATION DATE: 05/31/2005 RESPS:28,000 HOURS:172,200 COSTS(000):$0 Control Technology Determination for Equivalent Emission Limita- tions by Permit FORMS: 1648.04
OMB NO: 2060-0269 EXPIRATION DATE: 06/30/2003 RESPS:310 HOURS:15,555 COSTS(000):$578 Standards of Performance of Volatile Organic Compound (VOC) Industry (SOCMI), Reactor Processes, Subpart RRR FORMS: 1178.05
OMB NO: 2060-0273 EXPIRATION DATE: 10/31/2003 RESPS:11,496 HOURS:45,207 COSTS(000):$4,091 NESHAP for Halogenated Solvent Cleaners/Halogenated Hazardous Air Pollutants (40 CFR Part 63, subpart T) FORMS: 1652.04
OMB NO: 2060-0275 EXPIRATION DATE: 10/31/2004 RESPS:69,558 HOURS:223,008 COSTS(000):$536 Detergent Gasoline: Certification Requirements for Manufac- urers of Detergent Additives; Requirements for Transferors and Transferees of Detergent Additives; Requirements for ... FORMS: 1655.04
OMB NO: 2060-0277 EXPIRATION DATE: 04/30/2004 RESPS:53,171 HOURS:101,571 COSTS(000):$22,986 Regulation of Fuels and Fuel Additives: Reformulated Gasoline Terminal Receipt Date FORMS: 1591.14
OMB NO: 2060-0279 EXPIRATION DATE: 04/30/2005 RESPS:733 HOURS:10,246 COSTS(000):$0 General Conformity of Federal Actions to State Implemenation Plan 40 CFR Part 51, Subpart W, Part 93, Subpart B FORMS: 1637.05
OMB NO: 2060-0282 EXPIRATION DATE: 10/31/2004 RESPS:490 HOURS:1,343,755 COSTS(000):$67,399 National Emission Standards for Organic Hazardous Air Pollutants from the Synthetic Organic Chemical Manufacturing Industry (SOCMI) Hazardous Organic NESHAP (HON) 40 CFR Part 63, ... FORMS: 1414.04
OMB NO: 2060-0283 EXPIRATION DATE: 02/29/2004 RESPS:98 HOURS:7,328 COSTS(000):$228 NESHAP 40 CFR Part 63 Subpart O: National Emission Standards for Hazardous Air Pollutants (NESHAP) for Commercial Ethylene Oxide Sterilization and Fumigation Operations FORMS: 1666.05
OMB NO: 2060-0287 EXPIRATION DATE: 09/30/2004 RESPS:779 HOURS:89,047 COSTS(000):$4,089 Non-road Compression-Ignition Engine and On-Highway Heavy Duty Engine Application for Emissions Certification, and Participation in the Averaging, Banking, and Trading Program 40 Part 86.094,... FORMS: 1684.05
OMB NO: 2060-0289 EXPIRATION DATE: 05/31/2005 RESPS:105 HOURS:28,131 COSTS(000):$0 Federal Standards for Marine Tank Vessel Loading Operations and National Emission Standards for Hazardous Air Pollutants for Marine Tank Vessel Loading Operations.(40 CFR Part 63, Subpart Y) FORMS: 1679.04
OMB NO: 2060-0290 EXPIRATION DATE: 09/30/2004 RESPS:29 HOURS:4,525 COSTS(000):$9 NESHAP: Epoxy Resin and Non-Nylon Polyamide Production - Subpart W FORMS: 1681.04
OMB NO: 2060-0294 EXPIRATION DATE: 08/31/2003 RESPS:150,215 HOURS:75,393 COSTS(000):$4,686 Reporting and Recordkeeping Requirements for Importation of Nonconforming Nonroad Compression Ignition (CI) & Small Spark Ignition (SI) Engines FORMS: 1673.02 3520-1 3520-8 3520-14
OMB NO: 2060-0296 EXPIRATION DATE: 10/31/2003 RESPS:70 HOURS:16,033 COSTS(000):$150 NESHAP for the Secondary Lead Smelter Industry FORMS: 1686.04
OMB NO: 2060-0297 EXPIRATION DATE: 05/31/2003 RESPS:3 HOURS:67,467 COSTS(000):$6,500 Registration of Fuels and Fuel Additives: Health-Effects Research Requirements for Manufacturers -- 40 CFR 79, Subpart F FORMS: 1696.03
OMB NO: 2060-0302 EXPIRATION DATE: 11/30/2004 RESPS:188 HOURS:3,709 COSTS(000):$106 Retrofit/Rebuild Requirements for 1993 and Earlier Model Year Urban Buses, 40 CFR Part 85 FORMS: 1702.03
OMB NO: 2060-0306 EXPIRATION DATE: 10/31/2004 RESPS:7 HOURS:293 COSTS(000):$0 Clean Air Act Tribal Authority FORMS: 1676.03
OMB NO: 2060-0308 EXPIRATION DATE: 09/30/2004 RESPS:400,000 HOURS:222 COSTS(000):$0 Tax-exempt (Dyed) Highway Diesel Fuel; Requirements for Transferors and Transferees FORMS: 1718.03
OMB NO: 2060-0313 EXPIRATION DATE: 01/31/2004 RESPS:1,000 HOURS:162,050 COSTS(000):$0 National Emission Standards for Hazardous Air Pollutants (NESHAP) for for-Site Waste and Recovery Operations (Subpart DD) FORMS: 1717.03
OMB NO: 2060-0314 EXPIRATION DATE: 05/31/2004 RESPS:16,402 HOURS:3,737,400 COSTS(000):$561 40 CFR 63 Subpart GG NESHAP, Aerospace Manufacturing and Rework FORMS: 1687.05
OMB NO: 2060-0318 EXPIRATION DATE: 07/31/2004 RESPS:6,318 HOURS:672,640 COSTS(000):$1,460 Standards of Performance for Air Emission Standards for Tanks, Surface Impoundments and Containers, 40 CFR Part 264, Subpart CC and 40 CFR Part 265. FORMS: 1593.05
OMB NO: 2060-0320 EXPIRATION DATE: 11/30/2004 RESPS:3,100 HOURS:1,550 COSTS(000):$78 Importation of Nonconforming Marine Engines: Reporting and Record keeping Requirements FORMS: 1723.03
OMB NO: 2060-0321 EXPIRATION DATE: 09/30/2004 RESPS:254 HOURS:38,674 COSTS(000):$2 Spark-ignition Marine Engine Application for Emission Certification and Participation in the Averaging, Banking, and Trading Program 40 CFR Part 91, Subpart B and C FORMS: 1722.03
OMB NO: 2060-0322 EXPIRATION DATE: 10/31/2004 RESPS:68 HOURS:10,405 COSTS(000):$694 Marine Engine Manufacturer In-use Emission Testing Program Re- porting and Recordkeeping, 40 CFR Part 91, Subpart N FORMS: 1726.03
OMB NO: 2060-0323 EXPIRATION DATE: 09/30/2004 RESPS:340 HOURS:19,300 COSTS(000):$2,821 Marine Engine Manufacturer Production Line Testing Reporting and Recordkeeping Requirements, 40 CFR Part 91 FORMS: 1725.03
OMB NO: 2060-0324 EXPIRATION DATE: 02/29/2004 RESPS:47,800 HOURS:92,071 COSTS(000):$41 National Emission Standards for Hazardous Air Pollutants (NESHAP) from Wood Furniture Manufacturing Operations. 40 CFR Part 63, Subpart JJ FORMS: 1716.03
OMB NO: 2060-0325 EXPIRATION DATE: 02/29/2004 RESPS:526 HOURS:32,575 COSTS(000):$851 National Emission Standards for Hazardous Air Pollutants for FORMS: 1659.04
OMB NO: 2060-0326 EXPIRATION DATE: 01/31/2004 RESPS:26 HOURS:7,042 COSTS(000):$89 NESHAP, Magnetic Tape Manufacturing Operations, 40 CFR Part 63, Subpart EE FORMS: 1678.04
OMB NO: 2060-0327 EXPIRATION DATE: 02/29/2004 RESPS:1,896 HOURS:516,186 COSTS(000):$75,300 NESHAP for Chromium Emissions from Hard and Decorative Chromium Electroplating and Chromium Anodizing Tanks 40 CFR Part 63 (Subpart N) FORMS: 1611.04
OMB NO: 2060-0328 EXPIRATION DATE: 11/30/2004 RESPS:120 HOURS:4,059 COSTS(000):$1 EPA's Natural Gas STAR Program FORMS: 1763.03
OMB NO: 2060-0330 EXPIRATION DATE: 08/31/2003 RESPS:45 HOURS:22,149 COSTS(000):$0 National Emissions Standards for Hazardous Air Pollutants for Shipbuilding and Ship Repair Facilities (Surface Coating) CFR 40 Part 63, Subpart Ii FORMS: 1712.03
OMB NO: 2060-0335 EXPIRATION DATE: 09/30/2003 RESPS:273 HOURS:52,495 COSTS(000):$403 MACT Subpart KK, National Emission Standards for the Printing and Publishing Industry FORMS: 1739.03
OMB NO: 2060-0336 EXPIRATION DATE: 10/31/2004 RESPS:3,179 HOURS:15,323 COSTS(000):$0 Information Collection Request for Part 71 Federal Operating Permit Regulations FORMS: 1713.04
OMB NO: 2060-0337 EXPIRATION DATE: 10/31/2004 RESPS:53 HOURS:2,120 COSTS(000):$0 State Small Business Stationary Source Technical and Environ- mental Compliance Assistance Program Annual Reporting Form FORMS: 1748.03
OMB NO: 2060-0338 EXPIRATION DATE: 09/30/2004 RESPS:653 HOURS:47,736 COSTS(000):$3,240 Certification and the Averaging, Banking, and Trading Program for Non-road Spark-Ingnition Engines at or Below 19 Kilowatts, 40 Part 90, Subpart C FORMS: 1695.07
OMB NO: 2060-0340 EXPIRATION DATE: 12/31/2004 RESPS:314 HOURS:469,430 COSTS(000):$542 NESHAP for Petroleum Refineries, 40 CFR Part 63, Subpart CC FORMS: 1692.04
OMB NO: 2060-0345 EXPIRATION DATE: 09/30/2004 RESPS:18 HOURS:4,338 COSTS(000):$0 Regulations for a Voluntary Emissions Standards Program Applicable to Manufacturers of Light-Duty Vehicles and Trucks Beginning in Model Year 1997 - 40 CFR 86.1700 FORMS: 1761.03
OMB NO: 2060-0347 EXPIRATION DATE: 04/30/2003 RESPS:15,529 HOURS:217,714 COSTS(000):$15 Information Collection Activities Associated with EPA's Energy Star Buildings Program FORMS: ICR1772.02
OMB NO: 2060-0348 EXPIRATION DATE: 06/30/2003 RESPS:375 HOURS:29,695 COSTS(000):$0 Reporting and Recordkeeping Requirements for National Volatile Organic Compound Emission Standards for Consumer products CFR 40 Part 59, Subpart C FORMS: 1764.02
OMB NO: 2060-0350 EXPIRATION DATE: 09/30/2003 RESPS:5,000,000 HOURS:416,667 COSTS(000):$500 Mobile Air Conditioner Retrofitting Program, 40 CFR Part 82.180 FORMS: 1774.02
OMB NO: 2060-0353 EXPIRATION DATE: 06/30/2003 RESPS:10 HOURS:22 COSTS(000):$0 Reporting and Recordkeeping Requirements for National Volatile Organic Compound Emission Standards for Automobile Refinish Coatings CFR 40 Part 59 Subpart B FORMS: 1765.02
OMB NO: 2060-0357 EXPIRATION DATE: 01/31/2004 RESPS:143 HOURS:6,400 COSTS(000):$0 MACT - Flexible Polyurethane Foam Product, 40 CFR Part 63, Subpart III FORMS: 1783.02
OMB NO: 2060-0358 EXPIRATION DATE: 02/29/2004 RESPS:209 HOURS:161,326 COSTS(000):$8 National Emission Standard for Hazardous Air Pollutants for Source Categories; Pharmaceutical Production, 40 CFR Part 63, Subpart GGG FORMS: 1781.02
OMB NO: 2060-0360 EXPIRATION DATE: 09/30/2004 RESPS:50 HOURS:121,277 COSTS(000):$117 MACT for Primary Aluminum Reduction Plants, 40 CFR, Subpart L. FORMS: 1767.03
OMB NO: 2060-0361 EXPIRATION DATE: 01/31/2004 RESPS:193 HOURS:4,143 COSTS(000):$66 NESHAP - Phosphoric Acid Manufacturing and Phosphate Fertilizers Production, 40 CFR Part 63, Subparts AA and BB FORMS: 1790.02
OMB NO: 2060-0362 EXPIRATION DATE: 01/31/2004 RESPS:26 HOURS:5,779 COSTS(000):$100 NESHAP/MACT 40 CFR Part 63, Subpart DDD - Mineral Wool Produc- tion FORMS: 1799.02
OMB NO: 2060-0363 EXPIRATION DATE: 11/30/2004 RESPS:2,349 HOURS:4,541 COSTS(000):$19 Standards of Performance for New Stationary Sources: Hospital/ Medical/Infectious Waste Incinerators, 40 CFR Part 60, Subpart Ec FORMS: 1730.03
OMB NO: 2060-0369 EXPIRATION DATE: 09/30/2004 RESPS:205 HOURS:66,647 COSTS(000):$19 Transition Program for Equipment Manufacturers, 40 CFR Part 89. 101 FORMS: 1862.02
OMB NO: 2060-0370 EXPIRATION DATE: 10/31/2004 RESPS:375 HOURS:53,752 COSTS(000):$2,268 National Emissions Standards for Hazardous Air Pollutants- Pesticide Active Ingredient Production, 40 CFR Part 63, Subpart MMM FORMS: ICR#1807.2
OMB NO: 2060-0373 EXPIRATION DATE: 10/31/2004 RESPS:600 HOURS:92,210 COSTS(000):$0 Control Technology Determinations for Constructed or Reconstruc- ted Major Sources of Hazardous Air Pollutants, 40 CFR Part 63, Subpart B FORMS: 1658.03
OMB NO: 2060-0376 EXPIRATION DATE: 11/30/2004 RESPS:4,040 HOURS:172,698 COSTS(000):$9,699 Information Collection Request Update for the 40 CFR Part 64 Compliance Assurance Monitoring Program FORMS: 1663.03
OMB NO: 2060-0377 EXPIRATION DATE: 12/31/2004 RESPS:125 HOURS:21,528 COSTS(000):$4 National Emission Standards for Hazardous Air Polluants for Chemical Recovery Combustion Sources at Kraft, Soda, Sulfite, and Stand-Alone Semichemical Pulp Mills FORMS: 1805.03
OMB NO: 2060-0382 EXPIRATION DATE: 11/30/2004 RESPS:25 HOURS:14,950 COSTS(000):$139 PFC Emission Reduction Partnership for the Semiconductor Industry, Non Rule Related, Memo of Understanding FORMS: 1823.02
OMB NO: 2060-0387 EXPIRATION DATE: 11/30/2004 RESPS:500 HOURS:50,232 COSTS(000):$370 NESHAP for Total HAP Emissions form the Pulp Paper Production Source Category - Process Operations, 40 CFR Part 63, Subpart S. FORMS: 1657.04
OMB NO: 2060-0390 EXPIRATION DATE: 03/31/2003 RESPS:112 HOURS:58,915 COSTS(000):$3,218 Federal Plan Recordkeeping and Reporting Requirements for Large Municipal Waste Combustors Constructed on or Before September 20, 1994 (Subpart FFF) FORMS: 1847.02
OMB NO: 2060-0391 EXPIRATION DATE: 12/31/2004 RESPS:20 HOURS:746 COSTS(000):$0 NESHAP for Ferroalloys Production FORMS: EPA-ICR-1831.02
OMB NO: 2060-0392 EXPIRATION DATE: 12/31/2004 RESPS:67 HOURS:11,121 COSTS(000):$388 Information Requirements for Locomotives and Locomotive Engines FORMS: 1800.02
OMB NO: 2060-0393 EXPIRATION DATE: 04/30/2005 RESPS:745 HOURS:23,411 COSTS(000):$0 National Volatile Organic Compound Emission Standards for Architechural Coatings FORMS: 1750.03
OMB NO: 2060-0394 EXPIRATION DATE: 11/30/2004 RESPS:1 HOURS:8 COSTS(000):$0 National Emission Standards for Hazardous Air Pollutants for Beryllium Rocket Motor Firing 40 CFR part 61, Subpart D. FORMS: 1125.03
OMB NO: 2060-0395 EXPIRATION DATE: 06/30/2002 RESPS:10 HOURS:16 COSTS(000):$0 Exclusion Determinations for New Non-Road Spark-Ignited Engines At or Below 19 Kilowatts, New Compression-Ignited Engines At or Above 37 Kilowatts, New Marine Engines, and New On-Road Heavy.... FORMS: 1852.01
OMB NO: 2060-0404 EXPIRATION DATE: 07/31/2002 RESPS:397 HOURS:53,168 COSTS(000):$1,606 Non-Road Compression-Ignition Engine At or Above 50 Kilowatts and On-Road Heavy-Duty Engine Application for Emission Certification and Participation in the Averaging, Banking, and Trading Program FORMS: 1851.01
OMB NO: 2060-0411 EXPIRATION DATE: 07/31/2002 RESPS:12 HOURS:1,866 COSTS(000):$18 Reporting Requirements under EPA's Voluntary Aluminum Industrial Partnership FORMS: 1867.01
OMB NO: 2060-0414 EXPIRATION DATE: 07/31/2002 RESPS:6 HOURS:2,002 COSTS(000):$40 National Emission Standards for Hazardous Air Pollutants for Primary Lead Smelters FORMS: 1856.02
OMB NO: 2060-0415 EXPIRATION DATE: 07/31/2002 RESPS:158 HOURS:36,319 COSTS(000):$253 National Emission Standards for Hazardous Air Pollutants for Polyether Polyois Production FORMS: 1811.02
OMB NO: 2060-0416 EXPIRATION DATE: 08/31/2002 RESPS:954 HOURS:77,331 COSTS(000):$1,432 National Emission Standards for Hazardous Air Pollutants for Portland Cement Manufacturing FORMS: 1801.02
OMB NO: 2060-0417 EXPIRATION DATE: 07/31/2002 RESPS:3,328 HOURS:27,298 COSTS(000):$355 NESHAP for Source Category: Oil and Natural Gas Production FORMS: 1788.02
OMB NO: 2060-0418 EXPIRATION DATE: 07/31/2002 RESPS:23 HOURS:213 COSTS(000):$2 NESHAP for Source Category: Natural Gas Transmission and Storage FORMS: 1789.02
OMB NO: 2060-0419 EXPIRATION DATE: 07/31/2002 RESPS:23 HOURS:23,190 COSTS(000):$15 National Emission Standards for Hazardous Air Pollutants for Steel Pickling, HCI Process Facilities and Hydrochloric Acid Regeneration Plants FORMS: 1821.02
OMB NO: 2060-0420 EXPIRATION DATE: 09/30/2002 RESPS:89 HOURS:6,125 COSTS(000):$1 Recordkeeping and Reporting Requirements for Source Categories: Generic Maximum Achievable Control Technology (MACT) National Emission Standards for Hazardous Air Pollutants (NESHAP) FORMS: 1871.02
OMB NO: 2060-0421 EXPIRATION DATE: 09/30/2002 RESPS:51 HOURS:11,500 COSTS(000):$0 Final Regional Haze Rule FORMS: 1813.02
OMB NO: 2060-0422 EXPIRATION DATE: 01/31/2003 RESPS:1,146 HOURS:133,404 COSTS(000):$0 Reporting and Recordkeeping Requirements for the Emission Guidelines for Hospital/Medical/Infectious Waste Incinerators FORMS: 1899.01
OMB NO: 2060-0423 EXPIRATION DATE: 02/28/2003 RESPS:6 HOURS:8,559 COSTS(000):$219 Reporting and Recordkeeping Requirements for the New Source Performance Standards for Small Municipal Waste Combustors -- Subpart AAAA FORMS: 1900.01
OMB NO: 2060-0424 EXPIRATION DATE: 02/28/2003 RESPS:90 HOURS:1,297 COSTS(000):$0 Emission Guidelines Reporting and Recordkeeping Requirements for Existing Small Municipal Waste Combustion (MWC) Units FORMS: 1901.01
OMB NO: 2060-0425 EXPIRATION DATE: 01/31/2004 RESPS:176 HOURS:1,256 COSTS(000):$1 Emission Defect Information and Voluntary Emission Recall Reports for On-Highway, Light-Duty Vehicles FORMS: 1916.01
OMB NO: 2060-0427 EXPIRATION DATE: 10/31/2003 RESPS:200 HOURS:80,383 COSTS(000):$0 Small Spark Ignition Manufacturers Production Line Testing FORMS: 1845.02
OMB NO: 2060-0428 EXPIRATION DATE: 02/28/2003 RESPS:41 HOURS:41 COSTS(000):$0 NESHAP for Source Category: Publicly Owned Treatment Works FORMS: 1891.02
OMB NO: 2060-0430 EXPIRATION DATE: 02/28/2003 RESPS:384 HOURS:15,110 COSTS(000):$890 Federal Emission Guidelines for Existing Municipal Solid Waste Landfills FORMS: 1893.02
OMB NO: 2060-0433 EXPIRATION DATE: 07/31/2003 RESPS:2,315 HOURS:148,031 COSTS(000):$687 Recordkeeping and Reporting Requirements for the Secondary Aluminum Production - NESHAP FORMS: 1894.02
OMB NO: 2060-0434 EXPIRATION DATE: 02/29/2004 RESPS:80 HOURS:32,252 COSTS(000):$80 National Emission Standard for Hazardous Air Pollutants: Manu- facture of Amino/Phenolic Resins FORMS: 1869.02
OMB NO: 2060-0436 EXPIRATION DATE: 09/30/2003 RESPS:3,112 HOURS:5,602 COSTS(000):$38 Indoor Air Quality Practices in Large Buildings Survey FORMS: 1917.01
OMB NO: 2060-0437 EXPIRATION DATE: 01/31/2004 RESPS:192,268 HOURS:12,532 COSTS(000):$0 Recordkeeping and Reporting Requirements Regarding the Sulfur Content of Motor Vehicle Gasoline Under the Tier 2 Rule. FORMS: 1907.02
OMB NO: 2060-0439 EXPIRATION DATE: 11/30/2003 RESPS:5,000 HOURS:1,667 COSTS(000):$0 Information Collection Request: The Sun Wise School Program FORMS: 1904.01
OMB NO: 2060-0442 EXPIRATION DATE: 01/31/2004 RESPS:4 HOURS:678 COSTS(000):$0 NSPS Subpart K, Storage Vessels for Petroleum Liquids for Which Construction, Reconstruction, or Modification Commenced after June 11. FORMS: 1797.02
OMB NO: 2060-0443 EXPIRATION DATE: 01/31/2004 RESPS:160 HOURS:427,046 COSTS(000):$32,334 Reporting and Recordkeeping Requirements of the Consolidated Federal Air Rule for the Synthetic Organic Chemical Manufacturing Industry FORMS: 1854.02
OMB NO: 2060-0445 EXPIRATION DATE: 10/31/2003 RESPS:3,982 HOURS:284,746 COSTS(000):$15,686 Emission Reporting Requirements for Ozone SIP Revisions (or Associated Federal Implementation Plans) Relating to Statewide Budgets for NOx Emissions to Reduce the Regional Transport of OZ. FORMS: 1857.02
OMB NO: 2060-0446 EXPIRATION DATE: 10/31/2003 RESPS:323 HOURS:1,484 COSTS(000):$1 Landfill Methane Outreach Program FORMS: 1849.01
OMB NO: 2060-0450 EXPIRATION DATE: 01/31/2004 RESPS:18 HOURS:11,209 COSTS(000):$14 Reporting and Recordkeeping Requirements for Standards of Performance for New Stationary Sources: Commercial and Indus- trial Solid Waste Incineration (CISWI) Units (Subpart CCC). FORMS: 1926.02
OMB NO: 2060-0451 EXPIRATION DATE: 01/31/2004 RESPS:116 HOURS:9,145 COSTS(000):$0 Reporting and Recordkeeping Requirements for the Emission Guidelines for Existing Commercial and Industrial Solid Waste Incineration (CISWI) Units (Subpart DDDD). FORMS: 1927.02
OMB NO: 2060-0460 EXPIRATION DATE: 10/31/2004 RESPS:32 HOURS:21,520 COSTS(000):$1,600 Information Requirements for Marine Diesel Engines FORMS: 1897.02
OMB NO: 2060-0463 EXPIRATION DATE: 07/31/2004 RESPS:806 HOURS:564 COSTS(000):$0 IAQ Practices in Schols Survey FORMS: 1885.01
OMB NO: 2060-0471 EXPIRATION DATE: 01/31/2005 RESPS:75 HOURS:10,092 COSTS(000):$0 National Emission Standards for Hazardous Air Pollutants: Solvent Extraction for Vegetable Oil Production FORMS: 1947.02
OMB NO: 2060-0476 EXPIRATION DATE: 05/31/2005 RESPS:90 HOURS:20,506 COSTS(000):$98 NESHAP: Primary Copper Smelters FORMS: 1850.03
OMB NO: 2060-0482 EXPIRATION DATE: 05/31/2005 RESPS:275 HOURS:97,605 COSTS(000):$99 Protection of Stratospheric Ozone: Request for Applications for Critical use Exemptions from the Phaseout of Methyl Bromide FORMS: 2013.01
Office of Prevention, Pesticides and Toxic SubstancesSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
184 11,865,740 30,015,358 $580,503
OMB NO: 2070-0004 EXPIRATION DATE: 10/31/2002 RESPS:859 HOURS:4,542 COSTS(000):$0 Health and Safety Data Reporting: Submission of Lists and Copies of Health and Safety Studies FORMS: 0575.08
OMB NO: 2070-0012 EXPIRATION DATE: 07/31/2004 RESPS:1,674 HOURS:184,608 COSTS(000):$0 Pre-Manufacture Review Reporting and Exemption Requirements for New Chemical Substances and Significant New Use Reporting Requirements for Chemical Substances. FORMS: 7710-25 7710-56 574.11
OMB NO: 2070-0017 EXPIRATION DATE: 08/31/2002 RESPS:7,397 HOURS:30,279 COSTS(000):$0 Recordkeeping and Reporting Requirements for Allegations of Significant Adverse Reactions to Human Health or the Environment -- TSCA Section 8(c) Health and Safety Data Reporting Rule FORMS: 1031.06
OMB NO: 2070-0020 EXPIRATION DATE: 12/31/2002 RESPS:7,000 HOURS:2,100 COSTS(000):$0 Notice of Arrival of Pesticides and Devices FORMS: 3540.1 0152.06
OMB NO: 2070-0024 EXPIRATION DATE: 01/31/2003 RESPS:150 HOURS:258,900 COSTS(000):$0 Tolerance Petitions for Pesticides on Food/Feed Crops and New Inert Ingredients FORMS: 0597.07
OMB NO: 2070-0026 EXPIRATION DATE: 08/31/2002 RESPS:30 HOURS:84 COSTS(000):$0 FIFRA Section 29 Annual Report on Conditional Registrations FORMS: 0601.06
OMB NO: 2070-0027 EXPIRATION DATE: 08/31/2002 RESPS:2,500 HOURS:21,451 COSTS(000):$0 Foreign Purchaser Acknowledgment Statement of Unregistered Pesticides FORMS: 0161.08
OMB NO: 2070-0028 EXPIRATION DATE: 10/31/2004 RESPS:12,336 HOURS:24,672 COSTS(000):$0 Recordkeeping Requirements for Producers of Pesticides under Section 8 of the Federal Insecticide, Pungicide, and Rodenticide Act (FIFRA) FORMS: 0143.07
OMB NO: 2070-0029 EXPIRATION DATE: 08/31/2004 RESPS:413,293 HOURS:1,285,865 COSTS(000):$0 Certification of Pesticide Applicators FORMS: 0155.07 8500-17
OMB NO: 2070-0030 EXPIRATION DATE: 01/31/2003 RESPS:11,000 HOURS:10,400 COSTS(000):$0 Notification of Chemical Exports -- TSCA Section 12(b) FORMS: 0795.10
OMB NO: 2070-0032 EXPIRATION DATE: 11/30/2004 RESPS:600 HOURS:59,400 COSTS(000):$0 Application and Summary Report for Emergency Exemption for Pesticides FORMS: 0596.07
OMB NO: 2070-0033 EXPIRATION DATE: 10/31/2004 RESPS:17,299 HOURS:1,182,574 COSTS(000):$0 TSCA Section 4 Test Rules, Consent Orders, Test Rule Exemptions, and Voluntary Data Submission FORMS: 1139.06
OMB NO: 2070-0038 EXPIRATION DATE: 08/31/2002 RESPS:3 HOURS:1,032 COSTS(000):$0 Significant New Use Rules for Existing Chemicals -- TSCA Section 5(a) FORMS: 1188.06
OMB NO: 2070-0039 EXPIRATION DATE: 01/31/2004 RESPS:260 HOURS:166,266 COSTS(000):$0 Submission of Unreasonable Adverse Effects Information Under FIFRA Section 6(a)(2) FORMS: 1204.08
OMB NO: 2070-0040 EXPIRATION DATE: 09/30/2003 RESPS:75 HOURS:757 COSTS(000):$0 Application for Experimental use Permit (EUP) to Ship and Use a Pesticide for Experimental Purposes Only FORMS: 0276.11 8570-17
OMB NO: 2070-0044 EXPIRATION DATE: 10/31/2003 RESPS:5,000 HOURS:1,250 COSTS(000):$0 Notice of Supplemental Distribution of a Registered Pesticide Product FORMS: 0278.07 8570-05
OMB NO: 2070-0046 EXPIRATION DATE: 01/31/2003 RESPS:467 HOURS:8,209 COSTS(000):$0 Notification of Substantial Risk of Injury to Health and the Environment under TSCA Secton 8(e) FORMS: EPA-0794-09
OMB NO: 2070-0052 EXPIRATION DATE: 01/31/2004 RESPS:502 HOURS:853 COSTS(000):$0 Compliance Requirements for Child Resistant Packaging FORMS: EPA-616.07
OMB NO: 2070-0054 EXPIRATION DATE: 10/31/2004 RESPS:118 HOURS:3,355 COSTS(000):$5 TSCA Section 8(a) Preliminary Assessment Information Rule (PAIR) FORMS: 0586.09 7710-35 7710-51
OMB NO: 2070-0055 EXPIRATION DATE: 08/31/2002 RESPS:349 HOURS:24,604 COSTS(000):$0 Notice of Pesticide Registration by States to Meet a Special Local Need -- Section 24(c) FORMS: 0595.07 8570-25
OMB NO: 2070-0057 EXPIRATION DATE: 08/31/2004 RESPS:68 HOURS:71,132 COSTS(000):$0 Data Call-Ins for the Special Review and Registration Review Programs FORMS: 0922.06 8570-32
OMB NO: 2070-0060 EXPIRATION DATE: 06/30/2002 RESPS:12,466 HOURS:187,640 COSTS(000):$0 Application for New or Amended Pesticide Registration FORMS: 8570-1 8570-4 8570-27 8570-34 8570-35 8570-36 8570-37
OMB NO: 2070-0067 EXPIRATION DATE: 04/30/2004 RESPS:4 HOURS:275 COSTS(000):$0 Chemical-Specific Rules, TSCA section 8(a) FORMS: 1198.06
OMB NO: 2070-0070 EXPIRATION DATE: 11/30/2004 RESPS:3,000 HOURS:65,640 COSTS(000):$0 Partial Updating of TSCA Inventory Data Base, Production and FORMS: 1011.05 7740-8
OMB NO: 2070-0072 EXPIRATION DATE: 07/31/2004 RESPS:1,272,138 HOURS:436,289 COSTS(000):$0 Rule Related Replacement ICR to the Existing ICR entitled "Reporting and Recordkeeping for Asbestos Abatement Worker Protection" FORMS: ICR(1246.08)
OMB NO: 2070-0074 EXPIRATION DATE: 09/30/2003 RESPS:84 HOURS:3,353 COSTS(000):$0 Recordkeeping for Certified Applicators Using 1080 Collars for Livestock Protection FORMS: 1249.06
OMB NO: 2070-0075 EXPIRATION DATE: 02/29/2004 RESPS:432 HOURS:675 COSTS(000):$0 Request for Contractor Access to TSCA Confidential Business Information FORMS: 1250.06 7740-6 7700
OMB NO: 2070-0078 EXPIRATION DATE: 06/30/2002 RESPS:13,262 HOURS:18,173 COSTS(000):$0 Pesticide Registration Application, Notification and Request for Pesticide-Producing Establishments FORMS: 0160.06 3540-8 3540-8A 3540-16
OMB NO: 2070-0081 EXPIRATION DATE: 12/31/2002 RESPS:250 HOURS:1,284 COSTS(000):$0 Wood Preservations, Submission of Information Regarding Arsenic Exposure Levels in Wood Treatment Plants FORMS: 1289.05
OMB NO: 2070-0091 EXPIRATION DATE: 10/31/2004 RESPS:107,551 HOURS:2,212,151 COSTS(000):$0 Asbestos-Containing Materials in Schools Rule and Asbestos Model Accreditation Plan Rule (MAP) FORMS: 1365.06
OMB NO: 2070-0093 EXPIRATION DATE: 01/31/2003 RESPS:119,506 HOURS:9,612,104 COSTS(000):$0 (Final Lead Rule) Toxic Chemical Release Reporting Recordkeeping, Supplier Notification and Petitions Under Section 313 of the Emergency Planning and Community Right-to-know Act (EPCRA) FORMS: ICR1363.11 FORM-9350-1
OMB NO: 2070-0100 EXPIRATION DATE: 01/31/2004 RESPS:1,977 HOURS:1,858 COSTS(000):$0 Pesticide Product Registration Maintenance Fee FORMS: 1214.05 8570-30
OMB NO: 2070-0107 EXPIRATION DATE: 09/30/2004 RESPS:30 HOURS:90,725 COSTS(000):$0 Data Generation for Pesticide Reregistration FORMS: 1504.04 8570-32 8570-34
OMB NO: 2070-0112 EXPIRATION DATE: 08/31/2004 RESPS:1,300,240 HOURS:741,261 COSTS(000):$0 PCBs: Consolidated Reporting and Recordkeeping Requirements FORMS: 1446.07 7710-53 7720-12
OMB NO: 2070-0122 EXPIRATION DATE: 12/31/2004 RESPS:20 HOURS:117,256 COSTS(000):$0 Data Acquisition for Registration FORMS: 1503.04
OMB NO: 2070-0142 EXPIRATION DATE: 07/31/2004 RESPS:15 HOURS:1,370 COSTS(000):$0 Plant-Incorporated Protectants; CBI Substantiation and Adverse Effects Reporting FORMS: 1693.02
OMB NO: 2070-0143 EXPIRATION DATE: 01/31/2003 RESPS:14,793 HOURS:644,761 COSTS(000):$0 Alternate Threshold for Low Annual Reportable Amounts; Toxic Chemical Release Reporting FORMS: 1704-05 9350-2
OMB NO: 2070-0145 EXPIRATION DATE: 01/31/2005 RESPS:200 HOURS:200 COSTS(000):$0 Correction of Misreported Chemical Substances on the Toxic Substances Control Act (TSCA) Chemical Substances Inventory FORMS: 7710-3C 1741.03
OMB NO: 2070-0148 EXPIRATION DATE: 02/28/2005 RESPS:4,476,250 HOURS:2,294,625 COSTS(000):$0 Worker Protection Standard Training and Notification FORMS: 1759.03
OMB NO: 2070-0151 EXPIRATION DATE: 07/31/2004 RESPS:12,359,721 HOURS:7,145,412 COSTS(000):$0 Residential Lead-Based Paint Hazard Disclosure Requirements FORMS: 1710.03
OMB NO: 2070-0155 EXPIRATION DATE: 08/31/2004 RESPS:21,528 HOURS:371,214 COSTS(000):$0 TSCA Section 402 and Section 404 Training and Certification, Accreditiation and Standards for Lead-Based Paint Activities FORMS: 1715.03
OMB NO: 2070-0156 EXPIRATION DATE: 02/29/2004 RESPS:1,830 HOURS:915 COSTS(000):$0 Voluntary Cover Sheet for TSCA Submissions FORMS: 1780.02
OMB NO: 2070-0158 EXPIRATION DATE: 12/31/2004 RESPS:3,046,000 HOURS:2,938,546 COSTS(000):$9,231 Lead-based Paint Pre-Renovation Information Dissemination - TSCA Sec. 406(b) FORMS: 1669.03
OMB NO: 2070-0164 EXPIRATION DATE: 09/30/2004 RESPS:31 HOURS:29,807 COSTS(000):$0 Data Acquisition for Anticipated Residue and Percent Crop Treated FORMS: 1911.01
Office of Research and DevelopmentSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
44 23,232,308 30,257,867 $9,236
OMB NO: 2080-0005 EXPIRATION DATE: 02/28/2005 RESPS:5 HOURS:4,718 COSTS(000):$89 Application for Reference and Equivalent Method Determination FORMS: 0559.07
OMB NO: 2080-0021 EXPIRATION DATE: 10/31/2002 RESPS:23,430 HOURS:241,619 COSTS(000):$0 Performance Evaluation Studies on Water and Wastewater Laboratories FORMS: 0234.07
OMB NO: 2080-0033 EXPIRATION DATE: 08/31/2004 RESPS:1,940 HOURS:164,900 COSTS(000):$0 Quality Assurance Specification and Requirements FORMS: EPA-ICR-0866.06
OMB NO: 2080-0048 EXPIRATION DATE: 02/29/2004 RESPS:1,511 HOURS:1,620 COSTS(000):$0 Request for Information for Bioremediation Field Initiative Database System FORMS: 1672.03
OMB NO: 2080-0050 EXPIRATION DATE: 04/30/2003 RESPS:1,800 HOURS:12,240 COSTS(000):$0 Evaluation of the Burden of Waterborne Disease Within Communities in the United States FORMS: 1727.02
OMB NO: 2080-0058 EXPIRATION DATE: 07/31/2002 RESPS:30 HOURS:2,090 COSTS(000):$0 Personal Exposure of High-Risk Subpopulations to Particles FORMS: 1887.01
OMB NO: 2080-0061 EXPIRATION DATE: 03/31/2003 RESPS:2,834 HOURS:657 COSTS(000):$0 A Polity Study of Children's Total Exposure to Persistent Pesticides and Other Persistent Organic Pollutants FORMS: 1892.02
OMB NO: 2080-0063 EXPIRATION DATE: 02/28/2003 RESPS:1,674 HOURS:349 COSTS(000):$0 Agricultural Health Study: Pesticide Exposure Study FORMS: 1906.01
OMB NO: 2080-0065 EXPIRATION DATE: 09/30/2003 RESPS:13,400 HOURS:5,145 COSTS(000):$0 Health Effects of Particulate Matter and Co-pollutant Exposures Near the EI Paso/Juarez Border Crossings FORMS: 1940.02
Office of the AdministratorSUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
9 46,624 433,338 $89
OMB NO: 2090-0014 EXPIRATION DATE: 02/28/2003 RESPS:13,100 HOURS:6,550 COSTS(000):$0 Pre-Award Compliance Review Report for All Applicants Requesting Federal Financial Assistance FORMS: 4700-4 0275.07
OMB NO: 2090-0019 EXPIRATION DATE: 03/31/2003 RESPS:68,740 HOURS:15,536 COSTS(000):$0 Voluntary Customer Service Satisfaction Surveys FORMS: 1711.03
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
2 81,840 22,086 $0
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
366 68,600,985 139,718,874 $1,151,597
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