Trademarks for Government Products and Services - FAR Sections Affected: Subpart 27.X; 52.227-XX

Site Search

About OMB
	Organization Chart
	Contact OMB

President's 2003 Budget
	Budget Documents
	Supplementals / Amendments
	Citizen's Guide

Federal Management
	President's Management Agenda
	Office of Federal Financial Management
	-- Agency Audits
	Office of Federal Procurement Policy
	-- CAS Board
	-- FAIR Act Inventory

Office of Information and Regulatory Affairs
	OIRA Administrator
	Regulatory Matters
	Paperwork Requirements
	Statistical Programs & Standards
	Information Policy, IT & E-Gov

Communications & Media
	News Releases
	Speeches

Legislative Information
	Statements of Administration Policy (SAPs)
	Testimony
	Reports to Congress

Information for Agencies
	Circulars
	Memoranda
	Bulletins
	Privacy Guidance
	Grants Management

Site Map

11/30/2001 0348 0348-0002 12/31/2001 Outlay Report and Request for Reimbursement for Construction Programs -- SF-271 1 0 1 0348 0348-0003 12/31/2001 Federal Cash Transactions Report -- SF-272 and 272A 1 0 1 0348 0348-0004 12/31/2001 Request for Advance or Reimbursement -- SF-270 1 0 1 0348 0348-0038 12/31/2001 Financial Status Report (Short Form) -- SF-269A 1 0 1 0348 0348-0039 12/31/2001 Financial Status Report (Long Form) -- SF-269 1 0 1 0348 0348-0040 12/31/2001 Assurances, Nonconstruction Programs -- SF-424B 1 0 1 0348 0348-0041 12/31/2001 Budget Information, Construction Program -- SF-424C 1 0 1 0348 0348-0042 12/31/2001 Assurances, Construction Programs -- SF-424D 1 0 1 0348 0348-0043 12/31/2001 Application for Federal Assistance -- SF-424 1 0 1 0348 0348-0044 12/31/2001 Budget Information, Nonconstuction Programs -- SF-424A 1 0 1 0348 0348-0057 12/31/2003 Data Collection Form for Reporting on Audits of States, Local Governments, and Non-Profit Organizations 1036800 0 60000 0348 0348-0058 06/30/2003 A-21 Facilities and Administrative Proposal 514 0 141 0348 0348-0059 06/30/2002 Emergency Air Carrier Loan Guarantee Program 6000 0 150 0349 0349-0002 11/30/2002 OSTP Evaluation of Performance as Required under the Government Performance and Results Act (GPRA) 60 0 120 0350 0350-0009 05/31/2002 Applications for Inclusion on NAFTA Chapter 19 roster 136 0 68 0412 0412-0003 12/31/2001 Annual Estimate of Requirements (AER) Fiscal Year -- Public Law 480, Title II Commodities 1344 0 56 0412 0412-0004 08/31/2002 Application for Approval of Commodity Eligibility 375 4 750 0412 0412-0011 12/31/2003 Application for Assistance - American Schools and Hospitals 1020 0 85 0412 0412-0012 05/31/2004 Supplier's Certificate Agreement With the U.S. Agency for International Development-In voice and contract abstract. 1200 0 2400 0412 0412-0017 06/30/2003 Contractor's Certificate with the Agency for International Development--Contractor's Invoice--Contract Abstract 126 0 216 0412 0412-0020 06/30/2003 Supplier's Certificate and Agreement with the Agency for International Development for Project Commodities/Invoice--and-- Contract 196 0 300 0412 0412-0035 07/31/2003 USAID FOrm 1550-2 Private and Voluntary Organization Annual Return 1320 0 442 0412 0412-0506 03/31/2002 Vendor Data Base (Formerly Known as ACRIS) 1000 0 1000 0412 0412-0514 09/30/2003 AID Regulation 1-Rules and Procedures Applicable to Commodity Transactions 869 0 1991 0412 0412-0520 09/30/2004 Information collection elements in the USAID Acquisition Regulation (AIDAR), 48 CFR Chapter 7 74620 0 53270 0412 0412-0536 08/31/2002 USAID Contractor Employee Physical Examination Form 8760 249 1460 0412 0412-0542 09/30/2004 Request for Advance or Reimbursement 2280 0 1140 0412 0412-0543 09/30/2004 Exception to the Financial Status Report (SF-269) and Supplement to the Financial Status Report (worksheet) 5320 0 760 0412 0412-0545 12/31/2001 Commodity Request for Foreign Distribution (Voluntary Agency) 120 0 1311 0412 0412-0546 12/31/2001 Request for Ship of Commodities for Foreign Government 60 0 55 0412 0412-0550 04/30/2002 Narrative/Time-Line and Report on Commodities (Quarterly Reports) 3152 0 656 0412 0412-0552 04/30/2002 Financial Status Report or Equivalent 1180 133 472 0412 0412-0554 09/30/2004 Training Results and Information Network (TraiNet) 2630 0 15720 0412 0412-0555 03/31/2002 Monthly Commodity Status Report/Monthly Recipient Status Report 24 0 240 0412 0412-0556 03/31/2002 Monetization Report 240 0 20 0412 0412-0557 03/31/2002 Annual Results Report 480 0 20 0412 0412-0559 02/28/2002 Mexico City Policy Certification 4800 235 500 0420 0420-0001 08/31/2003 National Agency Check Questionnaire for Peace Corps Volunteer Background Investigation 2500 27062 1 0420 0420-0005 12/31/2001 Peace Corps Volunteer Application 240000 0 30000 0420 0420-0006 05/31/2002 Peace Corps Reference Form 13692 0 1 0420 0420-0007 12/31/2001 Request for Information Card 1021 0 35000 0420 0420-0510 02/29/2004 Health Status Review/Report of Medical Exam 4625 16 12500 0420 0420-0513 04/30/2002 Teacher Brochure/Enrollment Form 833 0 10000 0420 0420-0529 10/31/2004 Peace Corps Day Brochure 8100 55 1 0420 0420-0531 12/31/2001 Career Information Consultants Waiver Form 150 0 3000 0420 0420-0532 05/31/2002 Educator Technology Information Form 833 0 10000 0420 0420-0533 08/31/2003 Peace Corps - Crisis Corps Application 83 00000000 1000 0503 0503-0003 03/31/2002 National Appeals Division Customer Service Survey 52 0 210 0505 0505-0001 07/31/2002 Advisory Committee Membership Background Information 815 0 1631 0505 0505-0007 03/31/2002 Debt Collection 4146 0 4146 0505 0505-0011 07/31/2003 Maximum Workweek - Construction Schedule 150 0 600 0505 0505-0013 07/31/2003 Instructions for the Preparation of Technical and Business Proposals 112000 0 3200 0505 0505-0014 07/31/2003 Brand Name or Equal Provision and Clause 4517 0 45170 0505 0505-0015 07/31/2003 Procurement: Key Personnel Clause 200 0 200 0505 0505-0016 07/31/2003 Progress Reporting Clause 3600 0 2400 0508 0508-0004 05/31/2003 USDA Minority Farm Register 3334 0 40000 0518 0518-0003 11/30/2004 Patent License Application 225 0 75 0518 0518-0013 08/31/2002 USDA Biological Shipment Record, Beneficial Organisms 25 0 300 0518 0518-0024 11/30/2004 Use of facilities or the performance of photography/ cinematography at the U.S. National Arboretum 53 0 220 0518 0518-0026 12/31/2001 Food and Nutrition Information Center Customer Satisfaction Survey for Food and Nutrition Service Audiences 450 0 900 0518 0518-0027 09/30/2002 Information Collection for Document Delivery Services 1300 0 80000 0518 0518-0028 09/30/2003 Peer Review-Related Forms for the Office of Scientific Quality Review 4601 0 4360 0524 0524-0024 03/31/2002 Food and Agricultural Sciences National Needs Graduate Fellowships Grants Program Application Guidelines 9458 0 1600 0524 0524-0025 10/31/2004 Grant Application Forms for the Small Business Innovation Research Grants Program 2472 0 960 0524 0524-0026 08/31/2003 Assurance of Compliance with the Department of Agriculture Regulations Assuring Civil Rights Compliance "Organizational Information" 600 0 150 0524 0524-0034 07/31/2002 Application for Authorization to Use the 4-H Name and/or Emblem 20 0 40 0524 0524-0035 07/31/2002 Stakeholder Input Requirements for Recipients of Agricultural Research, Education, and Extension Formula Funds 17827 0 311 0524 0524-0036 05/31/2002 Reporting Requirements for State Plans of Work for Agricultural Research and Extension Formula Funds 202017 0 148 0524 0524-0038 04/30/2003 Section 1449 Matching Funds Requirement for Research and Extension Activities at Eligible Institutions 457 0 117 0524 0524-0039 03/31/2004 Application Kit for Research and Extension Programs 144700 0 55100 0535 0535-0001 11/30/2004 Cold Storage 4362 0 9747 0535 0535-0002 12/31/2004 Field Crops Production 122344 0 436474 0535 0535-0003 12/31/2004 Agricultural Prices 9564 0 49655 0535 0535-0004 08/31/2002 Egg, Chicken, and Turkey Surveys 5421 0 27336 0535 0535-0005 12/31/2001 Livestock Survey 21659 0 117568 0535 0535-0007 08/31/2002 Stocks Report 14683 0 48167 0535 0535-0020 09/30/2004 Milk and Milk Products 24223 0 177688 0535 0535-0037 03/31/2003 Vegetables 3071 0 17896 0535 0535-0039 11/30/2004 Fruit, Nuts and Specialty Crops 8794 0 43782 0535 0535-0088 08/31/2002 Field Crops Objective Yield 4013 0 12950 0535 0535-0093 04/30/2003 Floriculture Survey 6532 0 14600 0535 0535-0109 09/30/2002 Agricultural Labor Survey 10608 0 43070 0535 0535-0140 10/31/2003 List Sampling Frame Survey 22500 0 325000 0535 0535-0150 03/31/2003 Acquaculture Survey 861 0 3300 0535 0535-0153 09/30/2003 Honey Survey 2492 0 7278 0535 0535-0209 02/29/2004 Supplemental Qualifications Statement 150 0 50 0535 0535-0212 12/31/2001 Mink Survey 71 0 425 0535 0535-0213 01/31/2004 Agricultural Surveys Program 142344 0 518205 0535 0535-0217 04/30/2002 Wildlife Damage 2253 0 10400 0535 0535-0218 12/31/2003 Agricultural Resource Management, Chemical Use, and Post-harvest Chemical Use Surveys 41017 0 111818 0535 0535-0220 03/31/2004 Cotton Ginnings 1065 0 10417 0535 0535-0226 10/31/2004 2002 Census of Agriculture 1 0 1 0535 0535-0231 12/31/2001 Respondent Information Evaluation 572 0 11717 0535 0535-0235 12/31/2001 National Childhood Agricultural Injury and Occupational Health Survey of Minority Farm Operators 12445 0 105251 0535 0535-0236 12/31/2001 1998 Census of Horticultural Specialties 48371 0 44650 0535 0535-0241 10/31/2003 Monthly Hog Survey 3658 0 21720 0535 0535-0242 12/31/2001 Women on U.S. Farms 2178 0 4800 0535 0535-0243 12/31/2001 Census of Agriculture Content Test 8355 0 16950 0535 0535-0244 01/31/2004 Nursery and Greenhouse Production Survey and Nursery and 3229 0 4874 0536 0536-0043 04/30/2002 Food Security Supplement to the Current Population Survey 6882 0 50000 0536 0536-0046 01/31/2002 Survey of Multifamily Rental Housing Funded Through USDA's Rural Rental Housing Program 875 0 1750 0536 0536-0052 03/31/2004 The Use of Food Safety Practices in Meat and Poultry 729 0 1312 0536 0536-0053 11/30/2003 Study of Program Access and Declining Food Stamp Participation 5110 0 37278 0536 0536-0055 02/29/2004 Assesment of WIC Cost-Containment Practices 817 0 2052 0536 0536-0056 05/31/2004 Summer Food Service Program Implementation Study 3400 0 424 0536 0536-0057 08/31/2004 Emergency Food Assistance System Client Survey 1212 0 4870 0536 0536-0058 09/30/2004 CACFP Administrative Cost Reimbursement Study 1244 0 53 0536 0536-0060 08/31/2002 Direct Certification and Its Impact on Errors in the National School Lunch Program 2700 0 1350 0536 0536-0061 12/31/2002 Feasibility and Accuracy of Record Linkage to Estimate Multiple Program Participation 117 0 156 0551 0551-0001 12/31/2003 Title Dairy Tariff-Rate Import Quota Licensing Regulation 270 0 440 0551 0551-0004 11/30/2002 CCC/Export Credit Guarantee Program -- GSM-102 and Intermediate Export Credit Guarantee Program -- GSM-103 5440 0 23397 0551 0551-0005 08/31/2003 Regulations - Financing Commercial Sales of Agricultural Commodities Under Title I, P.L. 480 - Recordkeeping and Reporting Requirements 423 0 205 0551 0551-0007 07/31/2004 Export Sales of U.S. Agricultural Commodities 24523 0 50260 0551 0551-0008 04/30/2002 Request for Vessel Approval 25 0 50 0551 0551-0009 08/31/2003 Declaration of Sale 23 0 89 0551 0551-0014 02/29/2004 Certificate for Quota Eligibility 200 0 1200 0551 0551-0015 12/31/2001 Sugar Imported To Be Reexported in Refined Form, in Sugar-Containing Products, or Used in Production of Certain Alcohols 4590 0 983 0551 0551-0024 03/31/2003 Buyer Alert 1010 0 1800 0551 0551-0025 12/31/2001 No Form Required, Specialty Sugar; Importer Applies to USDA/ Import Licensing and a Letter (Specialty Certificate) Is Provided 60 0 30 0551 0551-0026 03/31/2003 FAS/Cooperator Foreign Market Development Program 43748 0 2134 0551 0551-0027 06/30/2003 Market Access Program 62830 0 2670 0551 0551-0028 09/30/2003 CCC's Export Enhancement Program (EEP) and CCC's Export Incentive Program (DEIP) 1803 0 3063 0551 0551-0031 05/31/2002 List of Commodities by Firm Available for Exporting 2375 0 27000 0551 0551-0032 04/30/2004 CCC's Facility Guarantee Program (FGP) 256 2000 66 0551 0551-0033 08/31/2002 Emergency Relief from Duty-Free Imports of Perishable Products under the Andean Trade Preference Act (ATPA) 46 0 2 0551 0551-0035 02/29/2004 Foreign Donation of Agricultural Commodities 38827 0 3510 0551 0551-0037 02/29/2004 CCC's Supplier Credit Guarantee Program (SCGP) 1166 0 2495 0560 0560-0006 01/31/2003 Peanut Poundage Quota, Marketing Regulations, Peanut Warehouse Loan, and Handler Operations, 1996-2002 Crops -- 7 CFR 729 and 1446 492476 0 1242104 0560 0560-0014 12/31/2001 General Regulations Governing the Peanut Warehouse Storage Loan and Handler Operations -- 7 CFR 1446 29145 0 154800 0560 0560-0025 03/31/2003 Farm Reconstitution -- 7 CFR Part 718 197435 0 112820 0560 0560-0026 09/30/2004 Application for payment of amounts due persons who have died, disappeared or have been declared incompetent. 6000 0 4000 0560 0560-0040 01/31/2004 Regulations for Cooperative Marketing Associations, 7 CFR Part 1425 25946 0 13401 0560 0560-0052 10/31/2003 Standards for Approval of Waraehouses-7 CFR 1421, 1423, and 1427 484410 0 9680 0560 0560-0058 09/30/2004 Tobacco Marketing Quotas and Price Support (7 CFR Parts 711, 723, and 1464). 1534091 0 1403207 0560 0560-0082 03/31/2002 Conservation and Environmental Programs -- 7 CFR 701 217500 0 860000 0560 0560-0092 09/30/2004 Forms for Participation in a 7-year Production Flexibility Contract 2664404 0 2131523 0560 0560-0093 03/31/2002 General Regulations Governing Sugar Loans for 1996 and Subsequent Crops -- 7 CFR Part 1435 15 0 86 0560 0560-0096 03/31/2003 Payment Limitation and Determination of Eligibility of Foreign Individuals or Entities to Receive Program Benefits 656996 0 351960 0560 0560-0097 10/31/2003 Agricultural Foreign Investment Disclosure Act Report 1108 0 4375 0560 0560-0116 12/31/2001 Dairy Indemnity Payment Program -- 7 CFR Part 760 140 0 480 0560 0560-0120 03/31/2003 Warehouse Regulations Under USWA and Standards for Approval of Warehouses 15151 0 23077 0560 0560-0125 10/31/2002 Conservation Reserve Program (CRP) - 7 cfr part 1410 70088 0 160497 0560 0560-0129 03/31/2004 Loan Deficiency Payments 3825000 0 6105000 0560 0560-0136 02/28/2002 Upland Cotton Domestic User/Exporter Agreement and Payment Program 3145 0 16350 0560 0560-0138 10/31/2004 Sugar Program 18429 0 1381 0560 0560-0145 12/31/2001 Potato Diversion Program, 2000-Crop 255 0 1500 0560 0560-0146 03/31/2002 Debt Settlement Policies and Procedures -- 7 CFR 792 and 1403 125 0 750 0560 0560-0148 12/31/2001 Importer Assessments -- 7 CFR 1464 Subpart B 540 0 720 0560 0560-0151 06/30/2003 End-Use Certificate Program 4520 0 25927 0560 0560-0154 09/30/2004 7 CFR 1924 B Management Advice To Individuals Borrowers and Applicants 157646 0 7331 0560 0560-0155 03/31/2004 Guaranteed Farm Loans 228014 0 293538 0560 0560-0157 01/31/2004 Insured Farm Ownership Loan Policies, Procedures, and Authorizations 54 0 210 0560 0560-0158 01/31/2002 Servicing of Real Estate Security and Certain Note Only Cases -- 7 CFR Part 1965A 6421 0 15226 0560 0560-0159 01/31/2004 7 CFR 1945-D, Emergency Loan Policies, Procedures and Authorizations 13714 0 16115 0560 0560-0160 12/31/2001 Servicing Cases Where Unauthorized Loan or Other Financial Assistance Was Received -- 7 CFR Part 1951 420 0 105 0560 0560-0161 03/31/2004 Farm Loan Programs Account Servicing Policies 13109 0 269963 0560 0560-0162 02/29/2004 7 CFR 1941-A, Operating Loan Policies, Procedures and Authorizations 6014 0 49492 0560 0560-0163 09/30/2002 Small Farmer Outreach, Training, and Technical Assistance -- 7 CFR 1943-C 5888 0 1450 0560 0560-0164 01/31/2003 Disaster Set-Aside Program -- 7 CFR 1951 Subpart T 12233 0 21629 0560 0560-0165 02/29/2004 Certified Mediation Program 775 0 125 0560 0560-0166 02/28/2002 Verification of Debts and Assets 11411 0 91290 0560 0560-0167 12/31/2002 Request for Direct Loan Assistance 99340 0 49670 0560 0560-0170 06/30/2003 Disaster Assistance - General (7 CFR Part 1945-A) 988 0 2236 0560 0560-0174 03/31/2003 Environmental Quality Incentives Program (EQIP) 444609 0 241110 0560 0560-0175 09/30/2003 Noninsured Crop Disaster Assistance Program 4661088 0 3564000 0560 0560-0176 03/31/2002 Request for Aerial Photograph 8000 0 24000 0560 0560-0178 10/31/2004 7 CFR 1910-A, Receiving and Processing Applications 119412 0 73708 0560 0560-0179 12/31/2001 Certification of Livestock Losses for Eligible Disaster 5000 0 3000 0560 0560-0182 09/30/2002 Tobacco Marketing Quota Referenda Ballot -- 7 CFR 717 4300 0 51666 0560 0560-0185 03/31/2003 Highly Erodible Land Conservation and Wetland Conservation (7 CFR Part 12) 251153 0 206250 0560 0560-0187 03/31/2002 American Indian Livestock Feed Program 22563 0 45050 0560 0560-0190 03/31/2002 Power of Attorney 150000 0 600000 0560 0560-0192 03/31/2002 Customer Service Information Collections for USDA Service Centers 11180 0 56970 0560 0560-0194 07/31/2002 Standard Operating Agreement Governing Intermodal Transportation 23 0 23 0560 0560-0195 07/31/2002 Standard Rules Tender Governing Motor Carrier Transportation 141 0 141 0560 0560-0198 01/31/2003 Indian Tribal Land Acquisition Program 83 0 12 0560 0560-0201 01/31/2004 ELS Cotton Competitiveness Payment Program 930 0 1860 0560 0560-0203 02/29/2004 Facsimile Signature Authorization and Verification 20786 0 1039306 0560 0560-0204 01/31/2004 Farm Storage Facility Loan Program 90600 0 280000 0560 0560-0205 03/31/2003 Lamb Meat Adjustment Assistance Program (LMAAP) 25250 0 303000 0560 0560-0206 02/28/2002 Sugar Payment-In-Kind (PIK) Program 8708 0 5805 0560 0560-0207 11/30/2003 Bioenergy Program (7 CFR Part 1424) 1286 0 1100 0560 0560-0214 10/31/2004 Total Quality Systems Audit 250 15000 1000 0560 0560-0215 03/31/2002 Representations for CCC and FSA Loans and Authorization to File a Financing Statement 120350 0 207500 0560 0560-0216 03/31/2002 Storage of Honey Forfeited to CCC by Honey Producers 2557 0 911 0563 0563-0053 12/31/2001 Mulltiple Peril Crop Insurance (Millet) 1194316 0 3345415 0563 0563-0055 08/31/2002 General Administrative Regulations; Interpretations of Statutory and Regulatory Provisions 78 0 156 0563 0563-0057 04/30/2003 New-Crop Insurance Programs (Pilot and Private Crop Insurance 5394 0 14880 0563 0563-0058 08/31/2004 Dairy Options Pilot Program (DOPP), Round III 37257 0 30970 0570 0570-0006 11/30/2003 7 CFR 4284-F, Rural Cooperative Development Grant 1848 0 775 0570 0570-0007 04/30/2004 Annual Survey of Farmer Cooperatives 2404 0 2649 0570 0570-0008 03/31/2002 Agricultural Cooperative Service Questionnaire: New Cooperative Volume and Structure Producer Survey 245 0 245 0570 0570-0009 02/28/2002 Cooperative Services Questionaire: Market Potential for New Cooperative, Buyer Survey for New Cooperative Activity 45 0 90 0570 0570-0012 06/30/2003 Rural Economic Development Loan and Grant Program 7742 0 2276 0570 0570-0014 03/31/2002 Business and Industry Loan Program -- 7 CFR Part 1980-E 4545 0 586 0570 0570-0015 03/31/2002 Rural Development Loan Servicing -- 7 CFR 1951-R 12675 0 4185 0570 0570-0016 04/30/2003 Servicing Business and Industry Guaranteed Loans -- 7 CFR 4287-B 10019 0 19548 0570 0570-0017 04/30/2003 Guaranteed Loanmaking; Business and Industry Loans -- 7 CFR 4279-B 20813 0 8875 0570 0570-0018 04/30/2003 Business and Industry Guaranteed Loanmaking (General) -- 7 CFR 4279-A 1749 0 1147 0570 0570-0020 12/31/2001 Annual Survey of Cooperative Involvement in International Markets 170 0 170 0570 0570-0021 09/30/2003 Intermediary Relending Program 16930 0 3802 0570 0570-0022 10/31/2003 7 CFR 1942-G "Rural Business Enterprise Grants and Television Demonstration Grants" 40650 0 21558 0570 0570-0024 06/30/2004 CFR Part 4284-G, Rural Business Opportunity Grants 8044 0 866 0570 0570-0026 03/31/2003 Rural Empowerment Zones and Enterprise Communities 1 0 1 0570 0570-0027 03/31/2003 Rural Empowerment Zones and Enterprise Communities 1382 0 8 0570 0570-0028 02/29/2004 Research on Rural Cooperative Opportunities and Problems 1140 0 240 0570 0570-0032 11/30/2002 Survey for Local Cooperatives' Role in the Emerging Grain and Feed Industries 699 0 699 0570 0570-0035 11/30/2002 Rural Economic Development Loan and Grant Program 1 0 1 0570 0570-0036 05/31/2003 Invitation for Applications of Interest to Sell Intermediary Relending Program (IRP) Loans under an Expanded Pilot 4308 0 19410 0570 0570-0037 12/31/2002 Mid- to Upper-Level Management and Sales/Field Representative Compensation 300 0 300 0570 0570-0039 10/31/2004 Value-Added Agricultural Product Market Development Grant Program (Independent Producers) 2460 0 300 0572 0572-0001 03/31/2003 Prospective Large Power Service 22 0 5 0572 0572-0003 03/31/2003 Accounting Requirements for RUS Electric and Telecommunications Borrowers 45520 0 56 0572 0572-0015 09/30/2002 Financial Requirement and Expenditure Statement 26334 0 2394 0572 0572-0019 06/30/2003 Inventory of Work Orders 10125 0 6750 0572 0572-0020 04/30/2003 Request for Approval to Sell Capital Assets 15 0 5 0572 0572-0023 05/31/2003 7 CFR 1744-C, Advance and Disbursement of Funds - Telecommunications 2893 0 2910 0572 0572-0025 04/30/2003 Review Rating Summary 1012 0 253 0572 0572-0031 04/30/2003 Financial and Statistical Report for Telecommunications Borrowers 3200 0 1 0572 0572-0032 12/31/2001 RUS Electric Loan Application and Related Reporting Burdens 16834 0 2895 0572 0572-0041 08/31/2003 Request for Release of Lien and/or Approval of Sale 206 0 75 0572 0572-0047 12/31/2001 Report of Compliance and Participation 1233 0 3680 0572 0572-0051 07/31/2002 Request for Mail List Data 226 0 1 0572 0572-0074 06/30/2003 Certification of Authority 45 0 450 0572 0572-0079 09/30/2003 Preloan Procedures and Requirements for Telecommunications Program 3621 0 406 0572 0572-0088 08/31/2003 7 CFR Part 1786, "Prepayment of RUS Guaranteed and Insured Loans to Electric and Telephone Borrowers" 62 0 30 0572 0572-0089 01/31/2004 RUS Form 444, "Wholesale Power Contracts" 660 0 110 0572 0572-0095 04/30/2003 7 CFR 1773, Policy on Audits of RUS Borrowers 20374 0 3872 0572 0572-0096 08/31/2003 Distance Learning and Telemedicine Loan and Grant Program (7 CFR 1703, Subpart D, E, F and G) 17741 0 6900 0572 0572-0097 05/31/2003 7 CFR Part 1703-H, Deferments of RUS Loan Payments for Rural Development Projects 140 0 40 0572 0572-0098 04/30/2003 7 CFR 1744-E, Borrower Investments-Telecommunications Loan Program 238 0 25 0572 0572-0099 10/31/2003 7 CFR 1792, Subpart C - Seismic Safety of New Building Construction 750 0 1000 0572 0572-0100 04/30/2003 Lien Accommodations and Subordinations 7 CFR Part 1717, Subparts R and S 69 0 42 0572 0572-0104 08/31/2003 State Telecommunications Modernization Plan 350 0 1 0572 0572-0105 07/31/2002 Demand Side Management and Integrated Resource Plan 24 0 1 0572 0572-0107 04/30/2003 7 CFR 1726, Electric System Construction Policies and Procedures- Electric 629 0 6021 0572 0572-0109 09/30/2004 7 CFR 1777, Section 306C Water and Waste Disposal (WWD) Loans & Grants 9 0 1 0572 0572-0112 05/31/2003 7 CFR 1775, Technical Assistance Program 4168 0 1375 0572 0572-0114 04/30/2003 Mergers and Consolidations of Electric Borrowers -- 7 CFR 1717 Subpart D 184 0 142 0572 0572-0115 12/31/2002 Use of Consultants Funded by Borrowers -- 7 CFR Part 1789 12 0 6 0572 0572-0116 06/30/2003 7 CFR 1717 Subpart Y, Settlement of Debt Owed by Electric Borrowers 3000 0 1 0572 0572-0117 03/31/2004 Environmental Policies and Procedures (7 CFR Part 1794) 450200 0 1872 0572 0572-0118 09/30/2002 Electric Engineering, Architectural Services, and Design Policies -- 7 CFR Part 1724 153 0 153 0572 0572-0121 06/30/2003 7 CFR 1780, Water and Waste Disposal Loan and Grant Program 134240 0 50650 0572 0572-0122 01/31/2004 Water and Waste Disposal Programs Guaranteed Loans 858 0 110 0572 0572-0123 12/31/2004 Extensions of Payments of Principal and Interest 784 0 180 0572 0572-0124 09/30/2004 Weather Radio Transmitter Grant Program 345 0 120 0572 0572-0125 01/31/2002 Local Dial-Up Internet Grant Program 1005 0 30 0572 0572-0126 12/31/2001 7 CFR Part 1744, Subpart B, Lien Accomodations and Subordination Policy 23 0 45 0575 0575-0015 06/30/2003 7 CFR 1942-A, Community Facility Loans 61076 0 33230 0575 0575-0018 02/28/2002 Civil Rights Compliance Requirements -- 7 CFR 1901-E 533017 0 105665 0575 0575-0033 10/31/2004 7 CFR 1930-C, Management and Supervision of Multiple Family Housing Borrowers and Grant Recipients 2143740 0 2382265 0575 0575-0042 10/31/2003 7 CFR 1924-A, "Planning and Performing Construction and Other Development" 94924 0 291631 0575 0575-0043 04/30/2003 "Self-Help Technical Assistance Grants" -- 7 CFR 1944-I 3095 0 3043 0575 0575-0045 05/31/2004 7 CFR 1944-D, Farm Labor Housing Loan and Grant Policies, Procedures, and Authorization 8524 0 780 0575 0575-0046 10/31/2004 7 CFR 1944-L, Tenant Grievance and Appeals Procedure 82 0 200 0575 0575-0047 06/30/2003 7 CFR 1944-E, Rural Rental and Cooperative Housing Loan Policies, Procedures, and Authorizations 28246 0 5102 0575 0575-0064 04/30/2002 "Certificates of Beneficial Ownership and Insured Notices" -- 7 CFR 1901-K 62 0 98 0575 0575-0066 04/30/2003 7 CFR 1951-E, "Servicing of Community and Direct Business Programs Loans and Grants" 118 0 158 0575 0575-0071 10/31/2002 7 CFR 1822-G, Rural Housing Loans, Policies, Procedures and Authorizations 36 0 6 0575 0575-0075 06/30/2003 7 CFR 1951-A, "Account Servicing Policies" 28 0 110 0575 0575-0078 09/30/2003 7 CFR 1980-D, Rural Housing Loans 154250 0 411004 0575 0575-0082 07/31/2003 7 CFR 1924-F, Complaints and Compensation for Construction 1350 0 5250 0575 0575-0087 11/30/2004 7 CFR Part 1806-A - Real Property Insurance 4895 0 8765 0575 0575-0088 10/31/2004 Form RD 1940-59, Settlement Statement 28900 0 57800 0575 0575-0091 04/30/2003 "Applicant Reference Letter (A Request for Credit Reference)" -- Form RD 410-8 28238 0 85569 0575 0575-0093 08/31/2003 7 CFR 1951-F, Analyzing Credit Needs and Graduation of Borrower 75361 0 25047 0575 0575-0094 08/31/2003 7 CFR 1940 Subpart G Environmental Program 15320 0 5220 0575 0575-0100 10/31/2003 7 CFR 1965-B Security Servicing for Multiple Family Housing Loans. 1587 0 945 0575 0575-0104 09/30/2004 7 CFR 1951-N, Sercicing Cases Where Unauthorized Loan or Other Financial Assistance Was Received--Multiple Family Housing 800 0 700 0575 0575-0110 12/31/2001 Management of Property -- 7 CFR 1955-B 1245 0 1637 0575 0575-0114 10/31/2004 Rural Housing Demonstration Program - Section 502 2000 0 25 0575 0575-0115 04/30/2003 "Housing Preservation Grant Program" -- 7 CFR 1944-N 10814 0 10555 0575 0575-0118 07/31/2004 7 CFR 1956-B, Debt Settlement-Farm Programs and Multiple Family Housing 24650 0 2900 0575 0575-0119 10/31/2002 7 CFR 1951-C, "Offset of Federal Payments to USDA Borrowers" 1331 0 2000 0575 0575-0120 09/30/2004 7 CFR 1942-C, "Fire and Rescue Loans" 6482 0 2921 0575 0575-0124 10/31/2003 7 CFR 1956-C, Debt Settlement - Community and Business Programs 880 0 92 0575 0575-0127 03/31/2002 Application Certification, Federal Collection Policies for Consumer or Commerical Debts -- Form RD 1910-11 392 0 1565 0575 0575-0137 09/30/2002 "Community Programs Guaranteed Loans" -- 7 CFR 3575-A 75977 0 58815 0575 0575-0147 05/31/2004 7 CFR 1927-B, "Real Estate Title Clearance and Loan Closing" 41296 0 174000 0575 0575-0155 10/31/2003 "Prepayment and Displacement Prevention of Multiple Family Housing Loans" -- 7 CFR 1965-E 687 0 920 0575 0575-0157 04/30/2003 Housing Application Packaging Grants -- 7 CFR 1944-B 900 0 800 0575 0575-0172 11/30/2002 Direct Single-Family Housing Loan and Grant Programs -- 7 CFR 921952 0 3063540 0575 0575-0173 06/30/2004 7 CFR 3570-B, Community Facilities Grant Program 859 0 1078 0575 0575-0174 07/31/2002 "Guaranteed Rural Rental Housing Program" and Supporting Handbook -- 7 CFR Part 3565 1581 0 3006 0575 0575-0176 04/30/2002 Annual Survey of Housing Conditions for Migrant and Seasonal Farmworkers 1500 0 6000 0575 0575-0179 04/30/2003 Guaranteed Rural Housing Loan Program -- 7 CFR Part 3555 1 0 1 0575 0575-0180 05/31/2004 Notice of Funds Availability (NOFA) Inviting Applications for the Rural Community Development Initiative (RCDI) 1702 0 843 0575 0575-0181 06/30/2004 Farm Labor Housing Technical Assistance Grants 175.5 0 147 0578 0578-0007 05/31/2003 Agriculture and Urban Flood Damage Surveys 936 0 768 0578 0578-0013 06/30/2003 Long Term Contracting 162388 0 234878 0578 0578-0018 06/30/2004 Application for Payment 20731 0 35540 0578 0578-0027 01/31/2003 Request for State Technical Committee Membership 240 0 240 0578 0578-0028 12/31/2001 Risk Protection Programs 2917 0 5000 0579 0579-0007 01/31/2003 National Poultry Improvement Plan (NPIP) 7451 0 48135 0579 0579-0008 06/30/2002 Application for Inspection and Certification of Animal Byproducts 10 0 20 0579 0579-0010 02/29/2004 National Agricultural Pest Information System 1445 0 35050 0579 0579-0020 08/31/2004 U.S. Origin Health Certificate 21009 0 42067 0579 0579-0032 01/31/2003 Veterinary Accreditation Program -- 9 CFR 160-162 52190 0 171024 0579 0579-0036 04/30/2003 Animal Welfare 95720 0 119426 0579 0579-0040 04/30/2003 Importation of Animal & Poultry, Animal/Poultry Products, Certain Animal Embryos, Semen, and Zoological Animals 64200 0 2537098 0579 0579-0051 08/31/2003 Permit for Movement of Restricted Animals 740 0 9717 0579 0579-0054 06/30/2003 Federal Plant Pest and Noxious Weeds Regulations 38133 0 46974 0579 0579-0055 08/31/2004 Request for Credit Account Approval for Reimbursable Services 90 0 360 0579 0579-0056 01/31/2003 Horse Protection Regulations -- 9 CFR 11 7208 0 41151 0579 0579-0065 03/31/2002 Swine Health Protection 584 0 656 0579 0579-0070 12/31/2001 Psuedorabies -- 9 CFR 85 5092 0 80250 0579 0579-0076 03/31/2002 Endangered Species Regulations and Forfeiture Procedures 3186 0 16115 0579 0579-0084 07/31/2002 Tuberculosis -- 9 CFR 50 and 77 17372 0 53539 0579 0579-0085 12/31/2001 Introduction of Organisms and Products Altered or Produced Through Genetic Engineering Which Are Plant Pest or Which There Is Reason to Believe Are Plant Pests -- 7 CFR 340 4176 0 4950 0579 0579-0090 09/30/2003 Specimen Submission 15149 0 30290 0579 0579-0092 12/31/2002 Animal Welfare; Guinea Pigs, Hamsters, and Rabbits -- Part 3, Subparts B and C 260 0 2250 0579 0579-0093 06/30/2003 Animal Welfare Act, Part 3, Subparts A and D, Dogs, cats, Pri- mates 44313 0 72585 0579 0579-0094 03/31/2002 User Fee Regulations -- 7 CFR 354 and 9 CFR 130 7663 0 209177 0579 0579-0101 10/31/2004 Scrapie Flock Certification, Animal Identification and Indemnification Procedures 81526 0 732185 0579 0579-0104 03/31/2002 Gypsy Moth Identification Worksheet 18 0 214 0579 0579-0115 12/31/2001 Animal Welfare, Marine Mammals -- 9 CFR Part 3 24872 0 148143 0579 0579-0117 12/31/2001 Environmental Monitoring Form 150 0 300 0579 0579-0123 04/30/2004 Fruit from Hawaii 327 0 2746 0579 0579-0124 04/30/2004 Imported Seed and Screening 11345 0 30000 0579 0579-0127 10/31/2004 9 CFR 75 Communicable Diseases in Horses 98156 0 1075003 0579 0579-0128 11/30/2004 Importation of Fruits and Vegetables 501 0 500 0579 0579-0132 11/30/2004 Mexicali Valley - Karnal Bunt 120 0 100 0579 0579-0134 12/31/2001 Importation of Grapefruit, Lemons, and Oranges from Argentina -- Docket No. 97-110-1 715 0 1020 0579 0579-0135 07/31/2002 Wood Packing Material from China 73950 0 850000 0579 0579-0136 12/31/2001 Importation of Fruits and Vegetables -- 7 CFR Part 319, Docket No. 97-107-1 1209 0 1044 0579 0579-0137 01/31/2003 Pseudorabies in Swine; Payment of Indemnity 1387 0 5200 0579 0579-0138 03/31/2002 Importation of Pork from Yucatan and Sonora, Mexico -- Docket 97-079-1 23 0 40 0579 0579-0140 04/30/2002 Karnal Bunt 37 0 73 0579 0579-0141 08/31/2003 Poultry Imports and Export 30 0 204 0579 0579-0142 12/31/2002 Importation of Gypsy Moth Host Materials from Canada 183 0 4340 0579 0579-0144 07/31/2002 Importation of Poultry Meat and Other Poultry Products from Sinaloa and Sonora, Mexico -- 98-034-1 8 0 60 0579 0579-0145 09/30/2002 Poultry and Pork Products from Mexico Transiting the United States 576 0 805 0579 0579-0146 08/31/2003 Tuberculosis (Docket 99-038-1, TB in Cattle, Bison, and Goats) Addendum 1 766 0 2216 0579 0579-0147 06/30/2003 Conifer Solid Wood Packing Material to China, Export Certification 2808 0 162500 0579 0579-0148 04/30/2003 Johne's Disease in Domestic Animals, Interstate Movement, 9 CFR 80 13 0 325 0579 0579-0152 07/31/2003 Spanish Pure Breed Horses From Spain 75 0 95 0579 0579-0153 05/31/2003 Fuji Apples 192 0 256 0579 0579-0155 07/31/2003 Iradiation Phytosanitary Treatment of Fresh Fruits and Vegetables 10305 0 1214885 0579 0579-0156 07/31/2004 Interstate Movement of Certain Tortoises 75 0 900 0579 0579-0158 03/31/2004 Importation of Fruits and Vegetables 11400 0 11400 0579 0579-0159 05/31/2004 Plum Pox Compensation 2 0 12 0579 0579-0160 01/31/2004 Commercial Transportation of Equines to Slaughter 5008 0 100100 0579 0579-0161 02/29/2004 Interstate Movement of Swine Within A Production System 2600 0 12000 0579 0579-0162 09/30/2004 West Nile Virus Surveillance Report 945 0 840 0579 0579-0163 05/31/2004 Citrus Canker: Commercial citrus tree replacement program 15 0 65 0579 0579-0165 10/31/2004 Importation of horses, ruminants, swine, and dogs; inspection and treatment for screwworm 34 0 136 0579 0579-0166 04/30/2004 District of Columbia Plant Health Certificate 40 0 200 0579 0579-0167 01/31/2004 Veterinary Services User Fees; Fees for Permit Applications 153 0 9000 0579 0579-0168 01/31/2004 Citrus Canker Payments for Recovery of Lost Production 10 0 65 0579 0579-0170 09/30/2004 West Indian Fruit Fly 37 0 37 0579 0579-0172 03/31/2004 Importation of Mangoes from the Philippines 40 0 40 0579 0579-0173 05/31/2004 Importation of Unshu Oranges 10 0 10 0579 0579-0175 10/31/2004 Bluetongue Surveillance Pilot Program (BSPP) 1373 0 1455 0579 0579-0176 05/31/2004 Importation of Artifically Dwarfed Plants 25 0 100 0579 0579-0177 12/31/2001 Foot-and-Mouth Disease 1032 0 2400 0579 0579-0178 12/31/2001 Mare Reproductive Loss Syndrome 788 0 900 0579 0579-0179 12/31/2001 Hass Avocado 300 0 250 0579 0579-0180 01/31/2002 Foot-and-mouth disease; Prohibition on importation of farm equipment 2000 0 10000 0579 0579-0181 01/31/2002 AI Study 112 0 320 0579 0579-0182 08/31/2004 Karmal Bunt, Compensation for the 1999-2000 Crop Season and Subsequent Seasons 170 0 340 0579 0579-0183 11/30/2004 BSE - Certificate of Orgin 1494 0 9000 0579 0579-0185 10/31/2004 Brucellosis in sheep, goats, horses; Payment of indemnity 1 0 4 0579 0579-0186 11/30/2004 Black Stem Rust; Identification Requirements and Addition of Rust-Resistant Varieties 32 0 8 0580 0580-0013 12/31/2001 Reporting and Recordkeeping Requirements (U.S. Grain Standards 467964 0 2946569 0580 0580-0014 12/31/2001 Guidelines for Preparation of Research Proposal 60 0 3 0580 0580-0015 09/30/2004 Regulations and Related Reporting and Recordkeeping Requirements- Packers and Stockyards Programs 304253 0 25015 0580 0580-0016 10/31/2004 "Clear Title" Regulations to Implement Section 1324 of the Food Security Act of 1985 12 0 1 0580 0580-0018 05/31/2003 Survey of Customers of the Official Grain Inspection and Weighing System 313 0 1874 0581 0581-0004 08/31/2002 Tobacco Report 298 0 324 0581 0581-0005 07/31/2002 Grain Market News Reports and Molasses Market News 368 0 20880 0581 0581-0006 04/30/2003 Fruit and Vegetable Market News Reports 120964 0 3663030 0581 0581-0008 05/31/2004 Cotton Classing, Testing, and Standards 119 0 1697 0581 0581-0009 05/31/2004 Cotton Classification and Market News Service 226 0 2417 0581 0581-0026 03/31/2004 Federal Seed Act Program 37215 0 17697 0581 0581-0031 09/30/2004 Reporting and Recordkeeping Requirements Under Regulations (Other than Rules of Practice) Under the Persihable Agricultural Commodities Act, 1930 155138 0 40609 0581 0581-0032 09/30/2004 Report Forms Under Milk Marketing Order Programs (From Milk Handlers and Milk Marketing Cooperatives) 21397 0 20026 0581 0581-0033 06/30/2004 Poultry Market News Report 17657 0 212740 0581 0581-0050 07/31/2002 Plan for Estimating Daily Livestock Slaughter under Federal Inspection 740 0 67240 0581 0581-0055 04/30/2003 Application for Plant Variety Protection Certificate and 1691 0 1760 0581 0581-0056 05/31/2004 Reporting and Recordkeeping Requirements for 7 CFR, Part 29 5569 0 13504 0581 0581-0065 02/29/2004 Marketing Order Regulating the Handling of Spearmint Oil Produced in the Far West, M.O. 985 162 0 1323 0581 0581-0067 05/31/2004 Marketing Agreement No. 146, Regulating the quality of Domestically Produced Peanuts (7 CFR Part 998) 107 0 257 0581 0581-0071 07/31/2002 Almonds Grown in California -- Marketing Order 981 2638 0 6597 0581 0581-0093 07/31/2004 National Research, Promotion and Consumer Information Programs 354349 0 4395969 0581 0581-0102 02/29/2004 Papayas Grown in Hawaii-Marketing Order 928 1050 0 1382 0581 0581-0110 04/30/2003 Regulations Governing the Inspection and Grading of Manufactured or Processed Dairy Products; Recordkeeping 1525 0 508 0581 0581-0113 04/30/2003 Regulations for Inspection of Eggs 1922 0 6688 0581 0581-0123 12/31/2001 Reporting Requirements under the Regulations Governing Inspection and Certification of Processed Fruits and Vegetables and Related Products 1126 0 20990 0581 0581-0124 09/30/2003 7 CFR Part 54 - Meats, Prepared Meats, and Meat Products (Grading, Certification, and Standards) 406 0 24000 0581 0581-0125 02/29/2004 Regulations Governing Inspection, Certification, and Standards for Fresh Fruits, Vegetables and Other Products -- 7 CFR 51 6416 0 212306 0581 0581-0126 08/31/2003 Reporting Requirements under Regulations Governing the Inspection and Grading Services of Manufactured or Processed Dairy Products- FINAL RULE 551 0 11991 0581 0581-0127 06/30/2004 7 CFR Part 70, Regulations for Voluntary Grading of Poultry Products and Rabbit Products 1781 0 22978 0581 0581-0128 06/30/2002 Regulations Governing the Voluntary Grading of Shell Eggs 5673 0 23883 0581 0581-0140 05/31/2004 Seed Service Program 392 0 1568 0581 0581-0142 09/30/2003 Olives Grown in California 2947 0 10434 0581 0581-0143 05/31/2004 Export Fruit Regulations--Export Apple Act (7 CFR Part 33) and Export Grape and Plum Act (7 CFR Part 35) 2204 0 445 0581 0581-0154 09/30/2002 Livestock and Meat Market News 7020 0 234000 0581 0581-0163 09/30/2002 Provisions Regulating the Quality of Domestically Produced Peanuts Handled by Persons Not Subject to the Peanut Marketing Agreement 264 0 792 0581 0581-0164 06/30/2002 Recordkeeping Requirements for Certified Application of Federally Restricted Use Pesticides -- 7 CFR Part 110 1828452 0 190802858 0581 0581-0167 05/31/2003 Specified Commodities Imported into the United States Exempt from Import Requirements, 7 CFR Parts 944, 980, and 999 1632 0 9600 0581 0581-0169 03/31/2004 Farmer's Market Questionnaire 358 0 1430 0581 0581-0176 07/31/2002 Reporting and Recordkeeping Requirements for Imported Peanuts 257 0 1590 0581 0581-0177 02/29/2004 Tart Cherries Grown in the States of Michigan, New York, Pennsylvania, Oregon, Utah, Washington, and Wisconsin 852 0 4649 0581 0581-0178 04/30/2004 Vegetable and Specialty Crops 9102 0 119497 0581 0581-0182 10/31/2004 Customer Service Survey for USDA-Donated Food Products 700 0 8400 0581 0581-0183 04/30/2003 7 CFR Part 37 - Program to Accredit Organic Certifying Agencies 3531 0 132 0581 0581-0186 01/31/2002 Livestock Mandatory Reporting Act of 1999 24440 0 135824 0581 0581-0189 07/31/2004 Generic OMB Fruit Crops, Marketing Order Administration Branch 11642 0 37078 0581 0581-0190 02/29/2004 Pricing Pilot Program 3275 0 13100 0581 0581-0191 01/31/2004 National Organic Program - Final Rule 574877 0 321635 0581 0581-0192 07/31/2003 Federal-State Shipping Point Inspection Program Customer Service Survey 3000 0 18000 0581 0581-0193 06/30/2003 Customer Service Survey (Meat Grading and Certification Services). 36 0 428 0581 0581-0194 06/30/2003 Pork Promotion, Research, and Consumer Information Program: Procedures for the Conduct of Referendum 11120 0 109500 0581 0581-0195 02/29/2004 Marketing Order Committee/Board Interview 50 0 50 0581 0581-0196 05/31/2004 Raisins Produced from Grapes Grown in California - Final Rule 128 0 1540 0581 0581-0197 10/31/2004 Hass Avocados National Research, Promotion and Consumer Information Program 6134 0 12903 0581 0581-0201 05/31/2002 California Prune/Plum Tree Removal Program-Section 32 (as amended 7 USC 6120) 121 0 1 0583 0583-0082 03/31/2004 Application for Inspection, Sanitation, Accredited Laboratories 1091 0 11490 0583 0583-0090 03/31/2003 Ante-Mortem and Post-Mortem Inspection 19716 0 910231 0583 0583-0092 09/30/2004 Marking, Labeling, and Packaging Material 119005 0 858 0583 0583-0094 01/31/2003 Exportation, Transportation, and Importation of Meat and Poultry Products 168711 0 2201058 0583 0583-0115 12/31/2002 Irradiation of Meat and Poultry Products 2601 0 40140 0583 0583-0122 12/31/2001 Ratite and Squab Inspection 54785 0 8252 0583 0583-0123 05/31/2002 Use of Transglutaminase Enzyme and Pork Collagen as Binders in Certain Meat and Poultry Products 1240 0 992 0584 0584-0002 01/31/2003 Report of School Program Operations 95232 0 2976 0584 0584-0005 08/31/2002 Special Milk Program for Children -- 7 CFR Part 215 SMP 836847 0 740270 0584 0584-0006 05/31/2004 7 CFR Part 210 National School Lunch Program 9462622 0 2210854 0584 0584-0008 06/30/2002 Food Stamp Program - Store Applications 14812 0 62621 0584 0584-0009 08/31/2004 Food coupon Accountability Report 17100 0 5700 0584 0584-0012 05/31/2004 7 CFR Part 220 School Breakfast Program 4895796 0 1283639 0584 0584-0015 06/30/2002 Food Stamp Mail Issuance Report 342 0 4104 0584 0584-0022 09/30/2004 Requisition for Food Coupon Books 663 0 1326 0584 0584-0025 12/31/2002 Civil Rights Title VI-Collection Reports-FNS-191 and FNS-101 6595 0 2939 0584 0584-0026 08/31/2004 7 CFR 245, Determining Eligibility for F & RP Meals and Free Milk 1021272 0 12193997 0584 0584-0034 02/28/2003 Negative Quality Control Review Schedule; Status of Sample Selection and Completion; Statistical Summary of Sample Disposition 101049 0 33178 0584 0584-0037 12/31/2001 Report of Coupon Issuance and Commodity Distribution for Disaster Relief -- FNS-292 97 0 100 0584 0584-0041 03/31/2003 Summer Food Service Program Claim for Reimbursement 1193 0 1590 0584 0584-0043 01/31/2004 WIC Program Regulations - Reporting and Recordkeeping Burden 2734330 0 26149238 0584 0584-0045 05/31/2003 WIC Financial Management and Participation Report with Addendum 4638 0 1496 0584 0584-0052 12/31/2001 Affidavit of Return or Exchange of Food Coupons -- FCS-135 17859 0 65273 0584 0584-0053 03/31/2003 Coupon Account and Destruction Report 12127 0 111312 0584 0584-0055 12/31/2003 7 CFR sPart 226 Child and Adult Care Food Program 5076428 0 4802804 0584 0584-0064 09/30/2004 Food Stamp Forms: Applications, Periodic Reporting, Notices 29643514 44818 149135163 0584 0584-0067 09/30/2002 State Administrative Expense Funds -- 7 CFR Part 235 20912 0 18551 0584 0584-0069 05/31/2003 Status of Claims Against Households 742 0 212 0584 0584-0074 11/30/2003 Worksheet for Food Stamp Program Quality Control Reveiws, FNS-380 491967 0 54663 0584 0584-0075 10/31/2004 Annual Report of State Revenue Matching 4320 0 54 0584 0584-0078 12/31/2002 Report of the Child and Adult Care Food Program 5724 0 1908 0584 0584-0080 10/31/2004 Issuance Reconciliation Report 22416 0 2808 0584 0584-0081 11/30/2003 Form FNS-388, State Issuance and Participation Estimates 4542 0 636 0584 0584-0083 05/31/2003 Operating Guidelines, Forms and Waivers 3768 0 417 0584 0584-0085 12/31/2001 FS Redemption Certificate 325483 0 16274225 0584 0584-0124 11/30/2003 Food Stamp Program Identification Cards 21250 0 3951516 0584 0584-0280 02/28/2003 Summer Food Service Program -- 7 CFR Part 225 316005 0 347641 0584 0584-0284 10/31/2002 Monthly claim for Reimbursement 7540 0 5200 0584 0584-0293 06/30/2003 Food Distribution Forms 1154581 0 918593 0584 0584-0299 10/31/2003 Quality Control Review Schedule 58686 0 54663 0584 0584-0303 08/31/2004 Food Stamp Program Regulations, Part 275 - Quality Control 3830 0 4326 0584 0584-0314 09/30/2004 Food Coupon Deposit Document 1327 0 136534 0584 0584-0320 02/28/2003 Child Nutrition Labeling Program 3122 0 4163 0584 0584-0332 05/31/2003 WIC Federal and State Agreement 25 0 100 0584 0584-0339 12/31/2001 Employment and Training (E&T) Program Report 195363 0 4870701 0584 0584-0385 04/30/2003 Report of the Emergency Food Assistance Program (TEFAP) Administrative 963 0 275 0584 0584-0401 09/30/2004 The Integrity Profile 1778 0 1 0584 0584-0427 12/31/2001 WIC Annual Closeout Report with Addendum 502 0 1 0584 0584-0431 12/31/2001 WIC Local Agency Directory Report 15 0 1 0584 0584-0446 04/30/2003 Federal Collection; Methods for Food Stamp Program Recipient Claims 71803 0 843623 0584 0584-0447 12/31/2001 WIC Farmers' Market Nutrition Program (FMNP) Annual Financial Report, FMNP Recipient Report, and FMNP Regulation 4086 0 1283 0584 0584-0474 02/28/2003 A National Hunger Clearinghouse Data Base Form 148 0 1850 0584 0584-0479 02/28/2002 Waiver Guidance for Food Stamp Time Limits 2000 0 100 0584 0584-0485 03/31/2002 SMI Implementation Study: Year 3 Data Collection 2039 0 2039 0584 0584-0492 11/30/2004 Repayment Demand and Program Disqualification 162560 0 1536129 0584 0584-0494 02/28/2002 Child Nutrition Data Base 6000 0 30 0584 0584-0496 09/30/2004 Food Stamp Program: State agency options 256 0 135 0584 0584-0500 02/28/2003 Electronic Benefit Transfer (EBT) SAS No. 70 Examinations 10999 0 72 0584 0584-0501 05/31/2003 Supplemental Form for Collecting Taxpayer Identifying Numbers 66 0 800 0584 0584-0504 03/31/2002 Assessment of Computer Matching in the Food Stamp Program 212 0 106 0584 0584-0505 03/31/2004 Evaluation of the School Breakfast Pilot Program 7817 0 15942 0584 0584-0506 09/30/2004 Food Stamp Program: Grants to Improve Food Stamp Program Access 21008 0 334 0584 0584-0508 12/31/2001 Fiscal Year 2001 WIC Special Project Grants 1909 0 56 0596 0596-0003 12/31/2002 Grazing Permit Administration Forms 2950 0 7200 0596 0596-0009 03/31/2004 Residential Fuelwood and Post Assessment, Any State, Year 199 0 2919 0596 0596-0010 06/30/2003 Forest Industries Data Collection System 2369 0 2909 0596 0596-0015 05/31/2003 Airplane Pilot Qualifications and Approval Record, Helicopter Pilot Qualifications and Approval Record, Airplane Data Record, and Helicopter Data Record. 248 0 988 0596 0596-0016 07/31/2003 Use of Roads by Order 500 0 2000 0596 0596-0017 04/30/2004 Timber Purchasers' Cost and Sales Data 20 0 20 0596 0596-0019 11/30/2003 Recreation Fee Permit and Visitor Registration Card 16000 0 320000 0596 0596-0022 01/31/2002 Locatable Minerals -- 36 CFR Part 228, Subpart A 4462 0 5924 0596 0596-0025 05/31/2004 Annual Wildfire Summary Report 25 0 50 0596 0596-0066 05/31/2003 Bid for Advertised Timber 38672 0 1600 0596 0596-0080 04/30/2004 Volunteer Application for Natural Resource Agencies 14525 0 58100 0596 0596-0081 05/31/2004 36 CFR Part 228, Subpart C-Disposal of Mineral Materials 7500 0 3000 0596 0596-0082 11/30/2002 Special Use Administration 75875 0 56940 0596 0596-0084 09/30/2003 Youth Conservation Corps Application & Medical History Forms. 6000 0 18000 0596 0596-0085 01/31/2002 Forest Products Free Use Permit, Forest Products Removal Permit and Cash Receipt, and Forest Products Sale Permit and Cash Receipt 41366 0 873750 0596 0596-0086 01/31/2004 Operating Plans 1875 0 3750 0596 0596-0087 03/31/2004 Commercial Use of Woodsy Owl Symbol-36 CFR Part 272 20 0 40 0596 0596-0089 11/30/2003 Application for Prospecting Permit 6 0 25 0596 0596-0097 08/31/2002 Interpretive Association Annual Report 52 0 52 0596 0596-0099 12/31/2003 Application for the Senior Communitry Service Employment Program 1083 0 6500 0596 0596-0105 06/30/2003 Agreement to Initiate (ATI) and Exchange Agreement (EA) 200 0 200 0596 0596-0106 04/30/2003 Recreation Fee Permit Envelope 20000 0 400000 0596 0596-0108 01/31/2003 Baseline and Trend Information on Wilderness Use and Users 416 0 1000 0596 0596-0110 02/28/2003 Customer and Use Survey Techniques for Operations, Management, Evaluation, and Research 9917 0 57000 0596 0596-0120 07/31/2002 Stewardship Incentive Program 74250 0 32500 0596 0596-0127 10/31/2003 National Survey on Recreation and the Environment 13333 0 40000 0596 0596-0128 10/31/2002 Recreational Participation and Environmental Activity Survey 125 0 500 0596 0596-0129 10/31/2002 The Day Use Study 150 0 600 0596 0596-0138 05/31/2002 Smith River National Recreation Area 40 0 2 0596 0596-0144 02/28/2002 Economic, Social, and Cultural Contributions of Livestock Ownership 364 0 112 0596 0596-0146 04/30/2002 "Your Comments" Customer Service Comment Card 1708 0 1 0596 0596-0149 03/31/2004 Public Information Survey for the Recreation Fee Demonstration Programs at Sedona, AZ on the Coconino National Forest and the Pacific Northwest Region 3043 0 9250 0596 0596-0150 10/31/2002 Communication and Interpretation for Urban Proximate Forest 145 0 515 0596 0596-0151 10/31/2002 Recreation on the San Gabriel Canyon Study 100 0 400 0596 0596-0152 10/31/2002 Meeting National Forest Recreationists' Needs through a Customer Service Paradigm 103 0 365 0596 0596-0153 10/31/2002 Recreational and Management Preferences Survey 250 0 1000 0596 0596-0155 02/28/2003 Urban Connections 1922 0 5148 0596 0596-0158 10/31/2003 National Forest System Land and Resource Management Planning 12100 0 1210 0596 0596-0161 04/30/2004 Forest Stewarship and Stewardship Incentive Program Participant Demographics 1667 0 20000 0596 0596-0162 08/31/2004 Improve Management of the Tongass National Forest and Service to Southeast Alaska Residents 800 0 1600 0596 0596-0163 07/31/2004 Title Publication Comment Card 1833 0 22000 0596 0596-0164 08/31/2004 Health Screen Questionarie (HSQ) 1250 0 1500 0596 0596-0165 03/31/2002 Secure Rural Schools and Community Self Determination Act of 2000, P.L. 106-393 22 0 43 0605 0605-0001 03/31/2003 Applicant for Funding Assistance 678 0 2710 0607 0607-0008 07/31/2003 Manufacturers' Shipments, Inventories, and Orders Survey 24000 0 72000 0607 0607-0013 11/30/2002 Annual Retail Trade Survey 9437 0 23337 0607 0607-0049 06/30/2002 Current Population Survey (CPS) Basic Demographics 15168 0 576000 0607 0607-0094 02/29/2004 Report of Privately-owned Residential Building or Zoning Permits 20693 0 113600 0607 0607-0104 12/31/2003 Advance Monthly Retail Sales Survey 4500 0 54000 0607 0607-0110 07/31/2003 Survey of Housing Starts, Sales, and Completion 9395 0 112736 0607 0607-0112 09/30/2003 Quarterly Survey of State and Local Tax Revenues 5957 0 23616 0607 0607-0117 06/30/2004 U.S. Census - Age Search 1775 266 11106 0607 0607-0125 05/31/2003 Questionnaire for Building Permit Officials 225 0 900 0607 0607-0130 12/31/2002 Quarterly Survey of Residential Alterations and Repairs 2400 0 9600 0607 0607-0139 09/30/2002 Census Employment Inquiry 10000 0 40000 0607 0607-0143 01/31/2003 Quarterly Survey of Public Employee Retirement Systems 408 0 408 0607 0607-0151 12/31/2001 The Boundary and Annexation Survey (BAS) 118041 0 39347 0607 0607-0152 09/30/2003 Shipper's Export Declaration (SED)/Automated Export System (AES) Program 1284949 1000 13449996 0607 0607-0153 04/30/2004 Construction Project Reporting Surveys (Private Construction Projects (C-700), State and Local Governments Projects (C-700 (SL)), and Multifamily Residential Projects (C-700(R)) 40320 0 161280 0607 0607-0175 09/30/2004 Survey of Plant Capacity Utilization 38250 0 17000 0607 0607-0179 08/31/2002 Housing Vacancy Survey (HVS) 2880 0 57600 0607 0607-0189 12/31/2002 Business and Professional Classification Report 9448 0 43600 0607 0607-0190 08/31/2002 Monthly Wholesale Trade Survey 5320 0 45600 0607 0607-0195 10/31/2004 Annual Trade Survey 2364 0 6000 0607 0607-0206 08/31/2004 Current Industrial Reports (CIR) Program (WAVE II-Voluntary) 3779 0 5835 0607 0607-0354 10/31/2003 Annual Demographic Survey -- 2001 33563 0 80550 0607 0607-0392 08/31/2003 Current Industrial Reports Program (WAVE-I Mandatory) 12825 0 13661 0607 0607-0393 08/31/2003 Current Industrial Reports (CIR) Program (WAVE I - Voluntary) 2092 0 3322 0607 0607-0395 08/31/2004 Current Industrial Reports Program (WAVE-II - Mandatory) 16954 0 24012 0607 0607-0404 12/31/2001 Field Representative Exit Questionnaire 5013 0 2660 0607 0607-0422 11/30/2002 Service Annual Surveys 39822 0 50000 0607 0607-0432 07/31/2004 Quarterly Financial Report (QFR) 77708 0 37800 0607 0607-0444 11/30/2002 1999-2001 Company Organization Survey 140000 0 90000 0607 0607-0449 02/28/2002 Annual Survey of Manufactures 186100 0 55000 0607 0607-0452 12/31/2001 Annual Survey of Government Employment and Payroll 21437 0 20244 0607 0607-0459 09/30/2004 School Enrollment Report 15 0 30 0607 0607-0464 08/31/2004 The October School Enrollment Supplement to the Current Population Survey 3325 0 57000 0607 0607-0466 09/30/2003 Current Population Survey (CPS) - November Voting and Registration Supplement 1200 0 48000 0607 0607-0476 07/31/2002 Current Industrial Reports (CIR) Program (Wave-III Mandatory) 2544 0 3668 0607 0607-0585 09/30/2002 Annual Survey of State and Local Government Finance 22798 0 7459 0607 0607-0700 08/31/2003 Annual Survey of Local Government Finances, School Systems 3737 0 3500 0607 0607-0717 08/31/2002 Current Retail Sales and Inventory Survey 13875 0 105684 0607 0607-0725 08/31/2004 Questionnaire Pretesting Research 5500 0 5500 0607 0607-0757 08/31/2002 2002 New York City Housing and Vacancy Survey 11200 0 19200 0607 0607-0760 09/30/2004 Data User Evaluation Surveys 4000 0 8000 0607 0607-0776 07/31/2002 Current Industrial Reports (CIR) Program (Wave-III Voluntary) 699 0 1364 0607 0607-0782 01/31/2003 Annual Capital Expenditures Survey 139000 0 59000 0607 0607-0809 04/30/2004 MAF and TIGER Update Activities 3725 0 114500 0607 0607-0810 10/31/2002 The American Community Survey 607800 0 981800 0607 0607-0838 02/28/2002 2001 Survey of Program Dynamics (SPD) 37023 0 75225 0607 0607-0862 07/31/2002 Census 2000 Test Program Supplement 10106 0 207556 0607 0607-0866 12/31/2001 Census 2000: Accuracy and Coverage Evaluation Housing Unit and Person Interview Acitivities 103162 0 904415 0607 0607-0872 12/31/2002 2001 Residential Finance Survey (RFS) 77500 0 330000 0607 0607-0875 02/29/2004 2001 Panel of the Survey of Income and Program Participation, WAVE 4 Topical Modules 121478 0 243750 0607 0607-0876 12/31/2001 Census Quality Survey to Evaluate Responses to the Census 2000 Question on Race 20833 0 50000 0607 0607-0877 12/31/2002 2002 Census of Governments Prelist Survey of Special Districts 1520 0 3039 0607 0607-0878 05/31/2002 Feasibility Study for Conducting the American Community Survey in Puerto Rico 6333 0 10000 0607 0607-0879 09/30/2003 Census 2000 Count Question Resolution Program 15600 0 3000 0607 0607-0880 06/30/2004 2002 Economic Census Covering the Wholesale Trade Sector 1 0 480000 0607 0607-0881 06/30/2004 2002 Economic Census Covering the Retail Trade and Accommodation and Food Services Sectors 1 0 1615029 0607 0607-0882 07/31/2004 2002 Economic Census Covering Utilities; Transportation and Warehousing; Finance and Insurance, and Real Estate and Rental and Leasing Sectors 1 0 633007 0607 0607-0883 07/31/2004 2002 Economic Census Classification Report 13333 0 160000 0607 0607-0884 07/31/2004 2002 Economic Census General Classification Report 38333 0 400000 0607 0607-0885 11/30/2002 Current Population Survey, September 2001 Computer and Internet Use Supplement 7600 0 57000 0607 0607-0886 08/31/2004 2002 Economic Census Ownership or Control Flier 1 0 2442300 0607 0607-0887 09/30/2004 2002 Economic Census Covering Information; Professional, Scientific, and Technical Services; Management of Companies and Enterprise; Administrative and Support and Waste Management ... 1 0 1556857 0607 0607-0888 09/30/2004 2002 Census of Governments Local Government Directory Survey 22500 0 90000 0607 0607-0889 10/31/2004 2002 Economic Census - Commodity Flow Survey (CFS) 400000 0 200000 0607 0607-0890 09/30/2002 2001 Survey of Business Owners and Self-Employed Persons (Pretest) 2500 0 10000 0608 0608-0002 12/31/2002 Institutional Remittances to Foreign Countries -- Form BE-40 1521 0 480 0608 0608-0004 11/30/2003 Direct Transactions of U.S. Reporter with Foreign Affiliate 62500 0 50000 0608 0608-0009 12/31/2003 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) 19750 0 15800 0608 0608-0011 10/31/2004 Ocean Freight Revenues and Expenses of United States Carriers (BE-30) U.S. Airline Operators' Foreign Revenues and Expenses (BE-37) 1148 0 248 0608 0608-0012 05/31/2004 Foreign Ocean Carriers' Expenses in the United States 640 0 160 0608 0608-0013 05/31/2004 Foreign Airline Operators' Revenues and Expenses in the United States 360 0 72 0608 0608-0015 12/31/2004 Annual Survey of Construction, Engineering, Architectural, and Mining Services Provided by U.S. Firms to Unaffiliated Foreign Persons 700 0 155 0608 0608-0016 10/31/2004 Annual Survey of Reinsurance and Other Insurance Transactions by US Insurance Companies with Foreign Persons 1300 0 325 0608 0608-0017 11/30/2003 Annual Survey of Royalties, License Fees, and Other Receipts and Payments for Intangible Rights Between U.S. 1400 0 350 0608 0608-0034 10/31/2004 Annual Survey of Foreign Direct Investment in the United States 128000 0 4975 0608 0608-0035 12/31/2003 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 1800 0 1200 0608 0608-0049 11/30/2002 Benchmark Survey of U.S. Direct Investment Abroad 458000 0 3500 0608 0608-0053 11/30/2003 Annual Survey of U.S. Direct Investment Abroad (BE-11) 102600 0 1500 0608 0608-0058 10/31/2004 Benchmark Survey of Selected Services Transactions with Unaffili- ated Foreign Persons 13200 0 1100 0608 0608-0060 12/31/2003 Annual Survey of Selected Services Transactions with Unaffiliated Foreign Persons 17250 0 1500 0608 0608-0062 09/30/2002 Benchmark Survey of Financial Services Transactions Between U.S. Financial Services Providers and Unaffiliated Foreign Persons 3500 0 500 0608 0608-0063 09/30/2003 Annual Survey of Financial Services Transactions Between U.S. Financial Services Providers and Unaffiliated Foreign Persons 2600 0 375 0608 0608-0064 12/31/2003 STAT-USA Customer Satisfaction Survey 800 0 1 0610 0610-0091 12/31/2001 Petition by a Firm for Certification of Eligibility to Apply for Trade Adjustment Assistance 1296 0 162 0610 0610-0093 11/30/2002 Guidelines for Comprehensive Economic Development Strategy 33150 77 640 0610 0610-0094 11/30/2002 Proposal for Federal Assistance and Application for Federal Assistance 47350 102 1850 0610 0610-0095 08/31/2002 Guidelines for Revolving Loan Fund Grants 14080 0 1080 0610 0610-0096 11/30/2002 Requirements for Approved Construction Projects; Interim Ninth Edition, October 1998 23200 0 1160 0610 0610-0097 02/29/2004 Award for Excellence in Economic Development 150 1 50 0625 0625-0034 01/31/2002 Mission Exhibition Evaluation 167 0 2000 0625 0625-0035 01/31/2002 Product Characteristics-Design Check-Off Lists 1000 0 2000 0625 0625-0037 07/31/2004 Request for Duty-Free Entry of Scientific Instrument or Apparatus 100 0 50 0625 0625-0039 12/31/2001 Overseas Business Interest Questionnaire 490 0 1000 0625 0625-0040 11/30/2002 Application of License to Enter Watches and Watch Movements into 20 0 20 0625 0625-0047 01/31/2002 Marketing Data Form 3000 0 4000 0625 0625-0055 08/31/2004 NATO ICB Bidders List Application 40 0 40 0625 0625-0061 05/31/2002 Commercial News USA 733 0 2200 0625 0625-0065 07/31/2004 Application for the President's "E" and "E Star" Awards for Export Expansion 1644 0 60 0625 0625-0105 05/31/2002 Petition Format for Requesting Relief under U.S. Antidumping Duty Law 1520 0 38 0625 0625-0109 12/31/2004 Annual Report from Foreign-Trade Zones 13352 0 150 0625 0625-0118 10/31/2004 Information on Articles for Physically or Mentally Handicapped Persons Imported Free of Duty 304 0 4560 0625 0625-0120 03/31/2002 Export Trading Companies Contact Facilitation Service 4750 0 9500 0625 0625-0125 01/31/2002 Application for an Export Trade Certificate of Review 960 0 30 0625 0625-0130 01/31/2002 Trade Fair Certification Program: Application 700 0 70 0625 0625-0134 11/30/2002 Watch Duty-Exemption and 7114 Jewelry Duty-Refund Program Forms 86 0 24 0625 0625-0139 12/31/2004 Foreign-Trade Zone Application 9314 0 100 0625 0625-0143 05/31/2002 Information Services Order Form 483 0 2675 0625 0625-0147 03/31/2003 Participation Agreement and Trade Mission Application 2792 0 7500 0625 0625-0148 12/31/2003 Format for Petition Requesting Relief Under U.S. Countervailing Duty Law 200 0 5 0625 0625-0151 12/31/2003 International Buyer Program: Application and Exhibitor Data 1060 0 5510 0625 0625-0200 11/30/2002 Antidumping and Countervailing Duties, Procedures for Initiation of Downstream Product Monitoring 15 0 1 0625 0625-0211 05/31/2002 U.S.-Japan Semiconductor Agreement Data Collection Program Report 1152 0 384 0625 0625-0215 01/31/2002 Certified Trade Mission: Application for Status 60 0 60 0625 0625-0217 05/31/2002 User Satisfaction Surveys 3560 0 22356 0625 0625-0220 01/31/2002 Advocacy Questionnaire 205 0 430 0625 0625-0224 10/31/2004 American Management and Business Internship Training (AMBIT) Program: Applications 465 0 265 0625 0625-0225 10/31/2004 SABIT: Applications and Questionnaires 6088 0 2800 0625 0625-0227 03/31/2002 Survey of International Air Travelers 24840 0 1 0625 0625-0228 12/31/2003 Application for Designation of a Fair 100 0 200 0625 0625-0231 09/30/2004 BISNIS FinanceLink 33 0 200 0625 0625-0232 09/30/2003 Internet Export Finance Matchmaker 350 0 2000 0625 0625-0236 11/30/2002 BISNIS Publication Subscription Form 170 0 2040 0625 0625-0237 11/30/2002 Export Assistance Center Internet Website Form 667 0 5750 0625 0625-0238 08/31/2003 U.S. Government Trade Information Request 100 0 50 0625 0625-0239 05/31/2004 Information for Certification Under FAQ 6 of the Safe Harbor Privacy Principles 550 0 1500 0625 0625-0240 07/31/2004 Imports of Certain Worsted Wool Fabric: Implementation of Tariff Rate Quotas Established Under Title VI of the Trade and Development Act of 2000. 352 0 68 0625 0625-0241 04/30/2004 Non-Tariffs Barriers Survey 33 0 200 0625 0625-0242 01/31/2002 Information for Assessment of U.S. Domestic Steel Capacity Pursuant to President's Steel Initiative 175 0 35 0640 0640-0002 08/31/2002 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 10046 0 40046 0648 0648-0007 07/31/2004 Coast Pilot Report 50 0 100 0648 0648-0012 01/31/2002 Fisheries Finance Program Requirements 8920 1 1080 0648 0648-0013 08/31/2004 Southeast Region Dealer and Interview Family of Forms 3171 0 19812 0648 0648-0015 10/31/2004 Monthly Cold Storage Report 165 0 1236 0648 0648-0016 12/31/2003 Southeast Region Logbook Family of Forms 14086 0 63849 0648 0648-0018 12/31/2004 Processed Products Family of Forms 680 0 1400 0648 0648-0021 06/30/2004 Small-Craft Facility Questionnaire 213 0 1600 0648 0648-0022 12/31/2004 Cooperative Charting Programs 45000 0 15000 0648 0648-0025 09/30/2004 Weather Modification Activities Reports 330 0 110 0648 0648-0040 01/31/2004 Bluefin Tuna Statistical Document 390 1 1550 0648 0648-0041 05/31/2003 Capital Construction Fund - Deposit/Withdrawal Report 1650 27 5000 0648 0648-0052 11/30/2004 Marine Recreational Fishery Statistics Survey 34887 0 770504 0648 0648-0075 07/31/2004 Foreign Fishing Reporting Requirements 422 0 2350 0648 0648-0082 10/31/2004 Fishermen's Contingency Fund 2017 1 400 0648 0648-0084 07/31/2003 Scientific Research, Public Display, and Enhancement Permits Under the Marine Mammal Protection Act, the Fur Seal Act, and the Endangered Species Act 6476 1 604 0648 0648-0089 12/31/2001 Foreign Fishing Vessel Permit Applications 50 0 50 0648 0648-0090 06/30/2004 Interim Capital Construction Fund Agreement and Certificate Family of Forms 2250 3 1000 0648 0648-0119 11/30/2004 Coastal Zone Management Program Administration 6598 0 195 0648 0648-0121 05/31/2004 Management and Oversight of the National Estuarine Research Reserve System 14180 31 32 0648 0648-0135 10/31/2004 Saltonstall-Kennedy Grant Program (S-K Program) Applications and Reports 985 3 310 0648 0648-0141 12/31/2001 National Marine Sanctuary Permits 877 0 1113 0648 0648-0145 05/31/2002 Deep Seabed Mining Regulations for Exploration Licenses 40 0 2 0648 0648-0148 08/31/2004 Pacific Tuna Fisheries Logbook 117 0 1175 0648 0648-0151 03/31/2004 Applications and Reporting Requirements for Small Takes of Marine Mammals by Specified Activities Under the Marine Mammal Protection Act 7512 1673 78 0648 0648-0157 05/31/2004 NOAA Space-Based Data Collection System (DCS) Agreements 440 0 390 0648 0648-0174 03/31/2004 Licensing of Private Land Remote-Sensing Space Systems 314 1 67 0648 0648-0178 03/31/2004 Marine Mammal Stranding Report/Marine Mammal Rehabilitation Disposition Report 1600 2 4800 0648 0648-0192 12/31/2001 Statement of Financial Interests, Regional Fishery Management Councils 118 0 203 0648 0648-0194 02/29/2004 Antarctic Marine Living Resources Conservation and Management Measures 149 2 841 0648 0648-0202 03/31/2004 Northeast Region Permit Family of Forms 21332 1368 599918 0648 0648-0203 06/30/2003 Northwest Region Federal Fisheries Permits 605 26 2610 0648 0648-0204 09/30/2003 Southwest Region Permit Family of Forms 245 0 433 0648 0648-0205 12/31/2003 Southeast Region Federal Fisheries Permit Family of Forms 1583 385 8626 0648 0648-0206 09/30/2003 Alaska Region Permit Family of Forms 483 1 941 0648 0648-0212 06/30/2002 Northeast Region Logbook Family of Forms 6477 30 80648 0648 0648-0213 05/31/2002 Alaska Region Logbook Family of Forms 45086 211 82450 0648 0648-0214 09/30/2003 Southwest Region Logbook Family of Forms 2314 3 1030592 0648 0648-0216 10/31/2004 Billfish Certificate of Eligibility 43 0 400 0648 0648-0218 07/31/2004 South Pacific Tuna Act 430 73 672 0648 0648-0227 10/31/2004 NOAA Satelite Ground Station Customer Questionnaire 50 0 300 0648 0648-0229 06/30/2002 Northeast Region Dealer Purchase Reports 3572 0 6214 0648 0648-0230 12/31/2001 Permits for Incidental Taking of Endangered or Threatened Species 1068 0 26 0648 0648-0235 12/31/2001 Survey of Intent and Capacity to Process Fish and Shellfish 10 0 54 0648 0648-0238 12/31/2001 Surf Clam/Ocean Quahog Transfer Log 52 0 618 0648 0648-0239 11/30/2002 Bluefin Tuna Dealer Reporting Package 433 1 12150 0648 0648-0240 12/31/2001 Application to Shuck Surf Clams/Ocean Quahogs at Sea 2 0 24 0648 0648-0243 12/31/2001 Survey of Intent and Capacity to Harvest and Process Fish and Shellfish (Northwest Region) 10 0 120 0648 0648-0247 12/31/2001 Cooperative Game Fish Tagging Report 360 0 12000 0648 0648-0259 08/31/2004 Tag Recapture Card 8 0 240 0648 0648-0262 12/31/2003 Informaiton for Share Transfer in Wreckfish Fishery 1 0 4 0648 0648-0266 01/31/2002 Seafood Inspection and Certification Requirements 13065 0 7082 0648 0648-0269 10/31/2004 Western Alaska Community Development Quota Program 3746 1 8157 0648 0648-0271 08/31/2003 Northwest Region Logbook Family of Forms 1705 10 6836 0648 0648-0272 12/31/2001 Individual Fishing Quotas for Pacific Halibut and Sablefish in the Alaska Fishery 22775 126 81010 0648 0648-0276 06/30/2003 Groundfish Tagging Program 346 0 4320 0648 0648-0283 03/31/2004 NOAA's Teacher-At-Sea Program 309 1 420 0648 0648-0292 08/31/2003 Reporting Requirements for Commercial Fisheries Authorization under Section 118 of the Marine Mammal Protection Act 1500 0 10000 0648 0648-0293 08/31/2003 Application for Commercial Fisheries Authorization under Section 1120 101 6000 0648 0648-0295 11/30/2004 Emergency Beacon Registrations 2500 3 10000 0648 0648-0302 12/31/2001 Request for Restoration Idea, New Bedford Harbor 100 0 100 0648 0648-0304 12/31/2001 High Seas Fishing Permit Application Information 100 10 200 0648 0648-0308 05/31/2002 Coastal Services Center Coastal Resource Management Customer Survey 27 0 53 0648 0648-0309 03/31/2002 Scientific Research, Exempted Fishing, and Exempted Activity Submissions 435 5 1449 0648 0648-0310 03/31/2003 The GLOBE Program 770 0 1062 0648 0648-0311 11/30/2002 Report of Whaling Operations 49 00 80 0648 0648-0314 05/31/2003 Designation of Fishery Management Council Members and Application for Reinstatement of State Authority 4695 0 54 0648 0648-0318 01/31/2003 Requirements for Certified Observer Contractors of the North Pacific 2106 63 7309 0648 0648-0323 05/31/2003 Highly Migratory Species Tournament Reporting 110 0 600 0648 0648-0327 08/31/2003 Atlantic Highly Migratory Species Vessel Permits 4700 628 25000 0648 0648-0328 08/31/2003 Atlantic Bluefin Tuna Mandatory Catch Reporting 955 0 8697 0648 0648-0329 02/29/2004 Foreign Fishing Vessels Operating in Internal Waters 36 0 72 0648 0648-0330 02/29/2004 At-Sea Scale Certification Program 3508 6 8002 0648 0648-0334 07/31/2002 Alaska License Limitation Application and Transfer Forms 3451 3 1553 0648 0648-0335 03/31/2004 Fisheries Certificate of Origin 1033 0 4000 0648 0648-0338 10/31/2004 Implantation and Recovery of Archival Tags 15 0 25 0648 0648-0342 07/31/2004 NOAA Customer Surveys 1800 0 70000 0648 0648-0350 10/31/2004 Northeast Region Vessel Identification Requirements 4363 58 5821 0648 0648-0351 10/31/2004 Northeast Region Gear Identification Requirements 32664 32 1950283 0648 0648-0352 12/31/2001 Northwest Regional Gear Identification Requirements 5138 5 20552 0648 0648-0353 07/31/2004 Alaska Region Gear Identification Requirements 3750 4 15000 0648 0648-0354 12/31/2001 Foreign Fishing Gear Identification Requirements 1 0 1 0648 0648-0355 12/31/2001 Northwest Region Vessel Identification Requirements 1376 18 1835 0648 0648-0356 12/31/2001 Foreign Fishing Vessel Identification Requirements 15 4 20 0648 0648-0357 09/30/2004 Gear-Marking Requirements for the Harbor Porpoise Take Reduction Plan 21 1 1225 0648 0648-0358 12/31/2001 Southeast Region Vessel Identification Requirements 5250 210 7000 0648 0648-0359 12/31/2001 Southeast Region Gear Identification Requirements 2192 15 112700 0648 0648-0360 10/31/2004 Southwest Region Gear Identification Requirements 1420 23 42600 0648 0648-0361 12/31/2004 Southwest Region Vessel Identification Requirements 286 7 436 0648 0648-0362 09/30/2004 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 580 1 1611 0648 0648-0363 12/31/2004 Swordfish Import Certificate of Eligibility 5700 0 5700 0648 0648-0364 01/31/2002 Gear-Marking Requirement for Atlantic Large Whale Take Reduction Plan 4206 25 5040 0648 0648-0365 01/31/2002 Documentation of Fish Harvest 50 0 100 0648 0648-0367 01/31/2002 Gear-Marking Requirements in Antarctic Fisheries 10 3 1 0648 0648-0368 02/28/2002 Vessel-Marking Requirements in Antarctic Fisheries 1 0 1 0648 0648-0369 04/30/2002 Economic Performance Data for the West Coast (California-Alaska) Commercial Fisheries 2675 0 1471 0648 0648-0371 03/31/2002 Highly Migratory Species Logbooks 9481 29 58585 0648 0648-0372 03/31/2002 Vessel Monitoring System for Atlantic Highly Migratory Species 1043 2368 113836 0648 0648-0373 03/31/2002 Highly Migratory Species Vessel and Gear Marking 6828 148 12521 0648 0648-0374 03/31/2002 Highly Migratory Species Observer Notification Requirements 299 5 9050 0648 0648-0375 05/31/2002 Northeast Region Monkfish Reporting Requirements 1541 5 23811 0648 0648-0376 05/31/2002 Fisheries Capacity Reduction Program Buyback Requests 37110 6 8505 0648 0648-0378 07/31/2002 Operator Permits in the Surf Clam and Ocean Quahog Fishery 14 0 14 0648 0648-0380 03/31/2003 Large Pelagic Fishing Survey 5032 0 64900 0648 0648-0381 06/30/2002 Effectiveness Review of the Coastal Services Center's Coastal Change Analysis Program 67 0 200 0648 0648-0382 10/31/2002 Beluga Whale Harvest Report 5 0 20 0648 0648-0384 08/31/2002 NOAA Coastal Ocean Program Grants Proposal Application Package 1100 0 1000 0648 0648-0387 08/31/2002 International Dolphin Conservation Program 264 5 1049 0648 0648-0388 10/31/2002 Bluefish-Permit Family of Forms, Processed Products Report, Vessel Identification 740 3 1442 0648 0648-0389 10/31/2002 Bluefish Logbooks 249 1 2988 0648 0648-0390 10/31/2002 Bluefish Dealer Reporting 504 2 10088 0648 0648-0391 11/30/2002 Northeast Small Mesh Multispecies Requirements 46 0 2072 0648 0648-0392 11/30/2002 Monitoring of Fish Trap Fishing in the Gulf of Mexico 251 0 3010 0648 0648-0393 09/30/2003 American Fisheries Act: Vessel and Processor Permit Applications 83 1 141 0648 0648-0397 03/31/2003 Application Form for Membership on a National Marine Sanctuary Advisory Council 75 0 75 0648 0648-0398 03/31/2003 Alaska Individual Fishing Quota Cost Recovery Program Requirements 8400 17 4425 0648 0648-0399 03/31/2003 Limits on Application of Take Prohibitions 2680 4 224 0648 0648-0400 06/30/2003 Commercial Harvesters and Recreational Party and Charter Boat Socio-cultural and Economic Data Collection Pilot Study 793 0 2847 0648 0648-0401 12/31/2003 American Fisheries Act: Recordkeeping and Reporting Requirements 888 0 1365 0648 0648-0402 06/30/2002 Application Instruction for a Permit for Scientific Purposes or to Enhance the Propagation or Survival of Threatened or Endangered Species 4400 0 240 0648 0648-0403 06/30/2003 Northeast Region Herring Permits 68 1 180 0648 0648-0404 06/30/2003 Northeast Region Vessel Monitoring and Communications 185 67 114060 0648 0648-0405 06/30/2003 Atlantic Herring Processed Products Report 25 1 50 0648 0648-0406 06/30/2003 Northeast Region Herring Dealer Landing Reports 87 3 2600 0648 0648-0407 06/30/2003 Atlantic Herring Vessel Trip Reports 176 1 2653 0648 0648-0408 06/30/2003 National Marine Sanctuaries - Socioeconomic Impacts of Marine Reserves 1330 0 665 0648 0648-0409 07/31/2003 Socioeconomic Monitoring Program for the Florida Keys National Marine Sanctuary 725 0 988 0648 0648-0410 07/31/2003 South Florida Artificial and Natural Reefs - Economic Valuation Study 2733 0 10600 0648 0648-0411 07/31/2003 Paperwork Submissions Under the Coastal Zone Management Act Federal Consistency Requirements 20331 8000 4111 0648 0648-0412 06/30/2003 Multispecies Pary/Charterboat Closed Area Exemption Certificate 18 0 528 0648 0648-0413 02/29/2004 Fisheries Capacity Reduction Program Advanced Referenda and Other Requirements 3200 0 800 0648 0648-0416 12/31/2003 Northeast Region Sea Scallop Exemption Requirements 2950 195 272100 0648 0648-0417 08/31/2003 Atka Mackerel Fishery Vessel Monitoring System (VMS) Report 145 13 18144 0648 0648-0418 08/31/2003 Tortugas Access Permits 24 0 302 0648 0648-0419 01/31/2004 StormReady Application Form 40 0 40 0648 0648-0420 07/31/2003 Alaska Scallop License Limitation Program Application and Transfer Forms 31 0 14 0648 0648-0422 02/28/2002 Northeast Region Raised Footrope Trawl Exempted Fishery 230 2 6912 0648 0648-0423 12/31/2003 An Observer Program for Catcher Vessels in the Pacific Coast Groundfish Fishery 3451 0 41410 0648 0648-0424 02/29/2004 Northeast Region Lobster-Black Sea Bass Area 5 Waiver Requirements 37 0 207 0648 0648-0425 03/31/2004 AFA Pollock Fishery Vessel Monitoring System 3600 225 1944000 0648 0648-0427 03/31/2004 Hunger Relief Donation in the At-Sea Whiting Fishery 8 1 100 0648 0648-0428 03/31/2004 Commercial Operator's Annual Report (COAR) 1072 0 134 0648 0648-0431 05/31/2004 Eastern Pacific Tuna Vessel Register Information 564 2 420 0648 0648-0432 08/31/2004 Dr. Nancy Foster Scholarship Program 3517 3 2020 0648 0648-0433 09/30/2004 Reporting Requirements for the Ocean Salmon Fishery off the Coasts of Washington, Oregon, and California 10 0 40 0648 0648-0435 06/30/2004 Survey to Measure Effectiveness of Community-Oriented Policing for ESA Enforcement 286 0 757 0648 0648-0439 07/31/2004 North Carolina and Louisiana Commerical King and/or Spanish Mackerel Fishermen Pilot Economic Survey 154 0 435 0648 0648-0440 12/31/2001 Coastal Impact Assistance Program: Project Review Checklist 1875 2 375 0648 0648-0441 07/31/2004 Vessel Monitoring System Requirements in the Western Pacific Pelagic Longline Fishery 743 0 1445568 0648 0648-0442 08/31/2004 Observer Workshop/Conference Survey 44 0 175 0648 0648-0444 05/31/2002 Steller Sea Lion Revisions to Alaska Federal Fisheries Permit 9 0 539 0651 0651-0009 08/31/2004 Trademark Processing 144587 129223 677151 0651 0651-0012 12/31/2002 Admittance To Practice and Roster of Registered Patent Attorneys Office 6138 0 15200 0651 0651-0016 12/31/2002 Rules for Patent Maintenance Fees 22340 0 279796 0651 0651-0017 07/31/2003 Practitioner records maintenance and disclosure before the patent and trademark office 2270 0 330 0651 0651-0020 10/31/2004 Patent Term Extension 30903 5976 26858 0651 0651-0021 12/31/2003 Patent Cooperation Treaty 401202 78889 331407 0651 0651-0022 01/31/2004 Deposit of Biological Materials 3301 1 3300 0651 0651-0024 08/31/2003 Requirements for Patent Applications Containing Nucelotide 7990 0 6060 0651 0651-0027 05/31/2002 Recording Assignments (Formerly Changes in Patent and Trademark 137750 0 275500 0651 0651-0028 02/28/2003 Fastener Quality Act Insignia Recordal Process 14 0 80 0651 0651-0030 05/31/2002 Disclosure Document Program 5400 0 27000 0651 0651-0031 10/31/2002 Patent Processing (Updating) 1021941 15251 2247389 0651 0651-0032 10/31/2002 Intial Patent Application 2984360 75095 319350 0651 0651-0033 01/31/2004 Post Allowance and Refiling 63640 1540 205480 0651 0651-0034 03/31/2004 Secrecy, License to export 1523 0 2194 0651 0651-0035 10/31/2002 Representative and Address Provisions 15694 0 300525 0651 0651-0036 03/31/2003 Statutory Invention Registration 29 0 73 0651 0651-0038 08/31/2002 Customer Input; Patent and Trademark Customer Surveys 2349 0 7200 0651 0651-0040 05/31/2004 Trademark Trail and Appeal Board (TTAB) Actions (formerly PETITION TO CANCEL) 17179 3471 61572 0651 0651-0041 05/31/2002 Public Search Room Badging 1073 0 6709 0651 0651-0042 10/31/2002 Electronic Application for Patent Examiners - Job Application Rating System (JARS) 1850 0 3700 0651 0651-0043 01/31/2003 Payment of Patent and Trademark Office Fees by Credit Card 20000 0 100000 0651 0651-0044 09/30/2003 Invention Promoters/Promotion Firms Complaints 50 0 200 0651 0651-0045 03/31/2003 Public Key Infrastructure (PK) Certificate Action Form 5000 0 10000 0651 0651-0046 03/31/2004 Legal Processes 28 650 187 0651 0651-0047 03/31/2004 Required and Optional Search Criteria for Computer Implemented Business Method Patent Applications in Class 705 150 0 100 0660 0660-0001 05/31/2003 Public Telecommunications Facilities Program Grant Monitoring 7836 0 1966 0660 0660-0003 10/31/2003 Public Telecommunications Facilities Program (PTFP) Application Form 40250 0 450 0660 0660-0010 02/28/2002 TIIAP Reviewer Information Form 50 0 130 0660 0660-0014 12/31/2001 Current Population Survey 6400 0 48000 0660 0660-0015 12/31/2001 Telecommunications and Information Infrastructure Assistance (TIIAP) Program Structured Reporting System 7498 0 45 0690 0690-0008 03/31/2003 Department of Commerce: Use of DOC-Specific Ship Repair Clauses and Other Provision in the Acquisition Process 1200 0 200 0690 0690-0010 01/31/2002 Revision to the Commerce Acquisition Regulation (CAR) Clause at 1352.217-109 Entitled "Insurance Requirements" 30 0 30 0690 0690-0015 12/31/2001 Complaint of Employment Discrimination for the Decennial Census and Complaint of Employment Discrimination Used by Permanent Employees and Applicants for Employment at DOC 350 0 700 0690 0690-0017 10/31/2002 Survey of Business Leaders Accompanying Secretary Daley on Trade Missions 5 0 100 0690 0690-0018 02/29/2004 Applicant Background Survey 2812 0 33750 0690 0690-0019 08/31/2004 Commerce Opportunity On-Line 32832 0 32832 0691 0691-0001 07/31/2003 BEA Customer Satisfaction Survey 1875 0 7500 0692 0692-0001 08/31/2003 National Medal of Technology Nomination Applications 2550 0 102 0692 0692-0006 06/30/2003 Licensing of Government-owned Inventions 1200 0 1900 0692 0692-0008 01/31/2002 Request for Comments on Existing Public and Private High-tech Workforce Training 750 0 420 0693 0693-0003 12/31/2003 National Voluntary Laboratory Accreditation Program (NVLAP), NVLAP Information Collection System 2200 0 800 0693 0693-0006 10/31/2002 Malcolm Baldrige National Quality Award Application 10000 0 100 0693 0693-0009 12/31/2003 Advanced Technology Program 14875 60 1000 0693 0693-0015 02/28/2003 Fastener Quality Act 70 0 22 0693 0693-0019 12/31/2001 NvCase 30 0 10 0693 0693-0028 05/31/2002 NIST/OLES Survey of Reference Materials for Forensic Science 567 0 200 0693 0693-0029 08/31/2002 National Institute of Standards and Technology Pilot Survey 934 0 8000 0693 0693-0031 10/31/2002 National Institute of Standards and Technology 3-Year Generic Request for Customer Service-Related Data Collection 18800 380311 50000 0693 0693-0032 01/31/2003 NIST MEP Management Information Reporting 4994 249700 74 0693 0693-0033 02/28/2003 National Institue of Standards and Technology Re-submission Program Evaluation Data Collections 944 0 925 0693 0693-0034 05/31/2003 Evaluation of the Common Industry Format (CIF) for Reporting the Results of Usability Tests 120 0 30 0693 0693-0035 05/31/2003 User Evaluation of DARPA Communicator systems 120 0 1440 0693 0693-0036 08/31/2004 BEES Please 1875 6 30 0694 0694-0001 12/31/2003 Exception to Reporting Requirements under the IC/DV Procedures 11 0 21 0694 0694-0004 10/31/2004 Foreign Availability Procedures and Criteria 510 0 2 0694 0694-0009 10/31/2004 Approval of Triangular Transactions Involving Commodities Covered By A U.S. Import Certificate 1 0 1 0694 0694-0012 07/31/2004 Report of Requests for Restrictive Trade Practice or Boycott-- Single or Multiple Transactions 1298 0 1177 0694 0694-0013 12/31/2001 Computer and Related Equipment 86 0 160 0694 0694-0016 08/31/2004 Delivery Vertification Procedure 31 0 100 0694 0694-0017 05/31/2004 International Import Certificate 156 0 585 0694 0694-0021 11/30/2002 Statement by Ultimate Consignee and Purchaser 1210 0 4535 0694 0694-0023 08/31/2004 Written Assurances for Exports of Technical Data Under License Exception TSR 104 0 200 0694 0694-0025 04/30/2004 Short Supply Regulations - Unprocessed Western Red Cedar 35 0 35 0694 0694-0026 04/30/2002 Short Supply Regulations, Petroleum Products 1 0 1 0694 0694-0027 05/31/2004 Short Supply Regulations, Petroleum (Crude Oil) 104 0 15 0694 0694-0029 12/31/2003 License Exception TMP: Special Requirements 1 0 3 0694 0694-0031 12/31/2003 Application for a Duplicate License 27 0 100 0694 0694-0033 05/31/2004 License Exception, Humanitarian Donations 10 0 10 0694 0694-0047 12/31/2001 Technical Data Letter of Explanation 722 0 461 0694 0694-0051 07/31/2004 Application for Transfer of License to Another Party 11 0 10 0694 0694-0053 12/31/2003 Defense Priorities and Allocations System 14477 0 707000 0694 0694-0057 03/31/2004 Request for Special Priorities Assistance 600 0 1200 0694 0694-0058 08/31/2004 Procedure for Voluntary Self-Disclosure of Violations of the Export Administration Regulations 800 0 80 0694 0694-0064 01/31/2002 Procedures for Support Documentation 352 0 5924 0694 0694-0073 03/31/2002 Export Controls of High Performance Computers 14 0 33 0694 0694-0083 06/30/2002 Competitive Enhancement Needs Assessment Survey Program 1500 0 3000 0694 0694-0084 11/30/2002 Offsets in Military Exports 270 0 1000 0694 0694-0086 06/30/2003 Report of Sample Shipments of Chemical Weapon Recursors 23 0 160 0694 0694-0088 02/28/2002 Multipurpose Application 7510 105 8117 0694 0694-0089 07/31/2004 Special Comprehensive License 1017 0 867 0694 0694-0091 12/31/2002 Chemical Weapons Convention Declaration Forms, Inspections and 27020 43732 792 0694 0694-0092 10/31/2004 Procedures for Acceptance or Rejection of Rated Order 21963 0 700000 0694 0694-0093 01/31/2002 Import Certificates and End-User Certificates 1444 0 5775 0694 0694-0096 10/31/2004 Five Year Records Retention Period 249 0 201177 0694 0694-0100 08/31/2002 Requests for the Appointment of a Technical Advisory Committee 5 0 1 0694 0694-0101 05/31/2004 One-time Report For Foreign Software or Technology Eligible For De Minimis Exclusion 875 0 35 0694 0694-0102 08/31/2002 Miscellaneous Activities 10 0 2 0694 0694-0104 01/31/2003 Commercial Encryption Items under the Jurisdiction of the 1372 0 234 0694 0694-0106 07/31/2004 Reporting and Recordkeeping Requirements under the Wassenaar Arrangement 559 0 3050 0694 0694-0107 01/31/2002 National Defense Authorization Act 6 0 21 0694 0694-0111 06/30/2002 India and Pakistan Sanctions 463 0 557 0694 0694-0112 08/31/2002 End-User Certificates for High Performance Computers to the People's Republic of China 75 0 300 0694 0694-0113 05/31/2002 National Security Assessment of U.S. Maritime Industry 8000 0 2000 0694 0694-0114 11/30/2002 Firearms Convention 176 0 971 0694 0694-0115 05/31/2002 Survey of U.S. Chemical Industry to Assist in Compliance Activities Regarding Provisions of the Chemical Weapons Convention 50 0 100 0694 0694-0117 01/31/2003 Chemical Weapons Convention, Amendment to the Export Administration Regulation (End-Use Certificates and Advance Notifications and Annual Reports) 176 0 356 0694 0694-0118 08/31/2002 Survey of U.S. Chemical Industry Regarding Activities Involving Chemicals Identified in Schedule 2 of the Chemical Weapons Convention's Annex on Chemicals 100 0 100 0694 0694-0119 10/31/2002 National Security and Critical Technology Assessments of the U.S. Industrial Base 24000 0 6000 0694 0694-0120 11/30/2002 Procedure to Initiate an Investigation under the Trade Expansion Act of 1962 3000 60 1 0694 0694-0122 11/30/2002 Licensing Responsibilities and Enforcement 70104 0 1427450 0694 0694-0123 01/31/2002 Prior Notification of Exports Under License Exception AGR 926 0 1000 0701 0701-0001 03/31/2002 Application for Training Leading to a Commission in the United States Air Force 927 0 2900 0701 0701-0026 09/30/2004 Nomination for Appointment to the United States Military Academy, Naval Academy, and Air Force Academy 8100 0 16200 0701 0701-0050 02/29/2004 Civil Aircraft Landing Permit System 1800 0 3600 0701 0701-0063 01/31/2004 Air Force Academy Candidate Activities Record 5258 0 7010 0701 0701-0064 01/31/2004 Air Force Academy Candidate Personal Data Record 3617 0 7233 0701 0701-0066 02/29/2004 Air Force Academy Request for Secondary School Transcript 3477 0 6954 0701 0701-0070 01/31/2004 Family Support Center Information 2666 0 30000 0701 0701-0078 01/31/2004 Health Professions Accessions Forms 3600 0 3600 0701 0701-0079 12/31/2003 Non-Prior Service and Prior Service Accessions 69105 0 110231 0701 0701-0080 01/31/2004 Air Force Officer Training School (OTS) Accession Forms 1500 0 1200 0701 0701-0087 12/31/2001 United States Air Force Academy Application, Precandidate Questionnaire (PCQ) 4400 0 11000 0701 0701-0096 11/30/2004 Application for Appointment as Reserve of the Air Force or USAF Without Component 1966 0 5899 0701 0701-0101 05/31/2004 Air Force ROTC College Scholarship Application 4000 0 8000 0701 0701-0103 04/30/2004 Air Force ROTC Scholarship Nomination 350 0 500 0701 0701-0105 04/30/2004 Application for Air Force ROTC Membership 4000 0 12000 0701 0701-0114 04/30/2004 Application for Establishment of Air Force Junior ROTC Unit 20 0 40 0701 0701-0125 06/30/2002 Nutritional Medicine Service Patient Evaluation 2900 0 35000 0701 0701-0126 06/30/2002 Food/Exercise Diary 750 0 3000 0701 0701-0127 08/31/2003 USAF Museum System Volunteer Application/Registration 64 0 255 0701 0701-0130 06/30/2002 Nutritional Assessment and Dietary Intake 3000 0 12000 0701 0701-0133 03/31/2002 Motor Vehicle Traffic Accident Report 5000 0 20000 0701 0701-0134 07/31/2004 Request for Approval of Foreign Government Employment of Air Force Members 144 0 144 0701 0701-0135 06/30/2002 Medical Treatment Facility Incident Statement 1056 0 13200 0701 0701-0136 08/31/2002 CCAF Alumni Survey 167 0 500 0701 0701-0137 04/30/2003 Commercial Airlift Review 300 0 15 0701 0701-0141 06/30/2004 Intercontinental Ballistic Missile Hardened Intersite Cable System Right-of-Way Landowner/Tenant Questionnaire 1000 0 4000 0701 0701-0146 07/31/2004 Customer Comment Card, Air Force Form 3211 17 0 200 0701 0701-0147 05/31/2003 USAF Academy Candidate Writing Sample 4100 0 4100 0702 0702-0018 12/31/2001 Uniform Tender of Rates and/or Charges for Domestic Transportation Services (DOD/USCG-Sponsored HHG) 2701 0 5402 0702 0702-0021 08/31/2002 Application and Contract for Establishment of a Junior Reserve Oficers' Training Corps Unit 70 0 70 0702 0702-0022 12/31/2001 Tender of Service and Letter of Intent for Personal Property Household Goods and Unaccompanied Baggage Shipments 62878 125 859472 0702 0702-0027 12/31/2001 Signature and Tally Record 5000 0 100000 0702 0702-0060 06/30/2002 Pre-Candidate Procedures 8258 0 65100 0702 0702-0061 08/31/2002 Candidate Procedures 17603 0 85225 0702 0702-0062 06/30/2002 Offered Candidate Procedures 1100 0 13200 0702 0702-0064 12/31/2002 International Military Student Information 750 0 3000 0702 0702-0073 12/31/2002 Army ROTC 4-Year Scholarship Application 5625 0 7500 0702 0702-0083 09/30/2002 Application for the U.S. Army 2-Year and 3-Year Scholarship 1935 0 3870 0702 0702-0088 12/31/2001 Freight Carrier Qualification Statement/Required Documents 8500 0 1000 0702 0702-0110 02/28/2003 Application and Agreement for Establishment of a National Defense Cadet Corps Unit 35 0 35 0702 0702-0111 02/28/2003 Army ROTC Referral Information 4075 0 16300 0702 0702-0115 12/31/2003 Survey of Army Applicants who were Qualified not Enlisted (QNE) or Those Who Entered the Delayed Entry Program (DEP) But Chose Not to Enlist 784 0 2240 0702 0702-0116 12/31/2004 West Point Engineering Graduates Surveys 218 0 519 0703 0703-0006 09/30/2002 Facilities Available for the Construction or Repair of Ships 680 0 151 0703 0703-0011 09/30/2004 Academic Certification for Marine Corps Officer Candidate Program 625 0 2500 0703 0703-0012 02/28/2003 Personal Information Questionnaire 8350 0 16700 0703 0703-0014 08/31/2002 Application for MSC Afloat Employment 23400 0 11700 0703 0703-0016 09/30/2004 Individual MCJROTC Instructor Evaluation Summary 220 0 440 0703 0703-0026 02/28/2003 Application Forms Booklet, Naval Reserve Officers Training Corps Scholarship Program 56000 0 14000 0703 0703-0029 12/31/2002 Application for Commission or Warrant Rank, USN or USNR 10000 0 20000 0703 0703-0036 02/28/2003 Candidate Application Procedures for the United States Naval Academy 40000 0 10000 0704 0704-0003 09/30/2003 Application for Correction of Military Records Under the Provisions of Title 10, U.S. Code, Section 1552 14000 0 28000 0704 0704-0004 11/30/2003 Application for the Review of Discharge or Dismissal from the Armed Forces of the United States 6000 0 8000 0704 0704-0006 11/30/2004 Request for Verification of Birth 8300 0 100000 0704 0704-0007 02/29/2004 Policy Record Check 56250 5 125000 0704 0704-0020 07/31/2002 Application for Uniformed Services Identification Card, DEERS Enrollment 280531 0 1683183 0704 0704-0030 12/31/2002 Disposition of Remains; Reimbursable Basis Request for Payment of Funeral and/or Interment Expenses 425 0 2450 0704 0704-0055 10/31/2004 Department of Defense Application for Priority Rating for Production or Construction Equipment 610 0 610 0704 0704-0056 12/31/2001 Tender of Service, Mobile Homes/Boats 444 0 125 0704 0704-0069 08/31/2002 Youth Attitude Tracking Study (YATS) 5618 0 13050 0704 0704-0100 10/31/2004 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 1500 2 3000 0704 0704-0125 09/30/2004 Post-election Survey of Overseas Citizens, Post-election Survey of Local Election Officials 401 0 2403 0704 0704-0152 05/31/2003 DOD Educational Loan Repayment Program (LRP) 4500 0 27000 0704 0704-0155 08/31/2003 Marine Corps Advertising Awareness and Attitude Tracking Study 1120 0 3200 0704 0704-0167 11/30/2004 Request for Reference 7167 0 43000 0704 0704-0173 09/30/2003 Record of Military Processing - Armed Forces of the United States 170000 0 510000 0704 0704-0187 12/31/2002 Information Collection in Support of the DoD Acquisition Process (Solicitation Phase) 23986320 0 2338668 0704 0704-0188 08/31/2002 Acquisition Management Systems and Data Requirements Control List (AMSDL) 52628400 0 478440 0704 0704-0190 02/28/2003 Appointment of Chaplains for the Military Services 614 0 797 0704 0704-0194 06/30/2004 Department of Defense Security Agreement, Appendage, and Certificate Pertaining to Foreign Interests 9493 0 6400 0704 0704-0207 10/31/2004 Militarily Critical Technical Data Agreement 2000 0 6000 0704 0704-0214 12/31/2002 Special Contracting Methods -- Defense Federal Acquisition Regulation Supplement Part 217 and Related Provisions and Clauses in DFARS 252.217 1372401 0 95520 0704 0704-0216 08/31/2003 Defense Federal Acquisition Regulation Supplement (DFARS) Part 228, Bonds and Insurance, and related clauses at 252.228 859 0 49 0704 0704-0221 05/31/2002 Request for Visit Authorization 6805 32 40832 0704 0704-0225 08/31/2004 Defense Federal Acquisition Regulation Supplement Part 204, Administrative Matters, and related clauses at 252.204 13758 0 22602 0704 0704-0229 03/31/2004 Defense Federal Acquisition Supplement Part 225, Foreign Acquisition, and related clauses at Part 252.225. 374268 0 223942 0704 0704-0231 06/30/2004 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... 400 0 800 0704 0704-0232 08/31/2004 Defense Federal Acquisition Regulation Supplement (DFARS) Subpart 215.8, Price Negotiation, and related clauses at 252.215. 5350 0 141 0704 0704-0245 07/31/2004 Defense Federal Acquisition Regulation Supplement (DFARS) Part 247, Transportation, and related clauses at 252.247 149874 0 464682 0704 0704-0246 01/31/2003 Government Property -- Defense Federal Acquisition Regulation Supplement (DFARS) Part 245 and Related Clauses in DFARS 252 and Related Forms in DFARS 253 50170 0 42497 0704 0704-0248 10/31/2004 Defense Federal Acquisition Regulation Supplement, Appendix F, Material Inspection and Receiving Report 988000 0 7800000 0704 0704-0250 01/31/2003 Contract Administration -- Defense Federal Acquisition Regulation Supplement (DFARS) Part 242 and Related Clauses in DFARS 252 and Related Forms in DFARS 253 268795 0 86215 0704 0704-0252 10/31/2004 Defense Federal Acquisition Regulation Supplement, Use of Government Sources by Contractors, and related clauses in Part 252 5250 0 10500 0704 0704-0253 07/31/2004 Subcontracting Policies and Procedures - DOD FAR Supplement Part 244 1440 0 90 0704 0704-0255 10/31/2004 Defense Federal Acquisition Regulation Supplement Part 236, Construction and Architect-Engineer Contracts, and Related Clauses at 252.236 276625 0 2740 0704 0704-0259 09/30/2002 Types of Contracts -- Defense Federal Acquisition Supplement Part 216 and Related Clauses in Part 252.216 1212 0 302 0704 0704-0264 06/30/2004 Registration for Scientific and Technical Information Services 833 0 2000 0704 0704-0267 04/30/2004 Defense Federal Acquisition Regulation Supplement (DFARS) Part 230, Cost Accounting Standards Administration, and DD Form 1861, Contract Facilities Capital Cost of Money 420580 0 42058 0704 0704-0272 08/31/2004 Defense Federal Acquisition Regulation Supplement (DFARS) Subpart 223, Environment, Conservation, and Occupational Safety; and Related Clauses at DFARS Part 252 9997 0 14726 0704 0704-0286 08/31/2004 Defense Federal Acquisition Regulation Supplement Part 205, Publicizing Contract Actions, and DFARS 252.205-7000, Provision of Information to Cooperative Acreement Holders 6153 0 6153 0704 0704-0290 06/30/2003 Armed Forces Participation in Public Events 5547 0 43000 0704 0704-0295 12/31/2001 Reimbursement Information, Psychiatric Residential Treatment Centers Serving Children and Adolescents 240 0 20 0704 0704-0305 09/30/2003 Telecommunications Service Priority System 4815 0 3940 0704 0704-0320 04/30/2002 Procurement Technical Assistance Cooperative Agreement Performance Report 1344 0 168 0704 0704-0321 05/31/2003 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 7740 0 5160 0704 0704-0323 07/31/2003 Third Party Collection Program (Record of Other Health Insurance) 12030 0 293401 0704 0704-0324 05/31/2004 Department of Defense Public and Community Service (PACS) Program 276 0 1165 0704 0704-0328 12/31/2001 DoD Buidling Pass Application 10200 0 10200 0704 0704-0332 03/31/2004 Defense Federal Acquistion Regualtion Supplement (DFARS) Appendix I - - DOD Pilot Mentor Protege Program 931 0 393 0704 0704-0334 09/30/2004 Automated Repatriation Reporting System 1667 0 5000 0704 0704-0336 10/31/2004 Defense Federal Acquisition Regulation Supplement (DFARS) 223.570, Drug-Free Work Force, and DFARS clause 252.223-7004, Drug-Free Work Force 821052 0 15152 0704 0704-0341 10/31/2004 Defense Federal Acquisition Regulation Supplement (DFARS) Part 239, Acquisition of Information Technology, and associated clauses at DFARS 252.239-7000 and 252.239-7006 1806 0 1598 0704 0704-0347 06/30/2003 Request for Approval for Qualification Training and Approval of Contractor Flight Crewmember 7 0 81 0704 0704-0351 05/31/2003 Joint Recruiting Advertising Program (JRAP) 13239 0 141497 0704 0704-0357 12/31/2002 Validation of Public or Community Service Employment Performed by Retired Personnel Retired under the Temporary Early Retirement Authority (TERA) for Increased Retirement Compensation 296 0 1775 0704 0704-0359 08/31/2004 Defense Federal Acqusition Regulation Supplement (DFARS) Part 232 Contract Financing, and related clause at DFARS 252.232-7007, Limitation of Government's Obligation 800 0 800 0704 0704-0364 06/30/2002 Continued Health Care Benefit Program (CHCBP) Application 150 0 600 0704 0704-0366 03/31/2004 National Security Education Program (NSEP Grants to Institutions of Higher Education) 1619 0 185 0704 0704-0367 05/31/2004 Indebtedness of Military Personnel -Involuntary Allotments 4657 17 9314 0704 0704-0368 03/31/2004 National Security Education Program (Service Agreement Report for Scholarshi8p and Fellowship Awards) 100 0 600 0704 0704-0369 11/30/2003 Defense Federal Acquisition Regulation Supplement Subparts 227.72, Rights in Computer Software and Computer Software Documentation; and related clauses and provisions at 252.227 4320447 0 1185005 0704 0704-0377 04/30/2002 Industrial Capabilities Questionnaire 153600 0 12800 0704 0704-0380 08/31/2004 Commissary Customer Service Survey 500 0 7500 0704 0704-0382 12/31/2001 End-Use Certificate 13200 0 40000 0704 0704-0384 08/31/2002 DoD Request for Personnel Security Investigation 8041 0 32164 0704 0704-0386 10/31/2004 Defense Federal Acquisition Regulation Supplement (DFARS) Part 219, Small Business Programs and Associated Clauses in Part 252.219 41 0 1 0704 0704-0390 04/30/2002 Taxes -- Defense Federal Acquisition Regulation Supplement (DFARS) Part 229 and Related Clauses at 252.229 68 0 17 0704 0704-0391 08/31/2003 Defense Export Loan Guarantee (DELG) Application 20 0 20 0704 0704-0392 02/28/2003 Technical Assistance for Public Participation (TAPP) Application 1060 0 265 0704 0704-0394 06/30/2003 Defense Reutilization and Marketing Service Customer Comment Card 200 0 800 0704 0704-0395 07/31/2003 Pentagon Reservation Parking Permit Application 833 0 10000 0704 0704-0396 08/31/2003 Department of Defense Medical Examiniation Review Board Medical Information Collection Forms 19000 0 19000 0704 0704-0397 03/31/2003 Contract Modifications - Defense Federal Acquisition Regulation Supplement (DFARS) Part 243 and Associated Clauses at 252.243 2120 0 440 0704 0704-0398 08/31/2004 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 771 0 771 0704 0704-0400 12/31/2003 Central Contractor Registration (CCR) 150000 0 300000 0704 0704-0402 11/30/2004 Application for Annuity - Certain Military Surviving Spouses 200 2 200 0704 0704-0403 08/31/2004 Customer Satisfaction Survey - Generic Clearance 415 0 2492 0704 0704-0407 06/30/2002 Commissary Evaluation and Utility Surveys, Generic 5000 0 50000 0704 0704-0411 02/28/2003 Exceptional Family Member Program 7400 2 16470 0704 0704-0412 07/31/2003 Defense Federal Acquisition Regulation Supplement (DFARS) Appendix I, DOD Pilot Mentor Protege Program Improvements 435 0 145 0704 0704-0413 08/31/2003 Medical Screening of Military Personnel 135833 0 850000 0704 0704-0415 03/31/2004 Application for Department of Defense Common Access Card - Deers Enrollment 100000 0 300000 0704 0704-0416 12/31/2003 Defense Systems Management College (DSMC) Information Technology Study 2500 0 1000 0704 0704-0417 09/30/2004 Personnel Security Investigation Projection for Industry Survey 13750 0 11000 0704 0704-0418 02/29/2004 Personnel Security Clearance Change Notification 45160 0 225.800 0704 0704-0420 04/30/2004 Interactive Customer Evaluation System (ICE) 144 0 2880 0710 0710-0001 03/31/2002 Corps of Engineers Civil Works Questionnaires, Generic Clearance 15923 0 112400 0710 0710-0003 12/31/2004 Application for a Department of the Army Permit 340000 0 85500 0710 0710-0005 09/30/2003 Record of Arrivals and Departures of Vessels at Marine Terminals. 2500 0 5400 0710 0710-0006 09/30/2003 Vessel Operation Report 44479 0 228752 0710 0710-0007 12/31/2001 Terminal and Transfer Facilities Descriptions 372 0 1489 0710 0710-0008 12/31/2001 Lock Performance Monitoring System (PMS) Waterway Traffic Report 28507 0 695304 0710 0710-0009 10/31/2004 Description of Vessels, Description of Operations 2000 0 2500 0710 0710-0013 02/29/2004 Shipper's Export Declaration (SED) Program 29737 0 164367 0720 0720-0001 08/31/2003 Health Insurance Claim Form 3625000 0 14500000 0720 0720-0003 06/30/2002 Statement of Personal Injury; Possible Third-Party Liability Liability, CHAMPUS 9833 0 29500 0720 0720-0005 08/31/2003 Professional Qualifications, Medical and Peer Reviewers 30 0 60 0720 0720-0006 09/30/2002 CHAMPUS Claims Patient's Request for Medical Payment 239000 0 956000 0720 0720-0008 11/30/2002 TRICARE Enrollment Application Form 143802 0 575210 0720 0720-0015 12/31/2003 TRICARE Retiree Dental Program Enrollment Application 12500 0 50000 0720 0720-0018 08/31/2002 TRICARE Senior Prime Enrollment Application Form 4000 0 12000 0720 0720-0020 05/31/2002 Application for CHAMPUS-Provider Status: Corporate Services Provider 333 0 1000 0720 0720-0021 09/30/2002 Armed Forces Health Professions Loan Repayment Program Loan Information and Verification Form 50 0 100 0720 0720-0022 12/31/2002 Department of Defense Reserve Forces Dental Examination 41250 0 825000 0720 0720-0023 07/31/2003 Pharmacy Redesign Pilot Program 333 0 2000 0720 0720-0024 06/30/2003 Survey of Prescribers in Military Treatment Facilities and TRICARE Contracts 300 0 900 0720 0720-0025 12/31/2001 TRICARE for Life Beneficiary Information Update Form 99600 0 1200000 0720 0720-0027 10/31/2004 Health Evaluation Assessment Review (HEAR 2.X) 703248 0 2106071 0730 0730-0001 03/31/2002 Child Annuitant's School Certification 720 0 3600 0730 0730-0002 04/30/2004 Statement of Claimant Requesting Recertified Check 9042 0 108500 0730 0730-0003 06/30/2004 Customer Satisfaction Surveys - Generic 2000 0 15000 0730 0730-0005 12/31/2003 Personal Check Cashing Agreement 193000 0 386000 0730 0730-0008 11/30/2004 Application for Former Spouse Payments from Retired Pay 5064 0 20520 0730 0730-0009 03/31/2002 Waiver/Remission of Indebtedness Application 23000 0 11500 0730 0730-0010 05/31/2002 Custodianship Certificate to Support Claim on Behalf of Minor Children of Deceased Members of the Armed Forces 60 0 300 0730 0730-0011 08/31/2003 Physician Certificate for Child Annuitant 24 0 120 0730 0730-0012 09/30/2003 Trustee Report 150 0 300 0730 0730-0013 09/30/2003 Application for Trusteeship 13 0 50 0730 0730-0014 05/31/2004 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 24300 0 19440 0730 0730-0015 04/30/2004 Request for Information Regarding Deceased Debtor 833 0 10000 0790 0790-0003 09/30/2004 Base Realignment and Closure (BRAC) Military Base Reuse Status 150 0 150 0790 0790-0004 02/29/2004 Revitalizing Base Closure Communities, Economic Development Conveyance Annual Financial Statement 2840 0 71 0910 0910-0001 12/31/2001 Application for FDA Approval to Market a New Drug 2121270 0 21200 0910 0910-0012 12/31/2001 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 45137 0 6750 0910 0910-0014 09/30/2002 Investigational New Drug (IND) Regulations 17240565 0 372620 0910 0910-0016 10/31/2003 Food Additive Petitions 69320 0 13 0910 0910-0021 07/31/2003 Interstate Shellfish Dealer's Certificate 204 0 58 0910 0910-0025 11/30/2003 Reporting and Recordkeeping Requirements and Availability of Sample Electronic Products for Manufacturers and Distributors of Electronic 324957 0 47343 0910 0910-0027 08/31/2004 Voluntary Registration of Cosmetics Product Establishment 20 0 1 0910 0910-0030 12/31/2002 Cosmetic Product Voluntary Reporting Program -- 21 CFR Part 720 1662 0 5582 0910 0910-0032 07/31/2004 New Animal Drug Application, 21 CFR Part 514 383793 0 1582 0910 0910-0037 09/30/2002 Food Canning Establishment Registration, Process Filing and Recordkeeping for Acidified Foods and Thermally Processed Low-Acid Foods in Hermetically Sealed Containers 1466250 0 12 0910 0910-0045 07/31/2004 Registration of Producers of Drugs and Lisitng of Drugs in Commercial Distribution 33112 0 66223 0910 0910-0046 08/31/2003 Electronic Importer's Entry Notice 354714 0 2533355 0910 0910-0052 02/28/2003 Blood Establishment Registration and Product Listing -- Form FDA 2830 1969 0 3600 0910 0910-0053 10/31/2004 Radioactive Drug Research Committee (RDRC) Report on Research Use of Radioactive Drug Study Summary 2910 0 411 0910 0910-0073 07/31/2004 Medical Devices: Current Good Manufacturing Practice (CGMP), Quality System (Q/S) Regulation; 21 CFR Part 820 3167670 1182 1 0910 0910-0078 08/31/2003 Investigational Device Exemptions Reports and Records - 21 CFR 812 61021 0 4527 0910 0910-0114 08/31/2003 Administrative Detention and Banned Medical Devices 461 0 26 0910 0910-0116 11/30/2003 Current Good Manufacturing Practices and Related Regulations for Blood and Blood Components 332403 0 397 0910 0910-0117 01/31/2002 New Animals Drugs for Investigational Use -- 21 CFR Part 511 71376 0 21510 0910 0910-0119 09/30/2004 Good Laboratory Practice (GLP) Regulations for Nonclinical Laboratory Studies - 21 CFR Part 58 1311157 0 36150 0910 0910-0120 09/30/2004 Premarket Notification 510(K) Submissions 331000 0 4000 0910 0910-0129 05/31/2003 Applications for Exemption From Federal Preemption of State and Local Medical Device Requirements-21 CFR Part 808 330 0 3 0910 0910-0130 09/30/2004 Protection of Human Subjects; Recordkeeping and Reporting Requirements for Institutional Review Boards (IRB's) 131400 0 29200 0910 0910-0131 11/30/2003 Agreement for Shipments of Devices for Sterilization 7200 0 1800 0910 0910-0132 11/30/2003 Affirmation of Generally Recognized as Safe GRAS Status 2614 0 1 0910 0910-0133 10/31/2002 Temporary Marketing Permit Applications 91 0 11 0910 0910-0138 01/31/2003 Reclassification Petitions for Medical Devices 5500 0 11 0910 0910-0139 06/30/2002 Current Good Manufacturing Practice; Proposed Amendment of Certain Requirements for Finished Pharmaceuticals 848625 0 4184 0910 0910-0152 09/30/2004 Current Good Manufacturing Practice for Medicated Feed, 21 CFR Part 225 7317151 0 36444150 0910 0910-0154 09/30/2004 Good Manufacturing Practice for Type A Medicated Articles, 21 CFR Part 226 187450 0 180550 0910 0910-0167 07/31/2004 Orphan Drug Products 20964 0 1 0910 0910-0171 01/31/2003 Hearing Aid Devices: Professional and Patient Labeling and Conditions for Sale 986369 0 1600000 0910 0910-0182 04/30/2004 Use of Impact Resistant Lenses in Eyeglasses and Sunglasses OMB No. 0910-0182 19225 0 23070000 0910 0910-0183 02/28/2003 Citizen Petition 1440 0 120 0910 0910-0184 03/31/2003 Filing Objections and Requests for a Hearing on a Regulation or Order 1200 0 60 0910 0910-0185 09/30/2002 Labeling Requirements for Color Additives (Other Than Hair Dyes) and Petitions (Formerly Color Additive Petitions) 9330 14 5 0910 0910-0186 04/30/2003 Irradiation in the Production, Processing and Handling of Food 360 0 360 0910 0910-0188 07/31/2002 Infant Formula Recall Regulations -- 21 CFR Part 107 18956 0 3 0910 0910-0191 03/31/2003 Notice of Participation - 21 CFR 12.45 90 0 1 0910 0910-0192 03/31/2004 Petition for Administrative Reconsideration of Action - 21 CFR 10.33 120 0 12 0910 0910-0193 03/31/2003 Advisory Opinions 48 0 1 0910 0910-0194 03/31/2004 Petition for Administrative Stay of Action - 21 CFR 10.35 130 0 13 0910 0910-0206 08/31/2003 Request for Samples and Protocols 21878 0 7221 0910 0910-0212 09/30/2002 Regulations under the Federal Import Milk Act -- 21 CFR Part 1210 1212 0 812 0910 0910-0216 08/31/2004 Color Additive Certification Requests and Recordkeeping 2172 0 4346 0910 0910-0230 05/31/2002 Adverse Drug Experience Reporting 345114 0 18 0910 0910-0231 08/31/2004 Premarket Approval of Medical Devices; 21 CFR Part 814 107321 0 487 0910 0910-0233 09/30/2004 Patent Term Restoration, due Diligence Petitions, Filing, Format, and Content of Petitions 100 0 1 0910 0910-0249 10/31/2004 FDA Recall Regulations 157675 0 12985 0910 0910-0256 02/29/2004 Infant Formula Requirements 25560 0 40 0910 0910-0264 11/30/2003 Export of Medical Devices - Foreign Letters of Approval 50 0 20 0910 0910-0275 10/31/2002 State Enforcement Notification -- 21 CFR 100.2(d) 10 0 1 0910 0910-0277 10/31/2002 State Petitions for Exemption from Preemption 40 0 1 0910 0910-0279 06/30/2004 Year 2001 Updates of a National Survey of Prescription Drug Informaion Provided to Patients 609 0 1 0910 0910-0291 04/30/2003 MedWatch: The FDA Medical Products Reporting Program 332414 0 332414 0910 0910-0297 02/29/2004 User Fee Cover Sheet 876 0 2921 0910 0910-0298 02/29/2004 Food additives; Threshold of Regulation for Substances Used in Food-Contact Articles 288 0 6 0910 0910-0302 03/31/2004 Human Tissue Intended for Transplantation 382388 0 56 0910 0910-0303 05/31/2003 Electronic Records: Electronic Signatures 270000 0 4500 0910 0910-0305 07/31/2004 Abbreviated New Drug Application Regulations; Patent and Exclusivity Provisions 3083 0 1052 0910 0910-0308 04/30/2003 Adverse Experience Reporting for Licensed Biological Products; and General Records 268803 0 17406 0910 0910-0309 02/29/2004 Mammography Facilities, Standards, and Lay Summaries For Patients 3516183 21 39996722 0910 0910-0315 08/31/2003 General Licensing Provisions: Changes to an Approved Application; Labeling; and Revocation and Suspension 112360 655 3768 0910 0910-0320 08/31/2004 Request for Information from U.S. Processors that Export to the European Community 555 0 206 0910 0910-0322 08/31/2003 21 CFR 25 - Environmental Impact Considerations 230040 0 10941 0910 0910-0325 09/30/2002 Extralabel Drug Use in Animals 8320 0 2 0910 0910-0330 07/31/2002 Premarket Notification for a New Dietary Ingredient 220 0 1 0910 0910-0331 07/31/2002 Food Labeling: Notification Procedures for Statements on Dietary Supplements 700 0 1 0910 0910-0332 12/31/2002 Medical Devices; Humanitarian Use Devices -- 21 CFR Part 814, Subpart H 11398 0 129 0910 0910-0336 01/31/2003 Current Good Manufacturing Practices for Blood and Blood Components; Notification of Consignees Receiving Blood and Blood Components at Increased Risk for Transmitting HIV 80926 0 375076 0910 0910-0337 11/30/2003 Medicated Feed Mill License Application 72 0 175 0910 0910-0338 03/31/2003 Application to Market a New Drug, Biologic, or Antibiotic Drug for Human Use - Form FDA 356h 602856 0 21252 0910 0910-0339 02/29/2004 Substances Prohibited from use in Animal Food or Feed; Animal Proteins Prohibited in Ruminant Feed, 21 CFR 589.2000 14420 0 1 0910 0910-0340 05/31/2002 Over-The-Counter Human Drugs; Labeling Requirements 120578 0 39932 0910 0910-0341 05/31/2003 FDA Safety Alert/Public Health Advisory Readership Survey 157 0 924 0910 0910-0342 05/31/2003 Notice of a Claim for GRAS exemption based on a GRAS Determination 9900 0 60 0910 0910-0345 02/29/2004 Food Safety Survey 1000 0 2000 0910 0910-0352 11/30/2003 Latex Condoms; User Labeling - Expiration Dating (21 CFR 801.435) 4320 0 45 0910 0910-0353 03/31/2004 Sterility Requirement for Aqueous-Based Drug Products for Oral Inhalation; final rule 1178 0 18 0910 0910-0354 02/29/2004 Procedures for the Safe Processing and Importing of Fish and Fishery Products; 21 CFR Part 123 627075 0 5850 0910 0910-0356 02/29/2004 Substantial Evidence of Effectiveness of New Animal Drugs 544036 0 860 0910 0910-0359 01/31/2002 Medical Devices: Reports of Corrections and Removals 13200 0 880 0910 0910-0360 03/31/2002 Customer/Partner Service Surveys 6000 0 20000 0910 0910-0361 03/31/2004 Classification/reclassification; Restricted Devices; Analyte Specific Reagents 15000 0 300 0910 0910-0363 10/31/2002 Veterinary Feed Directive (Proposed Rule) 121329 0 1885101 0910 0910-0364 04/30/2004 Nutrition Labeline: Declaration of Caloric Amounts and Serving Sizes for Breath Mints 30 15 30 0910 0910-0368 03/31/2004 OTC Test Sample Collection Systems for Drugs of Abuse Testing - 21 CFR Part 809 2000 0 20 0910 0910-0370 07/31/2004 Specific Requirements on Content and Format of Labeling; Geriatric Use Subsection 1920 0 588 0910 0910-0374 07/31/2002 Guidance for Industry: Notification of a Health Claim or Nutrient Content Claim Based on an Authoritative Statement of a Scientific Body 60 0 60 0910 0910-0375 10/31/2004 Medical Devices; Third Party Review Under FDAMA 7960 0 140 0910 0910-0376 10/31/2004 Transmittal of Advertising and Promotional Labeling for Drugs and Biologics for Human Use 33280 0 16640 0910 0910-0378 02/28/2002 Medical Devices: Third-Party Review Program under the U.S./E.C. MRA 9488 0 212 0910 0910-0381 02/29/2004 Food Labeling Regulations 1594269 16800 509579 0910 0910-0385 12/31/2001 Supplements to Premarket Approval Applications for Medical Devices 32612 0 493 0910 0910-0387 12/31/2001 Medical Devices Registration and Listing 48286 0 29302 0910 0910-0389 06/30/2002 Guidance for Industry: Fast Track Drug Development Programs Designation, Development, and Application Review 9000 0 114 0910 0910-0390 09/30/2002 Dissemination of Information on Unapproved/New Uses for Marketed Drugs, Biologics, and Devices 52208 0 4492 0910 0910-0392 01/31/2002 Regulations Requiring Manufacturers to Assess the Safety and Effectiveness of New Drugs and Biological Products in Pediatric Patients 40571 0 2663 0910 0910-0393 01/31/2002 Prescription Drug Product Labeling, Medication Guide Requirements 2200 0 150011 0910 0910-0395 03/31/2002 Food Labeling: Nutrition Labeling of Dietary Supplements on a "Per Day" Basis 213 0 850 0910 0910-0396 03/31/2002 Financial Disclosure by Clinical Investigators -- 21 CFR Part 54 (Final Rule) 6250 0 1 0910 0910-0409 07/31/2002 Regulation for In Vivo Radiopharmaceuticals Used for Diagnosis and Monitoring 16000 0 8 0910 0910-0416 10/31/2002 Investigational New Drug Applications and New Drug Applications 8128 0 2028 0910 0910-0423 12/31/2002 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... 247 0 2 0910 0910-0427 12/31/2002 Biological Product Regulated under Section 351 of the Public Health Service Act; Implementation of Biologics License; Elimination of Establishment License and Product License 96608 0 136 0910 0910-0428 12/31/2002 Record Retention Requirements for the Soy Protein/CHD Health Claim 30 0 25 0910 0910-0429 12/31/2002 Guidance for Industry on Formal Meetings with Sponsors and Applicants for PDUFA Products 24986 0 1985 0910 0910-0430 12/31/2002 Guidance for Industry on Formal Dispute Resolutions; Appeal Above the Division Level 512 0 64 0910 0910-0431 03/31/2004 Changes to an Approved NDA or ANDA 842020 0 12278 0910 0910-0432 12/31/2002 Medical Device Recall Authority 1082 0 2 0910 0910-0433 02/29/2004 Postmarketing Studies for Human Drugs and Licensed Biological Products; Status Reports 4384 0 548 0910 0910-0435 02/28/2003 Prescription Drug Marketing Act of 1987; Policies, Requirements, and Administrative Procedures 3361996 0 96935065 0910 0910-0437 03/31/2003 Medical Devices; Medical Device Reporting;manufacturer reportiing importer reporting, user facility reporting, distributor reporting 91306 0 39764 0910 0910-0439 04/30/2003 Aluminum in Large and Small Volume Parenterals Used in Total Parenteral Nutrition 3710 0 265 0910 0910-0442 05/31/2003 Medical Devices; Device Tracking (Amended) 2790693 0 10175490 0910 0910-0443 06/30/2003 Survey of Incidence of Gastroenterolocial Parasitic Infections in the United States as a Result of Consumption of Raw Fish 250 0 1 0910 0910-0444 08/31/2003 Food additives; Food Contact Substances Notification System 34100 0 416 0910 0910-0445 09/30/2003 Submitting and Reviewing Complete Responses to Clinical Holds; Guidance for Industry 51688 0 182 0910 0910-0448 11/30/2003 Adoption of FDA Food Code by Local, State, and Tribal Governments 1000 0 1000 0910 0910-0449 11/30/2003 Postmarket Surveillance 23328 0 502 0910 0910-0450 11/30/2003 Guidance for Industry on How to Use E-Mail to Submit a Notice of Intent to Slaughter for Human Food Purposes 27 0 66 0910 0910-0452 11/30/2003 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 116 0 168 0910 0910-0453 11/30/2003 Guidance for Industry on How to Use E-Mail to Submit a Notice of Final Disposition of Animals Not Inded for Immediate Slaughter 262 0 324 0910 0910-0454 11/30/2003 Guidance: How to Use E-Mail to Submit Information to the Center for Veterinary Medicine 140 0 140 0910 0910-0455 11/30/2003 Documentation for demonstrating compliance with the Channels 1529 1 83 0910 0910-0456 01/31/2004 PHS (Public Health Service) Guideline on Infectious Disease Issues in Xenotransplantation 343 0 53 0910 0910-0457 02/28/2002 Emergency Health Surveys 4000 0 2000 0910 0910-0458 02/29/2004 Biological Products: Reporting of Biological Product Deviations 261648 0 60751 0910 0910-0459 03/31/2004 Information Program on Clinical Trials for Serious and Life- Threatening Diseases 202496 0 34660 0910 0910-0461 02/29/2004 Substances Approved for Use in the Preparatin of Meat and Poultry Products 20 0 10 0910 0910-0466 03/31/2004 Hazard Analysis and Critical Control Point (HACCP) Procedures for the Safe and Sanitary Processing of Juice (21 CFR Part 120) 358465 0 15035 0910 0910-0467 04/30/2004 Request for Review of Scientific Disputes Concerning the Regulation of Medical Devices 120 0 6 0910 0910-0468 12/31/2001 Focus Group Study of Radiation Disclosure Statement Options 81 0 1 0910 0910-0469 07/31/2004 Human Cells, Tissues, and Cellular and Tissue-Based Products; Establishments Registration and Listing; Final Rule 1525 0 1225 0910 0910-0470 07/31/2004 Guidance for Industry on Special Protocol Assessment 3180 0 240 0910 0910-0471 07/31/2004 Adverse Event Pilot Program for Medical Devices 934 0 1245 0910 0910-0472 08/31/2004 Requirements for Testing Human Blood Donors for Evidence of Infection Due to Communicable Disease Agents 3125 0 29356 0910 0910-0474 08/31/2004 General Requirements for Blood, Blood Components, and Blood Derivatives; Donor Notification 141681 0 416021 0910 0910-0477 10/31/2004 Survey of Single-Use Medical Device (SUD) Reuse and Reprocessing in Hospitals 659 0 5272 0910 0910-0478 05/31/2003 Consumer and Producer Surveys on Economic Issues 6500 0 5000 0910 0910-0479 06/30/2003 Assessment of Physician and Patient Attitudes Toward Direct-to-Consumer (DTC) Promotion of Prescription Drugs 637 0 1 0915 0915-0028 03/31/2004 Scholarship Program for Students of Exceptional Financial Need (EFN) and Program of Financial Assistance for Disadvantages Heal Professions Students (FADHPS) Application 14 0 80 0915 0915-0034 07/31/2003 Health Education Assistance Loan (HEAL) Program: Forms 13703 0 227552 0915 0915-0036 07/31/2002 Health Education Assistance Loan (HEAL) Program: Lender's Application for Insurance Claim Form and Request for Collection Assistance Form 4958 11 26700 0915 0915-0043 10/31/2003 Health Education Assistance Loan (HEAL) Program Information Collection Requirements - Forms 6066 0 12088 0915 0915-0044 12/31/2002 Health Professions Student Loan (HPSL) and Nursing Student Loan (NSL) Programs, Forms 6934 0 11660 0915 0915-0047 07/31/2002 Health Professions Students Loan (HPSL) Program and Nursing Student Loan (NSL) Program: Administrative Requirements (Regulations and Policy) 47633 0 121502 0915 0915-0060 06/30/2003 HRSA Competing Training Grant Application 70313 27 12540 0915 0915-0061 04/30/2003 The Uniform Progress Reports (UPR) for HRSA Continuation Training Grants 6260 0 626 0915 0915-0077 01/31/2003 Uncompensated Services Assurance Report 152498 0 155080 0915 0915-0081 07/31/2003 Black Lung Clinics Program (42 CFR 55a and Program Guidelines) 1 0 14 0915 0915-0099 11/30/2003 Grants for Hospital Construction and Modernization - Federal Rights of Recovery and Waiver of Recovery (42 CFR 124, Subpart H) 60 0 20 0915 0915-0108 12/31/2003 Health Education Assistance Loan (HEAL) Program Regulation - 42 CFR Part 60 95290 0 504661 0915 0915-0126 04/30/2002 The National Practitioner Data Bank for Adverse Information on Physicians and Other Health Care Practitioners: Regulations and Forms 336757 14707 3542355 0915 0915-0127 03/31/2002 The National Health Service Corps (NHSC) Loan Repayment Program 1211 0 845 0915 0915-0140 03/31/2004 Nursing Education Loan Repayment Agreements 1050 3 1050 0915 0915-0142 08/31/2002 Application for Certification as a Federally Qualified Health Center Look-Alike 5560 1 174 0915 0915-0146 07/31/2003 The Application for Participation in the National Health Service Corps Scholarship Program 3100 8 3100 0915 0915-0149 11/30/2003 Scholarships for Disadvantaged Students Applications 12600 0 450 0915 0915-0150 12/31/2002 Faculty Loan Repayment Program (FLRP) Application 110 0 160 0915 0915-0151 01/31/2002 Ryan White CARE Act Dental Reimbursement Program 1838 0 105 0915 0915-0157 12/31/2002 Organ Procurement and Transplantation Network and Scientific Registry of Transplant Recipients Data System 80362 0 376520 0915 0915-0158 12/31/2003 Grantee Reporting Requirements for the Ryan White Comprehensive AIDS Resources Emergency Act of 1990 - Title III 22240 0 278 0915 0915-0166 01/31/2003 Annual Administrative Reporting System for Ryan White Comprehensive AIDS Resources Emergency (CARE) Act of 1990, Titles I and II 68241 72 2882 0915 0915-0172 04/30/2003 Maternal and Child Health Services Block Grant Annual Report, Needs Assessment and Application Guidance 19858 0 59 0915 0915-0174 06/30/2003 Loan Information System Records for the DHHS and DHUD Hospital Mortgage Insurance, Guarantee, and Direct Loan Programs 150 0 150 0915 0915-0176 10/31/2003 Drug Pricing Program Reporting Requirements 94 0 9 0915 0915-0179 02/29/2004 Deferment Request Form for the National Health Service Corps Scholarship Program 700 0 700 0915 0915-0184 06/30/2004 Organ Procurement and Transplantation Network 4862 0 36460 0915 0915-0185 04/30/2004 Pilot Test of the Community Health Center/National Health Service Corp User/Visit Survey 343 0 550 0915 0915-0188 10/31/2004 Data Collection and Reporting Requirements for Healty Schools, Healthy Communities 530 10 265 0915 0915-0192 07/31/2002 The National Survey of Registerd Nurses 2000 13120 0 39360 0915 0915-0193 07/31/2002 Uniform Data System 18624 76 712 0915 0915-0204 03/31/2004 Health Education Assistant Loan (HEAL) Program: Physicians's Certification of Borrower's Total and Permanent Disability Form 88 2 351 0915 0915-0206 12/31/2003 Ryan White Comprehensive AIDS Resources Emergency Act of 1990, Amended 1996 - Title IV 9714 403 178 0915 0915-0208 09/30/2002 Professional Training and Information Questionnaire 68 0 339 0915 0915-0212 03/31/2003 Voluntary Partnership Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration 5075 0 52050 0915 0915-0218 04/30/2002 Grantee Reporting Requirements for the Rural Health Network Grant Program 82 0 66 0915 0915-0219 11/30/2003 AIDS Drug Assistance Program Monthly Report for Ryan White Comprehensive AIDS Resources Emergency Act Amendments of 1996, Titles I and II 648 0 864 0915 0915-0226 10/31/2004 NHSC and Native Hawaiian Health Scholarship Programs Data Collection Worksheet 300 0 1 0915 0915-0227 10/31/2004 Health Education Assistance Loan (HEAL) Program: Refinancing Application/Promissory Note 1297 0 3704 0915 0915-0230 12/31/2001 NHSC Recruitment and Retention Assistance Application 750 0 1000 0915 0915-0232 02/28/2002 National Health Service Corps Uniform Data System 8060 0 620 0915 0915-0233 03/31/2002 Disadvantaged Assistance Tracking and Outcome Report (DATOR) for Health Careers Opportunity Program and Centers of Excellence Program 200 0 1 0915 0915-0234 05/31/2002 NHSC Waiver Request Worksheets 638 0 1200 0915 0915-0236 08/31/2002 Assessment of Factors Influencing the Adequacy of Health Care Services to Children in Foster Care and Other Out-of-Home Placements 1000 0 320 0915 0915-0239 03/31/2004 Healthcare Integrity and Protection Data Bank for Final Adverse Information on Health Care Providers, Suppliers and Practitioners (45 CFR 61) 187169 2107 1282004 0915 0915-0244 12/31/2003 Ricky Ray Hemophilia Relief Fund Program 4725 0 2025 0915 0915-0245 07/31/2003 They Ryan White CARE Act Client Demonstration Project Reporting System 26149 0 52298 0915 0915-0247 02/29/2004 Children's Hospital Graduate Medical Education Program 8095 0 54 0915 0915-0248 08/31/2003 The Impact of the State Child Health Insurance Program on Selected Community Health Centers and Maternal and Child Health Programs 139 0 420 0915 0915-0249 12/31/2001 Increasing Donor Awareness on College Campuses 1156 0 6800 0915 0915-0250 02/29/2004 The National Health Service Corps Scholarship Program In-School Worksheets 276 0 1350 0915 0915-0251 04/30/2002 Social Support for Homeless Mothers: Implications for Best Practices and Program Design 150 0 100 0915 0915-0253 08/31/2004 Ryan White Comprehensive Aids Resources Emergency Act of 1990, Cross-Title Data Report (CTDR) System 96600 0 2586 0915 0915-0254 10/31/2004 U.S. Component of the 2001/2002 World Health Organization Study of Health Behavior in School Children (WHO-HPSC) 13440 0 18671 0915 0915-0256 09/30/2004 Charitable Facility Compliance Alternative (amended) - Final Rule 35 0 5 0917 0917-0006 12/31/2004 IHS Scholarship Program Application 7356 0 15830 0917 0917-0007 12/31/2003 IHS Urban Indian Health Program Common Reporting Requirements 313 0 261 0917 0917-0009 08/31/2002 Indian Health Service Medical Staff Credentials and Privileges Files 2221 0 3709 0917 0917-0014 12/31/2002 Indian Health Service Loan Repayment Program 1137 0 1750 0917 0917-0020 08/31/2002 IHS Registered Nurses Recruitment and Retention Survey 600 0 600 0917 0917-0022 07/31/2003 Evaluation of the Indian Health Service/Bureau of Indian Affairs Training Practitioners Project 236 0 475 0920 0920-0004 03/31/2003 National Disease Surveillance Program II; Disease Summaries 2647 0 326 0920 0920-0006 12/31/2001 Application for Waiver of Inadmissability Under Immigration and Nationality Act 33 0 200 0920 0920-0007 12/31/2001 Weekly and Annual Morbidity and Mortality Reports 4927 0 9365 0920 0920-0008 06/30/2003 Emergency Epidemic Investigations 3000 0 12000 0920 0920-0009 09/30/2002 National Disease Surveillance Program - 1. Case Reports 34038 0 131148 0920 0920-0010 11/30/2002 The National Birth Defects Prevention Study (Formerly Called Metro Atlanta Birth Defects and Factor Surveillance Program) 600 0 1600 0920 0920-0011 02/28/2003 National Sexually Transmitted Diseases (STD) Morbidity Surveillance System 644 0 614 0920 0920-0012 09/30/2003 National Nosocomial Infections Surveillance (NNIS) System 71259 100 92542 0920 0920-0017 04/30/2003 Application for Training 4584 0 55000 0920 0920-0020 05/31/2004 X-Ray Examination Program (42 CFR Part 37) 4791 0 31150 0920 0920-0021 03/31/2003 Regulation 42 CFR 37.204 -- National Coal Workers' Autopsy Study 62 0 150 0920 0920-0026 12/31/2002 Report of Verified Case of Tuberculosis 8338 0 16675 0920 0920-0033 09/30/2002 National Surveillance of Dialysis-Associated Diseases in 3200 0 3200 0920 0920-0102 01/31/2002 Contents of a Request for Health Hazard Evaluation -- 42 CFR 85.3-1 80 0 400 0920 0920-0106 12/31/2001 Preventive Health and Health Services Block Grant 5490 0 122 0920 0920-0109 08/31/2004 Tests and Requirements for Certification and Approval of Respoiratory Protective Devices (42 CFR 84) 97783 0 427 0920 0920-0128 07/31/2003 Congenital Syphilis (CS) Case Investigation and Report Form 260 0 1000 0920 0920-0134 09/30/2004 Foreign Quarantine Regulations 119 0 1923 0920 0920-0138 12/31/2004 Pulmonary Function Testing Course Approval Program 66 0 70 0920 0920-0148 03/31/2003 Specifications and Test for Approval of Coal Mine Dust Personal Sampler Units 44 0 1 0920 0920-0199 06/30/2003 Importation of etiological agents and packaging and handling of infectious substances and select agents 1925 0 5370 0920 0920-0208 07/31/2003 HIV Prevention and Surveillance Project Reports 184 0 260 0920 0920-0210 10/31/2003 List of Ingredients Added to Tobacco in the Manufacture 1788 0 48 0920 0920-0212 10/31/2002 National Hospital Discharge Survey 2484 0 68309 0920 0920-0213 03/31/2003 National Vital Statistics Report Forms 418 0 1880 0920 0920-0214 04/30/2003 National Health Interview Survey: 2002: Basic Module with Topical Modules 48600 0 42000 0920 0920-0215 11/30/2004 Application Form and Related Forms for the Operation of the National Death Index 227 0 780 0920 0920-0217 06/30/2004 NCHS Vital Statistics Training Form 44 0 157 0920 0920-0222 02/29/2004 Questionnaire Research Design Laboratory 600 0 550 0920 0920-0234 08/31/2003 National Ambulatory Medical Care Survey, 2001-2002 11225 0 141000 0920 0920-0237 01/31/2003 National Health and Nutrition Examination Survey (NHANES) 43672 0 19715 0920 0920-0260 06/30/2004 Health Hazard Evaluations/Technical Assistance and Emerging Problems 4093 0 11350 0920 0920-0261 01/31/2004 NIOSH Training Grants, 42 CFR Part 86, Application and Regulations 6150 0 61 0920 0920-0262 06/30/2004 Supplement to HIV/AIDS Surveillance (SHAS) Project 3625 0 3625 0920 0920-0263 02/28/2002 Requirements for a Special Permit to Import Cynomolgus, African Green, or Rhesus Monkeys into the United States 14 0 100 0920 0920-0274 08/31/2004 CDC Model Performance Evaluation Program (MPEP) for Retroviral and AIDS-Related 941 0 3235 0920 0920-0278 07/31/2003 National Hospital Ambulatory Medical Care Surey 13450 0 135785 0920 0920-0282 01/31/2002 Childhood Lead Poisoning Prevention Program Quarterly Report 352 0 176 0920 0920-0295 03/31/2002 National AIDS and STD Hotline Survey of Callers 754 0 35380 0920 0920-0307 11/30/2004 Gonococcal Isolate Surveillance Project 6300 0 1308 0920 0920-0314 04/30/2002 National Survey of Family Growth, Cycle 6 Pretest 1684 0 3500 0920 0920-0322 12/31/2002 Chloera and Other Vibrio Illness Surveillance Report 50 0 150 0920 0920-0337 06/30/2004 National Childhood blood Lead Surveillance System 600 0 188 0920 0920-0338 10/31/2003 List of Ingredients Added to Tobacco in the Manufacture 296 0 7 0920 0920-0353 04/30/2002 National Nursing Home Survey 4500 0 22500 0920 0920-0356 10/31/2002 Measurement of Stress and Stressful Life Events in Black Women of Reproductive Age 983 0 2191 0920 0920-0367 04/30/2002 Studies of Adverse Reproductive Outcomes in Female Occupational Groups 6200 0 6200 0920 0920-0401 06/30/2003 Longitudinal Studies of Chronic Fatigue Syndrome: Sedgwick County Study 36-Month Follow-up 2066 0 4500 0920 0920-0406 03/31/2002 State and Local Area Integrated Telephone Survey (SLAITS) 89743 0 215384 0920 0920-0417 11/30/2003 National Surveillance System for Health Care Workers 37397 10 180510 0920 0920-0425 08/31/2002 Health Assessment of Persian Gulf War Veterans from Iowa: Follow-Up Study on Asthma 1394 0 1914 0920 0920-0427 04/30/2003 The Sentinel Surveillance for Chronic Liver Disease 500 0 500 0920 0920-0428 06/30/2003 PHS Supplements to Application for Federal Assistance (SF 424) 31249 0 16577 0920 0920-0441 03/31/2002 Survey Component of the CDC's Prevention of HIV Infection in 1704 0 3920 0920 0920-0442 03/31/2002 Surveillance for Bloodstream and Vascular Access Infections in Outpatient Hemodialysis Centers 5200 0 22300 0920 0920-0444 01/31/2002 Annual Submission of the Quantity of Nicotine Contained in Smokeless Tobacco Products Manufactured, Imported, or Packaged in the United States 1870 0 11 0920 0920-0445 10/31/2002 School Health Policies and Program Study 2000 (SHPPS 2000) 16581 0 23632 0920 0920-0449 07/31/2002 Evaluation of Customer Satisfaction with the Centers for Disease Control and Prevention Internet Home Page and Links 30667 0 184000 0920 0920-0450 09/30/2002 Children's Longitudinal Development Study 1141 0 1925 0920 0920-0451 12/31/2001 Defining Gulf War Illness 4761 0 5361 0920 0920-0452 09/30/2002 Young People in Alternative Education Settings: Preventing HIV 7680 0 7680 0920 0920-0457 11/30/2002 Aggregate Reports for Tuberculosis Program Evaluation 340 0 136 0920 0920-0458 11/30/2002 Evaluating the Effectiveness of Tailored Occupational Safety and Health Information on the World Wide Web 249 0 1500 0920 0920-0459 11/30/2002 The Development and Implementation of a Theory-Based Health Among Masonry Workers 160 7 480 0920 0920-0460 11/30/2002 Evaluation of Training Intervention Effectiveness of NIOSH Electrical Safety Curriculum 2964 0 8208 0920 0920-0461 11/30/2002 An Evaluation of Targeted Health Communication Messages: Folic Acid and Neural Tube Defects 534 0 3130 0920 0920-0462 11/30/2002 Evaluation of the Effectiveness of Targeted Lookback for Identifying Transfusion Recipients Who Receive Blood That May Have Contained Hepatitis C Virus 8600 0 3440 0920 0920-0463 11/30/2002 Gene: Environmental Interactions in Beryllium Sensitization and Disease Among Current and Former Industry Workers 250 0 250 0920 0920-0465 12/31/2002 Case-Control Study of Lifetime Exposure to Drinking Water Disinfection By-Products and Bladder Cancer in Pet Dogs 561 0 1282 0920 0920-0466 01/31/2003 Management of Occupational Blood Exposures and Antibiotic 900 0 3600 0920 0920-0467 03/31/2003 Studies of Safety for Worker's Eyes 99 0 300 0920 0920-0468 12/31/2001 A Pilot Study to Evaluate CDC's 1998 Guidelines for the Treatment of Sexually Transmitted Diseases Among Clinicians in Two Managed Care Organizations 334 0 1000 0920 0920-0469 03/31/2003 National Program of Cancer Registries - Cancer Surveillance System 126 0 1 0920 0920-0470 07/31/2003 Possible Estuary Associated Syndrome (PEAS) Surveillance 98 0 880 0920 0920-0472 06/30/2003 Assessment of Exposure to Arsenic through Household Water 510 0 2360 0920 0920-0473 06/30/2003 Surveillance and Evaluation of Plasma Donors for the Human Immunodeficiency Virus (HIV) and Hepatitis C Virus (HCV) 218 0 880 0920 0920-0475 06/30/2003 Evaluation of the Public Health Prevention Service (PHPS) Program 55 0 190 0920 0920-0476 06/30/2003 Evaluation of Viral Hepatitis Education Materials 2403 0 14420 0920 0920-0478 07/31/2003 Routine Evaluation of Ongoing NIOSH Worker Notifications 83 0 290 0920 0920-0479 07/31/2003 Implementation of an Automated Management Information System 236 1 118 0920 0920-0480 07/31/2003 An evaluation study of Tuberculosis Control and Prevention measures in Large City and County Jails 138 0 138 0920 0920-0481 01/31/2002 Survey of Laboratory Practices for Mycobacterium Tuberculosis Drug Suscetibility Testing in the U.S. 150 0 200 0920 0920-0482 08/31/2003 Silicosis No Mas!: Evaluation of Materials Used for Outreach to Hispanic Construction Workers 200 0 600 0920 0920-0483 01/31/2002 Survey of Laboratory Practices for Nucleic Acid Amplification for Mycobacterium tuberculosis, 2000 55 0 110 0920 0920-0485 08/31/2003 Evaluating National Dissemination Strategies for Effective HIV Prevention Programs for Youth 1425 0 1824 0920 0920-0486 10/31/2002 Evaluation of Stop It Now! Public Awareness Campaign in 299 0 2518 0920 0920-0487 11/30/2002 Microbial Contamination of Produce: A Field Study in the Lower Rio Grande Valley, Texas 55 0 203 0920 0920-0488 09/30/2003 Restrictions on Interstate Travel of Persons 3600 0 16500 0920 0920-0489 10/31/2002 US-Mexico Border Region Diabetes Prevention and Control Project 2835 0 9179 0920 0920-0491 09/30/2002 An Evaluation of Screening Practices for Intimate Partner Violence in Publicly Funded Family Planning Clinics 285 0 1140 0920 0920-0493 11/30/2003 2001 and 2003 Youth Risk Behavior Surveys 9173 0 12345 0920 0920-0494 11/30/2002 Exposure to Aerosolized Brevetoxins During Red Tide Events 1035 0 2100 0920 0920-0495 12/31/2003 Workplace Exacerbation of Asthma 1084 0 3300 0920 0920-0496 12/31/2003 A Message-Based Intervention for Technology Transfer 1555 0 3800 0920 0920-0497 04/30/2004 Evaluating CDC Funded Health Department HIV Prevention Programs 1248 0 1040 0920 0920-0498 01/31/2002 the Natinal Telephone Survey of Chronic Fatigue Syndrome and Clinical Evaluation Study 916 0 5467 0920 0920-0499 03/31/2004 Jail STD Prevalence Monitoring System 3296 0 64 0920 0920-0500 01/31/2003 Microbial Contamination of Produce: A Field Study in the Lower Rio Grande Valley, Texas 55 0 203 0920 0920-0501 01/31/2003 A Research Program to Develop Optimal NIOSH Alerts for Occupational Safety and Health in Farming 485 0 1620 0920 0920-0502 02/29/2004 Racial and Ethnic Approaches to Community Health (REACH) 7918 0 25200 0920 0920-0503 02/29/2004 The Incidence of Breast and Other Cancers Among Female Flight Attendants 10525 0 11300 0920 0920-0504 02/29/2004 Thyroid Disease in Persons Exposed to Radioactive Fallout from Atomic Weapons Testing at the Nevada Test Site: Phase III 13607 0 40236 0920 0920-0505 08/31/2002 National Survey of Hospital Coagulation Laboratories 425 0 800 0920 0920-0506 12/31/2001 A Survey of U.S. Nursing Homes' Access to Influenza Vaccine and the Health Impact of the Vaccine Delivery Delay During the 2000-01 Influenza Season 573 0 1108 0920 0920-0507 01/31/2003 Geo-Analysis of HIV Prevention Services Provided by CDC to Directly and Indirectly Funded Community Based Organizations (CBOs) 1000 0 2000 0920 0920-0508 03/31/2004 Evaluation Research for the National Bone Health Campaign 1666 0 4000 0920 0920-0510 04/30/2003 Evaluating the Role of Positive and Negative Emotion in Promoting Hearing Conservation Behaviors Among Coal Miners 230 0 680 0920 0920-0511 04/30/2003 Developing Communication to Reduce Workplace Violence and 285 0 6435 0920 0920-0512 06/30/2003 Preventing Latex Allergy Among Non-healthcare Workers 300 0 4960 0920 0920-0513 12/31/2002 Injury Control & Risk Survey-2 (CARIS-2) 5897 0 8500 0920 0920-0515 07/31/2002 Telephone Survey Measuirng HIV/STD Risk Using Standard Methodology 274 0 650 0920 0920-0517 12/31/2001 Consumer Survey of Health Care Provider Publications 75 0 600 0920 0920-0518 10/31/2002 Study of Air Transportation Safety Among Air Carrier Operators and Pilots in Alaska 360 0 680 0920 0920-0519 12/31/2002 Travelers' Health Survey 1400 0 5600 0920 0920-0521 07/31/2003 National Survey of STD Services Provided to US College Students 455 0 955 0920 0920-0522 02/28/2003 Validation of Self-Reported Arthritis Case Definitions in a Managed Care Setting: A Pilot Study 750 0 3500 0920 0920-0523 08/31/2002 SAFE "Know Now" Media Campaign Evaluation 1800 0 7200 0920 0920-0525 10/31/2004 Assessing the Effectiveness of Community-Based Organizations for the Delivery of HIV Prevention Interventions: Process Evaluation 1810 0 905 0920 0920-0526 11/30/2004 Evaluation of Viral Hepatitis B Educational Slide Materials 614 0 2456 0920 0920-0527 11/30/2002 Human Exposure to Cyanobacterial (Blue-green Algal) Toxins in Drinking Water: Risk of Exposure to Microcystins from Public Water Systems 350 0 300 0920 0920-0528 11/30/2002 Factors and Strategies that are Effective in Establisning Policy and Environmental Interventions Designed to Promote Good Nutrition and Physical Activity 22 0 65 0920 0920-0529 04/30/2002 Questionnaires for State Epidemiologists Reporting Q Fever (Coxiella burnetii) and for the State Laboratories Testing for Q Fever 63 0 100 0920 0920-0530 04/30/2002 EEOICPA Dose Reconstruction Interviews and Form 24375 0 22500 0923 0923-0002 08/31/2003 Information Collection Procedures for Requesting Public Health Assessments 18 0 36 0923 0923-0006 10/31/2004 National Exposure Registry 3053 0 69277 0923 0923-0007 09/30/2004 Community Assistance Panels Nomination Form 25 0 150 0923 0923-0008 11/30/2004 Hazardous Substances Emergency Events Surveillance 7356 0 9808 0923 0923-0015 03/31/2002 Lead Exposure and Blood Pressure During Pregnancy Study, Charles Drew Medical School 838 0 2118 0923 0923-0023 04/30/2003 Exposure to Volatile Organic Compounds and Childhood Leukemia Incidence at United States Marine Corps Base Camp Lejeune, North Carolina 1083 0 4334 0923 0923-0025 06/30/2002 Substance-Specific Applied Research Program, Epidemiologic Studies on Lead (Morehouse School of Medicine) 882 0 2249 0923 0923-0026 06/30/2002 Multistate Case-Control Study of Childhood Brain Cancers 603 0 5767 0923 0923-0028 09/30/2002 Evaluation of Customer Satisfaction with the Agency for Toxic Substances and Disease Registry (ATSDR) Internet Home Page and Links 2000 0 12000 0923 0923-0030 12/31/2003 ATSDR Market Survey of Priority Populations 2222 0 6667 0923 0923-0031 05/31/2002 Hanford Community Health Project (HCHP) 167 0 500 0925 0925-0001 05/31/2004 Research and Research Training Grant Applications and Related forms 1377548 480 114407 0925 0925-0002 03/31/2002 Individual National Research Service Award Applications and Related Forms 85679 148740 32228 0925 0925-0046 08/31/2003 Pretesting of Office of Cancer Communications Messages 2010 0 13780 0925 0925-0177 07/31/2002 Special Volunteer and Guest Researcher Assignment 163 0 1630 0925 0925-0208 10/31/2003 NCI Cancer Information Service Demographic/Customer Service Data Collection 2783 0 1 0925 0925-0216 08/31/2004 The Framingham Study 8639 0 10717 0925 0925-0240 04/30/2004 Drug Accountability Record 2516 0 9 0925 0925-0281 02/29/2004 The Atherosclerosis Risk in communities Study (ARIC) 3746 0 15113 0925 0925-0299 03/31/2003 NIH Intramural Research Training Award, Program Application 8422 0 15779 0925 0925-0334 04/30/2004 The Cardiovascular Health Study 1719 0 6992 0925 0925-0348 01/31/2002 Hazardous Waste Worker Training -- 42 CFR Part 65 320 0 2 0925 0925-0358 11/30/2002 The NIH Consultant Information File System 2998 0 9741 0925 0925-0361 12/31/2001 National Institutes of Health Loan Repayment Programs 2214 0 1540 0925 0925-0368 02/28/2003 Tobacco Use Supplement to the Current Population Survey in 2001-2002 17125 0 97666 0925 0925-0378 06/30/2004 Application for the Pharmacology Research Associate Program 125 0 200 0925 0925-0406 11/30/2003 Agricultural Health Study (A Prospective Cohort Study of Cancer and Other Diseases Among Men and Women in Agriculture) 13156 0 24200 0925 0925-0407 10/31/2002 Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening Trial 94809 0 1 0925 0925-0414 05/31/2003 Women's Health Initiative Observational Study 36467 0 85011 0925 0925-0417 03/31/2002 Responsibility of Applicants for Promoting Objectivity in Research for which Public Health Service Funding Is Sought and Responsbile Prospective Contractors -- 42 CFR Part 50, Subpart F 171110 0 57235 0925 0925-0418 12/31/2001 Protection of Human Subjects: Assurance Identification/ Certification/Declaration 164428 0 217634 0925 0925-0423 12/31/2003 A Prospective Study of Diet and Cancer in Members of the American Association of Retired Persons (AARP) 55977 0 150166 0925 0925-0424 02/28/2002 National Institutes of Health Construction Grants -- 42 CFR Part 52b (Final Rule) 8276 0 275 0925 0925-0432 09/30/2002 The Impact and Costs of Sealants in Young Child Populations 96 0 780 0925 0925-0436 09/30/2002 Preventing Problem Behavior Among Middle School Students 988 0 1450 0925 0925-0438 07/31/2004 National Institutes of Health Undergraduate Scholarship Program for Individuals from Disadvantaged Backgrounds 1727 0 1330 0925 0925-0440 12/31/2002 Contraception and Infertility Research Loan Repayment Program 370 0 408 0925 0925-0449 10/31/2003 Alcoholism Prevalence and Gene/Environment Interactions in American Indian Tribes, 10 Tribe Study 2250 0 600 0925 0925-0454 07/31/2004 Case-Cohort Study of Cancer and Related Disorders Among Benzene-Exposed Workers in China 216 0 590 0925 0925-0458 03/31/2004 Generic Clearance for Satisfaction Surveys of Customers and Other Partners 1776 0 5604 0925 0925-0463 05/31/2002 Organ Procurement Survey 31 0 62 0925 0925-0464 04/30/2002 Jackson Heart Study Participant Recruitment Survey 249 0 1 0925 0925-0465 07/31/2002 Biologic Specimen-Based Study of Dietary Measurement Error for Nutritional Epidemiology and Surveillance: The Observing Protein and Energy Nutrition (OPEN) Study 4105 0 400 0925 0925-0466 04/30/2004 Evaluation of the National Youth Anti-Drug Media Campaign (NYAMC): Revision 7774 0 14390 0925 0925-0467 08/31/2002 Young Drivers Intervention Study 9399 0 18798 0925 0925-0468 08/31/2002 Survey of Colorectal Cancer Screening Practices in Health Care Organizations 918 0 1 0925 0925-0469 08/31/2002 Physician Survey on Cancer Susceptibility Testing 337 0 1350 0925 0925-0470 08/31/2002 Physician's Resolution of Ethics Problems 225 0 450 0925 0925-0471 08/31/2002 American Stop Smoking Intervention Study for Cancer Prevention (ASSIST) Final Evaluation: Strength of Tobacco Control Survey 774 0 1428 0925 0925-0472 09/30/2002 Attitudes of U.S. and Developing Country Researchers Regarding U.S. Human Subjects Regulations 449 0 786 0925 0925-0473 09/30/2002 An Evaluation of the NCI Science Enrichment Program (SEP); Parent Survey 23 0 1 0925 0925-0474 09/30/2002 Generic Clearance for Satisfaction Surveys of Partners and Customers 1932 0 5855 0925 0925-0475 01/31/2003 Training Tomorrow's Scientists: Linking Minorities and Mentors Through the Web 1955 0 4000 0925 0925-0476 03/31/2003 Request for Generic Clearance to Conduct Voluntary Customer/Partner Surveys 2263 0 18400 0925 0925-0478 06/30/2003 2000 California Health Interview Survey, Cancer Control Tropical Module (CHIS, CCTM) 11962 0 55000 0925 0925-0479 06/30/2003 Request for Clearance to Conduct Voluntary Customer Satisfaction Surveys 16 0 62 0925 0925-0480 07/31/2003 NIDDK Information Clearinghouses Customer Satisfaction Survey 2000 0 12000 0925 0925-0482 02/29/2004 The Family Health Study (Validation of a Family History of Cancer Questionnaire for Risk Factor Surveillance) 1867 0 5277 0925 0925-0483 02/28/2003 Environmental Factors in the Development of Polycystic Ovary Syndrome 351 0 2100 0925 0925-0484 03/31/2004 National Epidemiologic Survey on Alcohol and Related Conditions 48000 0 48000 0925 0925-0486 04/30/2004 Evaluation of User Satisfaction with NIH Internet Sites 8684 0 104000 0925 0925-0487 10/31/2002 The National Survey of Nonhuman Primate Research Use 439 0 878 0925 0925-0488 05/31/2003 Survey of IRB Chairs Concerning the Implementatin of Pediatric Research Regulation 233 0 400 0925 0925-0489 06/30/2004 Customer/Partner Satisfaction Survey of the NIDCD Minority and Disability Supplement Program 100 0 200 0925 0925-0490 07/31/2002 Enhancing Access and Measuring the Effectiveness of HIV/AIDS Information Methods 120 0 360 0925 0925-0491 07/31/2004 The Jackson Heart Study: Annual Follow-up with Third Party Respondents 160 0 480 0925 0925-0492 10/31/2003 Validation of Questionnaires Used for Occupational Exposure Assessment in Case-Control Studies: Occupational History Questionnaire with Foundry Worker & Textile Industry Job Modules 60 0 1 0925 0925-0493 09/30/2004 Multi-Ethnic Study of Atherosclerosis (MESA) Event Surveillance 42 0 555 0925 0925-0494 10/31/2003 A Nested Case-Control Study of Lung Cancer and Diesel Exhaust Among Non-Metal Miners 340 0 340 0925 0925-0495 10/31/2004 Leukemia and Other Hematological Diseases Among Cleanup Workers in Ukraine Following the Chornobyl Accident 400 0 700 0925 0925-0496 10/31/2002 Extended Lung Cancer Incidence Follow-Up for the Mayo Lung Project Participants (MLP-EI) 1556 0 6223 0930 0930-0074 03/31/2004 Obligated Service for Mental Health Traineeships: Regulations and Forms 176 0 900 0930 0930-0078 11/30/2002 Drug Abuse Warning Network (DAWN) 15284 0 220340 0930 0930-0080 07/31/2004 Substance Abuse Prevention and Treatment Block Grant Application Format - FY2002-2004 34640 0 60 0930 0930-0092 07/31/2004 Confidentiality of Alcohol and Drug Abuse Patient Records - 42 CFR Part 2 259876 73 1485000 0930 0930-0093 10/31/2003 Annual Census of Patient Characteristics in State and County Mental Hospital Inpatient Services 104 0 52 0930 0930-0104 06/30/2004 Community Mental Health Centers Construction Grantee Checklist - Form and Regulations 7 0 16 0930 0930-0106 07/31/2003 Drug and Alcohol Services Information System (DASIS) 13413 0 23561 0930 0930-0110 01/31/2003 2002 National Survey on Drug Use and Health 85400 0 202500 0930 0930-0119 02/29/2004 2000 Survey of Mental Health Organizations, General Hospital Mental Health Services, and Managed Care Organizations (SMHO) 3890 0 4878 0930 0930-0158 06/30/2003 Mandatory guidelines for Federal Workplace Drug Testing Program 1790664 2016 7093210 0930 0930-0163 02/29/2004 Substance Abuse Prevention and Treatment Block Grant Regulations- 45 CFR Part 96 961 0 60 0930 0930-0168 07/31/2004 FY 2002-2004 Community Mental Health Services Block Grant Application: Voluntary Format and Content 16360 0 59 0930 0930-0169 11/30/2002 Protection and Advocacy of Individuals with Mental Illness (PAIMI) Annual Program Performance Report 2016 0 112 0930 0930-0172 02/29/2004 Protection and Advocacy Program for Individuals with Mental Illness Regulations -- 45 CFR Part 51 168 0 136 0930 0930-0185 06/30/2002 State Prevention Needs Assesssment: Alcohol and Other Drugs 2740 0 3590 0930 0930-0186 03/31/2002 State Treatment and Needs Assessment Program (STNAP) Studies 46857 0 84992 0930 0930-0192 07/31/2002 National Evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program: Phase Two 20013 0 96337 0930 0930-0194 12/31/2001 Development and Implementation of Methadone/LAAM Treatment Program Accreditation 20784 599 769095 0930 0930-0195 09/30/2004 Participant Feedback for the Mental Health Care Provider Education in HIV/AIDS Program II and III 2252 0 12901 0930 0930-0196 12/31/2001 Pretesting of Substance Abuse Prevention and Treatment and Mental Health Services Communications Messages 9140 0 11400 0930 0930-0197 12/31/2004 Voluntary Customer Satisfaction Surveys to Implement Executive Order 12862 in the Substance Abuse and Mental Health Services Administration (SAMHSA) 10375 0 30150 0930 0930-0200 04/30/2002 Validity of Self-Reported Drug Use in Population Surveys 2281 0 1767 0930 0930-0202 07/31/2002 Persistent Effects of Treatment in Cuyahoga County, Ohio 5088 0 3288 0930 0930-0203 07/31/2002 Assessment of the National Leadership Institute (NLI) Program and Services 384 0 2038 0930 0930-0205 09/30/2002 Annual Reports for Projects for Assistance in Transition from Homelessness (PATH) 11511 0 411 0930 0930-0206 09/30/2002 Narcotic Drugs in Maintenance and Detoxification Treatment of Narcotic Dependence (Proposed Rule) 2411 1796 4108 0930 0930-0207 10/31/2002 State Treatment Outcomes and Performance Pilot Studies Enhancement (TOPPS II) Inter-State Study 2336 0 21135 0930 0930-0208 10/31/2002 SAMHSA Government Performance and Results Act (GPRA) Client Outcome Measures for Discretionary Programs 13738 0 89211 0930 0930-0209 05/31/2003 National Evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program: Phase Three 20046 0 93826 0930 0930-0210 05/31/2003 Registration Form for the National Registry of Effective Prevention Programs 315 0 260 0930 0930-0213 06/30/2003 State Prevention Needs Assessment Surveys: Alcohol and 31181 0 41553 0930 0930-0214 09/30/2002 Survey of Consumer Self-Help Entities 2785 0 6669 0930 0930-0216 09/30/2003 National Cross-Site Assessment of Addiction Technology Transfer Centers (ATTC) Network 6393 0 48247 0930 0930-0217 01/31/2004 Administrative Reporting Form for the "Women, Co-occurring Disorders and Violence Cooperative Agreement Program (Phase II)" 100 0 10 0930 0930-0218 12/31/2001 Survey of Persons Requesting "Hablemos en Confianza" and "Activity Book" Substance Abuse Prevention Materials 250 0 1000 0930 0930-0220 09/30/2002 Provider Survey for the Primary Care Research in Substance Abuse and Mental Health Services for the Elderly (PRISMe) Cooperative Agreement Program 41 0 312 0930 0930-0222 07/31/2004 Substance Abuse Prevention and Treatment Block Grant Synar Report Format, FY 2002-2004 1947 0 59 0930 0930-0223 09/30/2004 Evaluation of the CMHS/CSAT Collaborative Program on Homeless Families: Women with Psychiatric, Substance Use, or Co-occuring Disorders and Their Dependent Children 3032 0 2280 0930 0930-0224 12/31/2002 The Treatment Improvement Protocol (TIP) #35 Prospective Study 1164 0 7014 0930 0930-0226 07/31/2004 Protocols for the Cross-Site Process Evaluation of the State Incentive Grant (SIG) Program 3612 0 313 0930 0930-0229 03/31/2002 Emergency Response Grants - 42 CFR Part 51 18 0 6 0935 0935-0104 03/31/2004 Medical Expenditure Panel Survey Household Component (MEPS-HC) - 2001 through 2004 49105 0 52306 0935 0935-0106 09/30/2004 Voluntary Customer Satisfaction Survey Generic Clearance for the Agency for Health Care Research and Quality 16394 408900 103400 0935 0935-0107 02/28/2002 Voluntary Customer Surveys of "Partners" of the Agency for Health Care Policy and Research 1300 0 3000 0935 0935-0108 05/31/2002 Medical Expenditure Panel Survey-Medical Provider Component (MEPS-MPC) for 1998, 1999, and 2000 11759 0 21200 0935 0935-0110 05/31/2002 Medical Expenditure Panel Survey Insurance Component (MEPS-IC) for 1999 19639 0 33839 0937 0937-0025 07/31/2003 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 4000 0 10000 0937 0937-0095 09/30/2002 Application to the Board for Correction of Public Health Service Commissioned Corps Records 40 0 10 0937 0937-0166 05/31/2002 Sterilization of Persons in Federally Assisted Family Planning Projects -- 42 CFR Subpart B 50000 0 50000 0937 0937-0191 07/31/2004 Application Packets for Real Property for Public Health Purposes 6400 226 32 0937 0937-0198 11/30/2002 Responsibilities of Awardees and Applicant Institutions for Reporting Possible Misconduct in Science -- 42 CFR Part 50 4615 0 7443 0937 0937-0200 02/28/2003 HHS Payment Management System Forms 268830 0 67200 0938 0938-0008 04/30/2002 Medicare/Medicaid Health Insurance Common Claim Form, Instructions, and Supporting Regulations: 42 CFR 414.40, 424.32, 424.44 44189007 0 714391083 0938 0938-0022 05/31/2004 Home Health Agency Cost Report and Supporting Regulations in 42 CFR 413.20, 413.24, 413.106 1311060 0 7310 0938 0938-0023 07/31/2002 Attending Physicians Statement and Documentation of Medicare Emergency and Supporting Regulations in 42 CFR Section 424.103 500 0 2000 0938 0938-0025 10/31/2003 Request for Termination of Premium-Hospital and/or Supplementary Medical Insurance and Supporting Regulations in 42 CFR 406.28 and 407.27 5833 0 14000 0938 0938-0027 08/31/2002 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.... 172 0 98 0938 0938-0033 01/31/2003 Request for Review of Part B Medicare Claims and Supporting Regulations in 42 CFR 405.807 1400000 0 5600000 0938 0938-0034 10/31/2003 Request for Hearing for Part B Medicare Claim and Supporting Regulations in 42 CFR, 405.821 9167 0 55000 0938 0938-0035 06/30/2003 SSO Report of State Buy-in Problems, 42 CFR 407.40 716 0 2000 0938 0938-0037 01/31/2002 Outpatient Rehabilitation Cost Report and Supporting Regulations in 42 CFR 413.20 and 413.24 429800 0 4298 0938 0938-0041 10/31/2003 Third Party Premium Billing Request and Supporting Regulations in 42 CFR 408.6 6250 0 15000 0938 0938-0042 03/31/2004 Request for Medicare Payment - Ambulance and Supporting Regulations in 42 CFR Section 410.40 and 424.124 390418 0 9301183 0938 0938-0045 10/31/2003 Request for Reconsideration of Part A Medicare Claim and Supporting Regulations in 42 CFR, 405.711 15500 0 62000 0938 0938-0046 08/31/2004 End Stage Renal Disease Medical Evidence Report Medicare Entitlement and/or Patient Registration and Supporting Regulations in 42 CFR, 405.2133 25000 0 60000 0938 0938-0050 05/31/2004 Hospital Cost Report and Supporting Regulations in 42 CFR 413.20 and 413.24 4011669 0 6057 0938 0938-0062 11/30/2003 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,.... 20289 0 6763 0938 0938-0065 08/31/2002 Request for Certification in the Medicare and/or Medicaid Program to Provide Outpatient Physical Therapy and/or Speech Pathology Services, Outpatient Physicial Therapy/Speech.... 446 0 255 0938 0938-0067 01/31/2002 Quarterly Medicaid Statement of Expenditures for the Medical Assistance Program 16464 0 224 0938 0938-0074 11/30/2002 Request for Certification as Rural Health Clinic and Rural Health Clinic Survey Report Form and Supporting Regulations in 42 CFR 491.1-491.11 822 0 470 0938 0938-0080 04/30/2003 Application for Health Insurance Benefits Under Medicare for Individual with Chronic Renal Disease and Supporting Regulations in 42 CFR 406.13 26000 0 90000 0938 0938-0086 07/31/2002 Disclosure of Ownership and Financial Control Interest Statement and Supporting Regulations Contained in 42 CFR 420.200-.206 and 455.100-.106 62500 0 125000 0938 0938-0101 04/30/2002 Medicaid Program Budget Report -- 42 CFR Section 430.30 7980 0 228 0938 0938-0102 10/31/2003 Organ Procurement Organization/Histcompatibility Laboratory Statement of Reimbursable Costs, Manual Instructions and Supporting Regulations Contained in 42 CFR 413.20 and 413.24 4860 0 108 0938 0938-0107 11/30/2002 Independent Rural Health Center/Freestanding Federally Qualified Health Center Cost Report and Supporting Regulations in 42 CFR Sections 413.20 and 413.24 150000 0 3000 0938 0938-0144 12/31/2001 Corrective Action Plan, Medicaid Eligibility Quality Control -- 42 CFR 431.800-820 8400 0 21 0938 0938-0146 05/31/2002 State Medicaid Eligibility Quality Control Sampling Plan and Supporting Regulations in 42 CFR 431.800-431.865 2640 0 110 0938 0938-0147 07/31/2002 State Medicaid Eligibility Quality Control (MEQC) Sample Selection Lists and Supporting Regulations at 42 CFR 431.800-431.865 5280 0 660 0938 0938-0151 02/28/2003 Laboratory Personnel Report (CLIA) and Supporting Regulations in 42 CFR 493.1-493.2001 6625 0 13250 0938 0938-0155 12/31/2003 Municipal Health Services Cost Report Form and Supporting Regulations 42 CFR 405.2470 476 0 14 0938 0938-0165 12/31/2002 Prepaid Health Plan Cost Report 11600 0 327 0938 0938-0170 09/30/2002 Blood Bank Inspection Checklist and Report and Supporting Regulations in 42 CFR 493.1269-493.1285 625 0 1250 0938 0938-0193 05/31/2004 Transmittal and Notice of Approval of State Plan Material and Supporting Regulations in 42 CFR 430.10-430.20 and 440.167 560 0 56 0938 0938-0202 05/31/2002 Home Office Cost Statement and Supporting Statement in Regulation in 42 CFR 413.17 and 413.20 573646 0 1231 0938 0938-0214 03/31/2002 Medicare Secondary Payer Information Collection and Supporting Regulations in 42 CFR 411.25, 489.2, and 489.20 773240 0 867863540 0938 0938-0236 08/31/2004 Independent Renal Dialysis Facility Cost Report and Supporting Regulations 42 CFR 413.20 and 42 CFR 413.24 604660 0 3085 0938 0938-0242 06/30/2002 Fire Safety Survey Report Forms and Supporting Regulations in 42 CFR 416.44, 418.100, 482.41, 483.270, and 483.470 25000 0 30000 0938 0938-0245 04/30/2003 Request for Enrollment in Supplementary Medical Insurance and Supporting Regulations in 42 CFR 407.10 & 407.11 2500 0 10000 0938 0938-0246 09/30/2002 Certification of Medicaid Eligibility Quality Control (MEQC) Payment Error Rates and Supporting Regulations at 42 CFR 431.800 through 431.865 22515 0 102 0938 0938-0251 09/30/2004 Application for Hospital Insurance in 42 CFR 406.7 12500 0 50000 0938 0938-0266 01/31/2003 Ambulatory Surgical Center Request for Certification and Survey Report and Supporting Regulations in 42 CFR 416.1-416.150 1434 0 2931 0938 0938-0267 01/31/2003 Comprehensive Outpatient Rehabilitation Facility (CORF) Eligibility and Survey Forms and Information Collection Requirements at 42 CFR 485.56, 485.58, 485.60, 485.64.... 260848 0 540 0938 0938-0269 11/30/2002 Request for Accelerated Payments and Supporting Regulations in 42 CFR Section 412.116 and 413.64 445 0 890 0938 0938-0270 09/30/2004 The Financial Statement of Debtor and Supporting Regulations in 42 CFR, Section 405.376 1000 0 500 0938 0938-0272 10/31/2003 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) 18225 0 243 0938 0938-0273 07/31/2002 Identification of Extension Units of Outpatient Physical Therapy/Outpatient Speech Pathology (OPT/OSP) Providers and Supporting Regulations in 42 CFR Sections 485.701 to 485.729 741 0 2964 0938 0938-0279 04/30/2002 Medicare Uniform Institutonal Provider Bill 1960991 0 147343290 0938 0938-0287 11/30/2002 Withhholding Medicare Payments to Recover Medicaid Overpayments and Supporting Regulations in 42 CFR 447.31 81 0 27 0938 0938-0296 04/30/2004 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...... 14000 0 291 0938 0938-0300 10/31/2004 Quality Control of Negative Case Actions (NCA) 6891 0 51 0938 0938-0301 02/28/2002 Medicare Provider Cost Report Reimbursement Questionnaire and Support Regulations 42 CFR 413.20, 413.24, 415.50, 415.55, 415.60, 415.70, 415.150, 415.152, 415.160, 415.162 1342332 0 33144 0938 0938-0302 01/31/2003 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 6042834 0 2275 0938 0938-0313 08/31/2004 Hospice Request for Certification in the Medicare Program and Supporting Regulations Contained in 42 CFR Part 418.1-418.405 572 0 2286 0938 0938-0328 04/30/2003 Hospital COP-42 CFR 482, 482.12, 482.22, 482.27, 482.30, 482.62, 482.66 53163 0 1500 0938 0938-0334 04/30/2003 Conditions of Participation for Rural Health Clinics and Supporting Regulations in 42 CFR, Section 491.9, Subpart A 9744 0 3528 0938 0938-0338 08/31/2002 Conditions of Participation for Portable X-ray Suppliers and Supporting Regulations in 42 CFR Sections 486.104, 486.106, and 486.110 1675 0 670 0938 0938-0345 09/30/2002 Medicaid Statistical Information System 2120 45 212 0938 0938-0354 06/30/2002 Annual Early and Periodic Screening Diagnostic and Treatment Services (EPSDT) Participation Report -- CFR:441.60 1568 15 56 0938 0938-0355 01/31/2002 Home Health Agency Survey and Deficiencies Report, Home Health Functional Assessment Instrument and Supporting Regulations in 42 CFR Part 484.10 and 42 CFR Part 484.52 19884 0 19884 0938 0938-0357 06/30/2002 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 1395000 0 5580000 0938 0938-0358 12/31/2003 Psychiatric Unit Criteria Work Sheet, Rehabilitation Unit Criteria Work Sheet and Rehabilitation Hospital Criteria Work Sheet, and Supporting Regulations at 42 CFR 412.20 - 412.30 645 0 2580 0938 0938-0359 02/28/2002 Medical Records Review under PPS and Supporting Regulations at 42 CFR 412.40-412.52 26865 0 895419 0938 0938-0360 11/30/2003 End Stage Renal Disease Application and Survey and Certification Report Form and Supporting Regulations 42 CFR 405.2100 - 405.2184 1626 0 675 0938 0938-0365 05/31/2004 Home Health Medicare Conditions of Participation (CoP) Information Collection Requirements as Outlined in Regulation -- 42 CFR 484 862585 0 7500 0938 0938-0372 03/31/2004 ESRD Beneficiary Selection and Supporting Regulations Contained in 42 CFR 414.330 717 0 8600 0938 0938-0373 10/31/2002 Medicare Participating Physician or Supplier Agreement -- HCFA-460 11250 0 45000 0938 0938-0378 08/31/2004 The Medicare/Medicaid Psychiatric Hospital Survey Data Contained in 42 CFR and Supporting Regultions in 42 CFR 482.60, 482.61, and 482.62 125 0 250 0938 0938-0379 08/31/2003 Hospice Survey and Deficiencies Report Form and Supporting Regulations at 42 CFr Part 418.1 - 418.405 5733 0 2293 0938 0938-0380 08/31/2003 Hospital Request for Certification in the Medicare/Medicaid Program 500 0 2000 0938 0938-0382 02/28/2002 Medicare/Medicaid Hospital Survey Report Form Supporting Regulations in 42 CFR 482.2 through 482.57 3650 0 1123 0938 0938-0386 04/30/2003 Conditions for Coverage of Suppliers of End Stage Renal Disease (ESRD) Services and Supporting Regulations Contained in 42 CFR 405.2100-.2171 143721 0 3940 0938 0938-0391 11/30/2002 Statement of Deficiencies and Plan of Correction and Supporting Regulations Contained in 42 CFR 488.18, 488.26, and 488.28 120000 0 60000 0938 0938-0408 07/31/2003 Methodology for Estimating Waiver Costs of HCFA Demonstration Projects 2000 0 25 0938 0938-0426 09/30/2002 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... 30683 0 53 0938 0938-0429 05/31/2004 Imposition of Cost Sharing Charges Under Medicaid and Supporting Regulations contained in 42 CFR Section 447.53 20 0 2 0938 0938-0443 12/31/2002 Information Collection Requirements in 42 CFR 473.18, 473.34, 473.36, and 473.42, PRO Reconsideration and Appeals 3578 0 15670 0938 0938-0444 07/31/2002 Information Collection Requirements in Final Peer Review Organization Sanction Regulations -- 42 CFR Sections 1004.40, 1004.50, 1004.60, and 1004.70 22684 0 1060 0938 0938-0445 03/31/2002 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 46834 0 6417 0938 0938-0447 04/30/2003 End Stage Renal Disease Medical Information System ESRD Facility Survey 30088 0 3761 0938 0938-0448 12/31/2002 End Stage Renal Disease Death Notification 9564 0 56258 0938 0938-0449 03/31/2002 Home and Community-Based Waiver Requests and Supporting Regulation -- 42 CFR 440.180, 441.300-.310 7860 0 128 0938 0938-0454 03/31/2003 Physician Certifications/Recertifications in Skilled Nursing Facilities (SNFs) Manual Instructions and Supporting Regulations 42 CFR 424.20 417239 0 947816 0938 0938-0456 10/31/2003 Indirect Medical Education (IME) And Supporting Regulations 42 CFR 412.105 2700 0 1350 0938 0938-0463 05/31/2004 Skilled Nursing Facility and Skilled Nursing Facility Cost Report and Supporting Regulations in 42 CFR 413.20, 413.24, and 413.106 2943354 0 15700 0938 0938-0465 11/30/2003 Limitation on Liability and Information Collection Requirements Referenced in 42 CFR 411.404, 411.406, and 411.408 296942 0 3563304 0938 0938-0467 05/31/2002 Income and Eligibility Verification System Reporting and 435.920, 435.940-435.960 101414 0 54 0938 0938-0469 12/31/2004 The Fiscal Soundness Reporting Requirements (FSRR) 3130 6000 300 0938 0938-0470 11/30/2003 Qualification Application and Supporting Regulations in 42 CFR, Section 417.408 and 417.143 3500 471 35 0938 0938-0477 06/30/2002 Payment Adjustment for Sole Community Hospitals and Supporting Regulations in 42 CFR Section 412.92 160 0 40 0938 0938-0484 03/31/2003 Emergency and Foreign Hospital Services -- Beneficiary Statement in Canadian Travel Claims and Supporting Regulations in 42 CFR, Section 424.123 275 0 1100 0938 0938-0486 10/31/2003 Regulations for Hearing for Part A Medicare by an Administrative Law Judge and Supporting Regulations in 42 CFR, 498 Subpart D and E 2500 0 10000 0938 0938-0489 04/30/2002 Information Collection Requirements for Sole Community Home Health Agencies -- 42 CFR 424.22 40 0 20 0938 0938-0490 09/30/2002 Criteria for Medicare Coverage of Heart Transplants 500 0 5 0938 0938-0501 04/30/2004 Medicare Qualification Statement for Federal Employees and Supporting Regulations in 42 CFR 406.15 731 0 4300 0938 0938-0502 09/30/2002 Medicaid: Determining Third-Party Liability (TPL) State Plan Preprint and Supporting Regulations in 42 CFR 433.138 329965 0 1900000 0938 0938-0507 06/30/2003 Medicare Managed Care Disenrollment Form 2805 0 85000 0938 0938-0512 11/30/2003 Organ Procurement Organization's Request for Designation and Supporting Regulations in 42 CFR 486.301 - 486.325 138 0 69 0938 0938-0526 08/31/2004 Peer Review Organization Contracts: Solicitation of Statements of Interest from In-State Organizations, General Notice--CFR 475 1 0 53 0938 0938-0534 09/30/2002 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 50000 0 500000 0938 0938-0544 01/31/2003 Survey Report Form Clinical Laboratory Improvement Amendments (CLIA) and Supporting Regulations in 42 CFR 493.1-493-2001 7628 0 15526 0938 0938-0565 09/30/2002 Internal Revenue Service/Social Security Administration/Health Care Financing Administration Data Match and Supporting Regulations in 42 CFR Sections 411.20-411.206 1096466 0 327947 0938 0938-0566 12/31/2001 Advance Beneficiary Notice and Supporting Regulations in 42 CFR 411.404, 411.406, and 411.408 1568596 0 18823150 0938 0938-0567 10/31/2003 Request for Hearing for Part B Medicare by an Administrative Law Judge and Supporting Regulations in 42 CFR, 498 Subpart D and E 2500 0 1000 0938 0938-0568 04/30/2004 Medicare Current Beneficiary Survey (MCBS): Rounds 29-37 50325 0 49500 0938 0938-0573 09/30/2002 Medicare Geographic Classification Review Board (MGCRB) Procedures and Criteria and Supporting Regulations in 42 CFR Section 412.256 1000 0 1000 0938 0938-0575 04/30/2003 Analysis of Malpractice Premium Data 150 0 50 0938 0938-0578 07/31/2003 Medicaid Drug Rebate Program - Manufacturers 54660 948 2204 0938 0938-0579 12/31/2002 Business Proposal Formats for Utilization and Quality Control Peer Review Organizations (PROs) 535 0 20 0938 0938-0580 04/30/2004 Criteria for Medicare Coverage of Liver Transplants 2110 0 12 0938 0938-0581 09/30/2004 Clinical Laboratory Improvement Amendments Application Form 42 CFR 493.1-.2001 20000 0 16000 0938 0938-0582 09/30/2003 State Drug Rebate (Medicaid) 6125 139 204 0938 0938-0599 11/30/2004 CLIA Budget Workload Reports and Supporting Regulations Contained in 42 CFR 493.1-.2001 4500 0 50 0938 0938-0600 09/30/2002 Medicare Credit Balance Reporting Requirements and Supporting Regulations in 42 CFR 405.371, 405.378, and 413.20 1142400 0 190400 0938 0938-0610 05/31/2002 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.... 908250 0 35905 0938 0938-0612 06/30/2004 Clinical Laboratory Improvement Amendments (CLIA) and the ICRs contained in the supporting regulations in 42 CFR 493.1-.2001 10230714 0 700650 0938 0938-0618 12/31/2001 Limitations on Provider-Related Donations and Health Care-Related Taxes; Limitation on Payments to Disproportionate Share Hospitals; Medicaid and Supporting Regulations.... 2880 0 40 0938 0938-0624 04/30/2003 Hospital Provider of Extended Care Services (Swing-Beds) in the Medicare and Medicaid Programs, 42 CFR 447.280 and 482.66 12 0 50 0938 0938-0626 04/30/2003 Authorization Agreement for Electronic Funds Transfer 1250 0 10000 0938 0938-0650 05/31/2004 Alternate Quality Assessment Survey 10000 0 4000 0938 0938-0653 08/31/2003 Post Laboratory Survey Questionnaire--Laboratory, and Supporting Regulations in 42 CFR 493 3125 0 12500 0938 0938-0655 10/31/2003 Clinical Laboratory Improvement Amendments (CLIA) Adverse Action Extract and Supporting Regulations at 42 CFr 493.1840 786 0 1573 0938 0938-0657 12/31/2003 End-Stage Renal Disease (ESRD) Network Semi-Annual Cost Report Forms and Supporting Regulations in 42 CFR 405.2110 and 42 CFR 405.2112 108 0 36 0938 0938-0658 12/31/2003 End-Stage Renal Disease (ESRD) Network Business Proposal Forms and Supporting Regulations in 432 CFR 405.2110 and 42 CFR 405.2112 1080 0 36 0938 0938-0659 12/31/2001 Drug Utilization Review (Medicaid) and Supporting Regulation in 42 CFR 456.700, 456.705, 456.709, 456.711, 456.712 655067 0 50 0938 0938-0667 10/31/2002 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....... 1 0 5600 0938 0938-0670 05/31/2004 Criteria for Medicare Coverage of Lung Transplants 1010 0 6 0938 0938-0673 07/31/2004 Medicaid Post-Eligibility Preprint--And Supporting Regulations at 42 CFR 430.10 15 0 5 0938 0938-0676 05/31/2004 Reconciliation of State Invoice and Prior Quarter Adjustment Statement (Medicaid Drug Rebate Program - Labelers) 139560 350 3744 0938 0938-0680 07/31/2002 Field Testing of the Uniform Needs Assessment Instrument (UNAI): Small-Scale Trial Phase 2 847 0 720 0938 0938-0685 01/31/2002 Medicare Federal Health Care Provider/Supplier Enrollment Application 435000 0 604000 0938 0938-0686 02/28/2002 Granting and Withdrawal of Deeming Authority to Private Nonprofit Accreditation Organizations and of State Exemption under State Laboratory Programs and Supporting Regulations in 42 CFR 493.551 2112 0 11 0938 0938-0688 12/31/2001 Conditions of Coverage for Organ Procurement Organizations (OPOs) and Supporting Regulations in 42 CFR Section 486.301-.325 1 0 62 0938 0938-0690 06/30/2002 Granting and Withdrawal of Deeming Authority to National Accreditation -- 42 CFR 488.4-9 and 488.201 451 0 28 0938 0938-0691 09/30/2002 Medicare Disproportionate Share Adjustment Procedures and Criteria and Supporting Regulations in 42 CFR 412.106 100 0 100 0938 0938-0697 12/31/2003 Medicaid Report on Payables and Receivables 342 0 57 0938 0938-0700 04/30/2004 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 45000 0 450 0938 0938-0702 12/31/2002 Information Collection Requirements Referenced in HIPAA for the Group Market -- Supporting Regulations 45 CFR 146 and Forms/Instructions 2700000 0 43000000 0938 0938-0703 12/31/2002 Information Collection Requirements Referenced in HIPAA for the Form/Instructions 923000 0 3230000 0938 0938-0705 10/31/2003 "Maximizing the Effective Use of Telemedicine: A Study of the Effects, Cost Effectiveness and Utilization Patterns of Consultations via Telemedicine" 415 0 92803 0938 0938-0707 07/31/2003 Model Application Template for State Child Health Plan Under Title XXI of the Social Security Act, State Children's Health Insurance Program, and Model Application Template 2960 0 37 0938 0938-0708 04/30/2004 Evaluation of the State Medicaid Reform Demonstrations and Evaluation of the Medicaid Health Reform Demonstrations 744 0 1200 0938 0938-0709 03/31/2004 Data Collection for the Second Generation Social Health Maintenance Organization Demonstration 32917 0 69717 0938 0938-0711 01/31/2002 Managed Care Data Using the Uniform Institutional Providers Form 6533 0 1353500 0938 0938-0714 10/31/2004 Procedures for Advisory Opinions Concerning Physician Referrals and Supporting Regulations in 42 CFR Sections 411.370 through 411.389 2000 0 200 0938 0938-0717 11/30/2004 Information Collection Requirements Referenced in 42 CFR Section 424.57: Additional DMEPOS Supplier Standards 280000 0 35000 0938 0938-0718 12/31/2001 Research and Analytic Support for Implementing Performance Measurement in Medicare Fee for Service 2223 0 6670 0938 0938-0720 12/31/2001 Development of an Assessment System for Post Acute Care 23301 0 10465 0938 0938-0721 08/31/2004 Independent Diagnostic Testing Facility and Supporting Regulations Contained in 42 CFR 410.33 42 0 500 0938 0938-0722 09/30/2004 Medicare+Choice Provider Sponsored Organization Waiver Request Form and Supporting Regulations at 42 CFR 422.370 through 422.378 100 0 10 0938 0938-0723 09/30/2002 Medicare Integrity Program Organizations Conflict of Interest Disclosure Certificate and Supporting Regulations at 42 CFR 421.300 - 421.318 2400 0 10 0938 0938-0730 08/31/2004 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 7197 0 26280 0938 0938-0731 01/31/2002 Quarterly Children's Health Insurance Program Statement of Expenditures for Title XXI 7840 0 448 0938 0938-0732 05/31/2004 The Medicare Managed Care CAHPS Survey and Supporting Regulations in 42 CFR 417.126 and 417.470 55450 0 168000 0938 0938-0734 09/30/2004 Data Use Agreement Information Collection Requirements, model language, and supporting regulations in 42 CFR Section 5b 750 0 1500 0938 0938-0736 12/31/2001 Multi-State Evaluation of the Dual Eligible Demonstration 5840 0 7840 0938 0938-0737 03/31/2002 Call-Back Survey of Callers to the Medicare+Choice Toll-Free Hotline 175 0 1050 0938 0938-0738 09/30/2002 National Medicare Education Program (NMEP) Community Survey of Medicare 600 0 2400 0938 0938-0739 04/30/2003 SNF Resident Assessment MDS Data and Supporting Regulation 42 CFR 413.343 and 424.32 5696218 0 204000 0938 0938-0740 03/31/2002 Bounceback Form for Medicare and You on WWW.Medicare.Gov 986 0 9855 0938 0938-0741 03/31/2002 Medicare+Choice Disenrollment Form to Original Medicare 3960 0 60000 0938 0938-0742 03/31/2003 Adjusted Community Rate (ACR) 114000 0 1 0938 0938-0745 07/31/2002 Quality Improvement System for Managed Care (QISMC) Standards and Guidelines 1 0 261 0938 0938-0746 06/30/2002 Medicaid Disproportionate Share Hospitals/Institutions for Mental Disease 2160 0 54 0938 0938-0748 12/31/2003 Medicare DMEPOS Competitive Bidding Demonstration 12420 0 1700 0938 0938-0749 10/31/2004 On-Site Inspection for Durable Medical Equipment (DME) Supplier Location and Supporting Regulations in 42 CFR, Section 424.57 10000 0 20000 0938 0938-0751 12/31/2001 Medicare Current Beneficiary Survey: National Baseline Medicare Beneficiary Knowledge Supplement 2667 0 16000 0938 0938-0753 08/31/2002 Medicare Plus Choice Program Requirements Refernced in 42 CFR 422.000 - 422.700 2120006 0 7657534 0938 0938-0754 02/28/2002 Inpatient Psychiatric Services for Individuals under Age 21 and Supporting Regulations in 42 CFR 441.152 1 0 80000 0938 0938-0755 07/31/2002 Oxygen Consumer Survey: Medical Equipment and Supplies Consumer Survey 724 0 2560 0938 0938-0756 06/30/2002 Bounceback Forms for www.Medicare.gov, www.4woman.gov, and www.healthfinder.gov 21221 0 212185 0938 0938-0757 06/30/2002 Managed Care Organization Year 2000 Continuity and Contingency Planning 44450 0 4200 0938 0938-0758 03/31/2002 Hospice Cost Report and Supporting Regulations in 42 CFR 413.20 and 413.24 302720 0 1720 0938 0938-0759 04/30/2002 Medicare Beneficiary Information Needs: Supplement to the Medicare Current Beneficiary Survey (MCBS) 3000 0 12000 0938 0938-0760 12/31/2002 Medicare and Medicaid Programs Use of the OASIS as Part of the CoPs for HHAs and Supporting Regulations in Part 484 of 42 CFR 10454100 25780 9510900 0938 0938-0761 12/31/2002 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 862709 17800 85200 0938 0938-0763 03/31/2003 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.... 900 0 300 0938 0938-0764 06/30/2002 Publication Information Sheet Reorder Form Feedback Questionnaire 500 0 2000 0938 0938-0765 06/30/2002 Evaluation of Medicare+Choice Medical Savings Account Demonstration; Insurer Survey Component 155 0 350 0938 0938-0766 12/31/2002 Feedback Postcard 25500 0 510000 0938 0938-0767 08/31/2004 Medigap Compare 75 0 450 0938 0938-0768 07/31/2002 Medicare Agreement Application, Health Care Prepayment Plan, and Supporting Regulations in 42 CFR Section 417.800-.840 1125 0 15 0938 0938-0769 01/31/2003 Request for Retirement Benefit Information 375 0 1500 0938 0938-0770 01/31/2003 Community Mental Health Center Site Visit Assessment Tool and Supporting Regulations in 42 CFR 410.2 3400 0 850 0938 0938-0771 10/31/2002 Survey of Medicare Beneficiaries for the National Medicare and You Handbook: 2000 Evaluation 3019 0 4250 0938 0938-0772 08/31/2002 Peer Review Evaluation of Access to and Quality of Home Oxygen Equipment 787 0 2500 0938 0938-0773 01/31/2003 Bounceback Forms for www.Medicare.gov/nmep 5752 0 49300 0938 0938-0775 09/30/2002 National Hospital Malpractice Insurance Survey (NHMIS) 300 0 600 0938 0938-0776 09/30/2002 Medicare Program: Procedures for Making National Coverage Decisions 8000 0 200 0938 0938-0777 04/30/2003 Medicare Lifestyle Modification Program Demonstration 1500 0 9000 0938 0938-0778 12/31/2003 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 1608 0 536 0938 0938-0779 09/30/2003 Medicare CAHPS Disenrollment Survey 39744 0 90240 0938 0938-0780 11/30/2002 Medicare Telephone Customer Satisfaction Study 10000 0 120000 0938 0938-0781 02/28/2002 Home Health Advance Beneficiary Notices of Liability and Supporting Regulations in 42 CFR 4984.10(a) 30000 0 108000 0938 0938-0782 12/31/2002 Multi-State Evaluation of Dual Eligibles Demonstrations: Wisconsin Partnership Program 3830 0 5945 0938 0938-0783 02/28/2002 Market Survey of Fraud, Waste, and Abuse Detection Software 1350 0 450 0938 0938-0784 01/31/2003 Flexibility in Payment Methods for Hospitals, Nursing Facilities, Supporting Regualtions in 42 CFR 447.254 27 0 108 0938 0938-0786 02/28/2003 External Quality Review of Medicaid MCOs and Supporting Regulations in 42 CFR 438.360, 438.362, and 438.364 135110 0 11609 0938 0938-0787 08/31/2004 Request for Employment Information 750 0 5000 0938 0938-0789 03/31/2002 Survey and Evaluation of New Members of Medicare+Choice Plans 1212 0 3000 0938 0938-0790 04/30/2003 Medicare and Medicaid; programs for all-inclusive care for the elderly (PACE) contained in 42 CFR 460.12 - 460.210 23073 0 54 0938 0938-0791 08/31/2002 A Project to Develop an Outcome-Based Continuous Quality Improvement System and Core comprehensive Assessment Data Set for PACE 21692 0 93970 0938 0938-0792 04/30/2003 Rural Health Clinics: Amendments to Participation Requirements & Payment Provisions; & Establishments of a Quality Assessment & Performance Improvement Program & Supporting Regulations..... 3663 0 3573 0938 0938-0795 08/31/2004 Conflict of Interest and Ownership and Control Information 11100 0 37 0938 0938-0796 05/31/2004 Medicare Consumer Assessment of Health Plan Survey - Fee for Service (CAHPS-FFS) 44800 0 134400 0938 0938-0797 07/31/2003 Individual Market-Guarantee Issue Election Packet, Supporting Regulations 45 CFR 148, and forms/instruction 566 0 150 0938 0938-0798 08/31/2003 Prospective Payments for Hospital Outpatient Services and Supporting Regulations in 42 CFR 143.65, and 419.42 41063 0 2752 0938 0938-0799 09/30/2003 TWWIA Demonstration to Maintain Independence and Employment 5600 0 56 0938 0938-0801 08/31/2003 Evaluation of QMB and SLMB Outreach Activities 102 0 51 0938 0938-0802 12/31/2001 Recognition of new technology/passthrough items under the Prospective Payment System for Hospital Outpatient Services 1500 0 500 0938 0938-0805 05/31/2003 Collection of Data on Physician Encounters from Medicare + Choice Organizations 938700 0 75600000 0938 0938-0806 04/30/2002 Informatics, Telemedicine, and Education Demonstration Project 19999 0 10043 0938 0938-0807 12/31/2002 Oxygen Consumer Survey: Medical Equipment and Supplies 2900 0 10000 0938 0938-0808 10/31/2003 Study to Support Development and Refinement of a Classification System and Prospective Payment System for Patients in Inpatient Rehabilitation Hospitals and Exempt Rehabilitation Units 4735 0 2174 0938 0938-0810 11/30/2003 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 146070 0 1491700 0938 0938-0811 11/30/2003 Ticket to Work and Work Incentives: Medicaid Infrastructure Grants 5600 0 56 0938 0938-0812 11/30/2003 Employee Building Pass Application and File 37 0 150 0938 0938-0813 12/31/2003 Evaluation of the OMB and SLMB Programs -- Beneficiary Survey 500 0 1500 0938 0938-0817 11/30/2003 Survey of Medicare Beneficiaries Who Involuntarily Disenroll From Their Health Plan 684 0 3600 0938 0938-0818 05/31/2003 Expanded Coverage for Diabetes Outpatient Self-Management 42 CFR 410.141-410-145 and 414.63 23218 0 3291 0938 0938-0819 05/31/2004 HIPAAA Nondiscrimination Provisions (Regulation HCFA-2078-P) 100 0 2600 0938 0938-0820 05/31/2003 Follow-Up of Medicare+Choice Disenrollees Receiving Fee-for-Service Inpatient Hospital Care 542 0 500 0938 0938-0823 04/30/2004 Suggestion Program on Methods to Improve Medicare Efficiency and Supporting Regulations in 42 CFR 420.410 50 0 150 0938 0938-0824 05/31/2004 Restraints/Seclusion Death Reporting for Hospitals and Supporting Regulations at 42 CFR 482.13 3 0 75 0938 0938-0825 12/31/2002 Stages of Change Survey for Informed Choice in the Medicare Population 327 0 560 0938 0938-0826 06/30/2004 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 3200 0 4800 0938 0938-0827 03/31/2002 HIPAA Nondiscrimination Provisions (Regulation HCFA-2022-IFC) 7400 0 333420 0938 0938-0828 06/30/2004 Medicare Beneficiary Customer Service Survey 500 0 1500 0938 0938-0829 05/31/2004 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 2994 0 29892 0938 0938-0832 07/31/2004 Health Insurance Benefit Agreement and Supporting Regulations at 42 CFR Part 489 150 0 3000 0938 0938-0833 02/28/2002 Restraint and Seclusion Standards for Psychiatric Residential Treatment Facilities 877750 0 2600000 0938 0938-0834 12/31/2002 Durable Medical Equipment and Prosthetics, Orthotics, and Supplies (DMEPOS) Supplier Survey 620 0 340 0938 0938-0836 02/28/2002 Real Choice Systems Change Grants; Nursing Facility Transition/Access Housing Grants; Community Personal Assistance Service and Supports Grants, National Technical Assistance...... 7600 0 76 0938 0938-0837 08/31/2002 Medicare Program Integrity Customer Service Project 782 0 5250 0938 0938-0838 12/31/2002 Data Collection to Support Policy Analysis of Choices Offered to Medicare + Choice Enrollees and Choices Made by Enrollees 1600 0 200 0938 0938-0839 09/30/2002 National Medicare Practitioner and Provider Survey 3600 0 9000 0938 0938-0840 09/30/2003 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... 11 0 125 0938 0938-0841 06/30/2004 State Children's Health Insurance Program and Supporting Regulations in 42 CFR. 720999 0 3748463 0938 0938-0842 01/31/2003 Request to Use Inpatient Rehabilitation Assessment Instrument and Data Set for PPS for Inpatient Rehabilitation Facilities: Implementation Phase and Supporting Regulations in 42 CFR, .... 269250 0 359000 0938 0938-0843 10/31/2004 Healthy Aging Smoking Cessation Demonstration 58000 0 130500 0938 0938-0844 10/31/2003 Development of Survey Instrument for Special Populations 498 0 2160 0938 0938-0845 01/31/2002 "Medicare Endorsed Rx Discount Card Initiative 2700 0 15 0938 0938-0846 10/31/2004 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 1 0 1 0938 0938-0847 12/31/2002 Long Term Care Awareness Project 800 0 3900 0938 0938-0848 02/28/2002 Health Insurance Flexibility and Accountability Section 1115 Model Waiver 250 0 25 0938 0938-0850 12/31/2003 State Health Insurance Assistance Program (SHIP) Client Report 159 0 265 0938 0938-0851 04/30/2002 Assessing the CMS Fall Campaign 675 0 4050 0938 0938-0852 11/30/2004 Durable Medicare Equipment and Prosthetics, Orthotics, and Supplies (DMEPOS) Supplier Survey: Texas 768 0 384 0938 0938-0855 05/31/2002 Upper Payment Limits Reporting Requirements and Supporting Regulations Contained in 42 CFR 447.272 and 447.321 704 0 51 0960 0960-0001 04/30/2004 Certification of Support 4500 0 18000 0960 0960-0002 05/31/2002 Statement Regarding the Inferred Death of an Individual By Reason of Continued and Unexplained Absence 1500 0 3000 0960 0960-0003 09/30/2002 Application for Mother's or Father's Insurance Benefit 12500 0 45000 0960 0960-0004 12/31/2002 Application for Widow's or Widower's Insurance Benefits 72145 0 288580 0960 0960-0007 04/30/2004 Application for Retirement Insurance Benefits 255621 0 1460692 0960 0960-0008 01/31/2003 Application for Wife's or Husband's Insurance Benefits 175000 0 700000 0960 0960-0009 09/30/2002 Marriage Certification 15000 0 180000 0960 0960-0010 04/30/2004 Application for Child's Insurance Benefits 372417 0 1740000 0960 0960-0012 09/30/2002 Application for Parent's Insurance Benefits 350 0 1400 0960 0960-0013 01/31/2004 Application for Lump Sum Death Payment 146167 0 877000 0960 0960-0014 06/30/2003 Request to be Selected as Payee 371295 0 2121686 0960 0960-0015 09/30/2003 Request for Withdrawal of Application 8333 0 100000 0960 0960-0016 08/31/2002 Statement Regarding Date of Birth and Citizenship 200 0 1200 0960 0960-0017 03/31/2002 Statement Regarding Marriage 6000 0 40000 0960 0960-0019 04/30/2004 Certificate of Responsibility for Welfare and Care of Child Not in Applicant's Custody 2333 0 14000 0960 0960-0020 08/31/2003 Statement Regarding Contributions 7500 0 30000 0960 0960-0024 03/31/2004 Physician's/Medical Officer's Statement of Patient's Capability to Manage Benefits 20000 0 120000 0960 0960-0025 03/31/2003 Partnership Questionnaire 6175 0 12350 0960 0960-0029 10/31/2004 Request for Correction of Earnings Record 62500 0 375000 0960 0960-0030 05/31/2003 Statement of Employer 308333 0 925000 0960 0960-0034 01/31/2003 Letter to Employer Requesting Information about Wages Earned by Beneficiary 100000 0 150000 0960 0960-0036 10/31/2004 Statement of Agricultural Employer (Year Prior to 1988); Statement of Agricultural Employer (1988 & Later) 37500 0 125000 0960 0960-0037 05/31/2004 Request for Waiver of Overpayment Recovery or Change in Repayment Notice 1000000 0 500000 0960 0960-0038 12/31/2002 Statement of Marital Relationship (By One of the Parties) 15000 0 30000 0960 0960-0040 01/31/2004 Employment Relationship Questionnaire 19792 0 47500 0960 0960-0041 08/31/2002 State Contribution Form 50 0 1000 0960 0960-0045 08/31/2003 Statement of Claimant or Other Person 76375 0 305500 0960 0960-0046 11/30/2003 Statement of Self-Employment Income 417 0 5000 0960 0960-0049 04/30/2003 Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds; & Report to U.S. SSA 24167 0 230000 0960 0960-0050 02/29/2004 Questionnaire About Employment of Self-Employment Outside the United States 4000 0 20000 0960 0960-0051 09/30/2003 Supplement to claim of Person Outside the United States 2917 0 35000 0960 0960-0052 10/31/2004 Medical Report (General) 375000 0 750000 0960 0960-0058 10/31/2002 Report on Individual with Mental Impairment 30000 0 50000 0960 0960-0059 02/28/2003 Work Activity Report--Employee 225000 0 300000 0960 0960-0060 06/30/2003 Application for Disability Insurance Benefits 395314 0 1185942 0960 0960-0061 06/30/2004 Farm Self-Employment Questionnaire 7917 0 47500 0960 0960-0062 01/31/2002 Application for Survivor Benefits 800 0 3200 0960 0960-0064 08/31/2002 Farm Arrangement Questionnaire 19000 0 38000 0960 0960-0066 03/31/2004 Application for a Social Security Card/Enumeration At Birth 1991667 7376339 18026800 0960 0960-0068 02/28/2002 Representative Payee Report 1362543 0 5450173 0960 0960-0069 10/31/2004 Representative Payee Evaluation Report 126000 0 252000 0960 0960-0071 03/31/2003 Report of New Information in Disability Cases 2250 0 27000 0960 0960-0072 01/31/2002 Report of Continuing Disability Interview 427500 0 855000 0960 0960-0073 01/31/2003 Reporting Changes That Affect Your Social Security Payment 5833 0 70000 0960 0960-0078 02/28/2002 Railroad Employment Questionnaire 10417 0 125000 0960 0960-0084 12/31/2001 Report on Individual with Childhood Impairment 2333 0 7000 0960 0960-0086 08/31/2004 Chinese Custom Marriage Statement; Statement Regarding Chinese Custom Marriage 5 0 20 0960 0960-0088 12/31/2002 Student Reporting Form 7500 0 75000 0960 0960-0089 10/31/2002 Report of Student Beneficiary at End of School Year 33333 0 200000 0960 0960-0090 01/31/2002 Statement by School Official About Student's Attendance 833 0 5000 0960 0960-0093 09/30/2003 Certification by Religious Group 45 0 180 0960 0960-0096 11/30/2003 Application for Special Age-72-or-Over 3 0 10 0960 0960-0097 11/30/2003 Application for Search of Census Record for Proof of Age 3600 0 18000 0960 0960-0098 06/30/2002 Request for Workers' Compensation/Public Disability Benefit Information 35000 0 140000 0960 0960-0101 06/30/2003 Claim for Amounts Due in the Case of a Deceased Beneficiary 50000 0 300000 0960 0960-0102 01/31/2002 Medical Report (Individual with Childhood Impairment) 6000 0 12000 0960 0960-0103 07/31/2004 Supplemental Statement Regarding Farming Activities of Persons Living Outside the U.S.A. 1000 0 1000 0960 0960-0104 08/31/2002 Petition to Obtain Approval of a Fee for Representing a Claimant Before the Social Security Administration 17312 0 34624 0960 0960-0105 01/31/2004 Advance Notice of Termination of Child's Benefits, and Student's Statement Regarding School Attendance 33333 0 200000 0960 0960-0109 09/30/2003 Statement of Care and Responsibility for Beneficiary 21667 0 130000 0960 0960-0110 05/31/2002 State Mental Institution Policy Review 183 0 183 0960 0960-0112 04/30/2004 Report by Former Representative Payee 2000 0 8000 0960 0960-0113 12/31/2001 Statement Regarding Student's Attendance 8 0 50 0960 0960-0116 02/29/2004 Child Relationship Statement 12500 0 50000 0960 0960-0118 04/30/2004 Application for Benefits Under The Federal Mine Safety and and Dependent's Claim 165 0 300 0960 0960-0120 04/30/2004 Pre-1957 Military Service Federal Benefit Questionnaire 2000 0 12000 0960 0960-0124 01/31/2003 Statement of Income and Resources 147917 0 355000 0960 0960-0127 01/31/2002 Agreement to Sell Property 3333 0 20000 0960 0960-0128 02/28/2002 Reporting Events, SSI 2767 0 33200 0960 0960-0130 03/31/2002 Quarterly Statistical Report on Recipients and Payments under State-Administered Assistance Programs for Aged.... 120 0 120 0960 0960-0133 03/31/2003 Supplemental Security Income (SSI) - Quality Review Case Analysis 15000 0 15000 0960 0960-0138 05/31/2003 Letter to Employer Requesting Wage Information 66500 0 133000 0960 0960-0140 08/31/2002 Record of SSI Inquiry 177842 0 2134100 0960 0960-0142 03/31/2002 Statement of Death by Funeral Director 52500 0 900000 0960 0960-0143 07/31/2004 Student's Statement Regarding Resumption of School Attendance 13300 0 133000 0960 0960-0144 01/31/2002 Reconsideration Disability Report 200000 0 400000 0960 0960-0145 10/31/2004 Statement For Determining Continuing Eligibility Supplemental Security Income Payment(s) 396000 0 1720000 0960 0960-0160 06/30/2002 Government Pension Questionnaire 15833 0 76000 0960 0960-0174 12/31/2002 Statement of Living Arrangement, In-Kind Support and Maintenance 51147 0 438400 0960 0960-0184 03/31/2003 Instructions for Completion of Federal Assistance Application 2646 0 189 0960 0960-0189 10/31/2004 RSI/DI Quality Review Case Analysis-Sampled Number Holder, Auxiliaries/Survivors, Parent, Stewardship AET Workbook 2521 0 5475 0960 0960-0229 01/31/2003 Application for Supplemental Security Income 422835 0 1002773 0960 0960-0240 11/30/2003 Subpart T--State Supplementation Provisions; Agreement; Payments, 20 CFR 416.2099 71 0 71 0960 0960-0247 11/30/2002 Worker's Compensation/Public Disability Benefit Questionnaire 25000 0 100000 0960 0960-0267 01/31/2003 Medicaid Use Report -- 20 CFR 216.628 3000 0 60000 0960 0960-0269 11/30/2004 Request for Hearing by Administrative Law Judge 92666 0 556000 0960 0960-0274 10/31/2004 Report of Student Beneficiary About to Attain Age 19 4167 0 50000 0960 0960-0277 08/31/2002 Request for Review of Hearing Decision/Order 13333 0 80000 0960 0960-0282 03/31/2003 Vocational Rehabilitation "301" Program Development 2000 0 8000 0960 0960-0284 08/31/2004 Waiver of Your Right to Personal Appearance before an Administrative Law Judge 400 0 12000 0960 0960-0288 04/30/2004 Notice Regarding Substitution of Party Upon Death of Claimant 879 0 10548 0960 0960-0289 05/31/2003 Claimant's Medications 42985 0 171939 0960 0960-0292 03/31/2003 Claimant's Recent Medical Treatment 51582 0 309490 0960 0960-0293 10/31/2004 Authorization for SSA to Obtain Account Records from a Financial Institution and Request for Records 50000 0 500000 0960 0960-0300 09/30/2002 Claimant's Work Background 30000 0 120000 0960 0960-0310 11/30/2003 Vocational Rehabilitation Provider Claim 9048 0 90 0960 0960-0314 12/31/2002 Black Lung Student's Statement Regarding Resumption of School Attendance; Report of Black Lung Student Beneficiary at End of School Year 16 0 150 0960 0960-0316 03/31/2004 Claimant's Statement When Request for Hearing is Filed and the Issue is Disability 110680 0 442720 0960 0960-0323 06/30/2003 Third Party Liability Information Statement 7542 0 90500 0960 0960-0324 01/31/2003 Supplemental Security Income Claim Information Notice 1250 0 7500 0960 0960-0341 12/31/2001 Request for Address Information from Motor Vehicles Records; Request for Address Information from Employment Commissions Records 80 0 2400 0960 0960-0347 07/31/2004 Response to Notice of Revised Determination 963 0 1925 0960 0960-0348 10/31/2004 Request for Change in Time/Place of Disability Hearing 998 0 7483 0960 0960-0349 10/31/2004 Request for Reconsideration--Disability Cessation 9800 0 49000 0960 0960-0350 05/31/2004 Reconsideration Report for Disability Cessation 50000 0 100000 0960 0960-0351 08/31/2004 Notice Regarding Substitution of Party Upon Death of Claimant Reconsideration of Disability Cessation 100 0 1200 0960 0960-0369 12/31/2003 Annual Earnings Test--Direct Mail Follow-Up Program Notices 37500 0 225000 0960 0960-0371 03/31/2002 Application for U.S. Benefits under the Canada-U.S. International Social Security Agreement 250 0 1000 0960 0960-0384 09/30/2003 SSA/DDS Cost-Effectiveness Measurement System (CEMS) Data Reporting form 1248 0 208 0960 0960-0395 01/31/2002 Modified Benefit Formula Questionnaire 12000 0 90000 0960 0960-0398 03/31/2003 Certificate of Election for Reduced Spouse's Benefits 1000 0 30000 0960 0960-0413 09/30/2003 Psychiatric Review Technique 251451 0 1005804 0960 0960-0416 10/31/2004 Statement for Determining Continuing Eligibility for Supplemental Security Income Payments 276000 0 920000 0960 0960-0421 06/30/2004 State Agency Report of Obligations for SSA Disability Programs and Addendum; Time Report of Personnel Services for Disability Determination Services & State Agency Schedule of Equipment..... 756 0 648 0960 0960-0425 08/31/2002 Coverage of Employees of State and Local Governments 434 0 484 0960 0960-0428 07/31/2004 Subpoena--Disability Hearing 18 0 36 0960 0960-0430 08/31/2004 Summary of Evidence 12250 0 49000 0960 0960-0431 05/31/2004 Physical Residual Functional Capacity Assessment; Mental Residual Functional Capacity Assessment 376924 0 1130772 0960 0960-0432 10/31/2002 Missing and Discrepant Wage Reports Letter and Questionnaire 180000 0 360000 0960 0960-0434 10/31/2004 Travel Expense Reimbursement 8333 0 50000 0960 0960-0437 02/28/2002 Disability Determination and Transmittal 699311 0 2797242 0960 0960-0440 10/31/2004 Disability Hearing Officer's Report of Disability Hearing 100000 0 100000 0960 0960-0441 08/31/2004 Disability Hearing Officer's Decision 75000 0 100000 0960 0960-0442 02/28/2002 Cessation or Continuance of Disability or Blindness Determination 272422 0 544844 0960 0960-0443 02/28/2002 Cessation or Continuance of Disability or Blindness Determination 274622 0 549244 0960 0960-0444 11/30/2002 Application for Supplemental Security Income 252762 0 1011046 0960 0960-0445 09/30/2004 Application for Benefits under the Italy-US International Social Security Agreement 67 0 200 0960 0960-0448 06/30/2002 Application for Benefits under a U.S. International Social Security Agreement 10000 0 20000 0960 0960-0451 01/31/2003 Permanent Residence under Color of Law (PRUCOL) 750 0 9000 0960 0960-0454 08/31/2002 Letter to Landlord Requesting Rental Information 8167 0 49000 0960 0960-0456 12/31/2001 Statement of Household Expenses and Contributions 100000 0 400000 0960 0960-0460 12/31/2002 Marital Relationship Questionnaire 425 0 5100 0960 0960-0461 07/31/2004 Information about Joint Checking/Savings account 23333 0 200000 0960 0960-0462 11/30/2003 You Can Make Your Payment by Credit Card 1583 0 19000 0960 0960-0466 05/31/2004 Request for Social Security Statement 91667 0 1100000 0960 0960-0470 10/31/2004 Agency/Employer Government Pension Offset Questionnaire 50 0 1000 0960 0960-0471 07/31/2004 Real Property Current Market Value Estimate 1813 0 5438 0960 0960-0472 06/30/2004 Employer Verification of Earnings After Death 8333 0 50000 0960 0960-0473 10/31/2004 Employee Identification Statement 792 1 4750 0960 0960-0474 10/31/2004 Child-Care Dropout Questionnaire 167 0 2000 0960 0960-0477 01/31/2002 Modified Benefits Formula Questionnaire, Employer 10000 0 30000 0960 0960-0481 03/31/2003 Statement of Funds You Provided to Another, Statement of Funds You Received 6667 0 40000 0960 0960-0483 06/30/2002 Employee Work Activity Report 3125 0 12500 0960 0960-0487 08/31/2002 Self-Employment Corporation Officer Questionnaire 16667 0 50000 0960 0960-0492 06/30/2004 Request for Supplemental Security Income Benefit Estimate 4167 0 50000 0960 0960-0499 04/30/2004 Questionnaire for Children Claiming SSI Benefits 136000 0 272000 0960 0960-0500 11/30/2002 Medical Report on Adult with Allegation of Human Immune Deficiency Virus Infection and Medical Report on Child with Allegation of Human Immune Deficiency Virus Infection 9850 0 59100 0960 0960-0501 02/29/2004 Blood Donor Locator Service--Regulation 20 CFR 401.200 13 0 50 0960 0960-0502 08/31/2004 Beneficiary Recontact Report 11117 0 133400 0960 0960-0505 06/30/2004 Earning Record Information 3333 0 20000 0960 0960-0507 02/28/2002 Disability Hearing Officer's Report of Disability Hearing (DC) 100000 0 100000 0960 0960-0508 10/31/2003 Requests for Self-Employment Information, Employee Information, Employer Information 500000 0 3000000 0960 0960-0511 08/31/2002 Disability Update Report 243500 0 974000 0960 0960-0516 08/31/2002 Continuation of Full Benefit Standard for Persons Institutionalized -- 20 CFR 416.212 5000 0 60000 0960 0960-0517 09/30/2002 State Report of Incorrect Bendex Information 41 0 246 0960 0960-0525 11/30/2004 Request for Social Security Earnings Information 11274 0 61494 0960 0960-0526 12/31/2002 Voluntary Customer Surveys in Accordance with E.O. 12862 113775 0 31514 0960 0960-0527 06/30/2003 Appointment of Representative 68776 0 412653 0960 0960-0529 11/30/2003 Claimant's Statement About Loan of Food or Shelter & Statement About Food or Shelter Provided to Another 21847 0 131080 0960 0960-0534 12/31/2003 Waiver of Right to Appear, Disability Hearing 49 0 194 0960 0960-0536 02/29/2004 Beneficiary Recontact Report 49118 0 982357 0960 0960-0540 05/31/2004 Pain Report-Child 62500 0 250000 0960 0960-0542 08/31/2004 Function Report, Child (Birth to 1st, Age 1 to 3rd, Age 3 to 6th, Age 6 to 12th, Age 12 to 18th Birthday) 250000 0 750000 0960 0960-0544 08/31/2002 Public Information Campaign 400 0 24000 0960 0960-0546 10/31/2002 Supplemental Security Income Notice of Interim Assistance Reimbursement 16666 0 100000 0960 0960-0547 08/31/2004 Wage Reports and Pension Information (20 CFR 422.122(b)) 300 0 600 0960 0960-0554 10/31/2004 Certificate of Coverage Request 20000 0 40000 0960 0960-0555 02/28/2002 Generic Clearance of Information Collections Conducted by State 3306117 0 13779700 0960 0960-0557 08/31/2002 Inquiry to File an SSI Child's Application 105 0 2100 0960 0960-0559 10/31/2004 Plan for Achieving Self-Support 14000 0 7000 0960 0960-0561 05/31/2004 Modified Benefit Formula Questionnaire-Foreign Pension 8333 0 50000 0960 0960-0564 01/31/2003 QuickStart Enrollment Form 197500 0 3950000 0960 0960-0565 02/28/2002 Employer Report of Special Wage Payments 33367 0 100000 0960 0960-0566 05/31/2003 Privacy and Disclosure of Official Records and Information; Availability of Information and Records to the Public; 20-CFR 401 & 402 119133 0 2228500 0960 0960-0568 11/30/2003 Childhood Disability Evaluation Form 312500 0 750000 0960 0960-0575 03/31/2004 Request to Resolve Questionable Quarters of Coverage (QC); Request for QC History Based on Relationship 18334 0 550000 0960 0960-0576 03/31/2004 Representative Payee Report of Benefits and Dedicated Account 10000 0 30000 0960 0960-0577 07/31/2004 Disability Report - Child 523000 0 523000 0960 0960-0578 08/31/2004 Work History Report 500000 0 1000000 0960 0960-0579 07/31/2004 Disability Report, Adult 2116667 0 2116667 0960 0960-0581 12/31/2003 Application of Circuit Court Law 28333 0 100000 0960 0960-0583 02/29/2004 Internet Request for Replacement SSA-1099/1042S 525 0 21000 0960 0960-0585 03/31/2004 Discrimination Complaint Form 100 0 100 0960 0960-0588 02/28/2003 Payee Interview; Beneficiary Interview; Custodian Interview 490 0 1690 0960 0960-0595 02/28/2002 Electronic Benefit Verification Information 1116 0 133920 0960 0960-0596 06/30/2003 Request for Internet Services - Authentication (RISA) 525 0 21000 0960 0960-0598 01/31/2002 Work Activity Report (Self-Employed) 50000 0 100000 0960 0960-0602 04/30/2002 Authorization to Obtain Earnings Data from the Social Security Administration 2000 0 60000 0960 0960-0605 06/30/2002 Organization Profile 1167 0 10000 0960 0960-0606 04/30/2003 Annual Registration Statement Identifying Separated Participants with Deferred Vested Benefits 220074 12194 88000 0960 0960-0607 10/31/2002 Request for Information 1500 0 3000 0960 0960-0608 07/31/2003 Request for Claimant Conference 10525 0 210000 0960 0960-0610 11/30/2002 State Partnership Initiative Demonstration Project 2225 0 12042 0960 0960-0612 01/31/2003 Survey of Adults to Determine Public Understanding of Social Security Programs 3200 0 16000 0960 0960-0614 02/28/2003 Worker's Compensation Letter; Worker's Compensation Questionnaire 33 0 200 0960 0960-0615 06/30/2003 Application for Special Benefits for World War II Veterans 4000 0 12000 0960 0960-0616 05/31/2003 Notice of Proposed Rulemaking, 20 CFR Part 435, Uniform 1137 0 189 0960 0960-0617 06/30/2003 Denial of Supplemental Security Income Benefits for Fugitive Felons and Probation and Parole Violators 17 0 1000 0960 0960-0618 03/31/2004 Internet Social Security Benefits Application 63255 0 189764 0960 0960-0619 09/30/2003 Testimony by Employees and the Production of Records and 40 0 40 0960 0960-0621 12/31/2003 Representative Payee Report-Special Veterans 33 0 200 0960 0960-0622 09/30/2003 Request for Reconsideration 194000 0 1455000 0960 0960-0623 11/30/2003 Authorization for Source to Release Information to SSA 770876 0 15415712 0960 0960-0624 03/31/2004 Medical Parking Application 144 0 144 0960 0960-0625 01/31/2002 Electronic Death Registration Survey 110 0 55 0960 0960-0626 11/30/2003 Integrated Registration for Employers and Submitters (IRES) 8333 0 250000 0960 0960-0627 09/30/2003 Employment Support Representative Position (ESR): Survey of Beneficiaries and Community Organizations 446 0 2226 0960 0960-0628 01/31/2004 Survey of Low-Income and Disabled Kids (SOLID KIDS) 9519 0 9857 0960 0960-0629 01/31/2004 Benefits Planning, Assistance and Outreach (BPAO) Program, Cooperative Agreement Announcement No. SSA-OESP-00-1 125000 0 500000 0960 0960-0630 05/31/2004 Beneficiary Interview and Auditor's Observations 50 0 200 0960 0960-0632 03/31/2004 Request for Internet Services - Password Authentication 41667 0 250000 0960 0960-0633 05/31/2004 Site Review Questionnaire for Volume Payees; Site Review Questionnaire for Fee-For-Service Payees; Site Review - Beneficiary Interview Form 1020 0 2720 0960 0960-0634 07/31/2004 Internet Direct Deposit Application 581 0 3485 0960 0960-0635 07/31/2004 Function Report - Adult Third Party 500000 0 1000000 0960 0960-0637 08/31/2004 Quiz Show-Internet Edition 1 0 12000 0960 0960-0639 10/31/2004 Contact with Rep Payee, Contact with Beneficiary 50 0 200 0970 0970-0004 01/31/2002 Annual Statistical Report on Children in Foster Homes and Children in Families Receiving Payments in Excess of the Poverty Income Level from a State Program Funded under Part A of.... 312 0 1 0970 0970-0017 09/30/2002 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) 51 0 54 0970 0970-0030 08/31/2004 Refugee Resettlement Program Estimates: CMA 24 0 48 0970 0970-0033 12/31/2003 Annual Survey of Refugees 1350 0 2000 0970 0970-0034 11/30/2002 Refugee and Entrant Unaccompanied Minor Placement Report -- ORR-3 Refugee and Entrant Unaccompanied Minor Progree Report -- ORR-4 126 0 400 0970 0970-0036 06/30/2003 Regulation -- Refugee Resettlement Program: Requirements for Refugee Cash Assistance; and Refugee Medical Assistance (45 CFR Part 400) 3011 0 81130 0970 0970-0037 12/31/2001 Low-Income Home Energy Assistance Program Quarterly Allocation Estimates 13 0 51 0970 0970-0043 02/28/2003 Refugee State of Origin Report 217 0 50 0970 0970-0060 10/31/2003 Low Income Home Energy Assistance Program (LIHEAP) Household Report 2108 0 236 0970 0970-0062 12/31/2001 Information Collection from Applicants Who Will Respond to Request for Applications for Funding of 6 OCS Competitive Grants 20340 0 735 0970 0970-0075 12/31/2001 Application Requirements for the Low-Income Home Energy Assistance Program (LIHEAP) and Detailed Model Plan (To Be Submitted Every 3 Years), Abbreviated Application To Be.... 103 0 180 0970 0970-0076 08/31/2004 The Low Income Home Energy Assistance Program (LIHEAP) Grantee Survey 178 0 51 0970 0970-0085 12/31/2003 Provision of Services in Interstate Child Support Enforcement: Standard Forms 593226 0 44471 0970 0970-0106 11/30/2004 Low Income Home Energy Assistance Program (LIHEAP) Carryover and Reallotment Report 531 0 177 0970 0970-0114 02/29/2004 Child Care and Development Fund Plan for States/Territories 4552 0 28 0970 0970-0121 07/31/2003 Low Income Home Energy Assistance Program (LIHEAP) Leveraging Report 2660 0 70 0970 0970-0123 04/30/2004 Runaway and Homeless Youth Management Information System 62012 330 135080 0970 0970-0137 06/30/2002 Family Preservation and Family Support (FP/FS) Services Implementation Study, State Level Data Collection 127 0 150 0970 0970-0139 12/31/2003 ACF Uniform Project Description (UPD) 22704 0 2838 0970 0970-0140 10/31/2002 Head Start Fellows Program 4800 0 200 0970 0970-0142 02/28/2003 Federal Parent Locator Service 4800 10 4800 0970 0970-0143 12/31/2001 Early Head Start Evaluation Data Collection Instruments, Phase III 12361 0 9585 0970 0970-0148 08/31/2003 Head Start Program Performance Standards-Final Rule 1468626 0 2472 0970 0970-0150 06/30/2003 Child Care and Development Fund Annual Report 2800 224 56 0970 0970-0151 10/31/2004 Head Start Family and Child Experiences survey 5439 0 1749 0970 0970-0152 03/31/2004 Administrative Subpoena 12347 0 24694 0970 0970-0153 03/31/2004 Notice of Lien 7444 0 29776 0970 0970-0154 03/31/2004 Order/Notice to Withhold Income for Child Support 16056 0 54 0970 0970-0157 06/30/2004 Guidance for the Tribal Temporary Assistance for Needy Families Program 1080 0 20 0970 0970-0160 11/30/2003 Procedures for Requests to Use Child Care and Development Fund for Construction or Major Renovation of Child Care Facilities 500 0 25 0970 0970-0161 04/30/2004 Federal Tax Offset, Administrative Offest, and Passport Denial Programs 2535 128 7074 0970 0970-0163 09/30/2002 Child Care and Development Fund Quarterly Financial Report 1728 0 216 0970 0970-0166 01/31/2004 National Directory of New Hires 1962402 86400 60000000 0970 0970-0167 03/31/2003 Child Care Casse-Level Report 4480 224 224 0970 0970-0169 01/31/2002 Early Head Start Evaluation Father Study 217 0 193 0970 0970-0171 07/31/2004 Required Data Elements for Paternity Establishment Affidavits 74468 0 448600 0970 0970-0173 05/31/2004 Request for State Data Needed to Determine the Amount of a Tribal Family Assistance Grant 1120 00 1 0970 0970-0174 03/31/2002 Native Employment Works (NEW) Program Plan Guidance and Report Requirements 2288 0 2288 0970 0970-0175 07/31/2004 Voluntary Establishment of Paternity 76059 0 6905480 0970 0970-0177 06/30/2004 The OCSE-157 Child Support Enforcement Annual Data Report 216 0 54 0970 0970-0180 05/31/2002 TANF High Performance Bonus Report for Fiscal Year 2001 8640 0 4 0970 0970-0181 09/30/2002 Child Support Enforcement Program Financial Report; Child Support Enforcement Program Quarterly Report of Collections 3456 2000 432 0970 0970-0183 12/31/2001 Project 1099 1032 0 516 0970 0970-0185 12/31/2001 National Directory of New Hires Reporting Results Survey 108 0 216 0970 0970-0186 12/31/2001 Information Collection for the Methodology for Determining Whether an Increase in a State's Child Poverty Rate Is the Result of the TANF Program 15240 0 54 0970 0970-0193 04/30/2002 Final Rule Information Collection Burden -- 45 CFR 1309 8200 0 200 0970 0970-0195 02/28/2002 Child Care and Development Fund Tribal Annual Financial Report 1888 3 236 0970 0970-0196 08/31/2004 Financial Institution Data Match 8586 157 17173 0970 0970-0197 05/31/2002 National Study of Child Care for Low-Income Families 5757 0 27783 0970 0970-0198 05/31/2002 Child Care and Development Fund Plan Preprint 4807 0 253 0970 0970-0199 04/30/2003 TANF Data Report (Includes TANF Sampling and Statistical Methods Manual), SSP-MOE Data report (Includes TANF Sampling and Statistical Methods Manual 586864 13500 208 0970 0970-0200 06/30/2002 Family Violence State Practices Survey 108 0 1 0970 0970-0202 08/31/2002 National Survey of Child and Adolescent Well-Being 19461 0 15936 0970 0970-0204 08/31/2002 Grants to States for Access and Visitation: Program Reporting 5184 153 1 0970 0970-0205 05/31/2004 IV-E Foster Care and Adoption Assistance Financial Report 5200 0 4 0970 0970-0207 04/30/2003 Head Start Program Grant Application 49929 998 1513 0970 0970-0209 12/31/2002 Online Interstate Referral Guide (IRG) 292 0 972 0970 0970-0214 04/30/2003 Title IV-E Foster Care Eligibility Reviews, Child and Family Services Reviews, Section 471(a)(18) Compliance Reviews 17621 0 39 0970 0970-0215 05/31/2003 Final Tribal TANF Data Report 68544 198 216 0970 0970-0218 09/30/2003 Tribal Child Support Enforcement Direct Funding Request and Reports -- Notice of Proposed Rulemaking and Interim Final Rule 29464 0 990 0970 0970-0221 11/30/2003 State Systems Profiles 216 0 216 0970 0970-0222 12/31/2003 National Medical Support Notice - Final Rule 120653 22 2234 0970 0970-0223 01/31/2004 State Self-Assessemtn Review and Report 208764 450 54 0970 0970-0226 09/30/2004 Study of the TANF Application Process 975 0 1404 0970 0970-0228 09/30/2004 Assets for Independence Act (AFIA) Participant Survey 360 0 540 0970 0970-0229 10/31/2002 Head Start Impact Study (HSIS) 2107 0 3078 0970 0970-0230 05/31/2002 The Revised Reporting Requirements and Transmission Layouts on TANF Work Measures for FY 2002, TANF High Performance Bonuses 1728 0 108 0980 0980-0017 11/30/2004 Head Start Program Information Report 9748 0 2437 0980 0980-0047 05/31/2002 Child and Family Services Plan (CFSP), Annual Progress and Services Review, and Annual Budget Expense Request and Estimated Expenditures -- CFS-101 52500 0 300 0980 0980-0140 07/31/2004 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) 1872392 0 714056 0980 0980-0141 09/30/2002 State Plan for Foster Care and Adoption Assistance Title IV-E of the Social Security Act 180 0 12 0980 0980-0144 03/31/2003 Objective Evaluation Report (OER) 500 0 250 0980 0980-0155 03/31/2003 Objective Progress Report (OPR) 900 0 600 0980 0980-0160 01/31/2002 Developmental Disabilities Protection and Advocacy Program Performance Report 2464 2 56 0980 0980-0172 01/31/2002 Developmental Disabilities Council Program Performance Report 2420 2 55 0980 0980-0204 04/30/2003 Program Narrative Objective Work Plan (OWP) 18200 0 650 0980 0980-0229 06/30/2003 National Child Abuse and Neglect Data System (NCANDS) 4780 63 52 0980 0980-0241 11/30/2004 Child Care and Development Fund Tribal Annual Report 8995 0 257 0980 0980-0242 03/31/2003 Appeal Procedures for head Start Grantees and Current or Prospective Delegate Agencies 260 0 10 0980 0980-0243 08/31/2002 Head Start Grants Administration 4372 0 2186 0980 0980-0266 08/31/2004 Voluntary Survey of Program Partners to implement Executive Order 12862 within the Administration for Children Families 496 0 1505 0980 0980-0267 11/30/2002 Adoption and Foster Care Analysis and Reporting System (AFCARS) -- Title IV-B and IV-E 331602 563 102 0980 0980-0270 01/31/2002 Developmental Disabilities Protection and Advocacy Statement of Objectives and Priorities 2464 2 56 0980 0980-0271 10/31/2004 Computerized Support Enforcement Systems - Final Rule 221325 259 4021364 0980 0980-0272 06/30/2003 Child Welfare Demonstration Project Information Collection 31120 0 560 0985 0985-0004 08/31/2004 Supplemental Form to the Financial Status Report (SF269), Title III of the Older Americans Act, Grants for State and Community Programs on Aging 112 1426 112 0985 0985-0005 02/28/2002 State Annual Long-Term Care Ombudsman Report and Instructions 7235 0 52 0985 0985-0006 08/31/2004 Performance Progress Reports for Title IV Grantees 7960 0 398 0985 0985-0007 07/31/2003 Program Performance Report, Title VI of the Older Americans Act. (Grants for Native Americans for Nutritional and Supportive Services) 681 0 2 0985 0985-0008 08/31/2002 State Program Report for Titles III and VII of the Older 141132 2 1 0985 0985-0009 12/31/2001 Certification of Maintenance of Effort 28 1497 57 0985 0985-0011 02/28/2003 Operation Restore Trust 80 0 130 0990 0990-0001 12/31/2002 Application for Waiver of the 2-Year Foreign Residence Requirement of the Exchange Visitor Program 1200 150 200 0990 0990-0115 09/30/2004 Procurement - Solicitation and Contracts 986280 0 4269 0990 0990-0124 05/31/2004 Self-Evaluation & Recordkeeping Required by Regulations Implementing Section 504 of the Rehabilitation Act of 1973 41600 0 2600 0990 0990-0128 05/31/2004 HHS Acquisition Regulations: HHSAR Section 352.270-9 and Section 252.223-70 1102 0 122 0990 0990-0129 12/31/2002 Special Programs Affecting Acquisition -- HHS Acquisition Regulation (HHSAR) Part 370 10806 0 1267 0990 0990-0130 12/31/2002 Solicitation Provisions and Contract Clauses -- HHS Acquisition Regulation (HHSAR) Part 352 3842 0 1921 0990 0990-0131 09/30/2002 Contract Administration -- HHS Acquisition Regulation (HHSAR) Part 342 4300 0 215 0990 0990-0133 11/30/2002 HHS Acquisition Regulations - HHSAR Part 333 Disputes and Appeals 43 0 86 0990 0990-0134 09/30/2002 Contract Financing -- HHS Acquisition Regulation (HHSAR) Part 332 226 0 226 0990 0990-0136 09/30/2002 Protection of Privacy and Freedom of Information -- HHS Acquisition Regulation (HHSAR) Part 324 5104 0 638 0990 0990-0138 09/30/2002 Types of Contracts -- HHS Acquisition Regulation (HHSAR) Part 316 5200 0 520 0990 0990-0139 06/30/2003 HHS Acquisition Regulation - HHSAR Subpart 315.4 - Solicitation and Receipt of Proposals and Quotations 13290 0 6645 0990 0990-0150 04/30/2004 Uniform Relocation and Real Property Acquisition Under Federal and Federally Assisted Program 1 0 1 0990 0990-0169 09/30/2002 Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governments 280000 0 4000 0990 0990-0208 12/31/2001 Applicant Background Survey 10333 0 310000 0990 0990-0220 12/31/2003 Voluntary Industry Partner Surveys to Implement E.O. 12862 480 0 2400 0990 0990-0221 09/30/2004 Title X Family Planning Annual Report 1870 47 85 0990 0990-0223 12/31/2001 Evaluation of the Cash and Counseling Demonstration 18476 0 44170 0990 0990-0225 12/31/2001 Study of Frail Elders in Medicare Managed Care 1047 0 1800 0990 0990-0228 04/30/2002 Baseline Data Collection Forms for the Multi-Site Evaluation 1580 0 12688 0990 0990-0229 05/31/2002 Office of Minority Health Resource Center Evaluation Survey 123 0 1050 0990 0990-0230 06/30/2003 Site Visit Protocols for the Multi-site Evaluation of the Welfare-to-Work Grants Program 930 0 780 0990 0990-0231 10/31/2002 Second Mail Survey for the Multi-Site Evaluation of the Welfare-to-Work Grants Program 713 0 578 0990 0990-0232 10/31/2002 Cash and Counseling Demonstration, Additonal Survey Instruments 3940 0 9500 0990 0990-0233 10/31/2002 Baseline Survey of Youth; Federal Evaluation of Initiatives Funded under Section 510 of the Maternal and Child Health Block Grant Program 5250 0 7000 0990 0990-0235 02/28/2003 Research on Employment Supports for People with Disabilities 1132 0 1875 0990 0990-0236 04/30/2002 Financial summary of Obligation and Expenditure of Block Grant Funds (45 CFR 96.30) 620 0 620 0990 0990-0237 05/31/2003 First Follow-up Survey of Youth - Federal Evaluation of Initiatives Funded Under Section 510 of the Maternal and Child Health Block Grant Program 6138 0 7220 0990 0990-0238 06/30/2003 Follow-up Survey for the Multi-site Evaluation of the Welfare-to-Work Grants Program 9819 0 12750 0990 0990-0239 06/30/2003 Empowerment Zone and Enterprise Community Health Improvement Capacity Survey 46 0 136 0990 0990-0240 07/31/2003 Survey of Grant Recipients 666 0 3555 0990 0990-0242 12/31/2001 BodyWise Eating Disorders Initiative - Evaluation 274 0 822 0990 0990-0243 10/31/2003 OCR Pre-grant Automation Project 48000 0 3000 0990 0990-0244 03/31/2004 National Centers of Excellence in Women's Health Program Quantitative Evaluation Survey 1000 0 3000 0990 0990-0245 06/30/2002 ORI Educational Program: A Needs Assessment 84 0 500 0990 0990-0247 12/31/2001 State Children's Health Insurance Program Focus Group Study 1833 0 7146 0990 0990-0248 06/30/2002 Organizing an Institutional Investigation Assistance Program: A Feasibility Study 333 0 1000 0990 0990-0250 10/31/2004 National Centers of Excellence in Women's Health Program Supplemental Quantiative Community Survey 150 0 600 0990 0990-0253 06/30/2004 National Study of Child Protective Services Systems and Reform Efforts 1288 0 1104 0992 0992-0005 03/31/2003 45 CFR Part 95, Subpart F -- Automatic Data Processing Equipment and Services--Conditions for Federal Financial Participation 5752 0 260 0992 0992-0007 07/31/2004 TANF High Performance Bonus Report, Assessment of Medicaid and SCHIP Enrollment Among Individuals After Leaving TANF Assistance 4320 0 216 1004 1004-0001 01/31/2004 Free Use Application and Permit - Vegetative or Mineral Material (as required by 43 CFR 3620, 5510) 215 0 450 1004 1004-0004 08/31/2003 Desert Land entry Application 34 0 17 1004 1004-0005 05/31/2002 Grazing Application; Grazing Schedule 2000 0 6000 1004 1004-0009 10/31/2004 Land Use Application and Permit (43 CFR 2920) 3140 312 641 1004 1004-0010 08/31/2003 Conveyances Affecting Color or Claim of title 20 0 20 1004 1004-0011 08/31/2003 Color-of-Title Tax Levy and Payment Record 20 0 20 1004 1004-0012 08/31/2003 Application for Land for Recreation and Public Purposes 1000 3 25 1004 1004-0019 01/31/2004 Range Improvement Permit (43 CFR 4120.3) 20 0 60 1004 1004-0025 07/31/2003 43 CFR 3860 & 3870 -- Mineral Surveys, Mineral Patent Applications, Adverse Claims, Protests, & Contests 12185 6612 255 1004 1004-0029 08/31/2003 Color-of-Title Application Form 10 0 20 1004 1004-0034 10/31/2004 Oil and Gas Lease Transfers by Assignment or Operating Rights (Sublease) (43 CFR 3106, 3135, adn 3216) 30000 3000 60000 1004 1004-0041 02/28/2002 Grazing Preference Statement 1794 0 7665 1004 1004-0042 06/30/2004 The Application for Adoption of Wild Horses(s) and Burro(s) (43 CFR 4700) 5000 0 30000 1004 1004-0051 06/30/2004 Actual Grazing Use Report (43 CFR 4130) 6250 0 15000 1004 1004-0058 01/31/2004 Timber Export Reporting and Substitution Determination (43 CFR Subpart 5424) 45 0 25 1004 1004-0060 12/31/2001 Application for Transportation and Utility Systems and Facility 9800 0 4900 1004 1004-0073 12/31/2003 43 C.F.R. Group 3400, Coal Management 23986 40 1185 1004 1004-0074 07/31/2003 Oil and Gas and Geothemal Resources Leasing 886 0 443 1004 1004-0103 10/31/2002 Mineral Materials Disposal -- 43 CFR 3600 and 43 CFR 3610 1475 0 2800 1004 1004-0109 06/30/2003 Payments in Lieu of Taxes (43 CFR 1881) 1000 0 50 1004 1004-0114 12/31/2002 Recordation of Location Notices and Annual for Mining Claims, Mill Sites, and Tunnel Sites; Payments of Location and Maintenance Fees and Service Charges 48562 33389 364175 1004 1004-0119 05/31/2004 Special Recreation Application and Permit (43 CFR 8370) 15500 0 31000 1004 1004-0121 06/30/2003 Leasing of Solid Minerals Other Than Coal and Oil Shale: 43 CFR Part 3500 through 3590 3760 3 276 1004 1004-0132 01/31/2004 Geothermal Resources Operations (as required by 43 CFR 3260) 1700 0 760 1004 1004-0133 05/31/2004 Permit Fee Envelope (36 CFR 71) 11767 0 353000 1004 1004-0134 01/31/2004 Onshore Oil and Gas Operations Nonform Items (as required by 43 CFR 3160) 96885 0 193855 1004 1004-0135 01/31/2004 Sundry Notices and Reports on Wells (as required by 43 CFR 3162) 14166 0 34000 1004 1004-0136 01/31/2004 Application for Permit to Drill (as required by 43 CFR 3162) 2250 0 4000 1004 1004-0137 01/31/2004 Well Completion or Recompletion Report and Log (as required by 43 CFR Part 3160) 2290 0 2200 1004 1004-0145 09/30/2002 Oil and Gas Exploration and Leasing 1400 0 1400 1004 1004-0153 09/30/2002 Conveyance of Federally Owned Mineral Interest -- 43 CFR 2720 130 0 13 1004 1004-0157 12/31/2003 43 CFR Subpart 2808 - Reimbursement of Costs 240 0 80 1004 1004-0160 10/31/2004 Geothermal Leasing Reports (43 CFR 3208) 150 0 75 1004 1004-0162 10/31/2002 Oil and Gas Geophysical Exploration Operations 800 0 1200 1004 1004-0165 08/31/2003 Cave Management: Cave Nominations and Confidential Information 43 CFR Part 37 155 0 60 1004 1004-0168 06/30/2004 Report on Road Use (43 CFR 2812) 1600 0 1600 1004 1004-0169 09/30/2002 Use and Occupancy -- 43 CFR 3715 560 0 280 1004 1004-0172 12/31/2001 Generic Clearance for Customer Comment Cards 500 0 10000 1004 1004-0175 08/31/2002 Identification of Communications Sites Tenants and Tenant Uses 1500 0 1500 1004 1004-0179 06/30/2004 In-Kind Crude Helium Sales Contract (43 CFR 3195) 912 0 304 1004 1004-0180 08/31/2004 Gas Well Data Survey of Helium-Bearing Natural Gas (PL 104-273) 50 0 200 1004 1004-0181 12/31/2001 Generic Clearance for Customer Surveys 3250 0 13000 1004 1004-0182 09/30/2004 Alaska Reindeer Grazing (43 CFR 4300) 7 0 6 1004 1004-0183 12/31/2001 Wild Horse and Burro Internet Adoption Customer Comment Card 30 0 600 1004 1004-0184 02/28/2002 Onshore Oil and Gas Leasing and Operations 9441 0 22945 1004 1004-0185 05/31/2002 Drainage Protection 4600 0 1110 1004 1004-0187 07/31/2002 Taxpayer Identification/Social Security Number Request 20000 0 12000 1004 1004-0188 08/31/2002 Rights-of-Way: Principles and Procedures -- 43 CFR Part 2800 Rights-of-Way under the Mineral Leasing Act -- 43 CFR Part 2880 19550 0 4050 1004 1004-0189 08/31/2002 Application for Transportation and Utility Systems and Facility 9800 4780 4900 1004 1004-0190 08/31/2002 Indian Allotment Regulations 13 1 16 1004 1004-0191 03/31/2003 Alaska Veteran's Native Allotment Regulations and Application Form, Public Law 105-276 20496 0 732 1004 1004-0192 06/30/2003 Trans-Alaska Pipeline System Survey of the Employee Concerns Program 440 0 1760 1004 1004-0193 08/31/2003 Generic Clearance for Customer Surveys for Stakeholders/Partners and State and Local Government 430 0 1720 1004 1004-0194 11/30/2003 Surface Management Activities Under the General Mining Law, 43 CFR Subpart 3809 306536 0 1897 1004 1004-0195 02/29/2004 Program Evaluation for the National Riparian Management Service Team (NRST) and the extended riparian network 240 0 540 1004 1004-0196 12/31/2004 Oil and Gas Leasing: National Petroleum Reserve, Alaska (NPRA) (43 CFR 3130, 3133, 3135, 3137, 3138, 3160) 410 0 35 1006 1006-0001 02/28/2003 Crop Acreage and Yields and Water Distribution 8050 0 25225 1006 1006-0002 04/30/2003 Recreation Use Data Report 1070 0 535 1006 1006-0005 12/31/2003 Individual Landholder's Certification and Reporting Forms for Acreage Limitation, 43 CFR Part 426 and 43 CFR Part 428 14829 0 19586 1006 1006-0006 12/31/2003 Certification Summary Form, Reporting Summary Form for Acreage Limitation, 43 CFR Part 426 and 43 CFR Part 428 13800 235 345 1006 1006-0014 12/31/2002 Lower Colorado River Well Inventory 500 0 1000 1006 1006-0015 08/31/2003 Diversions, Return Flows, and Consumptive Use of Colorado River Water in the Lower Colorado River Basin 290 0 54 1006 1006-0023 12/31/2003 Limited Recipient Identification Sheet and Trust Information Sheet for Acreage Limitation, 43 CFR Part 426 92 0 1105 1010 1010-0006 03/31/2004 30 CFR Part 256, Leasing of Sulphur or Oil and Gas in the Outer Continental Shelf (OCS) 16329 414 8815 1010 1010-0017 09/30/2002 Semiannual Well Test Report -- Form MMS-128 2490 0 1660 1010 1010-0018 08/31/2004 Form MMS-127, Sensitive Reservior Informaiton Report (SRI) 960 0 960 1010 1010-0039 08/31/2004 Form MMS-126, Well Potential Test Report (WPT) 1250 0 1250 1010 1010-0041 06/30/2003 30 CFR 250, Subpart K, Oil and Gas Production Rates 14189 0 1949 1010 1010-0042 04/30/2004 Sale of Federal Royalty Oil, 30 CFR Part 208 (Originally titled "Application for the Purchase of Royalty Oil" 19 0 17 1010 1010-0043 08/31/2004 30 CFR 250, Subpart F, Oil and Gas Well-Workover Operations 19205 0 11625 1010 1010-0044 09/30/2002 Application for Permit to Drill -- Form MMS-123 4078 0 1165 1010 1010-0045 09/30/2002 Sundry Notices and Reports on Wells -- Form MMS-124 11875 0 9500 1010 1010-0046 09/30/2002 Well Summary Report -- Form MMS-125 2275 0 2275 1010 1010-0048 05/31/2003 30 CFR Part 251, Geological and Geophysical (G&G) Explorations of the OCS 8109 0 963 1010 1010-0049 09/30/2003 30 CFR 250, Subpart B, Exploration and Development and Production 257470 0 1016 1010 1010-0050 08/31/2003 30 CFR 250, Subpart J, Pipelines and Pipeline Rights-of-way 78910 332 2190 1010 1010-0051 07/31/2004 30 CFR 250, Subpart L, Oil and Gas Production Measurement, Surface Commingling, and Security 6540 0 36098 1010 1010-0053 09/30/2003 30 CFR 250, Subpart D, Oil and Gas Drilling Operations 113827 0 2543 1010 1010-0057 12/31/2002 Pollution Prevention and Control -- 30 CFR 250, Subpart C 194311 750 4040 1010 1010-0058 09/30/2004 30, CFR 250, Subpart I, Platforms and Structures 30824 0 1035 1010 1010-0059 12/31/2002 Oil and Gas Production Safety Systems -- 30 CFR 250, Subpart H 5204 0 727 1010 1010-0061 10/31/2004 Oil Transportation Allowances (30 CFR Part 206.55(a)(1)(i); (b) (1); (c)(1)(i) and (iii), and (iv)) 5 0 20 1010 1010-0067 08/31/2004 30 CFR 250, Subpart E, Oil and Gas Well-Completion Operations 9575 0 2835 1010 1010-0068 09/30/2002 Unitization -- 30 CFR 250, Subpart M 2742 0 27 1010 1010-0071 09/30/2003 30 CFR Part 203, Relief or Reduction in Royalty Rates 8650 661 22 1010 1010-0072 01/31/2003 Prospecting for Minerals Other Than Oil, Gas, and Sulphur in the OCS -- 30 CFR Part 280 88 0 12 1010 1010-0073 08/31/2002 Net Profit Share Leases 2946 0 183 1010 1010-0074 10/31/2004 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)) 4 0 2 1010 1010-0075 10/31/2004 Gas Processing and Transportation Allowances (30 CFR Part 206.178 (b)(1)(ii) and 206.180(b)(1)(ii)) 750 0 3000 1010 1010-0078 08/31/2003 30 CFR 250, Subpart o, Training 2300 0 2188 1010 1010-0079 09/30/2002 Abandonment of Wells -- 30 CFR 250, Subpart G 650 0 200 1010 1010-0086 08/31/2004 30 CFR 250, Subpart P, Sulphur Operations 903 0 29 1010 1010-0087 08/31/2003 Cooperative Agreements 1224 0 85 1010 1010-0088 08/31/2003 Delegation of Authority to States 210400 80 48050 1010 1010-0090 09/30/2004 Stripper Royalty Rate Reduction Notification (43 CFR Part 3103.4- 2) 800 0 1600 1010 1010-0091 10/31/2003 30 CFR part 254, Oil-Spill Responses Requirements for Facilities Located Seaward of the Coast Line 42233 0 801 1010 1010-0095 05/31/2003 Request to Exceed Regulatory Allowance Limitation 37 0 75 1010 1010-0098 03/31/2004 Office of Indian Royalty Assistance (OIRA) Customer Satisfaction Postcard 7 0 200 1010 1010-0103 01/31/2003 Safety Net Report 10500 0 420 1010 1010-0104 01/31/2003 Certification for Not Performing Accounting for Comparison (Dual Accounting) 2880 0 720 1010 1010-0106 09/30/2004 30 CFR Part 253, Oil Spill Financial Responsibility for Offshore Facilities 19504 0 1834 1010 1010-0107 05/31/2002 Designation of Royalty Payment Responsibility 8625 0 11500 1010 1010-0110 08/31/2004 Training and Outreach Evaluation Forms 350 0 3500 1010 1010-0112 02/28/2002 Performance Measures Data Form -- Form MMS-131 960 0 80 1010 1010-0113 02/28/2003 Indian Crude Oil Valuation Report 1 0 6075 1010 1010-0114 09/30/2002 General -- 30 CFR 250, Subpart A 10716 2 3899 1010 1010-0118 06/30/2002 Royalty-In-Kind Pilot Program Spreadsheets: Federal Oil and Gas Purchase System and Joint Effort Royalty Oil and Gas Purchase System 330 0 10000 1010 1010-0119 08/31/2002 Royalty-in-Kind (RIK) Determination of Need 100 0 25 1010 1010-0120 08/31/2004 Solid Minerals Compliance and Asset Management Process, 30 CFR Parts 206, 210, 216, and 218 (Current title: Solid Minerals Operational Model) 1452 0 5495 1010 1010-0121 04/30/2002 Preliminary Statement of Issues and Fee Waiver 36100 0 400 1010 1010-0122 04/30/2002 Filing Sureties 300 0 300 1010 1010-0123 04/30/2002 Issuing Orders Requested by Indian Lessors 180 0 12 1010 1010-0124 04/30/2002 Report of Sales and Royalty Remittance 1 0 2786000 1010 1010-0125 04/30/2002 Accounting Relief for Marginal Properties 1 7 10643 1010 1010-0126 02/28/2003 Royalty-In-Kind Pilot Program Directed Third-Party Communications Between Operators and Purchasers of RIK Federal Oil and Gas Purchase System 3720 0 4320 1010 1010-0128 08/31/2003 30 CFR 250, Subpart O-Well Control & Production Safety Training 5739 0 717 1010 1010-0129 06/30/2003 Bids and Financial Statements for Sale of Royalty Oil and Gas (RIK Pilots) 1324 0 1869 1010 1010-0130 04/30/2003 Directed Communications Between Operators of Federaal RIK Leases and Deliverers of Equivalent Oil Production to the Strategic Petroleum Reserve 201 0 30 1010 1010-0131 09/30/2002 Supplemental APD Information Sheet -- Form MMS-123S 683 0 1365 1010 1010-0132 09/30/2002 Weekly Activity Report -- Form MMS-133 2275 0 4550 1010 1010-0134 11/30/2002 Further Implementation of the Memorandum of Understanding 176 0 4 1010 1010-0135 05/31/2003 Royalty-in-King (RIK) Small Refiner Sale Program 25 0 25 1010 1010-0136 02/28/2003 Federal Oil Valuation 17711 0 85 1010 1010-0137 08/31/2003 Historical Well Data Cleanup (HWDC) Project 90000 0 130 1010 1010-0138 04/30/2003 Indian Crude Oil Valuation Report 1 0 2714 1010 1010-0139 07/31/2003 Production Accounting and Auditing System Oil and Gas Reports 89129 1533 360400 1010 1010-0140 08/31/2003 Report of Sales and Royalty Remittance 133120 4700 2496000 1010 1010-0141 08/31/2003 Proposed Rule - 30 CFR 250, Subpart D, Oil and Gas Drilling 1 0 10516 1010 1010-0142 07/31/2004 30 CFR 250, Subpart Q - Decommissioning Activities 1 0 1334 1010 1010-0143 11/30/2003 30 CFR Part 260, Outer Continental Shelf Oil and Gas Leasing 1603 0 7 1010 1010-0145 02/29/2004 Survey-Gulf of Mexico Labor Needs 10792 0 6338 1010 1010-0146 09/30/2004 Proposed Rulemaking-30 CFR 250, Subpart A, Crane Requirements 260 0 130 1010 1010-0147 10/31/2004 Proposed Rulemaking - 30 CFR 250, Subpart J - Safety Measure and Procedures for Pipeline Modifications and Repairs 800 0 200 1010 1010-0148 12/31/2004 Proposed Rulemaking - 30, CFR 250, Subpart E-Procedures for Dealing with Sustained Casing Pressure 1300 0 650 1018 1018-0007 09/30/2003 State cert. of hunting and fishing licenses issued annually; 50 CFR 80 56 0 56 1018 1018-0010 08/31/2002 Mourning Dove Call-Count Survey 2655 0 1062 1018 1018-0012 10/31/2003 Declaration for Import or Export of Fish/Wildlife, 50 CFR 14.61- 14.64 21250 0 85000 1018 1018-0014 08/31/2003 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. 1820 0 212 1018 1018-0015 10/31/2004 Migratory Bird Harvest Surveys 138917 0 3852000 1018 1018-0019 08/31/2002 North American Woodcock Singing Ground Survey 500 0 750 1018 1018-0022 04/30/2004 Federal Fish and Wildlife License/Permit Application and Report 22234 246 47326 1018 1018-0023 07/31/2003 Sandhill Crane Harvest Survey 614 0 7400 1018 1018-0049 09/30/2003 Grant agreement and amendment to grant agreement 5250 0 1456 1018 1018-0066 10/31/2004 Marine Mammal Marking, Tagging, and Reporting Certificates-50 CFR 18.23(f) 674 0 2695 1018 1018-0067 10/31/2003 Protocol for Nontoxic Approval Procedures for Shot and Shot Coatings Migratory Bird Treaty Act 3200 0 1 1018 1018-0070 09/30/2004 Incidental Take of Marine Mammals During Specified Activities Applications; 50 CFR Part 18, Subpart J 1047 0 49 1018 1018-0075 07/31/2003 Fed. Subsistence Hunt Application, Designated Hunter, Fish/ Shellfish; 50 CFR 100 1725 0 6900 1018 1018-0088 09/30/2003 FHWAR SURVEY. 16 U.S.C. 669-699i, 742d-f, 777-777k P.L. 98-369 27000 0 161000 1018 1018-0092 07/31/2004 Federal Fish and Wildlife License/Permit Application, Law Enforcement--50 CFR Parts 13, 14, 15, 16, 17, 18, 23 8233 308 8236 1018 1018-0093 03/31/2004 Federal Fish and Wildlife License/Permit Application-Management Authority; 50 CFR 13, 15, 17, 18, 21, 23 4500 149 5959 1018 1018-0094 07/31/2004 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 4125 17 1275 1018 1018-0095 10/31/2004 Endangered and Threatened Wildlife, 50 CFR 17.84, Experimental populations. 16 0 62 1018 1018-0097 01/31/2004 Depredation Order for Double-crested Cormorant 50 CFR 21.47 875 0 2450 1018 1018-0098 07/31/2002 Evaluation of Visitor Responses to Recreation Fee Demonstration Programs in the U.S. Fish and Wildlife Service National Wildlife Refuges 400 0 2400 1018 1018-0100 05/31/2002 Information Collection in Support of Grant Programs Authorized by the North American Wetlands Conservation Act (NAWCA) 37600 0 150 1018 1018-0101 12/31/2001 Information Collection Requirements for Monitoring Peregine Falcons Once the Species Is Delisted 12 0 20 1018 1018-0102 11/30/2004 Special use permit application on National Wildlife Refuges outside Alaska covering 50 CFR 25.41, 25.61, 30.11, 31.13, and 31.16 10440 0 10440 1018 1018-0103 01/31/2002 Conservation Order for Control of Mid-Continent Light Geese 510 0 17 1018 1018-0104 09/30/2002 Information Collection in Support of Grant Programs Authorized by the North American Wetlands Conservation Act (NAWCA) and Council 640 0 40 1018 1018-0105 08/31/2002 Information Collection for Bald Eagle Monitoring 125 0 60 1018 1018-0106 03/31/2003 National Boating Infrastructure Grant Program Survey 32200 0 1600 1018 1018-0109 01/31/2004 Federal Aid Grant Application Booklet 50 CFR 80 283500 0 5250 1018 1018-0110 03/31/2004 NEPA Compliance Checklist 80 0 160 1018 1018-0111 09/30/2004 Summary Information for Ranking National Coastal Wetlands Grant Program Proposals, 50 CFR 84. 17 0 34 1018 1018-0112 11/30/2004 U.S. Fish & Wildlife Service Employee Exit Follow-up, authorized by the Merit System Principles (5 U.S.C. 2301) 100 0 400 1024 1024-0009 05/31/2003 Historic Preservation Certification Application 7500 764 3000 1024 1024-0021 04/30/2004 National Capital Region Application for Public Gathering, 36 CFR 7.96(g) 2100 0 4200 1024 1024-0022 01/31/2004 Backcountry Use Permit (36 CFR 1.5, 1.6, and 2.10) 24612 0 295339 1024 1024-0026 09/30/2003 Special Park Use Applications (36 CFR) 11150 930 18600 1024 1024-0028 02/29/2004 Urban Park and Recreation Recovery Program Project Performance Report 248 0 164 1024 1024-0031 02/29/2004 Land and Water Conservation Fund Description and Notification Form 115 0 450 1024 1024-0032 02/29/2004 Land and Water Conservation Fund Program Performance Report 700 0 700 1024 1024-0033 02/29/2004 Land and Water Conservation Fund Project Agreement and Amendment 450 0 450 1024 1024-0034 02/29/2004 Land and Water Conservation Fund On-Site Inspection Report 3700 0 7400 1024 1024-0036 12/31/2001 Public Use Reporting Survey 200 0 4000 1024 1024-0037 11/30/2004 Archeology Permits and Reports - 43 CFR parts 3 & 7 1750 0 2100 1024 1024-0038 07/31/2004 Procedures for State, Tribal, and Local Government Historic Preservation Programs; 36 CFR 61 21508 0 29500 1024 1024-0047 02/29/2004 Land and Water Conservation Fund Conversion of Use Provisions 1750 0 50 1024 1024-0048 02/29/2004 Urban Park and Recreation Recovery Program Conversion of Use Provisions 75 0 3 1024 1024-0064 06/30/2003 36 CFR Part 9, Subpart A - Mining and Minimg Claims 36 CFR Part 9, Subpart B - Non-Federal Oil and Gas 4048 0 23 1024 1024-0089 02/29/2004 Urban Park and Recreation Recovery Program Project Agreement and Amendment 20 0 20 1024 1024-0125 08/31/2003 Submission of Offers in Response to Concession Opportunities 76800 1120 240 1024 1024-0126 08/31/2002 Proposed Sale of Concession Operations 1600 5 20 1024 1024-0224 09/30/2004 Programmatic Approval for National Park Service-Sponsored Public Surveys 15000 0 90000 1024 1024-0226 12/31/2001 National Park Service Partnership Programs GPRA Information Collections 214 0 642 1024 1024-0228 12/31/2001 Alaskan Military Operations Areas On-Site Visitor Surveys 631 0 2360 1024 1024-0231 11/30/2003 Concession Contract - 36 CFR 51 3276 0 758 1024 1024-0232 11/30/2003 NPS Underground Railroad Network to Freedom Application 1000 0 100 1024 1024-0233 01/31/2004 National Park Service leasing Program -- 36 CFR Part 18 4392 0 627 1024 1024-0235 12/31/2001 Development and Advancement of Carrying Capacity Management Techniques, Western Washington Household Survey 250 0 1000 1024 1024-0236 04/30/2004 Application for a Scientific Research and Collecting Permit: Investigator's Annual Report; re 36 CFR 2.1 and 2.5 4875 0 6000 1024 1024-0240 02/28/2002 Glacier Bay Commercial Fishing Compensation Program 2400 13 600 1024 1024-0241 09/30/2002 Golden Gate National Recreation Area Water Shuttle Access Plan Resident Surveys 600 0 2800 1024 1024-0242 09/30/2004 National Park Service Urban and Adjacent Parks: Assessment and Development of Community Outreach 125 0 400 1024 1024-0243 09/30/2002 Charleston Harbor Water Taxi Resident and Non-Resident Survey- Fort Sumter Group Parks 167 0 1000 1028 1028-0048 08/31/2002 Earthquake Report 350 0 3500 1028 1028-0051 09/30/2002 National Earthquake Hazards Reduction Program, Annual Announcement of Availability of Funds 12000 0 300 1028 1028-0053 08/31/2002 Nonferrous Metals Surveys 5453 0 6633 1028 1028-0056 05/31/2004 North American Reporting Center for Amphibian Malformations 150 0 450 1028 1028-0057 11/30/2003 The National Atlas of the United States of America 350 0 1000 1028 1028-0059 02/29/2004 Comprehensive Test Ban Treaty 750 0 3000 1028 1028-0060 12/31/2003 Mine, Development, and Mineral Exploration Supplement 555 0 739 1028 1028-0062 02/29/2004 Industrial Minerals Survey 13185 0 19008 1028 1028-0065 02/29/2004 Production Estimate, Quarterly Construction Sand and Gravel and Crushed and Broken Stone 742 0 3450 1028 1028-0068 09/30/2004 Ferrous Metals Surveys 1970 0 3479 1028 1028-0069 10/31/2004 User Survey for National Biological Information Infrastructure 150 0 3000 1028 1028-0070 09/30/2004 Consolidated Consumers' Report 2753 0 3670 1028 1028-0071 02/28/2002 USGS Customer Surveys, Generic Clearance 2250 0 10250 1028 1028-0072 08/31/2002 Frogwatch USA 3625 4 14500 1028 1028-0074 07/31/2004 Assessment of the Use and Benefits of Waterfowl Production Areas in Minnesota 292 0 700 1028 1028-0075 07/31/2004 Understanding Visitor Uses, Motives, and Benefits at Sherburne National Wildlife Refuge 416 0 1000 1028 1028-0076 07/31/2004 Conservation Reserve Program (CRP) Contractee Perceptions on Environmental Benefits and Management 268 0 1400 1029 1029-0024 08/31/2004 Procedures and Criteria for Approval or Disapproval of State Program Submissions, 30 CFR PART 732 9205 0 65 1029 1029-0025 08/31/2003 Maintenance of State programs and procedures for substituting Federal enforcement of State programs and withdrawing approval of State programs, 30 CFR 733. 200 0 2 1029 1029-0027 09/30/2002 General Requirements for Surface Coal Mining and Reclamation Operations on Federal Lands -- 30 CFR 740 1582 0 31 1029 1029-0030 07/31/2004 State processes for designating areas unsuitable for surface coal mining operations, 30 CFR Part 764 7240 0 4 1029 1029-0035 06/30/2003 Surface Mining Permit Applications - Minimum Requirements for Environmental Resources - Part 779 51188 0 315 1029 1029-0036 09/30/2002 Surface Mining Permit Applications, Minimum Requirements for Reclamation and Operation Plans -- 30 CFR Part 780 186081 3147 420 1029 1029-0038 03/31/2003 Underground Mining Permit Applications - Minimum Requirements for Information on Environmental Resources - 30 CFR Part 783 16918 0 105 1029 1029-0039 06/30/2004 Underground Mining Permit Applications - Minimum Requirements for Reclamation and Operations Plans, 30 CFR 784. 96460 850 100 1029 1029-0040 08/31/2003 30 CFR Part 785 -- Requirements for permits for special categories of mining 16372 0 347 1029 1029-0043 11/30/2002 Bond and Insurance Requirements for Surface Coal Mining and Reclamation Operations under Regulatory Programs -- 30 CFR Part 800 188736 5734 16974 1029 1029-0047 02/29/2004 Permanent Program Performance Standards - Surface Mining Activities, 30 CFR Part 816. 355405 0 731787 1029 1029-0048 06/30/2004 Permanent Program Performance Standards - Underground Mining Activities, 30 CFR Part 817 95618 1272 20745 1029 1029-0049 07/31/2004 Special permanent program performance standards-operations in alluvial valley floors, 30 CFR Part 822 1000 0 10 1029 1029-0051 01/31/2004 Permanent Program Inspection and Enforcement Procedures, 30 CFR Part 840. 578509 1 99013 1029 1029-0054 08/31/2002 Abandoned Mine Reclamation Funds -- 30 CFR 872 1 0 1 1029 1029-0055 05/31/2002 Rights of Entry -- Part 877 30 1 30 1029 1029-0057 03/31/2004 Reclamation on Private Land - 30 CFR 882 16 0 1 1029 1029-0059 12/31/2002 Budget Information, Financial Reporting, and Performance/Program Narrative Forms 655 0 131 1029 1029-0061 06/30/2003 Small Operator Assistance Program - Part 795 10635 0 160 1029 1029-0063 06/30/2003 Coal Production and Reclamation Fee Report 4280 0 15804 1029 1029-0067 08/31/2002 Statement of Employment and Financial Interests for Use by State Employees -- 30 CFR Part 705 1111 0 3321 1029 1029-0080 03/31/2004 Permanent regulatory program requirements-standards for certification of blasters, 30 CFR 850 173 0 1 1029 1029-0083 08/31/2002 Application for Blaster Certification in Federal Program States and Indian Lands -- 30 CFR Part 955 57 3 33 1029 1029-0087 03/31/2004 Abandoned Mine Land Problem Area Description Form, OSM 76 4000 0 1800 1029 1029-0089 03/31/2004 Exemption for Coal Extraction Incidental to the Extraction of Other Minerals, 30 CFR Part 702 513 0 61 1029 1029-0090 12/31/2002 Abandoned Mine Reclamation Fund Fee Collection and Coal 750 0 1000 1029 1029-0091 05/31/2002 Requirements for Surface Coal Mining and Reclamation Operations on Indian Lands -- 30 CFR 750 1400 15 75 1029 1029-0092 09/30/2002 State-Federal Cooperative Agreements -- 30 CFR 745 12344 0 12 1029 1029-0094 11/30/2003 General - 30 CFR Part 700 12 0 6 1029 1029-0098 11/30/2003 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 769 120 0 1 1029 1029-0103 09/30/2003 Noncoal Reclamation - 30 CFR 875 340 0 7 1029 1029-0104 08/31/2003 Acid Mine Drainage Treatment of Abatement Program - 30 CFR 876 350 0 1 1029 1029-0107 09/30/2002 Subsidence Insurance Program Grants -- 30 CFR Part 887 8 0 1 1029 1029-0110 06/30/2003 Technical Training Program Course Effectiveness Evaluation 53 0 315 1029 1029-0111 11/30/2002 Areas Designated by Act of Congress -- 30 CFR Part 761 2417 10 253 1029 1029-0112 11/30/2002 30 CFR Part 772 - Requirements for Coal Exploration 10963 1 905 1029 1029-0113 08/31/2004 General Reclamation Requirements 30 CFR 874 3240 0 45 1029 1029-0114 11/30/2004 Technical Evaluations Series 125 0 750 1029 1029-0115 12/31/2003 Requirements for permits and permit processing - 30 CFR Part 773 11116 12 310 1029 1029-0116 12/31/2003 Revision; Renewal; and Transfer, Assignment, or Sale of Permit Rights - 30 CFR 774 97780 0 12090 1029 1029-0117 12/31/2003 Permit Applications - minimum requirements for legal, financial, compliance, and related information-Part 778 8437 0 310 1029 1029-0118 06/30/2002 Federal Inspections and Monitoring -- 30 CFR Part 842 105 0 140 1029 1029-0119 11/30/2003 Abandoned Mine Land Contractor Information Form 465 0 519 1029 1029-0120 01/31/2004 Technical Training Program Course Nomination and Payment for Travel and Per Diem Forms 134 0 1600 1035 1035-0001 05/31/2003 Application for Technical Assistance to Withdraw Tribal Funds from Trust Status (Specific Budget) 468 0 12 1035 1035-0002 05/31/2003 Application for assistance to withdraw Tribal funds from Trust Status (General) 156 0 12 1035 1035-0003 05/31/2003 Application to Withdraw Tribal funds from Trust Status 4104 0 12 1076 1076-0017 06/30/2002 U.S. Department of the Interior, Bureau of Indian Affairs, Financial Assistance and Social Services Program 50000 0 200000 1076 1076-0018 09/30/2002 Tribal Colleges and Universities Grant Application Form -- 25 CFR 41 26 0 26 1076 1076-0020 10/31/2003 25 CFR 103- Loan Guaranty, Insurance, and Interest Subsidy 519 0 852 1076 1076-0021 11/30/2002 Electrical Service Application -- 25 CFR 175 1188 0 4750 1076 1076-0062 01/31/2003 Application for Training or Employment 2450 0 4900 1076 1076-0084 10/31/2004 25 CFR 256 United States Department of the Interior, Burau of Indian Affairs Housing Improvement Program 1750 0 3500 1076 1076-0094 04/30/2002 25 CFR 11, Subpart F, Law & Order on Indian Reservations 65 0 260 1076 1076-0096 07/31/2002 Education Contracts under Johnson-O'Malley Act Application and Regulatory Requirements 1800 0 360 1076 1076-0100 12/31/2003 25 CFR 151, Acquisition of Title to Land in Trust 36800 0 9200 1076 1076-0101 10/31/2004 Higher Education Grant Application 25 CFR 40 14000 0 14000 1076 1076-0104 09/30/2003 Documented Petitions for Federal Acknowledgment as an Indian Tribe, 25 CFR 83 22377 0 10 1076 1076-0105 09/30/2002 Tribal Colleges and Universities Annual Report Form -- 25 CFR 41 78 0 26 1076 1076-0106 10/31/2004 Higher Education Annual Report, 25 CFR 40 Subchapter E 375 0 125 1076 1076-0111 10/31/2003 25 CFR 23.13, Payment for Appointed Counsel in Involuntary Indian Child Custody Proceedings in State Courts 12 0 4 1076 1076-0112 02/28/2003 Contents of Reassumption Petition -- 25 CFR 13.11 16 0 2 1076 1076-0114 05/31/2002 Applications for Admission to Haskell Indian Nations University and to Southwestern Indian Polytechnic Institute 2214 15 3943 1076 1076-0120 12/31/2001 Adult Education Annual Report Form 280 0 70 1076 1076-0131 12/31/2001 Indian Child Welfare Assistance Annual Report 277 0 554 1076 1076-0134 07/31/2002 Student Transportation Form 696 0 116 1076 1076-0135 03/31/2003 A Reporting System for P.L. 102-477 Deomonstration Project 370 0 37 1076 1076-0136 09/30/2003 Indian Self-Determination and Education Assistance Act Programs 238992 0 5507 1076 1076-0141 11/30/2002 Water Request -- 25 CFR 171 4292 0 51500 1076 1076-0143 04/30/2003 Tribal Self-Governance Program, 25 CFR Part 1000 10766 16 257 1076 1076-0146 05/31/2002 Evaluation of the Performance of Trust Functions Performed by Tribes under Self Governance Compacts 1512 0 63 1076 1076-0147 12/31/2001 U.S. Department of the Interior, Bureau of Indian Affairs, Indian Service Population and Labor Force Estimate Report 279 0 279 1076 1076-0149 03/31/2003 Class III Gaming Procedures 25 CFR 522 3840 0 12 1076 1076-0152 03/31/2003 Tribal Revenue Allocation Plans 25 CFR 290 5000 0 50 1076 1076-0153 06/30/2003 Request for Certificate of Degree of Indian or Alaska Native Blood, 25 CFR Part 70 433500 0 287400 1076 1076-0154 10/31/2003 Funds Held in Trust for Tribes and Individuals 25 CFR-115 1577125 0 1997500 1076 1076-0155 09/30/2003 Leases and Permits 25 CFR 162 70237 0 79843 1076 1076-0156 09/30/2003 Probate of Indian Estates, Except for Members of the Five Civilized Tribes 25 CFR 15 156407 60 32589 1076 1076-0157 09/30/2003 Grazing Permits 25 CFR 166 3088 0 4200 1076 1076-0158 11/30/2003 Gaming on Trust Lands Acquired After October 17, 1988 25 CFR 292 2000 0 2 1076 1076-0159 03/31/2004 25 CFR 151, Acquisition of Title to Land in Trust and Tribal Land Acquisition Area 68035 0 1325 1076 1076-0160 04/30/2002 Preference in Employment 2500 6 5000 1084 1084-0010 12/31/2002 Claim for Relocation Payments, Residential -- DI-381 Clain for Relocation Payments, Nonresidential -- DI-382 88 0 200 1084 1084-0033 01/31/2004 Private Rental Survey 1046 0 5279 1091 1091-0001 01/31/2003 U.S. Department of the Interior, Applicant Background Survey 9960 0 120000 1103 1103-0016 02/29/2004 Certification of Identify 38333 77 153333 1103 1103-0018 02/29/2004 Department of Justice Procurement Blanket Clearance 149240 0 7462 1103 1103-0019 12/31/2001 Making Officer Redeployment Effective Application (MORE) 35880 359 1150 1103 1103-0030 04/30/2003 COPS Department Initial Report 2400 0 1600 1103 1103-0037 06/30/2003 COPS MORE (Making Officer Redeployment Effective) '98 Progress Report 9150 0 1830 1103 1103-0049 12/31/2001 COPS Small Community Supplemental Grant Program Application 8000 80 4000 1103 1103-0050 12/31/2001 Assessment of Indian Country Law Enforcement Agencies 300 3 1 1103 1103-0051 12/31/2001 Visiting Fellows Program Application Form 330 1815 15 1103 1103-0052 12/31/2001 Analysis Protocol: Enhanced Evaluation PSP 840 5 120 1103 1103-0053 12/31/2001 COPS MORE '96 Certification -- 28 CFR Part 23 5518 55 1100 1103 1103-0054 02/28/2002 National Survey of Police Executives, District Commanders, and Agencies 6141 57285 6700 1103 1103-0056 05/31/2002 Problem-Solving Partnerships: Analysis and Assessment Surveys 861 5687 940 1103 1103-0057 12/31/2001 Grantee Satisfaction Survey 1300 15 2600 1103 1103-0058 08/31/2002 Trust '99 750 3750 1 1103 1103-0059 03/31/2002 Regional Community Policing Institute Surveys: Pre-Test and Post-Test 4500 36300 6000 1103 1103-0060 04/30/2002 Troops to COPS II 750 4 1 1103 1103-0061 02/29/2004 COPS Grant Status Survey 11559 0 23118 1103 1103-0066 02/29/2004 National Center for Victims of Crime: Service Referral Questionnaire 2500 0 10000 1103 1103-0067 05/31/2003 COPS Crime Analysis Unit Survey 975 0 1550 1103 1103-0068 03/31/2002 School-Based Partnership Implementation Report 125 0 500 1103 1103-0069 03/31/2002 School-Based Partnership Response Phase Report 206 0 275 1105 1105-0001 04/30/2004 Registration Statement of Individuals (Foreign Agents) 81 0 54 1105 1105-0002 04/30/2004 Supplemental Registration Statement of Individuals (Foreign Agents) 1421 0 1034 1105 1105-0003 04/30/2004 Exhibit A to Registration Statement (Foreign Agents) 62 0 127 1105 1105-0004 04/30/2004 Amendment to Registration or Supplemental Registration Reports (Foreign Agents) 262 0 175 1105 1105-0007 04/30/2004 Exhibit B to Registration Statement (Foreign Agents) 41 0 127 1105 1105-0008 08/31/2002 Claim for Damage, Injury, or Death 1800000 0 300000 1105 1105-0013 04/30/2004 Short-form Registration Statement of Individuals (Foreign Agents) 166 0 388 1105 1105-0025 07/31/2002 Department of Justice Federal Coal Lease Review Information 40 0 20 1105 1105-0030 07/31/2004 Application Booklets-Attorney General's Honor Program; Summer Law Intern Program 4500 0 4500 1105 1105-0052 12/31/2001 Claims under the Radiation Exposure Compensation Act 2285 0 914 1105 1105-0063 07/31/2002 Data Base of Offender Job Training and Placement Service Providers 200 0 75 1105 1105-0071 07/31/2002 National Drug Threat Survey 7500 0 2500 1110 1110-0001 09/30/2003 Return A-Monthly Return of Offenses known to Police and Supplement to Return A-Monthly Return of Offenses known to Police. 74201 449 212004 1110 1110-0002 07/31/2004 Supplementary Homicide Report 30218 000 201456 1110 1110-0004 07/31/2002 Full-Time Law Enforcement Employees as of October 31 2356 0 17667 1110 1110-0005 07/31/2002 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) 205740 0 411480 1110 1110-0006 02/29/2004 Law Enforcement Officers Killed and Assaulted 24734 0 212004 1110 1110-0008 07/31/2002 Monthly Return of Arson Offenses Known to Law Enforcement 31801 0 212004 1110 1110-0009 02/29/2004 Analysis of Law Enforcement Officers Killed And Assaulted 570 0 570 1110 1110-0015 09/30/2003 Hate Crime Incident Report/Quarterly Hate Crime Report 15900 216 106002 1110 1110-0016 05/31/2002 Application for Employment/Federal Bureau of Investigation 400000 0 50000 1110 1110-0021 04/30/2002 Post-Graduate Evaluation of the FBI National Academy Survey Booklet 1914 0 2553 1110 1110-0022 04/30/2003 Cost Recovery Regulations, Communications Assistance for Law Enforcement Act of 1994 46000 0 11500 1110 1110-0026 09/30/2002 Federal Firearms Licensee Enrollment Form 1800 21980 6000 1110 1110-0029 04/30/2002 FBI National Academy Training Needs Assessment 860 0 1751 1110 1110-0030 04/30/2003 Flexible Deployment Assistance Guide 21250 0 5000 1110 1110-0031 05/31/2003 Emergency Law Enforcement Services Vulnerability Survey 1600 0 3200 1110 1110-0033 05/31/2004 National Sex: Offender Registry 8333 0 250000 1110 1110-0035 01/31/2002 State POC Final Determination Electronic Submission 74000 16800 44000000 1115 1115-0003 10/31/2004 Alien Change of Address Card 20750 0 250000 1115 1115-0004 12/31/2002 Application to Replace Alien Registration Card 376292 55457 410799 1115 1115-0005 06/30/2004 Application for Travel Document 407986 43065 453318 1115 1115-0007 10/31/2002 Request for Verification of Naturalization 250 0 1000 1115 1115-0008 02/29/2004 Application to File Declaration of Intention 325 21 433 1115 1115-0009 05/31/2002 Application for Naturalization 4291000 157500 700000 1115 1115-0014 08/31/2003 Application to Preserve Residence for Naturalization 375 43 375 1115 1115-0015 09/30/2002 Application for Replacement Naturalization/Citizenship Document 20671 3272 22567 1115 1115-0018 04/30/2004 Application for Certificate of Citizenship 67936 10870 67936 1115 1115-0019 07/31/2002 Application for Nonresident Alien's Mexican Border Crossing Card 22444 7031 270410 1115 1115-0020 12/31/2001 Application for Removal 7 0 41 1115 1115-0022 02/29/2004 Request for Certification of Military or Naval Service 33750 0 45000 1115 1115-0028 01/31/2002 Application for Advance Permission to Enter as Nonimmigrant (Pursuant to 212(d)(3) of the Immigration and Nationality Act) 3000 2040 12000 1115 1115-0029 09/30/2002 Guarantee of Payment 8 0 100 1115 1115-0032 06/30/2003 Application for Advance Permission to Return to Unrelinquished Domicile 75 51 300 1115 1115-0035 05/31/2002 Application for Transfer of Petition for Naturalization 17 9 100 1115 1115-0037 04/30/2002 Waiver of Rights, Privileges, Exemptions, and Immunities 150 0 1800 1115 1115-0040 10/31/2004 Alien Crewman Landing Permit 35939 0 433000 1115 1115-0042 05/31/2002 Application for Waiver of Passport and/or Visa 4150 4250 25000 1115 1115-0044 06/30/2002 Data Relating to Beneficiary of Private Bill 100 0 100 1115 1115-0046 12/31/2001 Request for Cancellation of Public Charge Bond 500 0 2000 1115 1115-0048 06/30/2003 Application for Waiver of Ground of Excludability 1500 510 3000 1115 1115-0049 04/30/2002 Petition to Classify Orphan as an Immediate Relative and Application for Advance Processing of Orphan Petition 17000 13770 34000 1115 1115-0051 12/31/2001 Certificate of Eligibility for Nonimmigrant Study (F-1) Status for Academic and Language Students 130000 0 260000 1115 1115-0052 08/31/2002 Notice of Naturalization Oath Ceremony 53950 0 650000 1115 1115-0053 10/31/2004 Application to Register Permanent Residence or Adjust Status, and Supplement A to Form I-485 2781321 182238 635500 1115 1115-0054 05/31/2003 Petition for Alien relative 253179 55699 506358 1115 1115-0055 11/30/2004 Application for Stay of Deportation or Removal 5000 1550 10000 1115 1115-0057 08/31/2002 Registration for Classification as Refugee 81620 0 140000 1115 1115-0059 04/30/2002 Application for Waiver of the Foreign Residence Requirement of Section 212(e) of the Immigration and Nationality Act 432 221 1300 1115 1115-0060 12/31/2001 Certification by Designated School Official 10890 0 165000 1115 1115-0061 08/31/2004 Immigrant Petition for Alien Workers 96000 11040 96000 1115 1115-0062 06/30/2003 Affidavit of Support 14652 0 44000 1115 1115-0063 04/30/2002 Baggage and Personal Effects of Detained Alien 10200 0 600000 1115 1115-0065 12/31/2001 Canadian Border Boat Landing Permit 11288 1088 68000 1115 1115-0066 12/31/2001 Biographic Information 286249 0 1144994 1115 1115-0068 05/31/2002 Notice to Student or Exchange Visitor 249 0 3000 1115 1115-0070 10/31/2002 Petition for Approval of School for Attendance by Nonimmigrant Students 322 64 322 1115 1115-0071 11/30/2004 Petition for Alien Fiance(e) 100000 19000 200000 1115 1115-0073 05/31/2002 Application to Payoff or Discharge Alien Crewman 35360 0 85000 1115 1115-0075 02/29/2004 Nonimmigrant Checkout Letter 3320 0 20000 1115 1115-0077 07/31/2002 Arrival and Departure Record 919009 83546 13924380 1115 1115-0078 12/31/2001 Aircraft/Vessel Report 129600 0 720000 1115 1115-0079 02/29/2004 Application for Replacement/Initial Nonimmigrant Arrival- Departure Document 5073 1700 20000 1115 1115-0081 12/31/2001 Immigrant Petition by Alien Entrepreneur 1710 750 1368 1115 1115-0083 01/31/2002 Passenger List, Crew List 95000 0 95000 1115 1115-0085 12/31/2002 Immigration Bond 12500 0 25000 1115 1115-0086 05/31/2004 Application for Asylum and for Withholding of Removal 872244 500 72687 1115 1115-0087 06/30/2002 Freedom of Information/Privacy Act Request 25000 0 100000 1115 1115-0090 05/31/2003 Inter-Agency Record of Individual Requesting Change/Adjustment to or form A or g Status; or Requesting A, G. or NATO Dependent Employment Authorization 1100 0 4400 1115 1115-0093 07/31/2004 Application to Extend/Change Nonimmigrant Status 512407 81985 683210 1115 1115-0098 04/30/2002 Application by Refugee for Waiver of Grounds of Excludability 625 0 2500 1115 1115-0099 09/30/2002 Application for Admission to Reapply for Admission into the United States after Deportation or Removal 2414 1233 7250 1115 1115-0104 01/31/2004 Health and Human Services Statistical Data for Refugee/Asylee Adjusting Status 32370 0 195000 1115 1115-0108 05/31/2002 Supplementary Statement for Graduate Medical Trainees 249 0 3000 1115 1115-0115 09/30/2002 Alien Address Report Card 1 0 1 1115 1115-0116 10/31/2004 Request to Enforce Affidavit of Financial Support and Intent to Petition for custody for Pub.L. 97-359 Amerasian 25 0 50 1115 1115-0117 01/31/2002 Petition for Amerasian, Widow(er), or Special Immigrant 29888 671 14944 1115 1115-0118 10/31/2002 Affidavit of Financial Support and Intent to Petition for Legal Custody for Public Law 97-359 Amerasian 25 0 50 1115 1115-0121 03/31/2002 Refugee/Asylee Relative Petition 50371 0 86400 1115 1115-0122 02/28/2002 Document Verification Request 41500 0 500000 1115 1115-0128 07/31/2002 Nonimmigrant Petition Based on Blanket L Petition 145750 0 250000 1115 1115-0129 06/30/2002 Application of Temporary Replacement Card 66 7 396 1115 1115-0130 08/31/2002 Change of Address Card 16600 0 200000 1115 1115-0132 12/31/2001 Application for Waiver of Grounds of Excludability 21 3 85 1115 1115-0134 02/28/2002 Medical Examination of Aliens Seeking Adjustment of Status 1200000 0 800000 1115 1115-0135 04/30/2002 Notice of Appeal of Decision under Section 210 or 245A of the Immigration and Nationality Act 596 60 1192 1115 1115-0136 08/31/2002 Employment eligibility Verification 13020000 0 78000000 1115 1115-0139 12/31/2002 Arrival/Departure Record; Transit Without Visa 13200 0 200000 1115 1115-0140 04/30/2002 Guam Visa Waiver Agreement 1 0 5 1115 1115-0141 12/31/2002 Guam Visa Waiver Information 14110 0 170000 1115 1115-0142 02/28/2002 Immigration User Fee 331 0 325 1115 1115-0145 01/31/2002 Petition to Remove the Conditions on Residence 156951 14751 118008 1115 1115-0148 04/30/2002 Visa Waiver Nonimmigrant Arrival/Departure Record 420000 24000 4000000 1115 1115-0149 10/31/2003 Visa Waiver Pilot Program Carrier Agreement 50 0 50 1115 1115-0151 03/31/2004 Application for Issuance or Replacement of Nothern Mariana Card 50 2 100 1115 1115-0152 12/31/2001 Application for Certificate of Citizenship in Behalf of an Adopted Child 11159 1395 11159 1115 1115-0154 10/31/2002 Certificate of Satisfactory Pursuit 16600 0 100000 1115 1115-0155 11/30/2004 Application to Adjust Status from Temporary to Permanent Resident 1179 141 1179 1115 1115-0162 02/28/2002 Request for the Return of Original Document(s) 625 0 2500 1115 1115-0163 12/31/2001 Application for Employment Authorization 6406672 187330 1873296 1115 1115-0166 11/30/2004 Application for Benefits Under the Family Unity Program 100000 6600 40000 1115 1115-0168 03/31/2002 Petition for Nonimmigrant Worker 1014607 168676 368948 1115 1115-0170 03/31/2004 Application for Temporary Protected Status 90500 8800 181000 1115 1115-0173 12/31/2002 Application for Posthumous Citizenship 92 4 50 1115 1115-0174 08/31/2003 Application - Alternative Inspection Services 583000 12740 500000 1115 1115-0176 03/31/2004 Application for Action on an Approved Application or Petition 18209 5253 43772 1115 1115-0180 04/30/2002 Request for Hearing on a Decision in Naturalization Proceedings under Section 336 21090 844 7669 1115 1115-0182 06/30/2002 Guidelines on Producing Master Exhibits for Asylum Applications 1600 0 20 1115 1115-0183 05/31/2002 Notice of Immigration Pilot Program 2000 0 50 1115 1115-0184 06/30/2002 Emergency Federal Law Enforcement Assistance 300 0 10000 1115 1115-0188 03/31/2003 Applicant 4950 0 75000 1115 1115-0189 12/31/2002 Monthly Report Naturalization Papers 960 0 1920 1115 1115-0190 09/30/2002 Petition by Entrepreneur to Remove Conditions 216 69 200 1115 1115-0191 09/30/2003 Report of Complaint 63 0 250 1115 1115-0195 04/30/2004 Generic Clearance of Customer Service Surveys 75000 0 150000 1115 1115-0196 07/31/2002 Interagency Alien Witness and Informant Record 213 0 50 1115 1115-0197 08/31/2002 ABC Change of Address Form and Special Filing Instructions for ABC Class Members 5000 0 250000 1115 1115-0203 01/31/2002 Application for Transmission of Citizenship Through a Grandparent 4820 0 9641 1115 1115-0205 07/31/2002 Medical Certification for Disability Exceptions 40000 1600 20000 1115 1115-0210 01/31/2004 Application - Checkpoint Pre-enrolled Access Lane 6625 0 12500 1115 1115-0211 12/31/2003 Arrival Record 1250 0 25000 1115 1115-0214 08/31/2004 Affidavit of Support Under Sction 213A of the Act, and Contract Between Sponsor and Household Member 2443350 0 950300 1115 1115-0215 08/31/2004 Sponsor's Notice of Change of Address 23300 0 100000 1115 1115-0219 01/31/2002 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 3996 0 12000 1115 1115-0220 06/30/2003 Liberian Deferred Enforced Departure (DED) Supplement to Form I-765 26250 0 15000 1115 1115-0221 12/31/2001 NACARA Supplement to Form I-485 12500 0 50000 1115 1115-0223 08/31/2004 Screening Requirements of Carriers 6500 0 65 1115 1115-0225 12/31/2001 H-1B Data Collection and Filing Fee Exemption 64046 64046 128092 1115 1115-0226 07/31/2002 Certificate for Health Care Benefits 25620 2100 14000 1115 1115-0227 12/31/2002 Application for Suspension of Deportation or Special Rule Cancellation of Removal (Pursuant to Section 203 of Public Law 105-100) 1200000 21500 100000 1115 1115-0228 10/31/2002 Memorandum of Understanding to Participate in Employment Eligibility Confirmation Pilot Program 22161 0 419750 1115 1115-0229 10/31/2002 HRIFA Supplement to Form I-485 Instructions 25000 0 50000 1115 1115-0230 08/31/2002 Sworn Statement of Refugee Applying for Admission to the United States 37500 0 75000 1115 1115-0232 11/30/2002 Inspection of Persons Applying for Admission; Transit Without Visa (TWOV) and International-to-International Agreements 26000 0 1500400 1115 1115-0234 01/31/2003 Study of Employment Eligibility 5323 0 7158 1115 1115-0236 03/31/2004 National Interest Waivers; Supplemental Evidence to I-140 and I-485 8000 3240 8000 1115 1115-0237 11/30/2004 Supplement A to form I-539 (Filing Instructions for V Nonimmigrant Status) 213500 0 427000 1115 1115-0238 06/30/2004 Application for Authorization to Issue Health Care Certificates 40 2 10 1115 1115-0239 11/30/2004 LIFE Legalization Supplement to Form I-485 Instructions 400000 44000 400000 1115 1115-0240 12/31/2004 Petitioning Requirements for H-1C Nonimmigrant Classification 4000 0 2000 1115 1115-0241 12/31/2001 Request for Premium Processing Service 40000 8000 80000 1115 1115-0244 04/30/2002 Special Immigrant Visas for Fourth Employment-Based Broadcasters 200 0 100 1117 1117-0001 12/31/2001 Report of Theft or Loss of Controlled Substances -- DEA Form 106 4199 0 8398 1117 1117-0003 12/31/2001 ARCOS Transaction Reporting -- DEA Form 333 2468 0 2468 1117 1117-0004 12/31/2001 Application for Permit to Export Controlled Substances -- DEA Form 161 218 0 871 1117 1117-0006 01/31/2003 Application for Individual Manufacturing Quota for a Basic Class of Controlled Substance 132 0 263 1117 1117-0007 12/31/2001 Registrants Inventory of Drugs Surrendered -- DEA Form 41 10000 0 20000 1117 1117-0008 01/31/2003 Application for Procurement Quota for Controlled Substances 807 0 807 1117 1117-0009 12/31/2001 Controlled Substances Import/Export Declaration -- DEA Form 236 690 0 2760 1117 1117-0010 12/31/2001 U.S. Official Order Forms for Schedules I and II Controlled Substances (Accountable Forms), Order Form Requisition 109000 0 436000 1117 1117-0012 08/31/2002 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 4907 1268 9807 1117 1117-0013 06/30/2004 Application for Permit to Import Controlled Substances for Domestic and/or Scientific Purposes pursuant to 21 U.S.C. 952 80 0 320 1117 1117-0014 08/31/2002 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). 75000 79661 374713 1117 1117-0015 08/31/2002 Application for Registration (DEA Form 363) and Application for Registration Renewal (DEA Form 363a). 557 65 1114 1117 1117-0021 12/31/2001 Records and Reports of Registrants: Changes in Record Requirements for Individual Practitioners 50250 0 500 1117 1117-0023 12/31/2001 Import/Export Declaration: Precursor and Essential Chemicals 360 0 1800 1117 1117-0024 12/31/2001 Reports of Suspicious Orders or Theft/Loss of Listed Chemicals/Machines 10680 0 4000 1117 1117-0029 09/30/2003 Annual Reporting Requirement for Manufacturers of Listed Chemicals 400 0 100 1117 1117-0031 12/31/2001 Application for Registration under Domestic Chemical Diversion Control Act of 1993 and Renewal Application for Registration under Domestic Chemical Diversion Control Act of 1993 750 0 1500 1117 1117-0033 09/30/2003 Report of Mail Order Transactions 1200 0 1200 1117 1117-0034 09/30/2003 Collection of Laboratory Analysis Data on Drug Samples Testes by Non-Federal (State and Local Government) Crime Laboratories 1200 0 1200 1117 1117-0035 04/30/2003 Notice of Intent to Operate a Freight Forwarding Facility 100 0 50 1121 1121-0024 05/31/2002 Claim For Death Benefits -- OMB No. 1121-0024 925 0 820 1121 1121-0025 05/31/2002 Report of Public Safety Officer's Death 800 0 320 1121 1121-0030 03/31/2004 Capital Punishment report of inmates under sentence of death 1885 0 3796 1121 1121-0064 04/30/2002 The Parole Data Survey and The Probation Data Survey 515 8 343 1121 1121-0065 06/30/2003 National Corrections Reporting Program 2196 0 2 1121 1121-0078 12/31/2001 National Prisoner Statistics Midyear Counts and National Prisoner Statistics Advance Year-end Counts 143 0 104 1121 1121-0095 12/31/2001 National Survey of Indigent Defense Systems 2250 0 1500 1121 1121-0098 09/30/2004 Survey of Inmates in Local Jails, 2001 7730 0 8420 1121 1121-0100 05/31/2002 1999 Census of Jails 3289 0 3558 1121 1121-0102 03/31/2004 Summary of Sentenced Population Movement 338 0 52 1121 1121-0111 03/31/2002 Workplace Risk Supplement 80477 0 57000 1121 1121-0114 10/31/2004 Victims of Crime Act, Victim Compensation Grant Program, State Performance Report 106 0 53 1121 1121-0115 07/31/2002 Victims of Crime Act, Crime Victim Assistance Grant Program, Performance Report 1197 23 57 1121 1121-0130 03/31/2002 National Judicial Reporting Program (NJRP) 2774 0 344 1121 1121-0137 04/30/2002 Arrestee Drug Abuse Monitoring (ADAM), Formerly Known As Drug 62500 8700 100000 1121 1121-0140 09/30/2002 Equal Employment Opportuity Program Guidelines -- 28 CFR Section 42.301 et seq. 4000 0 11500 1121 1121-0142 12/31/2001 Victims of Crime Act, Crime Victim Assistance Grant Program, Subgrant Award Report 189 4 3200 1121 1121-0147 04/30/2003 2000 Census of State and Federal Adult Correctional Facilities 5250 0 1750 1121 1121-0148 05/31/2002 Denial of Federal Benefits for Drug Offenders 41 0 500 1121 1121-0149 03/31/2004 2000 National Survey of Prosecutors 850 0 2400 1121 1121-0166 12/31/2001 Report of Public Safety Officers Permanent and Total Disability 300 64 30 1121 1121-0170 03/31/2002 Crime Victim Compensation State Certification Form 52 1 1 1121 1121-0184 05/31/2004 School Crime Supplement (SCS) 2038 0 12200 1121 1121-0189 12/31/2001 Nomination for Young American Medal for Bravery 60 0 20 1121 1121-0190 12/31/2001 Nomination for Young American Medal for Service 60 0 20 1121 1121-0196 05/31/2003 Local Law Enforcement Block Grants Program Application 3500 0 1 1121 1121-0197 12/31/2001 Bureau of Justice Assistance Application Form, State Criminal Alien Assistance Program 250 0 500 1121 1121-0204 04/30/2004 Local Law Enforcement Block Grants Program 3500 0 1 1121 1121-0218 07/31/2004 Census of Juveniles in Residential Placement 10675 0 1 1121 1121-0219 03/31/2004 Juvenile Residential Facility Census 7000 0 1 1121 1121-0220 05/31/2002 Application for Federal Law Enforcement Dependents Assistance 60 0 30 1121 1121-0223 02/29/2004 Crime Mapping Survey 562 0 2798 1121 1121-0228 12/31/2001 Drug Court Grantee Data Collection Survey 600 0 600 1121 1121-0229 12/31/2001 1998 National Study of DNA Laboratories 120 0 160 1121 1121-0230 12/31/2001 Offense Coverage, Jacob Wetterling Crimes Against Children and 112 6 56 1121 1121-0231 12/31/2001 National Opinion Poll on White Collar Crime 603 0 1810 1121 1121-0232 03/31/2002 Office for Victims of Crime Preliminary Questionnaire to Determine Bias Claims Recordkeeping Practices 2925 31120 1 1121 1121-0233 10/31/2002 Certification of Compliance with Eligibility Requirements of Section 826 of the Higher Education Amendments of 1998 12 0 25 1121 1121-0234 04/30/2003 Requirements: Data Collection Application for the Juvenile Accountability Incentive Block Grant Program 4200 0 4200 1121 1121-0235 04/30/2003 Bulletproof Vest Partnership 125000 0 3 1121 1121-0237 03/31/2003 Generic Clearance of Customer Satisfaction Surveys 1650 0 7000 1121 1121-0238 04/30/2003 Survey of Youth in Residential Placement 7875 0 10780 1121 1121-0240 05/31/2003 2000 Census of State and Local Law Enforcement Agencies 14000 0 19000 1121 1121-0242 06/30/2004 Comprehensive Strategy Stakeholder Survey 375 0 250 1121 1121-0243 02/29/2004 Grants Management System Online Application 12000 0 3000 1121 1121-0244 12/31/2002 Fiscal Year 1999 State Domestic Preparedness Equipment Program Needs Assessment 66200 0 1 1121 1121-0245 05/31/2004 Program Guidance on Environmental Protection Requirements and Project Status Report 416150 23045 550 1121 1121-0246 08/31/2004 National Business Survey on White Collar Crime 450 0 1070 1121 1121-0247 10/31/2004 National Evaluation of the Safe Schools/Healthy Students Initiative 17796 0 19426 1121 1121-0248 03/31/2002 State Police Traffic Stop Data Collection Procedures, 2000 25 0 50 1121 1121-0249 09/30/2004 Deaths in Custody, 2001--series of collections on local jail jurisdictions, State prisons, and State juvenile facilities 3802 0 16067 1121 1121-0250 12/31/2001 Community Gun Violence Prosecution Program 4000 0 1000 1121 1121-0251 09/30/2004 Victimization of People With Disabilities 187 0 300 1125 1125-0001 06/30/2002 Application for Cancellation of Removal 23718 413 4125 1125 1125-0002 06/30/2002 Notice of Appeal to the Board of Immigration Appeals of Decision of Immigration Judge 13500 0 27000 1125 1125-0003 07/31/2002 Appeal Fee Waiver Request 6100 0 6100 1125 1125-0004 06/30/2002 Change of Address Form 600 0 15000 1125 1125-0005 10/31/2002 Notice of Entry of Appearance as Attorney or Representative Before the Board of Immigration Appeals Executive Office for Immigration Review 2600 130 26000 1125 1125-0006 10/31/2002 Notice of Entry of Appearance as Attorney or Representative Before the Immigration Court 7700 385 77000 1125 1125-0007 10/31/2002 Immigration Practitioner Complaint Form 1000 0 500 1125 1125-0008 10/31/2002 Immigration Practitioner Appeal Form from Adverse Decision of Adjudicating Official 50 0 50 1190 1190-0001 12/31/2001 Procedures for the Administration of Section 5 of the Voting Rights Act of 1965 47365 0 4727 1190 1190-0004 02/29/2004 Nondiscrimination on the Basis of Disability in State and Local Government Services 48000 0 6000 1190 1190-0005 02/29/2004 Nondiscrimination on the Basis of Disability in State and Local Government Services (Certification). 320 0 10 1190 1190-0006 02/29/2004 Nondiscrimination on the Basis of Disability in State and Local Government Services (Self-Evaluation). 90000 0 15000 1190 1190-0008 02/29/2004 Complaint Form, Coordination and Review Section, Civil Rights Division, Department of Justice 780 0 1560 1190 1190-0009 02/29/2004 Title II of the Americans with Disabilities Act of 1990/Section 504 of the Rehabilitation Act of 1973 Discrimination Complaint Form. 3750 0 5000 1190 1190-0016 03/31/2002 Assurance Provision Contained in Proposed Common Rule, Nondiscrimination on the Basis of Sex in Education Programs and Activities Receiving or Benefitting from Federal Financial Assist 22738 0 133750 1205 1205-0001 02/29/2004 Work Application/Job Order Recordkeeping 416 0 416 1205 1205-0009 12/31/2002 Distribution of Characteristics of the Insured Unemployed 5512 0 12 1205 1205-0010 03/31/2003 Claims and Payment Activities 1359 0 714 1205 1205-0015 11/30/2002 Application for Alien Employment Certification 196000 0 73500 1205 1205-0016 12/31/2002 Quarterly Determinations, Allowance Activities, and Employability Services under the Trade Act 3420 0 17100 1205 1205-0017 03/31/2004 Domestic Agricultural In-Season Wage Report 16301 0 39405 1205 1205-0025 09/30/2003 Job Corps Application Data 47781 3060 94792 1205 1205-0028 07/31/2003 Weekly Claims and Extended Benefits Data and Weekly Initial and Continued Weeks Claimed 3675 0 5512 1205 1205-0029 12/31/2004 Interstate Arrangement for Combining Employment and Wages 848 0 212 1205 1205-0030 02/29/2004 Job Corps Enrollee Allotment Determination 1500 0 1 1205 1205-0033 01/31/2004 Job Corps Health Questionnaire 7750 0 93000 1205 1205-0035 02/29/2004 Job Corps Placement and Assistance Record 13567 177 62429 1205 1205-0039 09/30/2002 Program Monitoring Report and Job Service Complaint Form 5530 0 208 1205 1205-0040 08/31/2003 Senior Community Service Employment Program (SCSEP) 1776 0 434 1205 1205-0051 10/31/2002 Employment and Training Administration (ETA) Disaster Unemployment Assistance (DUA) Handbook & Program Operating Forms, Including ETA 90-2, Disaster Payment Activities under the.... 8075 0 81035 1205 1205-0132 12/31/2001 Unemployment Insurance (UI) State Quality Service Plan (SQSP) 2137 53425 844 1205 1205-0134 06/30/2004 Forms for Agricultural Recruitment System of Services to Migratory Workers and Their Employers; Application for Alien Certification 3500 0 5000 1205 1205-0137 10/31/2003 Occupational Code Request 47 0 95 1205 1205-0150 10/31/2004 Non-monetary Determination Activity Report 896 0 224 1205 1205-0154 01/31/2003 Unemployment Insurance Trust Fund Activity 2226 55 72 1205 1205-0162 07/31/2003 Statement of Expenditures and Adjustments of Federal Funds for Unemployment Compensation for Federal Employees and Ex-Servicemembers 1272 0 212 1205 1205-0164 01/31/2003 Experience Rating Report 14 0 53 1205 1205-0172 10/31/2004 Benefit Appeals Report 648 0 648 1205 1205-0173 11/30/2003 Overpayment Detection and recovery Activities 2968 0 212 1205 1205-0176 03/31/2003 Unemployment Compensation for Ex-Servicemembers (UCX) Handbook (ETA Handbook No. 384) 1708 1527 66126 1205 1205-0177 07/31/2004 Benefit Rights and Experience Report 108 0 216 1205 1205-0178 08/31/2002 Contribution Operations 1802 0 212 1205 1205-0179 01/31/2003 Unemployment Compensation for Former Federal Employees Handbook No. 391 216 0 209521 1205 1205-0187 12/31/2001 Internal Fraud Activities 159 0 53 1205 1205-0190 10/31/2003 Customer Survey 3951 0 2220 1205 1205-0192 07/31/2003 Petition for Adjustment Assistance/Solicitud De Asistencia Para Ajuste 350 0 1400 1205 1205-0197 10/31/2003 Business Confidential Data Request 4500 0 1500 1205 1205-0199 04/30/2003 Title XII Advances and Voluntary Repayment Process 1 0 1 1205 1205-0207 09/30/2004 Procedures for Classifying Labor Surplus Areas 3 0 1 1205 1205-0219 04/30/2003 Standard Job Corps Request for Proposal and Related Contractor Information Gathering 84741 0 314570 1205 1205-0222 04/30/2004 Administrative Procedures - 20 CFR 601 Including Form MA 8-7 53 0 3180 1205 1205-0223 02/28/2002 Labor Standards for the Registration of Apprenticeship Programs -- Title 29 CFR Part 29 39260 0 1 1205 1205-0224 10/31/2003 Title 29 CFR Part 30 - Equal Employment Opportunity in Apprenticeship and Training 6264 0 63736 1205 1205-0228 01/31/2004 Preliminary Estimates of Average Employer Contribution Rates 14 0 1 1205 1205-0238 04/30/2004 Income and Eligibility Verification 39388 985 212 1205 1205-0240 12/31/2001 Employment Service Program Reporting System 8933 16 7264 1205 1205-0245 03/31/2004 Benefit Accuracy Measurement 255694 442 47160 1205 1205-0268 12/31/2001 Alien Claims Activity Report 212 0 212 1205 1205-0272 10/31/2003 Oil and Gas Drilling and Exploration Oilfield Services 225 0 75 1205 1205-0275 04/30/2003 Trade Adjustment Assistance/NAFTA (Financial Status/Requests for funds Report) 1000 26 500 1205 1205-0309 04/30/2004 Attestations by Employers Using Alien Crewmmembers for Longshore Activities in U.S. Ports 4 0 1 1205 1205-0310 01/31/2004 Labor Condition Application and Requirements for Employers 667423 0 637200 1205 1205-0319 06/30/2002 State Alien Labor Certification Activity Report 216 0 108 1205 1205-0332 09/30/2002 Revenue Quality Control-Tax Performance System 91000 0 52 1205 1205-0337 07/31/2004 NAFTA Customer Survey Data Request 2100 0 1050 1205 1205-0339 08/31/2004 NAFTA Confidential Data Request 7500 0 1000 1205 1205-0342 08/31/2004 Petition for NAFTA Transitional Adjustment Assistance; Solicitud del Programs de Assitencia Para Ajsute Bajo NAFTA 330 0 1000 1205 1205-0352 01/31/2002 Attestations by Employers Using Alien Crewmembers for Longshore Activities at Locations in the State of Alaska 1050 0 350 1205 1205-0353 02/29/2004 Worker Profiling and Reemployment Services Activity and Worker Profiling and Reemployment Services Outcomes 106 0 424 1205 1205-0359 11/30/2004 Benefits, Timeliness and Quality (BTQ) Review System 38168 0 28912 1205 1205-0371 06/30/2002 Work Opportunity Tax Credit (WOTC) and Welfare-to-Work (WtW) Tax Credit 69300 0 2034 1205 1205-0373 02/28/2003 Baseline and Post-Program Employment Rate for the Youth Opportunity Area Demonstration 2176 0 1 1205 1205-0385 03/31/2004 Welfare to Work (WtW) Formula/Competitive Cumulative Quarterly Status Reports 2026 0 1204 1205 1205-0391 08/31/2004 Center for Employment and Training (CET) Follow-up Survey 1420 0 2302 1205 1205-0392 02/29/2004 Trade Act Participant Report (TAPR), a GPRA-compliant data collection and reporting system 9500 325 200 1205 1205-0397 12/31/2001 Evaluation of the Quantum Opportunity Program (QOP) Demonstration 1468 0 3148 1205 1205-0398 05/31/2004 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.... 1475 0 59 1205 1205-0404 08/31/2002 Labor Certification for the Temporary Employment of Nonimmigrant Aliens in Agriculture in the United States; Administrative Measures to Improve Program Performance 533 0 3189 1205 1205-0407 01/31/2003 State Unified Plan Planning Guidance for State Unified Plans Submitted Under Section 501 of the Workforce Invesment Act of 1998. 19095 0 57 1205 1205-0408 02/29/2004 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........ 672 0 672 1205 1205-0410 06/30/2003 Employers' Use and Assessment of the WOTC and Welfare-to-Work Tax Credit Programs 64 0 16 1205 1205-0412 08/31/2003 Benefit-Cost Analysis of the Self-Employment Assistance Program for the United States Unemployment Insurance Program 300 0 1200 1205 1205-0414 10/31/2002 MIS Requirements for Youth Opportunity grants 51840 0 432 1205 1205-0415 05/31/2004 Attestations by Facilities Temporarily Employing H-1C Nonimmigrant Aliens as Registered Nurses 68 0 172 1205 1205-0416 10/31/2003 Disability Employment and Initiatives Grant Program 1500 0 75 1205 1205-0417 05/31/2004 One-Stop Labor Market Information Grant Plan and Progress Reports 2592 0 162 1205 1205-0419 12/31/2001 Revising Quarterly Contribution and Wage Reports to Accommodate Expanded Name Fields and Additional Labor Market Information 2703 0 53 1205 1205-0420 01/31/2002 WIA Management Information and Reporting System 758236 19905 318 1205 1205-0421 09/30/2002 O*Net Data Collection Program 23305 0 51300 1205 1205-0422 03/31/2003 Reporting and Performance Standards System for Indian and Native American Programs Under Title I, Section 166 of the Workforce Investment Act (WIA) 78615 0 27795 1205 1205-0423 03/31/2004 Workforce Investment Act (WIA) Employment and Training Administration (ETA) Financial Reporting Requirements for Indian and Native American (INA) Grantee Activities 1800 0 1800 1205 1205-0424 11/30/2004 Re-employment Services Plan Narrative and Progress Report 3024 0 108 1205 1205-0425 12/31/2004 Reporting and Performance Standards System for Migrant and Seasonal Farmworker Programs Under Title I, Section 167 of the Workforce Investment Act (WIA) 88899 0 42833 1205 1205-0426 08/31/2004 Placement Verification and Follow-up of Job Corps Participants 17485 0 83728 1205 1205-0428 10/31/2004 Workforce Investment Act (WIA) Employment and Training Administration (ETA) Financial Reporting Requirements for NATIONAL FARMWORKERS JOBS PROGRAM (NFJP) UNDER TITLE I of the Act 636 0 636 1205 1205-0429 07/31/2003 Reporting and Performance Standards System for Migrant and Seasonal Farmworker :Youth Programs Under Title I-D, Section 167 of the Workforce Investment Act (WIA) 15650 0 5080 1205 1205-0430 11/30/2004 Resource Justification Model (RJM) 12349 875 424 1210 1210-0034 12/31/2001 Alternative Method of Compliance for Certain Simplified Employee Pensions (Final Regulation) 2441 29 5533 1210 1210-0039 11/30/2003 Summar Plan Description Requirements under ERISA 710134 243226 52771000 1210 1210-0040 02/28/2003 ERISA Summary Annual Report Requirement 1404924 119327 235000000 1210 1210-0048 12/31/2001 Suspension of Pension Benefits Regulation Pursuant 29 CFR Section 2530.203-3 18850 61 75401 1210 1210-0049 12/31/2001 Certain Transactions Between Investment Companies and Employee Benefit Plan -- Class Exemption 77-4 6676 0 77633 1210 1210-0053 11/30/2003 Employee Benefit Plan Claim Procedures under the Employee Retirement Income Security Act of 1974 (ERISA) 316000 95637 118000000 1210 1210-0058 06/30/2003 Prohibited Transaction Class Exemption 76-1 and Prohibited Transaction Class Exemption 77-10 797 0 3187 1210 1210-0059 12/31/2001 Certain Transactions Involving Employee Benefit Plans and Securities Broker-Dealers -- Class Exemption 86-128 65510 211 289625 1210 1210-0060 12/31/2001 Procedure for Applications for Exemption from the Prohibited Transaction Provisions of Section 408(a) of the Employee Retirement Income Security Act (ERISA) 7996 141 167 1210 1210-0061 11/30/2004 Class Exemption 81-8 for Investment of Plan Assets in Certain types of Short-Term Investments 31900 71 191000 1210 1210-0062 06/30/2004 Prohibited Transaction Class Exemption 82-63 3500 0 126000 1210 1210-0063 06/30/2004 Prohibited Transaction Class Exemption 92-6 1531 3 7656 1210 1210-0064 01/31/2004 Prohibited Transaction Exemption 80-83--Involving Purchase of Securities where issuer may use proceeds to Reduce indebtedness to parties in interest 2 0 25 1210 1210-0065 07/31/2004 Prohibited Transaction Class Exemption 81-6 10500 48 126000 1210 1210-0066 01/31/2003 Advisory Opinion Procedure -- ERISA Procedure 76-1 101 88 83 1210 1210-0074 11/30/2004 Prohibited Transaction Class Exemption T88-1 1 0 1 1210 1210-0076 08/31/2004 Regulatoin Relating to Loans to Plan Participants and to the Plan 1 283 1310 1210 1210-0079 06/30/2004 Prohibited Transaction Class Exeption 91-55 2384 0 3 1210 1210-0080 06/30/2003 Prohibited Exemption 786-6 106 0 1275 1210 1210-0082 06/30/2003 Prohibition Transaction Exemption 91-38 83 0 1000 1210 1210-0083 06/30/2003 Prohibited Transaction Class Exemption 90-1 -- Pooled Separate Accounts 11 0 128 1210 1210-0084 12/31/2002 ERISA Technical Release 91-1 5775 90 66 1210 1210-0085 06/30/2003 Prohibited Transaction Class Exemption 94-20, Purchases and Sales of Foreign Currencies 15 0 175 1210 1210-0089 12/31/2001 Delinquent Filer Voluntary Compliance Program 109 74 3100 1210 1210-0090 12/31/2002 Regulation Regarding Participant Directed Individual Account Plans (ERISA section 404(c) Plans) 52900 22126 294800 1210 1210-0091 11/30/2004 Prohibited Transaction Class Exemption 94-71 40 0 1080 1210 1210-0092 01/31/2004 Prohibited Transaction Exemption 75-1- Broker-Dealers, Reporting Dealers, Banks Engaging in Securities Transactions 3500 0 42000 1210 1210-0094 07/31/2004 Prohibited Transaction Class Exemption 85-68 to Permit Employee Benefit Plans to Invest in Customer Notes of Employers 960 0 960 1210 1210-0095 01/31/2004 Prohibited Transaction Exemption 88-59 Residential Mortgage Financing Arrangements Involving Employee Benefit Plans 208 0 2500 1210 1210-0098 11/30/2004 Prohibited Transaction Class Exemption 96-62; Process for Expedited Approval of an Exemption for Prohibited Transaction 53 38 42 1210 1210-0100 05/31/2003 Definition of Plan Assets - Participant Contributions 3 0 1 1210 1210-0101 06/30/2003 Notice of Enrollment Rights 7200 841 9602000 1210 1210-0102 06/30/2003 Notice of Pre-Existing Condition Exclusion 9004 1088 8570000 1210 1210-0103 06/30/2003 Establishing Creditable Coverage 351150 34689 44396000 1210 1210-0104 08/31/2003 Prohibition Transaction Exemption 97-41 2625 162 75 1210 1210-0105 11/30/2004 Notice to Participants and Beneficiaries and the Federal Government to Electing one Percent Increased Cost Exemption 333 5 10000 1210 1210-0106 10/31/2004 Calculation and Disclosure of Documentation of Eligibility for Exemption 10 0 200 1210 1210-0110 10/31/2004 Form 5500 Annual Return/Report of Employee Benefit Plan 1847163 546789 863682 1210 1210-0111 12/31/2001 Class Exemption Relating to Certain Employee Benefit Plan Foreign Exchange Transactions Executed Pursuant to Standing Instructions 4200 0 8400 1210 1210-0112 10/31/2002 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) 95 1 1000 1210 1210-0113 01/31/2003 National Medical Support Notice -- Part B 785000 1100 770000 1210 1210-0114 12/31/2002 Disclosures by Insurers to General Account Policyholders 466667 30 123500 1210 1210-0115 04/30/2003 Proposed Class Exemption for Cross-Trades of Securities by Index and Model-Driven Funds 68150 116 61800 1210 1210-0116 11/30/2003 Annual Report for Multiple Employer Welfare Arrangements and Certain Entities Claiming Exception (Form M-1) 874 394 2678 1210 1210-0117 03/31/2002 Application for EFAST Electornic Signature and Codes for EFAST Transmitters and Software Developers 80083 91 240250 1210 1210-0118 11/30/2003 Voluntary Fiduciary Correction Program 5600 295 700 1210 1210-0119 01/31/2004 Petition for Finding under Section 3(40) of ERISA 1 104 45 1212 1212-0009 12/31/2003 Payment of Premiums (29 CFR part 4007), Disclosure to Participants (29 CFR part 4011) 2482 9431 47600 1212 1212-0013 11/30/2002 Reportable Events 1249 187 305 1212 1212-0017 10/31/2004 Liability for Termination of Single-Employer Plans 72 72 6 1212 1212-0020 11/30/2004 Termination of Multiemployer Plans (29 CFR Part 4041A) 23 9 1411 1212 1212-0021 11/30/2004 Variances for Sale of Assets (29 CFR Part 4204) 1 3 24 1212 1212-0022 11/30/2004 Mergers and Transfers Between Multiemployer Plans (29 CFR Part 4231) 8 5 35 1212 1212-0023 11/30/2004 Extension of Special Withdrawal Liability Rules (29 CFR Part 4203) 1 3 1 1212 1212-0026 12/31/2001 Annual Information Return/Report 5639 3062 45000 1212 1212-0030 01/31/2003 Survey of Nonparticipating Single-Premium Group Annuity Rates 32 0 32 1212 1212-0031 11/30/2004 Procedures for PBGC Approval of Plan Amendments (29 CFR Part 4220) 1 0 3 1212 1212-0032 11/30/2004 Duties of Plan Sponsor Following Mass Withdrawal (29 CFR Part 4281) 1 115 23357 1212 1212-0033 11/30/2004 Notice of Insolvency (29 CFR Part 4245) 1 1 838 1212 1212-0034 11/30/2004 Notice, Collection, and Redetermination of Withdrawal Liability (29 CFR Part 4219) 4 5 179 1212 1212-0035 11/30/2004 Allocating Unfunded Vested Benefits (29 CFR Part 4211) 10 0 5 1212 1212-0036 05/31/2004 Termination of Single Employer Plans 2246 1865 1564 1212 1212-0039 11/30/2004 Reduction or Waiver of Partial Withdrawal Liability (29 CFR Part 4208) 250 200 2001 1212 1212-0041 10/31/2002 Notice of Failure to Make Required Contributions 42 6 25 1212 1212-0044 11/30/2004 Reduction or Waiver of Complete Withdrawal Liability (29 CFR Part 4207) 25 20 201 1212 1212-0049 12/31/2001 Annual Finanical and Actuarial Information Reporting -- 29 CFR Part 4010 552 450 60 1212 1212-0050 11/30/2004 Disclosure to Participants 8878 355 3331 1212 1212-0053 06/30/2003 Customer Service Focus Groups and Surveys 2500 0 9500 1212 1212-0054 08/31/2003 Qualified Domestic Relations Orders Submitted to the PBGC 104 119 300 1212 1212-0055 11/30/2002 Locating and Paying Participants 47750 25 76750 1215 1215-0001 06/30/2004 Employment Information Forms 13000 0 39000 1215 1215-0005 11/30/2004 Applications to Employ Special Industrial Homeworkers and 12400 2 16550 1215 1215-0013 09/30/2003 Applications to Employ Homeworkers Piece Rate Measurements, Homeworker Handbooks 9757 0 18985 1215 1215-0017 05/31/2004 Records To Be Kept By Employers - FLSA 926156 0 5800000 1215 1215-0022 02/28/2002 Payment of Compensation Without Award 6750 10 27000 1215 1215-0023 03/31/2002 Notice of Controversion of Right to Compensation 4500 7 18000 1215 1215-0024 04/30/2003 Notice of Final Payment of Suspension of Compensation Benefits 4838 10 19350 1215 1215-0027 05/31/2002 Certification of Funeral Expenses 49 0 195 1215 1215-0028 08/31/2003 Economic Survey Schedule 38 0 50 1215 1215-0031 10/31/2004 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 6705 11 26660 1215 1215-0032 07/31/2002 Application for Authority to Employ Full-Time Students at Subminimum Wages in Retail or Service Establishments or Agriculture 400 1 2000 1215 1215-0034 01/31/2003 Agreement and Undertaking 75 0 300 1215 1215-0036 07/31/2004 Vehicle Mechanical Inspection Report for Transportation Subject to DOT Requirements; Subject to DOL Safety Standards 300 166 3600 1215 1215-0037 04/30/2002 Application for Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration 4600 2 9200 1215 1215-0046 08/31/2002 Report to Construction Contractor's Wage Rates 25000 0 75000 1215 1215-0052 05/31/2002 1) Miner's Claim for Benefits under the Black Lung Benefits Act; 2) Employment History; 3) Miner Reimbursement Form 9116 4 20200 1215 1215-0054 06/30/2004 Medical Travel Refund Requst 1450 2 8700 1215 1215-0055 11/30/2003 Health Insurance Claim Form 187663 0 1610030 1215 1215-0056 05/31/2002 (1) Comparability of Current Work to Coal Mine Employment; (2) Coal Mine Employment Affidavit; (3) Affidavit of Deceased Miner's Condition 1618 1 3336 1215 1215-0057 11/30/2003 Authorization for Release of Medical Information 225 0 2700 1215 1215-0058 10/31/2004 Operator Controversion, Operator Response, Operator Response to Response to Notice of Claim 2283 4 10800 1215 1215-0059 03/31/2004 Notice of Issuance of Insurance Policy 667 2 4000 1215 1215-0060 10/31/2004 Request for State or Federal Workers' Compensation Information 881 12 3522 1215 1215-0061 04/30/2004 Certification by School Official 167 0 1000 1215 1215-0064 08/31/2003 Notice of Termination, Suspension, Reduction or Increase in Benefit Payments 1800 3 9000 1215 1215-0066 11/30/2002 Request for Examination and/or Treatment 124740 42 115500 1215 1215-0067 07/31/2002 Rehabilitation Plan and Award 3500 0 7000 1215 1215-0069 08/31/2004 Survivor's Form for Benefits 333 1 2500 1215 1215-0072 06/30/2002 OFCCP Recordkeeping and Reporting Requirements - Supply and Service 10895679 24 107414 1215 1215-0073 12/31/2004 Application for Continuation of Death Benefit for Student 22 0 43 1215 1215-0078 12/31/2002 Representative Fee Request 9860 17 13720 1215 1215-0080 01/31/2003 Application for Authority for an Institution of Higher Education to Employ Its Full-Time Students at Subminimum Wages under Regulations Part 519 5 0 15 1215 1215-0083 01/31/2003 Application for Federal Certificate of Age 8 0 45 1215 1215-0084 07/31/2002 Report of Changes That May Affect Your Black Lung Benefits 2650 0 30000 1215 1215-0085 05/31/2002 Pre-Hearing Statement 1088 3 6800 1215 1215-0090 05/31/2002 Report of Ventilatory Study -- CM-907, Roentgenographic Interpretation -- CM-933 & CM-933b, Medical History & Examination for Coal Mine Workers' Compensation -- CM-988 & Report of.... 9338 0 37800 1215 1215-0103 08/31/2002 FECA Medical Report Forms 30766 109 302628 1215 1215-0105 03/31/2004 Request for Employment Information 125 0 500 1215 1215-0112 06/30/2003 Request for Earnings Information 425 0 1700 1215 1215-0113 11/30/2002 Certificate of Medical Necessity 3600 0 9000 1215 1215-0116 08/31/2004 Notice of Law Enforcement Officer's Injury or Occupational Disease (CA-721); Notice of Law Enforcement Officer's Death (CA-722) 31 0 23 1215 1215-0119 02/28/2003 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 2 0 1924000 1215 1215-0120 08/31/2004 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 4 0 1 1215 1215-0121 02/28/2003 Work Experience and Career Exploration Programs (29 CFR 570.35A) 7145 0 14014 1215 1215-0124 06/30/2004 Maintenance of Receipt for Benefits Paid by a Coal Mine Operator 1 0 150 1215 1215-0131 11/30/2004 OFCCP Complaint Form 1339 0 1046 1215 1215-0137 01/31/2002 Black Lung Provider Enrollment Form 767 3 8000 1215 1215-0140 04/30/2004 Davis-Bacon and Related Acts/Contract Work Hours and Safety Standards Act Reporting Requirements - Regulations, 29 CFR Part 5 881 1 3506 1215 1215-0144 05/31/2002 Overpayment Recovery Questionnaire 4500 2 4500 1215 1215-0146 09/30/2002 Housing Terms and Conditions 650 0 1300 1215 1215-0148 08/31/2003 Wage Statement 566667 0 34000000 1215 1215-0149 03/31/2003 Optional Use Payroll form Under the Davis-Bacon Act 9200000 354 9840320 1215 1215-0150 09/30/2004 Labor Standards for Federal Service Contracts - 29 CFR, Part 4 62554 0 64026 1215 1215-0151 01/31/2002 Request for Informtion on Earnings, Dual Benefits, Dependents 16667 17 50000 1215 1215-0154 05/31/2002 Claim for Continuance of Compensation 505 2 6054 1215 1215-0155 04/30/2004 Claim for Compensation by Dependents Information Reports 1210 0 1895 1215 1215-0158 06/30/2002 Housing Occupancy Certificate, Migrant and Seasonal Agricultural Worker Protection Act 4 0 60 1215 1215-0160 11/30/2003 Regulations Governing the Administration of the Longshore and Harbor Workers' Compensation Act 76326 59 189144 1215 1215-0161 09/30/2003 Rehabilitation Maintenance Certificate 2605 0 15600 1215 1215-0163 12/31/2003 Recordkeeping and Reporting Requirements, Construction 4841475 0 103711 1215 1215-0166 02/28/2003 Request To Be Selected as a Payee 783 1 2350 1215 1215-0167 08/31/2002 Notice of Recurrence of Disability and Claim for Continuation of Pay/Compensation 275 0 550 1215 1215-0170 10/31/2002 Application of the Employee Polygraph Protection Act 82406 0 328000 1215 1215-0171 11/30/2004 Application for Approval of a Representative's Fee in Black Laor 350 0 500 1215 1215-0173 10/31/2002 Representative Payee Report -- CM-623 Representative Payee Report, Short Form -- CM-623S Physician's/Medical Officer's Report -- CM-787 3569 0 3098 1215 1215-0175 06/30/2003 The Remedial Education Provisions of the Fair Labor Standards Act 5000 0 15000 1215 1215-0176 12/31/2003 Uniform Health Insurance Claim Form 29261 0 170755 1215 1215-0178 06/30/2004 Claim for Reimbursement-Assisted Reemployment 40 0 80 1215 1215-0181 06/30/2002 The Family and Medical Leave Act of 1993 -- 29 CFR Part 825 645625 0 9142500 1215 1215-0182 08/31/2002 Rehabilitation Action Report 3500 0 7000 1215 1215-0187 02/28/2002 Worker Information, Terms and Conditions of Employment 85333 24 2625000 1215 1215-0188 11/30/2002 Labor Organization and Auxiliary Reports 197630 0 33652 1215 1215-0192 07/31/2003 Employment Under Special Certificate of Apprentices, Messengers and Learners (including Student Learners) 325 0 651 1215 1215-0193 01/31/2004 Claimant Medical Reimbursement Form 6957 15 41907 1215 1215-0194 01/31/2004 The NCPDP Universal Pharmacy Billing Form 50443 0 607762 1215 1215-0196 03/31/2003 Equal Opportunity Survey 1050000 150 50000 1215 1215-0197 07/31/2004 Energy Employees' Occupational Illness Compensation Program Act forms (various) 126693 62 272946 1218 1218-0003 10/31/2004 GEAR Certification (29 CFR Part 1919) 81 1433 340 1218 1218-0007 07/31/2003 Reporting of Fatality and Multiple Hospitalization Incidents (29 CFR 1904.8) 766 0 3064 1218 1218-0010 02/28/2003 Vinyl Chloride 2978 258 5512 1218 1218-0011 01/31/2002 Confined and Enclosed Spaces and Other Dangerous Atmospheres 134993 0 82560 1218 1218-0020 06/30/2004 Application for Training Grant 11050 0 200 1218 1218-0048 02/29/2004 Noise (29 CFR 1910.95) 5175645 98815 17982447 1218 1218-0054 11/30/2004 Cranes and Derricks Standards for Construction: Recording Tests for toxic Gases and Oxygen-Deficient Atmospheres in Enclosed Speces 97 9 2900 1218 1218-0061 01/31/2002 Cotton Dust 29 CFR 1910.1043 75696 6060 280655 1218 1218-0064 12/31/2004 Notice of Alleged Safety and Health Hazards, OSHA-7 Form 14767 1 55132 1218 1218-0065 02/29/2004 Access to Employee Exposure and Medical Records (29 CFR 1910.1020) 613127 0 5030002 1218 1218-0067 12/31/2001 Underground Construction Air Quality Record 8357 115 295260 1218 1218-0069 12/31/2001 Commercial Diving Operations -- 29 CFR Part 1910, Subpart T 91326 0 406200 1218 1218-0070 05/31/2003 Reports of Injuries to Employees Operating Mechanical Power Presses (29 CFR 1910.217(g)) 41 0 123 1218 1218-0072 02/28/2002 Hazard Communication -- 29 CFR 1200, 1915, 1917, 1918, 1926, 1928 7560232 0 474129468 1218 1218-0075 12/31/2001 Fire Brigades -- 29 CFR 1910.156 172 0 1670 1218 1218-0085 03/31/2003 The 13 Carcinogens Standard (29 CFR 1910.1003, 1915.1003 and 1926.1103) 2798 86 1121 1218 1218-0092 04/30/2004 Lead in General Industry 1280916 137352 4990031 1218 1218-0093 11/30/2004 Construction Standards on Posting Emergency Telephone Numbers and Floor Load Limits 5726 0 140325 1218 1218-0095 10/31/2004 Concrete and Masonry Construction 22400 0 280000 1218 1218-0096 12/31/2002 Temporary Labor Camps -- 29 CFR 1910.142 67 0 838 1218 1218-0099 09/30/2004 Respiratory Protection 6685348 72901 18112941 1218 1218-0100 06/30/2004 Grantee Quarterly Progress Report 2928 0 244 1218 1218-0101 06/30/2003 1,2-Dibromo-3-Chloropropane (DBCP) 29 CFR 1910.1044 1 0 1 1218 1218-0103 09/30/2004 Ionizing Radiation 29 CFR 1910.1096 29661 1720 159043 1218 1218-0104 05/31/2003 Inorganic Arsenic (29 CFR 1910.1018) 7376 1132 58763 1218 1218-0108 09/30/2003 Ethylene Oxide (29 CFR 1910.1047) 49200 7056 232564 1218 1218-0110 06/30/2002 Consultation Agreements 11905 0 27048 1218 1218-0113 09/30/2004 Construction Crane or Derrick Annual Inspection Record 218090 0 132737 1218 1218-0115 11/30/2004 Cranes and Derricks Standards for Construction: Notification of Operational Specification and Hand Signals 5416 431 67773 1218 1218-0121 09/30/2004 Powered Platforms for Building Maintenace (29 CFR 1910.66) 124357 0 167569 1218 1218-0126 01/31/2002 Acrylonitrile (29 CFR 1910.1045) 4428 197 18960 1218 1218-0128 05/31/2003 Coke Oven Emissions (29 CFR 1910.1028) 60664 1365 83111 1218 1218-0129 05/31/2003 Benzene 29 CFR 1910.1028 125195 8180 185719 1218 1218-0130 01/31/2002 Electrical Standards for Construction -- 29 CFR Part 1926, Subpart K 53001 0 1555700 1218 1218-0131 12/31/2001 Hazardous Chemicals in Laboratories 107842 10569 306909 1218 1218-0132 09/30/2004 Specifications for Accident Prevention Signs and Tags (29 CFR 1910.145) 30225 0 112000 1218 1218-0133 03/31/2004 Asbestos in General Industry 1910.1001 23849 1625 65893 1218 1218-0134 02/29/2004 Asbestos in Construction (29 CFR 1926.1101) 5569659 30730 52828437 1218 1218-0137 10/31/2004 Design of Cave-in Protection Systems 120011 307 10000 1218 1218-0143 01/31/2002 Presence Sensing Device Initiation (PSDI) -- 29 CFR 1910.217(h) 1 0 1 1218 1218-0145 02/29/2004 Formaldehyde (29 CFR 1910.1048) 591079 56531 1569329 1218 1218-0147 02/29/2004 Definition and Requirements for a Nationally Recognized Testing Laboratory (29 CFR 1910.7) 1345 0 58 1218 1218-0150 02/28/2002 Control of Hazardous Energy Sources (Lockout/Tagout) 1236149 0 89227582 1218 1218-0151 11/30/2004 Cranes and Derricks Standards for Construction: Posting Weight and Load Capacity of Personnel Platforms 229 0 2750 1218 1218-0170 05/31/2003 1,3-Butadiene (29 CFR 1910.1051) 2909 82 335944 1218 1218-0172 07/31/2004 Student Data Form 417 0 5000 1218 1218-0173 08/31/2004 Course Evaluation 2716 0 16300 1218 1218-0176 10/31/2004 29 CFR Part 1904 Recording and Reporting Occupational Injuries and Illnesses 4425351 0 1444000 1218 1218-0179 10/31/2004 Methylene Chloride 1910.1052 103282 23700 418496 1218 1218-0180 03/31/2004 Bloodborne Pathogens Standard (29 CFR 1910.1030) 12719062 27362 1569329 1218 1218-0183 01/31/2002 4,4'-Methylenedianline (MDA) Construction 29 CFR 1926.60 1523 74 3220 1218 1218-0184 01/31/2002 4,4'-Methylenedianline (MDA) General Industyr 1910.1050 327 19 650 1218 1218-0185 12/31/2001 Cadmium in General Industry 148172 19069 359968 1218 1218-0186 08/31/2004 Cadmium in Construction 40771 2237 349889 1218 1218-0189 02/29/2004 Lead in Construction 1926.62 1697383 69083 6155640 1218 1218-0190 09/30/2003 Electrical Protective Equipment (1910.137), and Electric Power Generation, Transmission, and Distribution (1910.269) Standard 34496 0 515094 1218 1218-0195 03/31/2004 Asbestos in Shipyards 1915.1001 1483 34 2470 1218 1218-0196 05/31/2002 Longshoring and Marine Terminals -- 29 CFR Parts 1910, 1917, and 1918 23161 0 170749 1218 1218-0197 02/29/2004 Construction Fall Protection Plans and Records 771166 0 100000 1218 1218-0198 09/30/2004 Logging Operations (29 CFR 1910.266) 22730 0 166040 1218 1218-0199 12/31/2001 Walking-Working Surfaces -- 29 CFR 1910.21-30 33837 0 60500 1218 1218-0200 10/31/2002 Process Safety Management of Highly Hazardous Chemicals (PSM) -- 1910.119 79045232 0 1406075 1218 1218-0202 10/31/2002 Hazardous Waste Operations and Emergency Response (HAZWOPER) -- 29 CFR 1910.120 1412915 5045 31643 1218 1218-0203 08/31/2002 Permit-Required Confined Spaces -- 29 CFR 1910.146 1634663 0 9571943 1218 1218-0205 05/31/2003 Personal Protection Equipment for General Industry (29 CFR 1910.132) 1834279 0 5965572 1218 1218-0206 10/31/2004 Grain Handling Facilities (29 CFR 1910.272) 136781 0 1774166 1218 1218-0207 08/31/2004 Welding, Cutting and Brazing (29 CFR part 1910, Subpart Q) 8119 0 101492 1218 1218-0208 09/30/2004 Storage and Handling of Anhydrous Ammonia (29 CFR 1910.111(b)(3) and (b)(4)) 2500 0 330 1218 1218-0209 01/31/2002 OSHA Data Initiative (ODI) 39863 0 81425 1218 1218-0215 05/31/2003 Personal Protective Equipment (PPE) for Shipyard Employment (29 CFR Part 1915) 2255 0 87000 1218 1218-0216 12/31/2003 Manfacturer's Certification of Modifications Made to Construction Aerial Lifts 3 0 60 1218 1218-0217 06/30/2002 Blasting Operations (29 CFR 1926.900(k)(3)(i)) 1280 227 160 1218 1218-0218 06/30/2002 Portable Fire Extinguishers, Hydrostatic Testing Certification Record (29 CFr 1910.157(f)(16)) 127500 11560 1133333 1218 1218-0219 06/30/2002 Servicing Multi-Piece and Single Piece Rim Wheels, Manufacturer's Certification Record (29 CFR 1910.177(d)(3)(iv)) 6 0 80 1218 1218-0220 06/30/2002 Shipyard Certification Records (29 CFR 1915.113(b)((1) and 1915.172(d)) 4461 0 19200 1218 1218-0221 06/30/2002 Crawler, Locomotive, and Truck Cranes, Inspection Certifications (29 CFR 1910.180(d)(2), (d)(6), (g)(1), and (g)(2)(ii)) 174000 0 462000 1218 1218-0222 06/30/2002 Derricks, Inspection Certifications -- 29 CFR 1910.181(g)(1) and (g)(3) 28500 0 114000 1218 1218-0223 06/30/2002 Inspection Certification Records for Slings (20 CFR 1910.184) 21435 0 155675 1218 1218-0224 06/30/2002 Overhead and Gantry Cranes, Inspection Certification Records (29 CFR 1910.179(j)(2)(iii), (j)(2)(iv), (m)(1), and (m)(2) 367500 0 1110000 1218 1218-0225 06/30/2002 Telecommunications, Training Certification (29 CFR 1910.268(c)) 7487 0 107138 1218 1218-0226 06/30/2002 Manlifts, Inspection Certifications (29 CFR 1910.68(e)(3)) 51000 0 156000 1218 1218-0227 06/30/2002 Trucks Used Underground to Transport Explosives (29 CFR 1926.903(e) -- Inspection Certifications 9 0 52 1218 1218-0228 06/30/2002 Forging Machines, Inspection Certification Records (29 CFR 1910.218(a)(2)(i) and (a)(2)(ii)) 244868 0 1440400 1218 1218-0229 06/30/2002 Mechanical Power Presses, Inspection Certification Records (29 CFR 1910.217(e)(1)(i) and (e)(1)(ii)) 1372930 0 9971000 1218 1218-0230 06/30/2002 Aerial Lifts, Manufacturer's Certification Record of Modification (29 CFR 1910.67(b)(2)) 45 0 900 1218 1218-0231 06/30/2002 Construction Records for Tests and Inspection for Personnel Hoists (29 CFR 1926.552(c)(15)) 15840 0 63360 1218 1218-0232 06/30/2002 Crawler, ruck and Locomotive Cranes (29 CFR 1926.550(b)(2)) 169200 0 1128000 1218 1218-0233 06/30/2002 Rigging Equipment for Material Handling (29 CFR 1926.251)(c)(15)(ii) 1515 0 18940 1218 1218-0236 06/30/2004 Regulations, 29 CFR Part 24, Procedures for Handling of Discrimination Complaints Under Federal Employee Protection Statutes 200 0 200 1218 1218-0237 05/31/2004 Dipping and Coating Operations (Dip Tanks) 1 0 1 1218 1218-0238 05/31/2004 Portable Fire Extinguishers (Annual Maintenance Certification Record) (29 CFR 1910.157(e)(3)) 66000 19008 132000 1218 1218-0239 10/31/2004 Voluntary Protection Program Application Information 48443 0 1107 1218 1218-0241 12/31/2001 Steel Erection -- Subpart R, 29 CFR Part 1926.750 through 1926.761 (Proposed Rule) 79228 61 73570 1218 1218-0242 12/31/2001 Powered Industrial Truck Operator Training -- 29 CFR 1910.178 543860 0 1835541 1218 1218-0244 10/31/2002 Strategic Partnerships for Worker Safety and Health (OSP) 14860 0 1000 1218 1218-0246 12/31/2001 Bloodborne Pathogen Standard (Needlestick Safety and Prevention Act) 1236764 0 5340499 1219 1219-0001 04/30/2004 Certificate of Electrical Training (30 CFR 75.153(a)(2) and 77.103(a)(2) 13297 410 2886 1219 1219-0003 10/31/2004 Radiation Sampling and Exposure Records (30 CFR 57.5037, and 57.5040) 800 0 100 1219 1219-0004 05/31/2003 Roof Control Plans (30 CFR 75.220, 75.221, and 75.223) 5967 6 3517 1219 1219-0006 09/30/2002 Quarterly Mine Employment and Coal Reduction Report -- 30 CFR 43915 23 89205 1219 1219-0007 09/30/2002 Mine Accident, Injury, and Illness Report -- 30 CFR 50.10; 50.11; and 50.20(a) 74992 19 70344 1219 1219-0008 12/31/2001 Notification of Legal Identity -- 30 CFR Section 41.10, 41.11, 41.12, and 41.20 2447 2 6307 1219 1219-0009 11/30/2004 Training Plan Regulations (30 CFR 48.3 and 48.23) 10352 2 1294 1219 1219-0011 02/28/2003 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) 42454 3128 58162 1219 1219-0012 06/30/2003 Main Fan Maintenance Record 11 0 7 1219 1219-0014 09/30/2004 Hazardous Conditions Complaints (30 CFR 43.4 and 43.7) 130 0 651 1219 1219-0015 01/31/2002 Refuse Piles and Impounding Structures, Recordkeeping and Reporting Requirements 96688 0 12768 1219 1219-0016 09/30/2004 Mine Ventilation System Plan (57.8520) 6816 0 284 1219 1219-0019 09/30/2004 Slope and Shaft Sinking Plans (30 CFR 77.1900) 960 1 48 1219 1219-0020 08/31/2004 Operations Under Water (30 CFR 75.1716, 75.1716-1, and 75.1716.3 50 0 10 1219 1219-0024 10/31/2004 Application for Waiver of Surface Facilities Requirements (30 CFR 71.403, 71.404, 75.1712-4, and 75.1712-5) 221 0 546 1219 1219-0025 06/30/2004 Application for a Permit to Fire More than 20 Boreholes for the use of Nonpermissible Blasting Units, Explosive, and Shot-firing Units 90 1 161 1219 1219-0026 09/30/2003 Ground Control Plan (30 CFR 77.1000 and 77.1000-1) 1404 0 159 1219 1219-0030 12/31/2003 Main Fan Operation and Inspection (30 CFR 57.22204) 1313 2 2625 1219 1219-0034 01/31/2002 Records of Tests and Examinations of Personnel Hoisting Equipment 34460 0 99032 1219 1219-0039 01/31/2004 Gamma Radiation Exposure Records 2 0 2 1219 1219-0040 12/31/2002 Independent Contractor Register -- 30 CFR 45.4(b) 12334 200 92528 1219 1219-0041 08/31/2004 Program to Prevent Smoking in Hazardous Areas (30 CFR 75.1702) 94 0 188 1219 1219-0042 10/31/2004 representative of Miners (30 CFR 40.3, 40.4, and 40.5) 81 0 108 1219 1219-0043 07/31/2003 Identification of Independent Contractors (30 CFR 45.3) 191 1 1687 1219 1219-0044 11/30/2004 Record of Results of Examinations of Self-Rescuers, Underground Coal Mines -- 30 CFR 75.1714-3(e) 118268 0 236632 1219 1219-0046 11/30/2004 Escape and Evacuation Plans (30 CFR 57.11053) 4544 2 568 1219 1219-0048 12/31/2001 Respirator Program Records -- 30 CFR 56.5005 and 57.5005 3973 0 15900 1219 1219-0049 01/31/2002 Hoisting Operators' Physical Fitness and Physical Requirements for Mine Rescue Teams and Man Hoist Operators 37 111 360 1219 1219-0051 11/30/2003 Fire Protection, Escape and Evacuation Plan -- 30 CFR 77.1101 263 0 59 1219 1219-0054 09/30/2003 Fire Protection for Underground Coal Mines (30 CFR Part 75, Subpart L) 89263 2 398339 1219 1219-0065 10/31/2003 Petitions for Modification - Pertains to All Mines (30 CFR 44,9, 44.10, and 44.11) 5400 79 174 1219 1219-0066 02/28/2002 Permissible Equipment Testing 8831 1849 876 1219 1219-0067 02/28/2002 Examinations and Tests of Electrical Equipment -- 30 CFR 75.512, 75.703(d)(11), 77.502, 75.800, 77.900, 75.1001-1(c), 75.342(a)(4), and 75.351 985344 0 1328056 1219 1219-0069 05/31/2003 Qualification and Certification Program (30 CFR 75.100; 75.155; 77.100; and 77.105) 213 0 611 1219 1219-0070 11/30/2004 Certificate of Training (30 CFR 48.9 and 48.29) 8393 210 105050 1219 1219-0073 10/31/2002 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 28212 24007 2108 1219 1219-0078 01/31/2004 Mine Rescue Teams; Arrangements for Emergency Medical Assistance; and Arrangements for Transportation of Injured Persons 24975 468 46282 1219 1219-0082 11/30/2003 Records of Preshift and Onshift Inspections of Slope and Shaft Areas (30 CFR 77.1901) 14823 0 11858 1219 1219-0083 12/31/2003 Record of Examinations for Hazardous Conditions (30 CFR 77.1713) 617828 0 411885 1219 1219-0088 03/31/2004 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 2725770 194 2262566 1219 1219-0089 09/30/2004 Safety Defects; Examination, Correction and Records (30 CFR 56/57.13015; 13030; 14100; and 56/57.18002) 1224406 0 18203818 1219 1219-0092 04/30/2003 Notification of Commencement of Operations and Closing of Mines (30 CFR 56.1000 and 57.1000) 259 1 2070 1219 1219-0095 12/31/2003 Explosive Materials and Blasting Units (30 CFR 57.22606) 7 0 7 1219 1219-0096 08/31/2003 Underground Retorts (30 CFR 57.22401) 160 0 1 1219 1219-0097 12/31/2001 Rock Burst Control Plan (Pertains to Underground Metal/Nonmental Mines) -- 30 CFR 57.3461 24 0 2 1219 1219-0100 08/31/2003 Product Testing by Applicant or Third Part (30 CFR Part 7, Subparts A through F, and J through K) 565 42 307 1219 1219-0101 01/31/2002 Applications for Approval of Sanitary Toilet Facilities -- 30 CFR 71.500 and 75.1712-6 16 0 2 1219 1219-0103 08/31/2003 Notification of Methane Detected in Mine Atmosphere (30 CFR 57.220004(c); 57.22229; 57.22230; 57.22231, and 57.22239) 31 0 372 1219 1219-0119 02/28/2003 Approval, Exhaust Gas Monitoring, and Safety Requirements for the Use of Diesel-Powered Equipment in Underground Coal Mines 56332 662 234308 1219 1219-0120 11/30/2002 Noise Exposure Assessment; Audiometric Testing Evaluation and Records and Training in All Mines 123099 18835 1461150 1219 1219-0121 08/31/2003 Safety Standard for Roof Bolts in Metal and Nonmetal Mines and Underground Coal Mines (30 CFR 56/57.3203(a), and 75.204(a)) 431 0 8616 1219 1219-0124 05/31/2004 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) 1697 171 5758 1219 1219-0125 12/31/2001 Safety Standards for Underground Coal Mine Ventilation -- 30 CFR 75.360(a)(1) and 75.360(f) 78001 0 910 1219 1219-0127 02/28/2002 Records of All Certified and Qualified Persons and Man Hoist Operators Physical Fitness 23021 0 13815 1219 1219-0128 05/31/2002 Improving and Eliminating Regulations; Calibration and Maintenance Procedures for Wet Test Meters and Coal Mine Respirable Dust Samples 109 205 1849 1219 1219-0131 12/31/2002 Training Plus, New Miner Training, Newly-Hired Experienced Miner Training -- 30 CFR 46.3, .5, .6, .7, .9, and .11 253393 604 239871 1219 1219-0133 05/31/2002 Hazard Communication - 30 CFR part 47 - (Interim Final Rule) 511721 1235 21166 1219 1219-0135 09/30/2004 Health Standards for Diesel Particulates (Underground Metal and Nonmetal Mines) 57.5060; 5062; 5066; 5071; and 5075 5614 781 152565 1220 1220-0008 03/31/2002 Producer Price Index Survey 390684 0 1266342 1220 1220-0011 02/28/2002 Report on Employment, Payroll, and Hours 596710 0 5238000 1220 1220-0012 09/30/2004 Employment, Wages, and Contributions Program - ES-202 954720 0 212 1220 1220-0017 11/30/2002 Local Area Unemployment Statistics Program 131600 0 82718 1220 1220-0025 09/30/2003 International Price Program (IPP) U.S. Export Price Indexes 23379 0 40240 1220 1220-0026 09/30/2003 International Price Program/U.S. Import Product Information 24246 0 40240 1220 1220-0032 10/31/2004 Annual Refiling Survey (ARS) [formerly called the Standard Industrial Classification (SIC) forms] 206903 0 2272998 1220 1220-0039 06/30/2002 Consumer Price Index Commodities and Service Survey 89749 0 337361 1220 1220-0042 08/31/2004 Report on Occupational Employment 238119 0 317492 1220 1220-0044 12/31/2002 Point of Purchase Survey 12409 0 67200 1220 1220-0045 10/31/2004 Survey of Occupational Injuries and Illnesses 327666 0 230000 1220 1220-0050 05/31/2003 The Consumer Expenditure Surveys: The Quarterly Interview 109134 0 74743 1220 1220-0076 08/31/2002 Hours at Work Survey (HWS) 6250 0 7000 1220 1220-0079 07/31/2002 Labor Market Information (LMI) Cooperative Agreement 781 0 832 1220 1220-0090 11/30/2002 Mass Layoff Statistics Program 73320 0 16432 1220 1220-0100 08/31/2002 Current Population Survey (CPS) Basic Labor Force 67200 0 576000 1220 1220-0102 02/28/2002 Veterans Supplement to the CPS 240 0 14400 1220 1220-0104 08/31/2002 CPS Displaced Worker, Job Tenure, and Occupational Mobility Supplement 7733 58000 1220 1220-0109 12/31/2002 National Longitudinal Survey of Youth 1979 13297 0 19350 1220 1220-0110 12/31/2001 National Longitudinal Survey of Women 6987 0 7640 1220 1220-0133 12/31/2001 Census of Fatal Occupational Injuries 5000 0 27500 1220 1220-0134 02/29/2004 Multiple Workshie Report and the Report of Federal Employment and Wages 169855 0 459068 1220 1220-0141 12/31/2002 Cognitive and Psychological Research 9000 0 4150 1220 1220-0149 12/31/2001 BLS/OSHS Federal/State Cooperative Agreement, Application Package 342 0 285 1220 1220-0157 09/30/2004 National Longitudinal Survey of Youth 1997 10972 0 17151 1220 1220-0163 08/31/2003 Consumer Price Index (CPI) Housing Survey (CADC) 19299 0 163394 1220 1220-0164 10/31/2004 National Compensation Survey 66593 0 70886 1220 1220-0168 09/30/2003 General Inquiries to State Agency Contacts 15762 0 23890 1220 1220-0170 03/31/2003 Job Openings and Labor Turnover Survey (JOLTS) 24765 0 111440 1220 1220-0171 07/31/2002 Survey of Respirator Use and Practices 20000 0 40000 1225 1225-0013 12/31/2001 Equal Access to Justice Act 50 0 10 1225 1225-0030 09/30/2003 Disclosure of Information to Credit Reporting Agencies; Administrative Offset, Interest, Penalties and Administrative Costs 12250 0 7000 1225 1225-0038 11/30/2003 Salary Offset 375 0 300 1225 1225-0044 11/30/2003 National Agricultural Workers Survey 5840 0 5500 1225 1225-0059 06/30/2003 Customer Satisfaction Surveys and Conference Evaluations Generic Clearance 13500 0 63750 1225 1225-0072 04/30/2002 Applicant Background Survey 250 0 3000 1225 1225-0074 12/31/2001 Information Collection Requests and Administrative Forms for 500 0 1000 1225 1225-0077 01/31/2003 Compliance Information Report -- 29 CFR Part 37 Nondiscrimination-Workforce Investment Act of 1998 -- 29 CFR 37 149166 122 5105979 1230 1230-0001 01/31/2002 Grant Application Packages 4382 1 366 1290 1290-0002 08/31/2004 Small Business Program Information Management System 540 0 6000 1293 1293-0002 12/31/2001 Eligibility Data Form for Requesting Assistance in Obtaining Veterans' Reemployment Rights 500 0 1405 1293 1293-0005 12/31/2002 Federal Contractor Veterans' Employment Report VETS-100 97290 0 194580 1293 1293-0009 09/30/2004 VETS 300 Cost Accounting Report and Manager's Report 19465 0 5065 1400 1400-0007 12/31/2001 Department of State Application for Federal Employment 12500 0 25000 1405 1405-0002 01/31/2002 Statement of Registration 10000 150 5000 1405 1405-0003 01/31/2002 Application/License for Permanent Export of Unclassified Defense Articles and Related Unclassified Technical Data 20000 300 20000 1405 1405-0004 12/31/2001 Application for Passport/Registration 2803850 504693 8411550 1405 1405-0007 11/30/2002 Passport Amendment/Validation Application 69850 0 279400 1405 1405-0008 04/30/2003 Department of State-Foreign Service Officer Written Examination Registration 3415 0 13660 1405 1405-0011 12/31/2001 Application for Consular Report of Birth Abroad of a Citizen of the United States of America 15333 1840 46000 1405 1405-0013 01/31/2002 Application/License for Temporary Import of Unclassified Defense Articles 4500 67 9000 1405 1405-0014 11/30/2002 Statement Regarding Lost or Stolen Passport 17500 0 70000 1405 1405-0015 05/31/2004 Application for Immigrant Visa and Alien Registration 1500000 0 750000 1405 1405-0018 08/31/2004 Nonimmigrant Visa Application 9600000 432000 9600000 1405 1405-0021 01/31/2002 Non-Transfer and Use Certificate 17000 255 17000 1405 1405-0022 01/31/2002 Application/License for Permanent/Temporary Export or Temporary Import of Classified Defense Articles and Classified Technical Data 1000 15 1000 1405 1405-0023 01/31/2002 Application/License for Temporary Export of Unclassified Defense Articles 2000 30 2000 1405 1405-0025 01/31/2002 Statement of Political Contributions, Fees, or Commissions in Connection with the Sale of Defense Articles or Services 12000 180 12000 1405 1405-0033 01/31/2004 Overseas Schools - Grant Status Report 217 7 190 1405 1405-0036 12/31/2001 Grant Request Automated Submissions Program (GRASP) (Formerly Overseas Schools Questionnaire) 199 0 199 1405 1405-0050 11/30/2002 Department of State Acquisition Regulation (DOSAR) 225503 000000000 2790 1405 1405-0051 01/31/2002 Authority to Export Defense Articles and Services Sold under the Foreign Military Sales (FMS) Program 1250 19 2500 1405 1405-0060 08/31/2002 Notification of Appointment of Foreign Government Employee 2125 100 5000 1405 1405-0061 08/31/2002 Notice of Termination of Diplomatic, Consular, or Foreign Government Employees 720 0 6000 1405 1405-0062 08/31/2002 Notification of Appointment of Foreign Diplomatic Officer 850 40 2000 1405 1405-0064 08/31/2002 Notification of Appointment of Honorary Consular Officer 80 4 200 1405 1405-0068 08/31/2002 Medical History and Examination for Foreign Service 12000 0 12000 1405 1405-0072 12/31/2001 Diplomatic Motor Vehicles Applications for: Vehicle Registration, Title, and Replacement Plates 6933 0 27732 1405 1405-0076 10/31/2003 Application for Assistance Under the Hague Convention on Child Abduction 500 0 500 1405 1405-0082 05/31/2003 Petition to Classify Special Immigrant Under INA 203(b)(4) as an employee or former employee of the U.S. Government 250 0 500 1405 1405-0088 11/30/2002 Affidavit of identifying witness 9833 0 118000 1405 1405-0089 08/31/2002 Notification of Change Identification Card Request 600 0 5000 1405 1405-0090 08/31/2002 Notification of Dependents of Diplomatic, Consular, and Foreign Government Employees 840 140 7000 1405 1405-0091 05/31/2004 Application to Determine Returning Resident Status 500 0 1000 1405 1405-0092 01/31/2002 Application for Amendment to License for Export or Import of Classified or Unclassified Defense Articles and Related Technical Data 1150 18 2300 1405 1405-0093 01/31/2002 Request for Approval of Manufacturing License Agreements, Technical Assistance Agreements, and Other Agreements 3000 45 1500 1405 1405-0095 07/31/2004 Shrimp Exporter's/Importer's Declaration 1666 0 10000 1405 1405-0096 05/31/2004 Nonimmigrant Fiance(e) Visa Application 18500 0 18500 1405 1405-0098 06/30/2003 Supplemental Registration for the Diversity Immigrant Visa Program 45000 0 90000 1405 1405-0100 06/30/2003 Application for A, G, or NATO Visa 10000 0 20000 1405 1405-0101 05/31/2004 Nonimmigrant Treaty Trader/Investor Application 34000 0 17000 1405 1405-0102 12/31/2004 Refugee BiographicDData 40000 0 80000 1405 1405-0105 02/28/2002 United States Department of State Driver License and Tax Exemption Card Application 6250 0 12500 1405 1405-0111 12/31/2001 "Maintenance of records by registrants" Section 122.5 of the International Traffic in Arms Regulations (ITAR) 100000 0 5000 1405 1405-0113 01/31/2004 Medical Examination of Applicants for United States Visas 1400000 70000 700000 1405 1405-0115 12/31/2001 Proposal Submission Instructions (PSI) 16000 0 800 1405 1405-0116 03/31/2002 College and University Affiliations Program 2580 75 86 1405 1405-0119 12/31/2001 Certificate of Eligibility for Exchange Visitor 203000 0 203000 1405 1405-0120 08/31/2002 Exchange Visitor Program Application and Update of Information on Exchange Visitor Program Sponsor 2061 0 202 1405 1405-0122 08/31/2002 Application for Certificate of International Educational 182 0 444 1405 1405-0124 08/31/2003 Irish Peace Process Cultural and Training Program (IPPCTP) Employer Information Collection 12400 0 20200 1405 1405-0126 10/31/2003 Choice of Address and Agent for US Department of State Immigrant Visa Applicants 175000 0 350000 1405 1405-0128 03/31/2003 Nonimmigrant V Visa Application 100000 0 100000 1405 1405-0129 12/31/2001 Statement of Consent: Issuance of a passport to a minor under age 14 132982 0 1595790 1405 1405-0130 01/31/2002 Electronic Telephone Director (e*Phone) 333 0 4000 1405 1405-0131 02/28/2002 Medical Clearance Update 3000 0 12000 1405 1405-0132 11/30/2004 Birth Affidavit 20375 0 81500 1405 1405-0133 11/30/2004 Affidavit regarding change of name 26700 0 106800 1505 1505-0001 11/30/2003 Treasury International Capital Form S, "Purchases and Sales of Long-Term Securities by Foreigners 16200 0 2880 1505 1505-0010 12/31/2001 Monthly Consolidated Foreign Currency Report of Major Market Participants 1680 0 420 1505 1505-0012 12/31/2001 Weekly Consolidated Foreign Currency Report of Major Market Participants 1820 0 1820 1505 1505-0014 12/31/2001 Quarterly Consolidated Foreign Currency Report 2112 0 264 1505 1505-0016 11/30/2003 Treasury International Capital Form BQ-1, Part 1: Reporting Bank's Own Claims, & Selected Claims of Broker or Dealer, on Foreigners; Part 2: Domestic Customers' Claims on Foreigners 5600 0 1280 1505 1505-0017 11/30/2003 Treasury International Capital Form BC/BC(SA), Reporting Bank's Own Claims, and Selected Claims of Broker or Dealer, on Foreigners, Denominated in Dollars 39200 0 4480 1505 1505-0018 11/30/2003 Treasury International Capital Form BL-2/BL-2(SA), Custody Liabilities of Reporting Banks, Brokers and Dealers to Foreigners Denominated in Dollars 9900 0 1380 1505 1505-0019 11/30/2003 Treasury International Capital Form BL-1/BL-1(SA), Reporting Bank's Own Liabilities, and Selected Liabilities of Broker or Dealer, to Foreigners, Denominated in Dollars 46000 0 5330 1505 1505-0020 11/30/2003 Treasury International Capital form BQ-2, Part 1: Liabilities to, and Claims on, Foreigners of Reporting Bank, Broker or Dealer, and Part 2: Domestic Customers' Claims on Foreigners Held by 2520 0 440 1505 1505-0023 04/30/2004 Treasury International Capital Form CM, "Dollar Deposit and Certificate of Deposit Claims on Banks Abroad" 330 0 660 1505 1505-0024 06/30/2002 "Financial and Commercial Liabilities to, and Claims on, Unaffiliated Foreigners" -- Treasury International Capital Forms CQ-1 and CQ-2 8000 0 2000 1505 1505-0080 12/31/2001 Post-Contract Award Information 78108 0 5565 1505 1505-0081 12/31/2001 Solicitation of Proposal Information for Award of Public Contracts 860456 0 29183 1505 1505-0088 04/30/2004 Treasury International Capital Form BL-3, "Intermediary's Notification of Foreign Borrowing Denominated in Dollars" 150 0 300 1505 1505-0092 01/31/2002 Libyan Sanctions Regulations 5 0 1 1505 1505-0106 01/31/2002 Reporting on Transactions Engaged In by Oil Affiliates 201 0 30 1505 1505-0107 12/31/2001 Regulation on Agency Protests 34 0 17 1505 1505-0118 11/30/2002 Travel to Cuba 2166 0 26000 1505 1505-0121 07/31/2003 Regulations Pertaining to Mergers, Acquisitions and Takeovers by Foreign Persons 6000 0 100 1505 1505-0123 10/31/2002 Survey of Foreign Portfolio Investment in the United States 60000 0 1 1505 1505-0130 12/31/2003 Iraqi Sanctions Regulations 150 150 1505 1505-0146 08/31/2004 Survey of U.S. Ownership of Foreign Securities 100230 0 2210 1505 1505-0149 09/30/2002 Reporting of International Capital and Foreign Currency Transactions and Positions -- 31 CFR Part 128 6000 0 2000 1505 1505-0152 11/30/2004 Request for Transfer of Property Seized/Forfeited by a Treasury Agency 2500 0 5000 1505 1505-0162 12/31/2001 International Trade Data System (Formerly North American Trade Automation Prototype Data) 1 0 64800 1505 1505-0164 11/30/2004 Reporting and Procedures Regulations 31 CFR Part 501 26250 21000 1505 1505-0167 01/31/2002 Cuban Remittance Affidavit 66667 0 4000000 1505 1505-0168 01/31/2002 Travel Service Provider and Carrier Service Provider Submission 4550 0 54600 1505 1505-0169 12/31/2001 Sudanese Sanctions Regulations 100 0 50 1505 1505-0170 11/30/2002 Form for OFAC Funds Transfer License Applications 1357 0 2714 1505 1505-0174 06/30/2004 Financial Subsidiaries (Interim Final Rule) 400 0 20 1505 1505-0177 11/30/2004 Procedures for Payments to Persons Who Hold Certain Categories of Judgments Against Cuba or Iran 240 0 20 1505 1505-0178 06/30/2004 Community Adjustment and Investment Program Grant Agreement 414 0 126 1505 1505-0179 08/31/2004 Financial Subsidiaries (Interim Final Rule) 100 0 5 1505 1505-0182 08/31/2004 Merchant Banking Investments 22500 0 450 1505 1505-0184 05/31/2002 Interim Guidance Concerning Compliance by Covered U.S. Financial Institutions with New Statutory Anti-Money Laundering Requirement Regarding Correspondent Accounts Established or Maintained for 180000 0 9000 1506 1506-0001 12/31/2002 Suspicious Activity Report 23750 0 47500 1506 1506-0003 11/30/2003 Currency Transaction Report by Casinos-Nevada 51200 0 128000 1506 1506-0004 08/31/2003 Currency Transaction Report 4000000 0 10000000 1506 1506-0005 12/31/2002 Currency Transaction Report by Casinos 56000 140000 1506 1506-0006 10/31/2004 Suspicious Activity Report by Casinos 64 0 107 1506 1506-0008 12/31/2001 Conditional Exceptions to the Application of 31 CFR 103.33(g) 1500 0 10000 1506 1506-0009 12/31/2001 Financial Record Keeping and Reporting of Currency and Foreign Financial accounts 11579711 0 13000000 1506 1506-0010 06/30/2004 Telephonic Notification to Law Enforcement of Suspicious Activity that Requires Immediate Attetion; Notice to FinCEN of Request for Suspicious Activity Report 1 0 1 1506 1506-0011 06/30/2004 Suspicious Transaction Compliance Testing and Monitoring 1 0 13000000 1506 1506-0012 06/30/2002 Designation of Exempt Person 291667 0 250000 1506 1506-0013 08/31/2002 Definition and Registration of Money Services Businesses (NPRM) 1 0 1 1506 1506-0014 03/31/2003 Report of International Transportation of Currency or Monetary Instruments (CMIR) 33000 0 180000 1506 1506-0015 03/31/2003 Reports by money services businesses of suspicious transactions 31 CFR 103.20 1 0 10000 1506 1506-0016 06/30/2003 Request for Research 3500 0 7000 1510 1510-0004 01/31/2002 Schedule of Excess Risks 7140 0 317 1510 1510-0007 02/29/2004 Direct Deposit Sign-Up Form 102680 0 604000 1510 1510-0008 05/31/2003 Pools and Associations - Annual Letter 150 0 100 1510 1510-0012 05/31/2004 Annual Financial Statements of Surety Companies - Schedule F 15635 0 368 1510 1510-0013 05/31/2003 States Where Licensed for Surety 318 0 318 1510 1510-0019 02/29/2004 FMS-1133, Claim Against the United States for the Proceeds of a Government Check 10229 0 53895 1510 1510-0027 01/31/2002 Application for Payment of a Deceased Depositor's Postal Savings 25 0 100 1510 1510-0029 10/31/2004 Depositor's application for payment of postal savings certificate 50 0 200 1510 1510-0033 07/31/2003 Application of Undertaker for Payment of Funeral Expenses from Funds to the Credit of a Deceased Depositor. 8 0 15 1510 1510-0034 12/31/2001 Depositor's Application to Withdraw Postal Savings 350 0 700 1510 1510-0035 01/31/2002 Assignment Form 75 0 150 1510 1510-0037 04/30/2003 Voucher For Payment of Awards 700 0 1400 1510 1510-0042 12/31/2002 Claims Against the U.S. for Amounts Due in Case of a Deceased Creditor 400 0 400 1510 1510-0043 04/30/2003 Notice of Reclamation Electronic Funds Transfer, Federal Recurring Payments Request for Debit, Electronic Funds Transfer, Federal Recurring Payments 77175 0 385877 1510 1510-0045 04/30/2003 Trace Request for EFT Payment 18457 0 138427 1510 1510-0047 01/31/2002 List of Data (A) and List of Data (B) 540 0 30 1510 1510-0048 01/31/2003 Minority Bank Deposit Program Certification Form for Admission 75 0 150 1510 1510-0052 01/31/2002 Financial Institution Agreement and Application Forms for Designation as a Treasury Tax and Loan Depositary and Resolution 225 0 900 1510 1510-0056 06/30/2003 ACH Vendor/Miscellaneous Payment Enrollment Form 20000 0 80000 1510 1510-0057 08/31/2002 Annual Letter (A) & Annual Letter (B), Certification of Authority 26063 0 417 1510 1510-0059 07/31/2004 Authorization Agreement for Preauthorized Payment 25000 0 100000 1510 1510-0061 01/31/2002 CMIA Annual Report and Direct Cost Claims 28000 0 56 1510 1510-0066 02/29/2004 31 CFR Part 208 - Management of Federal Agency Disbursements; Final Rule 325 0 1300 1510 1510-0067 02/28/2003 Resolution Authorizing Execution of Depositary, Financial Agency, and Collateral Agreement, and "Depositary, Financial Agency, and Collateral Agreement" 7 0 30 1510 1510-0069 10/31/2003 Final Rule - Administrative Offset, Collection of Past-Due Child Support 5562 0 13 1510 1510-0072 05/31/2002 Voluntary Surveys to Enhance the Electronic Federal Tax Payment System 880 0 3520 1510 1510-0073 02/28/2003 ETA Financial Agency Agreement 36000 0 18000 1512 1512-0001 09/30/2002 Requisition for Forms or Publications -- ATF F 1370.3 Requisition for Firearms Explosives Forms -- ATF F 1370.2 1725 10000 30000 1512 1512-0002 04/30/2003 ATF Distribution Center Contractor Survey 168 0 21000 1512 1512-0005 12/31/2001 Application for Restoration of Firearms and/or Explosives 2500 0 5000 1512 1512-0006 08/31/2003 Report of Multiple Sales or Other Disposition of Pistols and Revolvers 8000 0 40000 1512 1512-0007 08/31/2004 Interstate Firearms Shipment Report of Theft/Loss 338 0 338 1512 1512-0017 05/31/2002 Application and Permit for Importation of Firearms, Ammunition and Implements of War 5500 0 11000 1512 1512-0018 09/30/2003 Application and Permit for Importation of Firearms, Ammunition and Implements of War 4500 0 9000 1512 1512-0019 12/31/2003 Release and Receipt of Imported firearms, Ammunition and Implements of War 8000 0 20000 1512 1512-0020 04/30/2003 Application and Permit for Permanent Exportation of Firearms 1050 0 350 1512 1512-0021 01/31/2004 Application to Register as an Importer of U.S. Munitions Import List Articles 150 0 300 1512 1512-0022 04/30/2003 Application to Transport Interstate or Temporarily Export Certain National Firearms Act (NFA) Firearms 400 0 800 1512 1512-0024 02/29/2004 Application to Make and Register a Firearm 4271 0 1071 1512 1512-0025 05/31/2004 Notice of Firearms Manufactured or Imported 3750 0 5000 1512 1512-0026 07/31/2004 Application for Tax Exempt Transfer of Firearm and Registration to Special (Occupational) Taxpayer 13111 0 26221 1512 1512-0027 08/31/2004 Application for Tax Paid Transfer and Registration of Firearm 44260 0 11065 1512 1512-0028 08/31/2004 Application for Tax Exempt Transfer and Registration of Firearm 379896 0 94974 1512 1512-0029 12/31/2001 Application for Registration of Firearms Acquired by Certain Governmental Entities 300 0 1200 1512 1512-0030 07/31/2003 Annual Firearms Manufacturing and Exportation Report 1125 0 1500 1512 1512-0033 08/31/2004 Tax Authorization Information 50 0 50 1512 1512-0034 09/30/2002 Personnel Questionnaire, Alcohol and Tobacco Products 10000 0 5000 1512 1512-0035 08/31/2004 Referral of Information 500 0 500 1512 1512-0038 07/31/2003 Authorization to furnish Financial Information and Certificate of Compliance 500 0 2000 1512 1512-0042 02/29/2004 Application for License under 18 U.S.C. Chapter 44, Firearms 12500 0 10000 1512 1512-0043 08/31/2004 Application for Renewal of Federal Firearms License 14700 0 35000 1512 1512-0045 02/29/2004 Letterhead applications and notices filed by brewers 9625 4 10500 1512 1512-0046 12/31/2001 Applications - Volatile Fruit-Flavor Concentrate Plants, ATF REC 5520/2 Final Rule 40 0 20 1512 1512-0052 05/31/2004 Brewer's Report of Operations and Brewpud Report of Operations 7800 0 7800 1512 1512-0057 10/31/2002 Application and Permit to Ship Liquors and Articles of Puerto Rican Manufacture Taxpaid 100 0 200 1512 1512-0058 04/30/2003 Application to Establish and Operate Wine Premises Wine Bond 810 0 810 1512 1512-0059 07/31/2003 Bonded Wineries-Formula and Process for Wine, Letterhead Applications and Notices Relating to Formula Wine. 1200 0 600 1512 1512-0073 08/31/2003 Formula and/or process for articles made with specially denatured spirits 2415 0 2683 1512 1512-0075 08/31/2003 Users' Report of Denatured Spirits 830 0 2765 1512 1512-0078 05/31/2002 Consent of Surety 2000 0 2000 1512 1512-0079 04/30/2003 Powe of Attorney 3000 0 10000 1512 1512-0081 05/31/2004 Brewer's Bonds and Continuation Certificates 600 800 1512 1512-0082 07/31/2003 Drawback on Wines Exported 2025 0 1800 1512 1512-0083 12/31/2001 Drawback on Beer Exported 5000 29000 5000 1512 1512-0089 03/31/2002 Application for Basic Permit under the Federal Alcohol Administration Act 2800 0 1600 1512 1512-0090 03/31/2002 Application for Amended Basic Permit under the Federal Alcohol Administration Act 600 0 1200 1512 1512-0092 06/30/2004 Application for Certification/Exemption of Label/Bottle Approval Under the Federal Alcohol Administration Act ATF F 5100.31 28565 0 57131 1512 1512-0095 12/31/2001 Formula and Process for Nonbeverage Product 2500 0 5000 1512 1512-0096 01/31/2003 Beer for Exportation 38808 23520 1512 1512-0098 12/31/2001 Annual Report of Concentrate Manufacturers and Usual and Customery Business Records of Volatile Fruit-Flavor Concentrate 30 0 91 1512 1512-0100 05/31/2002 Environmental Information -- ATF F 5000.29 Supplimental Information on Water Quality Considerations under 33 U.S.C. 1341(a) -- ATF F 5000.30 4400 0 8800 1512 1512-0115 06/30/2004 Monthly Report - Export Warehouse Proprietor 2148 0 2652 1512 1512-0116 04/30/2004 Notice of Release of Tobacco Products, Cigarette Papers, or Cigarette Tubes 306 0 1224 1512 1512-0117 09/30/2002 Claim for Drawback of Tax on Cigars, Cigarettes, Cigarette Papers, and Cigarette Tubes 144 0 288 1512 1512-0119 12/31/2003 Notice of Removal of Tobacco Products, Cigarette Papers or Cigarette Tubes 18500 0 72900 1512 1512-0129 04/30/2002 Firearms Transaction Record, PArt I, Over-the-Counter ATF F 4473 Part I 3408333 0 10225000 1512 1512-0130 02/28/2002 Firearms Transaction Record, Part II Non-Over-The Counter 9057 0 20900 1512 1512-0131 07/31/2003 Renewal of Explosives License or Permit 825 0 2500 1512 1512-0133 01/31/2003 Explosives Delivery Record 2500 0 25000 1512 1512-0137 04/30/2003 Application for an industrial alcohol user permit and industrial alcohol bond 1476 0 1476 1512 1512-0138 08/31/2003 Certification of Tax Determination - Wine (ATF F 5120.20(2650) 500 0 1000 1512 1512-0141 06/30/2002 Claim: Alcohol, Tobacco, and Firearms Taxes 10000 0 10000 1512 1512-0144 04/30/2002 Specific and Continuing Transportation Bond-Distilled Spirits and/or Wines Withdrawn for Transportation to Manufactoring Bonded Warehouse-Class Six 1 0 1 1512 1512-0156 10/31/2002 Computation of Tax and Agreement to Pay Tax on Puerto Rican Cigars or Cigarettes 150 0 300 1512 1512-0162 12/31/2003 Manufacturer of Tobacco Products 170 0 34 1512 1512-0163 08/31/2002 Manufacturer of Tobacco Products Monthly Report 1674 0 1704 1512 1512-0164 12/31/2001 Schedule of Tobacco Products, Cigarette Papers, or Tubes 1071 0 1428 1512 1512-0171 09/30/2002 Inventory, Export Warehouse Proprietor 50 0 10 1512 1512-0178 06/30/2002 Report of Firearms Transaction -- ATF F 4483 (5300.35) 250 0 1 1512 1512-0182 08/31/2004 Application for License or Permit Under 18 U.S.C., Chapter 40, Explosives 812 46886 2100 1512 1512-0184 06/30/2004 ATF F 5400.5, Explosives Transaction Record 7227 0 22800 1512 1512-0185 09/30/2002 Report of Theft or Loss of Explosives 450 0 250 1512 1512-0188 06/30/2004 Signing Authority for Corporate Officials 250 0 1000 1512 1512-0190 09/30/2002 Withdrawal of Spirits, Specially Denatured Spirits, or Wines for Exportation 6000 0 6000 1512 1512-0191 08/31/2003 Application for Transfer of Spirits and/or Denatured Spirits in Bond 300 0 1500 1512 1512-0192 08/31/2003 Distilled Spirits Plants Warehousing Records, ATF Rec 5110/02 and Reports, ATF F 5110.11 5520 0 2760 1512 1512-0195 09/30/2002 Application for Operating Permit under 26 U.S.C. 5171(d) -- ATF F 5110.25 20 0 80 1512 1512-0198 06/30/2004 Distilled Spirits Plant Monthly Report of Processing Operations 3886 0 134 1512 1512-0199 10/31/2002 Drawback on Distilled Spirits Exported 10000 0 5000 1512 1512-0200 08/31/2002 Application and Permit To Ship Puerto Rican Spirits to the United States Without Payment of Tax 450 0 1000 1512 1512-0202 10/31/2004 Notice of Change in Status of Plant 1000 0 1000 1512 1512-0203 08/31/2003 Distilled Spirits Plants - Excise Taxes - ATF REC 5110/06 3458 0 3458 1512 1512-0204 08/31/2003 Formula for Distilled Spirits under the Federal Alcohol Administration Act (Supplemental) ATF F 5110.38 4000 0 4000 1512 1512-0205 07/31/2003 Distilled Spirits Records and Monthly Report of Production Operations 3600 0 1800 1512 1512-0206 04/30/2003 Miscellaneous Requests and Notices for Distilled Spirits Plants 1620 0 950 1512 1512-0207 08/31/2003 Distilled Spirits Plant (DSP) Denaturation Records and Reports 1176 0 1176 1512 1512-0209 10/31/2004 Tax Deferral Bond - Distilled Spirits (Puerto Rico) 10 0 10 1512 1512-0214 10/31/2002 Application and Permit under 26 U.S.C. 5181, Alcohol Fuel Producer 1321 17 1512 1512-0215 09/30/2003 Alcohol Fuel Plants (AFP) Records, Reports and Notices 871 0 871 1512 1512-0216 06/30/2002 Report of Wine Premises Operations 10642 0 9675 1512 1512-0221 08/31/2004 Offer in compromise of liability incurred under the provisions of Title 26 U.S.C. enforced and administered by the Bureau of Alcohol, Tobacco and Firearms 80 0 40 1512 1512-0222 12/31/2001 Offer in Compromise of Liability Incurred under Federal Alcohol Administration Act, as Amended 24 0 12 1512 1512-0242 08/31/2004 User-limited (Explosives) ATF F 5400.6 22 0 1092 1512 1512-0247 07/31/2003 Manufacturers of Ammunition, Records and Supporting Data of Ammunition Manufactured and Disposed of 325 0 325 1512 1512-0250 08/31/2003 Distilled Spirits Plants - Transaction and Supporting Records 6060 0 278 1512 1512-0292 07/31/2003 Letterhead Applications and Notices Relating to Wine 825 0 1650 1512 1512-0298 01/31/2003 Usual and Customary Business Records Relating to Wine 165 0 1650 1512 1512-0333 04/30/2004 Usual and Customary Business Records Maintained by Brewers 1 0 1400 1512 1512-0334 12/31/2003 Usual and Customary Business Records Relating to Tax-Free Alcohol ATF REC 5150/3 1 0 4560 1512 1512-0335 07/31/2003 Letterhead Applications and Notices Relating to Tax-Free Alcohol 2222 0 4444 1512 1512-0336 12/31/2003 Letterhead Applications and Notices Relating to Denatured Spirits ATF REC 5150/2 1556 0 3111 1512 1512-0337 12/31/2001 Usual and Customary Business Records Relating to Denatured Spirits 1 0 3111 1512 1512-0341 04/30/2003 Stills: Notices, Registration, and Records ATF Rec 5150/8 21 0 40 1512 1512-0352 09/30/2003 "ATF Recordkeeping and Reporting 5170/1 Importer's Records and Reports" 251 0 500 1512 1512-0353 12/31/2001 Wholesale Dealers Records of Receipt of Alcoholic Beverages, Disposition of Distilled Spirits, and Monthly Summary Report -- ATF FEC 5170/2 1200 0 600 1512 1512-0354 04/30/2003 Stills: Retail Liquor Dealers Records of Receipts of Alcoholic Beverages and Commercial Invoices ATF Rec 5170/3 1 0 45000 1512 1512-0357 04/30/2003 Wholesale Dealers Applications, letterheads, and notice relating to operations. (variations in format or preparation of records) ATF REC 5170/6 515 0 1029 1512 1512-0358 12/31/2003 Tobacco Products Manufactures - Records of Operations ATF REC 5210/1 16200 0 108 1512 1512-0363 12/31/2001 Tobacco Products Manufacturers Supporting Records for Removals for the Use of the United States 505 0 101 1512 1512-0367 09/30/2003 Tobacco Export Warehouse-Record of Operations ATF-REC-5220/1 1 0 221 1512 1512-0368 12/31/2003 Tobacco Products Importer or Manufacturer-Records of Large Cigar Wholesale Prices 252 0 108 1512 1512-0369 06/30/2002 Licensed Firearms Manufacturers Records of Production, Disposition, and Supporting Data 76611 0 4304000 1512 1512-0371 08/31/2004 Inventories, Licensed Explosives Importers, Manufacturers, Dealers, and Permittees 26212 0 26212 1512 1512-0372 08/31/2002 Records and Supporting Data: Daily Summaries; Records of Production, Storage, and Disposition; and Supporting Data by License Explosives Manufacturers 68835 0 68335 1512 1512-0373 12/31/2001 Records and Supporting Data: Importation, Receipt, Storage, and Disposition by Licensed Explosives Manufacturers, Importers, Dealers, and Users 132754 0 132754 1512 1512-0378 09/30/2003 ATF REC 5530/1 Applications and Notices--Manufacturere of Nonbeverage Products 640 0 1280 1512 1512-0379 12/31/2001 Manufactuurers of Nonbeverage Products, Records to Support Claims for Drawback 12831 0 611 1512 1512-0384 04/30/2003 ATF REC 5620/2 Airlines Withdrawing Stock from Customs Custody 2500 0 25 1512 1512-0385 12/31/2001 Proprietors or Claimants Exporting Liquors 7200 0 120 1512 1512-0386 06/30/2002 Records of Aquisition and Disposition; Registered Importers of Arms, Ammunition, and Implements of War on the U.S. Munitions Imports List -- ATF REC 7570/1 250 0 5 1512 1512-0387 02/29/2004 Records of Acquisition and Disposition, Collectors of Firearms 559791 0 172250 1512 1512-0390 04/30/2004 Request for Disposition of Offense 1500 0 3000 1512 1512-0391 12/31/2001 Tobacco: Record of Disposition of More than 60,000 Cigarettes in a Single Transaction -- ATF REC 5210/10 1140000 0 9500 1512 1512-0392 09/30/2003 Records of Things of Value to Retailers, and Occasional Letter Reports from Industry Members Regarding Information on Sponsorships Advertisements, Promotions, etc., Under the Federal 51 0 12665 1512 1512-0398 10/31/2004 Application for Permit Under 26 USC Chapter 52 - Manufacturer of Tobacco Products Importer of Tabacco Products, or Proprietor of Export Warehouse and Application for Amended Permit 1130 8 630 1512 1512-0399 12/31/2002 Application Permit for User Limited Special Fireworks, Explosives -- 18 U.S.C. Chapter 40 540 0 1800 1512 1512-0418 05/31/2002 Application for Enrollment to Practice Before the Bureau of Alcohol, Tobacco and Firearms 2 0 2 1512 1512-0460 08/31/2003 Equipment and Structures 1 0 281 1512 1512-0462 08/31/2003 Registration and Records of Vinegar Vaporizing Plants 1 0 1 1512 1512-0466 08/31/2003 Alternate Methods or Procedures and Emergency Variations From Requirements For Exports of Liquors 200 0 500 1512 1512-0467 08/31/2002 Excise Tax Return, Alcohol and Tobacco 35280 00 50400 1512 1512-0469 08/31/2003 Labeling of Sulfites in Alcoholic Beverages 3159 0 4787 1512 1512-0472 09/30/2002 Special Tax Registration and Return, Alcohol and Tobacco Special Tax Registration and Return, National Firearms Act (NFA) 72778 0 90700 1512 1512-0474 02/29/2004 Principal Place of Business on Beer Labels 1 0 1200 1512 1512-0478 04/30/2004 Marks on Equipment and Structures and Marks and Labels on Containers of Beer 1 0 1400 1512 1512-0482 02/28/2003 Labeling and Advertising Requirements under the Federal Alcohol Administration Act 1 0 6060 1512 1512-0490 02/28/2002 Firearms Transaction Record Part I-Low Volume-Over-the-Counter Firearms Transaction Record Part II-Low Volume-Intra-State Non- Over-the-Counter ATF REC 7570/2 1042 0 5000 1512 1512-0492 04/30/2003 Alcohol, Tobacco and Firearms Tax Returns, Claims and Related Documents 503921 0 503921 1512 1512-0493 09/30/2002 Letterhead Request for Information in Regard to Federal Firearms Dealer's Records (Dealer's Records of Acquisition, Disposition, and Supporting Data) 2380 9 28000 1512 1512-0494 04/30/2003 Liquors and Articles from Puerto Rico or the Virgin Islands 120 0 120 1512 1512-0497 08/31/2002 Excise Tax Return, Alcohol and Tobacco (Puerto Rico) 130 0 520 1512 1512-0500 06/30/2004 Special Tax Renewal Registration and Return/Special Tax Location Registration Listing 100500 510 350000 1512 1512-0502 01/31/2004 Tobacco Products Manufacturers - Notice For Tobacco Products, ATF REC 5210/12 and Records of Operations, ATF REC 5210/1 1 0 108 1512 1512-0503 09/30/2002 Marks on Wine Containers 1 0 1 1512 1512-0506 09/30/2003 Application For Extension of Time For Payment of Tax 3 0 12 1512 1512-0507 03/31/2002 Federal Firearms and Ammunition Excise Tax 27020 66660 4 1512 1512-0508 05/31/2004 Application for Registration for Tax-Free Transactions Under 26 U.S.C. 4221 375 0 125 1512 1512-0509 08/31/2004 ATF F 5300.27, Federal Firearms and Ammunition Excise Tax Deposit 770 000 18 1512 1512-0510 02/29/2004 Letter Application to Obtain Authorization for the Assembly of a Nonsporting Rifle or Nonsporting Shotgun for the Purpose of Testing and Evaluation 3 0 5 1512 1512-0512 07/31/2003 Notices Relating to Payment of Firearms and Ammunition Excise Tax 1 0 10 1512 1512-0514 09/30/2003 Supporting Data for Nonbeverage Drawback Claims 3540 0 3540 1512 1512-0518 05/31/2004 Application for License, Collector of Curios and Relics 1500 0 6000 1512 1512-0524 05/31/2003 Federal Firearms Licensee Theft/Loss Report ATF F 3310.11 1600 0 4000 1512 1512-0525 07/31/2004 ATF F 5300.38, Application for an Amended Federal Firearms License 22500 0 18000 1512 1512-0526 07/31/2004 Implementation of Public Law 103-322, The Violent Crime Control and Law Enforcement Act of 1994 458942 0 2107000 1512 1512-0528 12/31/2001 Administrative Remedies, Closing Agreements 1 0 1 1512 1512-0529 02/28/2002 ATF F 1676(5510.2) Bond Covering Removal To and Use of Wine At Vinegar Plant 25 0 25 1512 1512-0530 04/30/2003 Applications, notices, and relative to importation and exportation of distilled spirits, wine and beer, including Puerto Rico and Virgin Islands 180 0 20 1512 1512-0531 12/31/2001 Consignment of Tobacco Products and Cigarette Papers and Tubes Export Shipments 21195 0 84780 1512 1512-0532 12/31/2001 Marks and Notices on Packages of Tobacco Products 1 0 120 1512 1512-0533 12/31/2001 Drawback of Tax on Tobacco Products and Cigarette Papers and Tubes, Export Shipment 5 0 1 1512 1512-0534 02/28/2002 Bond-Export Warehouse Proprietor/Export Bond-Customs Bonded Cigar Manufacturing Warehouse/Extension of Coverage of Bond/Bond Under 26 U.S.C.6423/Bond-Manufacturer of Tobacco Products 25 0 15 1512 1512-0536 01/31/2003 Notification to Fire Marshal and Chief Law Enforcement Officer of Storage of Explosive Materials 60342 0 20114 1512 1512-0537 01/31/2003 "Bond for Drawback under 26 U.S.C. 5131" -- ATF Form 5154.3 12 0 60 1512 1512-0539 01/31/2004 Statement of Process-Marking of Plastic Explosives for the Purpose of Detection 16 0 32 1512 1512-0540 07/31/2003 Information collected in support of small producer's wine tax credit 1 0 2500 1512 1512-0541 09/30/2003 National Tracing Center Trace Request and NTC Obliterated Serial Number Trace Request 198015 0 183933 1512 1512-0543 12/31/2001 Annual Firearms Manufacturing and Exportation Report of Semiautomatic Assault Weapons 156 0 1556 1512 1512-0544 08/31/2004 Implementation of Public Law 103-159, Relating to the Permanent Provisions of the Brady Handgun Violence Prevention Act. "FINAL RULE" 1 0 9248000 1512 1512-0546 12/31/2001 Certification on Agency Letterhead Authorizing Purchase of 389 0 50000 1512 1512-0547 11/30/2004 Race and National Origin Identification 500 0 10000 1512 1512-0548 03/31/2002 Gang Resistance Education and Training Funding Application 800 0 400 1512 1512-0549 09/30/2002 Application for National Firearm Examiner Academy 15 0 75 1512 1512-0550 08/31/2002 Identification Markings Placed on Firearms -- 27 CFR 178.92 and 179.102; 98R-341P (Proposed Rule) 5665 0 2506 1512 1512-0551 11/30/2002 Certification of Secure Gun Storage or Safety Devices 600 0 31000 1512 1512-0552 11/30/2002 Open Letter to Federal Firearms Licensees 306 0 18000 1512 1512-0553 05/31/2003 Strategic Planning Environmental Assessment Outreach 450 0 1500 1512 1512-0554 07/31/2003 2000 Floor Stocks Tax Return (Cigarettes) and Recordkeeping 1 0 400000 1512 1512-0555 08/31/2003 Recordkeeping Requirements for Importers of Tobacco Products 1 0 1500 1512 1512-0556 10/31/2003 State and Local Training Registration Request 50 0 500 1512 1512-0557 10/31/2003 Monthly Report - Tobacco Products Importer 14400 0 18000 1512 1512-0558 10/31/2003 Notice of Proposed Rulemaking Commerce in Firearms and Ammunition - Annual Inventory of Firearms 15483 0 929000 1512 1512-0559 05/31/2004 Identification of Explosive Materials 1 0 1563 1512 1512-0560 01/31/2004 Recordkeeping for Tobacco Products & Cigarette Papers Brought From Puerto Rico to the U.S. 1 0 100 1512 1512-0561 09/30/2004 Electronic Filing User Access Enrollment Form 7 0 25 1512 1512-0562 04/30/2004 Recordkeeping for Tobacco Products Removed in Bond from Manufacturers Premises for Experimental Purposes - 27 CFR 270. 232(d) TD NPRM 1 0 165 1512 1512-0563 05/31/2004 Special Agent Medical Preplacement 225 0 300 1512 1512-0564 12/31/2001 Notice of Propossed Rulemaking: A National Repository for the collection and inventory of information related to arson and the criminal misue of explosives. 17 0 100 1512 1512-0565 12/31/2001 Personnel Security Request 83 0 1000 1512 1512-0566 10/31/2004 Investigator Integrity Questionnaire 250 0 2500 1512 1512-0567 02/28/2002 Computer Security Incident Report 2750 0 5500 1512 1512-0568 02/28/2002 Search For Artifacts and Memorabilia 317 1 1900 1515 1515-0001 04/30/2003 Transportation Manifest (Cargo Declaration) 1410000 0 10340000 1515 1515-0002 05/31/2003 General Declaration (Outward/Inward) 49950 0 1500000 1515 1515-0005 09/30/2004 Transportation Entry and Manifest of Goods Subject to Customs Inspection and Permit 56000 0 560000 1515 1515-0009 09/30/2004 Application for Exportation of Articles under Special Bond 2000 0 15000 1515 1515-0013 11/30/2003 Application-Permit-Special License Unlading/Lading, Overtime Services 39900 0 399000 1515 1515-0021 06/30/2003 Application and Approval to Manipulate, Examine, Sample, or Transfer Goods 13740 0 137400 1515 1515-0022 12/31/2003 Application for Allowance in Duties 1600 0 12000 1515 1515-0026 08/31/2002 Application for Identification Card 5250 0 21000 1515 1515-0032 03/31/2003 Application for Withdrawal of Bonded Stores for Fishing Vessels and Certification of Use 42 0 500 1515 1515-0041 03/31/2003 U.S. Customs Declaration 3000000 0 60000000 1515 1515-0042 08/31/2003 Certificate of Registration 10000 0 200000 1515 1515-0043 08/31/2003 Declaration for Free Entry of Returned American Products 51000 0 420000 1515 1515-0046 05/31/2003 Lien Notice 8497 0 102000 1515 1515-0050 03/31/2003 Declaration of Owner of Merchandise Obtained (Other Than) in Pursuance of a Purchase or Agreement to Purchase and Declaration of Importer of Record When Entry Is Made by an Agent 570 0 5700 1515 1515-0051 08/31/2002 Entry and Manifest of Merchandise Free of Duty, Carrier's Certificate and Release 8247 0 99000 1515 1515-0052 08/31/2002 Petition for Remission or Mitigation of Forefeitures and Penalties Incurred 6500 0 28000 1515 1515-0053 10/31/2003 Declaration for Free Entry of Unaccompanied Articles 25000 0 150000 1515 1515-0054 06/30/2003 Application for Extension of Bond for Temporary Importation 348 0 16800 1515 1515-0055 08/31/2002 Certificate of Origin 113 0 310 1515 1515-0056 07/31/2003 Protest 67995 0 45330 1515 1515-0059 07/31/2002 Ship's Stores Declaration 26000 0 104000 1515 1515-0060 08/31/2002 Masters Oath on Entry of Vessel in Foreign Trade 21991 0 264000 1515 1515-0061 10/31/2002 Crew Effects Declaration 17168 0 206100 1515 1515-0063 08/31/2003 Crew Members Declaration 298418 0 5968351 1515 1515-0065 09/30/2002 Entry Summary and Continuation Sheet 6665000 0 20010000 1515 1515-0068 05/31/2002 Request for Information 30000 0 60000 1515 1515-0069 10/31/2002 Immediate Delivery Application 949500 0 6380000 1515 1515-0071 08/31/2002 Report of Diversion 233 0 2800 1515 1515-0076 08/31/2002 Customshouse Broker's License/Permit 1800 0 1800 1515 1515-0082 07/31/2002 Record of Vessel Foreign Repair or Equipment 1500 0 2000 1515 1515-0085 12/31/2001 Cost Submission 50000 0 1000 1515 1515-0086 11/30/2003 Application for Foreign Trade Zone Admission and Status Designation 79500 0 325000 1515 1515-0087 07/31/2002 Declaration of Unaccompanied Articles 1250 0 15000 1515 1515-0088 08/31/2003 Foreign Assemblers Declaration (with Endorsement by Importer) 302402 0 259350 1515 1515-0091 05/31/2003 Importers of Merchandise Subject to Actual Use Provisions 13000 0 12000 1515 1515-0093 05/31/2003 Bonded Warehouse Proprietor's Submission 36000 0 1800 1515 1515-0100 03/31/2002 Customs Regulations Pertaining to Customhouse Brokers 1500 0 1500 1515 1515-0101 11/30/2003 Holders or Containers Which Enter the United States Duty Free 90 0 20 1515 1515-0104 12/31/2001 Declaration of Ultimate Consignee that Articles Were Exported for Temporary Scientific or Educational Purposes 27 0 165 1515 1515-0106 04/30/2002 Entry of Articles for Exportation 530 1600 1515 1515-0108 03/31/2003 Declaration of a Person Abroad Who Receives and Is Returning Merchandise to the U.S. 250 0 1500 1515 1515-0109 05/31/2003 Proof of Use rates of Duty Dependent on Actual Use 3500 0 10500 1515 1515-0110 12/31/2001 Declaration by the Person Who Performed the Processing of Goods Abroad 1880 0 7500 1515 1515-0117 07/31/2002 Establishment of a Container Station 354 0 177 1515 1515-0120 06/30/2002 Commercial Invoices 45000 0 16080000 1515 1515-0121 07/31/2002 Establishment of a Bonded Warehouse 135 0 45 1515 1515-0124 10/31/2002 Disclosure of Information on Vessel Manifest 289 0 578 1515 1515-0127 07/31/2002 Application for Bonding of Smelting and Refining Warehouse 8 0 1 1515 1515-0130 07/31/2003 Free Admittance Under Conditions of Emergency 1 0 1 1515 1515-0133 07/31/2002 Application to Receive Free Materials in a Bonded Warehouse 3000 0 6000 1515 1515-0134 07/31/2002 Bonded Warehouses: Alterations, Suspensions, Relocations and Discontinuances 193 0 165 1515 1515-0135 05/31/2003 Required Records for Smelting and Refining Warehouses 156 0 15 1515 1515-0137 05/31/2003 Declaration of Persons Who Perform Repairs or Alterations 10236 0 20472 1515 1515-0138 08/31/2002 Permit to Transfer Containers to a Container Station 400 0 31200 1515 1515-0140 03/31/2003 Textile and Textile Products 133582 0 1145257 1515 1515-0142 03/31/2003 Transfer of Cargo to a Container Station 2495 0 18720 1515 1515-0144 12/31/2001 Importation Bond Structure 147596 0 590250 1515 1515-0145 07/31/2002 Cargo Container and Road Vehicle Certification for Transport 10600 0 3000 1515 1515-0151 10/31/2002 Foreign Trade Zone Annual Reconciliation Certification and 195 0 260 1515 1515-0154 05/31/2003 User Fees 16000 0 120000 1515 1515-0155 07/31/2004 Approval of Commercial Gaugers & Accreditation of Commercial Laboratories 250 0 1 1515 1515-0157 06/30/2003 Exportation of Self-Propelled Vehicles 100000 0 600000 1515 1515-0158 07/31/2003 Harbor Maintenance Fee 1250000 0 2500000 1515 1515-0161 09/30/2004 Importation of Ethyl Alcohol for Non-Beverage Purposes 25 0 300 1515 1515-0163 05/31/2003 Country of Origin Marking Requirements for Containers or Holders 41 0 10000 1515 1515-0173 02/28/2003 Blanket Certification of Chemical Substances 75 0 300 1515 1515-0175 10/31/2002 Documents Required Aboard Private Aircraft 2490 0 150000 1515 1515-0178 10/31/2002 Automotive Products Act of 1965 3100 0 12300 1515 1515-0181 08/31/2002 Line Release Regulations 6425 0 25700 1515 1515-0183 10/31/2003 Centralized Examination Station 100 0 50 1515 1515-0186 08/31/2002 Air Waybill 1030 0 31200 1515 1515-0189 06/30/2003 Petroleum Refineries in Foreign Trade Subzones 13176 0 936 1515 1515-0191 07/31/2003 Importer Input Record 100 0 1000 1515 1515-0192 12/31/2001 U.S./Israel Free Trade Agreement 7505 0 34500 1515 1515-0193 07/31/2002 Report of Loss, Detention, or Accident by Bonded Carrier, Examination Station Operator 154 0 250 1515 1515-0194 07/31/2002 Documentation Requirements for Articles Entered under Various 450 0 2250 1515 1515-0200 08/31/2003 Importers Declaration/Shippers Declaration 31 0 310 1515 1515-0204 04/30/2003 North American Free Trade Agreement (NAFTA) Certificate of Origin 25760 0 23500 1515 1515-0206 08/31/2004 Voluntary Customer Information Surveys in Support of Executive Order 12862 2750 0 6500 1515 1515-0207 12/31/2001 Articles Assembled Abroad with Textile Components Cut to Shape in the U.S. 750 0 2000 1515 1515-0208 05/31/2002 NAFTA Duty Deferral 400 0 2000 1515 1515-0209 04/30/2002 Certificate of Compliance for Turbine Fuel Withdrawals 240 0 240 1515 1515-0210 07/31/2002 Notice of Detention 500 0 250 1515 1515-0212 10/31/2002 Prior Disclosure Regulations 3500 0 3500 1515 1515-0213 05/31/2004 Drawback Process Regulations and Entry Collection Documents. 90000 0 163000 1515 1515-0214 05/31/2003 Customs Modernization Act Recordkeeping Requirements 7977600 9500 9114 1515 1515-0217 04/30/2004 Land Border Carrier Initiative Program 5250 0 5250 1515 1515-0219 05/31/2004 Andean Trade Preferences 5000 0 150000 1515 1515-0220 05/31/2002 Lay Order Period, General Order Merchandise 7500 0 30000 1515 1515-0222 03/31/2003 Bond Procedures for Articles Subject to Exclusion Orders Issued by the U.S. International Trade Commission 50 0 100 1515 1515-0223 07/31/2003 Deferral of Duty on Large Yachts Imported for Sale 28 0 28 1515 1515-0224 09/30/2003 Delivery Ticket 6600 0 20000 1515 1515-0225 08/31/2004 African Growth and Opportunity Act Certificate of Origin 10400 0 31150 1515 1515-0226 08/31/2004 United States-Caribbean Basin Trade Partnership Act 18720 0 57400 1515 1515-0227 10/31/2003 Refund of Duties Paid on Imports of Certain Wool Products 8600 0 60 1515 1515-0228 12/31/2003 Administrative Rulings 128000 0 12200 1515 1515-0229 07/31/2004 Distribution of Continued Dumping and Subsidy Offset to Affected Domestic Producers 1 0 1 1520 1520-0001 07/31/2002 Owner's Affidavit of Partial Destruction of Mutilated Currency 180 0 300 1520 1520-0002 12/31/2002 Claim for Amounts Due in the Case of Deceased Owner of Mutilated Currency 165 0 180 1520 1520-0003 05/31/2003 Mutilated Currency Redemption Customer Service Survey 15 0 300 1520 1520-0004 05/31/2003 Survey Card 8 0 100 1520 1520-0005 05/31/2003 Public Tour Survey Card 4 0 400 1520 1520-0006 04/30/2002 Public Awarness of New Currency Design Feature Focus Groups 320 0 120 1525 1525-0012 02/28/2002 U.S. Mint 50 States Commemorative Coin Program Research 80840 0 678800 1535 1535-0001 06/30/20