Office of Management and Budget Print this document

Department of Agriculture
Office of Chief Financial Officer
OMB NO: 0505-0001    EXPIRATION DATE: 02/28/2006
RESPS:1,644          HOURS:823            COSTS(000):$0
  Advisory Committee and Research and Promotion Board Membership
  Background Information
FORMS: AD-755

OMB NO: 0505-0007    EXPIRATION DATE: 09/30/2005
RESPS:7,542          HOURS:7,542          COSTS(000):$0
  Debt Collection
FORMS: NONE

OMB NO: 0505-0011    EXPIRATION DATE: 07/31/2003
RESPS:600            HOURS:150            COSTS(000):$0
  Maximum Workweek - Construction Schedule
FORMS: NONE

OMB NO: 0505-0013    EXPIRATION DATE: 07/31/2003
RESPS:3,200          HOURS:112,000        COSTS(000):$0
  Instructions for the Preparation of Technical and Business
  Proposals
FORMS: NONE

OMB NO: 0505-0014    EXPIRATION DATE: 07/31/2003
RESPS:45,170         HOURS:4,517          COSTS(000):$0
  Brand Name or Equal Provision and Clause
FORMS: NONE

OMB NO: 0505-0015    EXPIRATION DATE: 07/31/2003
RESPS:200            HOURS:200            COSTS(000):$0
  Procurement: Key Personnel Clause
FORMS: NONE

OMB NO: 0505-0016    EXPIRATION DATE: 07/31/2003
RESPS:2,400          HOURS:3,600          COSTS(000):$0
  Progress Reporting Clause
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
7 60,756 128,832 $0
Office of Civil Rights
OMB NO: 0508-0004    EXPIRATION DATE: 05/31/2003
RESPS:40,000         HOURS:3,334          COSTS(000):$0
  USDA Minority Farm Register
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
1 40,000 3,334 $0
Agricultural Research Service
OMB NO: 0518-0003    EXPIRATION DATE: 11/30/2004
RESPS:75             HOURS:225            COSTS(000):$0
  Patent License Application
FORMS: AD-761

OMB NO: 0518-0013    EXPIRATION DATE: 10/31/2005
RESPS:120            HOURS:10             COSTS(000):$0
  USDA Biological Shipment Record - Beneficial Organisms
FORMS: 941 942 943

OMB NO: 0518-0024    EXPIRATION DATE: 11/30/2004
RESPS:220            HOURS:53             COSTS(000):$0
  Use of facilities or the performance of photography/
  cinematography at the U.S. National Arboretum
FORMS: NONE

OMB NO: 0518-0027    EXPIRATION DATE: 02/28/2006
RESPS:3,300          HOURS:725            COSTS(000):$0
  Information Collection For Document Delivery Services
FORMS: NONE

OMB NO: 0518-0028    EXPIRATION DATE: 09/30/2003
RESPS:4,360          HOURS:4,601          COSTS(000):$0
  Peer Review-Related Forms for the Office of Scientific Quality
  Review
FORMS: ARS-199A ARS-200-PA ARS-202PA ARS-203PA ARS-209P ARS-211P
ARS-223P ARS-225P ARS-227P

OMB NO: 0518-0029    EXPIRATION DATE: 08/31/2005
RESPS:200            HOURS:50             COSTS(000):$0
  Utilization of Food and Nutrition Information Center (FNIC)
  Resources by Personnel at schools receiving USDA funds for Child
  Nutrition Programs
FORMS: NONE

OMB NO: 0518-0031    EXPIRATION DATE: 01/31/2005
RESPS:50             HOURS:16             COSTS(000):$0
  Food Stamp Nutrition Connection Resource Sharing Form
FORMS: NONE

OMB NO: 0518-0032    EXPIRATION DATE: 02/28/2006
RESPS:11,450         HOURS:572            COSTS(000):$0
  Web Order Forms for Research Data, Materials, Models, and
  Publications, Speaker Bureau and Conference, Event, and Study
  Registration Services.
FORMS: NONE

OMB NO: 0518-0033    EXPIRATION DATE: 02/28/2006
RESPS:100            HOURS:8              COSTS(000):$0
  Meeting the Information Requirements of the Animal Welfare Act
  Workshop Registration Form
FORMS: NONE

OMB NO: 0518-0034    EXPIRATION DATE: 06/30/2003
RESPS:288            HOURS:48             COSTS(000):$0
  Fluoride Content of the US Tap Water Supply
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
10 20,163 6,308 $0
Cooperative State Research, Education, and Extension Service
OMB NO: 0524-0025    EXPIRATION DATE: 10/31/2004
RESPS:960            HOURS:2,472          COSTS(000):$0
  Grant Application Forms for the Small Business Innovation
  Research Grants Program
FORMS: CSREES-667 CSREES-668

OMB NO: 0524-0026    EXPIRATION DATE: 08/31/2003
RESPS:150            HOURS:600            COSTS(000):$0
  Assurance of Compliance with the Department of Agriculture
  Regulations Assuring Civil Rights Compliance "Organizational
  Information"
FORMS: CSREES-665 CSREES-666

OMB NO: 0524-0034    EXPIRATION DATE: 03/31/2006
RESPS:60             HOURS:30             COSTS(000):$0
  Application for Authorization to Use the 4-H Name and/or Emblem
FORMS: CSREES-01

OMB NO: 0524-0038    EXPIRATION DATE: 04/30/2003
RESPS:117            HOURS:457            COSTS(000):$0
  Section 1449 Matching Funds Requirement for Research and
  Extension Activities at Eligible Institutions
FORMS: CSREES-2103

OMB NO: 0524-0039    EXPIRATION DATE: 03/31/2006
RESPS:59,550         HOURS:156,813        COSTS(000):$0
  Cooperative State Research, Education, and Extension Application
  Kit for Research and Extension Programs
FORMS: CSREES-2002 CSREES-2003 CSREES-2004 CSREES-2005 CSREES-2006
CSREES-2007 CSREES-2008 CSREES-2010

OMB NO: 0524-0040    EXPIRATION DATE: 02/28/2006
RESPS:75,000         HOURS:12,500         COSTS(000):$0
  Questionnaire for Potential Reviewers
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
6 135,837 172,872 $0
National Agricultural Statistical Service
OMB NO: 0535-0001    EXPIRATION DATE: 11/30/2004
RESPS:9,747          HOURS:4,362          COSTS(000):$0
  Cold Storage
FORMS: NONE

OMB NO: 0535-0002    EXPIRATION DATE: 12/31/2004
RESPS:436,474        HOURS:122,344        COSTS(000):$0
  Field Crops Production
FORMS: NONE

OMB NO: 0535-0003    EXPIRATION DATE: 12/31/2004
RESPS:49,655         HOURS:9,564          COSTS(000):$0
  Agricultural Prices
FORMS: NONE

OMB NO: 0535-0004    EXPIRATION DATE: 10/31/2005
RESPS:17,609         HOURS:3,133          COSTS(000):$0
  Egg, Chicken, and Turkey Surveys
FORMS: NONE

OMB NO: 0535-0005    EXPIRATION DATE: 07/31/2005
RESPS:52,280         HOURS:12,137         COSTS(000):$0
  Livestock Slaughter
FORMS: NONE

OMB NO: 0535-0007    EXPIRATION DATE: 02/28/2006
RESPS:49,132         HOURS:14,580         COSTS(000):$0
  Stocks Reports
FORMS: NONE

OMB NO: 0535-0020    EXPIRATION DATE: 09/30/2004
RESPS:177,688        HOURS:24,223         COSTS(000):$0
  Milk and Milk Products
FORMS: NONE

OMB NO: 0535-0037    EXPIRATION DATE: 04/30/2003
RESPS:17,896         HOURS:3,071          COSTS(000):$0
  Vegetables
FORMS: NONE

OMB NO: 0535-0039    EXPIRATION DATE: 11/30/2004
RESPS:43,782         HOURS:8,794          COSTS(000):$0
  Fruit, Nuts and Specialty Crops
FORMS: NONE

OMB NO: 0535-0088    EXPIRATION DATE: 10/31/2005
RESPS:6,795          HOURS:2,696          COSTS(000):$0
  Field Crops Objective Yield
FORMS: NONE

OMB NO: 0535-0093    EXPIRATION DATE: 04/30/2003
RESPS:14,600         HOURS:6,532          COSTS(000):$0
  Floriculture Survey
FORMS: NONE

OMB NO: 0535-0109    EXPIRATION DATE: 02/28/2006
RESPS:64,570         HOURS:10,859         COSTS(000):$0
  Agricultural Labor
FORMS: NONE

OMB NO: 0535-0140    EXPIRATION DATE: 10/31/2003
RESPS:325,000        HOURS:22,500         COSTS(000):$0
  List Sampling Frame Survey
FORMS: NONE

OMB NO: 0535-0150    EXPIRATION DATE: 04/30/2003
RESPS:3,300          HOURS:861            COSTS(000):$0
  Acquaculture Survey
FORMS: NONE

OMB NO: 0535-0153    EXPIRATION DATE: 09/30/2003
RESPS:7,278          HOURS:2,492          COSTS(000):$0
  Honey Survey
FORMS: NONE

OMB NO: 0535-0209    EXPIRATION DATE: 02/29/2004
RESPS:50             HOURS:150            COSTS(000):$0
  Supplemental Qualifications Statement
FORMS: NONE

OMB NO: 0535-0212    EXPIRATION DATE: 06/30/2005
RESPS:359            HOURS:58             COSTS(000):$0
  Mink Survey
FORMS: NONE

OMB NO: 0535-0213    EXPIRATION DATE: 01/31/2004
RESPS:526,955        HOURS:143,472        COSTS(000):$0
  Agricultural Surveys Program
FORMS: NONE

OMB NO: 0535-0217    EXPIRATION DATE: 02/28/2005
RESPS:21,000         HOURS:1,700          COSTS(000):$0
  Wildlife Damage Survey
FORMS: NONE

OMB NO: 0535-0218    EXPIRATION DATE: 12/31/2003
RESPS:65,775         HOURS:24,093         COSTS(000):$0
  Agricultural Resource Management, Chemical Use, and Post-harvest
  Chemical Use Surveys
FORMS: NONE

OMB NO: 0535-0220    EXPIRATION DATE: 03/31/2004
RESPS:10,417         HOURS:1,065          COSTS(000):$0
  Cotton Ginnings
FORMS: NONE

OMB NO: 0535-0226    EXPIRATION DATE: 10/31/2004
RESPS:2,358,026      HOURS:1,354,204      COSTS(000):$0
  2002 Census of Agriculture
FORMS: 02-A0101 02-A0114 02-A01 02-A0201 02-A0215 02-A02(I) 02-A04
02-A04(L1) 02-A1(CMNI) 02-A1(PR)

OMB NO: 0535-0235    EXPIRATION DATE: 04/30/2005
RESPS:46,450         HOURS:10,635         COSTS(000):$0
  Childhood Injury and Adult Occupational Injury Survey
FORMS: NONE

OMB NO: 0535-0241    EXPIRATION DATE: 10/31/2003
RESPS:21,720         HOURS:3,658          COSTS(000):$0
  Monthly Hog Survey
FORMS: NONE

OMB NO: 0535-0244    EXPIRATION DATE: 01/31/2004
RESPS:4,874          HOURS:3,229          COSTS(000):$0
  Nursery and Greenhouse Production Survey and Nursery and
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
25 4,331,432 1,790,412 $0
Economic Research Service
OMB NO: 0536-0043    EXPIRATION DATE: 09/30/2005
RESPS:57,000         HOURS:7,126          COSTS(000):$0
  Food Security Supplement to the Current Population Survey
FORMS: NONE

OMB NO: 0536-0052    EXPIRATION DATE: 03/31/2004
RESPS:1,312          HOURS:729            COSTS(000):$0
  The Use of Food Safety Practices in Meat and Poultry
FORMS: NONE

OMB NO: 0536-0053    EXPIRATION DATE: 11/30/2003
RESPS:37,278         HOURS:5,110          COSTS(000):$0
  Study of Program Access and Declining Food Stamp Participation
FORMS: NONE

OMB NO: 0536-0055    EXPIRATION DATE: 02/29/2004
RESPS:2,052          HOURS:817            COSTS(000):$0
  Assesment of WIC Cost-Containment Practices
FORMS: NONE

OMB NO: 0536-0056    EXPIRATION DATE: 05/31/2004
RESPS:424            HOURS:3,400          COSTS(000):$0
  Summer Food Service Program Implementation Study
FORMS: NONE

OMB NO: 0536-0057    EXPIRATION DATE: 08/31/2004
RESPS:4,870          HOURS:1,212          COSTS(000):$0
  Emergency Food Assistance System Client Survey
FORMS: NONE

OMB NO: 0536-0058    EXPIRATION DATE: 09/30/2004
RESPS:53             HOURS:1,244          COSTS(000):$0
  CACFP Administrative Cost Reimbursement Study
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
7 102,989 19,638 $0
Foreign Agricultural Service
OMB NO: 0551-0001    EXPIRATION DATE: 12/31/2003
RESPS:440            HOURS:270            COSTS(000):$0
  Title Dairy Tariff-Rate Import Quota Licensing Regulation
FORMS: 923 923A 923B 924A 924B

OMB NO: 0551-0004    EXPIRATION DATE: 02/28/2006
RESPS:22,758         HOURS:11,415         COSTS(000):$0
  CCC's Export Credit Guarantee Program (GSM-102), Intermediate
  Credit Guarantee Program (GSM-103) Supplier Credit Guarantee
  Program (SCGP)
FORMS: NONE

OMB NO: 0551-0005    EXPIRATION DATE: 08/31/2003
RESPS:205            HOURS:423            COSTS(000):$0
  Regulations - Financing Commercial Sales of Agricultural
  Commodities Under Title I, P.L. 480 - Recordkeeping and
  Reporting Requirements
FORMS: NONE

OMB NO: 0551-0007    EXPIRATION DATE: 07/31/2004
RESPS:50,260         HOURS:24,523         COSTS(000):$0
  Export Sales of U.S. Agricultural Commodities
FORMS: FAS-97 FAS-98 FAS-99 FAS-100

OMB NO: 0551-0008    EXPIRATION DATE: 06/30/2005
RESPS:36             HOURS:9              COSTS(000):$0
  Request for Vessel Approval
FORMS: CCC-105

OMB NO: 0551-0009    EXPIRATION DATE: 08/31/2003
RESPS:89             HOURS:23             COSTS(000):$0
  Declaration of Sale
FORMS: FAS-359

OMB NO: 0551-0014    EXPIRATION DATE: 02/29/2004
RESPS:1,200          HOURS:200            COSTS(000):$0
  Certificate for Quota Eligibility
FORMS: FAS-961

OMB NO: 0551-0015    EXPIRATION DATE: 12/31/2004
RESPS:977            HOURS:4,377          COSTS(000):$0
  Sugar imported to be re-exported in refined form, in sugar-
  containing products, or used in production of certain polyhydric
  alcohols.
FORMS: NONE

OMB NO: 0551-0024    EXPIRATION DATE: 06/30/2003
RESPS:1,800          HOURS:1,010          COSTS(000):$0
  Buyer Alert
FORMS: FAS-964

OMB NO: 0551-0025    EXPIRATION DATE: 02/28/2005
RESPS:20             HOURS:40             COSTS(000):$0
  Specialty Sugar Certificates
FORMS: NONE

OMB NO: 0551-0026    EXPIRATION DATE: 04/30/2003
RESPS:2,134          HOURS:43,748         COSTS(000):$0
  FAS/Cooperator Foreign Market Development Program
FORMS: NONE

OMB NO: 0551-0027    EXPIRATION DATE: 06/30/2003
RESPS:2,670          HOURS:62,830         COSTS(000):$0
  Market Access Program
FORMS: NONE

OMB NO: 0551-0028    EXPIRATION DATE: 09/30/2003
RESPS:3,063          HOURS:1,803          COSTS(000):$0
  CCC's Export Enhancement Program (EEP) and CCC's Export
  Incentive Program (DEIP)
FORMS: NONE

OMB NO: 0551-0032    EXPIRATION DATE: 04/30/2004
RESPS:66             HOURS:256            COSTS(000):$2,000
  CCC's Facility Guarantee Program (FGP)
FORMS: NONE

OMB NO: 0551-0033    EXPIRATION DATE: 12/31/2005
RESPS:2              HOURS:46             COSTS(000):$0
  Emergency Relief from Duty-Free Imports of Perishable Products
  under the Andean Trade Promotion and Drug Eradication Act
  (ATPDEA)
FORMS: NONE

OMB NO: 0551-0035    EXPIRATION DATE: 02/29/2004
RESPS:3,510          HOURS:38,827         COSTS(000):$0
  Foreign Donation of Agricultural Commodities
FORMS: NONE

OMB NO: 0551-0037    EXPIRATION DATE: 02/29/2004
RESPS:2,495          HOURS:1,166          COSTS(000):$0
  CCC's Supplier Credit Guarantee Program (SCGP)
FORMS: NONE

OMB NO: 0551-0038    EXPIRATION DATE: 04/30/2003
RESPS:100            HOURS:640            COSTS(000):$0
  Technical Assisstance for Specialty Crops
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
18 91,825 191,606 $2,000
Farm Service Agency
OMB NO: 0560-0025    EXPIRATION DATE: 04/30/2003
RESPS:112,820        HOURS:197,435        COSTS(000):$0
  Farm Reconstitution -- 7 CFR Part 718
FORMS: FSA-155

OMB NO: 0560-0026    EXPIRATION DATE: 09/30/2004
RESPS:4,000          HOURS:6,000          COSTS(000):$0
  Application for payment of amounts due persons who have died,
  disappeared or have been declared incompetent.
FORMS: FSA-325

OMB NO: 0560-0040    EXPIRATION DATE: 01/31/2004
RESPS:13,401         HOURS:25,946         COSTS(000):$0
  Regulations for Cooperative Marketing Associations, 7 CFR Part
  1425
FORMS: CCC-719 726 727 732 734 736 846 846-1 COTTON-G COTTON-G4

OMB NO: 0560-0052    EXPIRATION DATE: 10/31/2003
RESPS:9,680          HOURS:484,410        COSTS(000):$0
  Standards for Approval of Waraehouses-7 CFR 1421, 1423, and 1427
FORMS: CCC-25 25ADDEN.1 25-1(SUPP)/29-1 25-2/29 823-1A/823-1T
29-3/20/24/560 49/24-1/29/ 29ADDEN.1/823 33/33-A/34/34-1
KC-14/40/227

OMB NO: 0560-0058    EXPIRATION DATE: 09/30/2004
RESPS:1,403,207      HOURS:1,501,734      COSTS(000):$0
  Tobacco Marketing Quotas and Price Support (7 CFR Parts 711,
  723, and 1464).
FORMS: MQ-25 MQ-32 MQ-38 MQ-38BUR MQ-53 MQ-71 MQ-72-2 MQ-76 MQ-77

OMB NO: 0560-0074    EXPIRATION DATE: 01/31/2005
RESPS:96,122         HOURS:45,246         COSTS(000):$0
  7 CFR 1427-Regulations Governing CCC Nonrecourse Cotton Loan
  Programs for 1996 and Subsequent Crops
FORMS: CCC-COTTON-A CCC-COTTON-A-1 CCC-COTTON-A-5 CCC-605 CCC-605-1
CCC-605-2 CCC-809 CCC-810 CCC-877 CCC-879

OMB NO: 0560-0082    EXPIRATION DATE: 10/31/2005
RESPS:251,000        HOURS:187,667        COSTS(000):$0
  7 CFR Part 701 - Conservation and Environmental Programs
FORMS: AD-245 FSA-18

OMB NO: 0560-0087    EXPIRATION DATE: 03/31/2005
RESPS:1,858,515      HOURS:552,324        COSTS(000):$0
  General Regulations Governing Commodity Loans for 1996 and
  Subsequent Crops
FORMS: CCC-64/CCC-601 CCC-638/CCC-665 CCC-666/CCC-677 CCC-679/CCC-685
CCC-699 CCC-681-A CCC-681-1 CCC-678 CCC-6811 CCC-156

OMB NO: 0560-0092    EXPIRATION DATE: 09/30/2004
RESPS:2,131,523      HOURS:2,664,404      COSTS(000):$0
  Forms for Participation in a 7-year Production Flexibility
  Contract
FORMS: CCC-478 CCC-478B CCC-505

OMB NO: 0560-0096    EXPIRATION DATE: 06/30/2003
RESPS:351,960        HOURS:626,727        COSTS(000):$0
  Payment Limitation and Determination of Eligibility of Foreign
  Individuals or Entities to Receive Program Benefits
FORMS: CCC-501A CCC-501B CCC-502A CCC-502B CCC-502C CCC-502D CCC-502EZ
CCC-502CONTINUA TION

OMB NO: 0560-0097    EXPIRATION DATE: 10/31/2003
RESPS:4,375          HOURS:1,108          COSTS(000):$0
  Agricultural Foreign Investment Disclosure Act Report
FORMS: FSA-153

OMB NO: 0560-0120    EXPIRATION DATE: 08/31/2005
RESPS:25,265         HOURS:10,452         COSTS(000):$0
  Warehouse Regulations Under USWA and As applicable Standards for
  Approval of Warehouses
FORMS: WA-50/WA-51-2 WA-53/WA-70 WA-80/WA-81 WA-82/WA-83 WA/84/WA-85
WA-86/WA-87 WA-88/WA-105 WA-125/WA-139 WA-140/WA-141 WA-141-1

OMB NO: 0560-0129    EXPIRATION DATE: 03/31/2004
RESPS:6,105,000      HOURS:3,825,000      COSTS(000):$0
  Loan Deficiency Payments
FORMS: CCC-633-LDP CCC-709

OMB NO: 0560-0138    EXPIRATION DATE: 10/31/2004
RESPS:1,381          HOURS:18,429         COSTS(000):$0
  Sugar Program
FORMS: CCC-80 CCC-831 CCC-832 CCC-833 CCC-835 CCC-836 CCC-837 CCC-838

OMB NO: 0560-0146    EXPIRATION DATE: 03/31/2006
RESPS:250            HOURS:125            COSTS(000):$0
  Debt Settlement Policies and Procedures
FORMS: CCC-279

OMB NO: 0560-0151    EXPIRATION DATE: 06/30/2003
RESPS:25,927         HOURS:4,520          COSTS(000):$0
  End-Use Certificate Program
FORMS: FSA-750 FSA-751

OMB NO: 0560-0154    EXPIRATION DATE: 09/30/2004
RESPS:74,225         HOURS:159,562        COSTS(000):$0
  7 CFR 1924 B Management Advice To Individuals Borrowers and
  Applicants
FORMS: FSA-431-2 FSA-1924-22 FSA-1924-23 FSA-1924-24 FSA-1924-27

OMB NO: 0560-0155    EXPIRATION DATE: 03/31/2004
RESPS:293,676        HOURS:228,074        COSTS(000):$0
  Guaranteed Farm Loans
FORMS: FSA-1980-25 1980-28 1980-64 1980-24 1980-15 1980-22 1980-38
1980-19 1980-41 1980-43

OMB NO: 0560-0157    EXPIRATION DATE: 01/31/2004
RESPS:312            HOURS:63             COSTS(000):$0
  Insured Farm Ownership Loan Policies, Procedures, and
  Authorizations
FORMS: FSA-440-35

OMB NO: 0560-0158    EXPIRATION DATE: 07/31/2005
RESPS:14,080         HOURS:6,753          COSTS(000):$0
  7 CFR 1965-A, Servicing of Real Estate Security for Farmer
  Program Loans and Certain Note-Only Cases
FORMS: RD-465-1 RD-443-16 FSA-440-26 FMHA-440-9 FMHA-1965-11
FMHA-1965-13 RD-465-5

OMB NO: 0560-0159    EXPIRATION DATE: 01/31/2004
RESPS:16,938         HOURS:14,223         COSTS(000):$0
  7 CFR 1945-D, Emergency Loan Policies, Procedures and
  Authorizations
FORMS: 1945-22 1940-38

OMB NO: 0560-0160    EXPIRATION DATE: 03/31/2005
RESPS:200            HOURS:800            COSTS(000):$0
  7 CFR 1951-L, Servicing Cases Where Unauthorized Loan or Other
  Assistance was Received
FORMS: NONE

OMB NO: 0560-0161    EXPIRATION DATE: 03/31/2004
RESPS:26,963         HOURS:13,109         COSTS(000):$0
  Farm Loan Programs Account Servicing Policies
FORMS: FSA-1951-39

OMB NO: 0560-0162    EXPIRATION DATE: 02/29/2004
RESPS:51,466         HOURS:6,176          COSTS(000):$0
  7 CFR 1941-A, Operating Loan Policies, Procedures and
  Authorizations
FORMS: 1940-51 1940-53 1940-55 2940-56 441-8 441-18 441-25 441-10
441-13

OMB NO: 0560-0164    EXPIRATION DATE: 04/30/2003
RESPS:21,629         HOURS:12,233         COSTS(000):$0
  Disaster Set-Aside Program -- 7 CFR 1951 Subpart T
FORMS: NONE

OMB NO: 0560-0165    EXPIRATION DATE: 02/29/2004
RESPS:125            HOURS:775            COSTS(000):$0
  Certified Mediation Program
FORMS: NONE

OMB NO: 0560-0166    EXPIRATION DATE: 06/30/2005
RESPS:48,312         HOURS:12,078         COSTS(000):$0
  Verification of Debts and Assets
FORMS: FSA-440-32

OMB NO: 0560-0167    EXPIRATION DATE: 02/28/2006
RESPS:48,321         HOURS:96,642         COSTS(000):$0
  Request for Direct Loan Assistance
FORMS: FSA-410-1

OMB NO: 0560-0170    EXPIRATION DATE: 06/30/2003
RESPS:2,236          HOURS:988            COSTS(000):$0
  Disaster Assistance - General (7 CFR Part 1945-A)
FORMS: NONE

OMB NO: 0560-0171    EXPIRATION DATE: 03/31/2005
RESPS:83,050         HOURS:20,531         COSTS(000):$0
  Agreement for the Use of Proceeds/Release of Chattel Security
FORMS: 1962-1

OMB NO: 0560-0175    EXPIRATION DATE: 09/30/2003
RESPS:3,564,000      HOURS:4,618,346      COSTS(000):$0
  Noninsured Crop Disaster Assistance Program
FORMS: CCC-451 CCC-576 CCC-441 CCC-576-1 CCC-452

OMB NO: 0560-0176    EXPIRATION DATE: 03/31/2005
RESPS:24,000         HOURS:8,000          COSTS(000):$0
  Request for Aerial Photography
FORMS: FSA-441

OMB NO: 0560-0177    EXPIRATION DATE: 09/30/2005
RESPS:37,763         HOURS:6,758          COSTS(000):$0
  Offer Forms
FORMS: 156 269 327 324 366 332 331 334 337 333

OMB NO: 0560-0178    EXPIRATION DATE: 10/31/2004
RESPS:75,489         HOURS:122,538        COSTS(000):$0
  7 CFR 1910-A, Receiving and Processing Applications
FORMS: NONE

OMB NO: 0560-0179    EXPIRATION DATE: 02/28/2005
RESPS:3,000          HOURS:5,000          COSTS(000):$0
  Certification of Livestock Losses for Eligible Disaster
FORMS: CCC-661

OMB NO: 0560-0185    EXPIRATION DATE: 06/30/2003
RESPS:206,250        HOURS:251,153        COSTS(000):$0
  Highly Erodible Land Conservation and Wetland Conservation (7
  CFR Part 12)
FORMS: AD-1026 AD-1026B AD-1026C AD-1026D AD-1068 AD-1069 CCC-21
FSA-492

OMB NO: 0560-0194    EXPIRATION DATE: 10/31/2005
RESPS:14             HOURS:14             COSTS(000):$0
  Standard Operating Agreement Governing Intermodal Transportation
FORMS: NONE

OMB NO: 0560-0195    EXPIRATION DATE: 10/31/2005
RESPS:99             HOURS:99             COSTS(000):$0
  Standard Rules Tender Governing Motor Carrier Transportation
FORMS: NONE

OMB NO: 0560-0201    EXPIRATION DATE: 01/31/2004
RESPS:1,860          HOURS:930            COSTS(000):$0
  ELS Cotton Competitiveness Payment Program
FORMS: CCC-1045-A CCC-1045A-2

OMB NO: 0560-0203    EXPIRATION DATE: 02/29/2004
RESPS:1,039,306      HOURS:20,786         COSTS(000):$0
  Facsimile Signature Authorization and Verification
FORMS: FSA-237

OMB NO: 0560-0204    EXPIRATION DATE: 01/31/2004
RESPS:280,000        HOURS:90,600         COSTS(000):$0
  Farm Storage Facility Loan Program
FORMS: CCC-185 CCC-186 CCC-186-1 CCC-190 CCC-191 CCC-193 CCC-194
CCC-296 CCC-297 CCC-298

OMB NO: 0560-0207    EXPIRATION DATE: 11/30/2003
RESPS:1,100          HOURS:1,286          COSTS(000):$0
  Bioenergy Program (7 CFR Part 1424)
FORMS: CCC-850-A SF-LLL SF-3881 ATF-F-5110.74 ATF-F-5110.75
ATF-F-5110.41

OMB NO: 0560-0214    EXPIRATION DATE: 10/31/2004
RESPS:1,000          HOURS:250            COSTS(000):$15,000
  Total Quality Systems Audit
FORMS: 1TQ 3TQ

OMB NO: 0560-0215    EXPIRATION DATE: 09/30/2005
RESPS:207,500        HOURS:120,350        COSTS(000):$0
  Representations for CCC and FSA Loans and Authorization to File
  a Financing Statement
FORMS: CCC-10

OMB NO: 0560-0216    EXPIRATION DATE: 09/30/2005
RESPS:836            HOURS:2,539          COSTS(000):$0
  Storage of Honey Forfeited to CCC by Honey Producers
FORMS: CCC-56 56-1 56-2 55

OMB NO: 0560-0219    EXPIRATION DATE: 10/31/2005
RESPS:1,100,000      HOURS:1,331,000      COSTS(000):$0
  USDA Registration Formto Request Electronic Access Code
FORMS: AD-2016

OMB NO: 0560-0221    EXPIRATION DATE: 04/30/2003
RESPS:2,000          HOURS:1,258          COSTS(000):$0
  Horse Breeder Loan Program
FORMS: 410-1 431-2 440-32 1910-5 1940-38 1927-9 1927-10

OMB NO: 0560-0224    EXPIRATION DATE: 02/28/2006
RESPS:113            HOURS:113            COSTS(000):$0
  Brokerage Agreement for the Transportation of USDA Commodities
FORMS: NONE

OMB NO: 0560-0227    EXPIRATION DATE: 09/30/2003
RESPS:2,860          HOURS:321            COSTS(000):$0
  National Nonprofit Humanitarian Program 501(3)(3)
FORMS: CCC-330 CCC-330A

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
49 19,623,149 17,304,875 $15,000
Federal Crop Insurance Corporation
OMB NO: 0563-0053    EXPIRATION DATE: 02/28/2005
RESPS:3,345,415      HOURS:1,194,316      COSTS(000):$67,750
  Multiple Peril Crop Insurance
FORMS: NONE

OMB NO: 0563-0055    EXPIRATION DATE: 03/31/2006
RESPS:156            HOURS:78             COSTS(000):$0
  General Administrative Regulations; Interpretations of Statutory
  and Regulatory Provisions
FORMS: NONE

OMB NO: 0563-0057    EXPIRATION DATE: 04/30/2003
RESPS:14,880         HOURS:5,394          COSTS(000):$0
  New-Crop Insurance Programs (Pilot and Private Crop Insurance
FORMS: NONE

OMB NO: 0563-0058    EXPIRATION DATE: 08/31/2004
RESPS:30,970         HOURS:37,257         COSTS(000):$0
  Dairy Options Pilot Program (DOPP), Round III
FORMS: CCC-320 CCC-320-1 CCC-321 CCC-322 CCC-323

OMB NO: 0563-0060    EXPIRATION DATE: 02/28/2005
RESPS:55,760         HOURS:32,526         COSTS(000):$0
  Specialty Crop Producer Survey
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
5 3,447,181 1,269,571 $67,750
Rural Business-Cooperative Service
OMB NO: 0570-0006    EXPIRATION DATE: 11/30/2003
RESPS:775            HOURS:1,848          COSTS(000):$0
  7 CFR 4284-F, Rural Cooperative Development Grant
FORMS: NONE

OMB NO: 0570-0007    EXPIRATION DATE: 04/30/2004
RESPS:2,649          HOURS:2,404          COSTS(000):$0
  Annual Survey of Farmer Cooperatives
FORMS: NONE

OMB NO: 0570-0012    EXPIRATION DATE: 06/30/2003
RESPS:2,276          HOURS:7,742          COSTS(000):$0
  Rural Economic Development Loan and Grant Program
FORMS: RD-1703-1

OMB NO: 0570-0014    EXPIRATION DATE: 06/30/2005
RESPS:1              HOURS:1              COSTS(000):$0
  7 CFR 1980-E, Business and Industrial Loan Program
FORMS: RD-449-1 RD-449-2

OMB NO: 0570-0015    EXPIRATION DATE: 06/30/2005
RESPS:4,185          HOURS:11,235         COSTS(000):$0
  7 CFR 1951-R-Rural Development Loan Servicing
FORMS: RD-1951-4

OMB NO: 0570-0016    EXPIRATION DATE: 04/30/2003
RESPS:19,548         HOURS:10,019         COSTS(000):$0
  Servicing Business and Industry Guaranteed Loans -- 7 CFR 4287-B
FORMS: RD-1980-41 RD-1980-44

OMB NO: 0570-0017    EXPIRATION DATE: 04/30/2003
RESPS:8,875          HOURS:20,813         COSTS(000):$0
  Guaranteed Loanmaking; Business and Industry Loans -- 7 CFR
  4279-B
FORMS: RD-4279-1 RD-4279-2 RD-4279-3 RD-4279-4 RD-4279-6

OMB NO: 0570-0018    EXPIRATION DATE: 04/30/2003
RESPS:1,147          HOURS:1,749          COSTS(000):$0
  Business and Industry Guaranteed Loanmaking (General) -- 7 CFR
  4279-A
FORMS: RD-4279-8

OMB NO: 0570-0020    EXPIRATION DATE: 02/28/2005
RESPS:127            HOURS:127            COSTS(000):$0
  Annual Survey of Cooperative Involvement in International Markets
FORMS: NONE

OMB NO: 0570-0021    EXPIRATION DATE: 09/30/2003
RESPS:3,802          HOURS:16,930         COSTS(000):$0
  Intermediary Relending Program
FORMS: RD-4274-1 4274-3 4274-4 4274-5

OMB NO: 0570-0022    EXPIRATION DATE: 10/31/2003
RESPS:21,172         HOURS:38,334         COSTS(000):$0
  7 CFR 1942-G "Rural Business Enterprise Grants and Television
  Demonstration Grants"
FORMS: NONE

OMB NO: 0570-0024    EXPIRATION DATE: 06/30/2004
RESPS:866            HOURS:8,044          COSTS(000):$0
  CFR Part 4284-G, Rural Business Opportunity Grants
FORMS: NONE

OMB NO: 0570-0027    EXPIRATION DATE: 04/30/2003
RESPS:8              HOURS:1,382          COSTS(000):$0
  Rural Empowerment Zones and Enterprise Communities
FORMS: NONE

OMB NO: 0570-0028    EXPIRATION DATE: 02/29/2004
RESPS:240            HOURS:1,140          COSTS(000):$0
  Research on Rural Cooperative Opportunities and Problems
FORMS: NONE

OMB NO: 0570-0039    EXPIRATION DATE: 10/31/2004
RESPS:1,596          HOURS:19,452         COSTS(000):$0
  Value-Added Agricultural Product Market Development Grant
  Program (Independent Producers)
FORMS: NONE

OMB NO: 0570-0040    EXPIRATION DATE: 06/30/2005
RESPS:48             HOURS:628            COSTS(000):$0
  Agricultural Product Market Development Grant Program (Resource
  Center)
FORMS: NONE

OMB NO: 0570-0041    EXPIRATION DATE: 03/31/2006
RESPS:297            HOURS:762            COSTS(000):$0
  1890 Land Grant Institutions: Rural Entrepreneurial Program
  Outreach Initiative
FORMS: NONE

OMB NO: 0570-0042    EXPIRATION DATE: 02/29/2004
RESPS:490            HOURS:113            COSTS(000):$0
  Survey of Cooperatives on Selecting Director Candidates for
  Director Elections
FORMS: NONE

OMB NO: 0570-0043    EXPIRATION DATE: 04/30/2003
RESPS:50             HOURS:300            COSTS(000):$0
  National Rural Development Partnership
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
19 68,152 143,023 $0
Rural Utilities Service
OMB NO: 0572-0003    EXPIRATION DATE: 10/31/2005
RESPS:1,422          HOURS:38,394         COSTS(000):$0
  Accounting Requirements for RUS Electric and Telecommunications
  Borrowers
FORMS: NONE

OMB NO: 0572-0015    EXPIRATION DATE: 03/31/2006
RESPS:10,020         HOURS:14,820         COSTS(000):$0
  Advance of Loan Funds and Budgetary Control and Other Related
  Burdens
FORMS: RUS-219 RUS-595

OMB NO: 0572-0019    EXPIRATION DATE: 06/30/2003
RESPS:6,750          HOURS:10,125         COSTS(000):$0
  Inventory of Work Orders
FORMS: RUS-FORM-219

OMB NO: 0572-0020    EXPIRATION DATE: 04/30/2003
RESPS:5              HOURS:15             COSTS(000):$0
  Request for Approval to Sell Capital Assets
FORMS: 369

OMB NO: 0572-0023    EXPIRATION DATE: 05/31/2003
RESPS:3,680          HOURS:3,660          COSTS(000):$0
  7 CFR 1744-C, Advance and Disbursement of Funds -
  Telecommunications
FORMS: RUS-FORM-481

OMB NO: 0572-0025    EXPIRATION DATE: 04/30/2003
RESPS:253            HOURS:1,012          COSTS(000):$0
  Review Rating Summary
FORMS: 300

OMB NO: 0572-0031    EXPIRATION DATE: 04/30/2003
RESPS:1              HOURS:3,200          COSTS(000):$0
  Financial and Statistical Report for Telecommunications Borrowers
FORMS: RUS-FORM-479

OMB NO: 0572-0032    EXPIRATION DATE: 02/28/2005
RESPS:4,415          HOURS:65,673         COSTS(000):$0
  RUS Electric Loan Application and Related Reporting Burdens
FORMS: RUS-726 RUS-740C RUS-740G 7 12 325 266 SF-100 SF-LLL AD-1047

OMB NO: 0572-0041    EXPIRATION DATE: 08/31/2003
RESPS:75             HOURS:206            COSTS(000):$0
  Request for Release of Lien and/or Approval of Sale
FORMS: RUS-FORM-793

OMB NO: 0572-0051    EXPIRATION DATE: 09/30/2005
RESPS:905            HOURS:226            COSTS(000):$0
  RUS Form 87, Request for Mail List Data
FORMS: FORM-87

OMB NO: 0572-0074    EXPIRATION DATE: 06/30/2003
RESPS:665            HOURS:67             COSTS(000):$0
  Certification of Authority
FORMS: RUS-FORM-675

OMB NO: 0572-0079    EXPIRATION DATE: 09/30/2003
RESPS:406            HOURS:3,621          COSTS(000):$0
  Preloan Procedures and Requirements for Telecommunications
  Program
FORMS: FORM-490 494 495 507 567 569

OMB NO: 0572-0088    EXPIRATION DATE: 08/31/2003
RESPS:30             HOURS:62             COSTS(000):$0
  7 CFR Part 1786, "Prepayment of RUS Guaranteed and Insured Loans
  to Electric and Telephone Borrowers"
FORMS: NONE

OMB NO: 0572-0089    EXPIRATION DATE: 01/31/2004
RESPS:110            HOURS:660            COSTS(000):$0
  RUS Form 444, "Wholesale Power Contracts"
FORMS: RUS-FORM-444

OMB NO: 0572-0095    EXPIRATION DATE: 04/30/2003
RESPS:3,872          HOURS:20,374         COSTS(000):$0
  7 CFR 1773, Policy on Audits of RUS Borrowers
FORMS: NONE

OMB NO: 0572-0096    EXPIRATION DATE: 08/31/2003
RESPS:6,900          HOURS:17,741         COSTS(000):$0
  Distance Learning and Telemedicine Loan and Grant Program (7 CFR
  1703, Subpart D, E, F and G)
FORMS: NONE

OMB NO: 0572-0097    EXPIRATION DATE: 05/31/2003
RESPS:40             HOURS:140            COSTS(000):$0
  7 CFR Part 1703-H, Deferments of RUS Loan Payments for Rural
  Development Projects
FORMS: NONE

OMB NO: 0572-0098    EXPIRATION DATE: 04/30/2003
RESPS:25             HOURS:238            COSTS(000):$0
  7 CFR 1744-E, Borrower Investments-Telecommunications Loan
  Program
FORMS: NONE

OMB NO: 0572-0099    EXPIRATION DATE: 10/31/2003
RESPS:1,000          HOURS:750            COSTS(000):$0
  7 CFR 1792, Subpart C - Seismic Safety of New Building
  Construction
FORMS: NONE

OMB NO: 0572-0100    EXPIRATION DATE: 04/30/2003
RESPS:42             HOURS:69             COSTS(000):$0
  Lien Accommodations and Subordinations 7 CFR Part 1717, Subparts
  R and S
FORMS: NONE

OMB NO: 0572-0104    EXPIRATION DATE: 08/31/2003
RESPS:1              HOURS:350            COSTS(000):$0
  State Telecommunications Modernization Plan
FORMS: NONE

OMB NO: 0572-0107    EXPIRATION DATE: 10/31/2005
RESPS:3,908          HOURS:85             COSTS(000):$0
  7 CFR 1726, Electric System Construction Policies and
  Procedures- Electric
FORMS: 168B/168C/187 198/200/213 224/231/238 254/257/307 786/790/792B
830

OMB NO: 0572-0109    EXPIRATION DATE: 09/30/2004
RESPS:1              HOURS:9              COSTS(000):$0
  7 CFR 1777, Section 306C Water and Waste Disposal (WWD) Loans &
  Grants
FORMS: NONE

OMB NO: 0572-0112    EXPIRATION DATE: 05/31/2003
RESPS:1,375          HOURS:4,168          COSTS(000):$0
  7 CFR 1775, Technical Assistance Program
FORMS: NONE

OMB NO: 0572-0114    EXPIRATION DATE: 04/30/2003
RESPS:142            HOURS:184            COSTS(000):$0
  Mergers and Consolidations of Electric Borrowers -- 7 CFR 1717
  Subpart D
FORMS: NONE

OMB NO: 0572-0115    EXPIRATION DATE: 04/30/2003
RESPS:6              HOURS:12             COSTS(000):$0
  Use of Consultants Funded by Borrowers -- 7 CFR Part 1789
FORMS: NONE

OMB NO: 0572-0116    EXPIRATION DATE: 06/30/2003
RESPS:1              HOURS:3,000          COSTS(000):$0
  7 CFR 1717 Subpart Y, Settlement of Debt Owed by Electric
  Borrowers
FORMS: NONE

OMB NO: 0572-0117    EXPIRATION DATE: 03/31/2004
RESPS:1,872          HOURS:450,200        COSTS(000):$0
  Environmental Policies and Procedures (7 CFR Part 1794)
FORMS: NONE

OMB NO: 0572-0118    EXPIRATION DATE: 03/31/2006
RESPS:161            HOURS:161            COSTS(000):$0
  7 CFR Part 1724, Electric Engineering Architectural Services and
  Design Policies and Procedures
FORMS: 211 220 236

OMB NO: 0572-0121    EXPIRATION DATE: 06/30/2003
RESPS:50,650         HOURS:134,240        COSTS(000):$0
  7 CFR 1780, Water and Waste Disposal Loan and Grant Program
FORMS: NONE

OMB NO: 0572-0122    EXPIRATION DATE: 01/31/2004
RESPS:110            HOURS:858            COSTS(000):$0
  Water and Waste Disposal Programs Guaranteed Loans
FORMS: NONE

OMB NO: 0572-0123    EXPIRATION DATE: 12/31/2004
RESPS:180            HOURS:784            COSTS(000):$0
  Extensions of Payments of Principal and Interest
FORMS: NONE

OMB NO: 0572-0124    EXPIRATION DATE: 09/30/2004
RESPS:120            HOURS:345            COSTS(000):$0
  Weather Radio Transmitter Grant Program
FORMS: NONE

OMB NO: 0572-0125    EXPIRATION DATE: 06/30/2005
RESPS:30             HOURS:1,005          COSTS(000):$0
  Local Dial-Up Internet Grant Program
FORMS: NONE

OMB NO: 0572-0126    EXPIRATION DATE: 01/31/2005
RESPS:45             HOURS:23             COSTS(000):$0
  7 CFR Part 1744, Subpart B, Lien Accommodations and
  Subordination Policy
FORMS: NONE

OMB NO: 0572-0127    EXPIRATION DATE: 03/31/2004
RESPS:310            HOURS:48,010         COSTS(000):$0
  Broadband Pilot Grant Program
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
36 99,528 824,487 $0
Rural Housing Service
OMB NO: 0575-0015    EXPIRATION DATE: 06/30/2003
RESPS:33,230         HOURS:61,076         COSTS(000):$0
  7 CFR 1942-A, Community Facility Loans
FORMS: 442-7 442-3 1942-19 1942-8 1942-46 1942-47 1942-9 442-20 442-21
442-22

OMB NO: 0575-0018    EXPIRATION DATE: 04/30/2005
RESPS:74,516         HOURS:555,692        COSTS(000):$0
  7 CFR 1901-3, Civil Rights Compliance Requirements
FORMS: RD-4001/4/6/7/8 HUD-932.5 CC-257

OMB NO: 0575-0033    EXPIRATION DATE: 10/31/2004
RESPS:2,382,265      HOURS:2,143,740      COSTS(000):$0
  7 CFR 1930-C, Management and Supervision of Multiple Family
  Housing Borrowers and Grant Recipients
FORMS: 1930-5 1930-7 1930-8 1944-8 1944-25 1944-27 1944-29 1951-29
444-27A

OMB NO: 0575-0042    EXPIRATION DATE: 10/31/2003
RESPS:291,631        HOURS:94,924         COSTS(000):$0
  7 CFR 1924-A, "Planning and Performing Construction and Other
  Development"
FORMS: 1924-1 2 3 4 5 6 7 9 10 11

OMB NO: 0575-0043    EXPIRATION DATE: 04/30/2003
RESPS:3,043          HOURS:3,095          COSTS(000):$0
  "Self-Help Technical Assistance Grants" -- 7 CFR 1944-I
FORMS: NONE

OMB NO: 0575-0045    EXPIRATION DATE: 05/31/2004
RESPS:780            HOURS:8,524          COSTS(000):$0
  7 CFR 1944-D, Farm Labor Housing Loan and Grant Policies,
  Procedures, and Authorization
FORMS: NONE

OMB NO: 0575-0046    EXPIRATION DATE: 10/31/2004
RESPS:200            HOURS:82             COSTS(000):$0
  7 CFR 1944-L, Tenant Grievance and Appeals Procedure
FORMS: NONE

OMB NO: 0575-0047    EXPIRATION DATE: 06/30/2003
RESPS:5,102          HOURS:28,246         COSTS(000):$0
  7 CFR 1944-E, Rural Rental and Cooperative Housing Loan
  Policies, Procedures, and Authorizations
FORMS: RD-1944-7 RD-1944-30 RD-1944-31 RD-1944-33 RD-1944-34 RD-1944-35
RD-1944-38

OMB NO: 0575-0064    EXPIRATION DATE: 07/31/2005
RESPS:4              HOURS:2              COSTS(000):$0
  7 CFR 1901-K, "Certificates of Beneficial Ownership and Insured
  Notes"
FORMS: RD-471-7

OMB NO: 0575-0066    EXPIRATION DATE: 04/30/2003
RESPS:158            HOURS:118            COSTS(000):$0
  7 CFR 1951-E, "Servicing of Community and Direct Business
  Programs Loans and Grants"
FORMS: 1951-15 1951-33

OMB NO: 0575-0071    EXPIRATION DATE: 03/31/2006
RESPS:6              HOURS:36             COSTS(000):$0
  7 CFR 1822-G, Rural Housing Site Loans, Policies, Procedures and
  Authorizations
FORMS: NONE

OMB NO: 0575-0075    EXPIRATION DATE: 06/30/2003
RESPS:110            HOURS:28             COSTS(000):$0
  7 CFR 1951-A, "Account Servicing Policies"
FORMS: NONE

OMB NO: 0575-0078    EXPIRATION DATE: 09/30/2003
RESPS:411,004        HOURS:154,250        COSTS(000):$0
  7 CFR 1980-D, Rural Housing Loans
FORMS: RD-1980-11 1980-12 1980-13 1980-16 1980-17 1980-18 1980-20
1980-21 1980-80 1980-81

OMB NO: 0575-0082    EXPIRATION DATE: 07/31/2003
RESPS:5,250          HOURS:1,350          COSTS(000):$0
  7 CFR 1924-F, Complaints and Compensation for Construction
FORMS: RD-FORM-1924-4

OMB NO: 0575-0087    EXPIRATION DATE: 11/30/2004
RESPS:8,765          HOURS:4,895          COSTS(000):$0
  7 CFR Part 1806-A - Real Property Insurance
FORMS: FORM-RD-426-2

OMB NO: 0575-0088    EXPIRATION DATE: 10/31/2004
RESPS:57,800         HOURS:28,900         COSTS(000):$0
  Form RD 1940-59, Settlement Statement
FORMS: 1940-59

OMB NO: 0575-0091    EXPIRATION DATE: 04/30/2003
RESPS:85,569         HOURS:28,238         COSTS(000):$0
  "Applicant Reference Letter (A Request for Credit Reference)" --
  Form RD 410-8
FORMS: RD-410-8

OMB NO: 0575-0093    EXPIRATION DATE: 08/31/2003
RESPS:25,047         HOURS:75,361         COSTS(000):$0
  7 CFR 1951-F, Analyzing Credit Needs and Graduation of Borrower
FORMS: NONE

OMB NO: 0575-0094    EXPIRATION DATE: 08/31/2003
RESPS:5,220          HOURS:15,320         COSTS(000):$0
  7 CFR 1940 Subpart G Environmental Program
FORMS: RD-1940-G

OMB NO: 0575-0100    EXPIRATION DATE: 10/31/2003
RESPS:945            HOURS:1,587          COSTS(000):$0
  7 CFR 1965-B Security Servicing for Multiple Family Housing
  Loans.
FORMS: 1944-33A 1944-34A 1944-35A 1965-16

OMB NO: 0575-0104    EXPIRATION DATE: 09/30/2004
RESPS:700            HOURS:800            COSTS(000):$0
  7 CFR 1951-N, Sercicing Cases Where Unauthorized Loan or Other
  Financial Assistance Was Received--Multiple Family Housing
FORMS: NONE

OMB NO: 0575-0110    EXPIRATION DATE: 01/31/2005
RESPS:292            HOURS:136            COSTS(000):$0
  7 CFR, Part 1955-B-Management of Property
FORMS: RD-1955-20

OMB NO: 0575-0114    EXPIRATION DATE: 10/31/2004
RESPS:25             HOURS:2,000          COSTS(000):$0
  Rural Housing Demonstration Program - Section 502
FORMS: NONE

OMB NO: 0575-0115    EXPIRATION DATE: 04/30/2003
RESPS:10,555         HOURS:10,814         COSTS(000):$0
  "Housing Preservation Grant Program" -- 7 CFR 1944-N
FORMS: NONE

OMB NO: 0575-0118    EXPIRATION DATE: 07/31/2004
RESPS:2,900          HOURS:24,650         COSTS(000):$0
  7 CFR 1956-B, Debt Settlement-Farm Programs and Multiple Family
  Housing
FORMS: RD-1956-1

OMB NO: 0575-0120    EXPIRATION DATE: 09/30/2004
RESPS:2,921          HOURS:6,482          COSTS(000):$0
  7 CFR 1942-C, "Fire and Rescue Loans"
FORMS: 1942-52 1942-53 1942-54

OMB NO: 0575-0124    EXPIRATION DATE: 10/31/2003
RESPS:92             HOURS:880            COSTS(000):$0
  7 CFR 1956-C, Debt Settlement - Community and Business Programs
FORMS: NONE

OMB NO: 0575-0137    EXPIRATION DATE: 02/28/2006
RESPS:58,819         HOURS:89,530         COSTS(000):$0
  7 CFR 3575-A, Community Programs Guaranteed Loans
FORMS: 449-14 449-30 449-35 449-36 1980-19 1980-43 3575-1

OMB NO: 0575-0147    EXPIRATION DATE: 05/31/2004
RESPS:174,000        HOURS:41,296         COSTS(000):$0
  7 CFR 1927-B, "Real Estate Title Clearance and Loan Closing"
FORMS: RD1927-5 RD1927-8 RD1927-9 RD1927-10 RD1927-11 RD1927-12
RD1927-15 RD1927-16 RD1927-19 RD1927-20

OMB NO: 0575-0155    EXPIRATION DATE: 10/31/2003
RESPS:920            HOURS:687            COSTS(000):$0
  "Prepayment and Displacement Prevention of Multiple Family
  Housing Loans" -- 7 CFR 1965-E
FORMS: NONE

OMB NO: 0575-0157    EXPIRATION DATE: 04/30/2003
RESPS:800            HOURS:900            COSTS(000):$0
  Housing Application Packaging Grants -- 7 CFR 1944-B
FORMS: NONE

OMB NO: 0575-0158    EXPIRATION DATE: 01/31/2005
RESPS:62,000         HOURS:26,260         COSTS(000):$0
  7 CFR 1902-A, Supervised Bank Accounts
FORMS: RD-402-1

OMB NO: 0575-0172    EXPIRATION DATE: 02/28/2006
RESPS:1,714,622      HOURS:513,872        COSTS(000):$0
  7 CFR 3550 - Direct Single Family Housing Loan and Grant
  Programs, HB-1-3550, and HB-2-3550
FORMS: NONE

OMB NO: 0575-0173    EXPIRATION DATE: 06/30/2004
RESPS:1,078          HOURS:859            COSTS(000):$0
  7 CFR 3570-B, Community Facilities Grant Program
FORMS: FORM-RD-3570-3

OMB NO: 0575-0174    EXPIRATION DATE: 10/31/2005
RESPS:3,005          HOURS:1,581          COSTS(000):$0
  7 CFR Part 3565, "Guaranteed Rural Rental Housing Program" and
  its supporting handbook
FORMS: 3565-1 3565-2 3565-3 1980-24

OMB NO: 0575-0179    EXPIRATION DATE: 04/30/2003
RESPS:1              HOURS:1              COSTS(000):$0
  Guaranteed Rural Housing Loan Program -- 7 CFR Part 3555
FORMS: 1980-11 1980-13 1980-16 1980-20 1980-21

OMB NO: 0575-0180    EXPIRATION DATE: 05/31/2004
RESPS:843            HOURS:1,702          COSTS(000):$0
  Notice of Funds Availability (NOFA) Inviting Applications for
  the Rural Community Development Initiative (RCDI)
FORMS: NONE

OMB NO: 0575-0181    EXPIRATION DATE: 06/30/2004
RESPS:147            HOURS:175.5          COSTS(000):$0
  Farm Labor Housing Technical Assistance Grants
FORMS: NONE

OMB NO: 0575-0184    EXPIRATION DATE: 04/30/2005
RESPS:1,200          HOURS:600            COSTS(000):$0
  RD 3550-28, "Authorization Agreement for Preauthorization
  Payments", RD 1951-65, "Customer Initiated Payments (CIP)", and
  RD 1951-66, "Fedwire Worksheet"
FORMS: RD-3550-28 RD-1951-65 RD-1951-66

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
39 5,425,565 3,928,689 $0
Natural Resources Conservation Service
OMB NO: 0578-0007    EXPIRATION DATE: 05/31/2003
RESPS:768            HOURS:936            COSTS(000):$0
  Agriculture and Urban Flood Damage Surveys
FORMS: NRCS-ECN-001 ECN-002 ECN-003 ECN-004 ECN-005 ECN-006

OMB NO: 0578-0013    EXPIRATION DATE: 06/30/2003
RESPS:235,043        HOURS:160,311        COSTS(000):$0
  Long Term Contracting
FORMS: CCC-1250 1251 1252 1252A 1252B 1253 1255 1255A 1256 1257

OMB NO: 0578-0018    EXPIRATION DATE: 06/30/2004
RESPS:35,540         HOURS:20,731         COSTS(000):$0
  Application for Payment
FORMS: CCC-1202 NRCS-FNM-141

OMB NO: 0578-0024    EXPIRATION DATE: 03/31/2006
RESPS:50,420         HOURS:1,016          COSTS(000):$0
  Volunteer Program - Earth Team
FORMS: NRCS-PER-001 NRCS-PER-002 NRCS-PER-003 NRCS-PER-004

OMB NO: 0578-0028    EXPIRATION DATE: 01/31/2005
RESPS:5,000          HOURS:2,917          COSTS(000):$0
  Risk Protection Programs
FORMS: CCC-1200 CCC-1245

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
5 326,771 185,911 $0
Animal and Plant Health Inspection Service
OMB NO: 0579-0007    EXPIRATION DATE: 04/30/2003
RESPS:48,135         HOURS:7,451          COSTS(000):$0
  National Poultry Improvement Plan (NPIP)
FORMS: VS-9-2 VS-9-3 VS-9-5

OMB NO: 0579-0008    EXPIRATION DATE: 09/30/2005
RESPS:20             HOURS:10             COSTS(000):$0
  Application for Inspection and Certification of Animal Byproducts
FORMS: VS-16-24

OMB NO: 0579-0010    EXPIRATION DATE: 02/29/2004
RESPS:35,050         HOURS:1,445          COSTS(000):$0
  National Agricultural Pest Information System
FORMS: PPQ-391

OMB NO: 0579-0013    EXPIRATION DATE: 03/31/2005
RESPS:19,472         HOURS:51,177         COSTS(000):$0
  Virus-Serum-Toxin Act and Regulations in 9 CFR, Subchapter E,
  Parts 101-124
FORMS: 2001 2003 2005 2007 2008 2008A 2015 2020

OMB NO: 0579-0015    EXPIRATION DATE: 03/31/2005
RESPS:51,171         HOURS:17,830         COSTS(000):$0
  Importation of Restricted and Controlled Animal and Poultry
  Products and Byproducts, Organisms, and Vectors into the US.
FORMS: VS-16-3 VS-16-25 VS-16-26

OMB NO: 0579-0020    EXPIRATION DATE: 08/31/2004
RESPS:42,067         HOURS:21,009         COSTS(000):$0
  U.S. Origin Health Certificate
FORMS: VS-17-140

OMB NO: 0579-0032    EXPIRATION DATE: 04/30/2003
RESPS:171,024        HOURS:52,190         COSTS(000):$0
  Veterinary Accreditation Program -- 9 CFR 160-162
FORMS: VS-1-36A 4-24 4-26 4-33 4-54 17-145

OMB NO: 0579-0036    EXPIRATION DATE: 04/30/2003
RESPS:119,426        HOURS:95,720         COSTS(000):$0
  Animal Welfare
FORMS: APHIS-7001 7001A 7003 7003A 7005 7006 7006A 7009 7011 7019

OMB NO: 0579-0040    EXPIRATION DATE: 04/30/2003
RESPS:2,537,098      HOURS:64,200         COSTS(000):$0
  Importation of Animal & Poultry, Animal/Poultry Products,
  Certain Animal Embryos, Semen, and Zoological Animals
FORMS: VS17-8 VS17-23 VS-17-135A VS-17-128 VS-17-29 VS-17-129 VS-10-4
VS-17-65C VS-17-65A VS-17-65B

OMB NO: 0579-0047    EXPIRATION DATE: 02/28/2006
RESPS:527,486        HOURS:17,681         COSTS(000):$0
  Brucellosis Program Cooperative Agreements - Title 9, CFR Parts
  50, 51, 53, 54, 71, 76 and 78
FORMS: 1-23 1-23A 1-27 1-68 4-1 4-1D 4-6 4-59 4-108/4-108A
4-108B/4-108C

OMB NO: 0579-0048    EXPIRATION DATE: 02/28/2005
RESPS:21,000         HOURS:10,500         COSTS(000):$0
  Certificate for poultry and hatching eggs for export
FORMS: VS-17-6

OMB NO: 0579-0049    EXPIRATION DATE: 02/28/2006
RESPS:289,440        HOURS:91,138         COSTS(000):$0
  Foreign Quarantine Notices
FORMS: 368 546 564 587 588 585

OMB NO: 0579-0051    EXPIRATION DATE: 08/31/2003
RESPS:9,717          HOURS:740            COSTS(000):$0
  Permit for Movement of Restricted Animals
FORMS: VS-1-27

OMB NO: 0579-0052    EXPIRATION DATE: 06/30/2005
RESPS:759,992        HOURS:539,681        COSTS(000):$0
  Phytosanitary Export Certification
FORMS: 572 577 578 579

OMB NO: 0579-0054    EXPIRATION DATE: 06/30/2003
RESPS:46,974         HOURS:38,133         COSTS(000):$0
  Federal Plant Pest and Noxious Weeds Regulations
FORMS: PPQ-FORMS-525A 526 526-1 519

OMB NO: 0579-0055    EXPIRATION DATE: 08/31/2004
RESPS:360            HOURS:90             COSTS(000):$0
  Request for Credit Account Approval for Reimbursable Services
FORMS: APHIS-192

OMB NO: 0579-0065    EXPIRATION DATE: 03/31/2005
RESPS:860            HOURS:584            COSTS(000):$0
  Swine Health Protection
FORMS: VS-13-2 VS-13-15 VS-13-16 VS-13-7

OMB NO: 0579-0070    EXPIRATION DATE: 02/28/2005
RESPS:80,250         HOURS:5,092          COSTS(000):$0
  9 CFR 85 Psuedoriabies
FORMS: 7-1 1-27

OMB NO: 0579-0071    EXPIRATION DATE: 03/31/2005
RESPS:1,070          HOURS:1,070          COSTS(000):$0
  Foreign Animal Disease (Emerging Disease Investigation (FAD/EDI)
  Database
FORMS: VS-12-27

OMB NO: 0579-0072    EXPIRATION DATE: 02/28/2006
RESPS:23             HOURS:9              COSTS(000):$0
  7 CFR 319.76 Exotic Bee Diseases and Parasites, 7 CFR 322
  Honeybees and Honeybee Semen
FORMS: 368

OMB NO: 0579-0076    EXPIRATION DATE: 08/31/2005
RESPS:31,933         HOURS:4,738          COSTS(000):$0
  Endangered Species Regulations and Forfeiture Procedures
FORMS: 368 621 625 623 626

OMB NO: 0579-0084    EXPIRATION DATE: 10/31/2005
RESPS:53,539         HOURS:17,372         COSTS(000):$0
  CFR 50& 77 Tuberculosis
FORMS: 1-23 1-24 1-68 6-22 6-22A 6-22B 6-22C 6-22D 6-35 6-38

OMB NO: 0579-0085    EXPIRATION DATE: 04/30/2005
RESPS:3,464          HOURS:2,984          COSTS(000):$0
  7 CFR 340-Intro of Organisms and Products Altered or Produced
  Through Genetic Engineering
FORMS: 2000 2050 2051 2052 2053 2054

OMB NO: 0579-0088    EXPIRATION DATE: 07/31/2005
RESPS:1,059,954      HOURS:87,647         COSTS(000):$0
  Domestic Quarantines
FORMS: 527 530 537 540 543 586

OMB NO: 0579-0090    EXPIRATION DATE: 09/30/2003
RESPS:30,290         HOURS:15,149         COSTS(000):$0
  Specimen Submission
FORMS: VS-10-4

OMB NO: 0579-0092    EXPIRATION DATE: 03/31/2006
RESPS:2,250          HOURS:260            COSTS(000):$0
  Animal Welfare, Part 3, Subparts B and C, Guinea Pigs, Hamsters,
  and Rabbits
FORMS: 7020 7020A

OMB NO: 0579-0093    EXPIRATION DATE: 06/30/2003
RESPS:72,585         HOURS:44,313         COSTS(000):$0
  Animal Welfare Act, Part 3, Subparts A and D, Dogs, cats, Pri-
  mates
FORMS: NONE

OMB NO: 0579-0094    EXPIRATION DATE: 10/31/2005
RESPS:223,562        HOURS:7,640          COSTS(000):$0
  User Fee Regulations, 7 CFR 354 and 9 CFR 130
FORMS: VS-FORM-16-7 16-3 PPQ-FORM-250 577 578 579

OMB NO: 0579-0101    EXPIRATION DATE: 10/31/2004
RESPS:732,185        HOURS:81,526         COSTS(000):$0
  Scrapie Flock Certification, Animal Identification and
  Indemnification Procedures
FORMS: VS-5-18 VS-5-19 VS-5-20 VS-5-24 VS-1-23 VS-1-27

OMB NO: 0579-0102    EXPIRATION DATE: 09/30/2005
RESPS:12,224         HOURS:5,078          COSTS(000):$0
  Imported Fire Ant
FORMS: 523 518

OMB NO: 0579-0104    EXPIRATION DATE: 06/30/2005
RESPS:240            HOURS:20             COSTS(000):$0
  Gypsy Moth Identification Worksheet
FORMS: PPQ-305

OMB NO: 0579-0115    EXPIRATION DATE: 09/30/2005
RESPS:27,398         HOURS:15,607         COSTS(000):$0
  Animal Welfare, 9 CFR, Part 3 Marine Mammals
FORMS: APHIS-7002

OMB NO: 0579-0116    EXPIRATION DATE: 01/31/2005
RESPS:57             HOURS:34             COSTS(000):$0
  Exotic newcastle disease in birds and poultry; chlamydiosis in
  poultry
FORMS: NONE

OMB NO: 0579-0117    EXPIRATION DATE: 03/31/2005
RESPS:3,000          HOURS:1,500          COSTS(000):$0
  Environmental Monitoring Form
FORMS: APHIS-2060

OMB NO: 0579-0122    EXPIRATION DATE: 02/28/2005
RESPS:315            HOURS:132            COSTS(000):$0
  Asian Lonhorned Beetle Regulations
FORMS: PPQ-527 PPQ-537 PPQ-530 PPQ-540

OMB NO: 0579-0123    EXPIRATION DATE: 04/30/2004
RESPS:2,746          HOURS:327            COSTS(000):$0
  Fruit from Hawaii
FORMS: PPQ-519 PPQ-530 PPQ-540

OMB NO: 0579-0124    EXPIRATION DATE: 04/30/2004
RESPS:30,000         HOURS:11,345         COSTS(000):$0
  Imported Seed and Screening
FORMS: PPQ-925 PPQ-519

OMB NO: 0579-0127    EXPIRATION DATE: 10/31/2004
RESPS:1,075,003      HOURS:98,156         COSTS(000):$0
  9 CFR 75 Communicable Diseases in Horses
FORMS: 10-11 10-12

OMB NO: 0579-0128    EXPIRATION DATE: 11/30/2004
RESPS:500            HOURS:501            COSTS(000):$0
  Importation of Fruits and Vegetables
FORMS: NONE

OMB NO: 0579-0129    EXPIRATION DATE: 01/31/2005
RESPS:630            HOURS:743            COSTS(000):$0
  Hass Avocado
FORMS: PPQ-587 PPQ-519

OMB NO: 0579-0130    EXPIRATION DATE: 03/31/2005
RESPS:87             HOURS:300            COSTS(000):$0
  Export Certification, Accreditation on Non-Government Facilities
FORMS: NONE

OMB NO: 0579-0131    EXPIRATION DATE: 02/28/2005
RESPS:2,448          HOURS:1,704          COSTS(000):$0
  Importation of Tomatoes from France, Morocco, Western Sahara,
  Chile, Spain
FORMS: NONE

OMB NO: 0579-0132    EXPIRATION DATE: 11/30/2004
RESPS:100            HOURS:120            COSTS(000):$0
  Mexicali Valley - Karnal Bunt
FORMS: NONE

OMB NO: 0579-0135    EXPIRATION DATE: 09/30/2005
RESPS:850,000        HOURS:73,950         COSTS(000):$0
  Wood Packing Material from China
FORMS: NONE

OMB NO: 0579-0136    EXPIRATION DATE: 05/31/2005
RESPS:1,834          HOURS:1,343          COSTS(000):$0
  7 CFR Part 319 - Importation of Fruits and Vegetables
FORMS: PPQ-587(MD)

OMB NO: 0579-0138    EXPIRATION DATE: 03/31/2005
RESPS:40             HOURS:40             COSTS(000):$0
  9 CFR part 94 importation of Pork from Yucatan and Sonora, Mexico
FORMS: NONE

OMB NO: 0579-0141    EXPIRATION DATE: 08/31/2003
RESPS:204            HOURS:30             COSTS(000):$0
  Poultry Imports and Export
FORMS: NONE

OMB NO: 0579-0142    EXPIRATION DATE: 02/28/2006
RESPS:2,230          HOURS:81             COSTS(000):$0
  Importation of Gypsy Moth Host Materials from Canada
FORMS: NONE

OMB NO: 0579-0144    EXPIRATION DATE: 10/31/2005
RESPS:40             HOURS:40             COSTS(000):$0
  Importation of Poultry Meat and other Poultry products from
  Sinaloa and Sonora, Mexico
FORMS: NONE

OMB NO: 0579-0145    EXPIRATION DATE: 10/31/2005
RESPS:780            HOURS:572            COSTS(000):$0
  Poultry and Pork Products Transiting the United States
FORMS: NONE

OMB NO: 0579-0146    EXPIRATION DATE: 08/31/2003
RESPS:2,216          HOURS:766            COSTS(000):$0
  Tuberculosis (Docket 99-038-1, TB in Cattle, Bison, and Goats)
  Addendum 1
FORMS: VS-6-38 VS-6-22 VS-6-22C VS-6-22D

OMB NO: 0579-0147    EXPIRATION DATE: 06/30/2003
RESPS:162,500        HOURS:2,808          COSTS(000):$0
  Conifer Solid Wood Packing Material to China, Export
  Certification
FORMS: PPQ-553

OMB NO: 0579-0148    EXPIRATION DATE: 04/30/2003
RESPS:325            HOURS:13             COSTS(000):$0
  Johne's Disease in Domestic Animals, Interstate Movement, 9 CFR
  80
FORMS: VS-1-27

OMB NO: 0579-0152    EXPIRATION DATE: 07/31/2003
RESPS:95             HOURS:75             COSTS(000):$0
  Spanish Pure Breed Horses From Spain
FORMS: NONE

OMB NO: 0579-0153    EXPIRATION DATE: 05/31/2003
RESPS:256            HOURS:192            COSTS(000):$0
  Fuji Apples
FORMS: NONE

OMB NO: 0579-0155    EXPIRATION DATE: 07/31/2003
RESPS:1,214,885      HOURS:10,305         COSTS(000):$0
  Iradiation Phytosanitary Treatment of Fresh Fruits and Vegetables
FORMS: NONE

OMB NO: 0579-0156    EXPIRATION DATE: 07/31/2004
RESPS:900            HOURS:75             COSTS(000):$0
  Interstate Movement of Certain Tortoises
FORMS: APHIS-7001

OMB NO: 0579-0158    EXPIRATION DATE: 03/31/2004
RESPS:11,400         HOURS:11,400         COSTS(000):$0
  Importation of Fruits and Vegetables
FORMS: NONE

OMB NO: 0579-0159    EXPIRATION DATE: 05/31/2004
RESPS:12             HOURS:2              COSTS(000):$0
  Plum Pox Compensation
FORMS: PPQ-651

OMB NO: 0579-0160    EXPIRATION DATE: 01/31/2004
RESPS:100,100        HOURS:5,008          COSTS(000):$0
  Commercial Transportation of Equines to Slaughter
FORMS: VS-10-13

OMB NO: 0579-0161    EXPIRATION DATE: 02/29/2004
RESPS:12,000         HOURS:2,600          COSTS(000):$0
  Interstate Movement of Swine Within A Production System
FORMS: NONE

OMB NO: 0579-0162    EXPIRATION DATE: 09/30/2004
RESPS:840            HOURS:945            COSTS(000):$0
  West Nile Virus Surveillance Report
FORMS: WNV-1 WNV-2

OMB NO: 0579-0163    EXPIRATION DATE: 05/31/2004
RESPS:65             HOURS:15             COSTS(000):$0
  Citrus Canker: Commercial citrus tree replacement program
FORMS: PPQ-652

OMB NO: 0579-0165    EXPIRATION DATE: 10/31/2004
RESPS:136            HOURS:34             COSTS(000):$0
  Importation of horses, ruminants, swine, and dogs; inspection
  and treatment for screwworm
FORMS: NONE

OMB NO: 0579-0166    EXPIRATION DATE: 04/30/2004
RESPS:200            HOURS:40             COSTS(000):$0
  District of Columbia Plant Health Certificate
FORMS: PPQ-571

OMB NO: 0579-0167    EXPIRATION DATE: 01/31/2004
RESPS:9,000          HOURS:153            COSTS(000):$0
  Veterinary Services User Fees; Fees for Permit Applications
FORMS: NONE

OMB NO: 0579-0168    EXPIRATION DATE: 01/31/2004
RESPS:65             HOURS:10             COSTS(000):$0
  Citrus Canker Payments for Recovery of Lost Production
FORMS: NONE

OMB NO: 0579-0169    EXPIRATION DATE: 02/28/2006
RESPS:32             HOURS:16             COSTS(000):$0
  Animal Welfare Licensing and Inspection Requirements for Dealers
  of Dogs Intended for Hunting, Breeding, or Security Purpose
FORMS: 7001 7001A 7002 7003 7003A 7005 7006

OMB NO: 0579-0170    EXPIRATION DATE: 09/30/2004
RESPS:37             HOURS:37             COSTS(000):$0
  West Indian Fruit Fly
FORMS: FORM-540

OMB NO: 0579-0172    EXPIRATION DATE: 03/31/2004
RESPS:40             HOURS:40             COSTS(000):$0
  Importation of Mangoes from the Philippines
FORMS: NONE

OMB NO: 0579-0173    EXPIRATION DATE: 05/31/2004
RESPS:10             HOURS:10             COSTS(000):$0
  Importation of Unshu Oranges
FORMS: PPQ-203

OMB NO: 0579-0175    EXPIRATION DATE: 10/31/2004
RESPS:1,455          HOURS:1,373          COSTS(000):$0
  Bluetongue Surveillance Pilot Program (BSPP)
FORMS: VS-11-3 VS-11-4 VS-11-5 VS-11-6A VS-11-6B VS-11-7 VS-11-8
VS-11-9

OMB NO: 0579-0176    EXPIRATION DATE: 05/31/2004
RESPS:100            HOURS:25             COSTS(000):$0
  Importation of Artifically Dwarfed Plants
FORMS: NONE

OMB NO: 0579-0182    EXPIRATION DATE: 08/31/2004
RESPS:340            HOURS:170            COSTS(000):$0
  Karmal Bunt, Compensation for the 1999-2000 Crop Season and
  Subsequent Seasons
FORMS: PPQ-926 PPQ-927

OMB NO: 0579-0183    EXPIRATION DATE: 11/30/2004
RESPS:9,000          HOURS:1,494          COSTS(000):$0
  BSE - Certificate of Orgin
FORMS: VS-16-3

OMB NO: 0579-0185    EXPIRATION DATE: 10/31/2004
RESPS:4              HOURS:1              COSTS(000):$0
  Brucellosis in sheep, goats, horses; Payment of indemnity
FORMS: VS-1-27

OMB NO: 0579-0186    EXPIRATION DATE: 11/30/2004
RESPS:8              HOURS:32             COSTS(000):$0
  Black Stem Rust; Identification Requirements and Addition of
  Rust-Resistant Varieties
FORMS: NONE

OMB NO: 0579-0188    EXPIRATION DATE: 01/31/2005
RESPS:10,731         HOURS:9,090          COSTS(000):$0
  National Animal Health Monitoring System Sheep 2001 Study
FORMS: NAHMS-120 NAHMS-121 NAHMS-123 NAHMS-124 NAHMS-125 NAHMS-126
NAHMS-127 NAHMS-128 NAHMS-122

OMB NO: 0579-0189    EXPIRATION DATE: 09/30/2005
RESPS:10             HOURS:10             COSTS(000):$0
  CWD in cervids; Payment of indemnity
FORMS: VS1-23

OMB NO: 0579-0190    EXPIRATION DATE: 03/31/2005
RESPS:20             HOURS:10             COSTS(000):$0
  Update of the Nursery Stock Regulation
FORMS: PPQ-203

OMB NO: 0579-0191    EXPIRATION DATE: 09/30/2005
RESPS:16,642         HOURS:1,227          COSTS(000):$0
  Phytopthora Ramorum; Quarantine and Regulations
FORMS: PPQ-540 PPQ-519

OMB NO: 0579-0192    EXPIRATION DATE: 09/30/2005
RESPS:697            HOURS:2,934          COSTS(000):$0
  ISA-Payment of Indemnity
FORMS: VS-1-22 VS-1-23

OMB NO: 0579-0193    EXPIRATION DATE: 09/30/2004
RESPS:590            HOURS:875            COSTS(000):$0
  TB Payments to El Paso Texas
FORMS: VS-1-27

OMB NO: 0579-0195    EXPIRATION DATE: 10/31/2005
RESPS:10,000         HOURS:2,000          COSTS(000):$0
  Foot-and-Mouth Disease; Prohibition on Importation of Farm
  Equipment
FORMS: NONE

OMB NO: 0579-0196    EXPIRATION DATE: 06/30/2005
RESPS:300            HOURS:50             COSTS(000):$0
  Self Certification Medical Statement (SCMS)
FORMS: MRP-5

OMB NO: 0579-0197    EXPIRATION DATE: 07/31/2005
RESPS:85             HOURS:35             COSTS(000):$0
  Interstate Movement of Gardenia from Hawaii
FORMS: 530 540 519

OMB NO: 0579-0198    EXPIRATION DATE: 07/31/2005
RESPS:5,380          HOURS:315            COSTS(000):$0
  Fruit and Vegetables from Hawaii
FORMS: 519 530 540

OMB NO: 0579-0199    EXPIRATION DATE: 09/30/2005
RESPS:1              HOURS:1              COSTS(000):$0
  Foot-and-Mouth Disease Payment of Indemnity; Update of Provisions
FORMS: VS1-23

OMB NO: 0579-0203    EXPIRATION DATE: 10/31/2005
RESPS:8,003,200      HOURS:113,200        COSTS(000):$0
  Importation of Clementines from Spain
FORMS: NONE

OMB NO: 0579-0205    EXPIRATION DATE: 12/31/2005
RESPS:8,405          HOURS:6,680          COSTS(000):$0
  National Animal Health Monitoring System Dairy 2002
FORMS: 129 139 131 132 133 134 135 136

OMB NO: 0579-0206    EXPIRATION DATE: 12/31/2005
RESPS:1,080          HOURS:495            COSTS(000):$0
  Center for Animal Health Monitoring Catfish 2003
FORMS: 138 139

OMB NO: 0579-0208    EXPIRATION DATE: 04/30/2003
RESPS:1,600          HOURS:1,600          COSTS(000):$0
  Low Pathogenic AI Payment of Indemnity
FORMS: VS-1-20 VS-1-21 VS-1-23

OMB NO: 0579-0209    EXPIRATION DATE: 02/28/2006
RESPS:1,000          HOURS:1,000          COSTS(000):$0
  Viruses, Serums, Toxins, and Analogous Products; Records and
  Reports
FORMS: NONE

OMB NO: 0579-0211    EXPIRATION DATE: 02/28/2006
RESPS:168            HOURS:198            COSTS(000):$0
  Safeguarding System Definition Project
FORMS: NONE

OMB NO: 0579-0213    EXPIRATION DATE: 08/31/2003
RESPS:9,801          HOURS:25,460         COSTS(000):$0
  Select Agent Registeration
FORMS: VS-16-3 VS-16-7 PPQ-526 APHIS-2041 APHIS-2043 VS-16-2 APHIS-2040
APHIS-2042 APHIS-2044

OMB NO: 0579-0215    EXPIRATION DATE: 07/31/2003
RESPS:722            HOURS:462            COSTS(000):$0
  Mexican Fruit Fly; Treatments
FORMS: PPQ-519

OMB NO: 0579-0216    EXPIRATION DATE: 08/31/2003
RESPS:108            HOURS:804            COSTS(000):$0
  Field Testing of Plants Engineered to Produce Pharmaceutical and
  Industrial Compounds
FORMS: 2000

OMB NO: 0579-0220    EXPIRATION DATE: 09/30/2003
RESPS:60,000         HOURS:960            COSTS(000):$0
  TB in Cattle and Bison, State Designations; California
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
98 18,636,834 1,694,047 $0
Grain Inspection, Packers and Stockyards Administration
OMB NO: 0580-0013    EXPIRATION DATE: 12/31/2004
RESPS:2,494,098      HOURS:396,937        COSTS(000):$0
  Reporting and Recordkeeping Requirements (US Grain Standards Act
  and Agricultural Marketing Act of 1946)
FORMS: NONE

OMB NO: 0580-0014    EXPIRATION DATE: 02/28/2005
RESPS:4              HOURS:80             COSTS(000):$0
  Guidelines for Preparation of Research Proposal
FORMS: NONE

OMB NO: 0580-0015    EXPIRATION DATE: 09/30/2004
RESPS:25,015         HOURS:304,253        COSTS(000):$0
  Regulations and Related Reporting and Recordkeeping
  Requirements- Packers and Stockyards Programs
FORMS: 116 116-1 1 333 23 315 316 5 131 135

OMB NO: 0580-0016    EXPIRATION DATE: 10/31/2004
RESPS:1              HOURS:12             COSTS(000):$0
  "Clear Title" Regulations to Implement Section 1324 of the Food
  Security Act of 1985
FORMS: NONE

OMB NO: 0580-0018    EXPIRATION DATE: 05/31/2003
RESPS:1,874          HOURS:313            COSTS(000):$0
  Survey of Customers of the Official Grain Inspection and
  Weighing System
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
5 2,520,992 701,595 $0
Agricultural Marketing Service
OMB NO: 0581-0004    EXPIRATION DATE: 06/30/2005
RESPS:304            HOURS:278            COSTS(000):$0
  Tobacco Report
FORMS: TB-26 TB-39

OMB NO: 0581-0005    EXPIRATION DATE: 08/31/2005
RESPS:3,864          HOURS:129            COSTS(000):$0
  Grain Market News and Molasses Market News Reports
FORMS: NONE

OMB NO: 0581-0006    EXPIRATION DATE: 04/30/2003
RESPS:3,663,030      HOURS:120,964        COSTS(000):$0
  Fruit and Vegetable Market News Reports
FORMS: FV-29 FV-498-1 FV-498-2

OMB NO: 0581-0008    EXPIRATION DATE: 05/31/2004
RESPS:1,697          HOURS:119            COSTS(000):$0
  Cotton Classing, Testing, and Standards
FORMS: 246 357 383

OMB NO: 0581-0009    EXPIRATION DATE: 05/31/2004
RESPS:2,417          HOURS:226            COSTS(000):$0
  Cotton Classification and Market News Service
FORMS: CN-59

OMB NO: 0581-0026    EXPIRATION DATE: 03/31/2004
RESPS:17,697         HOURS:37,215         COSTS(000):$0
  Federal Seed Act Program
FORMS: NONE

OMB NO: 0581-0031    EXPIRATION DATE: 09/30/2004
RESPS:40,609         HOURS:155,138        COSTS(000):$0
  Reporting and Recordkeeping Requirements Under Regulations
  (Other than Rules of Practice) Under the Persihable Agricultural
  Commodities Act, 1930
FORMS: FV-211 FV-231 FV-231-2A

OMB NO: 0581-0032    EXPIRATION DATE: 09/30/2004
RESPS:20,026         HOURS:21,397         COSTS(000):$0
  Report Forms Under Milk Marketing Order Programs (From Milk
  Handlers and Milk Marketing Cooperatives)
FORMS: DA-24 DA-25

OMB NO: 0581-0033    EXPIRATION DATE: 06/30/2004
RESPS:212,740        HOURS:17,657         COSTS(000):$0
  Poultry Market News Report
FORMS: PY-90

OMB NO: 0581-0050    EXPIRATION DATE: 09/30/2005
RESPS:18,720         HOURS:624            COSTS(000):$0
  Plan for Estimating Daily Livestock Slaughter Under Federal
  Inspection
FORMS: NONE

OMB NO: 0581-0055    EXPIRATION DATE: 04/30/2003
RESPS:1,760          HOURS:1,691          COSTS(000):$0
  Application for Plant Variety Protection Certificate and
FORMS: ST-470 ST-470-E

OMB NO: 0581-0056    EXPIRATION DATE: 05/31/2004
RESPS:13,504         HOURS:5,569          COSTS(000):$0
  Reporting and Recordkeeping Requirements for 7 CFR, Part 29
FORMS: TB-87 TB-92

OMB NO: 0581-0065    EXPIRATION DATE: 02/29/2004
RESPS:1,323          HOURS:162            COSTS(000):$0
  Marketing Order Regulating the Handling of Spearmint Oil
  Produced in the Far West, M.O. 985
FORMS: FV-57 FV-58 FV-60 FV-63 FV-63A

OMB NO: 0581-0071    EXPIRATION DATE: 07/31/2005
RESPS:7,446          HOURS:2,445          COSTS(000):$0
  Almonds Grown in California
FORMS: FV-176 FV-177 FV-178 FV-179 FV-180

OMB NO: 0581-0093    EXPIRATION DATE: 07/31/2004
RESPS:4,389,973      HOURS:344,801        COSTS(000):$0
  National Research, Promotion and Consumer Information Program
  (HONEY-FINAL RULE)
FORMS: CV-100 DA-15/19/19-1 20/20-1/ FV-182/229/258 261/265
LS-25/26/26-1 35/45R/46/46-1 48/49/50/81/82 PY-1 MAS-735

OMB NO: 0581-0110    EXPIRATION DATE: 03/31/2006
RESPS:487            HOURS:1,388          COSTS(000):$0
  Regulations governing the inspection and grading of manufactured
  or processed dairy products -- Recordkeeping
FORMS: NONE

OMB NO: 0581-0113    EXPIRATION DATE: 03/31/2006
RESPS:5,988          HOURS:1,749          COSTS(000):$0
  Regulations for Inspection of Eggs
FORMS: PY-76 PY-155 PY-156 PY-222 PY-518-1

OMB NO: 0581-0123    EXPIRATION DATE: 04/30/2005
RESPS:23,347         HOURS:1,292          COSTS(000):$0
  Reporting Requirements under the Regulations Governing
  Inspection and Certification of Processed Fruits and Vegetables
  and Related Products
FORMS: FV-159 FV-356 FV-468

OMB NO: 0581-0124    EXPIRATION DATE: 09/30/2003
RESPS:24,000         HOURS:406            COSTS(000):$0
  7 CFR Part 54 - Meats, Prepared Meats, and Meat Products
  (Grading, Certification, and Standards)
FORMS: LS-313 LS-315

OMB NO: 0581-0125    EXPIRATION DATE: 02/29/2004
RESPS:212,306        HOURS:6,416          COSTS(000):$0
  Regulations Governing Inspection, Certification, and Standards
  for Fresh Fruits, Vegetables and Other Products -- 7 CFR 51
FORMS: FV-24 FV-202 FV-237 FV-292

OMB NO: 0581-0126    EXPIRATION DATE: 08/31/2003
RESPS:11,991         HOURS:551            COSTS(000):$0
  Reporting Requirements under Regulations Governing the
  Inspection and Grading Services of Manufactured or Processed
  Dairy Products- FINAL RULE
FORMS: DA-132 DA-155 DA-156 DA-162 DA-201B

OMB NO: 0581-0127    EXPIRATION DATE: 06/30/2004
RESPS:22,978         HOURS:1,781          COSTS(000):$0
  7 CFR Part 70, Regulations for Voluntary Grading of Poultry
  Products and Rabbit Products
FORMS: PY-32 PY-33 PY-210 PY-212

OMB NO: 0581-0128    EXPIRATION DATE: 07/31/2005
RESPS:22,702         HOURS:5,608          COSTS(000):$0
  Regulations Governing the Voluntary Grading of Shell Eggs
FORMS: PY-100 PY-157 PY0240

OMB NO: 0581-0140    EXPIRATION DATE: 05/31/2004
RESPS:1,568          HOURS:392            COSTS(000):$0
  Seed Service Program
FORMS: NONE

OMB NO: 0581-0142    EXPIRATION DATE: 09/30/2003
RESPS:10,434         HOURS:2,947          COSTS(000):$0
  Olives Grown in California
FORMS: COC-149 COC-150

OMB NO: 0581-0143    EXPIRATION DATE: 05/31/2004
RESPS:445            HOURS:2,204          COSTS(000):$0
  Export Fruit Regulations--Export Apple Act (7 CFR Part 33) and
  Export Grape and Plum Act (7 CFR Part 35)
FORMS: NONE

OMB NO: 0581-0154    EXPIRATION DATE: 02/28/2005
RESPS:234,000        HOURS:7,020          COSTS(000):$0
  Livestock and Meat Market News Reports
FORMS: NONE

OMB NO: 0581-0164    EXPIRATION DATE: 06/30/2005
RESPS:190,407,995    HOURS:1,699,596      COSTS(000):$0
  Recordkeeping Requirements for Certified Applicators of
  Federally Restricted Use Pesticides (7 CFR Part 110)
FORMS: STD-8 STD-8-1

OMB NO: 0581-0167    EXPIRATION DATE: 05/31/2003
RESPS:9,600          HOURS:1,632          COSTS(000):$0
  Specified Commodities Imported into the United States Exempt
  from Import Requirements, 7 CFR Parts 944, 980, and 999
FORMS: FV-6 FV-7

OMB NO: 0581-0169    EXPIRATION DATE: 03/31/2004
RESPS:1,430          HOURS:358            COSTS(000):$0
  Farmer's Market Questionnaire
FORMS: TM-6

OMB NO: 0581-0177    EXPIRATION DATE: 02/29/2004
RESPS:4,649          HOURS:852            COSTS(000):$0
  Tart Cherries Grown in the States of Michigan, New York,
  Pennsylvania, Oregon, Utah, Washington, and Wisconsin
FORMS: FV-43 FV-43A FV-44 FV-45 FV-45A FV-46 FV-47 FV-48 FV-49

OMB NO: 0581-0178    EXPIRATION DATE: 04/30/2004
RESPS:122,737        HOURS:9,356          COSTS(000):$0
  Vegetable and Specialty Crops
FORMS: NONE

OMB NO: 0581-0182    EXPIRATION DATE: 10/31/2004
RESPS:8,400          HOURS:700            COSTS(000):$0
  Customer Service Survey for USDA-Donated Food Products
FORMS: AMS-11A 11B 11C

OMB NO: 0581-0183    EXPIRATION DATE: 04/30/2003
RESPS:132            HOURS:3,531          COSTS(000):$0
  7 CFR Part 37 - Program to Accredit Organic Certifying Agencies
FORMS: LS-314

OMB NO: 0581-0186    EXPIRATION DATE: 10/31/2004
RESPS:135,824        HOURS:24,414         COSTS(000):$0
  Livestock Mandatory Reporting Act of 1999
FORMS: LS-113-126 LS-128 LS-129

OMB NO: 0581-0189    EXPIRATION DATE: 07/31/2004
RESPS:38,736         HOURS:10,717         COSTS(000):$0
  Generic OMB Fruit Crops, Marketing Order Administration Branch
FORMS: FV-304

OMB NO: 0581-0190    EXPIRATION DATE: 02/29/2004
RESPS:13,100         HOURS:3,275          COSTS(000):$0
  Pricing Pilot Program
FORMS: Q-P Q-C Q-H

OMB NO: 0581-0191    EXPIRATION DATE: 01/31/2004
RESPS:321,635        HOURS:574,877        COSTS(000):$0
  National Organic Program - Final Rule
FORMS: N/A

OMB NO: 0581-0192    EXPIRATION DATE: 07/31/2003
RESPS:18,000         HOURS:3,000          COSTS(000):$0
  Federal-State Shipping Point Inspection Program Customer Service
  Survey
FORMS: FV-600

OMB NO: 0581-0193    EXPIRATION DATE: 06/30/2003
RESPS:428            HOURS:36             COSTS(000):$0
  Customer Service Survey (Meat Grading and Certification
  Services).
FORMS: NONE

OMB NO: 0581-0194    EXPIRATION DATE: 06/30/2003
RESPS:109,500        HOURS:11,120         COSTS(000):$0
  Pork Promotion, Research, and Consumer Information Program:
  Procedures for the Conduct of Referendum
FORMS: NONE

OMB NO: 0581-0195    EXPIRATION DATE: 02/29/2004
RESPS:50             HOURS:50             COSTS(000):$0
  Marketing Order Committee/Board Interview
FORMS: NONE

OMB NO: 0581-0197    EXPIRATION DATE: 10/31/2004
RESPS:12,903         HOURS:6,134          COSTS(000):$0
  Hass Avocados National Research, Promotion and Consumer
  Information Program
FORMS: NONE

OMB NO: 0581-0198    EXPIRATION DATE: 08/31/2004
RESPS:185,178        HOURS:67,601         COSTS(000):$0
  Lamb Promotion, Reserarch and Information Program - Final Rule
FORMS: LS-78 LS-81 LS-82 LS-83 LS-84 LS-85 AD-755

OMB NO: 0581-0201    EXPIRATION DATE: 07/31/2005
RESPS:1,443          HOURS:250            COSTS(000):$0
  California Prune/Plum Tree Removal Program - Section 32 (as
  amended 7 USC 622c) -- Final Rule
FORMS: 298 299

OMB NO: 0581-0202    EXPIRATION DATE: 01/31/2005
RESPS:4,504          HOURS:1,304          COSTS(000):$0
  Beef Promotion and Research Act of 1985 - Proposed Rule
FORMS: NONE

OMB NO: 0581-0207    EXPIRATION DATE: 03/31/2006
RESPS:672            HOURS:336            COSTS(000):$0
  National Research and Promotion Board, Council, and Committee
  Membership Background Information
FORMS: AMS-755 AMS-755-PM

OMB NO: 0581-0208    EXPIRATION DATE: 02/28/2006
RESPS:24             HOURS:6              COSTS(000):$0
  Dried Prunes Produced in California - Handler Compensation Survey
FORMS: NONE

OMB NO: 0581-0209    EXPIRATION DATE: 02/28/2006
RESPS:173            HOURS:6              COSTS(000):$0
  Mango Promotion, Research, and Information Order
FORMS: NONE

OMB NO: 0581-0210    EXPIRATION DATE: 02/28/2006
RESPS:80             HOURS:4              COSTS(000):$0
  AMS Research and Promotion Customer Service Survey
FORMS: AMS-13

OMB NO: 0581-0211    EXPIRATION DATE: 02/28/2006
RESPS:15             HOURS:4              COSTS(000):$0
  Dried Prunes Produced in California-Prune Dehydrator Survey
FORMS: NONE

OMB NO: 0581-0214    EXPIRATION DATE: 09/30/2003
RESPS:66             HOURS:5              COSTS(000):$0
  Sweet Cherries Grown in Designated Counties in Washington, M.O.
  923
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
52 200,362,630 3,159,333 $0
Food Safety and Inspection Service
OMB NO: 0583-0082    EXPIRATION DATE: 03/31/2004
RESPS:11,490         HOURS:1,091          COSTS(000):$0
  Application for Inspection, Sanitation, Accredited Laboratories
FORMS: 10-600-1 10-110-4 10-110-2 6200-18 5200-8 5200-2 5200-2 PY-38
PY-32

OMB NO: 0583-0092    EXPIRATION DATE: 09/30/2004
RESPS:858            HOURS:119,005        COSTS(000):$0
  Marking, Labeling, and Packaging Material
FORMS: FORM-7234-1

OMB NO: 0583-0094    EXPIRATION DATE: 04/30/2003
RESPS:2,201,058      HOURS:168,711        COSTS(000):$0
  Exportation, Transportation, and Importation of Meat and Poultry
  Products
FORMS: 9060-1 7350-1 9540-1 9510-1

OMB NO: 0583-0103    EXPIRATION DATE: 02/29/2004
RESPS:70,182,657     HOURS:8,559,292      COSTS(000):$243
  Pathogen Reduction/Hazard Analysis and Critical Control Point
  (HACCP) Systems
FORMS: NONE

OMB NO: 0583-0124    EXPIRATION DATE: 07/31/2003
RESPS:307,500        HOURS:392,100        COSTS(000):$0
  E. coli contamination in beef products
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
5 72,703,563 9,240,199 $243
Food and Nutrition Service
OMB NO: 0584-0002    EXPIRATION DATE: 04/30/2003
RESPS:2,976          HOURS:95,232         COSTS(000):$0
  Report of School Program Operations
FORMS: FNS-10

OMB NO: 0584-0005    EXPIRATION DATE: 01/31/2006
RESPS:3,368,061      HOURS:702,767        COSTS(000):$0
  7 CFR Part 215 - Special Milk Program for Children
FORMS: NONE

OMB NO: 0584-0006    EXPIRATION DATE: 05/31/2004
RESPS:2,210,854      HOURS:9,462,622      COSTS(000):$0
  7 CFR Part 210 National School Lunch Program
FORMS: FNS-66 FNS-640 FNS-67

OMB NO: 0584-0008    EXPIRATION DATE: 05/31/2003
RESPS:40,190         HOURS:9,447          COSTS(000):$0
  Food Stamp Program - Store Applications
FORMS: FNS-252 FNS-252-2

OMB NO: 0584-0009    EXPIRATION DATE: 08/31/2004
RESPS:5,700          HOURS:17,100         COSTS(000):$0
  Food coupon Accountability Report
FORMS: FNS-250

OMB NO: 0584-0012    EXPIRATION DATE: 05/31/2004
RESPS:1,283,639      HOURS:4,895,796      COSTS(000):$0
  7 CFR Part 220 School Breakfast Program
FORMS: NONE

OMB NO: 0584-0015    EXPIRATION DATE: 12/31/2004
RESPS:800            HOURS:67             COSTS(000):$0
  Food Stamp Mail Issuance Report
FORMS: FNS-259

OMB NO: 0584-0022    EXPIRATION DATE: 09/30/2004
RESPS:1,326          HOURS:663            COSTS(000):$0
  Requisition for Food Coupon Books
FORMS: FNS-260

OMB NO: 0584-0025    EXPIRATION DATE: 05/31/2003
RESPS:2,939          HOURS:6,595          COSTS(000):$0
  Civil Rights Title VI-Collection Reports-FNS-191 and FNS-101
FORMS: FNS-191 FNS-101

OMB NO: 0584-0026    EXPIRATION DATE: 08/31/2004
RESPS:12,193,997     HOURS:1,021,272      COSTS(000):$0
  7 CFR 245, Determining Eligibility for F & RP Meals and Free Milk
FORMS: NONE

OMB NO: 0584-0034    EXPIRATION DATE: 05/31/2003
RESPS:33,178         HOURS:101,049        COSTS(000):$0
  Negative Quality Control Review Schedule; Status of Sample
  Selection and Completion; Statistical Summary of Sample
  Disposition
FORMS: FNS-245 FNS-247 FNS-248

OMB NO: 0584-0037    EXPIRATION DATE: 03/31/2005
RESPS:100            HOURS:97             COSTS(000):$0
  Report of Coupon Issuance & Commodity Distribution for Disaster
  Relief
FORMS: FNS-292

OMB NO: 0584-0041    EXPIRATION DATE: 06/30/2003
RESPS:1,590          HOURS:1,193          COSTS(000):$0
  Summer Food Service Program Claim for Reimbursement
FORMS: FNS-143

OMB NO: 0584-0043    EXPIRATION DATE: 01/31/2004
RESPS:26,149,238     HOURS:2,734,330      COSTS(000):$0
  WIC Program Regulations - Reporting and Recordkeeping Burden
FORMS: NONE

OMB NO: 0584-0045    EXPIRATION DATE: 07/31/2005
RESPS:17             HOURS:4,660          COSTS(000):$0
  WIC Financial Management and Participation Report with Addendum
FORMS: FNS-798 FNS-798A

OMB NO: 0584-0052    EXPIRATION DATE: 03/31/2005
RESPS:30,000         HOURS:7,500          COSTS(000):$0
  Affidavit of Return or Exchange of Food Coupons
FORMS: FNS-135

OMB NO: 0584-0053    EXPIRATION DATE: 06/30/2003
RESPS:111,312        HOURS:12,127         COSTS(000):$0
  Coupon Account and Destruction Report
FORMS: FNS-471

OMB NO: 0584-0055    EXPIRATION DATE: 12/31/2003
RESPS:4,804,928      HOURS:5,093,852      COSTS(000):$0
  7 CFR Part 226 Child and Adult Care Food Program
FORMS: FNS-82 341 342 344 345 430 431 433

OMB NO: 0584-0064    EXPIRATION DATE: 01/31/2006
RESPS:149,135,163    HOURS:29,422,927     COSTS(000):$0
  Food Stamp Forms: Applications, Periodic Reporting, Notices
FORMS: NONE

OMB NO: 0584-0067    EXPIRATION DATE: 09/30/2005
RESPS:2,052          HOURS:12,922         COSTS(000):$0
  7 CFR Part 235 State Administrative Expense Funds
FORMS: FNS-74 FNS-525

OMB NO: 0584-0069    EXPIRATION DATE: 05/31/2003
RESPS:212            HOURS:742            COSTS(000):$0
  Status of Claims Against Households
FORMS: FNS-209

OMB NO: 0584-0074    EXPIRATION DATE: 11/30/2003
RESPS:54,663         HOURS:491,967        COSTS(000):$0
  Worksheet for Food Stamp Program Quality Control Reveiws, FNS-380
FORMS: FNS-380

OMB NO: 0584-0075    EXPIRATION DATE: 10/31/2004
RESPS:54             HOURS:4,320          COSTS(000):$0
  Annual Report of State Revenue Matching
FORMS: FNS-13

OMB NO: 0584-0078    EXPIRATION DATE: 04/30/2003
RESPS:1,908          HOURS:5,724          COSTS(000):$0
  Report of the Child and Adult Care Food Program
FORMS: FNS-44

OMB NO: 0584-0080    EXPIRATION DATE: 10/31/2004
RESPS:2,808          HOURS:22,416         COSTS(000):$0
  Issuance Reconciliation Report
FORMS: FNS-46

OMB NO: 0584-0081    EXPIRATION DATE: 11/30/2003
RESPS:636            HOURS:4,542          COSTS(000):$0
  Form FNS-388, State Issuance and Participation Estimates
FORMS: FNS-388

OMB NO: 0584-0083    EXPIRATION DATE: 12/31/2005
RESPS:253            HOURS:2,932          COSTS(000):$0
  Operating Guidelines, Forms and Waivers
FORMS: 366-A 366-B

OMB NO: 0584-0085    EXPIRATION DATE: 02/28/2005
RESPS:6,797,351      HOURS:135,947        COSTS(000):$0
  Food Stamp Redemption Certificate
FORMS: FNS-278B FNS-278-4

OMB NO: 0584-0124    EXPIRATION DATE: 11/30/2003
RESPS:3,951,516      HOURS:21,250         COSTS(000):$0
  Food Stamp Program Identification Cards
FORMS: NONE

OMB NO: 0584-0280    EXPIRATION DATE: 04/30/2003
RESPS:347,641        HOURS:316,005        COSTS(000):$0
  Summer Food Service Program -- 7 CFR Part 225
FORMS: FNS-19-1 FNS-19-2 FNS-80 FNS-81 FNS-81-1 FNS-418 FNS-688

OMB NO: 0584-0284    EXPIRATION DATE: 04/30/2003
RESPS:5,200          HOURS:7,540          COSTS(000):$0
  Monthly claim for Reimbursement
FORMS: FNS-806

OMB NO: 0584-0293    EXPIRATION DATE: 06/30/2003
RESPS:918,593        HOURS:1,154,581      COSTS(000):$0
  Food Distribution Forms
FORMS: FNS-7 52 53 57 152 153 155 586A 586B 663

OMB NO: 0584-0299    EXPIRATION DATE: 10/31/2003
RESPS:54,663         HOURS:58,686         COSTS(000):$0
  Quality Control Review Schedule
FORMS: FNS-380-1

OMB NO: 0584-0303    EXPIRATION DATE: 08/31/2004
RESPS:4,326          HOURS:3,830          COSTS(000):$0
  Food Stamp Program Regulations, Part 275 - Quality Control
FORMS: NONE

OMB NO: 0584-0314    EXPIRATION DATE: 09/30/2004
RESPS:136,534        HOURS:1,327          COSTS(000):$0
  Food Coupon Deposit Document
FORMS: FNS-521

OMB NO: 0584-0320    EXPIRATION DATE: 04/30/2003
RESPS:4,163          HOURS:3,122          COSTS(000):$0
  Child Nutrition Labeling Program
FORMS: NONE

OMB NO: 0584-0332    EXPIRATION DATE: 05/31/2003
RESPS:100            HOURS:25             COSTS(000):$0
  WIC Federal and State Agreement
FORMS: FNS-339

OMB NO: 0584-0336    EXPIRATION DATE: 03/31/2006
RESPS:6              HOURS:60             COSTS(000):$0
  Disaster Food Stamp Program
FORMS: NONE

OMB NO: 0584-0339    EXPIRATION DATE: 12/31/2004
RESPS:3,386,325      HOURS:190,541        COSTS(000):$0
  Employment and Training (E&T) Program Report
FORMS: FNS-583

OMB NO: 0584-0385    EXPIRATION DATE: 04/30/2003
RESPS:275            HOURS:963            COSTS(000):$0
  Report of the Emergency Food Assistance Program (TEFAP)
  Administrative
FORMS: FNS-667

OMB NO: 0584-0401    EXPIRATION DATE: 09/30/2004
RESPS:1              HOURS:1,778          COSTS(000):$0
  The Integrity Profile
FORMS: FNS-698 FNS-699 FNS-700

OMB NO: 0584-0431    EXPIRATION DATE: 02/28/2005
RESPS:1              HOURS:15             COSTS(000):$0
  WIC Local Agency Directory Report
FORMS: FNS-648

OMB NO: 0584-0446    EXPIRATION DATE: 04/30/2003
RESPS:843,623        HOURS:71,803         COSTS(000):$0
  Federal Collection; Methods for Food Stamp Program Recipient
  Claims
FORMS: N/A

OMB NO: 0584-0447    EXPIRATION DATE: 02/28/2005
RESPS:2,009          HOURS:4,912          COSTS(000):$0
  WIC Farmers' Market Nutrition Program (FMNP) Forms: 683, 203 &
  Regulations
FORMS: FNS-683 FNS-203

OMB NO: 0584-0474    EXPIRATION DATE: 05/31/2003
RESPS:1,850          HOURS:148            COSTS(000):$0
  A National Hunger Clearinghouse Data Base Form
FORMS: NONE

OMB NO: 0584-0479    EXPIRATION DATE: 08/31/2005
RESPS:69             HOURS:1,380          COSTS(000):$0
  Waivers Under Section 6(0) of the Food Stamp Act
FORMS: NONE

OMB NO: 0584-0492    EXPIRATION DATE: 11/30/2004
RESPS:1,536,129      HOURS:162,560        COSTS(000):$0
  Repayment Demand and Program Disqualification
FORMS: NONE

OMB NO: 0584-0494    EXPIRATION DATE: 02/28/2005
RESPS:100            HOURS:2,500          COSTS(000):$0
  Child Nutrition Database
FORMS: FNS-709 FNS-710

OMB NO: 0584-0496    EXPIRATION DATE: 09/30/2004
RESPS:135            HOURS:256            COSTS(000):$0
  Food Stamp Program: State agency options
FORMS: NONE

OMB NO: 0584-0501    EXPIRATION DATE: 05/31/2003
RESPS:800            HOURS:66             COSTS(000):$0
  Supplemental Form for Collecting Taxpayer Identifying Numbers
FORMS: FNS-711

OMB NO: 0584-0505    EXPIRATION DATE: 03/31/2004
RESPS:15,942         HOURS:7,817          COSTS(000):$0
  Evaluation of the School Breakfast Pilot Program
FORMS: NONE

OMB NO: 0584-0512    EXPIRATION DATE: 05/31/2005
RESPS:505            HOURS:30,000         COSTS(000):$0
  Uniform Grant Application for Non-Entitlement Discretionary
  Grants
FORMS: FNS-728

OMB NO: 0584-0513    EXPIRATION DATE: 06/30/2003
RESPS:630            HOURS:274            COSTS(000):$0
  14 State Summer Food Service Program Pilot Project
FORMS: NONE

OMB NO: 0584-0515    EXPIRATION DATE: 03/31/2004
RESPS:1,113          HOURS:672            COSTS(000):$0
  Case Study of NSLP Verification outcomes in large metropplitan
  ares
FORMS: NONE

OMB NO: 0584-0516    EXPIRATION DATE: 10/31/2003
RESPS:3,216          HOURS:2,308          COSTS(000):$0
  Evaluation of the NSLP Application and Verification and Pilot
  Program
FORMS: NONE

OMB NO: 0584-0517    EXPIRATION DATE: 09/30/2003
RESPS:6,186          HOURS:3,532          COSTS(000):$0
  Nutrition Education Materials for Food and Nutrition Service
  Population Groups
FORMS: NONE

OMB NO: 0584-0521    EXPIRATION DATE: 03/31/2006
RESPS:7,500          HOURS:1,250          COSTS(000):$0
  Interactive Healthy eating Index Questionnaire
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
57 217,465,096 56,320,009 $0
Forest Service
OMB NO: 0596-0003    EXPIRATION DATE: 04/30/2003
RESPS:7,200          HOURS:2,950          COSTS(000):$0
  Grazing Permit Administration Forms
FORMS: R1-FS-2200-5 R2-2200-6 R#-FS-2200-1 R8-2200-23 FS-220-1/2/12
13/15/16/17

OMB NO: 0596-0009    EXPIRATION DATE: 03/31/2004
RESPS:2,919          HOURS:199            COSTS(000):$0
  Residential Fuelwood and Post Assessment, Any State, Year
FORMS: NONE

OMB NO: 0596-0010    EXPIRATION DATE: 06/30/2003
RESPS:2,909          HOURS:2,369          COSTS(000):$0
  Forest Industries Data Collection System
FORMS: NONE

OMB NO: 0596-0015    EXPIRATION DATE: 05/31/2003
RESPS:988            HOURS:248            COSTS(000):$0
  Airplane Pilot Qualifications and Approval Record, Helicopter
  Pilot Qualifications and Approval Record, Airplane Data Record,
  and Helicopter Data Record.
FORMS: FS-5700-20 FS-5700-20A FS-5700-21 FS-5700-21A

OMB NO: 0596-0016    EXPIRATION DATE: 07/31/2003
RESPS:2,000          HOURS:500            COSTS(000):$0
  Use of Roads by Order
FORMS: FS-7700-40

OMB NO: 0596-0017    EXPIRATION DATE: 04/30/2004
RESPS:20             HOURS:20             COSTS(000):$0
  Timber Purchasers' Cost and Sales Data
FORMS: NONE

OMB NO: 0596-0019    EXPIRATION DATE: 11/30/2003
RESPS:320,000        HOURS:16,000         COSTS(000):$0
  Recreation Fee Permit and Visitor Registration Card
FORMS: FS-2300-30 FS-2300-32

OMB NO: 0596-0022    EXPIRATION DATE: 07/31/2005
RESPS:4,208          HOURS:13,174         COSTS(000):$0
  36 CFR Part 228, Subpart A-Locatable Minerals
FORMS: FS-2800-5

OMB NO: 0596-0025    EXPIRATION DATE: 05/31/2004
RESPS:50             HOURS:25             COSTS(000):$0
  Annual Wildfire Summary Report
FORMS: FS-3100-8

OMB NO: 0596-0066    EXPIRATION DATE: 05/31/2003
RESPS:1,600          HOURS:38,672         COSTS(000):$0
  Bid for Advertised Timber
FORMS: FS-2400-42A FS-2400-14

OMB NO: 0596-0078    EXPIRATION DATE: 12/31/2004
RESPS:10,000         HOURS:2,500          COSTS(000):$0
  National Woodland Owner Survey
FORMS: NONE

OMB NO: 0596-0080    EXPIRATION DATE: 04/30/2004
RESPS:58,100         HOURS:14,525         COSTS(000):$0
  Volunteer Application for Natural Resource Agencies
FORMS: FORM-301

OMB NO: 0596-0081    EXPIRATION DATE: 05/31/2004
RESPS:3,000          HOURS:7,500          COSTS(000):$0
  36 CFR Part 228, Subpart C-Disposal of Mineral Materials
FORMS: FS-2800-9

OMB NO: 0596-0082    EXPIRATION DATE: 04/30/2003
RESPS:56,940         HOURS:75,875         COSTS(000):$0
  Special Use Administration
FORMS: NONE

OMB NO: 0596-0084    EXPIRATION DATE: 09/30/2003
RESPS:18,000         HOURS:6,000          COSTS(000):$0
  Youth Conservation Corps Application & Medical History Forms.
FORMS: FS-1800-3 FS-1800-18

OMB NO: 0596-0085    EXPIRATION DATE: 03/31/2005
RESPS:27,750         HOURS:41,366         COSTS(000):$0
  Forest Products Free Use Permit, Forest Products Removal Permit
  and Cash Receipt, and Forest Products Sale Permit and Cash
  Receipt
FORMS: FS-2400-8 FS-2400-1 FS-2400-4

OMB NO: 0596-0086    EXPIRATION DATE: 01/31/2004
RESPS:3,750          HOURS:1,875          COSTS(000):$0
  Operating Plans
FORMS: NONE

OMB NO: 0596-0087    EXPIRATION DATE: 03/31/2004
RESPS:40             HOURS:20             COSTS(000):$0
  Commercial Use of Woodsy Owl Symbol-36 CFR Part 272
FORMS: NONE

OMB NO: 0596-0089    EXPIRATION DATE: 11/30/2003
RESPS:25             HOURS:6              COSTS(000):$0
  Application for Prospecting Permit
FORMS: FS-2800-14

OMB NO: 0596-0099    EXPIRATION DATE: 12/31/2003
RESPS:6,500          HOURS:1,083          COSTS(000):$0
  Application for the Senior Communitry Service Employment Program
FORMS: FS-1800-21B

OMB NO: 0596-0105    EXPIRATION DATE: 06/30/2003
RESPS:200            HOURS:200            COSTS(000):$0
  Agreement to Initiate (ATI) and Exchange Agreement (EA)
FORMS: NONE

OMB NO: 0596-0106    EXPIRATION DATE: 04/30/2003
RESPS:400,000        HOURS:20,000         COSTS(000):$0
  Recreation Fee Permit Envelope
FORMS: FS-2300-26

OMB NO: 0596-0108    EXPIRATION DATE: 04/30/2003
RESPS:1,000          HOURS:416            COSTS(000):$0
  Baseline and Trend Information on Wilderness Use and Users
FORMS: NONE

OMB NO: 0596-0110    EXPIRATION DATE: 04/30/2003
RESPS:57,000         HOURS:9,917          COSTS(000):$0
  Customer and Use Survey Techniques for Operations, Management,
  Evaluation, and Research
FORMS: NONE

OMB NO: 0596-0127    EXPIRATION DATE: 10/31/2003
RESPS:40,000         HOURS:13,333         COSTS(000):$0
  National Survey on Recreation and the Environment
FORMS: NONE

OMB NO: 0596-0129    EXPIRATION DATE: 03/31/2006
RESPS:600            HOURS:150            COSTS(000):$0
  Day Use on the National Forests of Southern California
FORMS: NONE

OMB NO: 0596-0141    EXPIRATION DATE: 05/31/2005
RESPS:80             HOURS:320            COSTS(000):$0
  Small Business Timber Set-Aside Program: Appeal Procedures on
  Recompution of Shares
FORMS: NONE

OMB NO: 0596-0146    EXPIRATION DATE: 09/30/2005
RESPS:15,000         HOURS:1,000          COSTS(000):$0
  How Are We Doing? Customer Service Comment Card
FORMS: FS-1300-5

OMB NO: 0596-0149    EXPIRATION DATE: 03/31/2004
RESPS:9,250          HOURS:3,043          COSTS(000):$0
  Public Information Survey for the Recreation Fee Demonstration
  Programs at Sedona, AZ on the Coconino National Forest and the
  Pacific Northwest Region
FORMS: NONE

OMB NO: 0596-0158    EXPIRATION DATE: 10/31/2003
RESPS:1,210          HOURS:12,100         COSTS(000):$0
  National Forest System Land and Resource Management Planning
FORMS: NONE

OMB NO: 0596-0161    EXPIRATION DATE: 04/30/2004
RESPS:20,000         HOURS:1,667          COSTS(000):$0
  Forest Stewarship and Stewardship Incentive Program Participant
  Demographics
FORMS: NONE

OMB NO: 0596-0162    EXPIRATION DATE: 08/31/2004
RESPS:1,600          HOURS:800            COSTS(000):$0
  Improve Management of the Tongass National Forest and Service to
  Southeast Alaska Residents
FORMS: NONE

OMB NO: 0596-0163    EXPIRATION DATE: 07/31/2004
RESPS:22,000         HOURS:1,833          COSTS(000):$0
  Title Publication Comment Card
FORMS: NONE

OMB NO: 0596-0164    EXPIRATION DATE: 08/31/2004
RESPS:1,500          HOURS:1,250          COSTS(000):$0
  Health Screen Questionarie (HSQ)
FORMS: FS-5100-30 FS-5100-31

OMB NO: 0596-0167    EXPIRATION DATE: 04/30/2003
RESPS:25             HOURS:50             COSTS(000):$0
  Urgent Removal of Timber
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
35 1,095,464 290,986 $0

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
479 546,557,927 97,375,727 $84,993
(RETURN TO AGENCY LIST)

Department of Commerce
General Administration
OMB NO: 0605-0001    EXPIRATION DATE: 04/30/2003
RESPS:2,710          HOURS:678            COSTS(000):$0
  Applicant for Funding Assistance
FORMS: CD-346-LF

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
1 2,710 678 $0
Bureau of the Census
OMB NO: 0607-0008    EXPIRATION DATE: 07/31/2003
RESPS:72,000         HOURS:24,000         COSTS(000):$0
  Manufacturers' Shipments, Inventories, and Orders Survey
FORMS: M-3(SD) M3-SD(I) M3-1-L1

OMB NO: 0607-0013    EXPIRATION DATE: 10/31/2005
RESPS:22,977         HOURS:9,299          COSTS(000):$0
  Annual Retail Trade Survey
FORMS: SA-44 SA-44A SA-44C SA-44E SA-44N SA-44S SA-45 SA-45C SA-721

OMB NO: 0607-0049    EXPIRATION DATE: 07/31/2005
RESPS:684,000        HOURS:18,012         COSTS(000):$0
  Current Population Survey (CPS) Basic Demographics
FORMS: CPS263 CPS263(SP) CPS263A CPS264 CPS264(SP) CPS264A CPS266
BC1428 BC-1428(SP) BC1428(SP)

OMB NO: 0607-0094    EXPIRATION DATE: 02/29/2004
RESPS:113,600        HOURS:20,693         COSTS(000):$0
  Report of Privately-owned Residential Building or Zoning Permits
FORMS: C-404

OMB NO: 0607-0104    EXPIRATION DATE: 12/31/2003
RESPS:54,000         HOURS:4,500          COSTS(000):$0
  Advance Monthly Retail Sales Survey
FORMS: SM-44(00)A SM-44(00)AS SM-44(00)AE SM-72(00)A

OMB NO: 0607-0110    EXPIRATION DATE: 07/31/2003
RESPS:112,736        HOURS:9,395          COSTS(000):$0
  Survey of Housing Starts, Sales, and Completion
FORMS: SOC-QI/SF.1 SOC-QI/MF.1

OMB NO: 0607-0112    EXPIRATION DATE: 09/30/2003
RESPS:23,616         HOURS:5,957          COSTS(000):$0
  Quarterly Survey of State and Local Tax Revenues
FORMS: F-71 F-72 F-73

OMB NO: 0607-0117    EXPIRATION DATE: 06/30/2004
RESPS:11,106         HOURS:1,775          COSTS(000):$266
  U.S. Census - Age Search
FORMS: BC-600 BC-649(L) BC-658(L)

OMB NO: 0607-0125    EXPIRATION DATE: 05/31/2003
RESPS:900            HOURS:225            COSTS(000):$0
  Questionnaire for Building Permit Officials
FORMS: SOC-QBPO

OMB NO: 0607-0130    EXPIRATION DATE: 12/31/2005
RESPS:9,600          HOURS:2,400          COSTS(000):$0
  Quarterly Survey of Residential Alterations and Repairs
FORMS: SORAR-705

OMB NO: 0607-0139    EXPIRATION DATE: 08/31/2005
RESPS:16,600         HOURS:4,150          COSTS(000):$0
  Census Employment Inquiry
FORMS: BC-170

OMB NO: 0607-0143    EXPIRATION DATE: 01/31/2006
RESPS:400            HOURS:300            COSTS(000):$0
  Quarterly Survey of Public Employee-Retirement Systems
FORMS: F10

OMB NO: 0607-0151    EXPIRATION DATE: 11/30/2004
RESPS:13,662         HOURS:40,986         COSTS(000):$0
  Boundary and Annexation Survey (BAS)
FORMS: BAS-1 BAS-1A BAS-2 BAS-2A BAS-2CUO BAS-3 BAS-3A BAS-4 BAS-5
BAS-5A

OMB NO: 0607-0152    EXPIRATION DATE: 04/30/2005
RESPS:15,043,756     HOURS:944,188        COSTS(000):$1,000
  Shipper's Export Declaration (SED)/Automated Export System (AES)
  Program
FORMS: 7525-V AES

OMB NO: 0607-0153    EXPIRATION DATE: 04/30/2004
RESPS:161,280        HOURS:40,320         COSTS(000):$0
  Construction Project Reporting Surveys (Private Construction
  Projects (C-700), State and Local Governments Projects (C-700
  (SL)), and Multifamily Residential Projects (C-700(R))
FORMS: C-700 C-700(SL) C-700(R)

OMB NO: 0607-0175    EXPIRATION DATE: 09/30/2004
RESPS:17,250         HOURS:38,813         COSTS(000):$0
  Survey of Plant Capacity Utilization
FORMS: MQC1

OMB NO: 0607-0179    EXPIRATION DATE: 10/31/2005
RESPS:69,120         HOURS:3,456          COSTS(000):$0
  Housing Vacancy Survey (HVS)
FORMS: NONE

OMB NO: 0607-0189    EXPIRATION DATE: 08/31/2005
RESPS:43,600         HOURS:9,448          COSTS(000):$0
  Business and Professional Classification Report
FORMS: SQ-CLASS

OMB NO: 0607-0190    EXPIRATION DATE: 07/31/2005
RESPS:45,600         HOURS:5,320          COSTS(000):$0
  Monthly Wholesale Trade Survey
FORMS: SM-42(00)

OMB NO: 0607-0195    EXPIRATION DATE: 10/31/2004
RESPS:6,000          HOURS:2,364          COSTS(000):$0
  Annual Trade Survey
FORMS: SA-42 SA-42A

OMB NO: 0607-0206    EXPIRATION DATE: 08/31/2004
RESPS:5,835          HOURS:2,059          COSTS(000):$0
  Current Industrial Reports (CIR) Program (WAVE II-Voluntary)
FORMS: M327G M331J MQ311A MQ325A MQ325C MQ335F MQ335C MA311D MA333N
MA335L

OMB NO: 0607-0350    EXPIRATION DATE: 03/31/2005
RESPS:2,000          HOURS:500            COSTS(000):$0
  Survey of Building and Zoning Permit Systems
FORMS: C-411

OMB NO: 0607-0354    EXPIRATION DATE: 10/31/2003
RESPS:80,550         HOURS:33,563         COSTS(000):$0
  Annual Demographic Survey -- 2001
FORMS: CPS-580 CPS-580(SP) CPS-676 CPS-676(SP)

OMB NO: 0607-0368    EXPIRATION DATE: 05/31/2005
RESPS:851,525        HOURS:114,421        COSTS(000):$0
  Special Census Program
FORMS: SC-1 SC-1SUPP SC-2 SC-920 SC-116 SC-351 SC-921(HU) SC-921(SP)

OMB NO: 0607-0392    EXPIRATION DATE: 08/31/2003
RESPS:13,661         HOURS:8,522          COSTS(000):$0
  Current Industrial Reports Program (WAVE-I Mandatory)
FORMS: M311H M311M M311N MA325F MA327C MA331A MA331B MA331E MA333A
MA333M

OMB NO: 0607-0393    EXPIRATION DATE: 08/31/2003
RESPS:3,322          HOURS:2,092          COSTS(000):$0
  Current Industrial Reports (CIR) Program (WAVE I - Voluntary)
FORMS: M336L MQ325B MQ327D MQ332E

OMB NO: 0607-0395    EXPIRATION DATE: 08/31/2004
RESPS:24,012         HOURS:15,115         COSTS(000):$0
  Current Industrial Reports Program (WAVE-II - Mandatory)
FORMS: MA316A MA321T MA325G M311J M311L M313N M313P MQ314X MQ315A
MQ333W

OMB NO: 0607-0404    EXPIRATION DATE: 05/31/2005
RESPS:500            HOURS:59             COSTS(000):$0
  Field Representative Exit Questionnaire, Enumerator Exit
  Questionnaire
FORMS: BC-1294 BC-1294(D)

OMB NO: 0607-0422    EXPIRATION DATE: 10/31/2005
RESPS:48,686         HOURS:39,822         COSTS(000):$0
  Service Annual Survey
FORMS: SA-484 SA-492 SA-493 SA-511 SA-512 SA-513 SA-514 SA-523 SA-532
SA-541

OMB NO: 0607-0432    EXPIRATION DATE: 07/31/2004
RESPS:37,800         HOURS:77,708         COSTS(000):$0
  Quarterly Financial Report (QFR)
FORMS: QFR-101(MG) 101A(MG) 102(TR) 103(NB)

OMB NO: 0607-0444    EXPIRATION DATE: 11/30/2003
RESPS:182,000        HOURS:91,255         COSTS(000):$0
  2002 Company Organization Survey
FORMS: NC-99001

OMB NO: 0607-0452    EXPIRATION DATE: 01/31/2005
RESPS:96,591         HOURS:14,542         COSTS(000):$0
  Government Employment Forms
FORMS: E-1 E-2 E-3 E-4 E-5 E-6 E-7 E-9

OMB NO: 0607-0459    EXPIRATION DATE: 09/30/2004
RESPS:30             HOURS:15             COSTS(000):$0
  School Enrollment Report
FORMS: P-4

OMB NO: 0607-0464    EXPIRATION DATE: 08/31/2005
RESPS:57,000         HOURS:4,275          COSTS(000):$0
  The 2002 October School Enrollment Supplement to the Current
  Population Survey
FORMS: NONE

OMB NO: 0607-0466    EXPIRATION DATE: 09/30/2003
RESPS:48,000         HOURS:1,200          COSTS(000):$0
  Current Population Survey (CPS) - November Voting and
  Registration Supplement
FORMS: NONE

OMB NO: 0607-0476    EXPIRATION DATE: 09/30/2005
RESPS:11,641         HOURS:10,274         COSTS(000):$0
  Current Industrial Reports (CIR) Program (Wave III-Mandatory and
  Voluntary)
FORMS: M311H-M311L M311M-M311N M336G-MQ313D MQ313T-MA311D MA315D-MA327E
MA333D-MA333F MA333N MA334P MA334R MA335L

OMB NO: 0607-0585    EXPIRATION DATE: 03/31/2005
RESPS:47,981         HOURS:115,076        COSTS(000):$0
  Governments - Finance Forms
FORMS: F-5 F-11 F-12 F-13 F-21 F-22 F-25 F-28 F-29 F-32

OMB NO: 0607-0700    EXPIRATION DATE: 08/31/2003
RESPS:3,500          HOURS:3,737          COSTS(000):$0
  Annual Survey of Local Government Finances, School Systems
FORMS: F-33 F-33-1 F-33-L1 F-33-L2 F-33-L3

OMB NO: 0607-0717    EXPIRATION DATE: 06/30/2005
RESPS:113,004        HOURS:14,761         COSTS(000):$0
  Current Retail Sales and Inventory Survey
FORMS: SM-44(00)S SM-44(00)SE SM-44(00)SS SM-44(00)B SM-44(00)BE
SM-44(00)BS SM-44(00)L SM-20(00)LE SM-44(00)LS SM-45(00)S

OMB NO: 0607-0725    EXPIRATION DATE: 08/31/2004
RESPS:5,500          HOURS:5,500          COSTS(000):$0
  Questionnaire Pretesting Research
FORMS: NONE

OMB NO: 0607-0760    EXPIRATION DATE: 09/30/2004
RESPS:8,000          HOURS:4,000          COSTS(000):$0
  Data User Evaluation Surveys
FORMS: VARIOUS

OMB NO: 0607-0782    EXPIRATION DATE: 02/29/2004
RESPS:61,000         HOURS:145,000        COSTS(000):$0
  Annual Capital Expenditures Survey
FORMS: ACE-1(S) ACE-1(M) ACE-1(LONG) ACE-1(I) ACE-2 ACE-2(I)

OMB NO: 0607-0809    EXPIRATION DATE: 04/30/2004
RESPS:114,500        HOURS:3,725          COSTS(000):$0
  MAF and TIGER Update Activities
FORMS: NONE

OMB NO: 0607-0810    EXPIRATION DATE: 06/30/2005
RESPS:3,063,000      HOURS:1,927,300      COSTS(000):$0
  The American Community Survey
FORMS: ACS-1(2003) ACS-1(2003)PR ACS-1(GQ) ACS-3(GQ) ACS-4(GQ) ACS-290

OMB NO: 0607-0875    EXPIRATION DATE: 02/29/2004
RESPS:243,750        HOURS:119,378        COSTS(000):$0
  2001 Panel of the Survey of Income and Program Participation,
  Wave 8 Topical Modules
FORMS: 21805(L) SIPP/CAPI 21003

OMB NO: 0607-0879    EXPIRATION DATE: 09/30/2003
RESPS:3,000          HOURS:15,600         COSTS(000):$0
  Census 2000 Count Question Resolution Program
FORMS: NONE

OMB NO: 0607-0880    EXPIRATION DATE: 06/30/2004
RESPS:480,000        HOURS:720,000        COSTS(000):$0
  2002 Economic Census Covering the Wholesale Trade Sector
FORMS: SEE-ATTACHED

OMB NO: 0607-0881    EXPIRATION DATE: 06/30/2004
RESPS:1,615,029      HOURS:1,282,100      COSTS(000):$0
  2002 Economic Census Covering the Retail Trade and Accommodation
  and Food Services Sectors
FORMS: SEE-ATTACHED

OMB NO: 0607-0882    EXPIRATION DATE: 07/31/2004
RESPS:633,007        HOURS:829,579        COSTS(000):$0
  2002 Economic Census Covering Utilities; Transportation and
  Warehousing; Finance and Insurance, and Real Estate and Rental
  and Leasing Sectors
FORMS: SEE-ATTACHED

OMB NO: 0607-0883    EXPIRATION DATE: 07/31/2004
RESPS:160,000        HOURS:45,833         COSTS(000):$0
  2002 Economic Census Classification Report
FORMS: NC-99026

OMB NO: 0607-0884    EXPIRATION DATE: 07/31/2004
RESPS:400,000        HOURS:66,666         COSTS(000):$0
  2002 Economic Census General Classification Report
FORMS: NC-99023 NC-99023-L-1 NC-99023-L-11 NC-99500

OMB NO: 0607-0886    EXPIRATION DATE: 08/31/2004
RESPS:2,442,300      HOURS:48,846         COSTS(000):$0
  2002 Economic Census Ownership or Control Flier
FORMS: SEE-ATTACHED

OMB NO: 0607-0887    EXPIRATION DATE: 09/30/2004
RESPS:1,556,857      HOURS:1,403,061      COSTS(000):$0
  2002 Economic Census Covering Information; Professional,
  Scientific, and Technical Services; Management of Companies and
  Enterprise; Administrative and Support and Waste Management ...
FORMS: SEE-ATTACHED

OMB NO: 0607-0888    EXPIRATION DATE: 09/30/2004
RESPS:90,000         HOURS:22,500         COSTS(000):$0
  2002 Census of Governments Local Government Directory Survey
FORMS: G-26 G-28 G-29 G-30 G-32 G-33

OMB NO: 0607-0889    EXPIRATION DATE: 10/31/2004
RESPS:200,000        HOURS:400,000        COSTS(000):$0
  2002 Economic Census - Commodity Flow Survey (CFS)
FORMS: CFS-1000

OMB NO: 0607-0892    EXPIRATION DATE: 08/31/2004
RESPS:135,300        HOURS:85,170         COSTS(000):$0
  2002 Vehicle Inventory and Use Survey
FORMS: TC-9501 TC-9502

OMB NO: 0607-0893    EXPIRATION DATE: 08/31/2004
RESPS:130,000        HOURS:325,000        COSTS(000):$0
  2002 Economic Census Covering the Construction Sector
FORMS: CC-23601 CC-23701 CC-23702 CC-23703 CC-23801 CC-23802 CC-23803
CC-23804 CC-23806 CC-23807

OMB NO: 0607-0894    EXPIRATION DATE: 06/30/2004
RESPS:61,500         HOURS:55,750         COSTS(000):$0
  2002 Economic Census of Puerto Rico and Island Areas, covering
  Puerto Rico, U.S. Virgin Islands, Guam, the Commonwealth of the
  Northern Mariana Islands, and American Samoa
FORMS: OA-97120 OA-97220 OA-97123 OA-97223 OA-97130 OA-97230 OA-97142
OA-97242 OA-97144 OA-97244

OMB NO: 0607-0897    EXPIRATION DATE: 08/31/2004
RESPS:14,500         HOURS:55,080         COSTS(000):$0
  2002 Economic Census Covering the Mining Sector
FORMS: MI-21101 MI-21102 MI-21201 MI-21202 MI-21203 MI-21204 MI-21205
MI-21206 MI-21207 MI-21208

OMB NO: 0607-0899    EXPIRATION DATE: 08/31/2004
RESPS:260,000        HOURS:940,200        COSTS(000):$0
  2002 Economic Census Covering the Manufacturing Sector
FORMS: MA10000 MC31000 MC33000

OMB NO: 0607-0900    EXPIRATION DATE: 12/31/2003
RESPS:240,000        HOURS:40,000         COSTS(000):$0
  2003 National Census Test
FORMS: DA-11A DA-1B DA-1C DA-1D DA-1DD DA-1(RH-1) DA-1(RH-2) DA-1(RH-3)
DA-1(RH-4) DA-1(RH-6)

OMB NO: 0607-0901    EXPIRATION DATE: 12/31/2003
RESPS:95,375         HOURS:158,710        COSTS(000):$0
  2002 Business Expenses Survey
FORMS: SA-5678(B)

OMB NO: 0607-0902    EXPIRATION DATE: 12/31/2005
RESPS:2,500,000      HOURS:416,666        COSTS(000):$0
  2002 Survey of Business Owners and Self-Employed Persons
FORMS: SBO-1 SBO-2

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
63 32,662,059 10,850,261 $1,266
Economic and Statistical Analysis
OMB NO: 0608-0002    EXPIRATION DATE: 07/31/2005
RESPS:1,336          HOURS:3,273          COSTS(000):$0
  Institutional Remittances to Foreign Countries (Form BE-40)
FORMS: BE-40

OMB NO: 0608-0004    EXPIRATION DATE: 11/30/2003
RESPS:50,000         HOURS:62,500         COSTS(000):$0
  Direct Transactions of U.S. Reporter with Foreign Affiliate
FORMS: BE-577

OMB NO: 0608-0009    EXPIRATION DATE: 12/31/2005
RESPS:15,800         HOURS:19,750         COSTS(000):$0
  Transactions of U.S. Affiliate, Except a U.S. Banking Affiliate,
  with Foreign Parent (BE-605); and Transactions of U.S. Banking
  Affiliate with Foreign Parent (BE-605 Bank)
FORMS: BE-605 BE-605-BANK

OMB NO: 0608-0011    EXPIRATION DATE: 10/31/2004
RESPS:248            HOURS:1,148          COSTS(000):$0
  Ocean Freight Revenues and Expenses of United States Carriers
  (BE-30) U.S. Airline Operators' Foreign Revenues and Expenses
  (BE-37)
FORMS: BE-30 BE-37

OMB NO: 0608-0012    EXPIRATION DATE: 05/31/2004
RESPS:160            HOURS:640            COSTS(000):$0
  Foreign Ocean Carriers' Expenses in the United States
FORMS: BE-29

OMB NO: 0608-0013    EXPIRATION DATE: 05/31/2004
RESPS:72             HOURS:360            COSTS(000):$0
  Foreign Airline Operators' Revenues and Expenses in the United
  States
FORMS: BE-36

OMB NO: 0608-0015    EXPIRATION DATE: 12/31/2004
RESPS:155            HOURS:700            COSTS(000):$0
  Annual Survey of Construction, Engineering, Architectural, and
  Mining Services Provided by U.S. Firms to Unaffiliated Foreign
  Persons
FORMS: BE-47

OMB NO: 0608-0016    EXPIRATION DATE: 10/31/2004
RESPS:325            HOURS:1,300          COSTS(000):$0
  Annual Survey of Reinsurance and Other Insurance Transactions by
  US Insurance Companies with Foreign Persons
FORMS: 48

OMB NO: 0608-0017    EXPIRATION DATE: 11/30/2003
RESPS:350            HOURS:1,400          COSTS(000):$0
  Annual Survey of Royalties, License Fees, and Other Receipts and
  Payments for Intangible Rights Between U.S.
FORMS: BE-98

OMB NO: 0608-0034    EXPIRATION DATE: 10/31/2004
RESPS:4,975          HOURS:128,000        COSTS(000):$0
  Annual Survey of Foreign Direct Investment in the United States
FORMS: BE-15(LF) BE-15(SF) BE-15(SUPP-C)

OMB NO: 0608-0035    EXPIRATION DATE: 12/31/2003
RESPS:1,200          HOURS:1,800          COSTS(000):$0
  Initial Report on a Foreign Person's Direct or Indirect
  Acquisition, Establishment, or Purchase of the Operating Assets,
  of a U.S. Business Enterprise, Including Real Estate (BE-13); and
FORMS: BE-13 BE-14

OMB NO: 0608-0042    EXPIRATION DATE: 12/31/2005
RESPS:17,700         HOURS:199,500        COSTS(000):$0
  Benchmark Survey of Foreign Direct Investment in the United
  States - 2002
FORMS: BE-12(LF) BE-12(SF) BE-12-BANK BE-12(X)

OMB NO: 0608-0053    EXPIRATION DATE: 11/30/2003
RESPS:1,500          HOURS:102,600        COSTS(000):$0
  Annual Survey of U.S. Direct Investment Abroad (BE-11)
FORMS: BE-11A BE-11B(LF) BE-11B(SF) BE-11C

OMB NO: 0608-0058    EXPIRATION DATE: 10/31/2004
RESPS:1,100          HOURS:13,200         COSTS(000):$0
  Benchmark Survey of Selected Services Transactions with
  Unaffili- ated Foreign Persons
FORMS: 20

OMB NO: 0608-0060    EXPIRATION DATE: 10/31/2005
RESPS:1,600          HOURS:18,400         COSTS(000):$0
  Annual Survey of Selected Services Transaction with Unaffiliated
  Foreign Persons
FORMS: BE-22

OMB NO: 0608-0063    EXPIRATION DATE: 09/30/2003
RESPS:375            HOURS:2,600          COSTS(000):$0
  Annual Survey of Financial Services Transactions Between U.S.
  Financial Services Providers and Unaffiliated Foreign Persons
FORMS: BE-82

OMB NO: 0608-0064    EXPIRATION DATE: 12/31/2003
RESPS:1              HOURS:800            COSTS(000):$0
  STAT-USA Customer Satisfaction Survey
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
17 96,897 557,971 $0
Economic Development Administration
OMB NO: 0610-0091    EXPIRATION DATE: 03/31/2005
RESPS:193            HOURS:1,544          COSTS(000):$0
  Petition by a Firm for Certification of Eligibility to Apply for
  Trade Adjustment Assistance
FORMS: ED-840P

OMB NO: 0610-0093    EXPIRATION DATE: 12/31/2005
RESPS:640            HOURS:34,430         COSTS(000):$77
  Guidelines for Comprehensive Economic Development Strategy
FORMS: NONE

OMB NO: 0610-0094    EXPIRATION DATE: 02/28/2006
RESPS:1,900          HOURS:48,700         COSTS(000):$104
  Proposal for Federal Assistance and Application for Federal
  Assistance
FORMS: ED-900P ED-900A ED-900R

OMB NO: 0610-0095    EXPIRATION DATE: 09/30/2005
RESPS:1,254          HOURS:15,448         COSTS(000):$0
  Revolving Loan Fund Reporting Requirements
FORMS: ED-209A ED-209S ED-209I

OMB NO: 0610-0096    EXPIRATION DATE: 02/28/2006
RESPS:1,160          HOURS:23,200         COSTS(000):$0
  Requirements for Approved Construction Investments-Ninth Edition
  (Revised)
FORMS: NONE

OMB NO: 0610-0097    EXPIRATION DATE: 02/29/2004
RESPS:50             HOURS:150            COSTS(000):$1
  Award for Excellence in Economic Development
FORMS: NONE

OMB NO: 0610-0098    EXPIRATION DATE: 06/30/2005
RESPS:2,469          HOURS:21,009         COSTS(000):$0
  Data Collection for Compliance with Government Performance and
  Results Act of 1993 (GPRA)
FORMS: ED-915 ED-916 ED-917 ED-918

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
7 7,666 144,481 $182
International Trade Administration
OMB NO: 0625-0034    EXPIRATION DATE: 06/30/2005
RESPS:2,000          HOURS:167            COSTS(000):$0
  Mission/Exhibition Evaluation
FORMS: ITA-4075P

OMB NO: 0625-0035    EXPIRATION DATE: 05/31/2005
RESPS:2,000          HOURS:1,000          COSTS(000):$0
  Product Characteristics-Design Check-Off Lists
FORMS: ITA-426P

OMB NO: 0625-0037    EXPIRATION DATE: 07/31/2004
RESPS:50             HOURS:100            COSTS(000):$0
  Request for Duty-Free Entry of Scientific Instrument or Apparatus
FORMS: ITA-338P

OMB NO: 0625-0039    EXPIRATION DATE: 03/31/2005
RESPS:1,000          HOURS:490            COSTS(000):$0
  Overseas Business Interest Questionnaire
FORMS: ITA-471P

OMB NO: 0625-0040    EXPIRATION DATE: 11/30/2005
RESPS:14             HOURS:14             COSTS(000):$0
  Application of License to Enter Watches and Watch Movements into
  the Customs Territory of the U.S. - Public Law 97-446
FORMS: ITA-334P

OMB NO: 0625-0047    EXPIRATION DATE: 05/31/2005
RESPS:4,000          HOURS:3,000          COSTS(000):$0
  Marketing Data Form
FORMS: ITA-466P

OMB NO: 0625-0055    EXPIRATION DATE: 08/31/2004
RESPS:40             HOURS:40             COSTS(000):$0
  NATO ICB Bidders List Application
FORMS: ITA-4023P

OMB NO: 0625-0061    EXPIRATION DATE: 07/31/2005
RESPS:2,200          HOURS:733            COSTS(000):$0
  Commercial News USA
FORMS: ITA-4063P

OMB NO: 0625-0065    EXPIRATION DATE: 07/31/2004
RESPS:60             HOURS:1,644          COSTS(000):$0
  Application for the President's "E" and "E Star" Awards for
  Export Expansion
FORMS: 725A

OMB NO: 0625-0105    EXPIRATION DATE: 07/31/2005
RESPS:55             HOURS:2,200          COSTS(000):$0
  Petition Format for Requesting Relief Under U.S. Antidumping
  Duty Law
FORMS: ITA-357P

OMB NO: 0625-0109    EXPIRATION DATE: 12/31/2004
RESPS:150            HOURS:13,352         COSTS(000):$0
  Annual Report from Foreign-Trade Zones
FORMS: ITA-359P

OMB NO: 0625-0118    EXPIRATION DATE: 10/31/2004
RESPS:4,560          HOURS:304            COSTS(000):$0
  Information on Articles for Physically or Mentally Handicapped
  Persons Imported Free of Duty
FORMS: ITA-362P

OMB NO: 0625-0120    EXPIRATION DATE: 07/31/2005
RESPS:12,000         HOURS:3,000          COSTS(000):$0
  Export Trading Companies Contact Faciliation Services
FORMS: ITA-4094P

OMB NO: 0625-0125    EXPIRATION DATE: 06/30/2005
RESPS:30             HOURS:960            COSTS(000):$0
  Application for an Export Trade Certificate of Review
FORMS: ITA-4093P

OMB NO: 0625-0130    EXPIRATION DATE: 05/31/2005
RESPS:90             HOURS:900            COSTS(000):$0
  Trade Fair Certification Program: Application
FORMS: ITA-4100P

OMB NO: 0625-0134    EXPIRATION DATE: 12/31/2005
RESPS:394            HOURS:66             COSTS(000):$0
  Wach Duty-Exemption and 7114 Jewelry Duty-Refund Program
FORMS: ITA-340P ITA-360P ITA-361P

OMB NO: 0625-0139    EXPIRATION DATE: 12/31/2004
RESPS:100            HOURS:9,314          COSTS(000):$0
  Foreign-Trade Zone Application
FORMS: NONE

OMB NO: 0625-0143    EXPIRATION DATE: 07/31/2005
RESPS:2,675          HOURS:483            COSTS(000):$0
  Information Services Order Form
FORMS: ITA-4096P

OMB NO: 0625-0147    EXPIRATION DATE: 04/30/2003
RESPS:7,500          HOURS:2,792          COSTS(000):$0
  Participation Agreement and Trade Mission Application
FORMS: ITA-4008P ITA-4008P-1 ITA-4008P-A

OMB NO: 0625-0148    EXPIRATION DATE: 12/31/2003
RESPS:5              HOURS:200            COSTS(000):$0
  Format for Petition Requesting Relief Under U.S. Countervailing
  Duty Law
FORMS: ITA-366P

OMB NO: 0625-0151    EXPIRATION DATE: 12/31/2003
RESPS:5,510          HOURS:1,060          COSTS(000):$0
  International Buyer Program: Application and Exhibitor Data
FORMS: 4014P 4102P

OMB NO: 0625-0200    EXPIRATION DATE: 12/31/2005
RESPS:1              HOURS:15             COSTS(000):$0
  Antidumping and Countervailing Duties, Procedures for Initiation
  of Downstream Product Monitoring
FORMS: 4119P

OMB NO: 0625-0211    EXPIRATION DATE: 07/31/2005
RESPS:384            HOURS:1,152          COSTS(000):$0
  U.S.-Japan Semiconductor Agreement Data Collection Program
FORMS: ITA-4115P

OMB NO: 0625-0215    EXPIRATION DATE: 05/31/2005
RESPS:60             HOURS:60             COSTS(000):$0
  Certified Trade Mission: Application for Status
FORMS: ITA-4127P

OMB NO: 0625-0217    EXPIRATION DATE: 07/31/2005
RESPS:21,280         HOURS:3,381          COSTS(000):$0
  User Satisfaction Surveys
FORMS: ITA-4107P ITA-4110P

OMB NO: 0625-0220    EXPIRATION DATE: 03/31/2005
RESPS:430            HOURS:205            COSTS(000):$0
  Advocacy Questionnaire
FORMS: ITA-4133P

OMB NO: 0625-0224    EXPIRATION DATE: 10/31/2004
RESPS:265            HOURS:465            COSTS(000):$0
  American Management and Business Internship Training (AMBIT)
  Program: Applications
FORMS: NONE

OMB NO: 0625-0225    EXPIRATION DATE: 10/31/2004
RESPS:3,035          HOURS:6,793          COSTS(000):$0
  SABIT: Applications and Questionnaires
FORMS: NONE

OMB NO: 0625-0227    EXPIRATION DATE: 07/31/2005
RESPS:1              HOURS:24,840         COSTS(000):$0
  Survey of International Air Travelers
FORMS: NONE

OMB NO: 0625-0228    EXPIRATION DATE: 12/31/2003
RESPS:200            HOURS:100            COSTS(000):$0
  Application for Designation of a Fair
FORMS: 4135P

OMB NO: 0625-0231    EXPIRATION DATE: 09/30/2004
RESPS:200            HOURS:33             COSTS(000):$0
  BISNIS FinanceLink
FORMS: NONE

OMB NO: 0625-0232    EXPIRATION DATE: 09/30/2003
RESPS:2,000          HOURS:350            COSTS(000):$0
  Internet Export Finance Matchmaker
FORMS: NONE

OMB NO: 0625-0236    EXPIRATION DATE: 11/30/2005
RESPS:2,040          HOURS:170            COSTS(000):$0
  BISNIS Publication Subscription Form
FORMS: NONE

OMB NO: 0625-0237    EXPIRATION DATE: 12/31/2005
RESPS:9,250          HOURS:1,250          COSTS(000):$0
  Export Assistance Center Internet Website Form
FORMS: NONE

OMB NO: 0625-0238    EXPIRATION DATE: 08/31/2003
RESPS:50             HOURS:100            COSTS(000):$0
  U.S. Government Trade Information Request
FORMS: ITA-4136P

OMB NO: 0625-0239    EXPIRATION DATE: 05/31/2004
RESPS:1,500          HOURS:550            COSTS(000):$0
  Information for Certification Under FAQ 6 of the Safe Harbor
  Privacy Principles
FORMS: NONE

OMB NO: 0625-0240    EXPIRATION DATE: 07/31/2004
RESPS:68             HOURS:352            COSTS(000):$0
  Imports of Certain Worsted Wool Fabric: Implementation of Tariff
  Rate Quotas Established Under Title VI of the Trade and
  Development Act of 2000.
FORMS: ITA-4139P ITA-4140P

OMB NO: 0625-0241    EXPIRATION DATE: 04/30/2004
RESPS:200            HOURS:33             COSTS(000):$0
  Non-Tariffs Barriers Survey
FORMS: NONE

OMB NO: 0625-0245    EXPIRATION DATE: 09/30/2005
RESPS:1,000,000      HOURS:166,667        COSTS(000):$0
  Steel Import License
FORMS: 4141P

OMB NO: 0625-0246    EXPIRATION DATE: 09/30/2003
RESPS:1,600          HOURS:400            COSTS(000):$0
  ITA Customer Satisfaction Survey
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
40 1,086,997 248,735 $0
Minority Business Development Agency
OMB NO: 0640-0002    EXPIRATION DATE: 12/31/2005
RESPS:2,670          HOURS:5,473          COSTS(000):$0
  Online Performance Database, the Online Phoenix Database and the
  Online Opportunity Database
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
1 2,670 5,473 $0
National Oceanic and Atmospheric Administration
OMB NO: 0648-0007    EXPIRATION DATE: 07/31/2004
RESPS:100            HOURS:50             COSTS(000):$0
  Coast Pilot Report
FORMS: FORM-77-6

OMB NO: 0648-0009    EXPIRATION DATE: 03/31/2005
RESPS:760            HOURS:62             COSTS(000):$0
  Billfish Tagging Report
FORMS: 88-162

OMB NO: 0648-0012    EXPIRATION DATE: 04/30/2005
RESPS:1,250          HOURS:10,000         COSTS(000):$5
  Fisheries Finance Program Requirements
FORMS: 88-1

OMB NO: 0648-0013    EXPIRATION DATE: 08/31/2004
RESPS:19,812         HOURS:3,171          COSTS(000):$0
  Southeast Region Dealer and Interview Family of Forms
FORMS: NONE

OMB NO: 0648-0015    EXPIRATION DATE: 10/31/2004
RESPS:1,236          HOURS:165            COSTS(000):$0
  Monthly Cold Storage Report
FORMS: 88-16

OMB NO: 0648-0016    EXPIRATION DATE: 12/31/2003
RESPS:63,849         HOURS:14,086         COSTS(000):$0
  Southeast Region Logbook Family of Forms
FORMS: NONE

OMB NO: 0648-0018    EXPIRATION DATE: 12/31/2004
RESPS:1,400          HOURS:680            COSTS(000):$0
  Processed Products Family of Forms
FORMS: 88-13 88-13C

OMB NO: 0648-0020    EXPIRATION DATE: 05/31/2003
RESPS:750            HOURS:63             COSTS(000):$0
  Pacific Billfish Angler Survey
FORMS: 88-10

OMB NO: 0648-0021    EXPIRATION DATE: 06/30/2004
RESPS:1,600          HOURS:213            COSTS(000):$0
  Small-Craft Facility Questionnaire
FORMS: NOAA-FORM-77-1

OMB NO: 0648-0022    EXPIRATION DATE: 12/31/2004
RESPS:15,000         HOURS:45,000         COSTS(000):$0
  Cooperative Charting Programs
FORMS: 77-4 77-5

OMB NO: 0648-0025    EXPIRATION DATE: 09/30/2004
RESPS:110            HOURS:330            COSTS(000):$0
  Weather Modification Activities Reports
FORMS: 17-4 17-4A 17-4B

OMB NO: 0648-0040    EXPIRATION DATE: 01/31/2004
RESPS:1,550          HOURS:390            COSTS(000):$1
  Bluefin Tuna Statistical Document
FORMS: NONE

OMB NO: 0648-0041    EXPIRATION DATE: 05/31/2003
RESPS:5,000          HOURS:1,650          COSTS(000):$27
  Capital Construction Fund - Deposit/Withdrawal Report
FORMS: 38-42

OMB NO: 0648-0052    EXPIRATION DATE: 11/30/2004
RESPS:770,504        HOURS:34,887         COSTS(000):$0
  Marine Recreational Fisheries Statistics Survey
FORMS: NONE

OMB NO: 0648-0075    EXPIRATION DATE: 07/31/2004
RESPS:2,350          HOURS:422            COSTS(000):$0
  Foreign Fishing Reporting Requirements
FORMS: NONE

OMB NO: 0648-0082    EXPIRATION DATE: 10/31/2004
RESPS:400            HOURS:2,017          COSTS(000):$1
  Fishermen's Contingency Fund
FORMS: 88-164 88-166

OMB NO: 0648-0084    EXPIRATION DATE: 07/31/2003
RESPS:604            HOURS:6,476          COSTS(000):$1
  Scientific Research, Public Display, and Enhancement Permits
  Under the Marine Mammal Protection Act, the Fur Seal Act, and
  the Endangered Species Act
FORMS: NONE

OMB NO: 0648-0089    EXPIRATION DATE: 03/31/2005
RESPS:25             HOURS:25             COSTS(000):$9
  Foreign Fishing Vessel Permit Applications
FORMS: NONE

OMB NO: 0648-0090    EXPIRATION DATE: 06/30/2004
RESPS:1,000          HOURS:2,250          COSTS(000):$3
  Interim Capital Construction Fund Agreement and Certificate
  Family of Forms
FORMS: NOAA-FORM-88-14

OMB NO: 0648-0119    EXPIRATION DATE: 11/30/2004
RESPS:195            HOURS:6,598          COSTS(000):$0
  Coastal Zone Management Program Administration
FORMS: NONE

OMB NO: 0648-0121    EXPIRATION DATE: 05/31/2004
RESPS:32             HOURS:14,180         COSTS(000):$31
  Management and Oversight of the National Estuarine Research
  Reserve System
FORMS: NONE

OMB NO: 0648-0135    EXPIRATION DATE: 10/31/2004
RESPS:310            HOURS:985            COSTS(000):$3
  Saltonstall-Kennedy Grant Program (S-K Program) Applications and
  Reports
FORMS: 88-204 88-205

OMB NO: 0648-0141    EXPIRATION DATE: 04/30/2005
RESPS:801            HOURS:1,018          COSTS(000):$1
  National Marine Sanctuary Permits
FORMS: NONE

OMB NO: 0648-0145    EXPIRATION DATE: 05/31/2005
RESPS:2              HOURS:40             COSTS(000):$0
  Deep Seabed Mining Regulations for Exploration Licenses
FORMS: NONE

OMB NO: 0648-0148    EXPIRATION DATE: 08/31/2004
RESPS:1,175          HOURS:117            COSTS(000):$0
  Pacific Tuna Fisheries Logbook
FORMS: NONE

OMB NO: 0648-0151    EXPIRATION DATE: 03/31/2004
RESPS:78             HOURS:7,512          COSTS(000):$1,673
  Applications and Reporting Requirements for Small Takes of
  Marine Mammals by Specified Activities Under the Marine Mammal
  Protection Act
FORMS: NONE

OMB NO: 0648-0157    EXPIRATION DATE: 05/31/2004
RESPS:390            HOURS:440            COSTS(000):$0
  NOAA Space-Based Data Collection System (DCS) Agreements
FORMS: NONE

OMB NO: 0648-0174    EXPIRATION DATE: 03/31/2004
RESPS:67             HOURS:314            COSTS(000):$1
  Licensing of Private Land Remote-Sensing Space Systems
FORMS: NONE

OMB NO: 0648-0175    EXPIRATION DATE: 03/31/2005
RESPS:130            HOURS:145            COSTS(000):$0
  Marine Fisheries Initiative (MARFIN) Research and Development
  Grant and Cooperative Agreement Applications
FORMS: NONE

OMB NO: 0648-0178    EXPIRATION DATE: 03/31/2004
RESPS:4,800          HOURS:1,600          COSTS(000):$2
  Marine Mammal Stranding Report/Marine Mammal Rehabilitation
  Disposition Report
FORMS: FORM-89-864

OMB NO: 0648-0179    EXPIRATION DATE: 12/31/2005
RESPS:51             HOURS:102            COSTS(000):$0
  Applications and Reports for Registration as a Tanner or Agent
FORMS: NONE

OMB NO: 0648-0192    EXPIRATION DATE: 03/31/2005
RESPS:195            HOURS:110            COSTS(000):$0
  Statement of Financial Interests, Regional Fishery Management
  Councils
FORMS: 88-195

OMB NO: 0648-0194    EXPIRATION DATE: 02/29/2004
RESPS:7,032          HOURS:567            COSTS(000):$70
  Antarctic Living Marine Resources Conservation and Management
  Measures
FORMS: NONE

OMB NO: 0648-0202    EXPIRATION DATE: 03/31/2004
RESPS:610,877        HOURS:22,292         COSTS(000):$1,368
  Northeast Region Permit Family of Forms
FORMS: NONE

OMB NO: 0648-0203    EXPIRATION DATE: 06/30/2003
RESPS:2,610          HOURS:605            COSTS(000):$26
  Northwest Region Federal Fisheries Permits
FORMS: NONE

OMB NO: 0648-0204    EXPIRATION DATE: 09/30/2003
RESPS:427            HOURS:248            COSTS(000):$0
  Southwest Region Permit Family of Forms
FORMS: NONE

OMB NO: 0648-0205    EXPIRATION DATE: 12/31/2003
RESPS:50,712         HOURS:15,434         COSTS(000):$1,222
  Southeast Region Permit Family of Forms
FORMS: NONE

OMB NO: 0648-0206    EXPIRATION DATE: 09/30/2003
RESPS:941            HOURS:492            COSTS(000):$1
  Alaska Region Permit Family of Forms
FORMS: NONE

OMB NO: 0648-0212    EXPIRATION DATE: 07/31/2005
RESPS:64,750         HOURS:5,940          COSTS(000):$25
  Northeast Region Logbook Family of Forms
FORMS: 88-30 88-140

OMB NO: 0648-0213    EXPIRATION DATE: 07/31/2005
RESPS:76,846         HOURS:32,329         COSTS(000):$128
  Alaska Region Logbook Family of Forms
FORMS: NONE

OMB NO: 0648-0214    EXPIRATION DATE: 09/30/2003
RESPS:1,030,692      HOURS:2,339          COSTS(000):$3
  Southwest Region Logbook Family of Forms
FORMS: NONE

OMB NO: 0648-0216    EXPIRATION DATE: 10/31/2004
RESPS:400            HOURS:43             COSTS(000):$0
  Billfish Certificate of Eligibility
FORMS: NONE

OMB NO: 0648-0218    EXPIRATION DATE: 07/31/2004
RESPS:672            HOURS:430            COSTS(000):$73
  South Pacific Tuna Act
FORMS: NONE

OMB NO: 0648-0223    EXPIRATION DATE: 03/31/2005
RESPS:400            HOURS:400            COSTS(000):$0
  Pacific Albacore Logbook
FORMS: 88-197

OMB NO: 0648-0227    EXPIRATION DATE: 10/31/2004
RESPS:300            HOURS:50             COSTS(000):$0
  NOAA Satelite Ground Station Customer Questionnaire
FORMS: NONE

OMB NO: 0648-0228    EXPIRATION DATE: 09/30/2005
RESPS:1              HOURS:1              COSTS(000):$0
  U.S. Fisher men Fishing in Russian Waters
FORMS: NONE

OMB NO: 0648-0229    EXPIRATION DATE: 07/31/2005
RESPS:63,520         HOURS:3,451          COSTS(000):$15
  Northeast Region Dealer Purchase Reports
FORMS: 88-30 88-142

OMB NO: 0648-0230    EXPIRATION DATE: 03/31/2005
RESPS:24             HOURS:1,048          COSTS(000):$1
  Permits for Incidental Taking of Endangered or Threatened Species
FORMS: NONE

OMB NO: 0648-0238    EXPIRATION DATE: 09/30/2005
RESPS:618            HOURS:52             COSTS(000):$0
  Surf Clam/Ocean Quahog Transfer Log
FORMS: NONE

OMB NO: 0648-0239    EXPIRATION DATE: 02/28/2006
RESPS:14,464         HOURS:526            COSTS(000):$1
  Bluefin Tuna Dealer Reporting Package
FORMS: 88-144

OMB NO: 0648-0240    EXPIRATION DATE: 09/30/2005
RESPS:2              HOURS:1              COSTS(000):$0
  Application to Shuck Surf Clams/Ocean Quahogs at Sea
FORMS: NONE

OMB NO: 0648-0243    EXPIRATION DATE: 04/30/2005
RESPS:40             HOURS:3              COSTS(000):$0
  Survey of Intent and Capacity to Harvest and Process Fish and
  Shellfish (Northwest Region)
FORMS: NONE

OMB NO: 0648-0247    EXPIRATION DATE: 04/30/2005
RESPS:12,000         HOURS:360            COSTS(000):$0
  Cooperative Game Fish Tagging Report
FORMS: 88-162

OMB NO: 0648-0259    EXPIRATION DATE: 08/31/2004
RESPS:240            HOURS:8              COSTS(000):$0
  Tag Recapture Card
FORMS: NONE

OMB NO: 0648-0262    EXPIRATION DATE: 12/31/2003
RESPS:4              HOURS:1              COSTS(000):$0
  Informaiton for Share Transfer in Wreckfish Fishery
FORMS: NONE

OMB NO: 0648-0266    EXPIRATION DATE: 06/30/2005
RESPS:7,082          HOURS:13,065         COSTS(000):$3
  Seafood Inspection and Certification Requirements
FORMS: 89-800 89-814 89-819

OMB NO: 0648-0269    EXPIRATION DATE: 10/31/2004
RESPS:8,157          HOURS:3,746          COSTS(000):$1
  Western Alaska Community Development Quota Program
FORMS: NONE

OMB NO: 0648-0271    EXPIRATION DATE: 08/31/2003
RESPS:6,836          HOURS:1,705          COSTS(000):$10
  Northwest Region Logbook Family of Forms
FORMS: NONE

OMB NO: 0648-0272    EXPIRATION DATE: 03/31/2005
RESPS:46,718         HOURS:13,249         COSTS(000):$82
  Individual Fishing Quotas for Pacific Halibut and Sablefish in
  the Alaska Fisheries
FORMS: NONE

OMB NO: 0648-0276    EXPIRATION DATE: 06/30/2003
RESPS:4,320          HOURS:346            COSTS(000):$0
  Groundfish Tagging Program
FORMS: NONE

OMB NO: 0648-0283    EXPIRATION DATE: 03/31/2004
RESPS:420            HOURS:309            COSTS(000):$1
  NOAA's Teacher-At-Sea Program
FORMS: NONE

OMB NO: 0648-0292    EXPIRATION DATE: 08/31/2003
RESPS:10,000         HOURS:1,500          COSTS(000):$0
  Reporting Requirements for Commercial Fisheries Authorization
  under Section 118 of the Marine Mammal Protection Act
FORMS: NONE

OMB NO: 0648-0293    EXPIRATION DATE: 08/31/2003
RESPS:6,750          HOURS:1,307          COSTS(000):$120
  Application for Commercial Fisheries Authorization under Section
FORMS: NONE

OMB NO: 0648-0295    EXPIRATION DATE: 11/30/2004
RESPS:10,000         HOURS:2,500          COSTS(000):$3
  Emergency Beacon Registrations
FORMS: NONE

OMB NO: 0648-0304    EXPIRATION DATE: 03/31/2005
RESPS:200            HOURS:100            COSTS(000):$10
  High Seas Fishing Permit Application Information
FORMS: NONE

OMB NO: 0648-0308    EXPIRATION DATE: 12/31/2003
RESPS:1,575          HOURS:788            COSTS(000):$0
  2002 NOAA Coastal Services Center Coastal Resource Management
  Customer Survey
FORMS: NONE

OMB NO: 0648-0309    EXPIRATION DATE: 08/31/2005
RESPS:170            HOURS:695            COSTS(000):$0
  Scientific Research, Exempted Fishing, and Exempted Activity
  Submissions
FORMS: NONE

OMB NO: 0648-0311    EXPIRATION DATE: 12/31/2005
RESPS:93             HOURS:48             COSTS(000):$0
  Report of Whaling Operations
FORMS: NONE

OMB NO: 0648-0314    EXPIRATION DATE: 05/31/2003
RESPS:54             HOURS:4,695          COSTS(000):$0
  Designation of Fishery Management Council Members and
  Application for Reinstatement of State Authority
FORMS: NONE

OMB NO: 0648-0316    EXPIRATION DATE: 03/31/2005
RESPS:6,841          HOURS:733            COSTS(000):$0
  Prohibited Species Donation Program
FORMS: NONE

OMB NO: 0648-0318    EXPIRATION DATE: 11/30/2005
RESPS:3,998          HOURS:1,963          COSTS(000):$84
  Observer Providers of the North Pacific
FORMS: NONE

OMB NO: 0648-0323    EXPIRATION DATE: 05/31/2003
RESPS:600            HOURS:110            COSTS(000):$0
  Highly Migratory Species Tournament Reporting
FORMS: NONE

OMB NO: 0648-0327    EXPIRATION DATE: 06/30/2005
RESPS:23,359         HOURS:4,668          COSTS(000):$631
  Atlantic Highly Migratory Species Vessel Permits
FORMS: NONE

OMB NO: 0648-0328    EXPIRATION DATE: 08/31/2003
RESPS:8,697          HOURS:955            COSTS(000):$0
  Atlantic Bluefin Tuna Mandatory Catch Reporting
FORMS: NONE

OMB NO: 0648-0329    EXPIRATION DATE: 02/29/2004
RESPS:72             HOURS:36             COSTS(000):$0
  Foreign Fishing Vessels Operating in Internal Waters
FORMS: NONE

OMB NO: 0648-0330    EXPIRATION DATE: 02/29/2004
RESPS:8,002          HOURS:3,508          COSTS(000):$6
  At-Sea Scale Certification Program
FORMS: NONE

OMB NO: 0648-0334    EXPIRATION DATE: 12/31/2004
RESPS:244            HOURS:544            COSTS(000):$1
  Alaska License Limitation Program for Groundfish, Crab, and
  Scallops
FORMS: NONE

OMB NO: 0648-0335    EXPIRATION DATE: 03/31/2004
RESPS:4,000          HOURS:1,033          COSTS(000):$0
  Fisheries Certificate of Origin
FORMS: NOAA-FORM-370

OMB NO: 0648-0338    EXPIRATION DATE: 10/31/2004
RESPS:25             HOURS:15             COSTS(000):$0
  Implantation and Recovery of Archival Tags
FORMS: NONE

OMB NO: 0648-0342    EXPIRATION DATE: 07/31/2004
RESPS:70,000         HOURS:1,800          COSTS(000):$0
  NOAA Customer Surveys
FORMS: NONE

OMB NO: 0648-0345    EXPIRATION DATE: 03/31/2005
RESPS:4,926          HOURS:7,500          COSTS(000):$338
  Southeast Region Bycatch Reduction Device Certification Family
  of Forms
FORMS: NONE

OMB NO: 0648-0346    EXPIRATION DATE: 09/30/2005
RESPS:20             HOURS:30             COSTS(000):$0
  List of Gear by Fisheries and Fishery Management Council
FORMS: NONE

OMB NO: 0648-0348    EXPIRATION DATE: 03/31/2005
RESPS:50             HOURS:37             COSTS(000):$1
  High Seas Fishing Vessel Identification Requirements
FORMS: NONE

OMB NO: 0648-0349    EXPIRATION DATE: 03/31/2005
RESPS:15,000         HOURS:850            COSTS(000):$2
  High Seas Fishing Vessel Reporting Requirements
FORMS: NONE

OMB NO: 0648-0350    EXPIRATION DATE: 10/31/2004
RESPS:5,821          HOURS:4,363          COSTS(000):$58
  Northeast Region Vessel Identification Requirements
FORMS: NONE

OMB NO: 0648-0351    EXPIRATION DATE: 10/31/2004
RESPS:1,950,283      HOURS:32,664         COSTS(000):$32
  Northeast Region Gear Identification Requirements
FORMS: NONE

OMB NO: 0648-0352    EXPIRATION DATE: 04/30/2005
RESPS:12,317         HOURS:3,079          COSTS(000):$3
  Northwest Region Gear Identification Requirements
FORMS: NONE

OMB NO: 0648-0353    EXPIRATION DATE: 07/31/2004
RESPS:15,000         HOURS:3,750          COSTS(000):$4
  Alaska Region Gear Identification Requirements
FORMS: NONE

OMB NO: 0648-0354    EXPIRATION DATE: 03/31/2005
RESPS:1              HOURS:1              COSTS(000):$0
  Foreign Fishing Gear Identification Requirements
FORMS: NONE

OMB NO: 0648-0355    EXPIRATION DATE: 03/31/2005
RESPS:1,984          HOURS:1,488          COSTS(000):$69
  Northwest Region Vessel Identification Requirements
FORMS: NONE

OMB NO: 0648-0356    EXPIRATION DATE: 03/31/2005
RESPS:10             HOURS:8              COSTS(000):$0
  Foreign Fishing Vessel Identification Requirements
FORMS: NONE

OMB NO: 0648-0357    EXPIRATION DATE: 09/30/2004
RESPS:1,225          HOURS:21             COSTS(000):$1
  Gear-Marking Requirements for the Harbor Porpoise Take Reduction
  Plan
FORMS: NONE

OMB NO: 0648-0358    EXPIRATION DATE: 04/30/2005
RESPS:7,000          HOURS:5,350          COSTS(000):$214
  Southeast Region Vessel Identification Requirements
FORMS: NONE

OMB NO: 0648-0359    EXPIRATION DATE: 04/30/2005
RESPS:112,700        HOURS:2,192          COSTS(000):$15
  Southeast Region Gear Identification Requirements
FORMS: NONE

OMB NO: 0648-0360    EXPIRATION DATE: 10/31/2004
RESPS:42,750         HOURS:1,425          COSTS(000):$23
  Southwest Region Gear Identification Requirements
FORMS: NONE

OMB NO: 0648-0361    EXPIRATION DATE: 12/31/2004
RESPS:436            HOURS:286            COSTS(000):$7
  Southwest Region Vessel Identification Requirements
FORMS: NONE

OMB NO: 0648-0362    EXPIRATION DATE: 09/30/2004
RESPS:1,611          HOURS:580            COSTS(000):$1
  Sea Grant Program Application Requirements for Grants, for John
  A. Knauss Marine Policy Fellowships, and for Designation as a
  Sea Grant College or Regional Consortia
FORMS: 90-1 90-2 90-4

OMB NO: 0648-0363    EXPIRATION DATE: 12/31/2004
RESPS:5,700          HOURS:5,700          COSTS(000):$0
  Swordfish Import Certificate of Eligibility
FORMS: NONE

OMB NO: 0648-0364    EXPIRATION DATE: 09/30/2005
RESPS:257,218        HOURS:2,572          COSTS(000):$27
  Gear-Marking Requirements for Atlantic Large Whale Take
  Reduction Plan
FORMS: NONE

OMB NO: 0648-0365    EXPIRATION DATE: 12/31/2005
RESPS:100            HOURS:50             COSTS(000):$0
  Documentation of Fish Harvest
FORMS: NONE

OMB NO: 0648-0367    EXPIRATION DATE: 03/31/2005
RESPS:1              HOURS:10             COSTS(000):$0
  Gear-Marking Requirements in Antarctic Fisheries
FORMS: NONE

OMB NO: 0648-0368    EXPIRATION DATE: 09/30/2005
RESPS:3              HOURS:2              COSTS(000):$0
  Vessel-Marking Requirements in Antarctic Fisheries
FORMS: NONE

OMB NO: 0648-0369    EXPIRATION DATE: 12/31/2005
RESPS:2,278          HOURS:7,074          COSTS(000):$0
  Economic Performance Data for West Coast (California-Alaska)
  Commercial Fisheries
FORMS: NONE

OMB NO: 0648-0371    EXPIRATION DATE: 06/30/2005
RESPS:118,016        HOURS:24,295         COSTS(000):$59
  Highly Migratory Species Vessel Logbooks and Cost-Earnings Data
  Reports
FORMS: 88-191

OMB NO: 0648-0373    EXPIRATION DATE: 06/30/2005
RESPS:12,696         HOURS:7,199          COSTS(000):$161
  Atlantic Highly Migratory Species Vessel and Gear Marking
FORMS: NONE

OMB NO: 0648-0374    EXPIRATION DATE: 06/30/2005
RESPS:8,936          HOURS:295            COSTS(000):$4
  Atlantic Highly Migratory Species Observer Notification
  Requirement
FORMS: NONE

OMB NO: 0648-0376    EXPIRATION DATE: 07/31/2005
RESPS:16,495         HOURS:38,563         COSTS(000):$2
  Fishing Capacity Reduction Program Buyback Requests
FORMS: NONE

OMB NO: 0648-0384    EXPIRATION DATE: 10/31/2003
RESPS:1,000          HOURS:1,100          COSTS(000):$0
  NOAA Coastal Ocean Program Grants Proposal Application Package
FORMS: NONE

OMB NO: 0648-0387    EXPIRATION DATE: 02/28/2006
RESPS:271            HOURS:144            COSTS(000):$1
  International Dolphin Conservation Program
FORMS: NONE

OMB NO: 0648-0392    EXPIRATION DATE: 12/31/2005
RESPS:3,010          HOURS:251            COSTS(000):$0
  Monitoring of Fish Trap Fishing in the Gulf of Mexico
FORMS: NONE

OMB NO: 0648-0393    EXPIRATION DATE: 09/30/2003
RESPS:141            HOURS:83             COSTS(000):$1
  American Fisheries Act: Vessel and Processor Permit Applications
FORMS: NONE

OMB NO: 0648-0397    EXPIRATION DATE: 04/30/2003
RESPS:75             HOURS:75             COSTS(000):$0
  Application Form for Membership on a National Marine Sanctuary
  Advisory Council
FORMS: NONE

OMB NO: 0648-0398    EXPIRATION DATE: 04/30/2003
RESPS:4,425          HOURS:8,400          COSTS(000):$17
  Alaska Individual Fishing Quota Cost Recovery Program
  Requirements
FORMS: NONE

OMB NO: 0648-0400    EXPIRATION DATE: 06/30/2003
RESPS:2,847          HOURS:793            COSTS(000):$0
  Commercial Harvesters and Recreational Party and Charter Boat
  Socio-cultural and Economic Data Collection Pilot Study
FORMS: NONE

OMB NO: 0648-0401    EXPIRATION DATE: 12/31/2003
RESPS:1,365          HOURS:888            COSTS(000):$0
  American Fisheries Act: Recordkeeping and Reporting Requirements
FORMS: NONE

OMB NO: 0648-0402    EXPIRATION DATE: 11/30/2005
RESPS:318            HOURS:6,310          COSTS(000):$4
  Application and Reports for Scientific Research and Enhancement
  Permits Under the Endangered Species Act
FORMS: NONE

OMB NO: 0648-0403    EXPIRATION DATE: 06/30/2003
RESPS:180            HOURS:68             COSTS(000):$1
  Northeast Region Herring Permits
FORMS: NONE

OMB NO: 0648-0404    EXPIRATION DATE: 06/30/2003
RESPS:114,060        HOURS:185            COSTS(000):$67
  Northeast Region Vessel Monitoring and Communications
FORMS: NONE

OMB NO: 0648-0405    EXPIRATION DATE: 06/30/2003
RESPS:50             HOURS:25             COSTS(000):$1
  Atlantic Herring Processed Products Report
FORMS: NONE

OMB NO: 0648-0406    EXPIRATION DATE: 06/30/2003
RESPS:2,600          HOURS:87             COSTS(000):$3
  Northeast Region Herring Dealer Landing Reports
FORMS: NONE

OMB NO: 0648-0407    EXPIRATION DATE: 06/30/2003
RESPS:2,653          HOURS:176            COSTS(000):$1
  Atlantic Herring Vessel Trip Reports
FORMS: NONE

OMB NO: 0648-0408    EXPIRATION DATE: 06/30/2003
RESPS:665            HOURS:1,330          COSTS(000):$0
  National Marine Sanctuaries - Socioeconomic Impacts of Marine
  Reserves
FORMS: NONE

OMB NO: 0648-0409    EXPIRATION DATE: 07/31/2003
RESPS:988            HOURS:725            COSTS(000):$0
  Socioeconomic Monitoring Program for the Florida Keys National
  Marine Sanctuary
FORMS: NONE

OMB NO: 0648-0410    EXPIRATION DATE: 07/31/2003
RESPS:10,600         HOURS:2,733          COSTS(000):$0
  South Florida Artificial and Natural Reefs - Economic Valuation
  Study
FORMS: NONE

OMB NO: 0648-0411    EXPIRATION DATE: 07/31/2003
RESPS:4,111          HOURS:20,331         COSTS(000):$8,000
  Paperwork Submissions Under the Coastal Zone Management Act
  Federal Consistency Requirements
FORMS: NONE

OMB NO: 0648-0412    EXPIRATION DATE: 06/30/2003
RESPS:528            HOURS:18             COSTS(000):$0
  Multispecies Pary/Charterboat Closed Area Exemption Certificate
FORMS: NONE

OMB NO: 0648-0413    EXPIRATION DATE: 02/29/2004
RESPS:800            HOURS:3,200          COSTS(000):$0
  Fisheries Capacity Reduction Program Advanced Referenda and
  Other Requirements
FORMS: NONE

OMB NO: 0648-0416    EXPIRATION DATE: 12/31/2003
RESPS:272,100        HOURS:2,950          COSTS(000):$195
  Northeast Region Sea Scallop Exemption Requirements
FORMS: NONE

OMB NO: 0648-0417    EXPIRATION DATE: 08/31/2003
RESPS:18,144         HOURS:145            COSTS(000):$13
  Atka Mackerel Fishery Vessel Monitoring System (VMS) Report
FORMS: NONE

OMB NO: 0648-0418    EXPIRATION DATE: 08/31/2003
RESPS:302            HOURS:24             COSTS(000):$0
  Tortugas Access Permits
FORMS: NONE

OMB NO: 0648-0419    EXPIRATION DATE: 01/31/2004
RESPS:40             HOURS:40             COSTS(000):$0
  StormReady Application Form
FORMS: NONE

OMB NO: 0648-0420    EXPIRATION DATE: 07/31/2003
RESPS:14             HOURS:31             COSTS(000):$0
  Alaska Scallop License Limitation Program Application and
  Transfer Forms
FORMS: NONE

OMB NO: 0648-0422    EXPIRATION DATE: 04/30/2005
RESPS:6,912          HOURS:230            COSTS(000):$2
  Northeast Region Raised Footrope Trawal Exempted Fishery
FORMS: NONE

OMB NO: 0648-0423    EXPIRATION DATE: 12/31/2003
RESPS:41,410         HOURS:3,451          COSTS(000):$0
  An Observer Program for Catcher Vessels in the Pacific Coast
  Groundfish Fishery
FORMS: NONE

OMB NO: 0648-0424    EXPIRATION DATE: 02/29/2004
RESPS:207            HOURS:37             COSTS(000):$0
  Northeast Region Lobster-Black Sea Bass Area 5 Waiver
  Requirements
FORMS: NONE

OMB NO: 0648-0425    EXPIRATION DATE: 03/31/2004
RESPS:1,944,000      HOURS:3,600          COSTS(000):$225
  AFA Pollock Fishery Vessel Monitoring System
FORMS: NONE

OMB NO: 0648-0427    EXPIRATION DATE: 03/31/2004
RESPS:100            HOURS:8              COSTS(000):$1
  Hunger Relief Donation in the At-Sea Whiting Fishery
FORMS: NONE

OMB NO: 0648-0428    EXPIRATION DATE: 03/31/2004
RESPS:134            HOURS:1,072          COSTS(000):$0
  Commercial Operator's Annual Report (COAR)
FORMS: NONE

OMB NO: 0648-0431    EXPIRATION DATE: 05/31/2004
RESPS:420            HOURS:564            COSTS(000):$2
  Eastern Pacific Tuna Vessel Register Information
FORMS: NONE

OMB NO: 0648-0432    EXPIRATION DATE: 08/31/2004
RESPS:2,020          HOURS:3,517          COSTS(000):$3
  Dr. Nancy Foster Scholarship Program
FORMS: CD-346

OMB NO: 0648-0433    EXPIRATION DATE: 09/30/2004
RESPS:40             HOURS:10             COSTS(000):$0
  Reporting Requirements for the Ocean Salmon Fishery off the
  Coasts of Washington, Oregon, and California
FORMS: NONE

OMB NO: 0648-0435    EXPIRATION DATE: 12/31/2005
RESPS:787            HOURS:316            COSTS(000):$0
  Survey to Measure Effectiveness of Community-Oriented Policing
  for ESA Enforcement
FORMS: NONE

OMB NO: 0648-0439    EXPIRATION DATE: 07/31/2004
RESPS:435            HOURS:154            COSTS(000):$0
  North Carolina and Louisiana Commerical King and/or Spanish
  Mackerel Fishermen Pilot Economic Survey
FORMS: NONE

OMB NO: 0648-0440    EXPIRATION DATE: 04/30/2005
RESPS:430            HOURS:2,150          COSTS(000):$4
  Coastal Impact Assistance Program: Project Review Checklist
FORMS: NONE

OMB NO: 0648-0441    EXPIRATION DATE: 07/31/2004
RESPS:1,445,568      HOURS:743            COSTS(000):$0
  Vessel Monitoring System Requirements in the Western Pacific
  Pelagic Longline Fishery
FORMS: NONE

OMB NO: 0648-0442    EXPIRATION DATE: 08/31/2004
RESPS:175            HOURS:44             COSTS(000):$0
  Observer Workshop/Conference Survey
FORMS: NONE

OMB NO: 0648-0445    EXPIRATION DATE: 07/31/2005
RESPS:6,986,518      HOURS:13,152         COSTS(000):$491
  NMFS Alaska Region Vessel Monitoring System (VMS) Program
FORMS: NONE

OMB NO: 0648-0446    EXPIRATION DATE: 03/31/2005
RESPS:1,002          HOURS:85             COSTS(000):$0
  Atlantic Billfish and Swordfish Recreational Landings Call-in
  Report
FORMS: NONE

OMB NO: 0648-0447    EXPIRATION DATE: 04/30/2005
RESPS:4,160          HOURS:1,048          COSTS(000):$0
  Alaska Marine Sport Fishing Economics Survey
FORMS: NONE

OMB NO: 0648-0448    EXPIRATION DATE: 03/31/2005
RESPS:78             HOURS:78             COSTS(000):$2
  Coral Reef Conservation Program Administration
FORMS: NONE

OMB NO: 0648-0449    EXPIRATION DATE: 03/31/2005
RESPS:1,000          HOURS:5,000          COSTS(000):$0
  Data Collection on Marine Protected and Managed Areas
FORMS: NONE

OMB NO: 0648-0450    EXPIRATION DATE: 03/31/2005
RESPS:2,041          HOURS:1,097          COSTS(000):$8
  American Lobster Requirements for Historical Participation in
  Areas 3, 4, and 5
FORMS: NONE

OMB NO: 0648-0451    EXPIRATION DATE: 05/31/2005
RESPS:3,100          HOURS:2,200          COSTS(000):$199
  Southeast Region Reef Fish/Coastal Migratory Pelagic Charter
  Vessel Permit Issuance
FORMS: NONE

OMB NO: 0648-0452    EXPIRATION DATE: 06/30/2005
RESPS:24             HOURS:2              COSTS(000):$0
  Atlantic Highly Migratory Species Protected Species Interaction
  Report
FORMS: NONE

OMB NO: 0648-0456    EXPIRATION DATE: 07/31/2005
RESPS:6              HOURS:5              COSTS(000):$0
  Southwest Region Seabird-Fisheries Interaction Recovery Reporting
FORMS: NONE

OMB NO: 0648-0458    EXPIRATION DATE: 07/31/2005
RESPS:35             HOURS:55             COSTS(000):$7
  Southeast Region Stone Crab Vessel Permit Issuance Under the New
  Trap Limitation Program
FORMS: NONE

OMB NO: 0648-0459    EXPIRATION DATE: 04/30/2003
RESPS:84             HOURS:1,520          COSTS(000):$1
  Coastal and Estuarine Land Conservation, Planning, Protection,
  or Restoration
FORMS: NONE

OMB NO: 0648-0460    EXPIRATION DATE: 12/31/2003
RESPS:15,058         HOURS:5,617          COSTS(000):$26
  Subsistence Fishery for Pacific Halibut in Waters Off Alaska
FORMS: NONE

OMB NO: 0648-0461    EXPIRATION DATE: 11/30/2005
RESPS:34,151         HOURS:9,029          COSTS(000):$351
  South Atlantic Rock Shrimp Vessel Permits and Monitoring
FORMS: NONE

OMB NO: 0648-0462    EXPIRATION DATE: 11/30/2005
RESPS:815            HOURS:382            COSTS(000):$0
  Southwest Region Coral Reef Ecosystems Logbook and Reporting
FORMS: NONE

OMB NO: 0648-0463    EXPIRATION DATE: 11/30/2005
RESPS:14             HOURS:30             COSTS(000):$0
  Southwest Region Coral Reef Ecosystems Permit Form
FORMS: NONE

OMB NO: 0648-0464    EXPIRATION DATE: 12/31/2005
RESPS:100            HOURS:150            COSTS(000):$0
  Economic Data Collection for the Trap Fishery in the U.S.
  Caribbean
FORMS: NONE

OMB NO: 0648-0465    EXPIRATION DATE: 04/30/2003
RESPS:954            HOURS:308            COSTS(000):$0
  Revisions to American Lobster Requirements for Historical
  Participation in Areas 3, 4, and 5.
FORMS: NONE

OMB NO: 0648-0466    EXPIRATION DATE: 12/31/2005
RESPS:5              HOURS:3,300          COSTS(000):$0
  Submission of Conservation Efforts to Make Listings Unnecessary
  under the Endangered Species Act
FORMS: NONE

OMB NO: 0648-0467    EXPIRATION DATE: 12/31/2003
RESPS:3,940          HOURS:657            COSTS(000):$0
  Southeast Region Electronic Reporting Survey
FORMS: NONE

OMB NO: 0648-0468    EXPIRATION DATE: 02/28/2006
RESPS:20             HOURS:40             COSTS(000):$0
  Protocol for Access to Tissue Specimen Samples from the National
  Marine Mammal Tissue Bank
FORMS: NONE

OMB NO: 0648-0469    EXPIRATION DATE: 02/28/2006
RESPS:144            HOURS:5              COSTS(000):$0
  Scup Gear Restricted Area (GRA) Access Program Exemption
  Authorization
FORMS: NONE

OMB NO: 0648-0470    EXPIRATION DATE: 02/28/2006
RESPS:441            HOURS:74             COSTS(000):$1
  Reporting of Sea Turtle Incidental Take in Virginia Chesapeake
  Bay Pound Net Operations
FORMS: NONE

OMB NO: 0648-0471    EXPIRATION DATE: 02/28/2006
RESPS:1,040          HOURS:141            COSTS(000):$6
  Highly Migratory Species Scientific Research Permits, Exempted
  Fishing Permits, and Letters of Authorization
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
169 16,592,543 560,503 $16,297
Patent and Trademark Office
OMB NO: 0651-0009    EXPIRATION DATE: 06/30/2005
RESPS:677,151        HOURS:144,587        COSTS(000):$147,135
  TRADEMARK PROCESSING (Proposed rulemaking, Processing Fee for
  Use of Paper Forms for Submission of Applications for
  Registration and Other Documents)
FORMS: 4.8/4.9/4.16 1478(A) 1553 1581 1583 1963 2000 PTOTM/4.16/1583

OMB NO: 0651-0012    EXPIRATION DATE: 04/30/2003
RESPS:15,200         HOURS:6,138          COSTS(000):$0
  Admittance To Practice and Roster of Registered Patent Attorneys
  Office
FORMS: PTO-158 PTO-158A PTO-275 PTO-107A

OMB NO: 0651-0016    EXPIRATION DATE: 04/30/2003
RESPS:279,796        HOURS:22,340         COSTS(000):$0
  Rules for Patent Maintenance Fees
FORMS: PTO/SB/45/47/ 65/66

OMB NO: 0651-0017    EXPIRATION DATE: 07/31/2003
RESPS:330            HOURS:2,270          COSTS(000):$0
  Practitioner records maintenance and disclosure before the
  patent and trademark office
FORMS: NONE

OMB NO: 0651-0020    EXPIRATION DATE: 10/31/2004
RESPS:26,858         HOURS:30,903         COSTS(000):$5,976
  Patent Term Extension
FORMS: NONE

OMB NO: 0651-0021    EXPIRATION DATE: 12/31/2003
RESPS:331,407        HOURS:401,202        COSTS(000):$78,889,386
  Patent Cooperation Treaty
FORMS: RO/101/134/144 PTO/1382 PCT/IPEA/401 PCT/IB/328

OMB NO: 0651-0022    EXPIRATION DATE: 01/31/2004
RESPS:3,300          HOURS:3,301          COSTS(000):$1
  Deposit of Biological Materials
FORMS: NONE

OMB NO: 0651-0024    EXPIRATION DATE: 08/31/2003
RESPS:6,060          HOURS:7,990          COSTS(000):$0
  Requirements for Patent Applications Containing Nucelotide
FORMS: NONE

OMB NO: 0651-0027    EXPIRATION DATE: 06/30/2005
RESPS:298,133        HOURS:149,067        COSTS(000):$12,470
  Recording Assignments
FORMS: 1594 1595

OMB NO: 0651-0028    EXPIRATION DATE: 04/30/2003
RESPS:80             HOURS:14             COSTS(000):$0
  Fastener Quality Act Insignia Recordal Process
FORMS: PTO-1611

OMB NO: 0651-0030    EXPIRATION DATE: 03/31/2005
RESPS:20,250         HOURS:4,050          COSTS(000):$203
  Disclosure Document Program
FORMS: PTO/SB/95

OMB NO: 0651-0031    EXPIRATION DATE: 04/30/2003
RESPS:2,247,270      HOURS:1,021,822      COSTS(000):$15,251
  Patent Processing (Updating)
FORMS: PTO/SB/08A/08B 21/22/23/24/25 26/27/30/31/35 36/42/43/61
61/PCT/62/63/64 64PCT/67/68/91 92/96/97 PTO/SB/32/37
PTO-2053-A/B PTO-2054-A/B

OMB NO: 0651-0032    EXPIRATION DATE: 04/30/2003
RESPS:319,350        HOURS:2,984,360      COSTS(000):$75,095
  Intial Patent Application
FORMS: PTO/SB/01/01A 02A/02B/02C/03 03A/04/05/06/07 13PCT/17/18/19
29/29A/101/102/ 103/104/105/106 107/108/109/110

OMB NO: 0651-0033    EXPIRATION DATE: 01/31/2004
RESPS:205,480        HOURS:63,640         COSTS(000):$1,540
  Post Allowance and Refiling
FORMS: PTO/SB/44/50/51 51S/52/53/55/56 57/58 PTOL-85B

OMB NO: 0651-0034    EXPIRATION DATE: 03/31/2004
RESPS:2,194          HOURS:1,523          COSTS(000):$0
  Secrecy, License to export
FORMS: NONE

OMB NO: 0651-0035    EXPIRATION DATE: 11/30/2005
RESPS:338,280        HOURS:31,259         COSTS(000):$170
  Representative and Address Provisions
FORMS: PTO/SB/81 PTO/SB/82 PTO/SB/83 PTO/SB/121 PTO/SB/122 PTO/SB/123
PTO/SB/124A PTO/SB/124B PTP/SB/125A PTO/SB/125B

OMB NO: 0651-0036    EXPIRATION DATE: 04/30/2003
RESPS:73             HOURS:29             COSTS(000):$0
  Statutory Invention Registration
FORMS: PTO-SB-94

OMB NO: 0651-0040    EXPIRATION DATE: 05/31/2004
RESPS:42,400         HOURS:11,500         COSTS(000):$3,471
  Trademark Trail and Appeal Board (TTAB) Actions (formerly
  PETITION TO CANCEL)
FORMS: NONE

OMB NO: 0651-0041    EXPIRATION DATE: 06/30/2005
RESPS:11,928         HOURS:1,397          COSTS(000):$4
  Public User ID Badging (formerly Public Search Room Badging)
FORMS: PTO-2030

OMB NO: 0651-0042    EXPIRATION DATE: 09/30/2005
RESPS:5,000          HOURS:2,500          COSTS(000):$2
  Electronic Application for Patent Examiners-Job Application
  Rating System (JARS)
FORMS: PTO_2041

OMB NO: 0651-0043    EXPIRATION DATE: 02/28/2006
RESPS:327,308        HOURS:29,497         COSTS(000):$8
  Payment of Patent and Trademark Office Fees by Credit Card
FORMS: PTO-2038

OMB NO: 0651-0044    EXPIRATION DATE: 09/30/2003
RESPS:100            HOURS:26             COSTS(000):$0
  Invention Promoters/Promotion Firms Complaints
FORMS: PTO/SB/2048

OMB NO: 0651-0045    EXPIRATION DATE: 04/30/2003
RESPS:10,000         HOURS:5,000          COSTS(000):$0
  Public Key Infrastructure (PK) Certificate Action Form
FORMS: PTO-2042

OMB NO: 0651-0046    EXPIRATION DATE: 03/31/2004
RESPS:187            HOURS:28             COSTS(000):$650
  Legal Processes
FORMS: NONE

OMB NO: 0651-0047    EXPIRATION DATE: 03/31/2004
RESPS:100            HOURS:150            COSTS(000):$0
  Required and Optional Search Criteria for Computer Implemented
  Business Method Patent Applications in Class 705
FORMS: NONE

OMB NO: 0651-0048    EXPIRATION DATE: 03/31/2005
RESPS:400            HOURS:74             COSTS(000):$0
  Native American Tribal Insignai Database
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
26 5,168,635 4,924,667 $79,151,362
National Telecommunications and Information Administration
OMB NO: 0660-0001    EXPIRATION DATE: 05/31/2003
RESPS:1,966          HOURS:7,836          COSTS(000):$0
  Public Telecommunications Facilities Program Grant Monitoring
FORMS: NONE

OMB NO: 0660-0003    EXPIRATION DATE: 10/31/2003
RESPS:450            HOURS:40,250         COSTS(000):$0
  Public Telecommunications Facilities Program (PTFP) Application
  Form
FORMS: NONE

OMB NO: 0660-0010    EXPIRATION DATE: 04/30/2005
RESPS:252            HOURS:42             COSTS(000):$0
  Technology Opportunities Program (TOP) Review Information Form
FORMS: NONE

OMB NO: 0660-0013    EXPIRATION DATE: 04/30/2005
RESPS:210            HOURS:210            COSTS(000):$0
  Technology Opportunities Program (TOP) Grant Recipient Survey
FORMS: NONE

OMB NO: 0660-0015    EXPIRATION DATE: 03/31/2005
RESPS:50             HOURS:1,492          COSTS(000):$0
  Performance Reorting System (PRS) for the Technology
  Opportunities Program (TOP)
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
5 2,928 49,830 $0
Office of the Secretary
OMB NO: 0690-0018    EXPIRATION DATE: 02/29/2004
RESPS:33,750         HOURS:2,812          COSTS(000):$0
  Applicant Background Survey
FORMS: NONE

OMB NO: 0690-0019    EXPIRATION DATE: 08/31/2004
RESPS:32,832         HOURS:32,832         COSTS(000):$0
  Commerce Opportunity On-Line
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
2 66,582 35,644 $0
Bureau of Economic Analysis
OMB NO: 0691-0001    EXPIRATION DATE: 07/31/2003
RESPS:7,500          HOURS:1,875          COSTS(000):$0
  BEA Customer Satisfaction Survey
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
1 7,500 1,875 $0
Technology Administration
OMB NO: 0692-0001    EXPIRATION DATE: 12/31/2005
RESPS:105            HOURS:2,625          COSTS(000):$0
  National Medal of Technology Nomination Application
FORMS: NONE

OMB NO: 0692-0006    EXPIRATION DATE: 06/30/2003
RESPS:1,900          HOURS:1,200          COSTS(000):$0
  Licensing of Government-owned Inventions
FORMS: NONE

OMB NO: 0692-0009    EXPIRATION DATE: 04/30/2003
RESPS:7              HOURS:70             COSTS(000):$0
  Commercial Space Launch Range User Requirements
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
3 2,012 3,895 $0
National Institute of Standards and Technology
OMB NO: 0693-0003    EXPIRATION DATE: 12/31/2003
RESPS:800            HOURS:2,200          COSTS(000):$0
  National Voluntary Laboratory Accreditation Program (NVLAP),
  NVLAP Information Collection System
FORMS: NONE

OMB NO: 0693-0006    EXPIRATION DATE: 10/31/2003
RESPS:100            HOURS:10,000         COSTS(000):$0
  Malcolm Baldrige National Quality Award Application
FORMS: NONE

OMB NO: 0693-0009    EXPIRATION DATE: 12/31/2003
RESPS:1,000          HOURS:14,875         COSTS(000):$60
  Advanced Technology Program
FORMS: NIST-1262 NIST-1263

OMB NO: 0693-0019    EXPIRATION DATE: 08/31/2005
RESPS:10             HOURS:30             COSTS(000):$0
  National Voluntary Conformity Assessment System Evaluation
  (NVCASE) Program
FORMS: NONE

OMB NO: 0693-0021    EXPIRATION DATE: 09/30/2005
RESPS:6,500          HOURS:1,083          COSTS(000):$0
  Manufacturing Extension Partnership (MEP) Client Impact Surveys
FORMS: NONE

OMB NO: 0693-0031    EXPIRATION DATE: 12/31/2005
RESPS:6,000          HOURS:3,500          COSTS(000):$0
  National Institute of Standards and Technology Three-Year
  Generic Request for Customer Service-Related Data Collection
FORMS: NONE

OMB NO: 0693-0034    EXPIRATION DATE: 05/31/2003
RESPS:30             HOURS:120            COSTS(000):$0
  Evaluation of the Common Industry Format (CIF) for Reporting the
  Results of Usability Tests
FORMS: NONE

OMB NO: 0693-0035    EXPIRATION DATE: 05/31/2003
RESPS:1,440          HOURS:120            COSTS(000):$0
  User Evaluation of DARPA Communicator systems
FORMS: NONE

OMB NO: 0693-0036    EXPIRATION DATE: 08/31/2004
RESPS:30             HOURS:1,875          COSTS(000):$6
  BEES Please
FORMS: NONE

OMB NO: 0693-0037    EXPIRATION DATE: 10/31/2005
RESPS:240            HOURS:100            COSTS(000):$0
  IRI/NIST Joint Study of Investment Decision Tools
FORMS: NONE

OMB NO: 0693-0038    EXPIRATION DATE: 12/31/2005
RESPS:79             HOURS:396            COSTS(000):$0
  National Weights and Measures Benchmarking and Needs Assessment
FORMS: NONE

OMB NO: 0693-0040    EXPIRATION DATE: 03/31/2006
RESPS:547            HOURS:228            COSTS(000):$0
  Survey of Advanced Technology Program Joint Venture Participants
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
12 16,776 34,527 $66
Bureau of Industry and Security
OMB NO: 0694-0001    EXPIRATION DATE: 12/31/2003
RESPS:21             HOURS:11             COSTS(000):$0
  Exception to Reporting Requirements under the IC/DV Procedures
FORMS: NONE

OMB NO: 0694-0004    EXPIRATION DATE: 10/31/2004
RESPS:2              HOURS:510            COSTS(000):$0
  Foreign Availability Procedures and Criteria
FORMS: NONE

OMB NO: 0694-0009    EXPIRATION DATE: 10/31/2004
RESPS:1              HOURS:1              COSTS(000):$0
  Approval of Triangular Transactions Involving Commodities
  Covered By A U.S. Import Certificate
FORMS: NONE

OMB NO: 0694-0012    EXPIRATION DATE: 07/31/2004
RESPS:1,177          HOURS:1,298          COSTS(000):$0
  Report of Requests for Restrictive Trade Practice or Boycott--
  Single or Multiple Transactions
FORMS: BXA-621P BXA-6051P

OMB NO: 0694-0013    EXPIRATION DATE: 03/31/2005
RESPS:80             HOURS:43             COSTS(000):$0
  Computers and Related Equipment
FORMS: NONE

OMB NO: 0694-0016    EXPIRATION DATE: 08/31/2004
RESPS:100            HOURS:31             COSTS(000):$0
  Delivery Vertification Procedure
FORMS: BXA-647P

OMB NO: 0694-0017    EXPIRATION DATE: 05/31/2004
RESPS:585            HOURS:156            COSTS(000):$0
  International Import Certificate
FORMS: FORM-BXA-645P

OMB NO: 0694-0021    EXPIRATION DATE: 02/28/2006
RESPS:3,594          HOURS:959            COSTS(000):$0
  Statement by Ultimate Consignee and Purchaser
FORMS: 711

OMB NO: 0694-0023    EXPIRATION DATE: 08/31/2004
RESPS:200            HOURS:104            COSTS(000):$0
  Written Assurances for Exports of Technical Data Under License
  Exception TSR
FORMS: NONE

OMB NO: 0694-0025    EXPIRATION DATE: 04/30/2004
RESPS:35             HOURS:35             COSTS(000):$0
  Short Supply Regulations - Unprocessed Western Red Cedar
FORMS: NONE

OMB NO: 0694-0026    EXPIRATION DATE: 04/30/2005
RESPS:1              HOURS:1              COSTS(000):$0
  Short Supply Regulations, Petroleum Products
FORMS: NONE

OMB NO: 0694-0027    EXPIRATION DATE: 05/31/2004
RESPS:15             HOURS:104            COSTS(000):$0
  Short Supply Regulations, Petroleum (Crude Oil)
FORMS: NONE

OMB NO: 0694-0029    EXPIRATION DATE: 12/31/2003
RESPS:3              HOURS:1              COSTS(000):$0
  License Exception TMP: Special Requirements
FORMS: NONE

OMB NO: 0694-0031    EXPIRATION DATE: 12/31/2003
RESPS:100            HOURS:27             COSTS(000):$0
  Application for a Duplicate License
FORMS: NONE

OMB NO: 0694-0033    EXPIRATION DATE: 05/31/2004
RESPS:10             HOURS:10             COSTS(000):$0
  License Exception, Humanitarian Donations
FORMS: NONE

OMB NO: 0694-0047    EXPIRATION DATE: 03/31/2005
RESPS:2,896          HOURS:3,602          COSTS(000):$0
  Technology Letter of Explanation
FORMS: NONE

OMB NO: 0694-0051    EXPIRATION DATE: 07/31/2004
RESPS:10             HOURS:11             COSTS(000):$0
  Application for Transfer of License to Another Party
FORMS: NONE

OMB NO: 0694-0053    EXPIRATION DATE: 12/31/2003
RESPS:707,000        HOURS:14,477         COSTS(000):$0
  Defense Priorities and Allocations System
FORMS: NONE

OMB NO: 0694-0057    EXPIRATION DATE: 03/31/2004
RESPS:1,200          HOURS:600            COSTS(000):$0
  Request for Special Priorities Assistance
FORMS: BXA-999

OMB NO: 0694-0058    EXPIRATION DATE: 08/31/2004
RESPS:80             HOURS:800            COSTS(000):$0
  Procedure for Voluntary Self-Disclosure of Violations of the
  Export Administration Regulations
FORMS: NONE

OMB NO: 0694-0073    EXPIRATION DATE: 05/31/2005
RESPS:22             HOURS:78             COSTS(000):$0
  Export Controls of High Performance Computers
FORMS: NONE

OMB NO: 0694-0083    EXPIRATION DATE: 06/30/2005
RESPS:3,000          HOURS:1,500          COSTS(000):$0
  Competitive Enhancement Needs Assessment Survey Program
FORMS: NONE

OMB NO: 0694-0084    EXPIRATION DATE: 12/31/2005
RESPS:100            HOURS:1,000          COSTS(000):$0
  Military Exports
FORMS: NONE

OMB NO: 0694-0086    EXPIRATION DATE: 06/30/2003
RESPS:160            HOURS:23             COSTS(000):$0
  Report of Sample Shipments of Chemical Weapon Recursors
FORMS: NONE

OMB NO: 0694-0088    EXPIRATION DATE: 04/30/2005
RESPS:14,191         HOURS:12,777         COSTS(000):$105
  Multipurpose Application
FORMS: BXA-748P

OMB NO: 0694-0089    EXPIRATION DATE: 07/31/2004
RESPS:867            HOURS:1,017          COSTS(000):$0
  Special Comprehensive License
FORMS: BXA-748P BXA-752P

OMB NO: 0694-0091    EXPIRATION DATE: 04/30/2003
RESPS:792            HOURS:27,020         COSTS(000):$43,732
  Chemical Weapons Convention Declaration Forms, Inspections and
FORMS: FORM1-1 FORM1-2 FORM1-2A FORM1-2B FORM1-4 FORM-A FORM-B FORM2-1
FORM2-2

OMB NO: 0694-0092    EXPIRATION DATE: 10/31/2004
RESPS:700,000        HOURS:21,963         COSTS(000):$0
  Procedures for Acceptance or Rejection of Rated Order
FORMS: NONE

OMB NO: 0694-0093    EXPIRATION DATE: 04/30/2005
RESPS:6,900          HOURS:1,957          COSTS(000):$0
  Import Certificates and End-User Certificates
FORMS: NONE

OMB NO: 0694-0096    EXPIRATION DATE: 10/31/2004
RESPS:201,177        HOURS:249            COSTS(000):$0
  Five Year Records Retention Period
FORMS: NONE

OMB NO: 0694-0100    EXPIRATION DATE: 09/30/2005
RESPS:1              HOURS:5              COSTS(000):$0
  For the Appointment of a Technical Advisory Committee
FORMS: NONE

OMB NO: 0694-0101    EXPIRATION DATE: 05/31/2004
RESPS:35             HOURS:875            COSTS(000):$0
  One-time Report For Foreign Software or Technology Eligible For
  De Minimis Exclusion
FORMS: NONE

OMB NO: 0694-0102    EXPIRATION DATE: 09/30/2005
RESPS:2              HOURS:10             COSTS(000):$0
  Miscellaneous Activities
FORMS: NONE

OMB NO: 0694-0104    EXPIRATION DATE: 04/30/2003
RESPS:234            HOURS:1,372          COSTS(000):$0
  Commercial Encryption Items under the Jurisdiction of the
FORMS: BXA-748P

OMB NO: 0694-0106    EXPIRATION DATE: 07/31/2004
RESPS:3,050          HOURS:559            COSTS(000):$0
  Reporting and Recordkeeping Requirements under the Wassenaar
  Arrangement
FORMS: NONE

OMB NO: 0694-0107    EXPIRATION DATE: 03/31/2005
RESPS:140            HOURS:35             COSTS(000):$0
  National Defense Authorization Act
FORMS: BXA-742R BXA-742S

OMB NO: 0694-0114    EXPIRATION DATE: 02/28/2006
RESPS:1,100          HOURS:550            COSTS(000):$0
  Firearms Convention
FORMS: BXA-748P

OMB NO: 0694-0117    EXPIRATION DATE: 04/30/2003
RESPS:356            HOURS:176            COSTS(000):$0
  Chemical Weapons Convention, Amendment to the Export
  Administration Regulation (End-Use Certificates and Advance
  Notifications and Annual Reports)
FORMS: NONE

OMB NO: 0694-0119    EXPIRATION DATE: 09/30/2005
RESPS:6,000          HOURS:24,000         COSTS(000):$0
  National Security and Critical Technology Assessments of the US
  Industrial Base
FORMS: NONE

OMB NO: 0694-0120    EXPIRATION DATE: 12/31/2005
RESPS:1              HOURS:3,000          COSTS(000):$0
  Procedure to initiate an Investigation Under the Trade Expansion
  Act of 1962
FORMS: NONE

OMB NO: 0694-0122    EXPIRATION DATE: 12/31/2005
RESPS:1,427,450      HOURS:70,104         COSTS(000):$0
  Licensing Responsibilities and Equipment
FORMS: NONE

OMB NO: 0694-0123    EXPIRATION DATE: 03/31/2005
RESPS:100            HOURS:93             COSTS(000):$0
  Prior Notification of Exports Under License Exception AGR
FORMS: BXA-748P

OMB NO: 0694-0125    EXPIRATION DATE: 09/30/2003
RESPS:3,900          HOURS:650            COSTS(000):$0
  BIS Program Evaluation
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
43 3,086,688 191,794 $43,837

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
390 58,802,663 17,610,334 $79,213,010
(RETURN TO AGENCY LIST)

Department of Defense
Department of the Air Force
OMB NO: 0701-0001    EXPIRATION DATE: 10/31/2003
RESPS:2,900          HOURS:8,700          COSTS(000):$0
  Application for Training Leading to a Commission in the United
  States Air Force
FORMS: AF-56

OMB NO: 0701-0026    EXPIRATION DATE: 09/30/2004
RESPS:16,200         HOURS:8,100          COSTS(000):$0
  Nomination for Appointment to the United States Military
  Academy, Naval Academy, and Air Force Academy
FORMS: DD-1870

OMB NO: 0701-0050    EXPIRATION DATE: 02/29/2004
RESPS:3,600          HOURS:1,800          COSTS(000):$0
  Civil Aircraft Landing Permit System
FORMS: DD-2400 DD-2401 DD-2402

OMB NO: 0701-0063    EXPIRATION DATE: 01/31/2004
RESPS:7,010          HOURS:5,258          COSTS(000):$0
  Air Force Academy Candidate Activities Record
FORMS: USAF-147

OMB NO: 0701-0064    EXPIRATION DATE: 01/31/2004
RESPS:7,233          HOURS:3,617          COSTS(000):$0
  Air Force Academy Candidate Personal Data Record
FORMS: USAFA-146

OMB NO: 0701-0066    EXPIRATION DATE: 02/29/2004
RESPS:6,954          HOURS:3,477          COSTS(000):$0
  Air Force Academy Request for Secondary School Transcript
FORMS: USAFA-148

OMB NO: 0701-0070    EXPIRATION DATE: 01/31/2004
RESPS:30,000         HOURS:2,666          COSTS(000):$0
  Family Support Center Information
FORMS: AIR-FORCE-2800 AIR-FORCE-2801 AIR-FORCE-2805

OMB NO: 0701-0078    EXPIRATION DATE: 01/31/2004
RESPS:3,600          HOURS:3,600          COSTS(000):$0
  Health Professions Accessions Forms
FORMS: AETC-1402 AETC-1437

OMB NO: 0701-0079    EXPIRATION DATE: 12/31/2003
RESPS:110,231        HOURS:69,105         COSTS(000):$0
  Non-Prior Service and Prior Service Accessions
FORMS: AETC-1319 AETC-1325 AETC-1419

OMB NO: 0701-0080    EXPIRATION DATE: 01/31/2004
RESPS:1,200          HOURS:1,500          COSTS(000):$0
  Air Force Officer Training School (OTS) Accession Forms
FORMS: AETC-1413 AETC-1422

OMB NO: 0701-0087    EXPIRATION DATE: 03/31/2005
RESPS:9,850          HOURS:3,940          COSTS(000):$0
  United States Air Force Academy Application
FORMS: USAFA-149

OMB NO: 0701-0096    EXPIRATION DATE: 11/30/2004
RESPS:5,899          HOURS:1,966          COSTS(000):$0
  Application for Appointment as Reserve of the Air Force or USAF
  Without Component
FORMS: AF-24

OMB NO: 0701-0101    EXPIRATION DATE: 05/31/2004
RESPS:8,000          HOURS:4,000          COSTS(000):$0
  Air Force ROTC College Scholarship Application
FORMS: AF-113

OMB NO: 0701-0103    EXPIRATION DATE: 04/30/2004
RESPS:500            HOURS:350            COSTS(000):$0
  Air Force ROTC Scholarship Nomination
FORMS: AFOATS-36

OMB NO: 0701-0105    EXPIRATION DATE: 04/30/2004
RESPS:12,000         HOURS:4,000          COSTS(000):$0
  Application for Air Force ROTC Membership
FORMS: AFOATS-20

OMB NO: 0701-0114    EXPIRATION DATE: 04/30/2004
RESPS:40             HOURS:20             COSTS(000):$0
  Application for Establishment of Air Force Junior ROTC Unit
FORMS: AFOATS-59

OMB NO: 0701-0127    EXPIRATION DATE: 08/31/2003
RESPS:255            HOURS:64             COSTS(000):$0
  USAF Museum System Volunteer Application/Registration
FORMS: AF-3569

OMB NO: 0701-0134    EXPIRATION DATE: 07/31/2004
RESPS:144            HOURS:144            COSTS(000):$0
  Request for Approval of Foreign Government Employment of Air
  Force Members
FORMS: NONE

OMB NO: 0701-0136    EXPIRATION DATE: 08/31/2005
RESPS:500            HOURS:167            COSTS(000):$0
  Community College of the Air Force Alumni Survey
FORMS: NONE

OMB NO: 0701-0137    EXPIRATION DATE: 04/30/2003
RESPS:15             HOURS:300            COSTS(000):$0
  Commercial Airlift Review
FORMS: AMC-207

OMB NO: 0701-0141    EXPIRATION DATE: 06/30/2004
RESPS:4,000          HOURS:1,000          COSTS(000):$0
  Intercontinental Ballistic Missile Hardened Intersite Cable
  System Right-of-Way Landowner/Tenant Questionnaire
FORMS: AF-3951

OMB NO: 0701-0146    EXPIRATION DATE: 07/31/2004
RESPS:200            HOURS:17             COSTS(000):$0
  Customer Comment Card, Air Force Form 3211
FORMS: 3211

OMB NO: 0701-0147    EXPIRATION DATE: 05/31/2003
RESPS:4,100          HOURS:4,100          COSTS(000):$0
  USAF Academy Candidate Writing Sample
FORMS: USAFA-0878

OMB NO: 0701-0149    EXPIRATION DATE: 03/31/2005
RESPS:441            HOURS:110            COSTS(000):$0
  Air Force Research Laboratory Public Awareness Survey
FORMS: NONE

OMB NO: 0701-0150    EXPIRATION DATE: 10/31/2005
RESPS:1,300,000      HOURS:1,386,413      COSTS(000):$0
  Air Force Recruiting Information Support System (AFRISS)
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
25 1,534,872 1,514,414 $0
Department of the Army
OMB NO: 0702-0018    EXPIRATION DATE: 10/31/2003
RESPS:6,320          HOURS:3,160          COSTS(000):$0
  Uniform Tender of Rates and/or Charges for Domestic
  Transportation Services (DoD/USCG Sponsored Household Goods)
FORMS: MT-HQ-FORM-43-R

OMB NO: 0702-0021    EXPIRATION DATE: 07/31/2005
RESPS:70             HOURS:70             COSTS(000):$0
  Application and Contract for Establishment of a Junior Reserve
  Officers' Training Corps United
FORMS: DA-FORM-3126

OMB NO: 0702-0022    EXPIRATION DATE: 10/31/2003
RESPS:441,677        HOURS:70,548         COSTS(000):$0
  Tender of Service and Letter of Intent for Personal Property
  Household Goods and Unaccompanied Baggage Shipments
FORMS: DD-FORM-619 DD-FORM-619-1

OMB NO: 0702-0027    EXPIRATION DATE: 01/31/2006
RESPS:75,000         HOURS:3,750          COSTS(000):$0
  Signature and Tally Record
FORMS: DD-1907

OMB NO: 0702-0060    EXPIRATION DATE: 02/28/2006
RESPS:66,200         HOURS:8,350          COSTS(000):$0
  Pre-Candidate Procedures
FORMS: USMA-375 USMA-723 USMA-450 USMA-21-12 USMA-21-27 USMA-381

OMB NO: 0702-0061    EXPIRATION DATE: 02/28/2006
RESPS:92,525         HOURS:11,720         COSTS(000):$0
  Candidate Procedures
FORMS: 21-16 21-23 21-25 21-26 5-520 5-518 FL546 FL481 5-2 5-26

OMB NO: 0702-0062    EXPIRATION DATE: 02/28/2006
RESPS:16,600         HOURS:1,937          COSTS(000):$0
  Offered Candidate Procedures
FORMS: 5-490 2-66 847 5-489 5-519 8-2 6-154 5-515 534 5-516

OMB NO: 0702-0073    EXPIRATION DATE: 02/28/2006
RESPS:11,000         HOURS:8,250          COSTS(000):$0
  U.S. Army ROTC 4-year College Scholarship Application (for High
  School Students)
FORMS: CC-114-R

OMB NO: 0702-0115    EXPIRATION DATE: 12/31/2003
RESPS:2,240          HOURS:784            COSTS(000):$0
  Survey of Army Applicants who were Qualified not Enlisted (QNE)
  or Those Who Entered the Delayed Entry Program (DEP) But Chose
  Not to Enlist
FORMS: NONE

OMB NO: 0702-0116    EXPIRATION DATE: 12/31/2004
RESPS:519            HOURS:218            COSTS(000):$0
  West Point Engineering Graduates Surveys
FORMS: NONE

OMB NO: 0702-0117    EXPIRATION DATE: 03/31/2006
RESPS:1,500          HOURS:375            COSTS(000):$0
  Evaluation of Army Benefits Center - Civilian (ABC-C) Retirement
  System
FORMS: NONE

OMB NO: 0702-0118    EXPIRATION DATE: 03/31/2006
RESPS:2,500          HOURS:292            COSTS(000):$0
  Evaluation of Reasons for Non-Acceptance of Department of Army
  Civilian Job Offers
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
12 716,151 109,454 $0
Department of the Navy
OMB NO: 0703-0011    EXPIRATION DATE: 09/30/2004
RESPS:2,500          HOURS:625            COSTS(000):$0
  Academic Certification for Marine Corps Officer Candidate Program
FORMS: NAVMC-10469

OMB NO: 0703-0016    EXPIRATION DATE: 09/30/2004
RESPS:440            HOURS:220            COSTS(000):$0
  Individual MCJROTC Instructor Evaluation Summary
FORMS: NAVMC-10942

OMB NO: 0703-0020    EXPIRATION DATE: 09/30/2005
RESPS:2,700          HOURS:2,025          COSTS(000):$0
  Enlistee Financial Statement
FORMS: NAVCRUIT-1130/ 13

OMB NO: 0703-0028    EXPIRATION DATE: 09/30/2005
RESPS:40,000         HOURS:10,000         COSTS(000):$0
  NROTC Applicant Questionaire
FORMS: NAVCRUIT-1131/6

OMB NO: 0703-0052    EXPIRATION DATE: 12/31/2003
RESPS:65,000         HOURS:13,000         COSTS(000):$0
  United States Navy Illicit Behavior Screening Certificate
FORMS: NAVCRUIT-1133/ 65

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
5 110,640 25,870 $0
Departmental and Others
OMB NO: 0704-0003    EXPIRATION DATE: 09/30/2003
RESPS:28,000         HOURS:14,000         COSTS(000):$0
  Application for Correction of Military Records Under the
  Provisions of Title 10, U.S. Code, Section 1552
FORMS: DD-149

OMB NO: 0704-0004    EXPIRATION DATE: 11/30/2003
RESPS:8,000          HOURS:6,000          COSTS(000):$0
  Application for the Review of Discharge or Dismissal from the
  Armed Forces of the United States
FORMS: DD-293

OMB NO: 0704-0006    EXPIRATION DATE: 11/30/2004
RESPS:100,000        HOURS:8,300          COSTS(000):$0
  Request for Verification of Birth
FORMS: DD-372

OMB NO: 0704-0007    EXPIRATION DATE: 02/29/2004
RESPS:125,000        HOURS:56,250         COSTS(000):$5
  Policy Record Check
FORMS: DD-369

OMB NO: 0704-0020    EXPIRATION DATE: 07/31/2005
RESPS:1,690,048      HOURS:281,675        COSTS(000):$0
  Application for Uniformed Services Identification Card -- DEERS
  Enrollment
FORMS: DD-FORM-1172

OMB NO: 0704-0055    EXPIRATION DATE: 10/31/2004
RESPS:610            HOURS:610            COSTS(000):$0
  Department of Defense Application for Priority Rating for
  Production or Construction Equipment
FORMS: DD-691

OMB NO: 0704-0100    EXPIRATION DATE: 10/31/2004
RESPS:3,000          HOURS:1,500          COSTS(000):$2
  Application for Discharge of Member of Survivor of Member of
  Group Certified to Have Performed Active Duty with the Armed
  Forces of the United States
FORMS: DD-2168

OMB NO: 0704-0125    EXPIRATION DATE: 09/30/2004
RESPS:2,403          HOURS:401            COSTS(000):$0
  Post-election Survey of Overseas Citizens, Post-election Survey
  of Local Election Officials
FORMS: NONE

OMB NO: 0704-0152    EXPIRATION DATE: 05/31/2003
RESPS:27,000         HOURS:4,500          COSTS(000):$0
  DOD Educational Loan Repayment Program (LRP)
FORMS: DD-2475

OMB NO: 0704-0167    EXPIRATION DATE: 11/30/2004
RESPS:43,000         HOURS:7,167          COSTS(000):$0
  Request for Reference
FORMS: DD-370

OMB NO: 0704-0173    EXPIRATION DATE: 09/30/2003
RESPS:510,000        HOURS:170,000        COSTS(000):$0
  Record of Military Processing - Armed Forces of the United States
FORMS: 1966

OMB NO: 0704-0187    EXPIRATION DATE: 12/31/2005
RESPS:1,954,238      HOURS:9,870,858      COSTS(000):$0
  Information Collection in Support of the DOD Acquisition Process
FORMS: NONE

OMB NO: 0704-0190    EXPIRATION DATE: 02/28/2006
RESPS:797            HOURS:614            COSTS(000):$0
  Appointment of Chaplains for the Military Services
FORMS: DD-2741 DD-2088

OMB NO: 0704-0194    EXPIRATION DATE: 06/30/2004
RESPS:6,400          HOURS:9,493          COSTS(000):$0
  Department of Defense Security Agreement, Appendage, and
  Certificate Pertaining to Foreign Interests
FORMS: DD-441 DD-441-1 SF-328

OMB NO: 0704-0207    EXPIRATION DATE: 10/31/2004
RESPS:6,000          HOURS:2,000          COSTS(000):$0
  Militarily Critical Technical Data Agreement
FORMS: DD-2345

OMB NO: 0704-0214    EXPIRATION DATE: 09/30/2005
RESPS:53,160         HOURS:765,498        COSTS(000):$0
  Defense Federal Acquisition Reguilation Supplement (DFARS) Part
  217, Special Contracting Methods, and related provisions and
  clauses in DFARS 252.217
FORMS: NONE

OMB NO: 0704-0216    EXPIRATION DATE: 08/31/2003
RESPS:49             HOURS:859            COSTS(000):$0
  Defense Federal Acquisition Regulation Supplement (DFARS) Part
  228, Bonds and Insurance, and related clauses at 252.228
FORMS: NONE

OMB NO: 0704-0225    EXPIRATION DATE: 08/31/2004
RESPS:22,602         HOURS:13,758         COSTS(000):$0
  Defense Federal Acquisition Regulation Supplement Part 204,
  Administrative Matters, and related clauses at 252.204
FORMS: DD-2051 DD-2051-1

OMB NO: 0704-0229    EXPIRATION DATE: 03/31/2004
RESPS:223,942        HOURS:374,268        COSTS(000):$0
  Defense Federal Acquisition Supplement Part 225, Foreign
  Acquisition, and related clauses at Part 252.225.
FORMS: DD-2139

OMB NO: 0704-0231    EXPIRATION DATE: 06/30/2004
RESPS:800            HOURS:400            COSTS(000):$0
  Defense Federal Acquisition Regulation Supplement (DFARS)
  Subpart 237.70, Mortuary Services, DFARS clause 252.237-7011,
  Preparation History, and DD Form 2063, Record of Preparation...
FORMS: DD-2063

OMB NO: 0704-0232    EXPIRATION DATE: 08/31/2004
RESPS:141            HOURS:5,350          COSTS(000):$0
  Defense Federal Acquisition Regulation Supplement (DFARS)
  Subpart 215.8, Price Negotiation, and related clauses at 252.215.
FORMS: NONE

OMB NO: 0704-0245    EXPIRATION DATE: 07/31/2004
RESPS:464,682        HOURS:149,874        COSTS(000):$0
  Defense Federal Acquisition Regulation Supplement (DFARS) Part
  247, Transportation, and related clauses at 252.247
FORMS: NONE

OMB NO: 0704-0246    EXPIRATION DATE: 02/28/2006
RESPS:42,497         HOURS:50,170         COSTS(000):$0
  Defense Federal Acquisition Regulation Supplement (DFARS) Part
  245, Government Property, related clauses in DFARS 252, and
  related forms in DFARS 253
FORMS: DD-FORM-1149 1149C 1342 1419 1637 1639 1640 1662

OMB NO: 0704-0248    EXPIRATION DATE: 10/31/2004
RESPS:7,800,000      HOURS:988,000        COSTS(000):$0
  Defense Federal Acquisition Regulation Supplement, Appendix F,
  Material Inspection and Receiving Report
FORMS: DD-250 DD-250C DD-250-1

OMB NO: 0704-0250    EXPIRATION DATE: 02/28/2006
RESPS:86,215         HOURS:217,645        COSTS(000):$0
  Defense Federal Acquisition Regulation Supplment (DFARS) Part
  242, Contract Administration, related clauses in DFARS 252, and
  related forms in DFARS 253
FORMS: DD-FORM-1659

OMB NO: 0704-0252    EXPIRATION DATE: 10/31/2004
RESPS:10,500         HOURS:5,250          COSTS(000):$0
  Defense Federal Acquisition Regulation Supplement, Use of
  Government Sources by Contractors, and related clauses in Part
  252
FORMS: NONE

OMB NO: 0704-0253    EXPIRATION DATE: 07/31/2004
RESPS:90             HOURS:1,440          COSTS(000):$0
  Subcontracting Policies and Procedures - DOD FAR Supplement Part
  244
FORMS: NONE

OMB NO: 0704-0255    EXPIRATION DATE: 10/31/2004
RESPS:2,740          HOURS:276,625        COSTS(000):$0
  Defense Federal Acquisition Regulation Supplement Part 236,
  Construction and Architect-Engineer Contracts, and Related
  Clauses at 252.236
FORMS: NONE

OMB NO: 0704-0259    EXPIRATION DATE: 06/30/2005
RESPS:136            HOURS:552            COSTS(000):$0
  Defense Federal Acquisition Regulation Supplement (DFARS) Part
  216, Types of Contracts, and related clauses at 252.216
FORMS: NONE

OMB NO: 0704-0261    EXPIRATION DATE: 08/31/2005
RESPS:21,563         HOURS:5,391          COSTS(000):$0
  Department of Defense Standard Tender of Freight Services
FORMS: MT-364-R

OMB NO: 0704-0264    EXPIRATION DATE: 06/30/2004
RESPS:2,000          HOURS:833            COSTS(000):$0
  Registration for Scientific and Technical Information Services
FORMS: DD-1540

OMB NO: 0704-0267    EXPIRATION DATE: 04/30/2004
RESPS:42,058         HOURS:420,580        COSTS(000):$0
  Defense Federal Acquisition Regulation Supplement (DFARS) Part
  230, Cost Accounting Standards Administration, and DD Form 1861,
  Contract Facilities Capital Cost of Money
FORMS: DD-1861

OMB NO: 0704-0272    EXPIRATION DATE: 08/31/2004
RESPS:14,726         HOURS:9,997          COSTS(000):$0
  Defense Federal Acquisition Regulation Supplement (DFARS)
  Subpart 223, Environment, Conservation, and Occupational Safety;
  and Related Clauses at DFARS Part 252
FORMS: NONE

OMB NO: 0704-0286    EXPIRATION DATE: 08/31/2004
RESPS:6,153          HOURS:6,153          COSTS(000):$0
  Defense Federal Acquisition Regulation Supplement Part 205,
  Publicizing Contract Actions, and DFARS 252.205-7000, Provision
  of Information to Cooperative Acreement Holders
FORMS: NONE

OMB NO: 0704-0290    EXPIRATION DATE: 06/30/2003
RESPS:43,000         HOURS:5,547          COSTS(000):$0
  Armed Forces Participation in Public Events
FORMS: DD-2535 DD-2536

OMB NO: 0704-0305    EXPIRATION DATE: 09/30/2003
RESPS:3,940          HOURS:4,815          COSTS(000):$0
  Telecommunications Service Priority System
FORMS: SF-314 SF-315 SF-317 SF-318 SF-319

OMB NO: 0704-0320    EXPIRATION DATE: 07/31/2005
RESPS:178            HOURS:1,246          COSTS(000):$0
  Procurement Technical Assistance Center Cooperative Agreement
  Performance Report
FORMS: DLA-1806

OMB NO: 0704-0321    EXPIRATION DATE: 05/31/2003
RESPS:5,160          HOURS:7,740          COSTS(000):$0
  Defense Federal Acquisition Regulation Supplement (DFARS) Part
  232, contract Financing, and the clause at DFARS 252.232-7002
  Progress Payments for Foreign Military Sales Acquisition
FORMS: NONE

OMB NO: 0704-0323    EXPIRATION DATE: 07/31/2003
RESPS:293,401        HOURS:12,030         COSTS(000):$0
  Third Party Collection Program (Record of Other Health Insurance)
FORMS: DD-2569

OMB NO: 0704-0324    EXPIRATION DATE: 05/31/2004
RESPS:1,165          HOURS:276            COSTS(000):$0
  Department of Defense Public and Community Service (PACS) Program
FORMS: 2581 2581-1

OMB NO: 0704-0328    EXPIRATION DATE: 05/31/2005
RESPS:102,000        HOURS:10,200         COSTS(000):$0
  DOD Building Pass Application
FORMS: DD-2249

OMB NO: 0704-0332    EXPIRATION DATE: 03/31/2004
RESPS:393            HOURS:931            COSTS(000):$0
  Defense Federal Acquistion Regualtion Supplement (DFARS)
  Appendix I - - DOD Pilot Mentor Protege Program
FORMS: NONE

OMB NO: 0704-0334    EXPIRATION DATE: 09/30/2004
RESPS:5,000          HOURS:1,667          COSTS(000):$0
  Automated Repatriation Reporting System
FORMS: DD-FORM_2585

OMB NO: 0704-0336    EXPIRATION DATE: 10/31/2004
RESPS:15,152         HOURS:821,052        COSTS(000):$0
  Defense Federal Acquisition Regulation Supplement (DFARS)
  223.570, Drug-Free Work Force, and DFARS clause 252.223-7004,
  Drug-Free Work Force
FORMS: NONE

OMB NO: 0704-0341    EXPIRATION DATE: 10/31/2004
RESPS:1,598          HOURS:1,806          COSTS(000):$0
  Defense Federal Acquisition Regulation Supplement (DFARS) Part
  239, Acquisition of Information Technology, and associated
  clauses at DFARS 252.239-7000 and 252.239-7006
FORMS: NONE

OMB NO: 0704-0347    EXPIRATION DATE: 06/30/2003
RESPS:81             HOURS:7              COSTS(000):$0
  Request for Approval for Qualification Training and Approval of
  Contractor Flight Crewmember
FORMS: DD-2627 DD-2628

OMB NO: 0704-0357    EXPIRATION DATE: 12/31/2005
RESPS:756            HOURS:126            COSTS(000):$0
  Validation of Public or Community Service Employment Performed
  by Retired Personnel Retired Under the Temporary Early
  Retirement Authority (TERA) for Increased Retirement Compensation
FORMS: 2676

OMB NO: 0704-0359    EXPIRATION DATE: 08/31/2004
RESPS:800            HOURS:800            COSTS(000):$0
  Defense Federal Acqusition Regulation Supplement (DFARS) Part
  232 Contract Financing, and related clause at DFARS
  252.232-7007, Limitation of Government's Obligation
FORMS: NONE

OMB NO: 0704-0364    EXPIRATION DATE: 06/30/2005
RESPS:808            HOURS:202            COSTS(000):$0
  Continued Health Care Benefit Program (CHCBP) Application
FORMS: DD-2837

OMB NO: 0704-0366    EXPIRATION DATE: 03/31/2004
RESPS:185            HOURS:1,619          COSTS(000):$0
  National Security Education Program (NSEP Grants to Institutions
  of Higher Education)
FORMS: DD-2729 DD-2730

OMB NO: 0704-0367    EXPIRATION DATE: 05/31/2004
RESPS:9,314          HOURS:4,657          COSTS(000):$17
  Indebtedness of Military Personnel -Involuntary Allotments
FORMS: DD-2653

OMB NO: 0704-0368    EXPIRATION DATE: 03/31/2004
RESPS:600            HOURS:100            COSTS(000):$0
  National Security Education Program (Service Agreement Report
  for Scholarshi8p and Fellowship Awards)
FORMS: DD-2752 DD-2753

OMB NO: 0704-0369    EXPIRATION DATE: 11/30/2003
RESPS:1,185,005      HOURS:4,320,447      COSTS(000):$0
  Defense Federal Acquisition Regulation Supplement Subparts
  227.72, Rights in Computer Software and Computer Software
  Documentation; and related clauses and provisions at 252.227
FORMS: NONE

OMB NO: 0704-0370    EXPIRATION DATE: 03/31/2005
RESPS:25,120         HOURS:4,127          COSTS(000):$15
  Department of Defense Dependents Schools (DoDDS) Overseas
  Employment Opportunities for Education
FORMS: DS-5010 DS-5011 DS-5013 DS-5012

OMB NO: 0704-0380    EXPIRATION DATE: 08/31/2004
RESPS:7,500          HOURS:500            COSTS(000):$0
  Commissary Customer Service Survey
FORMS: DECA-60-28

OMB NO: 0704-0382    EXPIRATION DATE: 12/31/2004
RESPS:40,000         HOURS:13,200         COSTS(000):$0
  End-Use Certificate
FORMS: DLA-1822

OMB NO: 0704-0384    EXPIRATION DATE: 03/31/2006
RESPS:32,164         HOURS:8,041          COSTS(000):$0
  DOD Request for Personnel Security Investigations
FORMS: DD-1879

OMB NO: 0704-0386    EXPIRATION DATE: 10/31/2004
RESPS:1              HOURS:41             COSTS(000):$0
  Defense Federal Acquisition Regulation Supplement (DFARS) Part
  219, Small Business Programs and Associated Clauses in Part
  252.219
FORMS: NONE

OMB NO: 0704-0390    EXPIRATION DATE: 03/31/2005
RESPS:22             HOURS:88             COSTS(000):$0
  Defense Federal Acquisition Regulation Supplement (DFARS) Part
  229, Taxes, and related clauses at 252.229
FORMS: NONE

OMB NO: 0704-0391    EXPIRATION DATE: 08/31/2003
RESPS:20             HOURS:20             COSTS(000):$0
  Defense Export Loan Guarantee (DELG) Application
FORMS: DD-2747

OMB NO: 0704-0394    EXPIRATION DATE: 06/30/2003
RESPS:800            HOURS:200            COSTS(000):$0
  Defense Reutilization and Marketing Service Customer Comment Card
FORMS: NONE

OMB NO: 0704-0395    EXPIRATION DATE: 07/31/2003
RESPS:10,000         HOURS:833            COSTS(000):$0
  Pentagon Reservation Parking Permit Application
FORMS: DD-1199

OMB NO: 0704-0396    EXPIRATION DATE: 08/31/2003
RESPS:19,000         HOURS:19,000         COSTS(000):$0
  Department of Defense Medical Examiniation Review Board Medical
  Information Collection Forms
FORMS: DD-2351/-2369 DD-2370/-2372 DD-2374/-2375 DD-2378/-2379
DD-2380/-2381 DD-2382/-2383 DD-2480/-2489 DD-2492/-2632

OMB NO: 0704-0397    EXPIRATION DATE: 02/28/2006
RESPS:440            HOURS:2,120          COSTS(000):$0
  Defense Federal Acquisition Regulation Supplement (DFARS) Part
  243, Contract Modification and related clause at DFARS
  252.243-7002
FORMS: NONE

OMB NO: 0704-0398    EXPIRATION DATE: 08/31/2004
RESPS:771            HOURS:771            COSTS(000):$0
  Substitutions for Military or Federal Specifications and
  Standards, Defense Federal Acquisition Regulation Supplement
  (DFARS) Section 211.273, and related clause in DFARS 272.211-7005
FORMS: NONE

OMB NO: 0704-0400    EXPIRATION DATE: 12/31/2003
RESPS:300,000        HOURS:150,000        COSTS(000):$0
  Central Contractor Registration (CCR)
FORMS: NONE

OMB NO: 0704-0402    EXPIRATION DATE: 11/30/2004
RESPS:200            HOURS:200            COSTS(000):$2
  Application for Annuity - Certain Military Surviving Spouses
FORMS: DD-2769

OMB NO: 0704-0403    EXPIRATION DATE: 08/31/2004
RESPS:2,492          HOURS:415            COSTS(000):$0
  Customer Satisfaction Survey - Generic Clearance
FORMS: NONE

OMB NO: 0704-0407    EXPIRATION DATE: 05/31/2005
RESPS:50,000         HOURS:5,000          COSTS(000):$0
  Commissary Evaluation and Utility Surveys - Generic
FORMS: NONE

OMB NO: 0704-0411    EXPIRATION DATE: 05/31/2003
RESPS:16,470         HOURS:7,400          COSTS(000):$2
  Exceptional Family Member Program
FORMS: DD-2792

OMB NO: 0704-0412    EXPIRATION DATE: 07/31/2003
RESPS:145            HOURS:435            COSTS(000):$0
  Defense Federal Acquisition Regulation Supplement (DFARS)
  Appendix I, DOD Pilot Mentor Protege Program Improvements
FORMS: NONE

OMB NO: 0704-0413    EXPIRATION DATE: 08/31/2003
RESPS:850,000        HOURS:135,833        COSTS(000):$0
  Medical Screening of Military Personnel
FORMS: DD-2807-1 DD-2807-2

OMB NO: 0704-0415    EXPIRATION DATE: 03/31/2004
RESPS:300,000        HOURS:100,000        COSTS(000):$0
  Application for Department of Defense Common Access Card - Deers
  Enrollment
FORMS: DD-1172-2

OMB NO: 0704-0416    EXPIRATION DATE: 12/31/2003
RESPS:1,000          HOURS:2,500          COSTS(000):$0
  Defense Systems Management College (DSMC) Information Technology
  Study
FORMS: NONE

OMB NO: 0704-0417    EXPIRATION DATE: 09/30/2004
RESPS:11,000         HOURS:13,750         COSTS(000):$0
  Personnel Security Investigation Projection for Industry Survey
FORMS: DSS-232

OMB NO: 0704-0418    EXPIRATION DATE: 02/29/2004
RESPS:225.800        HOURS:45,160         COSTS(000):$0
  Personnel Security Clearance Change Notification
FORMS: DISCOFORM562

OMB NO: 0704-0420    EXPIRATION DATE: 04/30/2004
RESPS:2,880          HOURS:144            COSTS(000):$0
  Interactive Customer Evaluation System (ICE)
FORMS: NONE

OMB NO: 0704-0421    EXPIRATION DATE: 03/31/2005
RESPS:7,275          HOURS:2,001          COSTS(000):$0
  Department of Defense Education Activity Customer Satisfaction
  Survey for Parents and Students
FORMS: NONE

OMB NO: 0704-0422    EXPIRATION DATE: 04/30/2005
RESPS:1,335          HOURS:334            COSTS(000):$0
  2001 Biennial Review of Defense Agencies and DOD Field Activities
FORMS: NONE

OMB NO: 0704-0424    EXPIRATION DATE: 04/30/2005
RESPS:6,000          HOURS:2,500          COSTS(000):$0
  Defense Security Service Customer Satisfaction Survey
FORMS: NONE

OMB NO: 0704-0425    EXPIRATION DATE: 08/31/2003
RESPS:50             HOURS:400            COSTS(000):$0
  Application for Department of Defense Impact Aid for Children
  with Severe Disabilities
FORMS: SD-816 SD-816C

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
81 16,651,996 19,436,292 $43
U.S. Army Corps of Engineers
OMB NO: 0710-0001    EXPIRATION DATE: 11/30/2005
RESPS:214,150        HOURS:17,750         COSTS(000):$0
  Corps of Engineers Civil Works Questionnairs - Generic Clearance
FORMS: NONE

OMB NO: 0710-0003    EXPIRATION DATE: 12/31/2004
RESPS:85,500         HOURS:340,000        COSTS(000):$0
  Application for a Department of the Army Permit
FORMS: 4345

OMB NO: 0710-0005    EXPIRATION DATE: 09/30/2003
RESPS:5,400          HOURS:2,500          COSTS(000):$0
  Record of Arrivals and Departures of Vessels at Marine Terminals.
FORMS: 3926

OMB NO: 0710-0006    EXPIRATION DATE: 09/30/2003
RESPS:228,752        HOURS:44,479         COSTS(000):$0
  Vessel Operation Report
FORMS: 3925 3925B 3925P 3925C

OMB NO: 0710-0007    EXPIRATION DATE: 08/31/2005
RESPS:1,489          HOURS:372            COSTS(000):$0
  Terminal and Transfer Facilities Description
FORMS: IWR-1 IWR-2 IWR-3 IWR-4 IWR-5 IWR-6 IWR-7 IWR-8 IWR-9

OMB NO: 0710-0008    EXPIRATION DATE: 08/31/2005
RESPS:695,304        HOURS:28,507         COSTS(000):$0
  Lock Performance Monitoring System (LPMS) Waterway Traffic Report
FORMS: 3102C 3102D

OMB NO: 0710-0009    EXPIRATION DATE: 10/31/2004
RESPS:2,500          HOURS:2,000          COSTS(000):$0
  Description of Vessels, Description of Operations
FORMS: 3931 3932

OMB NO: 0710-0012    EXPIRATION DATE: 08/31/2005
RESPS:60,000         HOURS:15,000         COSTS(000):$0
  Customer Service Survey - Regulatory Program US Army Corps of
  Engineers
FORMS: ENG-5065

OMB NO: 0710-0013    EXPIRATION DATE: 02/29/2004
RESPS:164,367        HOURS:29,737         COSTS(000):$0
  Shipper's Export Declaration (SED) Program
FORMS: 7513

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
9 1,457,462 480,345 $0
Office of Assistant Secretary for Health Affairs
OMB NO: 0720-0001    EXPIRATION DATE: 08/31/2003
RESPS:14,500,000     HOURS:3,625,000      COSTS(000):$0
  Health Insurance Claim Form
FORMS: HCFA-1500

OMB NO: 0720-0005    EXPIRATION DATE: 08/31/2003
RESPS:60             HOURS:30             COSTS(000):$0
  Professional Qualifications, Medical and Peer Reviewers
FORMS: CHAMPUS-780

OMB NO: 0720-0006    EXPIRATION DATE: 03/31/2006
RESPS:1,035,000      HOURS:258,750        COSTS(000):$0
  CHAMPUS Claims Patient's Request for Medical Payment
FORMS: DD-2642

OMB NO: 0720-0013    EXPIRATION DATE: 03/31/2005
RESPS:2,100,000      HOURS:525,000        COSTS(000):$859
  Health Insurance Claim Form, HCFA 1450
FORMS: HCF-1450-UB92

OMB NO: 0720-0015    EXPIRATION DATE: 12/31/2003
RESPS:50,000         HOURS:12,500         COSTS(000):$0
  TRICARE Retiree Dental Program Enrollment Application
FORMS: NONE

OMB NO: 0720-0022    EXPIRATION DATE: 02/28/2006
RESPS:885,000        HOURS:44,250         COSTS(000):$0
  DoD Active Duty/Reserve Forces Dental Examination
FORMS: DD-2813

OMB NO: 0720-0023    EXPIRATION DATE: 07/31/2003
RESPS:2,000          HOURS:333            COSTS(000):$0
  Pharmacy Redesign Pilot Program
FORMS: DD-2814

OMB NO: 0720-0024    EXPIRATION DATE: 06/30/2003
RESPS:900            HOURS:300            COSTS(000):$0
  Survey of Prescribers in Military Treatment Facilities and
  TRICARE Contracts
FORMS: NONE

OMB NO: 0720-0027    EXPIRATION DATE: 10/31/2004
RESPS:2,106,071      HOURS:703,248        COSTS(000):$0
  Health Evaluation Assessment Review (HEAR 2.X)
FORMS: NONE

OMB NO: 0720-0028    EXPIRATION DATE: 03/31/2005
RESPS:20,689         HOURS:2,150          COSTS(000):$0
  TRICARE Plus Enrollment and Disenrollment Applications
FORMS: DD-X437 DD-X438

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
10 20,699,720 5,171,561 $859
Defense Finance and Accounting Service
OMB NO: 0730-0001    EXPIRATION DATE: 09/30/2005
RESPS:3,600          HOURS:720            COSTS(000):$0
  Child Annuitant's School Certification
FORMS: DD-2788

OMB NO: 0730-0002    EXPIRATION DATE: 04/30/2004
RESPS:108,500        HOURS:9,042          COSTS(000):$0
  Statement of Claimant Requesting Recertified Check
FORMS: DD-2660

OMB NO: 0730-0003    EXPIRATION DATE: 06/30/2004
RESPS:15,000         HOURS:2,000          COSTS(000):$0
  Customer Satisfaction Surveys - Generic
FORMS: NONE

OMB NO: 0730-0005    EXPIRATION DATE: 12/31/2003
RESPS:386,000        HOURS:193,000        COSTS(000):$0
  Personal Check Cashing Agreement
FORMS: DD-2761

OMB NO: 0730-0008    EXPIRATION DATE: 11/30/2004
RESPS:20,520         HOURS:5,064          COSTS(000):$0
  Application for Former Spouse Payments from Retired Pay
FORMS: DD-2293

OMB NO: 0730-0009    EXPIRATION DATE: 09/30/2005
RESPS:6,000          HOURS:12,000         COSTS(000):$0
  Waiver/Remission of Indebtedness Application
FORMS: DD-2789

OMB NO: 0730-0010    EXPIRATION DATE: 09/30/2005
RESPS:300            HOURS:120            COSTS(000):$0
  Custodianship Certificate to Support Claim on Behalf of Minor
  Children of Deceased Members of the Armed Forces
FORMS: DD-2790

OMB NO: 0730-0011    EXPIRATION DATE: 08/31/2003
RESPS:120            HOURS:24             COSTS(000):$0
  Physician Certificate for Child Annuitant
FORMS: DD-X405

OMB NO: 0730-0012    EXPIRATION DATE: 09/30/2003
RESPS:300            HOURS:150            COSTS(000):$0
  Trustee Report
FORMS: DD-2826

OMB NO: 0730-0013    EXPIRATION DATE: 09/30/2003
RESPS:50             HOURS:13             COSTS(000):$0
  Application for Trusteeship
FORMS: DD-2827

OMB NO: 0730-0014    EXPIRATION DATE: 05/31/2004
RESPS:19,440         HOURS:24,300         COSTS(000):$0
  Dependency Statements: Parent, Child Born Out of Wedlock,
  Incapacitated Child Over Age 21, Full ?Time Student 21-22 Years
  of Age, and Ward of a Court
FORMS: DD-137-3 DD-137-4 DD-137-5 DD-137-6 DD-137-7

OMB NO: 0730-0015    EXPIRATION DATE: 04/30/2004
RESPS:10,000         HOURS:833            COSTS(000):$0
  Request for Information Regarding Deceased Debtor
FORMS: DD-2840

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
12 569,830 247,266 $0
Office of the Secretary
OMB NO: 0790-0003    EXPIRATION DATE: 09/30/2004
RESPS:150            HOURS:150            COSTS(000):$0
  Base Realignment and Closure (BRAC) Military Base Reuse Status
FORMS: DD-2740

OMB NO: 0790-0004    EXPIRATION DATE: 02/29/2004
RESPS:71             HOURS:2,840          COSTS(000):$0
  Revitalizing Base Closure Communities, Economic Development
  Conveyance Annual Financial Statement
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
2 221 2,990 $0

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
156 41,740,892 26,988,192 $902
(RETURN TO AGENCY LIST)

Department of Education
Department of Education
OMB NO: 1800-0011    EXPIRATION DATE: 11/30/2003
RESPS:10,000         HOURS:25,120         COSTS(000):$0
  Master Plan for Customer Satisfaction Surveys and Focus Groups
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
1 10,000 25,120 $0
Office of Elementary and Secondary Education
OMB NO: 1810-0036    EXPIRATION DATE: 02/28/2005
RESPS:1,061,320      HOURS:531,211        COSTS(000):$0
  Applications for Assistance (sections 8002 and 8003) Impact Aid
  Program
FORMS: ED-4019

OMB NO: 1810-0054    EXPIRATION DATE: 01/31/2004
RESPS:90             HOURS:2,180          COSTS(000):$0
  Application for the High School Equivalency Program (HEP) and
  College Assistance Migrant Program (CAMP) (1890-0001)(KA)
FORMS: NONE

OMB NO: 1810-0060    EXPIRATION DATE: 04/30/2005
RESPS:3,052          HOURS:4,224          COSTS(000):$0
  Annual Report of Children in State Agency and Locally Operated
  Institutions for Neglected and Delinquent Children
FORMS: ED-4376

OMB NO: 1810-0540    EXPIRATION DATE: 05/31/2003
RESPS:30             HOURS:450            COSTS(000):$0
  Application for the Even Start Family Literacy Program - Indian
  Tribes and Tribal Organizations
FORMS: CFDA#84.258

OMB NO: 1810-0541    EXPIRATION DATE: 04/30/2003
RESPS:60             HOURS:2,700          COSTS(000):$0
  Migrant Education Even Start Family Literacy
FORMS: NONE

OMB NO: 1810-0576    EXPIRATION DATE: 10/31/2005
RESPS:52             HOURS:18,160         COSTS(000):$0
  Consolidated State Application
FORMS: NONE

OMB NO: 1810-0581    EXPIRATION DATE: 05/31/2003
RESPS:33,759         HOURS:2,586,428      COSTS(000):$0
  State educational agency local educational agency, and school
  data collection and reporting under ESEA, Title I, Part A
FORMS: NONE

OMB NO: 1810-0614    EXPIRATION DATE: 06/30/2003
RESPS:14,452         HOURS:134,768        COSTS(000):$0
  consolidated State Performance Report and State Self-Review
FORMS: NONE

OMB NO: 1810-0620    EXPIRATION DATE: 09/30/2005
RESPS:25             HOURS:200            COSTS(000):$0
  State Agency Use of Alternative Method to Distribute Title I
  Funds to LEAs with Fewer Than 20,000 Total Residents
FORMS: NONE

OMB NO: 1810-0622    EXPIRATION DATE: 09/30/2005
RESPS:52             HOURS:2,080          COSTS(000):$0
  SEA Procedures for Adjusting ED-Determined Title I Allocations
  to Local Education Agencies (LEAs)
FORMS: NONE

OMB NO: 1810-0625    EXPIRATION DATE: 04/30/2003
RESPS:45             HOURS:1,800          COSTS(000):$0
  Ed-Flex State Application Guidance
FORMS: NONE

OMB NO: 1810-0634    EXPIRATION DATE: 04/30/2003
RESPS:23             HOURS:552            COSTS(000):$0
  Reading Excellence Act Performance Report (KA)
FORMS: CFDA#84.338

OMB NO: 1810-0646    EXPIRATION DATE: 10/31/2005
RESPS:4,552          HOURS:4,830          COSTS(000):$0
  Application Package for the REAP Small, Rural School Achievement
  Program (KA)
FORMS: 84.358A

OMB NO: 1810-0648    EXPIRATION DATE: 07/31/2005
RESPS:57             HOURS:3,306          COSTS(000):$0
  Application for State Grants for Reading First (KA)
FORMS: CFDA#84.357

OMB NO: 1810-0649    EXPIRATION DATE: 04/30/2003
RESPS:100            HOURS:500            COSTS(000):$0
  FY 2002 Migrant Education Program (MEP) Consortium Incentive
  Grants (1890-0001) (KA)
FORMS: CFDA384.144

OMB NO: 1810-0652    EXPIRATION DATE: 05/31/2005
RESPS:1,500          HOURS:45,000         COSTS(000):$0
  Application for Improving Literacy Through School Libraries
  Grant Program
FORMS: 84.364

OMB NO: 1810-0653    EXPIRATION DATE: 06/30/2005
RESPS:56             HOURS:112            COSTS(000):$0
  State Progress Report - School Renovation, IDEA, and Technology
  Grants Program (KA)
FORMS: 84.352A

OMB NO: 1810-0654    EXPIRATION DATE: 10/31/2004
RESPS:932            HOURS:14,332         COSTS(000):$0
  Early Reading First Program Federal Register Notice Inviting
  Applications, and Application Packet (KA)
FORMS: 84.359

OMB NO: 1810-0655    EXPIRATION DATE: 01/31/2006
RESPS:240            HOURS:19,200         COSTS(000):$0
  Local-Flex Application (KA)
FORMS: NONE

OMB NO: 1810-0656    EXPIRATION DATE: 12/31/2005
RESPS:100            HOURS:200            COSTS(000):$0
  FY 2002 Native Hawaiian Education Council
FORMS: 84.362B

OMB NO: 1810-0657    EXPIRATION DATE: 08/31/2003
RESPS:438            HOURS:1,454          COSTS(000):$0
  Impact Aid Discretionary Construction Grant Program
FORMS: 84.041

OMB NO: 1810-0660    EXPIRATION DATE: 02/28/2006
RESPS:21             HOURS:13,440         COSTS(000):$0
  State-Flex Application (KA)
FORMS: NONE

OMB NO: 1810-0662    EXPIRATION DATE: 05/31/2003
RESPS:43             HOURS:19,925         COSTS(000):$0
  Migrant Education Program (MEP) Final Regulations Sections
  200.83 200.84 and 200.88
FORMS: CFDA-84.011

OMB NO: 1810-0663    EXPIRATION DATE: 01/31/2006
RESPS:51             HOURS:612            COSTS(000):$0
  Information on Students Served by McKinney-Vento Homeless
  Assistance Act Subgrants
FORMS: CDF#84.196

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
24 1,121,050 3,407,664 $0
Office of Special Education and Rehabilitative Services
OMB NO: 1820-0009    EXPIRATION DATE: 07/31/2005
RESPS:52             HOURS:702            COSTS(000):$0
  Report of Randolph-Sheppard Vending Facility Program (SC)
FORMS: RSA-15

OMB NO: 1820-0013    EXPIRATION DATE: 02/28/2006
RESPS:320            HOURS:320            COSTS(000):$0
  Quarterly Cumulative Caseload Report (SC)
FORMS: RSA-113

OMB NO: 1820-0017    EXPIRATION DATE: 02/28/2006
RESPS:82             HOURS:385            COSTS(000):$0
  Annual Program Cost Report (SC)
FORMS: RSA-2

OMB NO: 1820-0018    EXPIRATION DATE: 08/31/2004
RESPS:1,000          HOURS:40,000         COSTS(000):$0
  Application Kit for New Grants Under the Rehabilitation Services
  Administration
FORMS: NONE

OMB NO: 1820-0027    EXPIRATION DATE: 11/30/2003
RESPS:1,000          HOURS:20,000         COSTS(000):$0
  Applications for Grants under Disability and Rehabilitation
  Research (1890-0001)(SC)
FORMS: NONE

OMB NO: 1820-0028    EXPIRATION DATE: 05/31/2003
RESPS:1,200          HOURS:30,000         COSTS(000):$0
  Discretionary Grant Application -- Individuals with Disabilities
  Education Act
FORMS: NONE

OMB NO: 1820-0030    EXPIRATION DATE: 01/31/2006
RESPS:57             HOURS:570            COSTS(000):$0
  State Eligibility Plan Under Part B of the Individuals with
  Disabilities Education Act (SC)
FORMS: ED-9055

OMB NO: 1820-0043    EXPIRATION DATE: 07/31/2004
RESPS:58             HOURS:30,682         COSTS(000):$0
  Report of Children with Disabilities Receiving Special Education
  under Part B of the Individuals with Disabilites Education Act
  (SC)
FORMS: 869-5

OMB NO: 1820-0500    EXPIRATION DATE: 01/31/2004
RESPS:82             HOURS:1,002,050      COSTS(000):$0
  State Vocational Rehabilitation Services Program Final Rules
FORMS: ED(RSA)-SPVR

OMB NO: 1820-0508    EXPIRATION DATE: 05/31/2003
RESPS:80             HOURS:4,240          COSTS(000):$0
  Final Regulations to Amend CFR, Title 34, Chapter III, Part 361,
  by adding a new subpart E, entitled "Evaluation Standards and
  Performance Indicators"
FORMS: RSA-911

OMB NO: 1820-0509    EXPIRATION DATE: 02/28/2005
RESPS:75,560         HOURS:15,292         COSTS(000):$0
  Lists of Hearing Officers and Mediators
FORMS: NONE

OMB NO: 1820-0514    EXPIRATION DATE: 12/31/2003
RESPS:1,170,000      HOURS:40,667         COSTS(000):$105,000
  Application for Free Loan Service of Captioned Media Program
  (English and Spanish Version) and Media Response Card (English
  and Spanish Version)
FORMS: NONE

OMB NO: 1820-0517    EXPIRATION DATE: 07/31/2004
RESPS:58             HOURS:272,890        COSTS(000):$0
  Part B, Individuals with Disabilities Education Act
  Implementation of FAPE Requirements (SC)
FORMS: NONE

OMB NO: 1820-0518    EXPIRATION DATE: 07/31/2004
RESPS:58             HOURS:7,685          COSTS(000):$0
  Personnel Employed to Provide Special Education and Related
  Services for Children with Disabilities (SC)
FORMS: NONE

OMB NO: 1820-0520    EXPIRATION DATE: 08/31/2003
RESPS:1              HOURS:9              COSTS(000):$0
  Written Application for the Client Assistance Program
FORMS: NONE

OMB NO: 1820-0521    EXPIRATION DATE: 07/31/2004
RESPS:58             HOURS:53,244         COSTS(000):$0
  Report of Children with Disabilities Exiting Special Education
  During the School Year (SC)
FORMS: 869-3

OMB NO: 1820-0527    EXPIRATION DATE: 04/30/2004
RESPS:55             HOURS:3,300          COSTS(000):$0
  State Plan for Independent Living and Center for Independent
  Living Programs (SC)
FORMS: NONE

OMB NO: 1820-0528    EXPIRATION DATE: 02/29/2004
RESPS:56             HOURS:350            COSTS(000):$7
  Annual Client Assistance Program (CAP) Report
FORMS: RSA-227

OMB NO: 1820-0530    EXPIRATION DATE: 02/29/2004
RESPS:450            HOURS:1,800          COSTS(000):$0
  Performance Report - Training Personnel for the Education of
  Individuals with Disabilities Education Act (IDEA) (SC)
FORMS: NONE

OMB NO: 1820-0550    EXPIRATION DATE: 04/30/2005
RESPS:56             HOURS:168            COSTS(000):$0
  Infants and Toddlers with Disabilities Program (Part C) of the
  Individuals with Disabilities Education Act (IDEA)
FORMS: 1-B20-26P

OMB NO: 1820-0556    EXPIRATION DATE: 07/31/2004
RESPS:57             HOURS:5,187          COSTS(000):$0
  Report of Early Intervention Services on IFSPs Provided to
  Infants, Toddlers and Their Families in Accordance with Part C
  and Report of Number and Type of Personnel Employed and........
FORMS: NONE

OMB NO: 1820-0557    EXPIRATION DATE: 07/31/2004
RESPS:57             HOURS:5,472          COSTS(000):$0
  Report of Infants and Toddlers Receiving Early Intervention
  Services and of Program Settings Where Services are Provided in
  Accordance with Part C, and Report on Infants and Toddlers.....
FORMS: NONE

OMB NO: 1820-0563    EXPIRATION DATE: 11/30/2005
RESPS:80             HOURS:160            COSTS(000):$3
  Annual Report on Appeals Process (SC)
FORMS: RSA-722

OMB NO: 1820-0572    EXPIRATION DATE: 02/28/2005
RESPS:56             HOURS:2,240          COSTS(000):$0
  Annual Progress Reporting form for Assistive Technology Grantees
  (SC)
FORMS: NONE

OMB NO: 1820-0578    EXPIRATION DATE: 08/31/2003
RESPS:57             HOURS:1,710          COSTS(000):$0
  Annual Performance Report and Report to the Secretary Under the
  Infants and Toddlers with Disabilities Proram (Part C, IDEA)
FORMS: NONE

OMB NO: 1820-0599    EXPIRATION DATE: 02/28/2005
RESPS:1,079          HOURS:10,790         COSTS(000):$0
  Part B Complaint Procedures (SC)
FORMS: NONE

OMB NO: 1820-0600    EXPIRATION DATE: 02/28/2005
RESPS:28,844         HOURS:28,844         COSTS(000):$0
  Local Educational Agency Application Under Part B of the
FORMS: NONE

OMB NO: 1820-0606    EXPIRATION DATE: 11/30/2003
RESPS:336            HOURS:11,760         COSTS(000):$0
  Section 704 Annual Performance Report (Parts I and II)
FORMS: ED(RSA)-704-I ED(RSA)-704-II

OMB NO: 1820-0608    EXPIRATION DATE: 03/31/2004
RESPS:55             HOURS:440            COSTS(000):$0
  Independent Living Services For Older Individuals Who Are Blind
FORMS: ED(RSA)-7-OB

OMB NO: 1820-0616    EXPIRATION DATE: 12/31/2003
RESPS:6,689          HOURS:5,072          COSTS(000):$0
  National Early Intervention Longitudinal Study
FORMS: NONE

OMB NO: 1820-0617    EXPIRATION DATE: 02/29/2004
RESPS:1              HOURS:165            COSTS(000):$0
  Grantee Reporting form (SC)
FORMS: NONE

OMB NO: 1820-0620    EXPIRATION DATE: 09/30/2005
RESPS:30             HOURS:2,700          COSTS(000):$0
  Application for New Grants -- State Program Improvement Grants
  for Children with Disabilities
FORMS: NONE

OMB NO: 1820-0621    EXPIRATION DATE: 07/31/2004
RESPS:58             HOURS:149,350        COSTS(000):$0
  Report of Children with Disabilities Unilaterally Removed or
  Suspended/Expelled for More Than 10 Days (SC)
FORMS: NONE

OMB NO: 1820-0622    EXPIRATION DATE: 05/31/2005
RESPS:8,000          HOURS:152,500        COSTS(000):$0
  Special Education - Personnel Preparation to Improve Services
  and Results for Children with Disabilities
FORMS: NONE

OMB NO: 1820-0625    EXPIRATION DATE: 08/31/2005
RESPS:57             HOURS:9              COSTS(000):$0
  Protection and Advocacy of Individual Rights (PAIR) Program
  Assurances (SC)
FORMS: NONE

OMB NO: 1820-0627    EXPIRATION DATE: 03/31/2006
RESPS:57             HOURS:342            COSTS(000):$0
  Annual Protection and Advocacy of Individual Rights (PAIR)
  Program Performance Report (SC)
FORMS: RSA-509

OMB NO: 1820-0632    EXPIRATION DATE: 06/30/2003
RESPS:32,138         HOURS:17,049         COSTS(000):$0
  Special Education Elementary Longitudinal Study (Seels)
FORMS: NONE

OMB NO: 1820-0633    EXPIRATION DATE: 04/30/2003
RESPS:5,595          HOURS:11,262         COSTS(000):$0
  State and Local Implementation of IDEA '97
FORMS: NONE

OMB NO: 1820-0634    EXPIRATION DATE: 10/31/2003
RESPS:57             HOURS:1,680          COSTS(000):$39
  Alternative Financing Program and the Alternate Financing
FORMS: NONE

OMB NO: 1820-0635    EXPIRATION DATE: 10/31/2005
RESPS:17,347         HOURS:8,965          COSTS(000):$0
  National Longitudinal Transition Study-2 (NLTS2)
FORMS: NONE

OMB NO: 1820-0636    EXPIRATION DATE: 12/31/2003
RESPS:464            HOURS:684            COSTS(000):$0
  Evaluation of the American Indian Vocational Rehabilitation
  Services (AIVRS) Program (SC)
FORMS: NONE

OMB NO: 1820-0637    EXPIRATION DATE: 12/31/2003
RESPS:300            HOURS:100            COSTS(000):$0
  NIDRR Quality of Research Rating Scale
FORMS: NONE

OMB NO: 1820-0640    EXPIRATION DATE: 03/31/2004
RESPS:1,003          HOURS:1,575          COSTS(000):$0
  Evaluation of Independent Living Programs (SC)
FORMS: NONE

OMB NO: 1820-0642    EXPIRATION DATE: 02/29/2004
RESPS:193            HOURS:3,088          COSTS(000):$0
  Annual Performance Reporting Forms for NIDRR Grantees (RERCs,
  RRTCs, DBTACs, DRRPs, Model Systems, Dissemination &
  Utillization Projects) (SC)
FORMS: NONE

OMB NO: 1820-0644    EXPIRATION DATE: 07/31/2004
RESPS:58             HOURS:18,312         COSTS(000):$0
  Consolidated Data Collection on Students with Disabilities (SC)
FORMS: NONE

OMB NO: 1820-0646    EXPIRATION DATE: 09/30/2004
RESPS:73             HOURS:2,044          COSTS(000):$0
  Annual Progress Reporting Form for Special Demonstration
  Programs (SC)
FORMS: NONE

OMB NO: 1820-0649    EXPIRATION DATE: 01/31/2004
RESPS:135            HOURS:333            COSTS(000):$0
  An Evaluation of the State Program Improvement Grant (SIG)
  Program
FORMS: NONE

OMB NO: 1820-0650    EXPIRATION DATE: 04/30/2005
RESPS:462            HOURS:498            COSTS(000):$0
  Evaluation of the Projects With Industry (PWI) Program
FORMS: NONE

OMB NO: 1820-0655    EXPIRATION DATE: 01/31/2005
RESPS:66             HOURS:1,056          COSTS(000):$0
  Annual Progress Reporting Form for the American Indian
  Vocational Rehabilitation Services (AIVRS) Program
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
49 1,353,687 1,967,741 $105,049
Office of Vocational and Adult Education
OMB NO: 1830-0029    EXPIRATION DATE: 04/30/2003
RESPS:56             HOURS:12,208         COSTS(000):$0
  Carl D. Perkins Vocational and Technical Education
FORMS: NONE

OMB NO: 1830-0503    EXPIRATION DATE: 04/30/2004
RESPS:54             HOURS:6,845          COSTS(000):$526
  Vocational Technical Education Annual Performance and Financial
  Reports (SC)
FORMS: NONE

OMB NO: 1830-0537    EXPIRATION DATE: 04/30/2003
RESPS:689            HOURS:669            COSTS(000):$0
  National Survey to Determine the Need for Special Education
  Services (JM)
FORMS: NONE

OMB NO: 1830-0541    EXPIRATION DATE: 05/31/2003
RESPS:59             HOURS:2,124          COSTS(000):$0
  Carl D. Perkins Vocational and Technical Education
  Act--Occupational and Employment Information State Grants
  (Section 118, PL 105-332) (1890-0001) (SC)
FORMS: CFDA#84.346

OMB NO: 1830-0542    EXPIRATION DATE: 09/30/2003
RESPS:639            HOURS:75,632         COSTS(000):$0
  Application for Vocational and Technical Education Direct Grants
  (1890-0001) (SC)
FORMS: NONE

OMB NO: 1830-0544    EXPIRATION DATE: 11/30/2003
RESPS:38             HOURS:95             COSTS(000):$0
  Indian Vocational Education Program Technology Survey
FORMS: NONE

OMB NO: 1830-0546    EXPIRATION DATE: 11/30/2003
RESPS:11             HOURS:440            COSTS(000):$0
  Career Cluster Cooperative Agreements with States
FORMS: NONE

OMB NO: 1830-0548    EXPIRATION DATE: 01/31/2004
RESPS:59             HOURS:4,720          COSTS(000):$0
  America's Career Resource Network State Grants Annual
  Performance Reports
FORMS: NONE

OMB NO: 1830-0549    EXPIRATION DATE: 02/29/2004
RESPS:1,049          HOURS:831            COSTS(000):$0
  New American High Schools Implementation Study
FORMS: NONE

OMB NO: 1830-0550    EXPIRATION DATE: 02/29/2004
RESPS:50             HOURS:2,400          COSTS(000):$0
  Tech-Prep Demonstration Grants (1890-0001)(SC)
FORMS: NONE

OMB NO: 1830-0551    EXPIRATION DATE: 06/30/2004
RESPS:20             HOURS:1,000          COSTS(000):$0
  High School Reform State Grants (1890-0001) (SC)
FORMS: NONE

OMB NO: 1830-0552    EXPIRATION DATE: 02/29/2004
RESPS:700            HOURS:47,000         COSTS(000):$0
  The Smaller Learning Communities Program (SLC) (1890-0001) (SC)
FORMS: NONE

OMB NO: 1830-0553    EXPIRATION DATE: 10/31/2003
RESPS:161            HOURS:1,288          COSTS(000):$0
  Annual Performance Report for the Smaller Learning Communities
  Grant Program
FORMS: CFDA#:84.215L

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
13 3,585 155,252 $526
Office of Postsecondary Education
OMB NO: 1840-0005    EXPIRATION DATE: 06/30/2004
RESPS:670            HOURS:12,560         COSTS(000):$0
  Fulbright-Hays Training Grants Faculty Research Abroad Program -
  CFDA 84.019 Doctoral Dissertation Research Abroad Program - CFDA
  84.022
FORMS: NONE

OMB NO: 1840-0007    EXPIRATION DATE: 06/30/2003
RESPS:370            HOURS:30,200         COSTS(000):$0
  Grant Application under the Teacher Quality Enhancement Grants,
  for the preparation of applications for: Partnership Grants.....
FORMS: NONE

OMB NO: 1840-0017    EXPIRATION DATE: 06/30/2003
RESPS:1,200          HOURS:40,800         COSTS(000):$0
  Application for Grants under Student Support Services Program
FORMS: NONE

OMB NO: 1840-0065    EXPIRATION DATE: 06/30/2004
RESPS:1,300          HOURS:44,200         COSTS(000):$0
  Application for Grants Under Talent Search and Educational
  Opportunity Centers Programs
FORMS: NONE

OMB NO: 1840-0068    EXPIRATION DATE: 06/30/2004
RESPS:528            HOURS:38,550         COSTS(000):$0
  Applications for Title VI International Education Programs
FORMS: CFDA-84.153 84.021 84.017 84.016 84.15A 84.15B 84.274 84.229

OMB NO: 1840-0103    EXPIRATION DATE: 10/31/2004
RESPS:1              HOURS:8,400          COSTS(000):$0
  Application for Designation as an Eligible Institution
  (1890-0001) for Title III and V
FORMS: 1049

OMB NO: 1840-0109    EXPIRATION DATE: 02/28/2005
RESPS:200            HOURS:8,000          COSTS(000):$0
  Application for Grants Under the Minority Science and
  Engineering Improvement Program (1890-0001) (JS)
FORMS: NONE

OMB NO: 1840-0113    EXPIRATION DATE: 11/30/2003
RESPS:117            HOURS:889            COSTS(000):$0
  Application for Strengthening Historically Black Colleges and
  Universities Program and Historically Black Graduate
  Institutions Program (JS)
FORMS: ED-852

OMB NO: 1840-0130    EXPIRATION DATE: 03/31/2006
RESPS:1              HOURS:6,983          COSTS(000):$0
  Teacher Cancellation Low Income Directory (JS)
FORMS: CFDA-34.674

OMB NO: 1840-0501    EXPIRATION DATE: 07/31/2003
RESPS:500            HOURS:2,000          COSTS(000):$0
  Fulbright-Hays Seminars Abroad Program
FORMS: CFDA#84.018

OMB NO: 1840-0507    EXPIRATION DATE: 08/31/2004
RESPS:25             HOURS:113            COSTS(000):$0
  Performance Report for the Training Programs for Federal TRIO
  Programs
FORMS: CFDA#84.103

OMB NO: 1840-0514    EXPIRATION DATE: 12/31/2003
RESPS:1,650          HOURS:19,500         COSTS(000):$0
  FIPSE Comprehensive Program Grant Application
FORMS: 84.116A=CFDA 84.116B=CFDA

OMB NO: 1840-0525    EXPIRATION DATE: 10/31/2003
RESPS:1              HOURS:3,060          COSTS(000):$0
  Annual Performance Report for the Student Support Services
  Program (JS)
FORMS: 84.042A

OMB NO: 1840-0550    EXPIRATION DATE: 08/31/2005
RESPS:483            HOURS:16,422         COSTS(000):$0
  Application for Grants under Upward Bound (UB) & Upward Bound
  Math/Sciencer (UBMS) Programs (1890-00001) (JS)
FORMS: NONE

OMB NO: 1840-0562    EXPIRATION DATE: 04/30/2003
RESPS:2,000          HOURS:10,000         COSTS(000):$0
  Application Package for the Jacob K. Javits Fellowship Program
FORMS: NONE

OMB NO: 1840-0564    EXPIRATION DATE: 07/31/2003
RESPS:330            HOURS:990            COSTS(000):$0
  Financial Report for the Endowment Challenge Grant Program
FORMS: NONE

OMB NO: 1840-0595    EXPIRATION DATE: 08/31/2003
RESPS:57             HOURS:456            COSTS(000):$0
  Paul Douglas Teacher Scholarship Program Performance Report
FORMS: 40-31P CFDA#84.176

OMB NO: 1840-0604    EXPIRATION DATE: 08/31/2003
RESPS:325            HOURS:13,432         COSTS(000):$0
  Application Package for the Graduate Assistance in Areas of
  National Need (GAANN) Fellowship Program
FORMS: CFDA=84.200

OMB NO: 1840-0616    EXPIRATION DATE: 06/30/2004
RESPS:50             HOURS:750            COSTS(000):$0
  Application for Centers for International Business Education
  Program
FORMS: CFDA-84.220

OMB NO: 1840-0617    EXPIRATION DATE: 09/30/2003
RESPS:57             HOURS:4,580          COSTS(000):$0
  Targeted Teacher Deferment (Teacher Shortage Area)
FORMS: NONE

OMB NO: 1840-0619    EXPIRATION DATE: 07/31/2005
RESPS:300            HOURS:1,500          COSTS(000):$0
  Application for Grants Under Ronald E. McMair Postbaccalaureate
  Achievement Program
FORMS: NONE

OMB NO: 1840-0630    EXPIRATION DATE: 08/31/2004
RESPS:100            HOURS:400            COSTS(000):$8,000
  Report of Financial Need and Certification for the Jacob K.
  Javits Fellowship Program
FORMS: 40-1304 CFDA#84.170

OMB NO: 1840-0636    EXPIRATION DATE: 02/29/2004
RESPS:80             HOURS:2,400          COSTS(000):$0
  European Community/United States of America Cooperation Program
  in Higher Education and Vocational Education and Training
FORMS: ED40-514

OMB NO: 1840-0640    EXPIRATION DATE: 07/31/2003
RESPS:1              HOURS:702            COSTS(000):$17,160
  Performance Report for the Ronald E. McNair Postbaccalaureate
  Achievement Program
FORMS: CFDA-84.217

OMB NO: 1840-0702    EXPIRATION DATE: 08/31/2005
RESPS:20             HOURS:600            COSTS(000):$0
  The Program for North American Mobility in Higher Education (JS)
FORMS: NONE

OMB NO: 1840-0729    EXPIRATION DATE: 08/31/2003
RESPS:30             HOURS:150            COSTS(000):$0
  Final Performance Report for the Business in International
  Education Program
FORMS: NONE

OMB NO: 1840-0737    EXPIRATION DATE: 12/31/2005
RESPS:1              HOURS:9,000          COSTS(000):$0
  Child Care Access Means Parents in School (CCAMPIS) Program - A
  Guide for the Preparation of Applications
FORMS: CFDA-84.335A

OMB NO: 1840-0738    EXPIRATION DATE: 05/31/2005
RESPS:75             HOURS:2,250          COSTS(000):$0
  Application Demonstration Projects for Faculty Training in
  Disability Issues (1890-0001)
FORMS: 84.333

OMB NO: 1840-0740    EXPIRATION DATE: 04/30/2003
RESPS:300            HOURS:18,000         COSTS(000):$0
  Application Package for Gaining Early Awareness and Readiness for
FORMS: NONE

OMB NO: 1840-0744    EXPIRATION DATE: 04/30/2003
RESPS:1,250          HOURS:127,624        COSTS(000):$3,757
  Reference and Reporting Guide for Preparing State and
  Institutional Reports on Teacher Quality and Preparation
FORMS: NONE

OMB NO: 1840-0746    EXPIRATION DATE: 12/31/2003
RESPS:50             HOURS:500            COSTS(000):$0
  Application for Grants Under the TRIO Dissemination Partnership
  Program (84.344) (1890-0001) (JS)
FORMS: 84.344

OMB NO: 1840-0748    EXPIRATION DATE: 03/31/2006
RESPS:1              HOURS:2,250          COSTS(000):$0
  Graduate Assistance in Areas of National Need Performance Report
FORMS: NONE

OMB NO: 1840-0750    EXPIRATION DATE: 08/31/2004
RESPS:30,544         HOURS:6,340          COSTS(000):$0
  Distance Education Demonstration Program Annual Reporting Form
FORMS: NONE

OMB NO: 1840-0755    EXPIRATION DATE: 05/31/2003
RESPS:100            HOURS:6,000          COSTS(000):$0
  Application for Grants Under the Community Scholarship
  Mobilization Program
FORMS: CFDA#84.347

OMB NO: 1840-0756    EXPIRATION DATE: 05/31/2003
RESPS:20             HOURS:400            COSTS(000):$0
  First and Second Year Annual Progress Reports for the European
  Community/US Joint Consortia Program
FORMS: ED-514

OMB NO: 1840-0757    EXPIRATION DATE: 10/31/2004
RESPS:40             HOURS:1,600          COSTS(000):$0
  Learning Anytime Anywhere Partnerships (LAAP) Guidelines for
  Annual Performance Reports with Auxiliary Collection Instruments
  (JS)
FORMS: NONE

OMB NO: 1840-0758    EXPIRATION DATE: 07/31/2003
RESPS:140            HOURS:2,800          COSTS(000):$0
  Comprehensive Program Annual Performance Report
FORMS: ED524-B

OMB NO: 1840-0759    EXPIRATION DATE: 02/28/2005
RESPS:1,411          HOURS:18,242         COSTS(000):$0
  The Evaluation of Exchange, Language, International and Area
  Studies (EELIAS), NRC, FLAS and IIPP, UISFUL, Business and
  International Education Program (BIE), Centers for..............
FORMS: NONE

OMB NO: 1840-0760    EXPIRATION DATE: 07/31/2003
RESPS:60             HOURS:1,200          COSTS(000):$0
  Annual Reporting Forms for the Program for North American
  Mobility in Higher Education
FORMS: NONE

OMB NO: 1840-0761    EXPIRATION DATE: 10/31/2003
RESPS:80             HOURS:2,400          COSTS(000):$0
  The US-Brazil Higher Education Consortia Program Application for
  the US-Brazil Higher Education Consortia Program
FORMS: CFDA-84.116

OMB NO: 1840-0762    EXPIRATION DATE: 01/31/2004
RESPS:1              HOURS:13,500         COSTS(000):$104
  Annual Performance Report for the Upward Bound, Upward Bound
  Math/Science, and Veterans Upward Bound Programs
FORMS: NONE

OMB NO: 1840-0763    EXPIRATION DATE: 02/29/2004
RESPS:1              HOURS:609            COSTS(000):$0
  18 and 36 months Performance Reports for the Child Care Access
  Parents in Schools Program
FORMS: NONE

OMB NO: 1840-0764    EXPIRATION DATE: 08/31/2004
RESPS:1              HOURS:2,000          COSTS(000):$0
  Final Performance Report for Grants Under Title III -
  Institutional Aid Programs
FORMS: CFDA#S-84.031A 84.031B 84.031N 84.031S 84.031T 84.031W 84.120A

OMB NO: 1840-0766    EXPIRATION DATE: 04/30/2005
RESPS:631            HOURS:11,358         COSTS(000):$0
  Annual Performance Report for Title III and Title V Grantees
FORMS: 84.031A 84.031T 84.031N 84.031S 84.031W 84.120A

OMB NO: 1840-0767    EXPIRATION DATE: 06/30/2005
RESPS:125            HOURS:20,000         COSTS(000):$0
  Teacher Recruitment Application Package
FORMS: NONE

OMB NO: 1840-0769    EXPIRATION DATE: 11/30/2005
RESPS:15             HOURS:525            COSTS(000):$0
  Final Performance Report Guidelines for the Learning Anytine
  Anywhere Parternships (LAAP) Program (JS)
FORMS: 84.339

OMB NO: 1840-0770    EXPIRATION DATE: 11/30/2005
RESPS:35             HOURS:700            COSTS(000):$0
  Final Reporting Forms for FIPSE International Consortia Programs
FORMS: 84.116J 84.116M 84.116N

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
47 45,277 514,935 $29,021
Office of Federal Student Aid
OMB NO: 1845-0001    EXPIRATION DATE: 10/31/2005
RESPS:13,726,803     HOURS:7,680,346      COSTS(000):$0
  Free Application for Federal Student Aid (FAFSA)
FORMS: ED-255

OMB NO: 1845-0002    EXPIRATION DATE: 08/31/2003
RESPS:4,660          HOURS:2,151          COSTS(000):$35
  Student Aid Internet Gateway (SAIG) Enrollment form
FORMS: NONE

OMB NO: 1845-0003    EXPIRATION DATE: 01/31/2006
RESPS:61             HOURS:1,036          COSTS(000):$0
  Application for 34 CFR Part 602 The Secretary's Recognition of
  Accrediting Agencies (JS)
FORMS: NONE

OMB NO: 1845-0004    EXPIRATION DATE: 12/31/2003
RESPS:10,300         HOURS:228,150        COSTS(000):$0
  Student Right-to-Know Act (SRK)
FORMS: NONE

OMB NO: 1845-0005    EXPIRATION DATE: 09/30/2005
RESPS:1,148,819      HOURS:183,811        COSTS(000):$0
  FFEL Deferment Requests (JS)
FORMS: NONE

OMB NO: 1845-0006    EXPIRATION DATE: 09/30/2005
RESPS:2,887,200      HOURS:2,165,400      COSTS(000):$0
  Federal Stafford Loan (Subsidized and Unsubsidized) Program
  Master Promissory Note (JS)
FORMS: CFDA=84.032

OMB NO: 1845-0007    EXPIRATION DATE: 10/31/2005
RESPS:706,000        HOURS:353,000        COSTS(000):$0
  Federal Direct Stafford/Ford Loan and Federal Direct
  Unsubsidized Stafford/Ford Loan Master Promissory Note
FORMS: NONE

OMB NO: 1845-0008    EXPIRATION DATE: 12/31/2004
RESPS:20,524,631     HOURS:4,871,526      COSTS(000):$0
  Student Aid Report (SAR)
FORMS: ED-255-1

OMB NO: 1845-0009    EXPIRATION DATE: 10/31/2004
RESPS:100,000        HOURS:50,000         COSTS(000):$0
  Federal PLUS Loan Program Application Documents (JS)
FORMS: NONE

OMB NO: 1845-0010    EXPIRATION DATE: 02/28/2006
RESPS:1,800          HOURS:9,900          COSTS(000):$0
  Regulations for Equity in Athletics Disclosure Act (EADA) (JS)
FORMS: NONE

OMB NO: 1845-0011    EXPIRATION DATE: 06/30/2005
RESPS:1              HOURS:143,030        COSTS(000):$0
  William D. Ford Federal Direct Loan Program Deferment Request
  Forms
FORMS: NONE

OMB NO: 1845-0012    EXPIRATION DATE: 10/31/2005
RESPS:2,970          HOURS:20,830         COSTS(000):$0
  Application for Approval to Participate in Federal Student
  Financial Aid Programs
FORMS: E40-34P CFDA:84.007 84.032 84.033 84.063 84.038 84.268

OMB NO: 1845-0013    EXPIRATION DATE: 08/31/2003
RESPS:17,200         HOURS:41,925         COSTS(000):$0
  Lender's Request for Payment of Interest and Special Allowance
  (JS)
FORMS: ED-799

OMB NO: 1845-0014    EXPIRATION DATE: 11/30/2004
RESPS:1,927,000      HOURS:635,910        COSTS(000):$0
  William D. Ford Federal Direct Loan Program Repayment Plan
  Selection Form (JS)
FORMS: NONE

OMB NO: 1845-0015    EXPIRATION DATE: 06/30/2005
RESPS:55,200         HOURS:27,600         COSTS(000):$0
  Federal Family Education Loan, Direct Loan, and Perkins Loan
  Discharge Applications (JS)
FORMS: NONE

OMB NO: 1845-0016    EXPIRATION DATE: 01/31/2006
RESPS:690,685        HOURS:227,927        COSTS(000):$0
  Direct Loan Income Contingent Repayment Plan Alternative
  Documentation of Income (LO)
FORMS: 84.268

OMB NO: 1845-0017    EXPIRATION DATE: 01/31/2006
RESPS:314,861        HOURS:62,972         COSTS(000):$0
  Direct Loan Income Contingent Repayment Plan - Consent to
  Disclosure of Tax Information (LO)
FORMS: 84.268

OMB NO: 1845-0018    EXPIRATION DATE: 01/31/2006
RESPS:4,092          HOURS:818            COSTS(000):$0
  William D. Ford Federal Direct Loan Program Statutory
  Forbearance Forms (LO)
FORMS: NONE

OMB NO: 1845-0019    EXPIRATION DATE: 10/31/2005
RESPS:95,262         HOURS:25,859         COSTS(000):$0
  Federal Perkins Loan Program Regulations and General Provision
  Regulations
FORMS: CFDA=84.038

OMB NO: 1845-0020    EXPIRATION DATE: 10/31/2005
RESPS:858,981        HOURS:10,128,562     COSTS(000):$1,253
  Federal Family Education Loan Program Regulations
FORMS: CFDA-84.032

OMB NO: 1845-0021    EXPIRATION DATE: 10/31/2005
RESPS:846,034        HOURS:211,520        COSTS(000):$0
  William D. Ford Federal Direct Loan Program
FORMS: CFDA=84.0268

OMB NO: 1845-0022    EXPIRATION DATE: 10/31/2005
RESPS:93,877         HOURS:1,209,890      COSTS(000):$5,040
  Cohort Default Rates for Institutions Participating in the FFEL
  or Direct Loan Programs
FORMS: NONE

OMB NO: 1845-0023    EXPIRATION DATE: 10/31/2005
RESPS:2,800,642      HOURS:61,879         COSTS(000):$0
  Federal Perkins Loan Program Regulations
FORMS: CFDA=84.037

OMB NO: 1845-0026    EXPIRATION DATE: 03/31/2004
RESPS:612            HOURS:33,660         COSTS(000):$0
  Guaranty Agency Financial Report (JS)
FORMS: 2000

OMB NO: 1845-0028    EXPIRATION DATE: 07/31/2004
RESPS:56             HOURS:112            COSTS(000):$0
  The joint application for the Leveraging Educational Assistance
  Partnership and Special LEAP Programs
FORMS: ED-1288

OMB NO: 1845-0030    EXPIRATION DATE: 04/30/2004
RESPS:1              HOURS:26,280         COSTS(000):$0
  Fiscal Operations Report and Application to Participate (FISAP)
  Opportunity Grant and Federal Work-Study Programs
FORMS: ED-646-1

OMB NO: 1845-0031    EXPIRATION DATE: 04/30/2003
RESPS:660,000        HOURS:132,000        COSTS(000):$0
  William D. Ford Federal Direct Loan Program General Forberance
  Request Form
FORMS: NONE

OMB NO: 1845-0032    EXPIRATION DATE: 02/28/2006
RESPS:121            HOURS:20             COSTS(000):$0
  Lender's Application Process (LAP) (JS)
FORMS: NONE

OMB NO: 1845-0035    EXPIRATION DATE: 05/31/2003
RESPS:29,952         HOURS:179,712        COSTS(000):$72
  National Student Loan Data System (NSLDS)
FORMS: NONE

OMB NO: 1845-0036    EXPIRATION DATE: 06/30/2003
RESPS:263,000        HOURS:263,000        COSTS(000):$0
  Federal Family Education Loan Program Federal Consolidation Loan
  Application and Promissory Note
FORMS: NONE

OMB NO: 1845-0038    EXPIRATION DATE: 10/31/2005
RESPS:6,576          HOURS:1,218,718      COSTS(000):$101
  Student Assistance General Provisions - Subpart K - Cash
  Management (JS)
FORMS: NONE

OMB NO: 1845-0039    EXPIRATION DATE: 06/30/2003
RESPS:3,950,083      HOURS:396,200        COSTS(000):$2,959
  Federal Pell Grant Program Recipient Financial Management System
  (RFMS)
FORMS: CFDA#84.063

OMB NO: 1845-0040    EXPIRATION DATE: 02/28/2005
RESPS:210,000        HOURS:6,993          COSTS(000):$0
  William D. Ford Federal Direct Loan (Direct Loan) Program
  Electronic Debit Account Application and Brochure (JS)
FORMS: NONE

OMB NO: 1845-0041    EXPIRATION DATE: 06/30/2004
RESPS:1              HOURS:354,453        COSTS(000):$65,000
  Student Assistance General Provisions - Subpart E (Verification
  of Student Aid Application Information)
FORMS: NONE

OMB NO: 1845-0042    EXPIRATION DATE: 02/28/2005
RESPS:1,804          HOURS:487            COSTS(000):$0
  Lender's Application for Payment of Insurance Claim
FORMS: ED-1207

OMB NO: 1845-0044    EXPIRATION DATE: 03/31/2005
RESPS:56             HOURS:560            COSTS(000):$0
  The Leveraging Educational Assistance Partnership (LEAP) and
  Special Leveraging Educational Assistance Partnership (SLEAP)
  Programs
FORMS: ED-FORM-1288-1 CFDA-84.069A-B

OMB NO: 1845-0045    EXPIRATION DATE: 01/31/2004
RESPS:1              HOURS:6,000          COSTS(000):$0
  Clearance Package for OSFA customer Satisfaction Survey Master
  Plan
FORMS: NONE

OMB NO: 1845-0046    EXPIRATION DATE: 08/31/2004
RESPS:9,804          HOURS:10,621         COSTS(000):$0
  Consolidation Loan Rebate Fee Report
FORMS: ED-4-619

OMB NO: 1845-0047    EXPIRATION DATE: 08/31/2004
RESPS:300,000        HOURS:75,000         COSTS(000):$0
  Income Contingent Repayment Plan Consent to Disclosure of Tax
  Information
FORMS: NONE

OMB NO: 1845-0048    EXPIRATION DATE: 04/30/2003
RESPS:21,262         HOURS:10,631         COSTS(000):$0
  Federal Perkins/NDSL Loan Assignment form (JS)
FORMS: ED-553 CFDA#84.038

OMB NO: 1845-0049    EXPIRATION DATE: 10/31/2005
RESPS:150,021        HOURS:75,450         COSTS(000):$0
  Application for Ability to Benefit Testing Approval (JS)
FORMS: CFDA#84.032 84.063 84.268

OMB NO: 1845-0051    EXPIRATION DATE: 04/30/2003
RESPS:81,458         HOURS:40,729         COSTS(000):$55
  Federal Direct PLUS Loan Application and Promissory Note
FORMS: NONE

OMB NO: 1845-0052    EXPIRATION DATE: 04/30/2005
RESPS:93,837         HOURS:23,209         COSTS(000):$71
  Student Assistance General Provisions--Subpart I--Immigration
  Status Confirmation
FORMS: NONE

OMB NO: 1845-0053    EXPIRATION DATE: 01/31/2005
RESPS:1,028,500      HOURS:681,875        COSTS(000):$0
  Federal Direct Coonsolidation Loan Program Application Documents
  (JS)
FORMS: NONE

OMB NO: 1845-0054    EXPIRATION DATE: 10/31/2004
RESPS:500            HOURS:2,500          COSTS(000):$0
  Notice Inviting Proposals for Participation in the Experimental
  Sites Initiative (JS)
FORMS: 84.07 84.032 84.033 84.063 84.038 84.268

OMB NO: 1845-0055    EXPIRATION DATE: 10/31/2004
RESPS:125            HOURS:125            COSTS(000):$0
  Federal Register Notice Inviting Applications for Participation
  in the Quality Assurance Program
FORMS: NONE

OMB NO: 1845-0057    EXPIRATION DATE: 06/30/2005
RESPS:2,790          HOURS:618            COSTS(000):$0
  Child Care Provider Loan Forgiveness Application and Forgiveness
  Forbearance form (JS)
FORMS: NONE

OMB NO: 1845-0058    EXPIRATION DATE: 10/31/2004
RESPS:600            HOURS:300            COSTS(000):$0
  Loan Discharge Application: Unpaid Refund
FORMS: NONE

OMB NO: 1845-0059    EXPIRATION DATE: 10/31/2004
RESPS:21,425         HOURS:6,929          COSTS(000):$0
  Federal Direct Loan Program and Federal Family Education Loan
  Program Teacher Loan Forgiveness Form
FORMS: NONE

OMB NO: 1845-0060    EXPIRATION DATE: 04/30/2003
RESPS:20,365         HOURS:10,183         COSTS(000):$0
  Endorser Addendum to Federal Direct PLUS Loan Application and
  Promissory Note (JS)
FORMS: NONE

OMB NO: 1845-0061    EXPIRATION DATE: 10/31/2004
RESPS:690,000        HOURS:345,000        COSTS(000):$0
  Federal Perkins Loan/NDSL Promissory Notes
FORMS: CFDA#84-038

OMB NO: 1845-0065    EXPIRATION DATE: 12/31/2005
RESPS:15,000         HOURS:7,500          COSTS(000):$0
  Federal Family Education Loan, Direct Loan, and Perkins Loan
  Discharge Applications (JS)
FORMS: CFDA=84.032 84.268 84.037

OMB NO: 1845-0066    EXPIRATION DATE: 06/30/2005
RESPS:150            HOURS:1,650          COSTS(000):$0
  Experimental Sites Initiative - Data Collection Instrument (JS)
FORMS: CFDA84.032(FFEL 84.038(PERKINS) 84.033(FWS) 84.063(PELL)
84.268(DL)

OMB NO: 1845-0068    EXPIRATION DATE: 01/31/2006
RESPS:225,000        HOURS:112,500        COSTS(000):$0
  Federal Direct PLUS Loan Application and Master Promissory Note
  (PLUS MPN), and Endorser Addendum
FORMS: NONE

OMB NO: 1845-0069    EXPIRATION DATE: 01/31/2006
RESPS:33,333         HOURS:16,667         COSTS(000):$0
  Federal PLUS Program Maser Promissory Note (JS)
FORMS: CFDA-84.032

OMB NO: 1845-0072    EXPIRATION DATE: 09/30/2003
RESPS:4,000          HOURS:4,000          COSTS(000):$200
  eZ-Audit: Electronic Submission of Financial Statements and
  Compliance Audits
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
56 54,637,512 32,387,724 $74,786
Institute of Education Sciences
OMB NO: 1850-0067    EXPIRATION DATE: 11/30/2004
RESPS:284            HOURS:11,004         COSTS(000):$0
  Common Core of Data Surveys
FORMS: NONE

OMB NO: 1850-0582    EXPIRATION DATE: 04/30/2003
RESPS:60,282         HOURS:202,636        COSTS(000):$0
  Integrated Postsecondary Education Data System (IPEDS),
  Introduction of the Web-Based Collection on Institutional Price
  & Student Financial Aid and modifications to the 2000-2002
  data....
FORMS: NONE

OMB NO: 1850-0598    EXPIRATION DATE: 08/31/2004
RESPS:2,764          HOURS:2,232          COSTS(000):$0
  Field test activities and the 2003-2004 full-scale Schools and
  Staffing Survey (SASS): LEA, Principal, School, Teacher, Library
FORMS: NONE

OMB NO: 1850-0601    EXPIRATION DATE: 05/31/2003
RESPS:750            HOURS:11,250         COSTS(000):$0
  Application for the Field-Initiated Studies Educational Research
  Grant Program
FORMS: NONE

OMB NO: 1850-0608    EXPIRATION DATE: 02/29/2004
RESPS:1,200          HOURS:531            COSTS(000):$0
  National Survey of Postsecondary Faculty: 2004 (NSOPF:04) --
  Faculty Survey (KI)
FORMS: NONE

OMB NO: 1850-0617    EXPIRATION DATE: 05/31/2003
RESPS:18,279         HOURS:4,616          COSTS(000):$0
  2000-01 Teacher Follow-up Survey
FORMS: NONE

OMB NO: 1850-0628    EXPIRATION DATE: 02/28/2006
RESPS:658,800        HOURS:169,101        COSTS(000):$0
  National Assessment of Educational Progress 2003 Charter Schools
  Questions
FORMS: NONE

OMB NO: 1850-0631    EXPIRATION DATE: 04/30/2003
RESPS:569            HOURS:224            COSTS(000):$0
  Beginning Postsecondary Students Longitudinal Study 1996-2001
  (BPS: 1996/2001)
FORMS: NONE

OMB NO: 1850-0645    EXPIRATION DATE: 03/31/2004
RESPS:6,900          HOURS:3,885          COSTS(000):$0
  IEA Progress in International Reading Literacy Study
FORMS: NONE

OMB NO: 1850-0652    EXPIRATION DATE: 12/31/2005
RESPS:1,270          HOURS:941            COSTS(000):$0
  Education Longitudinal Study of 2002, First Followup
FORMS: NONE

OMB NO: 1850-0654    EXPIRATION DATE: 06/30/2004
RESPS:13,000         HOURS:5,850          COSTS(000):$0
  National Assessment of Adult Literacy
FORMS: NONE

OMB NO: 1850-0665    EXPIRATION DATE: 08/31/2005
RESPS:150            HOURS:446            COSTS(000):$0
  2004 National Survey of Postsecondary Faculty (NSOPF:04): List
  Collection Procedures and Institution Questionnaire (KA)
FORMS: NONE

OMB NO: 1850-0666    EXPIRATION DATE: 06/30/2004
RESPS:1,204          HOURS:4,125          COSTS(000):$0
  National Postsecondary Student Aid Study: 2004
FORMS: NONE

OMB NO: 1850-0689    EXPIRATION DATE: 06/30/2005
RESPS:56             HOURS:2,520          COSTS(000):$0
  Public Libraries Survey, 2002-2004
FORMS: NONE

OMB NO: 1850-0695    EXPIRATION DATE: 02/28/2006
RESPS:25,710         HOURS:20,730         COSTS(000):$0
  Trends in International Mathematics and Science Study (TIMSS):
  2003 (KA)
FORMS: NONE

OMB NO: 1850-0705    EXPIRATION DATE: 06/30/2005
RESPS:51             HOURS:561            COSTS(000):$0
  State Library Agencies Survey
FORMS: NONE

OMB NO: 1850-0729    EXPIRATION DATE: 03/31/2005
RESPS:10,063         HOURS:4,081          COSTS(000):$0
  Baccalaureate and Beyond Longitudinal Study, Third Followup
  (B&B:93/2003)
FORMS: NONE

OMB NO: 1850-0733    EXPIRATION DATE: 10/31/2003
RESPS:10,518         HOURS:7,889          COSTS(000):$0
  NCES Quick Response Information System (KA)
FORMS: NONE

OMB NO: 1850-0746    EXPIRATION DATE: 05/31/2004
RESPS:1              HOURS:1              COSTS(000):$0
  Standards for Evaluation of the Performance of Recipients of
  OERI Grants, Cooperative Agreements, and Contracts
FORMS: NONE

OMB NO: 1850-0750    EXPIRATION DATE: 02/28/2005
RESPS:22,253         HOURS:14,990         COSTS(000):$0
  Early Childhood Longitudinal Study (ECLS) - Kindergarten cohort,
  third grade followup, field test for fourth and fifth grade
  survey activities
FORMS: NONE

OMB NO: 1850-0755    EXPIRATION DATE: 06/30/2004
RESPS:10,800         HOURS:29,875         COSTS(000):$0
  Program for International Student Assessment (PISA)
FORMS: NONE

OMB NO: 1850-0756    EXPIRATION DATE: 11/30/2005
RESPS:31,364         HOURS:23,114         COSTS(000):$0
  Early Childhood Longitudinal Study: Birth Cohort/24 Month
  Followup (KI)
FORMS: NONE

OMB NO: 1850-0758    EXPIRATION DATE: 10/31/2004
RESPS:97,750         HOURS:24,500         COSTS(000):$0
  National Assessment of Educational Progress, 2002 Field Test and
  2003 Full Scale Assessment of Reading, Math, and Foreign Language
FORMS: NONE

OMB NO: 1850-0763    EXPIRATION DATE: 04/30/2003
RESPS:80             HOURS:9,600          COSTS(000):$0
  Application for a Comprehensive School Reform Educational
  Research Grant
FORMS: NONE

OMB NO: 1850-0768    EXPIRATION DATE: 02/28/2005
RESPS:62,627         HOURS:10,750         COSTS(000):$0
  National Househld Education Surveys Program of 2003 (NHES: 2003)
FORMS: NONE

OMB NO: 1850-0769    EXPIRATION DATE: 09/30/2003
RESPS:36,253         HOURS:15,721         COSTS(000):$0
  The Impact of ICT on Learning: Quasi-Experimental Study
FORMS: NONE

OMB NO: 1850-0771    EXPIRATION DATE: 12/31/2003
RESPS:5,750          HOURS:1,438          COSTS(000):$0
  NAEP Technology Based Assessment Project, Pretest and Field Test
FORMS: NONE

OMB NO: 1850-0776    EXPIRATION DATE: 12/31/2003
RESPS:1,500          HOURS:4,500          COSTS(000):$0
  International Adult Literacy and Lifeskills Survey (KI)
FORMS: NONE

OMB NO: 1850-0781    EXPIRATION DATE: 08/31/2005
RESPS:3,400          HOURS:5,950          COSTS(000):$0
  Academic Libraries Survey: 2002-2005 (KA)
FORMS: NONE

OMB NO: 1850-0783    EXPIRATION DATE: 11/30/2005
RESPS:8,791          HOURS:5,242          COSTS(000):$0
  Preschool Curricula Evaluation Research (PCER) Program
FORMS: NONE

OMB NO: 1850-0784    EXPIRATION DATE: 03/31/2006
RESPS:3,500          HOURS:1,155          COSTS(000):$46,200
  Even Start and Title I Preschool Classroom Literacy Environment
  and Outcomes Study (JM)
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
31 1,095,919 599,458 $46,200
Office of Innovation and Improvement
OMB NO: 1855-0001    EXPIRATION DATE: 05/31/2005
RESPS:30             HOURS:720            COSTS(000):$0
  Application for Grants, Public Charter Schools Program
  (1890-0001) (KA)
FORMS: NONE

OMB NO: 1855-0002    EXPIRATION DATE: 05/31/2005
RESPS:200            HOURS:8,000          COSTS(000):$0
  Parental Assistance Program Application
FORMS: CFDA#84.310A

OMB NO: 1855-0003    EXPIRATION DATE: 08/31/2003
RESPS:58             HOURS:226            COSTS(000):$0
  Goals 2000, Parental Information and Resource Center's Annual/
  Final Performance Report (JM)
FORMS: NONE

OMB NO: 1855-0004    EXPIRATION DATE: 05/31/2003
RESPS:200            HOURS:3,200          COSTS(000):$0
  Arts in Education Competitive Grants Program
FORMS: CFDA-84.926B

OMB NO: 1855-0005    EXPIRATION DATE: 05/31/2004
RESPS:200            HOURS:6,000          COSTS(000):$0
  Applications for Grants Under the Dropout Prevention
  Demonstration Program
FORMS: NONE

OMB NO: 1855-0006    EXPIRATION DATE: 05/31/2004
RESPS:60             HOURS:3,600          COSTS(000):$0
  Applications for Grants Under the Arts in Education
  Demonstration and Dissemination Grant Program
FORMS: NONE

OMB NO: 1855-0007    EXPIRATION DATE: 02/28/2006
RESPS:30             HOURS:2,400          COSTS(000):$0
  Credit Enhancement for Charter School Facilities Program
FORMS: NONE

OMB NO: 1855-0008    EXPIRATION DATE: 05/31/2003
RESPS:211            HOURS:2,975          COSTS(000):$0
  Technology Innovation Challenge Grant Program Online Annual
FORMS: CFDA-84.303A

OMB NO: 1855-0009    EXPIRATION DATE: 05/31/2003
RESPS:23             HOURS:3,260          COSTS(000):$0
  Star Schools Program Online Annual Performance Reporting System
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
9 1,012 30,381 $0
Office of Intergovernmental and Interagency Affairs
OMB NO: 1860-0504    EXPIRATION DATE: 11/30/2004
RESPS:2,600          HOURS:41,600         COSTS(000):$0
  Applications for the U.S. Presidential Scholars Program
FORMS: NONE

OMB NO: 1860-0505    EXPIRATION DATE: 10/31/2004
RESPS:720            HOURS:60             COSTS(000):$0
  Sign-on form for Partnership for Family Involvement in Education
FORMS: NONE

OMB NO: 1860-0506    EXPIRATION DATE: 11/30/2005
RESPS:420            HOURS:16,800         COSTS(000):$0
  No Child Left Behind--Blue Ribbon Schools Program
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
3 3,740 58,460 $0
Office of Safe and Drug Free Schools
OMB NO: 1865-0001    EXPIRATION DATE: 11/30/2003
RESPS:400            HOURS:9,500          COSTS(000):$0
  Safe and Drug-Free Schools and Communities National
  Programs--Federal Activities Discretionary Grant Program
FORMS: CFDA#84.184K 84.184M

OMB NO: 1865-0002    EXPIRATION DATE: 08/31/2003
RESPS:12,672         HOURS:27,042         COSTS(000):$0
  Gun-Free Schools Act Report (KA)
FORMS: NONE

OMB NO: 1865-0003    EXPIRATION DATE: 07/31/2003
RESPS:75             HOURS:1,650          COSTS(000):$0
  Safe and Drug-Free Schools and Communities National Programs--
  Federal Activities--Grant Competition to Prevent High-Risk
  Drinking and Violent Behavior Among College Students
FORMS: 84.184H

OMB NO: 1865-0004    EXPIRATION DATE: 05/31/2004
RESPS:450            HOURS:13,500         COSTS(000):$0
  Safe Schools/Healthy Students Intiative
FORMS: CFDA-84.184L

OMB NO: 1865-0006    EXPIRATION DATE: 01/31/2006
RESPS:50,000         HOURS:30,000         COSTS(000):$0
  National College Alcohol, Drug and Violence Survey
FORMS: NONE

OMB NO: 1865-0008    EXPIRATION DATE: 04/30/2003
RESPS:400            HOURS:11,200         COSTS(000):$0
  Elementary School Counseling Demonstration Program
FORMS: NONE

OMB NO: 1865-0009    EXPIRATION DATE: 09/30/2003
RESPS:56             HOURS:2,240          COSTS(000):$0
  Safe and Drug-Free Schools and Communities Act of the Governor's
  Report Forms
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
7 64,053 95,132 $0
Office for Civil Rights
OMB NO: 1870-0500    EXPIRATION DATE: 12/31/2003
RESPS:33,000         HOURS:337,500        COSTS(000):$0
  2002 Elementary and Secondary School Survey (also referred to as
  the Elementary and Secondary School Civil Rights Compliance
  Report)
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
1 33,000 337,500 $0
Office of the Under Secretary
OMB NO: 1875-0106    EXPIRATION DATE: 11/30/2004
RESPS:17,000         HOURS:4,250          COSTS(000):$0
  Application for Federal Education Assistance (AFEA)
FORMS: NONE

OMB NO: 1875-0154    EXPIRATION DATE: 12/31/2004
RESPS:1              HOURS:3,098          COSTS(000):$0
  National Evaluation of Upward Bound and Upward Bound Math Science
FORMS: NONE

OMB NO: 1875-0177    EXPIRATION DATE: 05/31/2003
RESPS:350,427        HOURS:56,423         COSTS(000):$16
  21st Century Community Learning Centers Annual Performance Report
FORMS: NONE

OMB NO: 1875-0180    EXPIRATION DATE: 07/31/2003
RESPS:185            HOURS:6,474          COSTS(000):$0
  Annual Performance Reporting for the Gaining Early Awareness
FORMS: CFDA#:84.334

OMB NO: 1875-0182    EXPIRATION DATE: 08/31/2003
RESPS:800            HOURS:800            COSTS(000):$0
  Class-Size Reduction Program
FORMS: NONE

OMB NO: 1875-0183    EXPIRATION DATE: 11/30/2003
RESPS:26,325         HOURS:42,090         COSTS(000):$0
  Evaluation of the 21st Century Community Learning Centers Program
FORMS: NONE

OMB NO: 1875-0185    EXPIRATION DATE: 09/30/2003
RESPS:303            HOURS:1,515          COSTS(000):$0
  Annual Performance Report for the Preparing Tomorrow's Teachers
FORMS: NONE

OMB NO: 1875-0186    EXPIRATION DATE: 10/31/2003
RESPS:1              HOURS:7,916          COSTS(000):$0
  Moving Standards to the Classroom: A Study of Standard-Based
  Mathematics Instruction in Six States
FORMS: NONE

OMB NO: 1875-0190    EXPIRATION DATE: 10/31/2003
RESPS:77             HOURS:3,161          COSTS(000):$0
  Teacher Quality Enhancement Grants Program Annual Performance
FORMS: NONE

OMB NO: 1875-0191    EXPIRATION DATE: 10/31/2003
RESPS:11,565         HOURS:5,210          COSTS(000):$0
  The National Evaluation of GEAR UP
FORMS: NONE

OMB NO: 1875-0193    EXPIRATION DATE: 02/29/2004
RESPS:3,000          HOURS:1,500          COSTS(000):$0
  Study to Assess the Quality of Vocational Education in the
  United States
FORMS: NONE

OMB NO: 1875-0194    EXPIRATION DATE: 11/30/2003
RESPS:873            HOURS:2,055          COSTS(000):$99
  Assessing Literacy Models in the Boston Public Schools (JM)
FORMS: NONE

OMB NO: 1875-0195    EXPIRATION DATE: 01/31/2004
RESPS:1              HOURS:15,408         COSTS(000):$0
  Redesignation of Students Served by Title VII Projects
  (1890-0001) (JM)
FORMS: NONE

OMB NO: 1875-0196    EXPIRATION DATE: 03/31/2004
RESPS:1,298          HOURS:1,044          COSTS(000):$0
  Evaluation of the Federal Class Size Reduction Program (JM)
FORMS: NONE

OMB NO: 1875-0199    EXPIRATION DATE: 05/31/2005
RESPS:1,275          HOURS:2,513          COSTS(000):$0
  Evaluation of the Partnership Grants Program, Title II, Higher
  Education Act Revision of Collection
FORMS: NONE

OMB NO: 1875-0201    EXPIRATION DATE: 05/31/2004
RESPS:2,200          HOURS:1,000          COSTS(000):$0
  Evaluation of the State Grants Program and Teacher Recruitment
FORMS: NONE

OMB NO: 1875-0203    EXPIRATION DATE: 05/31/2004
RESPS:249            HOURS:9,520          COSTS(000):$0
  GEPA Section 424 Data Collection on the Distribution of Federal
  Education Funds (JM)
FORMS: NONE

OMB NO: 1875-0204    EXPIRATION DATE: 06/30/2004
RESPS:14,326         HOURS:13,753         COSTS(000):$0
  Study of the SDFSCA Middle School Coordinator Initiative
FORMS: NONE

OMB NO: 1875-0205    EXPIRATION DATE: 01/31/2005
RESPS:6,384          HOURS:5,829          COSTS(000):$0
  Evaluation of Title I Accountability Systems and School
  Improvement Efforts (TASSIE)
FORMS: NONE

OMB NO: 1875-0207    EXPIRATION DATE: 08/31/2004
RESPS:2,000          HOURS:8,000          COSTS(000):$0
  National Study of Title I Schools - Sampling Package
FORMS: NONE

OMB NO: 1875-0210    EXPIRATION DATE: 08/31/2004
RESPS:168            HOURS:144            COSTS(000):$0
  State Vocational Directors Survey on Perkins III Funding and
  Accountability Systems
FORMS: NONE

OMB NO: 1875-0212    EXPIRATION DATE: 10/31/2004
RESPS:106            HOURS:264            COSTS(000):$0
  Study of State Administration of Even Start and Statewide Family
  Literacy Initiative Grants
FORMS: NONE

OMB NO: 1875-0215    EXPIRATION DATE: 02/28/2005
RESPS:1,035          HOURS:735            COSTS(000):$0
  The Reading Excellence Act School and Classroom Implementation
  and Impact Study, Sampling Clearance Package
FORMS: NONE

OMB NO: 1875-0217    EXPIRATION DATE: 03/31/2005
RESPS:1,377          HOURS:3,123          COSTS(000):$282,745
  The National Evaluation of Smaller Learning Communities (SC)
FORMS: NONE

OMB NO: 1875-0218    EXPIRATION DATE: 02/28/2005
RESPS:1,005          HOURS:488            COSTS(000):$0
  Information Technology Skill Certification Study
FORMS: NONE

OMB NO: 1875-0219    EXPIRATION DATE: 04/30/2005
RESPS:2,897          HOURS:909            COSTS(000):$0
  An Evaluation of the Rehabilitation Services Administration
  (RSA) Training Programs' Responsiveness to State VR Agency Needs
  for Qualified Personnel
FORMS: NONE

OMB NO: 1875-0221    EXPIRATION DATE: 07/31/2003
RESPS:220            HOURS:272            COSTS(000):$0
  Study to Assess Funding, Accountability, and One-Stop Delivery
  Systems in Adult Education
FORMS: NONE

OMB NO: 1875-0222    EXPIRATION DATE: 01/31/2006
RESPS:4,380          HOURS:2,567          COSTS(000):$0
  Longitudinal Assessment of CSR Implementation and Outcomes
  (LACIO)
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
28 449,478 200,061 $282,860
Office of English Language Acquisition
OMB NO: 1885-0513    EXPIRATION DATE: 08/31/2004
RESPS:1,313          HOURS:7,828          COSTS(000):$0
  Biennial Report Form for the Emergency Immigrant Education
FORMS: ED-T85-IP

OMB NO: 1885-0531    EXPIRATION DATE: 11/30/2003
RESPS:300            HOURS:7,650          COSTS(000):$0
  Application for Grants Under School Improvement: Elementary
  School Foreign Language Incentive Program (SC)
FORMS: 84.294A

OMB NO: 1885-0540    EXPIRATION DATE: 01/31/2006
RESPS:250            HOURS:20,000         COSTS(000):$0
  School Improvement: Foreign Language Assistance Program for
  Local Educational Agencies (1890-0001)(SC)
FORMS: 84.293B

OMB NO: 1885-0544    EXPIRATION DATE: 01/31/2006
RESPS:50             HOURS:4,000          COSTS(000):$0
  School Improvement Foreign Language Assistance Program for State
  Educational Agencies (1890-0001)(SC)
FORMS: 84.293C

OMB NO: 1885-0550    EXPIRATION DATE: 04/30/2004
RESPS:300            HOURS:30,600         COSTS(000):$0
  Application for Grants Under English Language Acquisition:
  National Professional Development Program (1890-0001) (SC)
FORMS: NONE

OMB NO: 1885-0551    EXPIRATION DATE: 10/31/2005
RESPS:100            HOURS:8,200          COSTS(000):$0
  Application for Grants Under English Language Acquisition and
  Language Enhancement: Native American and Alaska Native Children
  in School (SC)
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
6 2,313 78,278 $0
Office of the Chief Financial Officer
OMB NO: 1890-0001    EXPIRATION DATE: 03/31/2004
RESPS:1              HOURS:1              COSTS(000):$0
  Streamlined Clearance Process for Discretionary Grant
FORMS: NONE

OMB NO: 1890-0004    EXPIRATION DATE: 04/30/2003
RESPS:23,248         HOURS:500,055        COSTS(000):$2
  Grant Performance Report (JM)
FORMS: 524 524-B

OMB NO: 1890-0006    EXPIRATION DATE: 09/30/2004
RESPS:1              HOURS:1              COSTS(000):$0
  Sreamlined Process for Education Department General
  Administrative Regulations (EDGAR) Approved Grant Applications
FORMS: NONE

OMB NO: 1890-0007    EXPIRATION DATE: 09/30/2004
RESPS:21,200         HOURS:31,800         COSTS(000):$0
  GEPA Section 427 Guidance for All Grant Applications (JM)
FORMS: NONE

OMB NO: 1890-0009    EXPIRATION DATE: 06/30/2005
RESPS:10,297         HOURS:244,906        COSTS(000):$0
  Generic Application Package for Discretionary Grant Programs
FORMS: NONE

OMB NO: 1890-0012    EXPIRATION DATE: 02/28/2006
RESPS:250            HOURS:10,000         COSTS(000):$0
  Small Business Innovation Research (SBIR) Program - Phase I -
  Grant Application Package
FORMS: CFDA#-84.133S 84.305S 84.191S 84.051S 84.017S

OMB NO: 1890-0014    EXPIRATION DATE: 01/31/2006
RESPS:17,000         HOURS:1,360          COSTS(000):$0
  Survey on Ensuring Equal Opportunity for Applicants
FORMS: NONE

OMB NO: 1890-0015    EXPIRATION DATE: 03/31/2006
RESPS:50             HOURS:3,750          COSTS(000):$0
  Small Business Innovation Research (SBIR) Program - Phase II -
  Grant Application Package
FORMS: 84.133S 84.305S 84.191S 84.051S 84.017S

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
8 72,047 791,873 $2

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
283 58,892,673 40,649,579 $538,444
(RETURN TO AGENCY LIST)

Department of Energy
Departmental and Others
OMB NO: 1901-0260    EXPIRATION DATE: 07/31/2003
RESPS:468            HOURS:2,664          COSTS(000):$0
  Standard Contract for Disposal of Spent Nuclear Fuel and/or
  High- Level Radioactive Waste
FORMS: 830-G

OMB NO: 1901-0287    EXPIRATION DATE: 02/28/2005
RESPS:127            HOURS:1,237          COSTS(000):$0
  Nuclear Fuel Data Form
FORMS: RW-859

OMB NO: 1901-0288    EXPIRATION DATE: 08/31/2005
RESPS:300            HOURS:7,310          COSTS(000):$0
  Electric Emergency Incident and Disturbance Report
FORMS: 417

OMB NO: 1901-0294    EXPIRATION DATE: 03/31/2005
RESPS:1,370          HOURS:4,240          COSTS(000):$0
  Import and Export of Natural Gas
FORMS: FE-746R

OMB NO: 1901-0296    EXPIRATION DATE: 02/29/2004
RESPS:540            HOURS:1,650          COSTS(000):$0
  Report of International Electrical Export/Import Data
FORMS: FE-781R

OMB NO: 1901-0302    EXPIRATION DATE: 09/30/2003
RESPS:50,000         HOURS:12,500         COSTS(000):$0
  DOE Customer Surveys
FORMS: 887

OMB NO: 1901-0303    EXPIRATION DATE: 07/31/2003
RESPS:40             HOURS:160            COSTS(000):$0
  Annual Geothermal Heat Pump Manufacturers Survey
FORMS: 902

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
7 52,845 29,761 $0
Economic Regulatory Administration
OMB NO: 1903-0073    EXPIRATION DATE: 02/28/2006
RESPS:100            HOURS:400            COSTS(000):$0
  Recordkeeping Requirements of DOE's General Allocation and Price
  Rules
FORMS: 766R

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
1 100 400 $0
Energy Information Administration
OMB NO: 1905-0057    EXPIRATION DATE: 12/31/2003
RESPS:4,505          HOURS:74,236         COSTS(000):$0
  Oil and Gas Reserves System Surveys
FORMS: 23 23P 64A

OMB NO: 1905-0092    EXPIRATION DATE: 02/29/2004
RESPS:5,127          HOURS:2,842          COSTS(000):$0
  Residential Energy Consumption Survey (RECS)
FORMS: 457-A/G

OMB NO: 1905-0129    EXPIRATION DATE: 11/30/2004
RESPS:37,960         HOURS:173,990        COSTS(000):$0
  Electric Power Surveys
FORMS: EIA-411 EIA-412 EIA-423 EIA-767 EIA-826 EIA-860 EIA-861 EIA-906

OMB NO: 1905-0149    EXPIRATION DATE: 11/30/2005
RESPS:30             HOURS:13,470         COSTS(000):$0
  Financial Reporting System
FORMS: 28

OMB NO: 1905-0160    EXPIRATION DATE: 11/30/2003
RESPS:132            HOURS:2,424          COSTS(000):$0
  Uranium Data Program
FORMS: 851 858

OMB NO: 1905-0165    EXPIRATION DATE: 01/31/2006
RESPS:47,117         HOURS:60,006         COSTS(000):$0
  Petroleum Supply Reporting System
FORMS: EIA-800-804 807 810-814 816 817 819M 820

OMB NO: 1905-0167    EXPIRATION DATE: 03/31/2005
RESPS:5,201          HOURS:9,246          COSTS(000):$0
  Coal Program Package
FORMS: EIA-1 3 4 5 6A 6Q 7A 20

OMB NO: 1905-0169    EXPIRATION DATE: 03/31/2006
RESPS:6,000          HOURS:55,291         COSTS(000):$0
  Manufacturing Energy Consumption Survey (MECS)
FORMS: 846(A) 846(B) 846(C)

OMB NO: 1905-0174    EXPIRATION DATE: 11/30/2003
RESPS:134,594        HOURS:125,513        COSTS(000):$0
  Petroleum Marketing Program
FORMS: 14 182 782A/B/C 821 856 863 877 878 888

OMB NO: 1905-0175    EXPIRATION DATE: 11/30/2005
RESPS:12,564         HOURS:45,464         COSTS(000):$0
  Natural Gas Data Collection Program Package
FORMS: 176 191 857 895 910 912

OMB NO: 1905-0186    EXPIRATION DATE: 08/31/2005
RESPS:4,000          HOURS:1,000          COSTS(000):$0
  Generic Clearance of Questionnaire Testing, Evaluation, and
  Research
FORMS: 882-T

OMB NO: 1905-0191    EXPIRATION DATE: 05/31/2004
RESPS:2,491          HOURS:10,323         COSTS(000):$0
  Annual Survey of Alternative Fueled Vehicle Suppliers and Users
FORMS: EIA-886

OMB NO: 1905-0194    EXPIRATION DATE: 10/31/2003
RESPS:220            HOURS:7,000          COSTS(000):$0
  Voluntary Reporting of Greenhouse Gases
FORMS: EIA-1605 EIA-1605EZ

OMB NO: 1905-0196    EXPIRATION DATE: 09/30/2004
RESPS:110            HOURS:330            COSTS(000):$0
  Annual Solar Thermal Collector Manufacturers Survey and Annual
  Photovoltaic Module/Cell Manufacturers Survey
FORMS: EIA-63A EIA-63B

OMB NO: 1905-0202    EXPIRATION DATE: 05/31/2004
RESPS:2,112          HOURS:6,572          COSTS(000):$0
  Monthly Natural Gas Marketers Survey
FORMS: EIA-910

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
15 262,163 587,707 $0
Office of Administration
OMB NO: 1910-0068    EXPIRATION DATE: 10/31/2004
RESPS:75             HOURS:450            COSTS(000):$0
  Renewable Energy Production Incentive
FORMS: NONE

OMB NO: 1910-0100    EXPIRATION DATE: 04/30/2005
RESPS:438            HOURS:6,814          COSTS(000):$0
  Information Management
FORMS: NONE

OMB NO: 1910-0300    EXPIRATION DATE: 03/31/2006
RESPS:11,344         HOURS:269,475        COSTS(000):$0
  Environment Safety and Health
FORMS: NONE

OMB NO: 1910-0400    EXPIRATION DATE: 12/31/2005
RESPS:44,457         HOURS:415,544        COSTS(000):$0
  Financial Assistance
FORMS: NONE

OMB NO: 1910-0500    EXPIRATION DATE: 04/30/2003
RESPS:12,715         HOURS:164,528        COSTS(000):$0
  Financial Management
FORMS: NONE

OMB NO: 1910-0600    EXPIRATION DATE: 03/31/2005
RESPS:575            HOURS:10,421         COSTS(000):$0
  Industrial Relations
FORMS: NONE

OMB NO: 1910-0800    EXPIRATION DATE: 03/31/2005
RESPS:1              HOURS:14,100         COSTS(000):$0
  Legal Collections Package
FORMS: NONE

OMB NO: 1910-1000    EXPIRATION DATE: 04/30/2003
RESPS:3,857          HOURS:247,374        COSTS(000):$0
  Personal Property
FORMS: NONE

OMB NO: 1910-1400    EXPIRATION DATE: 02/29/2004
RESPS:99             HOURS:1,584          COSTS(000):$0
  Compliance Statement: Energy/Water Conservation Standards for
  Appliances
FORMS: NONE

OMB NO: 1910-1800    EXPIRATION DATE: 04/30/2003
RESPS:86,596         HOURS:612,985        COSTS(000):$0
  Safe Guards and Security
FORMS: NONE

OMB NO: 1910-4100    EXPIRATION DATE: 02/28/2005
RESPS:3,811          HOURS:1,086,529      COSTS(000):$0
  Procurement (see attached chart for the collection requirements).
FORMS: NONE

OMB NO: 1910-5101    EXPIRATION DATE: 03/31/2006
RESPS:310            HOURS:1,550          COSTS(000):$0
  U.S Dept. of Energy: Annual Alternative Fuel Vehical Acquisition
  Report for State Government & Alternative Fuel Provider Fleets
FORMS: DOE\FCVT\101

OMB NO: 1910-5102    EXPIRATION DATE: 03/31/2006
RESPS:36             HOURS:5,350          COSTS(000):$0
  Make or Buy Plans
FORMS: NONE

OMB NO: 1910-5104    EXPIRATION DATE: 08/31/2004
RESPS:41             HOURS:12,300         COSTS(000):$452
  10 CFR 431 -- Energy Efficiency Program for Certain Commercial
  and Industrial Equipment: Test Procedures, Labeling, and
  Certification Requirements for Electric Motors
FORMS: NONE

OMB NO: 1910-5105    EXPIRATION DATE: 08/31/2004
RESPS:50             HOURS:50,000         COSTS(000):$0
  Occupational Radiation Protection Program
FORMS: NONE

OMB NO: 1910-5111    EXPIRATION DATE: 04/30/2003
RESPS:20             HOURS:100            COSTS(000):$0
  Disclosure of Relevant Interests by Firms That Are Members of
  Apparent Successful Offeror Joint Venture of Other Formal
  Teaming Arrangement
FORMS: NONE

OMB NO: 1910-5112    EXPIRATION DATE: 04/30/2003
RESPS:30,861         HOURS:54,762         COSTS(000):$2,088
  Chronic Beryllium Disease Prevention Program
FORMS: NONE

OMB NO: 1910-5115    EXPIRATION DATE: 04/30/2004
RESPS:36             HOURS:515            COSTS(000):$0
  Contractor Legal Management Requirements
FORMS: NONE

OMB NO: 1910-5117    EXPIRATION DATE: 03/31/2005
RESPS:124            HOURS:31,000         COSTS(000):$1,364
  10 CFR Part 431 - Certification Requirements for Commercial
  Heating and Air Conditioning Equipment
FORMS: NONE

OMB NO: 1910-5118    EXPIRATION DATE: 06/30/2005
RESPS:96             HOURS:100            COSTS(000):$0
  Technology Partnerships Ombudsmen Reporting Requirements
FORMS: NONE

OMB NO: 1910-5120    EXPIRATION DATE: 08/31/2005
RESPS:8,000          HOURS:8,000          COSTS(000):$0
  Physicians Panel Guidelines
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
21 203,542 2,993,481 $3,904

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
44 518,650 3,611,349 $3,904
(RETURN TO AGENCY LIST)

Department of Health and Human Services
Food and Drug Administration
OMB NO: 0910-0001    EXPIRATION DATE: 03/31/2005
RESPS:20,360         HOURS:1,984,003      COSTS(000):$0
  Applications for FDA Approval to Market a New Drug -- Part 314
FORMS: NONE

OMB NO: 0910-0012    EXPIRATION DATE: 04/30/2003
RESPS:6,750          HOURS:54,225         COSTS(000):$0
  Veterinary Adverse Drug Reaction, Lack of Effectiveness, Product
  Defect Report, and Transmittal of Periodic Reports and
  Promotional Material for New Animal Drugs. 21 CFR Part 510
FORMS: FDA-1932 FDA-1932A FDA-2301

OMB NO: 0910-0014    EXPIRATION DATE: 01/31/2006
RESPS:541,986        HOURS:36,040,829     COSTS(000):$0
  Investigational New Drug (IND) Regulations
FORMS: FDA-1571 FDA-1572

OMB NO: 0910-0016    EXPIRATION DATE: 10/31/2003
RESPS:13             HOURS:69,320         COSTS(000):$0
  Food Additive Petitions
FORMS: NONE

OMB NO: 0910-0021    EXPIRATION DATE: 07/31/2003
RESPS:58             HOURS:204            COSTS(000):$0
  Interstate Shellfish Dealer's Certificate
FORMS: FDA-3038

OMB NO: 0910-0025    EXPIRATION DATE: 11/30/2003
RESPS:47,343         HOURS:324,957        COSTS(000):$0
  Reporting and Recordkeeping Requirements and Availability of
  Sample Electronic Products for Manufacturers and Distributors of
  Electronic
FORMS: FDA-2579 FDA-2767 FDA-2877 FDA-3147

OMB NO: 0910-0027    EXPIRATION DATE: 08/31/2004
RESPS:1              HOURS:20             COSTS(000):$0
  Voluntary Registration of Cosmetics Product Establishment
FORMS: FDA-2511

OMB NO: 0910-0030    EXPIRATION DATE: 11/30/2005
RESPS:2,015          HOURS:987            COSTS(000):$0
  Cosmetic Product Voluntary Reporting Program - 21 CFR Part 720
FORMS: FDA-2512 2512A 2514

OMB NO: 0910-0032    EXPIRATION DATE: 07/31/2004
RESPS:1,582          HOURS:383,793        COSTS(000):$0
  New Animal Drug Application, 21 CFR Part 514
FORMS: FDA-356V

OMB NO: 0910-0037    EXPIRATION DATE: 08/31/2005
RESPS:8,050          HOURS:1,502,828      COSTS(000):$0
  Food Canning Establishment Registration Process Filing and
  Recordkeeping for Acidified Foods and Thermally Processed
  Low-Acid Foods in hermetically Sealed Containers
FORMS: 2541 2541A 2541C

OMB NO: 0910-0045    EXPIRATION DATE: 07/31/2004
RESPS:66,223         HOURS:33,112         COSTS(000):$0
  Registration of Producers of Drugs and Lisitng of Drugs in
  Commercial Distribution
FORMS: 2656 2656E 2657 2658

OMB NO: 0910-0046    EXPIRATION DATE: 08/31/2003
RESPS:2,533,355      HOURS:354,714        COSTS(000):$0
  Electronic Importer's Entry Notice
FORMS: NONE

OMB NO: 0910-0052    EXPIRATION DATE: 02/28/2006
RESPS:3,167          HOURS:1,753          COSTS(000):$0
  Blood Establishment Registration and Product Listing Form FDA
  2830
FORMS: FDA-2830

OMB NO: 0910-0053    EXPIRATION DATE: 10/31/2004
RESPS:411            HOURS:2,910          COSTS(000):$0
  Radioactive Drug Research Committee (RDRC) Report on Research
  Use of Radioactive Drug Study Summary
FORMS: FDA-2914 FDA-2915

OMB NO: 0910-0073    EXPIRATION DATE: 07/31/2004
RESPS:1              HOURS:3,167,670      COSTS(000):$1,182
  Medical Devices: Current Good Manufacturing Practice (CGMP),
  Quality System (Q/S) Regulation; 21 CFR Part 820
FORMS: NONE

OMB NO: 0910-0078    EXPIRATION DATE: 08/31/2003
RESPS:4,527          HOURS:61,021         COSTS(000):$0
  Investigational Device Exemptions Reports and Records - 21 CFR
  812
FORMS: NONE

OMB NO: 0910-0114    EXPIRATION DATE: 08/31/2003
RESPS:26             HOURS:461            COSTS(000):$0
  Administrative Detention and Banned Medical Devices
FORMS: NONE

OMB NO: 0910-0116    EXPIRATION DATE: 11/30/2005
RESPS:42,435         HOURS:335,346        COSTS(000):$0
  Current Good Manufacturing Practices and Related Regulations for
  Blood and Blood Components; and "Lookback" Requirements
FORMS: NONE

OMB NO: 0910-0117    EXPIRATION DATE: 03/31/2005
RESPS:21,510         HOURS:68,245         COSTS(000):$0
  New Animal Drugs for Investigational Use - 21 CFR Part 511
FORMS: 3458

OMB NO: 0910-0119    EXPIRATION DATE: 09/30/2004
RESPS:36,150         HOURS:1,311,157      COSTS(000):$0
  Good Laboratory Practice (GLP) Regulations for Nonclinical
  Laboratory Studies - 21 CFR Part 58
FORMS: NONE

OMB NO: 0910-0120    EXPIRATION DATE: 09/30/2004
RESPS:4,000          HOURS:331,000        COSTS(000):$0
  Premarket Notification 510(K) Submissions
FORMS: FDA-3514

OMB NO: 0910-0129    EXPIRATION DATE: 05/31/2003
RESPS:3              HOURS:330            COSTS(000):$0
  Applications for Exemption From Federal Preemption of State and
  Local Medical Device Requirements-21 CFR Part 808
FORMS: NONE

OMB NO: 0910-0130    EXPIRATION DATE: 09/30/2004
RESPS:29,200         HOURS:131,400        COSTS(000):$0
  Protection of Human Subjects; Recordkeeping and Reporting
  Requirements for Institutional Review Boards (IRB's)
FORMS: NONE

OMB NO: 0910-0131    EXPIRATION DATE: 11/30/2003
RESPS:1,800          HOURS:7,200          COSTS(000):$0
  Agreement for Shipments of Devices for Sterilization
FORMS: NONE

OMB NO: 0910-0132    EXPIRATION DATE: 11/30/2003
RESPS:1              HOURS:2,614          COSTS(000):$0
  Affirmation of Generally Recognized as Safe GRAS Status
FORMS: NONE

OMB NO: 0910-0133    EXPIRATION DATE: 07/31/2005
RESPS:11             HOURS:191            COSTS(000):$0
  Temporary Marketing Permit Applications
FORMS: NONE

OMB NO: 0910-0138    EXPIRATION DATE: 01/31/2006
RESPS:6              HOURS:3,000          COSTS(000):$0
  Reclassification Petitions for Medical Devices
FORMS: FDA-3427 3428 3429

OMB NO: 0910-0139    EXPIRATION DATE: 08/31/2005
RESPS:4,184          HOURS:848,625        COSTS(000):$0
  Current Good Manufacturing Practice; Proposed Amendment of
  Certain Requirements for Finished Pharmaceuticals
FORMS: NONE

OMB NO: 0910-0152    EXPIRATION DATE: 09/30/2004
RESPS:36,444,150     HOURS:7,317,151      COSTS(000):$0
  Current Good Manufacturing Practice for Medicated Feed, 21 CFR
  Part 225
FORMS: NONE

OMB NO: 0910-0154    EXPIRATION DATE: 09/30/2004
RESPS:180,550        HOURS:187,450        COSTS(000):$0
  Good Manufacturing Practice for Type A Medicated Articles, 21
  CFR Part 226
FORMS: NONE

OMB NO: 0910-0167    EXPIRATION DATE: 07/31/2004
RESPS:1              HOURS:20,964         COSTS(000):$0
  Orphan Drug Products
FORMS: NONE

OMB NO: 0910-0182    EXPIRATION DATE: 04/30/2004
RESPS:23,070,000     HOURS:19,225         COSTS(000):$0
  Use of Impact Resistant Lenses in Eyeglasses and Sunglasses OMB
  No. 0910-0182
FORMS: NONE

OMB NO: 0910-0183    EXPIRATION DATE: 03/31/2006
RESPS:476            HOURS:5,678          COSTS(000):$0
  General Administrative Procedures: Citizen Petitions; Petition
  for Reconsideration or Stay of Action; Advisory Opinions
FORMS: NONE

OMB NO: 0910-0184    EXPIRATION DATE: 02/28/2006
RESPS:10             HOURS:200            COSTS(000):$0
  Filing Objections and Requests for a Hearing on a Regulation or
  Order
FORMS: NONE

OMB NO: 0910-0185    EXPIRATION DATE: 07/31/2005
RESPS:3              HOURS:6,000          COSTS(000):$9
  Labeling Requirements for Color Additives (other than hair dyes)
  and Petitions
FORMS: NONE

OMB NO: 0910-0186    EXPIRATION DATE: 04/30/2003
RESPS:360            HOURS:360            COSTS(000):$0
  Irradiation in the Production, Processing and Handling of Food
FORMS: NONE

OMB NO: 0910-0188    EXPIRATION DATE: 07/31/2005
RESPS:3              HOURS:18,956         COSTS(000):$0
  Infant Formula Recall Regulations - 21 CFR Part 107
FORMS: NONE

OMB NO: 0910-0191    EXPIRATION DATE: 04/30/2006
RESPS:1              HOURS:1,020          COSTS(000):$0
  Notice of Participation
FORMS: NONE

OMB NO: 0910-0192    EXPIRATION DATE: 03/31/2004
RESPS:12             HOURS:120            COSTS(000):$0
  Petition for Administrative Reconsideration of Action - 21 CFR
  10.33
FORMS: NONE

OMB NO: 0910-0194    EXPIRATION DATE: 03/31/2004
RESPS:13             HOURS:130            COSTS(000):$0
  Petition for Administrative Stay of Action - 21 CFR 10.35
FORMS: NONE

OMB NO: 0910-0206    EXPIRATION DATE: 08/31/2003
RESPS:7,221          HOURS:21,878         COSTS(000):$0
  Request for Samples and Protocols
FORMS: NONE

OMB NO: 0910-0212    EXPIRATION DATE: 09/30/2005
RESPS:1,632          HOURS:2,424          COSTS(000):$0
  Regulations Under the Federal Import Milk Act (21 CFR Part 1210)
  (formerly Federal Import Milk Act)
FORMS: FDA-1815 1993 1994 1995 1996 1997

OMB NO: 0910-0216    EXPIRATION DATE: 08/31/2004
RESPS:4,346          HOURS:2,172          COSTS(000):$0
  Color Additive Certification Requests and Recordkeeping
FORMS: NONE

OMB NO: 0910-0230    EXPIRATION DATE: 09/30/2005
RESPS:10,959         HOURS:287,574        COSTS(000):$1,416
  Postmarketing Adverse Drug Experienced Reporting - 21 CFR
  310.305 and 314.80
FORMS: FDA-3500 FDA-3500A

OMB NO: 0910-0231    EXPIRATION DATE: 08/31/2004
RESPS:487            HOURS:107,321        COSTS(000):$0
  Premarket Approval of Medical Devices; 21 CFR Part 814
FORMS: NONE

OMB NO: 0910-0233    EXPIRATION DATE: 09/30/2004
RESPS:1              HOURS:100            COSTS(000):$0
  Patent Term Restoration, due Diligence Petitions, Filing,
  Format, and Content of Petitions
FORMS: NONE

OMB NO: 0910-0249    EXPIRATION DATE: 10/31/2004
RESPS:12,985         HOURS:157,675        COSTS(000):$0
  FDA Recall Regulations
FORMS: NONE

OMB NO: 0910-0256    EXPIRATION DATE: 02/29/2004
RESPS:40             HOURS:25,560         COSTS(000):$0
  Infant Formula Requirements
FORMS: NONE

OMB NO: 0910-0264    EXPIRATION DATE: 11/30/2003
RESPS:20             HOURS:50             COSTS(000):$0
  Export of Medical Devices - Foreign Letters of Approval
FORMS: NONE

OMB NO: 0910-0275    EXPIRATION DATE: 10/31/2005
RESPS:1              HOURS:10             COSTS(000):$0
  State Enforcement Notifications (21 CFR 100.2(d))
FORMS: NONE

OMB NO: 0910-0277    EXPIRATION DATE: 07/31/2005
RESPS:1              HOURS:40             COSTS(000):$0
  State Petitions for Exemption from Preemption
FORMS: NONE

OMB NO: 0910-0279    EXPIRATION DATE: 06/30/2004
RESPS:1              HOURS:609            COSTS(000):$0
  Year 2001 Updates of a National Survey of Prescription Drug
  Informaion Provided to Patients
FORMS: NONE

OMB NO: 0910-0291    EXPIRATION DATE: 04/30/2003
RESPS:332,414        HOURS:332,414        COSTS(000):$0
  MedWatch: The FDA Medical Products Reporting Program
FORMS: FDA-3500 3500A

OMB NO: 0910-0297    EXPIRATION DATE: 02/29/2004
RESPS:2,921          HOURS:876            COSTS(000):$0
  User Fee Cover Sheet
FORMS: FDA-3397

OMB NO: 0910-0298    EXPIRATION DATE: 02/29/2004
RESPS:6              HOURS:288            COSTS(000):$0
  Food additives; Threshold of Regulation for Substances Used in
  Food-Contact Articles
FORMS: NONE

OMB NO: 0910-0302    EXPIRATION DATE: 03/31/2004
RESPS:56             HOURS:382,388        COSTS(000):$0
  Human Tissue Intended for Transplantation
FORMS: NONE

OMB NO: 0910-0303    EXPIRATION DATE: 05/31/2003
RESPS:4,500          HOURS:270,000        COSTS(000):$0
  Electronic Records: Electronic Signatures
FORMS: NONE

OMB NO: 0910-0308    EXPIRATION DATE: 04/30/2003
RESPS:17,406         HOURS:268,803        COSTS(000):$0
  Adverse Experience Reporting for Licensed Biological Products;
  and General Records
FORMS: N/A

OMB NO: 0910-0309    EXPIRATION DATE: 02/29/2004
RESPS:39,996,722     HOURS:3,516,183      COSTS(000):$21
  Mammography Facilities, Standards, and Lay Summaries For Patients
FORMS: FDA-3422

OMB NO: 0910-0320    EXPIRATION DATE: 08/31/2004
RESPS:206            HOURS:555            COSTS(000):$0
  Request for Information from U.S. Processors that Export to the
  European Community
FORMS: NONE

OMB NO: 0910-0322    EXPIRATION DATE: 08/31/2003
RESPS:10,941         HOURS:230,040        COSTS(000):$0
  21 CFR 25 - Environmental Impact Considerations
FORMS: NONE

OMB NO: 0910-0325    EXPIRATION DATE: 09/30/2005
RESPS:2              HOURS:8,320          COSTS(000):$0
  Extra Label Drug Use in Animals
FORMS: NONE

OMB NO: 0910-0330    EXPIRATION DATE: 07/31/2005
RESPS:35             HOURS:700            COSTS(000):$0
  Premarket Notification for a New Dietary Ingredient
FORMS: NONE

OMB NO: 0910-0331    EXPIRATION DATE: 12/31/2003
RESPS:2,500          HOURS:1,875          COSTS(000):$0
  Food Labeling; Notification Procedures for Statement on Dietary
  Supplements
FORMS: NONE

OMB NO: 0910-0332    EXPIRATION DATE: 11/30/2005
RESPS:129            HOURS:11,398         COSTS(000):$0
  Medical Devices; Humanitarian Use Devices; 21 CFR Part 814 -
  Subpart H
FORMS: NONE

OMB NO: 0910-0337    EXPIRATION DATE: 11/30/2003
RESPS:175            HOURS:72             COSTS(000):$0
  Medicated Feed Mill License Application
FORMS: FDA-3448

OMB NO: 0910-0338    EXPIRATION DATE: 08/31/2005
RESPS:5,715          HOURS:301,752        COSTS(000):$349
  General Licensing Provisions: Biologics License Application,
  Changes to an Approved Application, Labeling; and Revocation and
  Suspension
FORMS: FDA-2567 FDA-356H

OMB NO: 0910-0339    EXPIRATION DATE: 02/29/2004
RESPS:1              HOURS:14,420         COSTS(000):$0
  Substances Prohibited from use in Animal Food or Feed; Animal
  Proteins Prohibited in Ruminant Feed, 21 CFR 589.2000
FORMS: NONE

OMB NO: 0910-0340    EXPIRATION DATE: 04/30/2005
RESPS:39,910         HOURS:120,525        COSTS(000):$0
  Over-the-Counter Human Drugs; Labeling Requirements
FORMS: NONE

OMB NO: 0910-0341    EXPIRATION DATE: 05/31/2003
RESPS:924            HOURS:157            COSTS(000):$0
  FDA Safety Alert/Public Health Advisory Readership Survey
FORMS: NONE

OMB NO: 0910-0342    EXPIRATION DATE: 05/31/2003
RESPS:60             HOURS:9,900          COSTS(000):$0
  Notice of a Claim for GRAS exemption based on a GRAS
  Determination
FORMS: NONE

OMB NO: 0910-0345    EXPIRATION DATE: 02/29/2004
RESPS:2,000          HOURS:1,000          COSTS(000):$0
  Food Safety Survey
FORMS: NONE

OMB NO: 0910-0352    EXPIRATION DATE: 11/30/2003
RESPS:45             HOURS:4,320          COSTS(000):$0
  Latex Condoms; User Labeling - Expiration Dating (21 CFR 801.435)
FORMS: NONE

OMB NO: 0910-0353    EXPIRATION DATE: 03/31/2004
RESPS:18             HOURS:1,178          COSTS(000):$0
  Sterility Requirement for Aqueous-Based Drug Products for Oral
  Inhalation; final rule
FORMS: NONE

OMB NO: 0910-0354    EXPIRATION DATE: 02/29/2004
RESPS:5,850          HOURS:627,075        COSTS(000):$0
  Procedures for the Safe Processing and Importing of Fish and
  Fishery Products; 21 CFR Part 123
FORMS: NONE

OMB NO: 0910-0356    EXPIRATION DATE: 02/29/2004
RESPS:860            HOURS:544,036        COSTS(000):$0
  Substantial Evidence of Effectiveness of New Animal Drugs
FORMS: NONE

OMB NO: 0910-0359    EXPIRATION DATE: 03/31/2005
RESPS:880            HOURS:13,200         COSTS(000):$0
  Reports of corrections and Removals; 21 CFR Part 806
FORMS: NONE

OMB NO: 0910-0360    EXPIRATION DATE: 03/31/2005
RESPS:20,000         HOURS:6,000          COSTS(000):$0
  Customer/Partner Service Surveys - (Extension)
FORMS: NONE

OMB NO: 0910-0361    EXPIRATION DATE: 03/31/2004
RESPS:300            HOURS:15,000         COSTS(000):$0
  Classification/reclassification; Restricted Devices; Analyte
  Specific Reagents
FORMS: N/A

OMB NO: 0910-0363    EXPIRATION DATE: 10/31/2005
RESPS:1,880,521      HOURS:120,184        COSTS(000):$0
  Veterinary Feed Directive (VFD) 21 CFR Part 558
FORMS: NONE

OMB NO: 0910-0364    EXPIRATION DATE: 04/30/2004
RESPS:30             HOURS:30             COSTS(000):$15
  Nutrition Labeline: Declaration of Caloric Amounts and Serving
  Sizes for Breath Mints
FORMS: NONE

OMB NO: 0910-0368    EXPIRATION DATE: 03/31/2004
RESPS:20             HOURS:2,000          COSTS(000):$0
  OTC Test Sample Collection Systems for Drugs of Abuse Testing -
  21 CFR Part 809
FORMS: NONE

OMB NO: 0910-0370    EXPIRATION DATE: 07/31/2004
RESPS:588            HOURS:1,920          COSTS(000):$0
  Specific Requirements on Content and Format of Labeling;
  Geriatric Use Subsection
FORMS: NONE

OMB NO: 0910-0374    EXPIRATION DATE: 08/31/2005
RESPS:3              HOURS:1,153          COSTS(000):$0
  Guidance for Industry: Notification of a Health Claim or
  Nutrient Content Claim Based on an Authoritative Statement of a
  Scientific Body
FORMS: NONE

OMB NO: 0910-0375    EXPIRATION DATE: 10/31/2004
RESPS:140            HOURS:7,960          COSTS(000):$0
  Medical Devices; Third Party Review Under FDAMA
FORMS: NONE

OMB NO: 0910-0376    EXPIRATION DATE: 10/31/2004
RESPS:16,640         HOURS:33,280         COSTS(000):$0
  Transmittal of Advertising and Promotional Labeling for Drugs
  and Biologics for Human Use
FORMS: FDA-2253

OMB NO: 0910-0378    EXPIRATION DATE: 03/31/2005
RESPS:220            HOURS:5,760          COSTS(000):$0
  Medical Devices; Third-Party Premarket Submission Review and
  Quality System Inspections Under U.S./E.C. Mutual Recognition
  Agreement
FORMS: NONE

OMB NO: 0910-0381    EXPIRATION DATE: 02/29/2004
RESPS:509,579        HOURS:1,594,269      COSTS(000):$16,800
  Food Labeling Regulations
FORMS: NONE

OMB NO: 0910-0387    EXPIRATION DATE: 03/31/2005
RESPS:1              HOURS:66,461         COSTS(000):$0
  Medical Device Registration and Listing: 21 CFR Parts 807.22 and
  807.31
FORMS: 2891 2891A 2782

OMB NO: 0910-0389    EXPIRATION DATE: 06/30/2005
RESPS:86             HOURS:6,480          COSTS(000):$0
  Guidance for Industry: Fast Track Drug Development Programs -
  Designation, Development & Application Review
FORMS: NONE

OMB NO: 0910-0390    EXPIRATION DATE: 11/30/2005
RESPS:4,492          HOURS:52,208         COSTS(000):$0
  Dissemination of Information on Unapproved/New Uses for Marketed
  Drugs, Biologics, and Devices
FORMS: NONE

OMB NO: 0910-0392    EXPIRATION DATE: 10/31/2005
RESPS:64             HOURS:18,557         COSTS(000):$80,000
  Regulations Requiring Manufacturers to Assess the Safety and
  Effectiveness of New Drugs and Biological Products in Pediatric
  Patients
FORMS: NONE

OMB NO: 0910-0393    EXPIRATION DATE: 03/31/2005
RESPS:460,012        HOURS:2,651          COSTS(000):$0
  Prescription Drug Product Labeling - Medication Guide Requirement
FORMS: NONE

OMB NO: 0910-0395    EXPIRATION DATE: 01/31/2005
RESPS:850            HOURS:213            COSTS(000):$83
  Food Labeling: Nutrition Labeling of Dietary Supplements on a
  "Per Day" Basis
FORMS: NONE

OMB NO: 0910-0396    EXPIRATION DATE: 02/28/2006
RESPS:1              HOURS:18,750         COSTS(000):$0
  Financial Disclosure by Clinical Investigators
FORMS: 3454 3455

OMB NO: 0910-0409    EXPIRATION DATE: 09/30/2005
RESPS:2              HOURS:4,000          COSTS(000):$0
  Regulations for In Vivo Radiopharmaceuticals Used for Diagnosis
  and Monitoring
FORMS: NONE

OMB NO: 0910-0423    EXPIRATION DATE: 04/30/2003
RESPS:2              HOURS:247            COSTS(000):$0
  New Drug and Biological Drug Products; Evidence Needed to
  Demonstrate Efficacy of New Drugs for Use Against Lethal or
  Permanently Disabling Toxic Substances When Efficacy Studies...
FORMS: NONE

OMB NO: 0910-0428    EXPIRATION DATE: 12/31/2005
RESPS:25             HOURS:25             COSTS(000):$0
  Record Retention Requirements for the Soy Protein/CHD Health
  Claim
FORMS: NONE

OMB NO: 0910-0429    EXPIRATION DATE: 02/28/2006
RESPS:3,103          HOURS:42,760         COSTS(000):$0
  Guidance for Industry on Formal Mettings with Sponsors and
  Applicants for PDUFA Products
FORMS: 1571 1572 356H

OMB NO: 0910-0430    EXPIRATION DATE: 02/28/2006
RESPS:3              HOURS:96             COSTS(000):$0
  Guidance for Industry on Formal Dispute Resolutions; Appeals
  Above the Division Level
FORMS: FDA-1571 FDA-356H

OMB NO: 0910-0431    EXPIRATION DATE: 03/31/2004
RESPS:12,278         HOURS:842,020        COSTS(000):$0
  Changes to an Approved NDA or ANDA
FORMS: NONE

OMB NO: 0910-0432    EXPIRATION DATE: 01/31/2006
RESPS:2              HOURS:1,082          COSTS(000):$0
  Medical Device Recall Authority
FORMS: NONE

OMB NO: 0910-0433    EXPIRATION DATE: 02/29/2004
RESPS:548            HOURS:4,384          COSTS(000):$0
  Postmarketing Studies for Human Drugs and Licensed Biological
  Products; Status Reports
FORMS: FDA-2252

OMB NO: 0910-0435    EXPIRATION DATE: 05/31/2003
RESPS:96,935,065     HOURS:3,361,996      COSTS(000):$0
  Prescription Drug Marketing Act of 1987; Policies, Requirements,
  and Administrative Procedures
FORMS: NONE

OMB NO: 0910-0437    EXPIRATION DATE: 04/30/2003
RESPS:39,764         HOURS:91,306         COSTS(000):$0
  Medical Devices; Medical Device Reporting;manufacturer
  reportiing importer reporting, user facility reporting,
  distributor reporting
FORMS: FDA-3419 FDA-3417

OMB NO: 0910-0439    EXPIRATION DATE: 04/30/2003
RESPS:265            HOURS:3,710          COSTS(000):$0
  Aluminum in Large and Small Volume Parenterals Used in Total
  Parenteral Nutrition
FORMS: NONE

OMB NO: 0910-0442    EXPIRATION DATE: 04/30/2005
RESPS:10,174,876     HOURS:2,790,329      COSTS(000):$0
  Medical Device Tracking Regulations
FORMS: NONE

OMB NO: 0910-0443    EXPIRATION DATE: 06/30/2003
RESPS:1              HOURS:250            COSTS(000):$0
  Survey of Incidence of Gastroenterolocial Parasitic Infections
  in the United States as a Result of Consumption of Raw Fish
FORMS: NONE

OMB NO: 0910-0445    EXPIRATION DATE: 09/30/2003
RESPS:182            HOURS:51,688         COSTS(000):$0
  Submitting and Reviewing Complete Responses to Clinical Holds;
  Guidance for Industry
FORMS: NONE

OMB NO: 0910-0448    EXPIRATION DATE: 11/30/2003
RESPS:1,000          HOURS:1,000          COSTS(000):$0
  Adoption of FDA Food Code by Local, State, and Tribal Governments
FORMS: NONE

OMB NO: 0910-0449    EXPIRATION DATE: 11/30/2003
RESPS:502            HOURS:23,328         COSTS(000):$0
  Postmarket Surveillance
FORMS: NONE

OMB NO: 0910-0450    EXPIRATION DATE: 11/30/2003
RESPS:66             HOURS:27             COSTS(000):$0
  Guidance for Industry on How to Use E-Mail to Submit a Notice of
  Intent to Slaughter for Human Food Purposes
FORMS: 3487

OMB NO: 0910-0452    EXPIRATION DATE: 11/30/2003
RESPS:168            HOURS:116            COSTS(000):$0
  Guidance for Industry on How to Use E-Mail to Submit a Request
  for a Meeting or Teleconference to the Office of New Animal Drug
  Evaluation
FORMS: FDA-3488

OMB NO: 0910-0453    EXPIRATION DATE: 11/30/2003
RESPS:324            HOURS:262            COSTS(000):$0
  Guidance for Industry on How to Use E-Mail to Submit a Notice of
  Final Disposition of Animals Not Inded for Immediate Slaughter
FORMS: FDA-3486

OMB NO: 0910-0454    EXPIRATION DATE: 11/30/2003
RESPS:140            HOURS:140            COSTS(000):$0
  Guidance: How to Use E-Mail to Submit Information to the Center
  for Veterinary Medicine
FORMS: NONE

OMB NO: 0910-0455    EXPIRATION DATE: 11/30/2003
RESPS:83             HOURS:1,529          COSTS(000):$1
  Documentation for demonstrating compliance with the Channels
FORMS: NONE

OMB NO: 0910-0456    EXPIRATION DATE: 01/31/2004
RESPS:53             HOURS:343            COSTS(000):$0
  PHS (Public Health Service) Guideline on Infectious Disease
  Issues in Xenotransplantation
FORMS: NONE

OMB NO: 0910-0457    EXPIRATION DATE: 03/31/2005
RESPS:2,000          HOURS:1,000          COSTS(000):$0
  Rapid Response Surveys
FORMS: NONE

OMB NO: 0910-0458    EXPIRATION DATE: 02/29/2004
RESPS:60,751         HOURS:261,648        COSTS(000):$0
  Biological Products: Reporting of Biological Product Deviations
FORMS: FDA-3486

OMB NO: 0910-0459    EXPIRATION DATE: 03/31/2004
RESPS:34,660         HOURS:202,496        COSTS(000):$0
  Information Program on Clinical Trials for Serious and Life-
  Threatening Diseases
FORMS: NONE

OMB NO: 0910-0461    EXPIRATION DATE: 02/29/2004
RESPS:10             HOURS:20             COSTS(000):$0
  Substances Approved for Use in the Preparatin of Meat and
  Poultry Products
FORMS: NONE

OMB NO: 0910-0466    EXPIRATION DATE: 03/31/2004
RESPS:15,035         HOURS:358,465        COSTS(000):$0
  Hazard Analysis and Critical Control Point (HACCP) Procedures
  for the Safe and Sanitary Processing of Juice (21 CFR Part 120)
FORMS: NONE

OMB NO: 0910-0467    EXPIRATION DATE: 04/30/2004
RESPS:6              HOURS:120            COSTS(000):$0
  Request for Review of Scientific Disputes Concerning the
  Regulation of Medical Devices
FORMS: NONE

OMB NO: 0910-0469    EXPIRATION DATE: 07/31/2004
RESPS:1,225          HOURS:1,525          COSTS(000):$0
  Human Cells, Tissues, and Cellular and Tissue-Based Products;
  Establishments Registration and Listing; Final Rule
FORMS: FDA-3356

OMB NO: 0910-0470    EXPIRATION DATE: 07/31/2004
RESPS:240            HOURS:3,180          COSTS(000):$0
  Guidance for Industry on Special Protocol Assessment
FORMS: NONE

OMB NO: 0910-0471    EXPIRATION DATE: 07/31/2004
RESPS:1,245          HOURS:934            COSTS(000):$0
  Adverse Event Pilot Program for Medical Devices
FORMS: NONE

OMB NO: 0910-0472    EXPIRATION DATE: 08/31/2004
RESPS:29,356         HOURS:3,125          COSTS(000):$0
  Requirements for Testing Human Blood Donors for Evidence of
  Infection Due to Communicable Disease Agents
FORMS: NONE

OMB NO: 0910-0474    EXPIRATION DATE: 08/31/2004
RESPS:416,021        HOURS:141,681        COSTS(000):$0
  General Requirements for Blood, Blood Components, and Blood
  Derivatives; Donor Notification
FORMS: NONE

OMB NO: 0910-0477    EXPIRATION DATE: 10/31/2004
RESPS:5,272          HOURS:659            COSTS(000):$0
  Survey of Single-Use Medical Device (SUD) Reuse and Reprocessing
  in Hospitals
FORMS: NONE

OMB NO: 0910-0478    EXPIRATION DATE: 05/31/2003
RESPS:5,000          HOURS:6,500          COSTS(000):$0
  Consumer and Producer Surveys on Economic Issues
FORMS: NONE

OMB NO: 0910-0479    EXPIRATION DATE: 06/30/2003
RESPS:1              HOURS:637            COSTS(000):$0
  Assessment of Physician and Patient Attitudes Toward
  Direct-to-Consumer (DTC) Promotion of Prescription Drugs
FORMS: NONE

OMB NO: 0910-0480    EXPIRATION DATE: 11/30/2003
RESPS:3              HOURS:17,403         COSTS(000):$56
  Providing Regulatory Submissions in Electronic Format for Food
  Additive and Color Additive Petitions
FORMS: FDA-3503 FDA-3504

OMB NO: 0910-0482    EXPIRATION DATE: 01/31/2005
RESPS:2,065          HOURS:31,106         COSTS(000):$0
  Exports: Notification and Recordkeeping Requirements
FORMS: NONE

OMB NO: 0910-0483    EXPIRATION DATE: 03/31/2005
RESPS:108,148        HOURS:52,333         COSTS(000):$0
  Foreign Establishment Registration and Listing
FORMS: FDA-2656 -2830 -2891

OMB NO: 0910-0484    EXPIRATION DATE: 03/31/2005
RESPS:307            HOURS:1,417          COSTS(000):$0
  Suggested Documentation for Demonstrating Compliance with
  Channels of Trade Provision for Foods with Vinclozolin Residues
FORMS: NONE

OMB NO: 0910-0485    EXPIRATION DATE: 03/31/2005
RESPS:2,320,385      HOURS:3,191,305      COSTS(000):$0
  Medical Device Labeling Regulations
FORMS: NONE

OMB NO: 0910-0486    EXPIRATION DATE: 04/30/2005
RESPS:53             HOURS:813            COSTS(000):$1
  Requirements for States as Certification Agencies
FORMS: NONE

OMB NO: 0910-0489    EXPIRATION DATE: 03/31/2005
RESPS:2,000          HOURS:922            COSTS(000):$0
  Health and Diet Survey
FORMS: NONE

OMB NO: 0910-0492    EXPIRATION DATE: 01/31/2004
RESPS:7,000          HOURS:4,000          COSTS(000):$0
  Consumer Surveys on Food and Dietary Supplement Labeling Issues
FORMS: NONE

OMB NO: 0910-0493    EXPIRATION DATE: 09/30/2005
RESPS:12             HOURS:960            COSTS(000):$0
  Salmonella Discovery System Pilot Study
FORMS: NONE

OMB NO: 0910-0494    EXPIRATION DATE: 04/30/2003
RESPS:1,200          HOURS:300            COSTS(000):$0
  The Evaluation of Long-Term Antibiotic Drug Therapy for Persons
  Involved in Anthrax Remediation Activities
FORMS: NONE

OMB NO: 0910-0495    EXPIRATION DATE: 11/30/2005
RESPS:1,216          HOURS:35,700         COSTS(000):$38,875
  Food Additives; Food Contact Substances Notification System
FORMS: 3479 3480

OMB NO: 0910-0497    EXPIRATION DATE: 05/31/2004
RESPS:1,683          HOURS:3,352          COSTS(000):$0
  Focus Groups as Used by the Food and Drug Administration
FORMS: NONE

OMB NO: 0910-0498    EXPIRATION DATE: 11/30/2005
RESPS:9,787          HOURS:13,287         COSTS(000):$766
  Export Certificates for FDA Regulated Products Under U.S.C.
  Sections 801(e) and 802
FORMS: NONE

OMB NO: 0910-0500    EXPIRATION DATE: 06/30/2004
RESPS:30             HOURS:3,000          COSTS(000):$0
  FDA Rapid Response Surveys
FORMS: NONE

OMB NO: 0910-0501    EXPIRATION DATE: 06/30/2004
RESPS:1              HOURS:112            COSTS(000):$0
  Telephone Questionnaire Administration to Control Subjects
  Recruited into FDA Lyme Vaccine Safety Study, "A Case-Control
  Study of HLA Type and T-Cell Reactivity to Recombinat Outer.....
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
146 216,619,428 75,377,571 $139,574
Health Services Administration
OMB NO: 0915-0028    EXPIRATION DATE: 03/31/2004
RESPS:80             HOURS:14             COSTS(000):$0
  Scholarship Program for Students of Exceptional Financial Need
  (EFN) and Program of Financial Assistance for Disadvantages Heal
  Professions Students (FADHPS) Application
FORMS: HRSA-525

OMB NO: 0915-0034    EXPIRATION DATE: 07/31/2003
RESPS:227,552        HOURS:13,703         COSTS(000):$0
  Health Education Assistance Loan (HEAL) Program: Forms
FORMS: HRSA-504 HRSA-508

OMB NO: 0915-0036    EXPIRATION DATE: 08/31/2005
RESPS:26,700         HOURS:4,958          COSTS(000):$11
  Health Education Assistance Loan (HEAL) Program: Lender's
  Application for Insurance Claim Form and Request for Collection
  Assistance Form
FORMS: 510 513

OMB NO: 0915-0043    EXPIRATION DATE: 10/31/2003
RESPS:12,088         HOURS:6,066          COSTS(000):$0
  Health Education Assistance Loan (HEAL) Program Information
  Collection Requirements - Forms
FORMS: HRSA-502-1 HRSA-502-2 HRSA-512

OMB NO: 0915-0044    EXPIRATION DATE: 01/31/2006
RESPS:7,048          HOURS:5,192          COSTS(000):$0
  Health Professions Student Loan and Nursing Student Loan
  Programs-Forms
FORMS: HRSA-501 HRSA-519

OMB NO: 0915-0047    EXPIRATION DATE: 08/31/2005
RESPS:92,571         HOURS:37,428         COSTS(000):$0
  Health Professions Student Loan (HPSL) Program and Nursing
  Student Loan (NSL) Program: Admin. Requirements (Regs. & Policy)
FORMS: NONE

OMB NO: 0915-0060    EXPIRATION DATE: 06/30/2003
RESPS:12,540         HOURS:70,313         COSTS(000):$27
  HRSA Competing Training Grant Application
FORMS: PHS-6025-1

OMB NO: 0915-0061    EXPIRATION DATE: 04/30/2003
RESPS:626            HOURS:6,260          COSTS(000):$0
  The Uniform Progress Reports (UPR) for HRSA Continuation
  Training Grants
FORMS: NONE

OMB NO: 0915-0077    EXPIRATION DATE: 02/28/2006
RESPS:82,197         HOURS:48,072         COSTS(000):$0
  Uncompensated Services Assurance Report
FORMS: HRSR-710

OMB NO: 0915-0081    EXPIRATION DATE: 07/31/2003
RESPS:14             HOURS:1              COSTS(000):$0
  Black Lung Clinics Program (42 CFR 55a and Program Guidelines)
FORMS: NONE

OMB NO: 0915-0099    EXPIRATION DATE: 11/30/2003
RESPS:20             HOURS:60             COSTS(000):$0
  Grants for Hospital Construction and Modernization - Federal
  Rights of Recovery and Waiver of Recovery (42 CFR 124, Subpart H)
FORMS: NONE

OMB NO: 0915-0108    EXPIRATION DATE: 12/31/2003
RESPS:504,661        HOURS:95,290         COSTS(000):$0
  Health Education Assistance Loan (HEAL) Program Regulation - 42
  CFR Part 60
FORMS: NONE

OMB NO: 0915-0126    EXPIRATION DATE: 01/31/2004
RESPS:2,443,091      HOURS:304,398        COSTS(000):$13,508
  National Practitioner Data Bank for Adverse Information on
  Physicians and Other Health Care Practitioners: Regulations and
  Forms
FORMS: NONE

OMB NO: 0915-0127    EXPIRATION DATE: 04/30/2005
RESPS:845            HOURS:1,211          COSTS(000):$0
  The National Health Service Corps (NHSC) Loan Repayment Program
FORMS: NONE

OMB NO: 0915-0140    EXPIRATION DATE: 03/31/2004
RESPS:1,050          HOURS:1,050          COSTS(000):$3
  Nursing Education Loan Repayment Agreements
FORMS: NONE

OMB NO: 0915-0142    EXPIRATION DATE: 08/31/2005
RESPS:100            HOURS:4,000          COSTS(000):$1
  Application for Certification as a Federall Qualified Health
  Center Look-Alike
FORMS: NONE

OMB NO: 0915-0146    EXPIRATION DATE: 07/31/2003
RESPS:3,100          HOURS:3,100          COSTS(000):$8
  The Application for Participation in the National Health Service
  Corps Scholarship Program
FORMS: HRSA-856

OMB NO: 0915-0149    EXPIRATION DATE: 11/30/2003
RESPS:450            HOURS:12,600         COSTS(000):$0
  Scholarships for Disadvantaged Students Applications
FORMS: NONE

OMB NO: 0915-0150    EXPIRATION DATE: 12/31/2003
RESPS:94             HOURS:94             COSTS(000):$0
  Faculty Loan Repayment Program Application
FORMS: HRSA-535

OMB NO: 0915-0151    EXPIRATION DATE: 02/28/2005
RESPS:125            HOURS:2,375          COSTS(000):$0
  Ryan White CARE Act Dental Reimbursement Program
FORMS: NONE

OMB NO: 0915-0157    EXPIRATION DATE: 06/30/2004
RESPS:517,693        HOURS:80,362         COSTS(000):$0
  Organ Procurement and Transplantation Network and Scientific
  Registry of Transplan Recipients Data System
FORMS: NONE

OMB NO: 0915-0158    EXPIRATION DATE: 12/31/2003
RESPS:278            HOURS:22,240         COSTS(000):$0
  Grantee Reporting Requirements for the Ryan White Comprehensive
  AIDS Resources Emergency Act of 1990 - Title III
FORMS: NONE

OMB NO: 0915-0172    EXPIRATION DATE: 04/30/2003
RESPS:59             HOURS:19,858         COSTS(000):$0
  Maternal and Child Health Services Block Grant Annual Report,
  Needs Assessment and Application Guidance
FORMS: NONE

OMB NO: 0915-0174    EXPIRATION DATE: 06/30/2003
RESPS:150            HOURS:150            COSTS(000):$0
  Loan Information System Records for the DHHS and DHUD Hospital
  Mortgage Insurance, Guarantee, and Direct Loan Programs
FORMS: HRSA-906

OMB NO: 0915-0176    EXPIRATION DATE: 10/31/2003
RESPS:9              HOURS:94             COSTS(000):$0
  Drug Pricing Program Reporting Requirements
FORMS: NONE

OMB NO: 0915-0179    EXPIRATION DATE: 02/29/2004
RESPS:700            HOURS:700            COSTS(000):$0
  Deferment Request Form for the National Health Service Corps
  Scholarship Program
FORMS: NONE

OMB NO: 0915-0184    EXPIRATION DATE: 06/30/2004
RESPS:36,460         HOURS:4,862          COSTS(000):$0
  Organ Procurement and Transplantation Network
FORMS: NONE

OMB NO: 0915-0185    EXPIRATION DATE: 04/30/2004
RESPS:550            HOURS:343            COSTS(000):$0
  Pilot Test of the Community Health Center/National Health
  Service Corp User/Visit Survey
FORMS: NONE

OMB NO: 0915-0186    EXPIRATION DATE: 01/31/2005
RESPS:2,785          HOURS:9,142          COSTS(000):$0
  Main Study of the Community Health Center/National Health
  Service Corps Site User/Visit Survey
FORMS: NONE

OMB NO: 0915-0188    EXPIRATION DATE: 10/31/2004
RESPS:265            HOURS:530            COSTS(000):$10
  Data Collection and Reporting Requirements for Healty Schools,
  Healthy Communities
FORMS: NONE

OMB NO: 0915-0193    EXPIRATION DATE: 11/30/2003
RESPS:757            HOURS:19,992         COSTS(000):$80,917
  Uniform Data System
FORMS: NONE

OMB NO: 0915-0204    EXPIRATION DATE: 03/31/2004
RESPS:351            HOURS:88             COSTS(000):$2
  Health Education Assistant Loan (HEAL) Program: Physicians's
  Certification of Borrower's Total and Permanent Disability Form
FORMS: HRSA-539

OMB NO: 0915-0206    EXPIRATION DATE: 12/31/2003
RESPS:178            HOURS:9,714          COSTS(000):$403
  Ryan White Comprehensive AIDS Resources Emergency Act of 1990,
  Amended 1996 - Title IV
FORMS: NONE

OMB NO: 0915-0208    EXPIRATION DATE: 09/30/2003
RESPS:311            HOURS:26             COSTS(000):$0
  Professional Training and Information Questionnaire
FORMS: HRSA-551 HRSA-552

OMB NO: 0915-0212    EXPIRATION DATE: 03/31/2006
RESPS:52,050         HOURS:5,075          COSTS(000):$0
  Voluntary Partner Surveys to Implement Executive Order 12862 in
  the Health Resources and Services Administration
FORMS: NONE

OMB NO: 0915-0219    EXPIRATION DATE: 11/30/2003
RESPS:864            HOURS:648            COSTS(000):$0
  AIDS Drug Assistance Program Monthly Report for Ryan White
  Comprehensive AIDS Resources Emergency Act Amendments of 1996,
  Titles I and II
FORMS: NONE

OMB NO: 0915-0226    EXPIRATION DATE: 10/31/2004
RESPS:1              HOURS:300            COSTS(000):$0
  NHSC and Native Hawaiian Health Scholarship Programs Data
  Collection Worksheet
FORMS: NONE

OMB NO: 0915-0227    EXPIRATION DATE: 10/31/2004
RESPS:3,704          HOURS:1,297          COSTS(000):$0
  Health Education Assistance Loan (HEAL) Program: Refinancing
  Application/Promissory Note
FORMS: HRSA-550

OMB NO: 0915-0230    EXPIRATION DATE: 04/30/2005
RESPS:1,200          HOURS:300            COSTS(000):$0
  NHSC Recruitment and Retention Assistance Application
FORMS: NONE

OMB NO: 0915-0232    EXPIRATION DATE: 04/30/2005
RESPS:900            HOURS:24,300         COSTS(000):$33
  National Health Service Corps - Uniform Data System
FORMS: NONE

OMB NO: 0915-0233    EXPIRATION DATE: 04/30/2005
RESPS:150            HOURS:150            COSTS(000):$0
  Disadvantaged Assistance Tracking and Outcome Report (DATOR) for
  Health Careers Opportunity Program and Centers of Excellence
  Program
FORMS: NONE

OMB NO: 0915-0234    EXPIRATION DATE: 09/30/2005
RESPS:2,400          HOURS:1,200          COSTS(000):$0
  NHSC Waiver Request Worksheets
FORMS: HRSA-553 HRSA-554

OMB NO: 0915-0239    EXPIRATION DATE: 03/31/2004
RESPS:1,282,004      HOURS:187,169        COSTS(000):$2,107
  Healthcare Integrity and Protection Data Bank for Final Adverse
  Information on Health Care Providers, Suppliers and
  Practitioners (45 CFR 61)
FORMS: NONE

OMB NO: 0915-0244    EXPIRATION DATE: 12/31/2003
RESPS:2,025          HOURS:4,725          COSTS(000):$0
  Ricky Ray Hemophilia Relief Fund Program
FORMS: NONE

OMB NO: 0915-0245    EXPIRATION DATE: 07/31/2003
RESPS:52,298         HOURS:26,149         COSTS(000):$0
  They Ryan White CARE Act Client Demonstration Project Reporting
  System
FORMS: NONE

OMB NO: 0915-0247    EXPIRATION DATE: 02/29/2004
RESPS:60             HOURS:3,600          COSTS(000):$0
  Children's Hospital Graduate Medical Education Program
FORMS: NONE

OMB NO: 0915-0248    EXPIRATION DATE: 08/31/2003
RESPS:420            HOURS:139            COSTS(000):$0
  The Impact of the State Child Health Insurance Program on
  Selected Community Health Centers and Maternal and Child Health
  Programs
FORMS: NONE

OMB NO: 0915-0250    EXPIRATION DATE: 02/29/2004
RESPS:1,350          HOURS:276            COSTS(000):$0
  The National Health Service Corps Scholarship Program In-School
  Worksheets
FORMS: NONE

OMB NO: 0915-0253    EXPIRATION DATE: 08/31/2004
RESPS:2,586          HOURS:96,600         COSTS(000):$0
  Ryan White Comprehensive Aids Resources Emergency Act of 1990,
  Cross-Title Data Report (CTDR) System
FORMS: NONE

OMB NO: 0915-0254    EXPIRATION DATE: 10/31/2004
RESPS:18,671         HOURS:13,440         COSTS(000):$0
  U.S. Component of the 2001/2002 World Health Organization Study
  of Health Behavior in School Children (WHO-HPSC)
FORMS: NONE

OMB NO: 0915-0256    EXPIRATION DATE: 09/30/2004
RESPS:5              HOURS:35             COSTS(000):$0
  Charitable Facility Compliance Alternative (amended) - Final Rule
FORMS: NONE

OMB NO: 0915-0260    EXPIRATION DATE: 04/30/2005
RESPS:1,000          HOURS:750            COSTS(000):$0
  Healthy Schools, Healthy Communities User/Visit Surveys
FORMS: NONE

OMB NO: 0915-0261    EXPIRATION DATE: 05/31/2005
RESPS:400            HOURS:400            COSTS(000):$0
  Hepatitis B and C Among Health Care for the Homeless Program
  Clients
FORMS: NONE

OMB NO: 0915-0262    EXPIRATION DATE: 06/30/2005
RESPS:212            HOURS:3,816          COSTS(000):$0
  Office of State and National Partnership's Web-based Semi Annual
  Report
FORMS: NONE

OMB NO: 0915-0263    EXPIRATION DATE: 07/31/2003
RESPS:52             HOURS:442            COSTS(000):$0
  A Needs Assessment of the Black Lung Clinics Program
FORMS: NONE

OMB NO: 0915-0265    EXPIRATION DATE: 10/31/2003
RESPS:11,250         HOURS:1,000          COSTS(000):$0
  Survey on Gender, Ethnic and Racial Backgrounds of Clients and
  Staff at Bureau of Primary Health Care Supported Community-Based
  Health Service Sites
FORMS: HRSA-105 HRSA-106

OMB NO: 0915-0266    EXPIRATION DATE: 11/30/2004
RESPS:743            HOURS:808            COSTS(000):$0
  Private Health Insurance Coverage of Immunosuppressive Drugs
  Survey
FORMS: NONE

OMB NO: 0915-0268    EXPIRATION DATE: 12/31/2005
RESPS:152            HOURS:1,216          COSTS(000):$0
  Implementation of the Primary Care Surveillance System (PSCC)
  Core Data Collection Effort for the Sentinal Centers Network
  (SCN)
FORMS: NONE

OMB NO: 0915-0269    EXPIRATION DATE: 12/31/2004
RESPS:2,010          HOURS:505            COSTS(000):$0
  Evaluation of the Health Care for the Homeless (HCH) Respite
  Pilot Initiative
FORMS: NONE

OMB NO: 0915-0270    EXPIRATION DATE: 03/31/2006
RESPS:1,752          HOURS:483            COSTS(000):$0
  Evaluation of the Infant Adoption Awareness Training Program
FORMS: NONE

OMB NO: 0915-0271    EXPIRATION DATE: 03/31/2004
RESPS:56             HOURS:168            COSTS(000):$0
  Emergency Medical Services for Children (EMSC) Annual Grantee
  Survey
FORMS: NONE

OMB NO: 0915-0272    EXPIRATION DATE: 01/31/2006
RESPS:750            HOURS:4,500          COSTS(000):$0
  Maternal and Child Health Bureau Common Grant Guidance for
  Discretionay Grants
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
62 5,414,563 1,163,777 $97,030
Indian Health Service
OMB NO: 0917-0002    EXPIRATION DATE: 04/30/2003
RESPS:327,114        HOURS:20,778         COSTS(000):$0
  IHS Contract Health Service Report
FORMS: IHS-843-1A

OMB NO: 0917-0006    EXPIRATION DATE: 12/31/2004
RESPS:15,830         HOURS:7,356          COSTS(000):$0
  IHS Scholarship Program Application
FORMS: IHS-856 856-2--856-8 IHS-815-818 D-02 F-02 F-04 G-02 G-04 H-07
H-08

OMB NO: 0917-0007    EXPIRATION DATE: 12/31/2003
RESPS:261            HOURS:313            COSTS(000):$0
  IHS Urban Indian Health Program Common Reporting Requirements
FORMS: NONE

OMB NO: 0917-0009    EXPIRATION DATE: 05/31/2003
RESPS:3,709          HOURS:2,371          COSTS(000):$0
  IHS Medical Staff Credentials and Privileges File
FORMS: NONE

OMB NO: 0917-0014    EXPIRATION DATE: 12/31/2005
RESPS:2,125          HOURS:1,381          COSTS(000):$0
  Indian Health Service Loan Repayment Program
FORMS: NONE

OMB NO: 0917-0022    EXPIRATION DATE: 07/31/2003
RESPS:475            HOURS:236            COSTS(000):$0
  Evaluation of the Indian Health Service/Bureau of Indian Affairs
  Training Practitioners Project
FORMS: NONE

OMB NO: 0917-0024    EXPIRATION DATE: 05/31/2005
RESPS:7,500          HOURS:1,875          COSTS(000):$0
  IHS Customer Satisfaction Survey
FORMS: NONE

OMB NO: 0917-0025    EXPIRATION DATE: 11/30/2003
RESPS:1              HOURS:384            COSTS(000):$0
  Hoz'ho'nii: An Intervention to Increase Breast and Cervical
  Cancer Screening Among Navajo Women
FORMS: NONE

OMB NO: 0917-0026    EXPIRATION DATE: 07/31/2005
RESPS:1              HOURS:3,720          COSTS(000):$0
  Final Rule to Implement Title V of the Tribal Self-Governance
  Amendments of 2000
FORMS: NONE

OMB NO: 0917-0027    EXPIRATION DATE: 08/31/2005
RESPS:1              HOURS:202            COSTS(000):$0
  Stakeholder Satisfaction with IHS Tribal Consultation
FORMS: NONE

OMB NO: 0917-0028    EXPIRATION DATE: 11/30/2005
RESPS:2,000          HOURS:500            COSTS(000):$20,000
  IHS Background Investigatins of Individuals in Positins
  Involving Regular Contact with or Control Over Indian Children
FORMS: OPM-306

OMB NO: 0917-0030    EXPIRATION DATE: 09/30/2003
RESPS:542,500        HOURS:174,375        COSTS(000):$0
  IHS Forms To Implement The Privacy Rules (43 CFR Parts 160 and
  164)
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
12 901,517 213,491 $20,000
Centers for Disease Control and Prevention
OMB NO: 0920-0004    EXPIRATION DATE: 04/30/2003
RESPS:326            HOURS:2,650          COSTS(000):$0
  National Disease Surveillance Program II; Disease Summaries
FORMS: CDC52.12 52.13 52.19 52.20 52.28 55.41 55.3 55.9/55.20
55.31/55.31A 55.83A-C

OMB NO: 0920-0006    EXPIRATION DATE: 05/31/2005
RESPS:200            HOURS:167            COSTS(000):$0
  Statements in Support of Application for Waiver of
  Inadmissibility under Section 212(a)(1)(A)(i) or 212 (a)(1)(A)
  (iii)(1) or (11)of Immigration and Nationality Act
FORMS: CDC-4.422-1 CDC-4.422-1A CDC-4.422-1B

OMB NO: 0920-0007    EXPIRATION DATE: 12/31/2003
RESPS:9,365          HOURS:4,927          COSTS(000):$0
  Weekly and Annual Morbidity and Mortality Reports
FORMS: CDC-43.5A

OMB NO: 0920-0008    EXPIRATION DATE: 06/30/2003
RESPS:12,000         HOURS:3,000          COSTS(000):$0
  Emergency Epidemic Investigations
FORMS: NONE

OMB NO: 0920-0009    EXPIRATION DATE: 02/28/2006
RESPS:51,330         HOURS:14,430         COSTS(000):$0
  National Disease Surveillance Program - 1. Case Reports
FORMS: CDC-53.1 CDC-52.15 CDC-56.31A CDC-56.31B CDC-55.54 CDC-52-56
CDC-52.18 CDC-52.60 CDC-54.1 CDC-56.37

OMB NO: 0920-0010    EXPIRATION DATE: 02/28/2006
RESPS:400            HOURS:600            COSTS(000):$0
  National Birth Defects Prevention Study
FORMS: NONE

OMB NO: 0920-0012    EXPIRATION DATE: 09/30/2003
RESPS:92,542         HOURS:71,259         COSTS(000):$100
  National Nosocomial Infections Surveillance (NNIS) System
FORMS: 57.65 57.66 57.58D 57.58B 57.58H 57.58G 57.58C 57.64A 57.68
57.69/57.70

OMB NO: 0920-0017    EXPIRATION DATE: 04/30/2003
RESPS:55,025         HOURS:4,590          COSTS(000):$0
  Application for Training
FORMS: 32.1 36.5

OMB NO: 0920-0020    EXPIRATION DATE: 05/31/2004
RESPS:31,150         HOURS:4,791          COSTS(000):$0
  X-Ray Examination Program (42 CFR Part 37)
FORMS: CDC/NIOSH(M)2.8 (M)2.10 (M)2.11 (M)2.12

OMB NO: 0920-0021    EXPIRATION DATE: 04/30/2003
RESPS:150            HOURS:62             COSTS(000):$0
  Regulation 42 CFR 37.204 -- National Coal Workers' Autopsy Study
FORMS: NONE

OMB NO: 0920-0026    EXPIRATION DATE: 09/30/2005
RESPS:16,675         HOURS:8,338          COSTS(000):$0
  Report of Verified Case of Tuberculosis
FORMS: 72.9 72.9A 72.9B 72.9C

OMB NO: 0920-0033    EXPIRATION DATE: 11/30/2005
RESPS:3,800          HOURS:3,800          COSTS(000):$0
  National Surveillance of Dialysis-Associated Diseases
FORMS: NONE

OMB NO: 0920-0102    EXPIRATION DATE: 01/31/2005
RESPS:450            HOURS:90             COSTS(000):$0
  Contents of a Request for Health Hazard Evaluation -- 42 CFR
  85.3-1
FORMS: NONE

OMB NO: 0920-0106    EXPIRATION DATE: 01/31/2005
RESPS:122            HOURS:4,270          COSTS(000):$0
  Preventive Health and Health Services Block Grant
FORMS: NONE

OMB NO: 0920-0109    EXPIRATION DATE: 08/31/2004
RESPS:427            HOURS:97,783         COSTS(000):$0
  Tests and Requirements for Certification and Approval of
  Respoiratory Protective Devices (42 CFR 84)
FORMS: NONE

OMB NO: 0920-0128    EXPIRATION DATE: 07/31/2003
RESPS:1,000          HOURS:260            COSTS(000):$0
  Congenital Syphilis (CS) Case Investigation and Report Form
FORMS: CDC-73.126

OMB NO: 0920-0134    EXPIRATION DATE: 09/30/2004
RESPS:1,923          HOURS:119            COSTS(000):$0
  Foreign Quarantine Regulations
FORMS: CDC-75.10A CDC-75.37

OMB NO: 0920-0138    EXPIRATION DATE: 12/31/2004
RESPS:70             HOURS:66             COSTS(000):$0
  Pulmonary Function Testing Course Approval Program
FORMS: NONE

OMB NO: 0920-0199    EXPIRATION DATE: 06/30/2003
RESPS:5,370          HOURS:1,925          COSTS(000):$0
  Importation of etiological agents and packaging and handling of
  infectious substances and select agents
FORMS: CDC-0.753 CDC-0.1241 APPLICATION

OMB NO: 0920-0208    EXPIRATION DATE: 07/31/2003
RESPS:260            HOURS:184            COSTS(000):$0
  HIV Prevention and Surveillance Project Reports
FORMS: NONE

OMB NO: 0920-0210    EXPIRATION DATE: 10/31/2003
RESPS:48             HOURS:1,788          COSTS(000):$0
  List of Ingredients Added to Tobacco in the Manufacture
FORMS: NONE

OMB NO: 0920-0212    EXPIRATION DATE: 08/31/2005
RESPS:51,781         HOURS:2,653          COSTS(000):$0
  National Hospital Discharge Survey
FORMS: NONE

OMB NO: 0920-0213    EXPIRATION DATE: 04/30/2003
RESPS:1,880          HOURS:418            COSTS(000):$0
  National Vital Statistics Report Forms
FORMS: CDC-64.146 CDC-64.147

OMB NO: 0920-0214    EXPIRATION DATE: 04/30/2004
RESPS:39,000         HOURS:48,600         COSTS(000):$0
  National Health Interview Survey: 2003 Basic Module with Topical
  Modules
FORMS: NONE

OMB NO: 0920-0215    EXPIRATION DATE: 11/30/2004
RESPS:780            HOURS:227            COSTS(000):$0
  Application Form and Related Forms for the Operation of the
  National Death Index
FORMS: CDC/NCHS-6205-1 CDC-6425 CDC-6426 PHS-6205-3

OMB NO: 0920-0217    EXPIRATION DATE: 06/30/2004
RESPS:157            HOURS:44             COSTS(000):$0
  NCHS Vital Statistics Training Form
FORMS: CDC-64.52

OMB NO: 0920-0222    EXPIRATION DATE: 02/29/2004
RESPS:550            HOURS:600            COSTS(000):$0
  Questionnaire Research Design Laboratory
FORMS: NONE

OMB NO: 0920-0234    EXPIRATION DATE: 09/30/2003
RESPS:70,800         HOURS:6,177          COSTS(000):$0
  Medical Care Survey 2001-2002
FORMS: CDC-64.148 CDC-64.149

OMB NO: 0920-0237    EXPIRATION DATE: 05/31/2005
RESPS:13,333         HOURS:56,013         COSTS(000):$0
  National Health and Nutrition Examination Survey (NHANES)
FORMS: NONE

OMB NO: 0920-0260    EXPIRATION DATE: 06/30/2004
RESPS:11,350         HOURS:4,093          COSTS(000):$0
  Health Hazard Evaluations/Technical Assistance and Emerging
  Problems
FORMS: NONE

OMB NO: 0920-0261    EXPIRATION DATE: 01/31/2004
RESPS:61             HOURS:6,150          COSTS(000):$0
  NIOSH Training Grants, 42 CFR Part 86, Application and
  Regulations
FORMS: CDC-2.145A CDC-2.145B

OMB NO: 0920-0262    EXPIRATION DATE: 06/30/2004
RESPS:3,625          HOURS:3,625          COSTS(000):$0
  Supplement to HIV/AIDS Surveillance (SHAS) Project
FORMS: NONE

OMB NO: 0920-0263    EXPIRATION DATE: 02/28/2005
RESPS:100            HOURS:20             COSTS(000):$0
  Requirements for a Special Permit to Import Cynomolgus, African
  Green, and Rhesus Monkeys into the United States
FORMS: NONE

OMB NO: 0920-0274    EXPIRATION DATE: 08/31/2004
RESPS:4,548          HOURS:852            COSTS(000):$0
  CDC Model Performance Evaluation Program (MPEP) for Retroviral
  and AIDS-Related
FORMS: NONE

OMB NO: 0920-0278    EXPIRATION DATE: 04/30/2005
RESPS:145,688        HOURS:14,721         COSTS(000):$0
  National Hospital Ambulatory Medical Care Survey
FORMS: 101(CDC-64.151) 101/U

OMB NO: 0920-0282    EXPIRATION DATE: 12/31/2003
RESPS:240            HOURS:480            COSTS(000):$0
  CDC Childhood Lead Poisoning Prevention Program Quarterly Report
FORMS: NONE

OMB NO: 0920-0295    EXPIRATION DATE: 10/31/2005
RESPS:48,100         HOURS:1,342          COSTS(000):$0
  National AIDS and STD Hotline Survey of Callers
FORMS: NONE

OMB NO: 0920-0307    EXPIRATION DATE: 11/30/2004
RESPS:1,308          HOURS:6,300          COSTS(000):$0
  Gonococcal Isolate Surveillance Project
FORMS: CDC-73.60A 73.60B 73.60C

OMB NO: 0920-0314    EXPIRATION DATE: 09/30/2003
RESPS:52,000         HOURS:18,361         COSTS(000):$0
  National Survey of Family Growth, Cycle 6 Main Study
FORMS: NONE

OMB NO: 0920-0322    EXPIRATION DATE: 02/28/2006
RESPS:300            HOURS:100            COSTS(000):$0
  Cholera and other Vibrio Illness Surveillance Report
FORMS: 52.79

OMB NO: 0920-0337    EXPIRATION DATE: 06/30/2004
RESPS:188            HOURS:600            COSTS(000):$0
  National Childhood blood Lead Surveillance System
FORMS: NONE

OMB NO: 0920-0338    EXPIRATION DATE: 10/31/2003
RESPS:7              HOURS:296            COSTS(000):$0
  List of Ingredients Added to Tobacco in the Manufacture
FORMS: NONE

OMB NO: 0920-0353    EXPIRATION DATE: 10/31/2003
RESPS:62,000         HOURS:1,008          COSTS(000):$0
  National Nursing Home Survey
FORMS: NONE

OMB NO: 0920-0401    EXPIRATION DATE: 06/30/2003
RESPS:4,500          HOURS:2,066          COSTS(000):$0
  Longitudinal Studies of Chronic Fatigue Syndrome: Sedgwick
  County Study 36-Month Follow-up
FORMS: NONE

OMB NO: 0920-0406    EXPIRATION DATE: 12/31/2004
RESPS:381,671        HOURS:150,606        COSTS(000):$0
  State and Local Area Integrated Telephone Survey (SLAITS)
FORMS: NONE

OMB NO: 0920-0417    EXPIRATION DATE: 11/30/2003
RESPS:180,510        HOURS:37,397         COSTS(000):$10
  National Surveillance System for Health Care Workers
FORMS: NONE

OMB NO: 0920-0427    EXPIRATION DATE: 04/30/2003
RESPS:500            HOURS:500            COSTS(000):$0
  The Sentinel Surveillance for Chronic Liver Disease
FORMS: NONE

OMB NO: 0920-0428    EXPIRATION DATE: 02/28/2006
RESPS:16,994         HOURS:42,711         COSTS(000):$0
  PHS Supplements to Application for Federal Assistance (SF 424)
FORMS: SF-424 PHS-5161-1 CDC.124(E) CDC.0113 OPHS-1

OMB NO: 0920-0442    EXPIRATION DATE: 12/31/2003
RESPS:223            HOURS:6,300          COSTS(000):$0
  Surveillance for Bloodstream and Vascular Access Infections in
  Outpatient Hemodialysis Centers
FORMS: NONE

OMB NO: 0920-0444    EXPIRATION DATE: 06/30/2005
RESPS:11             HOURS:18,766         COSTS(000):$0
  Annual Submission of the Quantity of Nicotine Contained in
  Smokeless Tobacco Products Manufactured, Imported, or Packaged
  in the U.S.
FORMS: NONE

OMB NO: 0920-0449    EXPIRATION DATE: 09/30/2003
RESPS:13,000         HOURS:2,166          COSTS(000):$0
  The Evaluation of Customer Satisfaction of the Internet Homepage
  and Links for CDC and ATSDR
FORMS: NONE

OMB NO: 0920-0450    EXPIRATION DATE: 02/28/2006
RESPS:1,000          HOURS:1,625          COSTS(000):$0
  Children's Longitudinal Development Study
FORMS: NONE

OMB NO: 0920-0461    EXPIRATION DATE: 04/30/2003
RESPS:3,130          HOURS:534            COSTS(000):$0
  An Evaluation of Targeted Health Communication Messages: Folic
  Acid and Neural Tube Defects
FORMS: NONE

OMB NO: 0920-0463    EXPIRATION DATE: 12/31/2005
RESPS:525            HOURS:263            COSTS(000):$0
  Longitudinal Surveillance for Beryllium Disease Prevention
FORMS: NONE

OMB NO: 0920-0469    EXPIRATION DATE: 04/30/2003
RESPS:1              HOURS:126            COSTS(000):$0
  National Program of Cancer Registries - Cancer Surveillance
  System
FORMS: NONE

OMB NO: 0920-0470    EXPIRATION DATE: 07/31/2003
RESPS:880            HOURS:98             COSTS(000):$0
  Possible Estuary Associated Syndrome (PEAS) Surveillance
FORMS: NONE

OMB NO: 0920-0472    EXPIRATION DATE: 06/30/2003
RESPS:2,360          HOURS:510            COSTS(000):$0
  Assessment of Exposure to Arsenic through Household Water
FORMS: NONE

OMB NO: 0920-0473    EXPIRATION DATE: 06/30/2003
RESPS:880            HOURS:218            COSTS(000):$0
  Surveillance and Evaluation of Plasma Donors for the Human
  Immunodeficiency Virus (HIV) and Hepatitis C Virus (HCV)
FORMS: NONE

OMB NO: 0920-0475    EXPIRATION DATE: 06/30/2003
RESPS:190            HOURS:55             COSTS(000):$0
  Evaluation of the Public Health Prevention Service (PHPS) Program
FORMS: NONE

OMB NO: 0920-0476    EXPIRATION DATE: 06/30/2003
RESPS:14,420         HOURS:2,403          COSTS(000):$0
  Evaluation of Viral Hepatitis Education Materials
FORMS: NONE

OMB NO: 0920-0478    EXPIRATION DATE: 07/31/2003
RESPS:290            HOURS:83             COSTS(000):$0
  Routine Evaluation of Ongoing NIOSH Worker Notifications
FORMS: NONE

OMB NO: 0920-0479    EXPIRATION DATE: 07/31/2003
RESPS:118            HOURS:236            COSTS(000):$1
  Implementation of an Automated Management Information System
FORMS: NONE

OMB NO: 0920-0480    EXPIRATION DATE: 07/31/2003
RESPS:138            HOURS:138            COSTS(000):$0
  An evaluation study of Tuberculosis Control and Prevention
  measures in Large City and County Jails
FORMS: NONE

OMB NO: 0920-0482    EXPIRATION DATE: 08/31/2003
RESPS:600            HOURS:200            COSTS(000):$0
  Silicosis No Mas!: Evaluation of Materials Used for Outreach to
  Hispanic Construction Workers
FORMS: NONE

OMB NO: 0920-0485    EXPIRATION DATE: 08/31/2003
RESPS:1,824          HOURS:1,425          COSTS(000):$0
  Evaluating National Dissemination Strategies for Effective HIV
  Prevention Programs for Youth
FORMS: NONE

OMB NO: 0920-0487    EXPIRATION DATE: 04/30/2003
RESPS:203            HOURS:55             COSTS(000):$0
  Microbial Contamination of Produce: A Field Study in the Lower
  Rio Grande Valley, Texas
FORMS: NONE

OMB NO: 0920-0488    EXPIRATION DATE: 09/30/2003
RESPS:16,500         HOURS:3,600          COSTS(000):$0
  Restrictions on Interstate Travel of Persons
FORMS: NONE

OMB NO: 0920-0493    EXPIRATION DATE: 11/30/2003
RESPS:12,345         HOURS:9,173          COSTS(000):$0
  2001 and 2003 Youth Risk Behavior Surveys
FORMS: NONE

OMB NO: 0920-0494    EXPIRATION DATE: 03/31/2005
RESPS:1,220          HOURS:206            COSTS(000):$0
  Exposure to Aerosolized Brevetoxins During Red Tide Events
FORMS: NONE

OMB NO: 0920-0495    EXPIRATION DATE: 12/31/2003
RESPS:3,300          HOURS:1,084          COSTS(000):$0
  Workplace Exacerbation of Asthma
FORMS: NONE

OMB NO: 0920-0496    EXPIRATION DATE: 12/31/2003
RESPS:3,590          HOURS:1,498          COSTS(000):$0
  A Message-Based Intervention for Technology Transfer
FORMS: NONE

OMB NO: 0920-0497    EXPIRATION DATE: 04/30/2004
RESPS:1,040          HOURS:1,248          COSTS(000):$0
  Evaluating CDC Funded Health Department HIV Prevention Programs
FORMS: NONE

OMB NO: 0920-0499    EXPIRATION DATE: 03/31/2004
RESPS:64             HOURS:3,296          COSTS(000):$0
  Jail STD Prevalence Monitoring System
FORMS: NONE

OMB NO: 0920-0501    EXPIRATION DATE: 04/30/2003
RESPS:1,620          HOURS:485            COSTS(000):$0
  A Research Program to Develop Optimal NIOSH Alerts for
  Occupational Safety and Health in Farming
FORMS: NONE

OMB NO: 0920-0502    EXPIRATION DATE: 02/29/2004
RESPS:25,200         HOURS:7,918          COSTS(000):$0
  Racial and Ethnic Approaches to Community Health (REACH)
FORMS: NONE

OMB NO: 0920-0503    EXPIRATION DATE: 02/29/2004
RESPS:11,300         HOURS:10,525         COSTS(000):$0
  The Incidence of Breast and Other Cancers Among Female Flight
  Attendants
FORMS: NONE

OMB NO: 0920-0504    EXPIRATION DATE: 02/29/2004
RESPS:40,236         HOURS:13,607         COSTS(000):$0
  Thyroid Disease in Persons Exposed to Radioactive Fallout from
  Atomic Weapons Testing at the Nevada Test Site: Phase III
FORMS: NONE

OMB NO: 0920-0508    EXPIRATION DATE: 03/31/2004
RESPS:4,000          HOURS:1,666          COSTS(000):$0
  Evaluation Research for the National Bone Health Campaign
FORMS: NONE

OMB NO: 0920-0510    EXPIRATION DATE: 04/30/2003
RESPS:680            HOURS:230            COSTS(000):$0
  Evaluating the Role of Positive and Negative Emotion in
  Promoting Hearing Conservation Behaviors Among Coal Miners
FORMS: NONE

OMB NO: 0920-0511    EXPIRATION DATE: 04/30/2003
RESPS:6,435          HOURS:285            COSTS(000):$0
  Developing Communication to Reduce Workplace Violence and
FORMS: NONE

OMB NO: 0920-0512    EXPIRATION DATE: 06/30/2003
RESPS:4,960          HOURS:300            COSTS(000):$0
  Preventing Latex Allergy Among Non-healthcare Workers
FORMS: NONE

OMB NO: 0920-0521    EXPIRATION DATE: 07/31/2003
RESPS:955            HOURS:455            COSTS(000):$0
  National Survey of STD Services Provided to US College Students
FORMS: NONE

OMB NO: 0920-0525    EXPIRATION DATE: 10/31/2004
RESPS:980            HOURS:1,960          COSTS(000):$0
  Assessing the Effectiveness of Community-Based Organizations for
  Evaluation
FORMS: NONE

OMB NO: 0920-0526    EXPIRATION DATE: 11/30/2004
RESPS:2,456          HOURS:614            COSTS(000):$0
  Evaluation of Viral Hepatitis B Educational Slide Materials
FORMS: NONE

OMB NO: 0920-0527    EXPIRATION DATE: 01/31/2005
RESPS:300            HOURS:350            COSTS(000):$0
  Human Exposure to Cyanobacterial (Blue-green Algal) Toxins in
  Drinking Water: Risk of Exposure to Microcystins from Public
  Water Systems
FORMS: NONE

OMB NO: 0920-0530    EXPIRATION DATE: 05/31/2005
RESPS:15,000         HOURS:16,250         COSTS(000):$0
  EEOICPA Dose Reconstruction Inerviews and Form
FORMS: OCAS-1

OMB NO: 0920-0533    EXPIRATION DATE: 04/30/2003
RESPS:900            HOURS:300            COSTS(000):$0
  A Survey of Pediatricians' attitudes and practices about
  promoting commmunication between parents and their children
  about sexuality and sexual risk
FORMS: NONE

OMB NO: 0920-0535    EXPIRATION DATE: 09/30/2005
RESPS:1,152          HOURS:233            COSTS(000):$0
  Evaluating Toolbox Training Safety Programs for Construction and
  Mining
FORMS: NONE

OMB NO: 0920-0537    EXPIRATION DATE: 07/31/2003
RESPS:1,500          HOURS:3,000          COSTS(000):$0
  Communicating NIOSH Safety Information to Youth
FORMS: NONE

OMB NO: 0920-0548    EXPIRATION DATE: 05/31/2005
RESPS:143            HOURS:48             COSTS(000):$0
  National Telephone Survey of Urban Mosquito Control Programs
FORMS: NONE

OMB NO: 0920-0551    EXPIRATION DATE: 05/31/2005
RESPS:1,883          HOURS:1,993          COSTS(000):$0
  NIOSH Research Study for the Prevention of Work-Related
  Musculoskeletal Disorders
FORMS: NONE

OMB NO: 0920-0552    EXPIRATION DATE: 06/30/2005
RESPS:700            HOURS:140            COSTS(000):$0
  Preventing Hearing Loss Among Construction Workers
FORMS: NONE

OMB NO: 0920-0555    EXPIRATION DATE: 07/31/2005
RESPS:1,167          HOURS:28,008         COSTS(000):$0
  National Public Health Performance Standards Program Local
  Public Health Performance Assessment
FORMS: NONE

OMB NO: 0920-0556    EXPIRATION DATE: 01/31/2006
RESPS:400            HOURS:63,400         COSTS(000):$1
  Assisted Reproductive Technology (ART) Program Reporting System
FORMS: NONE

OMB NO: 0920-0557    EXPIRATION DATE: 07/31/2005
RESPS:20             HOURS:300            COSTS(000):$0
  National Public Health Performance Standards Program State
  Public Health Performance Assessment
FORMS: NONE

OMB NO: 0920-0558    EXPIRATION DATE: 08/31/2003
RESPS:1,870          HOURS:247            COSTS(000):$0
  Development and Testing of a Tool to Assess the Pubic's
  Perception About People with Epilepsy
FORMS: NONE

OMB NO: 0920-0559    EXPIRATION DATE: 08/31/2003
RESPS:416            HOURS:416            COSTS(000):$0
  Dissemination of Lessons Learned from the Community Coalition
  Partnership Programs for the Prevention of Teen Pregnancy
FORMS: NONE

OMB NO: 0920-0562    EXPIRATION DATE: 12/31/2003
RESPS:9,292          HOURS:6,969          COSTS(000):$0
  National Suirvey of US Action Plan for Laboratory Containment of
  Wild Polioviruses
FORMS: NONE

OMB NO: 0920-0563    EXPIRATION DATE: 11/30/2003
RESPS:11,050         HOURS:2,869          COSTS(000):$0
  Survey to Assess Hepatitis B Vaccination Coverage Among U.S.
  Health-Care Workers
FORMS: NONE

OMB NO: 0920-0564    EXPIRATION DATE: 09/30/2003
RESPS:5,000          HOURS:2,292          COSTS(000):$0
  Joint Canadian US Survey of Health
FORMS: NONE

OMB NO: 0920-0565    EXPIRATION DATE: 10/31/2003
RESPS:1,200          HOURS:200            COSTS(000):$0
  Reactions to Canadian Style Cigarette Warning Labels
FORMS: NONE

OMB NO: 0920-0566    EXPIRATION DATE: 10/31/2004
RESPS:8,000          HOURS:1,333          COSTS(000):$0
  Evaluation of Worker Notification Program
FORMS: NONE

OMB NO: 0920-0567    EXPIRATION DATE: 10/31/2003
RESPS:268            HOURS:452            COSTS(000):$0
  Evaluability Assessment of the Rape Prevention & Education Grant
  Program
FORMS: NONE

OMB NO: 0920-0568    EXPIRATION DATE: 02/28/2005
RESPS:100            HOURS:100            COSTS(000):$0
  Perceptions of Tuberculosis Among Foreign-Born Persons
FORMS: NONE

OMB NO: 0920-0569    EXPIRATION DATE: 11/30/2003
RESPS:4,000          HOURS:1,083          COSTS(000):$0
  Anthropometric Survey of Respirator Users
FORMS: NONE

OMB NO: 0920-0570    EXPIRATION DATE: 12/31/2003
RESPS:2,010          HOURS:503            COSTS(000):$0
  Hospital Bioterrorism Needs Assessment
FORMS: NONE

OMB NO: 0920-0571    EXPIRATION DATE: 04/30/2003
RESPS:273            HOURS:2,343          COSTS(000):$0
  Minimum Data Elements (MDEs) System for Technical Assistance
  Reporting (STAR) for the National Breast and Cervical Cancer
  Early Detection Program (NBCCEDP)
FORMS: NONE

OMB NO: 0920-0572    EXPIRATION DATE: 01/31/2005
RESPS:7,018          HOURS:3,185          COSTS(000):$0
  CDC and ATSDR Health Message Testing System and Smallpox
  Knowledge Survey
FORMS: NONE

OMB NO: 0920-0573    EXPIRATION DATE: 11/30/2005
RESPS:79,981         HOURS:13,191         COSTS(000):$0
  Adult and Pediatric Confidential HIV/AIDS Case Report
FORMS: CDC-50.42A CDC-50.42B

OMB NO: 0920-0574    EXPIRATION DATE: 12/31/2003
RESPS:12,000         HOURS:2,748          COSTS(000):$0
  Impact of Community Coordinated Responses for the Prevention of
  Intimate Partner Violence: A Random Digit Dial Survey
FORMS: NONE

OMB NO: 0920-0575    EXPIRATION DATE: 06/30/2003
RESPS:1,600          HOURS:533            COSTS(000):$0
  Survey of Work-Relaed Assaults Treated in Hospital Emergency
  Departments
FORMS: NONE

OMB NO: 0920-0576    EXPIRATION DATE: 08/31/2003
RESPS:15,853         HOURS:35,204         COSTS(000):$0
  Possession, Use, and Transfer of Select Agents and Toxins (42
  CFR Part 73)
FORMS: NONE

OMB NO: 0920-0577    EXPIRATION DATE: 02/29/2004
RESPS:3,698          HOURS:617            COSTS(000):$0
  A and B Reader Surveys
FORMS: NONE

OMB NO: 0920-0578    EXPIRATION DATE: 01/31/2004
RESPS:53             HOURS:27             COSTS(000):$0
  State Influenza Surveillance Activities Survey
FORMS: NONE

OMB NO: 0920-0580    EXPIRATION DATE: 02/28/2006
RESPS:1,067          HOURS:6,402          COSTS(000):$0
  National Public Health Performance Standards Program Local
  Public Health Governance Performance Assessment Tool
FORMS: NONE

OMB NO: 0920-0581    EXPIRATION DATE: 09/30/2004
RESPS:655            HOURS:185            COSTS(000):$0
  Evaluation of the ACT Against Violence Training Program
FORMS: NONE

OMB NO: 0920-0582    EXPIRATION DATE: 01/31/2004
RESPS:36,246         HOURS:2,285          COSTS(000):$0
  YMC Tracking Study
FORMS: NONE

OMB NO: 0920-0583    EXPIRATION DATE: 03/31/2004
RESPS:5,581          HOURS:485            COSTS(000):$0
  YMC Tween Event Follow-up Study
FORMS: NONE

OMB NO: 0920-0584    EXPIRATION DATE: 03/31/2006
RESPS:60,750         HOURS:4,367          COSTS(000):$0
  Population-based Research in Attention-Deficit/Hyperactivity
  Disorder
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
119 1,842,424 926,468 $112
Agency for Toxic Substances and Disease Registry
OMB NO: 0923-0002    EXPIRATION DATE: 08/31/2003
RESPS:36             HOURS:18             COSTS(000):$0
  Information Collection Procedures for Requesting Public Health
  Assessments
FORMS: NONE

OMB NO: 0923-0006    EXPIRATION DATE: 10/31/2004
RESPS:6,927          HOURS:3,053          COSTS(000):$0
  National Exposure Registry
FORMS: NONE

OMB NO: 0923-0007    EXPIRATION DATE: 09/30/2004
RESPS:150            HOURS:25             COSTS(000):$0
  Community Assistance Panels Nomination Form
FORMS: NONE

OMB NO: 0923-0008    EXPIRATION DATE: 11/30/2004
RESPS:9,808          HOURS:7,356          COSTS(000):$0
  Hazardous Substances Emergency Events Surveillance
FORMS: NONE

OMB NO: 0923-0016    EXPIRATION DATE: 01/31/2006
RESPS:1,140          HOURS:285            COSTS(000):$0
  Reader Evaluation of Public Health Assessments and other Products
FORMS: NONE

OMB NO: 0923-0023    EXPIRATION DATE: 04/30/2003
RESPS:4,334          HOURS:1,083          COSTS(000):$0
  Exposure to Volatile Organic Compounds and Childhood Leukemia
  Incidence at United States Marine Corps Base Camp Lejeune, North
  Carolina
FORMS: NONE

OMB NO: 0923-0030    EXPIRATION DATE: 12/31/2003
RESPS:6,667          HOURS:2,222          COSTS(000):$0
  ATSDR Market Survey of Priority Populations
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
7 29,062 14,042 $0
National Institutes of Health
OMB NO: 0925-0001    EXPIRATION DATE: 05/31/2004
RESPS:114,407        HOURS:1,376,468      COSTS(000):$480
  Research and Research Training Grant Applications and Related
  Forms
FORMS: PHS-398 PHS-2590 PHS-2271 PHS-3734 HHS-568

OMB NO: 0925-0002    EXPIRATION DATE: 06/30/2005
RESPS:32,228         HOURS:85,679         COSTS(000):$148
  Individual National Research Service Award Applications and
  Related Forms
FORMS: 416-5 416-7 416-9 6031 6031-1 PHS-416-1

OMB NO: 0925-0046    EXPIRATION DATE: 08/31/2003
RESPS:13,780         HOURS:2,010          COSTS(000):$0
  Pretesting of Office of Cancer Communications Messages
FORMS: NONE

OMB NO: 0925-0177    EXPIRATION DATE: 07/31/2005
RESPS:1,630          HOURS:163            COSTS(000):$0
  Special Volunteer and Guest Researcher Assignment
FORMS: NIH-590

OMB NO: 0925-0208    EXPIRATION DATE: 10/31/2003
RESPS:1              HOURS:2,783          COSTS(000):$0
  NCI Cancer Information Service Demographic/Customer Service Data
  Collection
FORMS: NONE

OMB NO: 0925-0216    EXPIRATION DATE: 08/31/2004
RESPS:10,717         HOURS:8,639          COSTS(000):$0
  The Framingham Study
FORMS: NONE

OMB NO: 0925-0240    EXPIRATION DATE: 04/30/2004
RESPS:9              HOURS:2,516          COSTS(000):$0
  Drug Accountability Record
FORMS: NIH-2564 NIH-2564-1

OMB NO: 0925-0281    EXPIRATION DATE: 02/29/2004
RESPS:15,113         HOURS:3,746          COSTS(000):$0
  The Atherosclerosis Risk in communities Study (ARIC)
FORMS: NONE

OMB NO: 0925-0299    EXPIRATION DATE: 02/28/2006
RESPS:21,545         HOURS:11,369         COSTS(000):$0
  NIH Intramural Research Training Award Program Application
FORMS: NONE

OMB NO: 0925-0334    EXPIRATION DATE: 04/30/2004
RESPS:6,992          HOURS:1,719          COSTS(000):$0
  The Cardiovascular Health Study
FORMS: NONE

OMB NO: 0925-0348    EXPIRATION DATE: 02/28/2005
RESPS:2              HOURS:360            COSTS(000):$0
  Hazardous Waste Worker Training - 42 CFR Part 65
FORMS: NONE

OMB NO: 0925-0361    EXPIRATION DATE: 12/31/2004
RESPS:8,045          HOURS:12,611         COSTS(000):$0
  National Institutes of Health Loan Repayment Programs
FORMS: NIH-2674-1 NIH-2674-2 NIH-2674-3 NIH-2674-4 NIH-2674-5
NIH-2674-6 NIH-2674-7 NIH-2674-8 NIH-2674-9 NIH-2674-10--12

OMB NO: 0925-0368    EXPIRATION DATE: 01/31/2004
RESPS:265,000        HOURS:30,979         COSTS(000):$0
  Tobacco Use Supplement to the Current Population Survey: 2003
  Tobacco Use Special Cessation Supplement to CPS
FORMS: NONE

OMB NO: 0925-0378    EXPIRATION DATE: 06/30/2004
RESPS:200            HOURS:125            COSTS(000):$0
  Application for the Pharmacology Research Associate Program
FORMS: NIH-2721-1 NIH-2721-2

OMB NO: 0925-0406    EXPIRATION DATE: 11/30/2003
RESPS:25,012         HOURS:13,433         COSTS(000):$0
  Agricultural health Study (A Prospective Cohort Study of Cancer
  and Other Diseases Among Men and Women in Agriculture) -
  Validation Sub-Study on Rheumatoid Arthritis
FORMS: NONE

OMB NO: 0925-0407    EXPIRATION DATE: 07/31/2005
RESPS:1              HOURS:39,597         COSTS(000):$0
  Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening
  Trial
FORMS: NONE

OMB NO: 0925-0414    EXPIRATION DATE: 05/31/2003
RESPS:85,011         HOURS:36,467         COSTS(000):$0
  Women's Health Initiative Observational Study
FORMS: NONE

OMB NO: 0925-0417    EXPIRATION DATE: 08/31/2005
RESPS:42,800         HOURS:232,080        COSTS(000):$4
  Responsibility of Applicants for Promoting Objectivity in
  Research for Which Public Health Service Funding is Sought and
  Responsible Prospective Contractors--42 CFR Part 50,....
FORMS: NONE

OMB NO: 0925-0423    EXPIRATION DATE: 12/31/2003
RESPS:150,166        HOURS:55,977         COSTS(000):$0
  A Prospective Study of Diet and Cancer in Members of the
  American Association of Retired Persons (AARP)
FORMS: NONE

OMB NO: 0925-0424    EXPIRATION DATE: 03/31/2005
RESPS:16,481         HOURS:16,481         COSTS(000):$0
  National Institutes of Health Construction Grants - 42 CFR Part
  52b (Final Rule)
FORMS: NONE

OMB NO: 0925-0438    EXPIRATION DATE: 07/31/2004
RESPS:1,330          HOURS:1,727          COSTS(000):$0
  National Institutes of Health Undergraduate Scholarship Program
  for Individuals from Disadvantaged Backgrounds
FORMS: NIH-2762-1 NIH-2762-2 NIH-2762-3 NIH-2762-4 NIH-2762-5

OMB NO: 0925-0449    EXPIRATION DATE: 10/31/2003
RESPS:600            HOURS:2,250          COSTS(000):$0
  Alcoholism Prevalence and Gene/Environment Interactions in
  American Indian Tribes, 10 Tribe Study
FORMS: NONE

OMB NO: 0925-0454    EXPIRATION DATE: 07/31/2004
RESPS:590            HOURS:216            COSTS(000):$0
  Case-Cohort Study of Cancer and Related Disorders Among
  Benzene-Exposed Workers in China
FORMS: NONE

OMB NO: 0925-0458    EXPIRATION DATE: 03/31/2004
RESPS:5,604          HOURS:1,776          COSTS(000):$0
  Generic Clearance for Satisfaction Surveys of Customers and
  Other Partners
FORMS: NONE

OMB NO: 0925-0466    EXPIRATION DATE: 04/30/2004
RESPS:14,390         HOURS:7,774          COSTS(000):$0
  Evaluation of the National Youth Anti-Drug Media Campaign
  (NYAMC): Revision
FORMS: NONE

OMB NO: 0925-0467    EXPIRATION DATE: 09/30/2005
RESPS:15,728         HOURS:7,864          COSTS(000):$0
  Young Drivers Intervention Study
FORMS: NONE

OMB NO: 0925-0475    EXPIRATION DATE: 03/31/2005
RESPS:87             HOURS:40             COSTS(000):$0
  Training Tomorrow's Scientists: Linking Minorities and Mentors
  Through the Web
FORMS: NONE

OMB NO: 0925-0476    EXPIRATION DATE: 04/30/2003
RESPS:18,400         HOURS:2,263          COSTS(000):$0
  Request for Generic Clearance to Conduct Voluntary
  Customer/Partner Surveys
FORMS: NONE

OMB NO: 0925-0478    EXPIRATION DATE: 06/30/2003
RESPS:55,000         HOURS:11,962         COSTS(000):$0
  2000 California Health Interview Survey, Cancer Control Tropical
  Module (CHIS, CCTM)
FORMS: NONE

OMB NO: 0925-0479    EXPIRATION DATE: 06/30/2003
RESPS:62             HOURS:16             COSTS(000):$0
  Request for Clearance to Conduct Voluntary Customer Satisfaction
  Surveys
FORMS: NONE

OMB NO: 0925-0480    EXPIRATION DATE: 07/31/2003
RESPS:12,000         HOURS:2,000          COSTS(000):$0
  NIDDK Information Clearinghouses Customer Satisfaction Survey
FORMS: NONE

OMB NO: 0925-0482    EXPIRATION DATE: 02/29/2004
RESPS:5,277          HOURS:1,867          COSTS(000):$0
  The Family Health Study (Validation of a Family History of
  Cancer Questionnaire for Risk Factor Surveillance)
FORMS: NONE

OMB NO: 0925-0483    EXPIRATION DATE: 03/31/2006
RESPS:1,233          HOURS:205            COSTS(000):$0
  Environmental Factors in the Development of Polycystic Ovary
  Syndrome
FORMS: NONE

OMB NO: 0925-0484    EXPIRATION DATE: 03/31/2004
RESPS:48,000         HOURS:48,000         COSTS(000):$0
  National Epidemiologic Survey on Alcohol and Related Conditions
FORMS: N/A

OMB NO: 0925-0486    EXPIRATION DATE: 04/30/2004
RESPS:104,000        HOURS:8,684          COSTS(000):$0
  Evaluation of User Satisfaction with NIH Internet Sites
FORMS: NONE

OMB NO: 0925-0488    EXPIRATION DATE: 05/31/2003
RESPS:400            HOURS:233            COSTS(000):$0
  Survey of IRB Chairs Concerning the Implementatin of Pediatric
  Research Regulation
FORMS: NONE

OMB NO: 0925-0489    EXPIRATION DATE: 06/30/2004
RESPS:200            HOURS:100            COSTS(000):$0
  Customer/Partner Satisfaction Survey of the NIDCD Minority and
  Disability Supplement Program
FORMS: NONE

OMB NO: 0925-0491    EXPIRATION DATE: 07/31/2004
RESPS:480            HOURS:160            COSTS(000):$0
  The Jackson Heart Study: Annual Follow-up with Third Party
  Respondents
FORMS: NONE

OMB NO: 0925-0492    EXPIRATION DATE: 10/31/2003
RESPS:1              HOURS:60             COSTS(000):$0
  Validation of Questionnaires Used for Occupational Exposure
  Assessment in Case-Control Studies: Occupational History
  Questionnaire with Foundry Worker & Textile Industry Job Modules
FORMS: NONE

OMB NO: 0925-0493    EXPIRATION DATE: 09/30/2004
RESPS:555            HOURS:42             COSTS(000):$0
  Multi-Ethnic Study of Atherosclerosis (MESA) Event Surveillance
FORMS: NONE

OMB NO: 0925-0494    EXPIRATION DATE: 10/31/2003
RESPS:340            HOURS:340            COSTS(000):$0
  A Nested Case-Control Study of Lung Cancer and Diesel Exhaust
  Among Non-Metal Miners
FORMS: NONE

OMB NO: 0925-0495    EXPIRATION DATE: 10/31/2004
RESPS:700            HOURS:400            COSTS(000):$0
  Leukemia and Other Hematological Diseases Among Cleanup Workers
  in Ukraine Following the Chornobyl Accident
FORMS: NONE

OMB NO: 0925-0496    EXPIRATION DATE: 10/31/2003
RESPS:6,223          HOURS:1,556          COSTS(000):$0
  Extended Lung Cancer Incidence Follow-Up for the Mayo Lung
  Project Participants (MLP-EI)
FORMS: NONE

OMB NO: 0925-0498    EXPIRATION DATE: 04/30/2005
RESPS:520            HOURS:520            COSTS(000):$0
  Study of Testicular Germ Cell Cancer in U.S. Military
  Servicemen: Sub-study of Maternal Risk Factors
FORMS: NONE

OMB NO: 0925-0499    EXPIRATION DATE: 04/30/2003
RESPS:1,000          HOURS:500            COSTS(000):$0
  The National Survey to Evaluate the NIH SBIR Program
FORMS: NONE

OMB NO: 0925-0500    EXPIRATION DATE: 06/30/2005
RESPS:2,415          HOURS:746            COSTS(000):$0
  National Cancer Institute Cancer Information Service Evaluation
  Surveys
FORMS: NONE

OMB NO: 0925-0501    EXPIRATION DATE: 06/30/2005
RESPS:3,750          HOURS:1,313          COSTS(000):$0
  Graduate Student Training Programs Application
FORMS: NONE

OMB NO: 0925-0502    EXPIRATION DATE: 05/31/2003
RESPS:448            HOURS:112            COSTS(000):$0
  A Follow-up Survey of National Cancer Institute Science
  Enrichment Program Students
FORMS: NONE

OMB NO: 0925-0503    EXPIRATION DATE: 06/30/2005
RESPS:300            HOURS:300            COSTS(000):$0
  Assessment of the Use of Special Funding for Research on Type 1
  Diabetes Provided by the Balanced Budget Act of 1997 and the FY
  2001 Consolidated Appropriations Act
FORMS: NONE

OMB NO: 0925-0504    EXPIRATION DATE: 07/31/2003
RESPS:620            HOURS:318            COSTS(000):$0
  Evaluation of the NCI State-of-the-Science Web Site
FORMS: NONE

OMB NO: 0925-0505    EXPIRATION DATE: 07/31/2003
RESPS:3,900          HOURS:1,287          COSTS(000):$0
  Ethical Issues Associated with Nurse Practitioner and Physician
  Assistant Practice:
FORMS: NONE

OMB NO: 0925-0506    EXPIRATION DATE: 10/31/2003
RESPS:50,000         HOURS:10,700         COSTS(000):$0
  Retrovirus Epidemiology Donor Study (REDS): A Study of
  Motivations and Deterrents to Blood Donation in the United States
FORMS: NONE

OMB NO: 0925-0507    EXPIRATION DATE: 08/31/2003
RESPS:11,350         HOURS:4,049          COSTS(000):$0
  Health Information National Trends Survey (HINTS)
FORMS: NONE

OMB NO: 0925-0510    EXPIRATION DATE: 04/30/2003
RESPS:600            HOURS:300            COSTS(000):$0
  An Evaluation of the National Cancer Institute Science
  Enrichment Program
FORMS: NONE

OMB NO: 0925-0512    EXPIRATION DATE: 12/31/2005
RESPS:15,035         HOURS:1,593          COSTS(000):$0
  Behavioral and Environmental Risk Factors for Childhood Drowning
FORMS: NONE

OMB NO: 0925-0513    EXPIRATION DATE: 10/31/2004
RESPS:7,000          HOURS:1,750          COSTS(000):$0
  HIV Vaccine Awareness Study - Americans' Attitudes
FORMS: NONE

OMB NO: 0925-0514    EXPIRATION DATE: 10/31/2004
RESPS:8,000          HOURS:2,820          COSTS(000):$0
  California Health Interview Survey - Complementary and
  Alternative Medicine (CHIS-CAM)
FORMS: NONE

OMB NO: 0925-0515    EXPIRATION DATE: 01/31/2005
RESPS:2,600          HOURS:762            COSTS(000):$0
  National Kidney Disease Education Program Evaluation Survey
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
58 1,207,878 2,059,807 $632
Substance Abuse and Mental Health Services Administration
OMB NO: 0930-0074    EXPIRATION DATE: 03/31/2004
RESPS:900            HOURS:176            COSTS(000):$0
  Obligated Service for Mental Health Traineeships: Regulations
  and Forms
FORMS: SMA-111 SMA-111-1 SMA-111-2

OMB NO: 0930-0078    EXPIRATION DATE: 12/31/2005
RESPS:679,716        HOURS:46,738         COSTS(000):$0
  Drug Abuse Warning Network (DAWN)
FORMS: SMA-100-1 SMA-100-2 SMA-100-3 SMA-100-4

OMB NO: 0930-0080    EXPIRATION DATE: 07/31/2004
RESPS:60             HOURS:34,640         COSTS(000):$0
  Substance Abuse Prevention and Treatment Block Grant Application
  Format - FY2002-2004
FORMS: NONE

OMB NO: 0930-0092    EXPIRATION DATE: 07/31/2004
RESPS:1,485,000      HOURS:259,876        COSTS(000):$73
  Confidentiality of Alcohol and Drug Abuse Patient Records - 42
  CFR Part 2
FORMS: NONE

OMB NO: 0930-0093    EXPIRATION DATE: 10/31/2003
RESPS:52             HOURS:104            COSTS(000):$0
  Annual Census of Patient Characteristics in State and County
  Mental Hospital Inpatient Services
FORMS: SMA-102

OMB NO: 0930-0104    EXPIRATION DATE: 06/30/2004
RESPS:16             HOURS:7              COSTS(000):$0
  Community Mental Health Centers Construction Grantee Checklist -
  Form and Regulations
FORMS: SMA-101

OMB NO: 0930-0106    EXPIRATION DATE: 12/31/2005
RESPS:24,305         HOURS:14,158         COSTS(000):$0
  Drug and Alcohol Services Information System (DASIS)
FORMS: NONE

OMB NO: 0930-0110    EXPIRATION DATE: 01/31/2004
RESPS:183,690        HOURS:84,188         COSTS(000):$0
  2003 National Survey on Drug Use and Health
FORMS: NONE

OMB NO: 0930-0119    EXPIRATION DATE: 07/31/2005
RESPS:4,186          HOURS:4,093          COSTS(000):$0
  2002 Survey of Mental Health Organizations, General Hospital
  Mental Health Services, and Managed Care Organizations (SMHO)
FORMS: NONE

OMB NO: 0930-0158    EXPIRATION DATE: 06/30/2003
RESPS:7,093,210      HOURS:1,790,664      COSTS(000):$2,016
  Mandatory guidelines for Federal Workplace Drug Testing Program
FORMS: NONE

OMB NO: 0930-0163    EXPIRATION DATE: 02/29/2004
RESPS:60             HOURS:961            COSTS(000):$0
  Substance Abuse Prevention and Treatment Block Grant
  Regulations- 45 CFR Part 96
FORMS: NONE

OMB NO: 0930-0168    EXPIRATION DATE: 07/31/2004
RESPS:59             HOURS:16,360         COSTS(000):$0
  FY 2002-2004 Community Mental Health Services Block Grant
  Application: Voluntary Format and Content
FORMS: NONE

OMB NO: 0930-0169    EXPIRATION DATE: 03/31/2004
RESPS:114            HOURS:2,166          COSTS(000):$0
  Protection and Advocacy of Individuals with Mental Illness
  (PAIMI) Annual Program Performance Report
FORMS: NONE

OMB NO: 0930-0172    EXPIRATION DATE: 02/29/2004
RESPS:136            HOURS:168            COSTS(000):$0
  Protection and Advocacy Program for Individuals with Mental
  Illness Regulations -- 45 CFR Part 51
FORMS: NONE

OMB NO: 0930-0192    EXPIRATION DATE: 12/31/2005
RESPS:11,255         HOURS:14,164         COSTS(000):$0
  National Evaluation of the Comprehensive Community Mental Health
  Services for Children and Their Families Program: Phase Two
FORMS: NONE

OMB NO: 0930-0195    EXPIRATION DATE: 09/30/2004
RESPS:12,901         HOURS:2,252          COSTS(000):$0
  Participant Feedback for the Mental Health Care Provider
  Education in HIV/AIDS Program II and III
FORMS: NONE

OMB NO: 0930-0197    EXPIRATION DATE: 12/31/2004
RESPS:30,150         HOURS:10,375         COSTS(000):$0
  Voluntary Customer Satisfaction Surveys to Implement Executive
  Order 12862 in the Substance Abuse and Mental Health Services
  Administration (SAMHSA)
FORMS: NONE

OMB NO: 0930-0202    EXPIRATION DATE: 07/31/2003
RESPS:731            HOURS:1,171          COSTS(000):$0
  Persistent Effects of Treatment Studies
FORMS: NONE

OMB NO: 0930-0203    EXPIRATION DATE: 04/30/2005
RESPS:10             HOURS:23             COSTS(000):$0
  Assessment of the National Leadership Institute (NLI) Program
  and Services and the Minority Community-based Organization
  (MCBO) Program
FORMS: NONE

OMB NO: 0930-0205    EXPIRATION DATE: 01/31/2006
RESPS:454            HOURS:13,794         COSTS(000):$0
  Annual Reports for Projects for Assistance in Transition from
  Homelessness (PATH)
FORMS: NONE

OMB NO: 0930-0206    EXPIRATION DATE: 09/30/2003
RESPS:8,321          HOURS:1,944          COSTS(000):$1,796
  Opiod Drugs in Maintenance and Detoxification Treatment of
  Opiate Dependence - 42 CFR Part 8
FORMS: SMA-162 SMA-163 SMA-168

OMB NO: 0930-0208    EXPIRATION DATE: 12/31/2005
RESPS:139,793        HOURS:25,543         COSTS(000):$0
  SAMHSA Government Performance and Results Act (GPRA) Client
  Outcome Measures for Discretionary Programs
FORMS: NONE

OMB NO: 0930-0209    EXPIRATION DATE: 05/31/2003
RESPS:93,826         HOURS:20,046         COSTS(000):$0
  National Evaluation of the Comprehensive Community Mental Health
  Services for Children and Their Families Program: Phase Three
FORMS: NONE

OMB NO: 0930-0210    EXPIRATION DATE: 05/31/2003
RESPS:260            HOURS:315            COSTS(000):$0
  Registration Form for the National Registry of Effective
  Prevention Programs
FORMS: NONE

OMB NO: 0930-0213    EXPIRATION DATE: 06/30/2003
RESPS:24,525         HOURS:17,959         COSTS(000):$0
  State Prevention Needs Assessment Surveys: Alcohol and
FORMS: NONE

OMB NO: 0930-0216    EXPIRATION DATE: 09/30/2003
RESPS:48,247         HOURS:6,393          COSTS(000):$0
  National Cross-Site Assessment of Addiction Technology Transfer
  Centers (ATTC) Network
FORMS: NONE

OMB NO: 0930-0217    EXPIRATION DATE: 01/31/2004
RESPS:10             HOURS:100            COSTS(000):$0
  Administrative Reporting Form for the "Women, Co-occurring
  Disorders and Violence Cooperative Agreement Program (Phase II)"
FORMS: NONE

OMB NO: 0930-0222    EXPIRATION DATE: 07/31/2004
RESPS:59             HOURS:1,947          COSTS(000):$0
  Substance Abuse Prevention and Treatment Block Grant Synar
  Report Format, FY 2002-2004
FORMS: NONE

OMB NO: 0930-0223    EXPIRATION DATE: 09/30/2004
RESPS:2,280          HOURS:2,503          COSTS(000):$0
  Evaluation of the CMHS/CSAT Collaborative Program on Homeless
  Families: Women with Psychiatric, Substance Use, or Co-occuring
  Disorders and Their Dependent Children
FORMS: NONE

OMB NO: 0930-0226    EXPIRATION DATE: 07/31/2004
RESPS:313            HOURS:1,204          COSTS(000):$0
  Protocols for the Cross-Site Process Evaluation of the State
FORMS: NONE

OMB NO: 0930-0229    EXPIRATION DATE: 04/30/2005
RESPS:6              HOURS:18             COSTS(000):$0
  Emergency Response Grants - 42 CFR Part 51
FORMS: NONE

OMB NO: 0930-0230    EXPIRATION DATE: 01/31/2005
RESPS:404            HOURS:1,212          COSTS(000):$0
  Core Measures for the Center for Substance Abuse Prevention
FORMS: NONE

OMB NO: 0930-0231    EXPIRATION DATE: 02/28/2005
RESPS:721            HOURS:577            COSTS(000):$0
  National Survey on Drug Use and Health: Clinical Validation
  Study of Substance Abuse and Dependence Measures
FORMS: NONE

OMB NO: 0930-0232    EXPIRATION DATE: 02/28/2005
RESPS:5,160          HOURS:1,210          COSTS(000):$0
  Workplace Helpline Call Record Form and Technical Assistance
  Follow-up Survey Form
FORMS: NONE

OMB NO: 0930-0233    EXPIRATION DATE: 05/31/2005
RESPS:2,022          HOURS:170            COSTS(000):$0
  Mexican Border Youth Survey
FORMS: NONE

OMB NO: 0930-0234    EXPIRATION DATE: 12/31/2005
RESPS:1,233          HOURS:103            COSTS(000):$0
  Notification of Intent to Use Schedule III, IV, or V Opioid
  Drugs for the Maintenance and Detoxification Treatment of Opiate
  Addiction under 21 USC / 823(g)(2)
FORMS: SMA-167

OMB NO: 0930-0235    EXPIRATION DATE: 06/30/2005
RESPS:905            HOURS:2,034          COSTS(000):$0
  Methamphetamine Abuse Treatment - Special Studies
FORMS: NONE

OMB NO: 0930-0236    EXPIRATION DATE: 12/31/2003
RESPS:274            HOURS:224            COSTS(000):$0
  An Assessment of the Status of PASRR and Mental Health Services
  for Persons in Nursing Facilities
FORMS: NONE

OMB NO: 0930-0238    EXPIRATION DATE: 08/31/2004
RESPS:18,488         HOURS:6,878          COSTS(000):$0
  State Treatment Needs Assessment Program (STNAP)
FORMS: NONE

OMB NO: 0930-0240    EXPIRATION DATE: 12/31/2005
RESPS:25,345         HOURS:7,141          COSTS(000):$0
  Evaluation of the Center for Substance Abuse Prevention's
  Underage Drinking Prevention Public Education Program
FORMS: NONE

OMB NO: 0930-0241    EXPIRATION DATE: 10/31/2005
RESPS:3,200          HOURS:2,804          COSTS(000):$0
  Survey of the Characteristics and Funding of School Mental
  Health Services
FORMS: NONE

OMB NO: 0930-0243    EXPIRATION DATE: 03/31/2006
RESPS:3,240          HOURS:1,080          COSTS(000):$0
  Prevention Program Outcomes Monitoring System
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
42 9,905,637 2,397,483 $3,885
Agency for Health Care Policy and Research
OMB NO: 0935-0104    EXPIRATION DATE: 03/31/2004
RESPS:52,306         HOURS:49,105         COSTS(000):$0
  Medical Expenditure Panel Survey Household Component (MEPS-HC) -
  2001 through 2004
FORMS: NONE

OMB NO: 0935-0106    EXPIRATION DATE: 09/30/2004
RESPS:112,800        HOURS:20,667         COSTS(000):$515,732
  Voluntary Customer Satisfaction Survey Generic Clearance for
FORMS: NONE

OMB NO: 0935-0108    EXPIRATION DATE: 02/28/2005
RESPS:53,660         HOURS:23,216         COSTS(000):$0
  Medical Expenditure Panel Survey Medical Provider Component
  (MEPS-MPC) for 2001 and 2002
FORMS: NONE

OMB NO: 0935-0110    EXPIRATION DATE: 02/28/2005
RESPS:35,131         HOURS:21,191         COSTS(000):$0
  2001-2003 Medical Expenditure Panel Survey-Insurance Component
  (MEPS-IC)
FORMS: NONE

OMB NO: 0935-0113    EXPIRATION DATE: 08/31/2003
RESPS:1,125          HOURS:281            COSTS(000):$35,000
  Enrolle Survey of Relationship Between Out-of-Pocket Costs and
  Use of Prescribed Medications
FORMS: NONE

OMB NO: 0935-0114    EXPIRATION DATE: 01/31/2004
RESPS:280            HOURS:124            COSTS(000):$50,000
  Pilot Study of Hospital Adverse Event Reporting Survey
FORMS: NONE

OMB NO: 0935-0115    EXPIRATION DATE: 01/31/2004
RESPS:900            HOURS:300            COSTS(000):$50,000
  Pilot Data for the Development of Hospital Patient Safety
  Culture Survey
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
7 256,202 114,884 $650,732
Office of Assistant Secretary for Health
OMB NO: 0937-0025    EXPIRATION DATE: 07/31/2003
RESPS:10,000         HOURS:4,000          COSTS(000):$0
  Application for Appointment as a Commissioned Officer in U.S.
  Public Health Service Commissioned Corps (and) Reference Request
  for Applicants to the USPHS Commissioned Corps
FORMS: PHS-50 PHS-1813

OMB NO: 0937-0095    EXPIRATION DATE: 09/30/2005
RESPS:10             HOURS:40             COSTS(000):$0
  Application to the Board of Correction of Public Health Service
  Commissioned Corps Records
FORMS: PSC-54

OMB NO: 0937-0166    EXPIRATION DATE: 05/31/2003
RESPS:50,000         HOURS:50,000         COSTS(000):$0
  42 CFR Part B: Sterilization of Persons in Federally Assisted
  Family Planning Projects
FORMS: NONE

OMB NO: 0937-0191    EXPIRATION DATE: 07/31/2004
RESPS:32             HOURS:6,400          COSTS(000):$226
  Application Packets for Real Property for Public Health Purposes
FORMS: HHS-696

OMB NO: 0937-0198    EXPIRATION DATE: 01/31/2006
RESPS:3,300          HOURS:3,721          COSTS(000):$0
  Responsibilities of Awardees and Applicant Institutions for
  Reporting Possible Misconduct in Science (42 CFR Part 50)
FORMS: PHS-6349

OMB NO: 0937-0200    EXPIRATION DATE: 02/29/2004
RESPS:61,300         HOURS:184,200        COSTS(000):$0
  HHS Payment Management System Forms
FORMS: SF-270 SF-272

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
6 124,642 248,361 $226
Centers for Medicare and Medicaid Services
OMB NO: 0938-0008    EXPIRATION DATE: 03/31/2006
RESPS:740,215,135    HOURS:44,189,007     COSTS(000):$0
  Health Insurance Common Claims Formand Supporting Regulations:
  42 CFR 414.40, 424.32, 424.44
FORMS: CMS-1490S CMS-1490U CMS-1500

OMB NO: 0938-0022    EXPIRATION DATE: 05/31/2004
RESPS:7,310          HOURS:1,311,060      COSTS(000):$0
  Home Health Agency Cost Report and Supporting Regulations in 42
  CFR 413.20, 413.24, 413.106
FORMS: HCFA-1728-94

OMB NO: 0938-0023    EXPIRATION DATE: 07/31/2005
RESPS:2,000          HOURS:500            COSTS(000):$0
  Attending Physicians Statement and Documentation of Medicare
  Emergency and Supporting Regulations in 42 CFR, Section 424.103
FORMS: CMS-1771

OMB NO: 0938-0025    EXPIRATION DATE: 10/31/2003
RESPS:14,000         HOURS:5,833          COSTS(000):$0
  Request for Termination of Premium-Hospital and/or Supplementary
  Medical Insurance and Supporting Regulations in 42 CFR 406.28
  and 407.27
FORMS: HCFA-1763

OMB NO: 0938-0027    EXPIRATION DATE: 09/30/2005
RESPS:98             HOURS:172            COSTS(000):$0
  The 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 &
  Supporting Regulations..
FORMS: CMS-1880 CMS-1882

OMB NO: 0938-0034    EXPIRATION DATE: 10/31/2003
RESPS:55,000         HOURS:9,167          COSTS(000):$0
  Request for Hearing for Part B Medicare Claim and Supporting
  Regulations in 42 CFR, 405.821
FORMS: HCFA-1965

OMB NO: 0938-0035    EXPIRATION DATE: 06/30/2003
RESPS:2,000          HOURS:716            COSTS(000):$0
  SSO Report of State Buy-in Problems, 42 CFR 407.40
FORMS: HCFA-1957

OMB NO: 0938-0037    EXPIRATION DATE: 02/28/2005
RESPS:716            HOURS:71,600         COSTS(000):$0
  Outpatient Rehabilitation Cost Report and Supporting Regulations
  in 42 CFR 413.20 and 413.24
FORMS: CMS-2088-92

OMB NO: 0938-0041    EXPIRATION DATE: 10/31/2003
RESPS:15,000         HOURS:6,250          COSTS(000):$0
  Third Party Premium Billing Request and Supporting Regulations
  in 42 CFR 408.6
FORMS: HCFA-2384

OMB NO: 0938-0042    EXPIRATION DATE: 03/31/2004
RESPS:9,301,183      HOURS:390,418        COSTS(000):$0
  Request for Medicare Payment - Ambulance and Supporting
  Regulations in 42 CFR Section 410.40 and 424.124
FORMS: HCFA-1491

OMB NO: 0938-0045    EXPIRATION DATE: 10/31/2003
RESPS:62,000         HOURS:15,500         COSTS(000):$0
  Request for Reconsideration of Part A Medicare Claim and
  Supporting Regulations in 42 CFR, 405.711
FORMS: HCFA-2649

OMB NO: 0938-0046    EXPIRATION DATE: 08/31/2004
RESPS:60,000         HOURS:25,000         COSTS(000):$0
  End Stage Renal Disease Medical Evidence Report Medicare
  Entitlement and/or Patient Registration and Supporting
  Regulations in 42 CFR, 405.2133
FORMS: HCFA-2728(ESRD)

OMB NO: 0938-0050    EXPIRATION DATE: 11/30/2005
RESPS:6,010          HOURS:3,980,522      COSTS(000):$0
  Hospital and Health Care Complexes Cost Report and Supporting
  Regulations in 42 CFR 413.20 and 413.24
FORMS: CMS-2552-96

OMB NO: 0938-0062    EXPIRATION DATE: 11/30/2003
RESPS:6,763          HOURS:20,289         COSTS(000):$0
  Intermediate Care Facility for the Mentally Retarded or Persons
  with Related Conditions ICF/MR Survey Report Form (3070G-1) and
  Suppporting Regulations at 42CFR 431.52, 431.151, 435.1009,....
FORMS: HCFA-3070-G-1

OMB NO: 0938-0065    EXPIRATION DATE: 10/31/2005
RESPS:255            HOURS:446            COSTS(000):$0
  Request for Certification in the Medicare and/or Medicaid
  Program to Provide Outpatient Physical Therapy and/or Speech
  Pathology Services, Outpatient Physical Therapy Speech......
FORMS: CMS-1856 CMS-1893

OMB NO: 0938-0067    EXPIRATION DATE: 04/30/2005
RESPS:224            HOURS:18,144         COSTS(000):$0
  Quarterly Medicaid Statement of Expenditures for the Medical
  Assistance Program
FORMS: HCFA-64

OMB NO: 0938-0074    EXPIRATION DATE: 12/31/2005
RESPS:661            HOURS:1,157          COSTS(000):$0
  Request for Certification as Rural Health Clinic and Rural
  Health Clinic Survey Report Form and Supporting Regulations in
  42 CFR 491.1-491.11
FORMS: CMS-0029/0030

OMB NO: 0938-0080    EXPIRATION DATE: 07/31/2003
RESPS:90,000         HOURS:26,000         COSTS(000):$0
  Application for Health Insurance Benefits Under Medicare for
  Individual with Chronic Renal Disease and Supporting Regulations
  in 42 CFR 406.13
FORMS: HCFA-43

OMB NO: 0938-0086    EXPIRATION DATE: 10/31/2005
RESPS:125,000        HOURS:62,500         COSTS(000):$0
  Disclosure of Ownership and Financial Control Interest Statement
  and Supporting Regulations Contained in 42 CFR 420.200-.206 and
  455.100-.106
FORMS: CMS-1513

OMB NO: 0938-0101    EXPIRATION DATE: 07/31/2005
RESPS:224            HOURS:8,064          COSTS(000):$0
  Medicaid Program Budget Report
FORMS: CMS-37 (HCFA-37)

OMB NO: 0938-0102    EXPIRATION DATE: 10/31/2003
RESPS:108            HOURS:4,860          COSTS(000):$0
  Organ Procurement Organization/Histcompatibility Laboratory
  Statement of Reimbursable Costs, Manual Instructions and
  Supporting Regulations Contained in 42 CFR 413.20 and 413.24
FORMS: HCFA-216

OMB NO: 0938-0107    EXPIRATION DATE: 10/31/2005
RESPS:3,000          HOURS:150,000        COSTS(000):$0
  Independent Rural Health Center/Freestanding Federally Qualified
  Health Center Cost Report and Supporting Regulations in 42 CFR
  Sections 413.20 and 413.24
FORMS: CMS-222-92

OMB NO: 0938-0146    EXPIRATION DATE: 12/31/2005
RESPS:110            HOURS:2,640          COSTS(000):$0
  State Medicaid Eligibility Quality Control Samplling Plan and
  Supporting Regulations in 42 CFR 431.800 - 431.865
FORMS: CMS-317

OMB NO: 0938-0147    EXPIRATION DATE: 12/31/2005
RESPS:12             HOURS:5,280          COSTS(000):$0
  State Medicaid Eligibility Control (MEQC) Sample Selection Lists
  and Supporting Regulations at 42 CFR 431.800 431.865
FORMS: CMS-319

OMB NO: 0938-0151    EXPIRATION DATE: 04/30/2003
RESPS:13,250         HOURS:6,625          COSTS(000):$0
  Laboratory Personnel Report (CLIA) and Supporting Regulations in
  42 CFR 493.1-493.2001
FORMS: HCFA-0209

OMB NO: 0938-0155    EXPIRATION DATE: 12/31/2003
RESPS:14             HOURS:476            COSTS(000):$0
  Municipal Health Services Cost Report Form and Supporting
  Regulations 42 CFR 405.2470
FORMS: HCFA-255

OMB NO: 0938-0165    EXPIRATION DATE: 03/31/2006
RESPS:225            HOURS:7,860          COSTS(000):$0
  Prepaid Health Plan Cost Report
FORMS: CMS-276

OMB NO: 0938-0170    EXPIRATION DATE: 09/30/2005
RESPS:1,363          HOURS:682            COSTS(000):$0
  Blood Bank Inspection Checklist and Report and Supporting
  Regulations in 42 CFR 493.1269-493-1285
FORMS: CMS-282

OMB NO: 0938-0193    EXPIRATION DATE: 05/31/2004
RESPS:56             HOURS:560            COSTS(000):$0
  Transmittal and Notice of Approval of State Plan Material and
  Supporting Regulations in 42 CFR 430.10-430.20 and 440.167
FORMS: HCFA-179

OMB NO: 0938-0202    EXPIRATION DATE: 06/30/2005
RESPS:1,231          HOURS:573,646        COSTS(000):$0
  Home Office Cost Statement and Supporting Regulations in 42 CFR
  413.17 and 413.20
FORMS: CMS-287-92

OMB NO: 0938-0214    EXPIRATION DATE: 05/31/2004
RESPS:867,863,540    HOURS:1,339,982      COSTS(000):$0
  Medicare Secondary Payer Information Collection and Supporting
  Regulations in 42 CFR 411.25, 489.2, and 489.20
FORMS: CMS-250-254

OMB NO: 0938-0236    EXPIRATION DATE: 08/31/2004
RESPS:3,085          HOURS:604,660        COSTS(000):$0
  Independent Renal Dialysis Facility Cost Report and Supporting
  Regulations 42 CFR 413.20 and 42 CFR 413.24
FORMS: HCFA-265

OMB NO: 0938-0242    EXPIRATION DATE: 07/31/2003
RESPS:27,900         HOURS:25,000         COSTS(000):$0
  Fire Safety Survey Report Forms and supporting regulations in 42
  CFR 416.44, 418.100, 482.41, 483.270, and 483.470
FORMS: CMS-2786-A-D 2786-F 2786-G 2786-H 2786-J 2786-K 2786-L 2786-M
2786-P 2786-Q

OMB NO: 0938-0245    EXPIRATION DATE: 04/30/2003
RESPS:10,000         HOURS:2,500          COSTS(000):$0
  Request for Enrollment in Supplementary Medical Insurance and
  Supporting Regulations in 42 CFR 407.10 & 407.11
FORMS: HCFA-4040

OMB NO: 0938-0251    EXPIRATION DATE: 09/30/2004
RESPS:50,000         HOURS:12,500         COSTS(000):$0
  Application for Hospital Insurance in 42 CFR 406.7
FORMS: HCFA-18F5

OMB NO: 0938-0266    EXPIRATION DATE: 04/30/2003
RESPS:2,931          HOURS:1,434          COSTS(000):$0
  Ambulatory Surgical Center Request for Certification and Survey
  Report and Supporting Regulations in 42 CFR 416.1-416.150
FORMS: HCFA-377 HCFA-378 HCFA-R-54

OMB NO: 0938-0267    EXPIRATION DATE: 04/30/2003
RESPS:540            HOURS:260,848        COSTS(000):$0
  Comprehensive Outpatient Rehabilitation Facility (CORF)
  Eligibility and Survey Forms and Information Collection
  Requirements at 42 CFR 485.56, 485.58, 485.60, 485.64....
FORMS: HCFA-359 360 R-55

OMB NO: 0938-0269    EXPIRATION DATE: 12/31/2005
RESPS:750            HOURS:375            COSTS(000):$0
  Request for Accelerated Payments and Supporting Regulations in
  42 CFR, section 412.116, 412.632, 413.64, 413.350, and 484.245
FORMS: CMS-9042

OMB NO: 0938-0270    EXPIRATION DATE: 09/30/2004
RESPS:500            HOURS:1,000          COSTS(000):$0
  The Financial Statement of Debtor and Supporting Regulations in
  42 CFR, Section 405.376
FORMS: HCFA-379

OMB NO: 0938-0272    EXPIRATION DATE: 10/31/2003
RESPS:243            HOURS:18,225         COSTS(000):$0
  Annual Report on Home and Community-Based Services Waivers and
  Supporting Regulations in 42 CFR 440.181 and 441.300-305, Forms
  HCFA-372 and HCFA-372(S)
FORMS: HCFA-372 HCFA-372(S)

OMB NO: 0938-0273    EXPIRATION DATE: 10/31/2005
RESPS:2,833          HOURS:708            COSTS(000):$0
  Identification of Extension Units of Outpatient Physical
  Therapy/Outpatient Speech Pathology (OPT/OSP) Providers and
  Supporting Regulations in 42 CFR Sections 485.701 - 485.729
FORMS: CMS-381

OMB NO: 0938-0279    EXPIRATION DATE: 04/30/2003
RESPS:158,603,290    HOURS:1,960,991      COSTS(000):$0
  Medicare Uniform Institutional Provider Bill and Supporting
  Regulatins in 42 CFR 424.5
FORMS: HCFA-1450

OMB NO: 0938-0287    EXPIRATION DATE: 12/31/2005
RESPS:27             HOURS:81             COSTS(000):$0
  Withholding Medicare Payments to Recover Medicaid Overpayments
  and Supporting Regulations in 42 CFR 447.31
FORMS: HCFA-R-0021

OMB NO: 0938-0296    EXPIRATION DATE: 04/30/2004
RESPS:291            HOURS:14,000         COSTS(000):$0
  Provider Reimbursement Manual, Part 1-Chapter 27, Sections 2721,
  2722 & 2725, Request for Exception to End Stage Renal Disease
  Composite Rates & Supporting Regulations in 42 CFR 413.170......
FORMS: HCFA-9044

OMB NO: 0938-0300    EXPIRATION DATE: 10/31/2004
RESPS:51             HOURS:6,891          COSTS(000):$0
  Quality Control of Negative Case Actions (NCA)
FORMS: CMS-6401

OMB NO: 0938-0301    EXPIRATION DATE: 11/30/2005
RESPS:30,526         HOURS:900,517        COSTS(000):$0
  Medicare Provider Cost Report Reimbursement Questionnaire and
  Supporting Regulations 42 CFRE 413.20, 413.24
FORMS: CMS-339

OMB NO: 0938-0313    EXPIRATION DATE: 08/31/2004
RESPS:2,286          HOURS:572            COSTS(000):$0
  Hospice Request for Certification in the Medicare Program and
  Supporting Regulations Contained in 42 CFR Part 418.1-418.405
FORMS: HCFA-417

OMB NO: 0938-0328    EXPIRATION DATE: 04/30/2003
RESPS:1,500          HOURS:53,163         COSTS(000):$0
  Hospital COP-42 CFR 482, 482.12, 482.22, 482.27, 482.30, 482.62,
  482.66
FORMS: HCFA-R-48

OMB NO: 0938-0334    EXPIRATION DATE: 04/30/2003
RESPS:3,528          HOURS:9,744          COSTS(000):$0
  Conditions of Participation for Rural Health Clinics and
  Supporting Regulations in 42 CFR, Section 491.9, Subpart A
FORMS: HCFA-R-38

OMB NO: 0938-0338    EXPIRATION DATE: 09/30/2005
RESPS:645            HOURS:1,612          COSTS(000):$0
  Conditions of Participation for Portable X-ray Supliers and
  Supporting Regulations in 42 CFR Sections 486.104, 486.106, and
  406.110
FORMS: CMS-R-43

OMB NO: 0938-0345    EXPIRATION DATE: 09/30/2005
RESPS:212            HOURS:2,120          COSTS(000):$45
  Medicaid Statistical Information System
FORMS: CMS-R-0284

OMB NO: 0938-0354    EXPIRATION DATE: 11/30/2005
RESPS:56             HOURS:1,568          COSTS(000):$15
  Annual Early and Periodic Screening, Diagnostic and Treatment
  Services (EPSDT) Participation Report
FORMS: CMS-416

OMB NO: 0938-0355    EXPIRATION DATE: 09/30/2003
RESPS:13,994         HOURS:19,884         COSTS(000):$0
  Home Health Agency survey and Deficiencies Report, Home Health
  Functional Assessment Instrument and Supporting Regulations in
  42 CFR Part 484.10 - 42 CFR Part 484.52
FORMS: HCFA-1572 HCFA-1515

OMB NO: 0938-0357    EXPIRATION DATE: 11/30/2005
RESPS:4,750,000      HOURS:1,583,333      COSTS(000):$0
  Home Health Services Under Hospital Insurance, Manual
  Instructions and Supporting Regulations in 42 CFR 409.40 - 50,
  410.36, 410.170, 411.4-.15, 421.100, 424.22, 484.18 and 489.21
FORMS: CMS-485

OMB NO: 0938-0358    EXPIRATION DATE: 12/31/2003
RESPS:2,580          HOURS:645            COSTS(000):$0
  Psychiatric Unit Criteria Work Sheet, Rehabilitation Unit
  Criteria Work Sheet and Rehabilitation Hospital Criteria Work
  Sheet, and Supporting Regulations at 42 CFR 412.20 - 412.30
FORMS: HCFA-437 437A 437B

OMB NO: 0938-0359    EXPIRATION DATE: 03/31/2005
RESPS:899,340        HOURS:26,982         COSTS(000):$0
  Medical Records Review Under PPS and Supporting Regulations at
  42 CFR 412.40-412.52
FORMS: CMS-R-50

OMB NO: 0938-0360    EXPIRATION DATE: 11/30/2003
RESPS:675            HOURS:1,626          COSTS(000):$0
  End Stage Renal Disease Application and Survey and Certification
  Report Form and Supporting Regulations 42 CFR 405.2100 - 405.2184
FORMS: HCFA-3427

OMB NO: 0938-0365    EXPIRATION DATE: 05/31/2004
RESPS:7,500          HOURS:862,585        COSTS(000):$0
  Home Health Medicare Conditions of Participation (CoP)
  Information Collection Requirements as Outlined in Regulation --
  42 CFR 484
FORMS: HCFA-R-39

OMB NO: 0938-0372    EXPIRATION DATE: 03/31/2004
RESPS:8,600          HOURS:717            COSTS(000):$0
  ESRD Beneficiary Selection and Supporting Regulations Contained
  in 42 CFR 414.330
FORMS: HCFA-382

OMB NO: 0938-0373    EXPIRATION DATE: 10/31/2005
RESPS:6,250          HOURS:1,563          COSTS(000):$0
  Medicare Participating Physician or Supplier Agreement; CMS-460
FORMS: CMS-460

OMB NO: 0938-0378    EXPIRATION DATE: 08/31/2004
RESPS:250            HOURS:125            COSTS(000):$0
  The Medicare/Medicaid Psychiatric Hospital Survey Data Contained
  in 42 CFR and Supporting Regultions in 42 CFR 482.60, 482.61,
  and 482.62
FORMS: HCFA-724

OMB NO: 0938-0379    EXPIRATION DATE: 08/31/2003
RESPS:2,293          HOURS:5,733          COSTS(000):$0
  Hospice Survey and Deficiencies Report Form and Supporting
  Regulations at 42 CFr Part 418.1 - 418.405
FORMS: 643

OMB NO: 0938-0380    EXPIRATION DATE: 08/31/2003
RESPS:2,000          HOURS:500            COSTS(000):$0
  Hospital Request for Certification in the Medicare/Medicaid
  Program
FORMS: HCFA-1514

OMB NO: 0938-0386    EXPIRATION DATE: 04/30/2003
RESPS:3,940          HOURS:143,721        COSTS(000):$0
  Conditions for Coverage of Suppliers of End Stage Renal Disease
  (ESRD) Services and Supporting Regulations Contained in 42 CFR
  405.2100-.2171
FORMS: HCFA-R-52

OMB NO: 0938-0391    EXPIRATION DATE: 02/28/2006
RESPS:60,000         HOURS:120,000        COSTS(000):$0
  Statement of Deficiencies and Plan of Correction and Supporting
  Regulations Contained in 42 CFR 488.18, 488.26, and 488.28
FORMS: CMS-2567

OMB NO: 0938-0408    EXPIRATION DATE: 07/31/2003
RESPS:25             HOURS:2,000          COSTS(000):$0
  Methodology for Estimating Waiver Costs of HCFA Demonstration
  Projects
FORMS: HCFA-482

OMB NO: 0938-0426    EXPIRATION DATE: 02/28/2006
RESPS:3,729          HOURS:60,919         COSTS(000):$0
  Information Collection Requirements in HSQ-110, Acquisition,
  Protection and Disclosure of Peer Review Organization
  Information and Supporting Regulations in 42 CFR, Section
  480.104, 480.105,..
FORMS: CMS-R-70

OMB NO: 0938-0429    EXPIRATION DATE: 05/31/2004
RESPS:2              HOURS:20             COSTS(000):$0
  Imposition of Cost Sharing Charges Under Medicaid and Supporting
  Regulations contained in 42 CFR Section 447.53
FORMS: HCFA-R-0053

OMB NO: 0938-0443    EXPIRATION DATE: 04/30/2003
RESPS:15,670         HOURS:3,578          COSTS(000):$0
  Information Collection Requirements in 42 CFR 473.18, 473.34,
  473.36, and 473.42, PRO Reconsideration and Appeals
FORMS: HCFA-R-72

OMB NO: 0938-0444    EXPIRATION DATE: 10/31/2005
RESPS:1,060          HOURS:22,684         COSTS(000):$0
  Information Collection Requirements in Final Peer Review
  Organizations Sanction Regulations -- 42 CFR Sections 1004.40,
  1004.50, 1004.60, and 1004.70
FORMS: HCFA-R-65

OMB NO: 0938-0445    EXPIRATION DATE: 08/31/2005
RESPS:6,036          HOURS:81,818         COSTS(000):$0
  Information Collection Requirements in HSQ-108F Assumption of
  Responsibilities and Supporting Regulations in 42 CFR Sections
  412.44, 412.46, 431.630, 456.654, 476.71, 476.73, 476.74, 476.78
FORMS: HCFA-R-71

OMB NO: 0938-0447    EXPIRATION DATE: 04/30/2003
RESPS:3,761          HOURS:30,088         COSTS(000):$0
  End Stage Renal Disease Medical Information System ESRD Facility
  Survey
FORMS: HCFA-2744

OMB NO: 0938-0448    EXPIRATION DATE: 03/31/2006
RESPS:63,000         HOURS:10,710         COSTS(000):$0
  End Stage Renal Disease Death Notification P. L. 95-292;
  42CFR405.2133; CFR401,422E
FORMS: CMS-2746

OMB NO: 0938-0449    EXPIRATION DATE: 07/31/2005
RESPS:132            HOURS:7,930          COSTS(000):$0
  Home and Community-Based Waiver Requests and Supporting
  Regulations; 42 CFR 440.180, 441.300-.310
FORMS: CMS-8003

OMB NO: 0938-0454    EXPIRATION DATE: 04/30/2003
RESPS:947,816        HOURS:417,239        COSTS(000):$0
  Physician Certifications/Recertifications in Skilled Nursing
  Facilities (SNFs) Manual Instructions and Supporting Regulations
  42 CFR 424.20
FORMS: HCFA-R-5

OMB NO: 0938-0456    EXPIRATION DATE: 10/31/2003
RESPS:1,350          HOURS:2,700          COSTS(000):$0
  Indirect Medical Education (IME) And Supporting Regulations 42
  CFR 412.105
FORMS: HCFA-R-64

OMB NO: 0938-0463    EXPIRATION DATE: 05/31/2004
RESPS:15,700         HOURS:2,943,354      COSTS(000):$0
  Skilled Nursing Facility and Skilled Nursing Facility Cost
  Report and Supporting Regulations in 42 CFR 413.20, 413.24, and
  413.106
FORMS: HCFA-2540-96

OMB NO: 0938-0465    EXPIRATION DATE: 11/30/2003
RESPS:3,563,304      HOURS:296,942        COSTS(000):$0
  Limitation on Liability and Information Collection Requirements
  Referenced in 42 CFR 411.404, 411.406, and 411.408
FORMS: HCFA-R-77

OMB NO: 0938-0467    EXPIRATION DATE: 10/31/2005
RESPS:54             HOURS:99,254         COSTS(000):$0
  Income and Eligibility Verification System Reporting and
  Supporting Regulations
FORMS: R-0074

OMB NO: 0938-0469    EXPIRATION DATE: 12/31/2004
RESPS:300            HOURS:3,130          COSTS(000):$6,000
  The Fiscal Soundness Reporting Requirements (FSRR)
FORMS: 906

OMB NO: 0938-0470    EXPIRATION DATE: 11/30/2003
RESPS:35             HOURS:3,500          COSTS(000):$471
  Qualification Application and Supporting Regulations in 42 CFR,
  Section 417.408 and 417.143
FORMS: HCFA-901-1

OMB NO: 0938-0477    EXPIRATION DATE: 07/31/2005
RESPS:40             HOURS:160            COSTS(000):$0
  Payment Adjustment for Sole Community Hospitals and Supporting
  Regulations in 42 CFR Section 412.92
FORMS: CMS-R-79

OMB NO: 0938-0484    EXPIRATION DATE: 04/30/2003
RESPS:1,100          HOURS:275            COSTS(000):$0
  Emergency and Foreign Hospital Services -- Beneficiary Statement
  in Canadian Travel Claims and Supporting Regulations in 42 CFR,
  Section 424.123
FORMS: HCFA-R-96

OMB NO: 0938-0486    EXPIRATION DATE: 10/31/2003
RESPS:10,000         HOURS:2,500          COSTS(000):$0
  Regulations for Hearing for Part A Medicare by an Administrative
  Law Judge and Supporting Regulations in 42 CFR, 498 Subpart D
  and E
FORMS: HCFA-5011A-U6

OMB NO: 0938-0490    EXPIRATION DATE: 10/31/2005
RESPS:4              HOURS:400            COSTS(000):$0
  Criteria for Medicare Coverage of Heart Transplants
FORMS: CMS-R-106

OMB NO: 0938-0501    EXPIRATION DATE: 04/30/2004
RESPS:4,300          HOURS:731            COSTS(000):$0
  Medicare Qualification Statement for Federal Employees and
  Supporting Regulations in 42 CFR 406.15
FORMS: HCFA-565

OMB NO: 0938-0502    EXPIRATION DATE: 01/31/2006
RESPS:1,900,000      HOURS:329,965        COSTS(000):$0
  Medicaid - Determining Third Party Liability (TPL) State Plan
  Preprint and Supporting Regulations in 42 CFR 433.138
FORMS: CMS-R-107

OMB NO: 0938-0507    EXPIRATION DATE: 06/30/2003
RESPS:85,000         HOURS:2,805          COSTS(000):$0
  Medicare Managed Care Disenrollment Form
FORMS: HCFA-566

OMB NO: 0938-0512    EXPIRATION DATE: 11/30/2003
RESPS:69             HOURS:138            COSTS(000):$0
  Organ Procurement Organization's Request for Designation and
  Supporting Regulations in 42 CFR 486.301 - 486.325
FORMS: CMS-576

OMB NO: 0938-0526    EXPIRATION DATE: 08/31/2004
RESPS:53             HOURS:1              COSTS(000):$0
  Peer Review Organization Contracts: Solicitation of Statements
  of Interest from In-State Organizations, General Notice--CFR 475
FORMS: HCFA-R-118

OMB NO: 0938-0534    EXPIRATION DATE: 05/31/2003
RESPS:500,000        HOURS:50,000         COSTS(000):$0
  Attending Physician's Certification of Medical Necessity for
  Home Oxygen Therapy and Supporting Regulations 42 CFR 410.38 and
  42 CFR 424.5
FORMS: CMS-484

OMB NO: 0938-0544    EXPIRATION DATE: 02/28/2006
RESPS:13,250         HOURS:6,625          COSTS(000):$0
  Survey Report Form Clinical Laboratory Improvement Amendments
  (CLIA) and Supporting Regulations in 42 CFR 493.1-493.2001
FORMS: HCFA-1557

OMB NO: 0938-0565    EXPIRATION DATE: 11/30/2005
RESPS:327,947        HOURS:1,096,466      COSTS(000):$0
  Internal Revenue Service/Social Security Administration/Centers
  for Medicare & Medicaid Services Data Match and Supporting
  Regulations in 42 CFR Sections 411.20-411.206
FORMS: CMS-R-137

OMB NO: 0938-0566    EXPIRATION DATE: 06/30/2003
RESPS:19,660,110     HOURS:1,638,345      COSTS(000):$122,700
  Advance Beneficiary Notice and Supporting Regulations in 42 CFR
  411.404, 411.406, and 411.408
FORMS: CMS-R-131

OMB NO: 0938-0567    EXPIRATION DATE: 10/31/2003
RESPS:1,000          HOURS:2,500          COSTS(000):$0
  Request for Hearing for Part B Medicare by an Administrative Law
  Judge and Supporting Regulations in 42 CFR, 498 Subpart D and E
FORMS: HCFA-5011B-U6

OMB NO: 0938-0568    EXPIRATION DATE: 04/30/2004
RESPS:49,500         HOURS:50,325         COSTS(000):$0
  Medicare Current Beneficiary Survey (MCBS): Rounds 29-37
FORMS: HCFA-P-15A

OMB NO: 0938-0573    EXPIRATION DATE: 10/31/2005
RESPS:650            HOURS:650            COSTS(000):$0
  Medicare Geographic Classification Review Board (MGCRB)
  Procedures and Criteria and Supporting Regulations in 42 CFR,
  Section 412.256 and 412.230
FORMS: CMS-R-0138

OMB NO: 0938-0575    EXPIRATION DATE: 07/31/2003
RESPS:50             HOURS:150            COSTS(000):$0
  Analysis of Malpractice Premium Data
FORMS: HCFA-R-143

OMB NO: 0938-0578    EXPIRATION DATE: 07/31/2003
RESPS:2,204          HOURS:54,660         COSTS(000):$948
  Medicaid Drug Rebate Program - Manufacturers
FORMS: HCFA-367 HCFA-367A HCFA-367B HCFA-367C

OMB NO: 0938-0579    EXPIRATION DATE: 04/30/2003
RESPS:20             HOURS:535            COSTS(000):$0
  Business Proposal Formats for Utilization and Quality Control
  Peer Review Organizations (PROs)
FORMS: 718-BP 719-BP 720-BP 721-BP SUM-PS IS CA SS SC-1 SC-2

OMB NO: 0938-0580    EXPIRATION DATE: 04/30/2004
RESPS:12             HOURS:2,110          COSTS(000):$0
  Criteria for Medicare Coverage of Liver Transplants
FORMS: HCFA-R-108

OMB NO: 0938-0581    EXPIRATION DATE: 09/30/2004
RESPS:16,000         HOURS:20,000         COSTS(000):$0
  Clinical Laboratory Improvement Amendments Application Form 42
  CFR 493.1-.2001
FORMS: HCFA-116

OMB NO: 0938-0582    EXPIRATION DATE: 09/30/2003
RESPS:204            HOURS:6,125          COSTS(000):$139
  State Drug Rebate (Medicaid)
FORMS: HCFA-368 R-144

OMB NO: 0938-0599    EXPIRATION DATE: 11/30/2004
RESPS:50             HOURS:4,500          COSTS(000):$0
  CLIA Budget Workload Reports and Supporting Regulations
  Contained in 42 CFR 493.1-.2001
FORMS: CMS-102 CMS-105

OMB NO: 0938-0600    EXPIRATION DATE: 10/31/2005
RESPS:186,800        HOURS:1,120,800      COSTS(000):$0
  Medicare Credit Balance Reporting Requirements and Supporting
  Regulations in 42 CFR 405.371, 405.378, and 413.20
FORMS: CMS-838

OMB NO: 0938-0610    EXPIRATION DATE: 07/31/2005
RESPS:34,365         HOURS:960,500        COSTS(000):$0
  Information Collection Requirements Contained in BDP-718:
  Advanced Directives (Medicare and Medicaid) and Supporting
  Regulations in 42 CFR Sections 417.436, 417.801, 422.128,....
FORMS: HCFA-R-10

OMB NO: 0938-0612    EXPIRATION DATE: 06/30/2004
RESPS:700,650        HOURS:10,230,714     COSTS(000):$0
  Clinical Laboratory Improvement Amendments (CLIA) and the ICRs
  contained in the supporting regulations in 42 CFR 493.1-.2001
FORMS: HCFA-R-26

OMB NO: 0938-0618    EXPIRATION DATE: 01/31/2005
RESPS:40             HOURS:2,880          COSTS(000):$0
  Limitations on Provider Related Donations and Health Care
  Related Taxes; Limitation on payments to Disproportionate Share
  Hospitals; Medicaid and Supporting Regulations in 42 CFR 433.68,.
FORMS: HCFA-R-148

OMB NO: 0938-0624    EXPIRATION DATE: 04/30/2003
RESPS:50             HOURS:12             COSTS(000):$0
  Hospital Provider of Extended Care Services (Swing-Beds) in the
  Medicare and Medicaid Programs, 42 CFR 447.280 and 482.66
FORMS: HCFA-605

OMB NO: 0938-0626    EXPIRATION DATE: 04/30/2003
RESPS:10,000         HOURS:1,250          COSTS(000):$0
  Authorization Agreement for Electronic Funds Transfer
FORMS: HCFAA-588

OMB NO: 0938-0650    EXPIRATION DATE: 05/31/2004
RESPS:4,000          HOURS:10,000         COSTS(000):$0
  Alternate Quality Assessment Survey
FORMS: HCFA-667

OMB NO: 0938-0653    EXPIRATION DATE: 08/31/2003
RESPS:12,500         HOURS:3,125          COSTS(000):$0
  Post Laboratory Survey Questionnaire--Laboratory, and Supporting
  Regulations in 42 CFR 493
FORMS: 668B

OMB NO: 0938-0655    EXPIRATION DATE: 10/31/2003
RESPS:1,573          HOURS:786            COSTS(000):$0
  Clinical Laboratory Improvement Amendments (CLIA) Adverse Action
  Extract and Supporting Regulations at 42 CFr 493.1840
FORMS: HCFA-462A/B

OMB NO: 0938-0657    EXPIRATION DATE: 12/31/2003
RESPS:36             HOURS:108            COSTS(000):$0
  End-Stage Renal Disease (ESRD) Network Semi-Annual Cost Report
  Forms and Supporting Regulations in 42 CFR 405.2110 and 42 CFR
  405.2112
FORMS: HCFA-685

OMB NO: 0938-0658    EXPIRATION DATE: 12/31/2003
RESPS:36             HOURS:1,080          COSTS(000):$0
  End-Stage Renal Disease (ESRD) Network Business Proposal Forms
  and Supporting Regulations in 432 CFR 405.2110 and 42 CFR
  405.2112
FORMS: HCFA-684A-684I

OMB NO: 0938-0667    EXPIRATION DATE: 11/30/2005
RESPS:5,600          HOURS:1              COSTS(000):$0
  ICRs Contained in BPD-393, Examination and Treatment for
  Emergency Medical Conditions and Women in Labor, 42 CFR 482.12,
  488.18, 489.20, and 489.24, and HCFA-1005-IFC,....
FORMS: CMS-R-142

OMB NO: 0938-0670    EXPIRATION DATE: 05/31/2004
RESPS:6              HOURS:1,010          COSTS(000):$0
  Criteria for Medicare Coverage of Lung Transplants
FORMS: HCFA-R-170

OMB NO: 0938-0673    EXPIRATION DATE: 07/31/2004
RESPS:5              HOURS:15             COSTS(000):$0
  Medicaid Post-Eligibility Preprint--And Supporting Regulations
  at 42 CFR 430.10
FORMS: SP0001

OMB NO: 0938-0676    EXPIRATION DATE: 05/31/2004
RESPS:3,744          HOURS:139,560        COSTS(000):$350
  Reconciliation of State Invoice and Prior Quarter Adjustment
  Statement (Medicaid Drug Rebate Program - Labelers)
FORMS: HCFA-304 HCFA-304A

OMB NO: 0938-0679    EXPIRATION DATE: 04/30/2003
RESPS:6,700,000      HOURS:1,130,000      COSTS(000):$0
  Durable Medical Equipment Regional Carrier, Certificate of
  Medical Necessity
FORMS: CMS-841 CMS-842 CMS-844 CMS-853

OMB NO: 0938-0685    EXPIRATION DATE: 04/30/2003
RESPS:274,000        HOURS:642,000        COSTS(000):$0
  Medicare Federal Health Care Provider/Supplier Enrollment
  Application
FORMS: HCFA-855A HCFA-855B HCFA-855I HCFA-855R HCFA-855S

OMB NO: 0938-0686    EXPIRATION DATE: 03/31/2005
RESPS:76             HOURS:768            COSTS(000):$0
  Granting and Withdrawal of Deeming Authority to Private
  Nonprofit Accrediation Organizations and of State Exemption
  Under State Laboratory Programs & Supporting Regulation in 42
  CFR 493.551-...
FORMS: HCFA-R-185

OMB NO: 0938-0690    EXPIRATION DATE: 10/31/2005
RESPS:28             HOURS:451            COSTS(000):$0
  Granting and Withdrawal of Deeming Authority to National
  Accreditation Organizations and Supporting Regulations at 42 CFR
  488.4-488.9, and 488.201
FORMS: CMS-R-191

OMB NO: 0938-0691    EXPIRATION DATE: 10/31/2005
RESPS:100            HOURS:100            COSTS(000):$0
  Medicare Disproportionate Share Adjustment Procedures and
  Criteria and Supporting Regulations in 42 CFR 412.106
FORMS: CMS-R-194

OMB NO: 0938-0692    EXPIRATION DATE: 01/31/2006
RESPS:11,800,000     HOURS:196,666        COSTS(000):$0
  "Important Message from Medicare" Title XVII Section 1866(a)(1)
  (M), 42 CFR Section 466.78, 489.20, and 489.27
FORMS: CMS-R-193

OMB NO: 0938-0697    EXPIRATION DATE: 12/31/2003
RESPS:57             HOURS:342            COSTS(000):$0
  Medicaid Report on Payables and Receivables
FORMS: HCFA-R-199

OMB NO: 0938-0700    EXPIRATION DATE: 04/30/2004
RESPS:450            HOURS:45,000         COSTS(000):$0
  Incentive Arrangement Disclosure Form and Supporting Regulations
  42 CFR 417.479, 417.500, 422.208, 422.210, 434.44, 434.67,
  434.70, 1003.100, 1003.101, 1003.103, 1003.106
FORMS: HCFA-R-201

OMB NO: 0938-0701    EXPIRATION DATE: 09/30/2003
RESPS:313,825        HOURS:186,320        COSTS(000):$0
  Health Plan Employer Data and Information Set (HEDIS ) and
  Health Outcome Survey (HOS) and Supporting Regulations at CFR
  422.152
FORMS: CMS-R-200

OMB NO: 0938-0702    EXPIRATION DATE: 04/30/2003
RESPS:43,000,000     HOURS:2,700,000      COSTS(000):$0
  Information Collection Requirements Referenced in HIPAA for the
  Group Market -- Supporting Regulations 45 CFR 146 and
  Forms/Instructions
FORMS: HCFA-R-206

OMB NO: 0938-0703    EXPIRATION DATE: 04/30/2003
RESPS:3,230,000      HOURS:923,000        COSTS(000):$0
  Information Collection Requirements Referenced in HIPAA for the
  Form/Instructions
FORMS: HCFA-R-205

OMB NO: 0938-0705    EXPIRATION DATE: 10/31/2003
RESPS:92,803         HOURS:415            COSTS(000):$0
  "Maximizing the Effective Use of Telemedicine: A Study of the
  Effects, Cost Effectiveness and Utilization Patterns of
  Consultations via Telemedicine"
FORMS: HCFA-R-197

OMB NO: 0938-0707    EXPIRATION DATE: 05/31/2005
RESPS:42             HOURS:6,720          COSTS(000):$0
  Model Application Template for State Child Health Plan Under
  Title XXI of the Social Security Act, State Children's Health
  Insurance Program, & Model Application Template and Instructions
FORMS: HCFA-R-211

OMB NO: 0938-0708    EXPIRATION DATE: 04/30/2004
RESPS:1,200          HOURS:744            COSTS(000):$0
  Evaluation of the State Medicaid Reform Demonstrations and
  Evaluation of the Medicaid Health Reform Demonstrations
FORMS: HCFA-R-207

OMB NO: 0938-0709    EXPIRATION DATE: 03/31/2004
RESPS:69,717         HOURS:32,917         COSTS(000):$0
  Data Collection for the Second Generation Social Health
  Maintenance Organization Demonstration
FORMS: HCFA-R-204

OMB NO: 0938-0714    EXPIRATION DATE: 10/31/2004
RESPS:200            HOURS:2,000          COSTS(000):$0
  Procedures for Advisory Opinions Concerning Physician Referrals
  and Supporting Regulations in 42 CFR Sections 411.370 through
  411.389
FORMS: HCFA-R-216

OMB NO: 0938-0717    EXPIRATION DATE: 11/30/2004
RESPS:35,000         HOURS:280,000        COSTS(000):$0
  Information Collection Requirements Referenced in 42 CFR Section
  424.57: Additional DMEPOS Supplier Standards
FORMS: HCFA-R-215

OMB NO: 0938-0721    EXPIRATION DATE: 08/31/2004
RESPS:500            HOURS:42             COSTS(000):$0
  Independent Diagnostic Testing Facility and Supporting
  Regulations Contained in 42 CFR 410.33
FORMS: HCFA-R-214

OMB NO: 0938-0722    EXPIRATION DATE: 09/30/2004
RESPS:10             HOURS:100            COSTS(000):$0
  Medicare+Choice Provider Sponsored Organization Waiver Request
  Form and Supporting Regulations at 42 CFR 422.370 through 422.378
FORMS: HCFA-R-231

OMB NO: 0938-0723    EXPIRATION DATE: 10/31/2005
RESPS:5              HOURS:1,000          COSTS(000):$0
  Medicare Integrity Program Organizational Conflict of Interest
  Disclosure Certificate and Supporting Regultions at 42 CFR
  421.300 - 421.318
FORMS: HCFA-R-232

OMB NO: 0938-0730    EXPIRATION DATE: 08/31/2004
RESPS:26,280         HOURS:7,197          COSTS(000):$0
  Subpart D-Private Contracts and Supporting Regulations in 42 CFR
  405.410, 405.430, 405.435, 405.440, 405.445, 405.455, 410.61,
  415.110, and 424.24
FORMS: R-234

OMB NO: 0938-0731    EXPIRATION DATE: 04/30/2005
RESPS:448            HOURS:7,840          COSTS(000):$0
  Quarterly Children's Health Insurance Program Statement of
  Expenditures for Title XXI
FORMS: HCFA-21 HCFA-21B

OMB NO: 0938-0732    EXPIRATION DATE: 05/31/2004
RESPS:168,000        HOURS:55,450         COSTS(000):$0
  The Medicare Managed Care CAHPS Survey and Supporting
  Regulations in 42 CFR 417.126 and 417.470
FORMS: HCFA-R-246

OMB NO: 0938-0734    EXPIRATION DATE: 09/30/2004
RESPS:1,500          HOURS:750            COSTS(000):$0
  Data Use Agreement Information Collection Requirements, model
  language, and supporting regulations in 42 CFR Section 5b
FORMS: HCFA-R-235

OMB NO: 0938-0738    EXPIRATION DATE: 11/30/2005
RESPS:2,400          HOURS:600            COSTS(000):$0
  National Medicare Education Program (NMEP) Community Survey of
  Medicare Beneficiaries
FORMS: CMS-R-254

OMB NO: 0938-0739    EXPIRATION DATE: 03/31/2006
RESPS:2,657,859      HOURS:2,640,371      COSTS(000):$0
  SNF Resident Assessment MDS Data and Supporting Regulations in
  42 CFR 413,337, 413.343, 424.32, and 483.20
FORMS: CMS-R-250

OMB NO: 0938-0741    EXPIRATION DATE: 12/31/2005
RESPS:50,000         HOURS:3,300          COSTS(000):$0
  Medicare+Choice Disenrollment Form to Original Medicare and
  Supporting Regulations 422.66
FORMS: CMS-R-257

OMB NO: 0938-0742    EXPIRATION DATE: 04/30/2003
RESPS:700            HOURS:66,500         COSTS(000):$0
  Adjusted Community Rate (ACR) Proposal medicare + Choice
FORMS: CMS-R-228

OMB NO: 0938-0746    EXPIRATION DATE: 10/31/2005
RESPS:54             HOURS:2,160          COSTS(000):$0
  Medicaid Disproportionate Share Hospital/Institutions for Mental
  Disease
FORMS: CMS-R-266

OMB NO: 0938-0748    EXPIRATION DATE: 12/31/2003
RESPS:1,700          HOURS:12,420         COSTS(000):$0
  Medicare DMEPOS Competitive Bidding Demonstration
FORMS: HCFA-R-0264A-H

OMB NO: 0938-0749    EXPIRATION DATE: 10/31/2004
RESPS:20,000         HOURS:10,000         COSTS(000):$0
  On-Site Inspection for Durable Medical Equipment (DME) Supplier
  Location and Supporting Regulations in 42 CFR, Section 424.57
FORMS: HCFA-R-263

OMB NO: 0938-0753    EXPIRATION DATE: 10/31/2005
RESPS:7,657,534      HOURS:2,120,006      COSTS(000):$0
  Medicare Plus Choice Program Requirements Referenced in 42 CFR
  422.000-422.700
FORMS: CMS-R-0267

OMB NO: 0938-0754    EXPIRATION DATE: 03/31/2005
RESPS:80,000         HOURS:1              COSTS(000):$0
  Inpatient Psychiatric Services for Individuals Under Age 21 and
  Supporting regulations in 42 CFR 441.152
FORMS: CMS-R-238

OMB NO: 0938-0756    EXPIRATION DATE: 03/31/2005
RESPS:7,000          HOURS:583            COSTS(000):$0
  MSInteractive Survey Tool for www.medicare.gov
FORMS: CMS-R-268

OMB NO: 0938-0758    EXPIRATION DATE: 03/31/2005
RESPS:1,720          HOURS:302,720        COSTS(000):$0
  Hospice Cost Report and Supporting Regulations in 42 CFR 413.20
  and 413.24
FORMS: CMS-R-249

OMB NO: 0938-0760    EXPIRATION DATE: 07/31/2003
RESPS:9,510,900      HOURS:8,013,013      COSTS(000):$0
  Medicare and Medicaid Programs Use of the OASIS as Part of the
  CoPs for HHAs and Supporting Regulations in Part 484 of 42 CFR
FORMS: CMS-R-245

OMB NO: 0938-0761    EXPIRATION DATE: 07/31/2003
RESPS:85,200         HOURS:838,408        COSTS(000):$17,800
  Medicare and Medicaid Programs: Use and Reporting OASIS Data as
  Part of the CoPs for HHAs and Supporting Regulations in 42 CFR
  484.11 and 484.20
FORMS: CMS-R-209

OMB NO: 0938-0763    EXPIRATION DATE: 04/30/2003
RESPS:300            HOURS:900            COSTS(000):$0
  The Adjusted Community Rate Proposal (ACRP) M+C Plan Benefit
  Package & Supporting Regulations in 42 CFR 417.401,
  422.1-422.10,
  422.50-422.80,422.100-422.132,422.300-422.312,422.400-422.404....
FORMS: HCFA-R-262

OMB NO: 0938-0767    EXPIRATION DATE: 08/31/2004
RESPS:450            HOURS:75             COSTS(000):$0
  Medigap Compare
FORMS: HCFA-R-0280

OMB NO: 0938-0768    EXPIRATION DATE: 05/31/2004
RESPS:10             HOURS:750            COSTS(000):$0
  Medicare Agreement Application, Health Care Prepayment Plan and
  Supporting Regulations in 42 CFR, Section 417.800-.840
FORMS: CMS-R-243

OMB NO: 0938-0769    EXPIRATION DATE: 03/31/2006
RESPS:1,500          HOURS:375            COSTS(000):$0
  Request for Retirement Benefit Informatin (BBA '97)
FORMS: CMS-R285

OMB NO: 0938-0770    EXPIRATION DATE: 12/31/2005
RESPS:4,550          HOURS:17,400         COSTS(000):$0
  Site Visit Assessment Tool (previously known as Community Mental
  Health Center Site Visit Assessment Tool) and Supporting
  Regulations in 432 CFR 410.2
FORMS: CMS-R-273

OMB NO: 0938-0776    EXPIRATION DATE: 09/30/2004
RESPS:200            HOURS:8,000          COSTS(000):$0
  Medicare Program: Procedures for Making National Coverage
  Decisions
FORMS: CMS-R-0290

OMB NO: 0938-0777    EXPIRATION DATE: 04/30/2003
RESPS:9,000          HOURS:1,500          COSTS(000):$0
  Medicare Lifestyle Modification Program Demonstration
FORMS: HCFA-R-289

OMB NO: 0938-0778    EXPIRATION DATE: 12/31/2003
RESPS:536            HOURS:1,608          COSTS(000):$0
  Medicare + Choice (M + C) Organization Appeals and Grievance
  Data Disclosure Requirements and Supporting Regulations in 42
  CFR 42 CFR 422.64, 422.11, and 422.560 - 422.622
FORMS: HCFA-R-0282

OMB NO: 0938-0779    EXPIRATION DATE: 07/31/2005
RESPS:90,240         HOURS:42,112         COSTS(000):$0
  Medicare CAHPS Disenrollment Surveys
FORMS: CMS-R-295

OMB NO: 0938-0780    EXPIRATION DATE: 03/31/2005
RESPS:10,000         HOURS:833            COSTS(000):$0
  Medicare Telephone Customer Satisfaction Survey
FORMS: CMS-R-293

OMB NO: 0938-0781    EXPIRATION DATE: 06/30/2005
RESPS:145,966        HOURS:14,597         COSTS(000):$0
  Information Collection Requirements and Supporting Regulations
  in 42 CFR, Section 484.10(a)
FORMS: CMS-R-296

OMB NO: 0938-0786    EXPIRATION DATE: 04/30/2003
RESPS:11,609         HOURS:135,110        COSTS(000):$0
  External Quality Review of Medicaid MCOs and Supporting
  Regulations in 42 CFR 438.360, 438.362, and 438.364
FORMS: HCFA-R-0305

OMB NO: 0938-0787    EXPIRATION DATE: 08/31/2004
RESPS:5,000          HOURS:750            COSTS(000):$0
  Request for Employment Information
FORMS: HCFA-R-297

OMB NO: 0938-0790    EXPIRATION DATE: 01/31/2006
RESPS:54             HOURS:44,078         COSTS(000):$0
  Medicare and Medicaid: Programs of All-inclusive Care for the
  Elderly (PACE) Contained in 42 CFR 460.12-460.210/Medicare and
  Medicaid: Program of All-inclusive Care for the Elderly (PACE);..
FORMS: CMS-R-244

OMB NO: 0938-0791    EXPIRATION DATE: 03/31/2004
RESPS:90,070         HOURS:22,503         COSTS(000):$0
  A Project to Develop an Outcome-Based Continuous Quality
  Improvement System and Core Outcome and Comprehensive Assessment
  Data Set for PACE
FORMS: CMS-R-299

OMB NO: 0938-0792    EXPIRATION DATE: 04/30/2003
RESPS:3,573          HOURS:3,663          COSTS(000):$0
  Rural Health Clinics: Amendments to Participation Requirements &
  Payment Provisions; & Establishments of a Quality Assessment &
  Performance Improvement Program & Supporting Regulations.....
FORMS: HCFA-R-0242

OMB NO: 0938-0795    EXPIRATION DATE: 08/31/2004
RESPS:37             HOURS:11,100         COSTS(000):$0
  Conflict of Interest and Ownership and Control Information
FORMS: HCFA-R-312

OMB NO: 0938-0796    EXPIRATION DATE: 05/31/2004
RESPS:134,400        HOURS:44,800         COSTS(000):$0
  Medicare Consumer Assessment of Health Plan Survey - Fee for
  Service (CAHPS-FFS)
FORMS: HCFA-10000

OMB NO: 0938-0797    EXPIRATION DATE: 07/31/2003
RESPS:150            HOURS:566            COSTS(000):$0
  Individual Market-Guarantee Issue Election Packet, Supporting
  Regulations 45 CFR 148, and forms/instruction
FORMS: HCFA-R-205

OMB NO: 0938-0798    EXPIRATION DATE: 08/31/2003
RESPS:2,752          HOURS:41,063         COSTS(000):$0
  Prospective Payments for Hospital Outpatient Services and
  Supporting Regulations in 42 CFR 143.65, and 419.42
FORMS: HCFA-R-240

OMB NO: 0938-0799    EXPIRATION DATE: 09/30/2003
RESPS:56             HOURS:5,600          COSTS(000):$0
  TWWIA Demonstration to Maintain Independence and Employment
FORMS: HCFA-10006

OMB NO: 0938-0801    EXPIRATION DATE: 08/31/2003
RESPS:51             HOURS:102            COSTS(000):$0
  Evaluation of QMB and SLMB Outreach Activities
FORMS: HCFA-R-317

OMB NO: 0938-0802    EXPIRATION DATE: 05/31/2005
RESPS:55             HOURS:193            COSTS(000):$0
  Recognition of pass-through payment for drugs and biologicals
  under the Outpatient Prospective Payment System and Supporting
  Regulations in 42 CFR, Section 419.43, formerly known as......
FORMS: CMS-10008

OMB NO: 0938-0806    EXPIRATION DATE: 08/31/2005
RESPS:10,043         HOURS:19,999         COSTS(000):$0
  Informatics, Telemedicine, and Education Demonstration Project
FORMS: HCFA-10014

OMB NO: 0938-0808    EXPIRATION DATE: 10/31/2003
RESPS:2,174          HOURS:4,735          COSTS(000):$0
  Study to Support Development and Refinement of a Classification
  System and Prospective Payment System for Patients in Inpatient
  Rehabilitation Hospitals and Exempt Rehabilitation Units
FORMS: HCFA-R-311

OMB NO: 0938-0810    EXPIRATION DATE: 11/30/2003
RESPS:1,491,700      HOURS:146,070        COSTS(000):$0
  Hospital Condition of Participation; Identification of Potential
  Organ, Tissue, & Eye Donors & Transplant Hospitals' Provision of
  Transplant-Related Data & Supporting Regulation at 42 CFR 482.45
FORMS: HCFA-R-0294

OMB NO: 0938-0811    EXPIRATION DATE: 11/30/2003
RESPS:56             HOURS:5,600          COSTS(000):$0
  Ticket to Work and Work Incentives: Medicaid Infrastructure
  Grants
FORMS: HCFA-10005

OMB NO: 0938-0812    EXPIRATION DATE: 11/30/2003
RESPS:150            HOURS:37             COSTS(000):$0
  Employee Building Pass Application and File
FORMS: HCFA-730 HCFA-182

OMB NO: 0938-0813    EXPIRATION DATE: 12/31/2003
RESPS:1,500          HOURS:500            COSTS(000):$0
  Evaluation of the OMB and SLMB Programs -- Beneficiary Survey
FORMS: HCFA-10015

OMB NO: 0938-0817    EXPIRATION DATE: 11/30/2003
RESPS:3,600          HOURS:684            COSTS(000):$0
  Survey of Medicare Beneficiaries Who Involuntarily Disenroll
  From Their Health Plan
FORMS: CMS-10026

OMB NO: 0938-0818    EXPIRATION DATE: 05/31/2003
RESPS:3,291          HOURS:23,218         COSTS(000):$0
  Expanded Coverage for Diabetes Outpatient Self-Management 42 CFR
  410.141-410-145 and 414.63
FORMS: R-247

OMB NO: 0938-0819    EXPIRATION DATE: 05/31/2004
RESPS:2,600          HOURS:100            COSTS(000):$0
  HIPAAA Nondiscrimination Provisions (Regulation HCFA-2078-P)
FORMS: HCFA-10009

OMB NO: 0938-0820    EXPIRATION DATE: 05/31/2003
RESPS:500            HOURS:542            COSTS(000):$0
  Follow-Up of Medicare+Choice Disenrollees Receiving
  Fee-for-Service Inpatient Hospital Care
FORMS: HCFA-10017

OMB NO: 0938-0823    EXPIRATION DATE: 04/30/2004
RESPS:150            HOURS:50             COSTS(000):$0
  Suggestion Program on Methods to Improve Medicare Efficiency and
  Supporting Regulations in 42 CFR 420.410
FORMS: HCFA-R-0255

OMB NO: 0938-0824    EXPIRATION DATE: 05/31/2004
RESPS:75             HOURS:3              COSTS(000):$0
  Restraints/Seclusion Death Reporting for Hospitals and
  Supporting Regulations at 42 CFR 482.13
FORMS: HCFA-10004

OMB NO: 0938-0826    EXPIRATION DATE: 06/30/2004
RESPS:4,800          HOURS:3,200          COSTS(000):$0
  Survey of Medicaid Home and Community-Based Services Waiver and
  Personal Care Option Recipients for the Multi-Site Study of
  Medicaid HOme and Community-Based Services
FORMS: HCFA-10018

OMB NO: 0938-0827    EXPIRATION DATE: 05/31/2005
RESPS:18             HOURS:194            COSTS(000):$0
  HIPA Nondiscrimination Provisions (Regulation HCFA-2022-IFC)
FORMS: HCFA-10001

OMB NO: 0938-0828    EXPIRATION DATE: 06/30/2004
RESPS:1,500          HOURS:500            COSTS(000):$0
  Medicare Beneficiary Customer Service Survey
FORMS: HCFA-10022

OMB NO: 0938-0829    EXPIRATION DATE: 05/31/2004
RESPS:29,892         HOURS:2,994          COSTS(000):$0
  Medicare+Choice Beneficiary Appeal Notices, "Notice of Denial of
  Medical Services", "Notice of Denial of Request for Payment" and
  Supporting Regulations in 42 CFR 422.568
FORMS: HCFA-10003

OMB NO: 0938-0832    EXPIRATION DATE: 07/31/2004
RESPS:3,000          HOURS:150            COSTS(000):$0
  Health Insurance Benefit Agreement and Supporting Regulations at
  42 CFR Part 489
FORMS: HCFA-1561

OMB NO: 0938-0833    EXPIRATION DATE: 03/31/2005
RESPS:2,600,000      HOURS:877,750        COSTS(000):$0
  Restraint and Seclusion Standards for Psychiatric Residential
  Treatment Facilities
FORMS: CMM-R-306

OMB NO: 0938-0836    EXPIRATION DATE: 02/28/2005
RESPS:108            HOURS:540            COSTS(000):$0
  Real Choice Systems Change Grants; Nursing Facility Transition/
  Access Housing Grants; Community Personal Assistance Service and
  Supports Grants, National Technical Assistance and Learning.....
FORMS: CMS-10037

OMB NO: 0938-0837    EXPIRATION DATE: 03/31/2004
RESPS:5,250          HOURS:782            COSTS(000):$0
  Medicare Program Integrity Customer Satisfaction Project
FORMS: CMS-10029

OMB NO: 0938-0840    EXPIRATION DATE: 09/30/2003
RESPS:125            HOURS:11             COSTS(000):$0
  Collection of Data on Quality Indicators for Congestive Heart
  Failure Submitted by Medicare+Choice Organizations Requesting
  Extra Payments in CY2002 and CY2003 and Supporting Regulations...
FORMS: HCFA-10035

OMB NO: 0938-0841    EXPIRATION DATE: 06/30/2004
RESPS:3,748,463      HOURS:720,999        COSTS(000):$0
  State Children's Health Insurance Program and Supporting
  Regulations in 42 CFR.
FORMS: HCFA-0308

OMB NO: 0938-0842    EXPIRATION DATE: 07/31/2005
RESPS:359,000        HOURS:269,250        COSTS(000):$0
  Inpatient Rehabilitation Assessment Instrument and Data Set for
  PPS for Inpatient Rehabilitation Facilities and Supporting
  Regulations in 42 CFR, Parts 412 and 413
FORMS: CMS-10036

OMB NO: 0938-0843    EXPIRATION DATE: 10/31/2004
RESPS:130,500        HOURS:58,000         COSTS(000):$0
  Healthy Aging Smoking Cessation Demonstration
FORMS: HCFA-10012

OMB NO: 0938-0844    EXPIRATION DATE: 03/31/2005
RESPS:5,814          HOURS:1,082          COSTS(000):$0
  Medicare Health Survey (MHS)
FORMS: CMS-10024

OMB NO: 0938-0846    EXPIRATION DATE: 10/31/2004
RESPS:1              HOURS:1              COSTS(000):$0
  Physicians' Referral to Health Care Entities With Which They
  Have Financial Relationships and Supporting Regulations in 42
  CFR, Sections 411.1, 411.350 through 411.357 and 424.22
FORMS: CMS-10047

OMB NO: 0938-0847    EXPIRATION DATE: 04/30/2003
RESPS:3,900          HOURS:800            COSTS(000):$0
  Long Term Care Awareness Project
FORMS: CMS-10041

OMB NO: 0938-0848    EXPIRATION DATE: 05/31/2005
RESPS:10             HOURS:80             COSTS(000):$0
  Health Insurance Flexibility and Accountability Section 1115
  Model Waiver
FORMS: 10048

OMB NO: 0938-0850    EXPIRATION DATE: 12/31/2003
RESPS:265            HOURS:159            COSTS(000):$0
  State Health Insurance Assistance Program (SHIP) Client Report
FORMS: HCFA-10028A-C

OMB NO: 0938-0851    EXPIRATION DATE: 10/31/2005
RESPS:10,800         HOURS:2,700          COSTS(000):$0
  Assessing the CMS Fall Campaigns
FORMS: CMS-10049

OMB NO: 0938-0852    EXPIRATION DATE: 11/30/2004
RESPS:384            HOURS:768            COSTS(000):$0
  Durable Medicare Equipment and Prosthetics, Orthotics, and
  Supplies (DMEPOS) Supplier Survey: Texas
FORMS: HCFA-10045

OMB NO: 0938-0857    EXPIRATION DATE: 01/31/2005
RESPS:100            HOURS:1,600          COSTS(000):$0
  Recognition of pass-through payment for additional (new)
  categories of devices under the Outpatient Prospective Payment
  System and Supporting Regulations in 42 CFR, Part 419
FORMS: CMS-10052

OMB NO: 0938-0859    EXPIRATION DATE: 02/28/2005
RESPS:20,000         HOURS:5,000          COSTS(000):$0
  NMEP Regional Survey of Medicare Beneficiaries
FORMS: CMS-10040

OMB NO: 0938-0860    EXPIRATION DATE: 03/31/2005
RESPS:25             HOURS:250            COSTS(000):$0
  Recognition of payment for new technology services for
  Ambulatory Payment Classification (APCs) under the Outpatient
  Prospective Payment System and Supporting Regulation in.......
FORMS: CMS-10054

OMB NO: 0938-0863    EXPIRATION DATE: 02/28/2005
RESPS:5,680          HOURS:1,914          COSTS(000):$0
  Evaluation of the BadgerCare Medicaid Demonstration
FORMS: HCFA-10043

OMB NO: 0938-0866    EXPIRATION DATE: 05/31/2005
RESPS:3,400,000      HOURS:34,000,000     COSTS(000):$0
  ICRs Contained in 45 CFR Part 162; HIPAA Standards for
  Electronic Transactions
FORMS: CMS-R-0218

OMB NO: 0938-0867    EXPIRATION DATE: 07/31/2003
RESPS:6,322          HOURS:1,581          COSTS(000):$0
  Survey of Medicare Private Fee-for-service (PFFS) Enrollees and
  Nonenrollees
FORMS: CMS-10059

OMB NO: 0938-0869    EXPIRATION DATE: 04/30/2003
RESPS:3,600          HOURS:1,080          COSTS(000):$0
  Survey of Newly Eligible Medicare Beneficiaries
FORMS: CMS-10050

OMB NO: 0938-0871    EXPIRATION DATE: 07/31/2005
RESPS:1,680          HOURS:1,106          COSTS(000):$0
  Medicare Lifestyle Modification Program Demonstration
FORMS: CMS-10044

OMB NO: 0938-0872    EXPIRATION DATE: 12/31/2005
RESPS:156,480        HOURS:132,360        COSTS(000):$6,395
  Minimum Data Set (MDS) for Swing Bed Hospitals and Supporting
  Regulations in 42 CFR 483.20 and 413.337
FORMS: CMS-10064

OMB NO: 0938-0873    EXPIRATION DATE: 08/31/2005
RESPS:250            HOURS:2,000          COSTS(000):$0
  Quality Assessment and Performance Improvement (QAPI) Project
  Completion Report, 42 CFR 422.152
FORMS: CMS-10060

OMB NO: 0938-0874    EXPIRATION DATE: 09/30/2005
RESPS:2,550,000      HOURS:1,700,000      COSTS(000):$51,000
  HIPAA Standard Unique Employer Identifier and Supporting
  Regulations in 45 CFR Part 160 and 162
FORMS: CMS-R-220

OMB NO: 0938-0875    EXPIRATION DATE: 04/30/2003
RESPS:129,000        HOURS:32,250         COSTS(000):$0
  Durable Medical Equipment Regional Carrier, Certificate of
  Medical Necessity
FORMS: CMS-843

OMB NO: 0938-0876    EXPIRATION DATE: 09/30/2005
RESPS:2,084          HOURS:348            COSTS(000):$0
  Evaluation of the MassHealth Insurance Partnership
FORMS: CMS-10051

OMB NO: 0938-0877    EXPIRATION DATE: 07/31/2005
RESPS:11,356         HOURS:5,465          COSTS(000):$0
  Evaluation of Programs of Coordinated Care and Disease Management
FORMS: CMS-10061

OMB NO: 0938-0878    EXPIRATION DATE: 10/31/2005
RESPS:6,605,691      HOURS:18,877         COSTS(000):$0
  Collection of Diagnostic Data from Medicare+Choice Organizations
  for Risk Adjusted Payment Supporting Regulations CFR Part 422
  Subpart F & G
FORMS: CMS-10062

OMB NO: 0938-0879    EXPIRATION DATE: 10/31/2005
RESPS:1,350          HOURS:1,012          COSTS(000):$0
  Making Good Choices Survey
FORMS: CMS-10065

OMB NO: 0938-0880    EXPIRATION DATE: 05/31/2003
RESPS:75             HOURS:1,600          COSTS(000):$0
  Medicare Waiver Demonstration Application
FORMS: CMS-10069

OMB NO: 0938-0882    EXPIRATION DATE: 11/30/2005
RESPS:15             HOURS:5,189          COSTS(000):$0
  Medicare Endorsed Prescription Drug Card Assistance Initiative
FORMS: CMS-10070

OMB NO: 0938-0883    EXPIRATION DATE: 12/31/2005
RESPS:776,224,162    HOURS:2,210,715      COSTS(000):$0
  Standards for Privacy of Individually Identifiable Health
  Information and Supporting Regulations at 45 CFR Parts 160 and
  164
FORMS: HCFA-10039

OMB NO: 0938-0885    EXPIRATION DATE: 06/30/2003
RESPS:15             HOURS:5,444          COSTS(000):$0
  Medicare-Endorsed Prescription Drug Card Assistance Initiative
FORMS: CMS-10076

OMB NO: 0938-0887    EXPIRATION DATE: 06/30/2003
RESPS:20             HOURS:800            COSTS(000):$0
  Matching Grants to States for the Operation of High Risk Pools
FORMS: CMS-10078

OMB NO: 0938-0889    EXPIRATION DATE: 07/31/2003
RESPS:25             HOURS:115            COSTS(000):$0
  Pharmacy Plus Template Application
FORMS: CMS-10067

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
232 2,694,335,512 139,506,338 $205,863
Administration for Children and Families
OMB NO: 0970-0004    EXPIRATION DATE: 04/30/2005
RESPS:1              HOURS:13,746         COSTS(000):$0
  Annual Statistical Report on Children in Foster Homes and
  Children in Famillies Receiving Payment in Excess of the Poverty
  Income Level from a Program Funded Under Part A of Title IV....
FORMS: ACF-4125

OMB NO: 0970-0017    EXPIRATION DATE: 09/30/2004
RESPS:54             HOURS:90             COSTS(000):$0
  Revised Form OCSE-100, State Plan for Child Support Collection
  and Establishment of Paternity Under Title IV-D of the Social
  Security Act
FORMS: OCSE-100

OMB NO: 0970-0030    EXPIRATION DATE: 08/31/2004
RESPS:48             HOURS:24             COSTS(000):$0
  Refugee Resettlement Program Estimates: CMA
FORMS: ORR-1

OMB NO: 0970-0033    EXPIRATION DATE: 12/31/2003
RESPS:2,000          HOURS:1,350          COSTS(000):$0
  Annual Survey of Refugees
FORMS: ORR-9

OMB NO: 0970-0036    EXPIRATION DATE: 06/30/2003
RESPS:81,130         HOURS:3,011          COSTS(000):$0
  Regulation -- Refugee Resettlement Program: Requirements for
  Refugee Cash Assistance; and Refugee Medical Assistance (45 CFR
  Part 400)
FORMS: NONE

OMB NO: 0970-0037    EXPIRATION DATE: 12/31/2004
RESPS:1              HOURS:14             COSTS(000):$0
  LIHEAP Quarterly Allocation Estimates Form ACF-535
FORMS: ACF-535

OMB NO: 0970-0043    EXPIRATION DATE: 05/31/2003
RESPS:50             HOURS:217            COSTS(000):$0
  Refugee State of Origin Report
FORMS: ORR-11

OMB NO: 0970-0060    EXPIRATION DATE: 10/31/2003
RESPS:236            HOURS:2,108          COSTS(000):$0
  Low Income Home Energy Assistance Program (LIHEAP) Household
  Report
FORMS: NONE

OMB NO: 0970-0062    EXPIRATION DATE: 01/31/2004
RESPS:940            HOURS:20,300         COSTS(000):$0
  Information collection from applicants who will respond to
  Request for Applications for funding of OCS competitive grants
FORMS: NONE

OMB NO: 0970-0075    EXPIRATION DATE: 02/28/2005
RESPS:180            HOURS:103            COSTS(000):$0
  Application Requirements for the Low Income Home Energy
  Assistance Program (LIHEAP) Model Plan
FORMS: NONE

OMB NO: 0970-0076    EXPIRATION DATE: 08/31/2004
RESPS:51             HOURS:178            COSTS(000):$0
  The Low Income Home Energy Assistance Program (LIHEAP) Grantee
  Survey
FORMS: ACF-284

OMB NO: 0970-0085    EXPIRATION DATE: 12/31/2003
RESPS:44,471         HOURS:593,226        COSTS(000):$0
  Provision of Services in Interstate Child Support Enforcement:
  Standard Forms
FORMS: NONE

OMB NO: 0970-0106    EXPIRATION DATE: 11/30/2004
RESPS:177            HOURS:531            COSTS(000):$0
  Low Income Home Energy Assistance Program (LIHEAP) Carryover and
  Reallotment Report
FORMS: NONE

OMB NO: 0970-0114    EXPIRATION DATE: 02/29/2004
RESPS:28             HOURS:4,552          COSTS(000):$0
  Child Care and Development Fund Plan for States/Territories
FORMS: ACF-118

OMB NO: 0970-0121    EXPIRATION DATE: 07/31/2003
RESPS:70             HOURS:2,660          COSTS(000):$0
  Low Income Home Energy Assistance Program (LIHEAP) Leveraging
  Report
FORMS: ACF-119

OMB NO: 0970-0123    EXPIRATION DATE: 04/30/2004
RESPS:135,080        HOURS:62,012         COSTS(000):$330
  Runaway and Homeless Youth Management Information System
FORMS: NONE

OMB NO: 0970-0139    EXPIRATION DATE: 12/31/2003
RESPS:2,838          HOURS:22,704         COSTS(000):$0
  ACF Uniform Project Description (UPD)
FORMS: NONE

OMB NO: 0970-0140    EXPIRATION DATE: 04/30/2003
RESPS:200            HOURS:4,800          COSTS(000):$0
  Head Start Fellows Program
FORMS: NONE

OMB NO: 0970-0142    EXPIRATION DATE: 04/30/2003
RESPS:4,800          HOURS:4,800          COSTS(000):$10
  Federal Parent Locator Service
FORMS: NONE

OMB NO: 0970-0145    EXPIRATION DATE: 07/31/2005
RESPS:54             HOURS:1,782          COSTS(000):$0
  Temporary Assistance for Needy Families (TANF) State Plan
FORMS: NONE

OMB NO: 0970-0148    EXPIRATION DATE: 08/31/2003
RESPS:2,472          HOURS:1,468,626      COSTS(000):$0
  Head Start Program Performance Standards-Final Rule
FORMS: NONE

OMB NO: 0970-0150    EXPIRATION DATE: 06/30/2003
RESPS:56             HOURS:2,800          COSTS(000):$224
  Child Care and Development Fund Annual Report
FORMS: ACF-800

OMB NO: 0970-0151    EXPIRATION DATE: 10/31/2004
RESPS:1,749          HOURS:5,439          COSTS(000):$0
  Head Start Family and Child Experiences survey
FORMS: NONE

OMB NO: 0970-0152    EXPIRATION DATE: 03/31/2004
RESPS:24,694         HOURS:12,347         COSTS(000):$0
  Administrative Subpoena
FORMS: N/A

OMB NO: 0970-0153    EXPIRATION DATE: 03/31/2004
RESPS:29,776         HOURS:7,444          COSTS(000):$0
  Notice of Lien
FORMS: N/A

OMB NO: 0970-0154    EXPIRATION DATE: 03/31/2004
RESPS:54             HOURS:16,056         COSTS(000):$0
  Order/Notice to Withhold Income for Child Support
FORMS: N/A

OMB NO: 0970-0155    EXPIRATION DATE: 04/30/2005
RESPS:52             HOURS:3,328          COSTS(000):$0
  Community-Based Family Resource and Support Program
FORMS: NONE

OMB NO: 0970-0157    EXPIRATION DATE: 06/30/2004
RESPS:20             HOURS:1,080          COSTS(000):$0
  Guidance for the Tribal Temporary Assistance for Needy Families
  Program
FORMS: NONE

OMB NO: 0970-0159    EXPIRATION DATE: 05/31/2005
RESPS:1              HOURS:1,000          COSTS(000):$0
  Statewide Automated Child Welfare Information System (SACWIS)
  Assessment Review Guide
FORMS: NONE

OMB NO: 0970-0160    EXPIRATION DATE: 11/30/2003
RESPS:25             HOURS:500            COSTS(000):$0
  Procedures for Requests to Use Child Care and Development Fund
  for Construction or Major Renovation of Child Care Facilities
FORMS: NONE

OMB NO: 0970-0161    EXPIRATION DATE: 04/30/2004
RESPS:7,074          HOURS:2,535          COSTS(000):$128
  Federal Tax Offset, Administrative Offest, and Passport Denial
  Programs
FORMS: NONE

OMB NO: 0970-0163    EXPIRATION DATE: 12/31/2003
RESPS:4              HOURS:1,792          COSTS(000):$3
  Child Care and Development Fund Quarterly Financial Report
FORMS: ACF-696

OMB NO: 0970-0166    EXPIRATION DATE: 01/31/2004
RESPS:60,000,000     HOURS:1,962,402      COSTS(000):$86,400
  National Directory of New Hires
FORMS: NONE

OMB NO: 0970-0167    EXPIRATION DATE: 03/31/2006
RESPS:224            HOURS:4,480          COSTS(000):$224
  Child Care Case-Level Report
FORMS: ACF-801

OMB NO: 0970-0171    EXPIRATION DATE: 07/31/2004
RESPS:448,600        HOURS:74,468         COSTS(000):$0
  Required Data Elements for Paternity Establishment Affidavits
FORMS: NONE

OMB NO: 0970-0173    EXPIRATION DATE: 05/31/2004
RESPS:1              HOURS:1,120          COSTS(000):$0
  Request for State Data Needed to Determine the Amount of a
  Tribal Family Assistance Grant
FORMS: NONE

OMB NO: 0970-0174    EXPIRATION DATE: 03/31/2006
RESPS:79             HOURS:1,575          COSTS(000):$0
  Native Employment Works (NEW) Program Plan Guidance and Program
  Report
FORMS: NONE

OMB NO: 0970-0175    EXPIRATION DATE: 07/31/2004
RESPS:6,905,480      HOURS:76,059         COSTS(000):$0
  Voluntary Establishment of Paternity
FORMS: NONE

OMB NO: 0970-0177    EXPIRATION DATE: 06/30/2004
RESPS:54             HOURS:216            COSTS(000):$0
  The OCSE-157 Child Support Enforcement Annual Data Report
FORMS: NONE

OMB NO: 0970-0181    EXPIRATION DATE: 09/30/2004
RESPS:432            HOURS:3,456          COSTS(000):$2,000
  Child Support Enforcement Program Financial Report Child Support
  Enforcement Program Quarterly Report of Collections
FORMS: OCSE-396A OCSE-34A

OMB NO: 0970-0183    EXPIRATION DATE: 01/31/2005
RESPS:144            HOURS:288            COSTS(000):$0
  Project 1099
FORMS: NONE

OMB NO: 0970-0186    EXPIRATION DATE: 02/28/2005
RESPS:1              HOURS:15,552         COSTS(000):$0
  Information Collection for the Methodology for Determining
  Whether an Increase in a State's Child Poverty Rate Is the
  Result of the TANF Program(s) in the State
FORMS: NONE

OMB NO: 0970-0193    EXPIRATION DATE: 01/31/2006
RESPS:200            HOURS:8,200          COSTS(000):$0
  45 C.F.R. 1309 Head Start Grants Administration
FORMS: NONE

OMB NO: 0970-0195    EXPIRATION DATE: 03/31/2005
RESPS:232            HOURS:1,856          COSTS(000):$0
  Child Care and Development Fund Annual Financial Report for
  Tribes
FORMS: ACF-696T

OMB NO: 0970-0196    EXPIRATION DATE: 08/31/2004
RESPS:17,173         HOURS:8,586          COSTS(000):$157
  Financial Institution Data Match
FORMS: NONE

OMB NO: 0970-0198    EXPIRATION DATE: 06/30/2005
RESPS:262            HOURS:4,978          COSTS(000):$0
  Child Care and Development Fund Tribal Plan
FORMS: ACF-118-A

OMB NO: 0970-0199    EXPIRATION DATE: 04/30/2003
RESPS:208            HOURS:586,864        COSTS(000):$13,500
  TANF Data Report (Includes TANF Sampling and Statistical Methods
  Manual), SSP-MOE Data report (Includes TANF Sampling and
  Statistical Methods Manual
FORMS: ACF-199 ACF-209

OMB NO: 0970-0202    EXPIRATION DATE: 09/30/2005
RESPS:15,839         HOURS:20,948         COSTS(000):$0
  National Survey of Child and Adolescent Well-Being (Child
  Welfare Longitudinal Study)
FORMS: NONE

OMB NO: 0970-0205    EXPIRATION DATE: 05/31/2004
RESPS:4              HOURS:5,200          COSTS(000):$0
  IV-E Foster Care and Adoption Assistance Financial Report
FORMS: ACF-IV-E-1

OMB NO: 0970-0207    EXPIRATION DATE: 04/30/2003
RESPS:1,513          HOURS:49,929         COSTS(000):$998
  Head Start Program Grant Application
FORMS: NONE

OMB NO: 0970-0209    EXPIRATION DATE: 01/31/2006
RESPS:972            HOURS:292            COSTS(000):$0
  Online Interstate Referral Guide (IRG)
FORMS: NONE

OMB NO: 0970-0214    EXPIRATION DATE: 04/30/2003
RESPS:39             HOURS:17,621         COSTS(000):$0
  Title IV-E Foster Care Eligibility Reviews, Child and Family
  Services Reviews, Section 471(a)(18) Compliance Reviews
FORMS: NONE

OMB NO: 0970-0215    EXPIRATION DATE: 05/31/2003
RESPS:216            HOURS:68,544         COSTS(000):$198
  Final Tribal TANF Data Report
FORMS: ACF-343

OMB NO: 0970-0218    EXPIRATION DATE: 09/30/2003
RESPS:990            HOURS:29,464         COSTS(000):$0
  Tribal Child Support Enforcement Direct Funding Request and
  Reports -- Notice of Proposed Rulemaking and Interim Final Rule
FORMS: NONE

OMB NO: 0970-0221    EXPIRATION DATE: 11/30/2003
RESPS:216            HOURS:216            COSTS(000):$0
  State Systems Profiles
FORMS: NONE

OMB NO: 0970-0222    EXPIRATION DATE: 12/31/2003
RESPS:2,234          HOURS:120,653        COSTS(000):$22
  National Medical Support Notice - Final Rule
FORMS: NONE

OMB NO: 0970-0223    EXPIRATION DATE: 01/31/2004
RESPS:54             HOURS:208,764        COSTS(000):$450
  State Self-Assessemtn Review and Report
FORMS: NONE

OMB NO: 0970-0226    EXPIRATION DATE: 09/30/2004
RESPS:1,404          HOURS:975            COSTS(000):$0
  Study of the TANF Application Process
FORMS: NONE

OMB NO: 0970-0228    EXPIRATION DATE: 09/30/2004
RESPS:540            HOURS:360            COSTS(000):$0
  Assets for Independence Act (AFIA) Participant Survey
FORMS: NONE

OMB NO: 0970-0229    EXPIRATION DATE: 09/30/2005
RESPS:19,237         HOURS:13,745         COSTS(000):$0
  Head Start Impact Study (HSIS)
FORMS: NONE

OMB NO: 0970-0230    EXPIRATION DATE: 07/31/2005
RESPS:108            HOURS:1,728          COSTS(000):$0
  TANF High Performance Bonus for Fiscal Year 2002, Electronic
  Transmission File Layouts and Federal System Edits on Work
  Measures
FORMS: ACF-300

OMB NO: 0970-0232    EXPIRATION DATE: 03/31/2005
RESPS:264            HOURS:150            COSTS(000):$0
  Tribal TANF (Temporary Assistance for Needy Families)
  Experience: Problems, Solutions, and Lessons Learned
FORMS: NONE

OMB NO: 0970-0234    EXPIRATION DATE: 03/31/2005
RESPS:56             HOURS:6,160          COSTS(000):$157
  Social Services Block Grant Post-Expenditure Report
FORMS: NONE

OMB NO: 0970-0238    EXPIRATION DATE: 06/30/2005
RESPS:195            HOURS:820            COSTS(000):$0
  Emerging Practices in Child Abuse and Neglect Prevention
FORMS: NONE

OMB NO: 0970-0239    EXPIRATION DATE: 11/30/2005
RESPS:2              HOURS:45             COSTS(000):$0
  Evaluation of the Early Head Start Fatherhood Demonstration
FORMS: NONE

OMB NO: 0970-0240    EXPIRATION DATE: 08/31/2003
RESPS:240            HOURS:240            COSTS(000):$0
  Implementation of Promoting Safe and Stable Families by Indian
  Tribes
FORMS: NONE

OMB NO: 0970-0242    EXPIRATION DATE: 09/30/2005
RESPS:4,025          HOURS:2,602          COSTS(000):$0
  HHS/ACF Employment Retention and Advancement (ERA) Evaluation
  12-Month Survey
FORMS: NONE

OMB NO: 0970-0245    EXPIRATION DATE: 02/28/2006
RESPS:52             HOURS:3,952          COSTS(000):$0
  Court Improvement Program
FORMS: SF-424 424-A

OMB NO: 0970-0246    EXPIRATION DATE: 02/28/2006
RESPS:1,197          HOURS:1,016          COSTS(000):$0
  Rural Welfare-to-Work Strategies Demonstration Evaluation Project
FORMS: NONE

OMB NO: 0970-0249    EXPIRATION DATE: 08/31/2003
RESPS:2,634          HOURS:3,584          COSTS(000):$0
  Design and Field Testing of Head Start National Reporting System
  on Child Outcomes
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
70 67,763,507 5,568,263 $104,801
Office of Human Development Services
OMB NO: 0980-0017    EXPIRATION DATE: 11/30/2004
RESPS:2,437          HOURS:9,748          COSTS(000):$0
  Head Start Program Information Report
FORMS: NONE

OMB NO: 0980-0047    EXPIRATION DATE: 07/31/2005
RESPS:300            HOURS:112,500        COSTS(000):$0
  Child and Family Services Plan (CFSP), Annual Progress and
  Services Reprot (APSR), and Annual Budget Expenses Request and
  Estimated Expenditures (CFS-101)
FORMS: CFS-101

OMB NO: 0980-0140    EXPIRATION DATE: 07/31/2004
RESPS:714,056        HOURS:1,872,392      COSTS(000):$0
  Case Plan Requirements, Section 422(b); 471(a)(16), 475(5) and
  475(6) of the Social Security Act (SSA); 45 CFR 1356.21(f)(g)
FORMS: NONE

OMB NO: 0980-0141    EXPIRATION DATE: 10/31/2005
RESPS:12             HOURS:180            COSTS(000):$0
  State Plan for Title IV-E of the Social Security Act: Foster
  Care, Independent Living Services and Adoption Assistance
FORMS: NONE

OMB NO: 0980-0160    EXPIRATION DATE: 08/31/2005
RESPS:57             HOURS:2,508          COSTS(000):$2
  Developmental Disabilities Protection and Advocacy Program
  Performance Report
FORMS: NONE

OMB NO: 0980-0162    EXPIRATION DATE: 09/30/2005
RESPS:1              HOURS:4,400          COSTS(000):$1,650
  Developmental Disabilities State Plan
FORMS: NONE

OMB NO: 0980-0172    EXPIRATION DATE: 09/30/2005
RESPS:1              HOURS:2,420          COSTS(000):$2
  State Council on Developmental Disabilities Program Performance
  Report
FORMS: NONE

OMB NO: 0980-0196    EXPIRATION DATE: 04/30/2005
RESPS:52             HOURS:3,120          COSTS(000):$0
  Application and Program Reporting Requirements for Children's
  Justice Act Grants
FORMS: NONE

OMB NO: 0980-0204    EXPIRATION DATE: 04/30/2003
RESPS:650            HOURS:18,200         COSTS(000):$0
  Program Narrative Objective Work Plan (OWP)
FORMS: NONE

OMB NO: 0980-0212    EXPIRATION DATE: 09/30/2005
RESPS:110            HOURS:990            COSTS(000):$0
  Financial Status Reporting Form (SF-269) with Supplemental Form
  (ADD-02) for porogam of state council on developmental
  disabilities
FORMS: ADD02/SF269

OMB NO: 0980-0229    EXPIRATION DATE: 06/30/2003
RESPS:52             HOURS:4,780          COSTS(000):$63
  National Child Abuse and Neglect Data System (NCANDS)
FORMS: NONE

OMB NO: 0980-0241    EXPIRATION DATE: 11/30/2004
RESPS:257            HOURS:8,995          COSTS(000):$0
  Child Care and Development Fund Tribal Annual Report
FORMS: ACF-700

OMB NO: 0980-0243    EXPIRATION DATE: 01/31/2006
RESPS:2,500          HOURS:5,000          COSTS(000):$0
  45 C.F.R. 1301 Head Start Grants Administration
FORMS: NONE

OMB NO: 0980-0266    EXPIRATION DATE: 08/31/2004
RESPS:1,505          HOURS:496            COSTS(000):$0
  Voluntary Survey of Program Partners to implement Executive
  Order 12862 within the Administration for Children Families
FORMS: NONE

OMB NO: 0980-0270    EXPIRATION DATE: 09/30/2003
RESPS:1              HOURS:2,508          COSTS(000):$2
  Developmental Disabilities Protection and Advocacy Statement of
  Goals and Priorities
FORMS: NONE

OMB NO: 0980-0271    EXPIRATION DATE: 10/31/2004
RESPS:4,021,364      HOURS:221,325        COSTS(000):$259
  Computerized Support Enforcement Systems - Final Rule
FORMS: NONE

OMB NO: 0980-0272    EXPIRATION DATE: 06/30/2003
RESPS:560            HOURS:31,120         COSTS(000):$0
  Child Welfare Demonstration Project Information Collection
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
17 4,743,915 2,300,682 $1,978
Administration on Aging
OMB NO: 0985-0004    EXPIRATION DATE: 08/31/2004
RESPS:112            HOURS:112            COSTS(000):$1,426
  Supplemental Form to the Financial Status Report (SF269), Title
  III of the Older Americans Act, Grants for State and Community
  Programs on Aging
FORMS: NONE

OMB NO: 0985-0005    EXPIRATION DATE: 12/31/2005
RESPS:52             HOURS:7,620          COSTS(000):$58,068
  State Annual Long-Term Care Ombudsman Report
FORMS: NONE

OMB NO: 0985-0006    EXPIRATION DATE: 08/31/2004
RESPS:398            HOURS:7,960          COSTS(000):$0
  Performance Progress Reports for Title IV Grantees
FORMS: NONE

OMB NO: 0985-0007    EXPIRATION DATE: 07/31/2003
RESPS:2              HOURS:681            COSTS(000):$0
  Program Performance Report, Title VI of the Older Americans Act.
  (Grants for Native Americans for Nutritional and Supportive
  Services)
FORMS: NONE

OMB NO: 0985-0008    EXPIRATION DATE: 01/31/2006
RESPS:1              HOURS:141,132        COSTS(000):$0
  State Program Report for Title III and VII of the Older
  Americans Act
FORMS: NONE

OMB NO: 0985-0009    EXPIRATION DATE: 07/31/2005
RESPS:56             HOURS:28             COSTS(000):$748
  Certification of Maintenance of Effort
FORMS: NONE

OMB NO: 0985-0012    EXPIRATION DATE: 02/28/2005
RESPS:50             HOURS:1,000          COSTS(000):$0
  Alzheimer's Disease Demonstration Grants to States Program
  Semi-Annual Report and Instructions
FORMS: NONE

OMB NO: 0985-0013    EXPIRATION DATE: 02/28/2005
RESPS:9,250          HOURS:1,713          COSTS(000):$0
  Alzheimer's Disease Demonstration Grants to States Program
  Evaluation Data Collection
FORMS: NONE

OMB NO: 0985-0014    EXPIRATION DATE: 05/31/2003
RESPS:3,708          HOURS:2,046          COSTS(000):$0
  National Survey of Older American Act Participants
FORMS: NONE

OMB NO: 0985-0015    EXPIRATION DATE: 09/30/2003
RESPS:1,600          HOURS:267            COSTS(000):$0
  National Family Caregiver Support Program Survey: Grandparents
  and Other Relatives Raising Children
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
10 15,229 162,559 $60,242
Departmental Management
OMB NO: 0990-0001    EXPIRATION DATE: 04/30/2003
RESPS:200            HOURS:1,200          COSTS(000):$150
  Application for Waiver of the 2-Year Foreign Residence
  Requirement of the Exchange Visitor Program
FORMS: HHS-426

OMB NO: 0990-0115    EXPIRATION DATE: 09/30/2004
RESPS:4,269          HOURS:986,280        COSTS(000):$0
  Procurement - Solicitation and Contracts
FORMS: NONE

OMB NO: 0990-0124    EXPIRATION DATE: 05/31/2004
RESPS:2,600          HOURS:41,600         COSTS(000):$0
  Self-Evaluation & Recordkeeping Required by Regulations
  Implementing Section 504 of the Rehabilitation Act of 1973
FORMS: NONE

OMB NO: 0990-0128    EXPIRATION DATE: 05/31/2004
RESPS:122            HOURS:1,102          COSTS(000):$0
  HHS Acquisition Regulations: HHSAR Section 352.270-9 and Section
  252.223-70
FORMS: NONE

OMB NO: 0990-0129    EXPIRATION DATE: 01/31/2006
RESPS:1,242          HOURS:10,556         COSTS(000):$0
  Special Programs Affecting Acquisiiton (HHSAR Part 370)
FORMS: NONE

OMB NO: 0990-0130    EXPIRATION DATE: 01/31/2006
RESPS:1,921          HOURS:3,842          COSTS(000):$0
  Solicitation Provisions and Contract Clauses (HHSAR Part 352)
FORMS: NONE

OMB NO: 0990-0131    EXPIRATION DATE: 12/31/2005
RESPS:110            HOURS:2,200          COSTS(000):$0
  HHS Acquisition Regulation - HHSAR Part 342 - Contract
  Administration
FORMS: NONE

OMB NO: 0990-0133    EXPIRATION DATE: 12/31/2005
RESPS:80             HOURS:40             COSTS(000):$0
  HHS Acquisition Regulation - HHSAR Part 333 - Disputes and
  Appeals
FORMS: NONE

OMB NO: 0990-0136    EXPIRATION DATE: 01/31/2006
RESPS:430            HOURS:3,440          COSTS(000):$0
  HHS Acquisition Regulation - HHSAR Part 324 - Protection of
  Privacy and Freedom of Information
FORMS: NONE

OMB NO: 0990-0139    EXPIRATION DATE: 06/30/2003
RESPS:6,645          HOURS:13,290         COSTS(000):$0
  HHS Acquisition Regulation - HHSAR Subpart 315.4 - Solicitation
  and Receipt of Proposals and Quotations
FORMS: NONE

OMB NO: 0990-0150    EXPIRATION DATE: 04/30/2004
RESPS:1              HOURS:1              COSTS(000):$0
  Uniform Relocation and Real Property Acquisition Under Federal
  and Federally Assisted Program
FORMS: NONE

OMB NO: 0990-0169    EXPIRATION DATE: 12/31/2005
RESPS:4,000          HOURS:280,000        COSTS(000):$0
  Uniform Administrative Requirements for Grantrs and Cooperative
  Agreements to State and Local Governments
FORMS: NONE

OMB NO: 0990-0208    EXPIRATION DATE: 03/31/2004
RESPS:30,000         HOURS:10,333         COSTS(000):$0
  Applicant Background Survey
FORMS: NONE

OMB NO: 0990-0220    EXPIRATION DATE: 12/31/2003
RESPS:2,400          HOURS:480            COSTS(000):$0
  Voluntary Industry Partner Surveys to Implement E.O. 12862
FORMS: NONE

OMB NO: 0990-0221    EXPIRATION DATE: 09/30/2004
RESPS:85             HOURS:1,870          COSTS(000):$47
  Title X Family Planning Annual Report
FORMS: NONE

OMB NO: 0990-0223    EXPIRATION DATE: 12/31/2003
RESPS:7,350          HOURS:3,496          COSTS(000):$0
  Evaluation of the Cash and Counseling Demonstration
FORMS: NONE

OMB NO: 0990-0230    EXPIRATION DATE: 06/30/2003
RESPS:780            HOURS:930            COSTS(000):$0
  Site Visit Protocols for the Multi-site Evaluation of the
  Welfare-to-Work Grants Program
FORMS: NONE

OMB NO: 0990-0232    EXPIRATION DATE: 10/31/2003
RESPS:1,157          HOURS:503            COSTS(000):$0
  Cash and Counseling Demonstration--Additional Survey Instruments
FORMS: NONE

OMB NO: 0990-0236    EXPIRATION DATE: 02/29/2004
RESPS:620            HOURS:620            COSTS(000):$0
  Financial Summary of Obligation and Expenditure of Block Grant
  Funds (45 CFR 96.30)
FORMS: SF-269A

OMB NO: 0990-0237    EXPIRATION DATE: 05/31/2003
RESPS:7,220          HOURS:6,138          COSTS(000):$0
  First Follow-up Survey of Youth - Federal Evaluation of
  Initiatives Funded Under Section 510 of the Maternal and Child
  Health Block Grant Program
FORMS: NONE

OMB NO: 0990-0238    EXPIRATION DATE: 06/30/2003
RESPS:12,750         HOURS:9,819          COSTS(000):$0
  Follow-up Survey for the Multi-site Evaluation of the
  Welfare-to-Work Grants Program
FORMS: NONE

OMB NO: 0990-0239    EXPIRATION DATE: 06/30/2003
RESPS:136            HOURS:46             COSTS(000):$0
  Empowerment Zone and Enterprise Community Health Improvement
  Capacity Survey
FORMS: NONE

OMB NO: 0990-0240    EXPIRATION DATE: 07/31/2003
RESPS:3,555          HOURS:666            COSTS(000):$0
  Survey of Grant Recipients
FORMS: NONE

OMB NO: 0990-0243    EXPIRATION DATE: 10/31/2003
RESPS:3,000          HOURS:48,000         COSTS(000):$0
  OCR Pre-grant Automation Project
FORMS: NONE

OMB NO: 0990-0244    EXPIRATION DATE: 03/31/2004
RESPS:3,000          HOURS:1,000          COSTS(000):$0
  National Centers of Excellence in Women's Health Program
  Quantitative Evaluation Survey
FORMS: NONE

OMB NO: 0990-0250    EXPIRATION DATE: 10/31/2004
RESPS:600            HOURS:150            COSTS(000):$0
  National Centers of Excellence in Women's Health Program
  Supplemental Quantiative Community Survey
FORMS: NONE

OMB NO: 0990-0253    EXPIRATION DATE: 06/30/2004
RESPS:1,104          HOURS:1,288          COSTS(000):$0
  National Study of Child Protective Services Systems and Reform
  Efforts
FORMS: NONE

OMB NO: 0990-0255    EXPIRATION DATE: 06/30/2003
RESPS:720            HOURS:300            COSTS(000):$0
  National Study of Culturally and Linguistically Appropriate
  Services in Managed Care Organization
FORMS: NONE

OMB NO: 0990-0256    EXPIRATION DATE: 02/28/2005
RESPS:21,600         HOURS:12,744         COSTS(000):$0
  Survey of SCHIP Enrollees and Disenrollees for the
  Congressionally Mandated Evaluation of the State Children's
  Health Insurance Program
FORMS: NONE

OMB NO: 0990-0257    EXPIRATION DATE: 05/31/2005
RESPS:2,872          HOURS:1,436          COSTS(000):$0
  Wave Three Survey of Youth for the Evaluation of Initiatives
  Funded Under Section 510 of the Maternal & Child Health Block
  Grant
FORMS: NONE

OMB NO: 0990-0258    EXPIRATION DATE: 05/31/2005
RESPS:2,044          HOURS:1,515          COSTS(000):$0
  A Study of Stroke Post-Acute Care Outcomes
FORMS: NONE

OMB NO: 0990-0260    EXPIRATION DATE: 05/31/2005
RESPS:88,566         HOURS:194,376        COSTS(000):$0
  Protection of Human Subjects: Common Rule (56 FR 28003)
FORMS: NONE

OMB NO: 0990-0262    EXPIRATION DATE: 06/30/2003
RESPS:1              HOURS:1,250          COSTS(000):$0
  Survey of Research Integrity Measures Utilized in Biomedical
  Research Laboratories
FORMS: NONE

OMB NO: 0990-0263    EXPIRATION DATE: 07/31/2005
RESPS:17,000         HOURS:1              COSTS(000):$0
  Protection of Human Subjects Assurance Identification/IRB
  Certification/Declaration of Exemption
FORMS: NONE

OMB NO: 0990-0264    EXPIRATION DATE: 06/30/2005
RESPS:6,640          HOURS:4,378          COSTS(000):$0
  State Studies on TANF Caseload
FORMS: NONE

OMB NO: 0990-0265    EXPIRATION DATE: 12/31/2003
RESPS:120            HOURS:480            COSTS(000):$0
  Assessment of State Laws, Regulations, and Practice Affecting
  the Collection and Reporting of Racial/Ethnic Health Data
FORMS: NONE

OMB NO: 0990-0267    EXPIRATION DATE: 02/28/2006
RESPS:1,252          HOURS:1,138          COSTS(000):$0
  Study of Fathers' Involvement in Permanency Planning and Child
  Welfare Casework
FORMS: NONE

OMB NO: 0990-0268    EXPIRATION DATE: 09/30/2005
RESPS:6,755          HOURS:3,720          COSTS(000):$0
  Service Use and Transition of Private Long-term Care Insurance
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
38 242,947 1,650,228 $197
Office of Family Assistance
OMB NO: 0992-0005    EXPIRATION DATE: 05/31/2003
RESPS:260            HOURS:5,752          COSTS(000):$0
  45 CFR Part 95, Subpart F -- Automatic Data Processing Equipment
  and Services--Conditions for Federal Financial Participation
FORMS: NONE

OMB NO: 0992-0007    EXPIRATION DATE: 07/31/2004
RESPS:216            HOURS:4,320          COSTS(000):$0
  TANF High Performance Bonus Report, Assessment of Medicaid and
  SCHIP Enrollment Among Individuals After Leaving TANF Assistance
FORMS: ACF-210

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
2 476 10,072 $0

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
828 3,003,402,939 231,714,026 $1,285,272
(RETURN TO AGENCY LIST)

Department of Homeland Security
Bureau of Citizenship and Immigration Services
OMB NO: 1615-0001    EXPIRATION DATE: 11/30/2004
RESPS:200,000        HOURS:100,000        COSTS(000):$19,000
  Petition for Alien Fiance(e)
FORMS: I-129F

OMB NO: 1615-0002    EXPIRATION DATE: 11/30/2005
RESPS:400,000        HOURS:400,000        COSTS(000):$126,000
  LIFE Legalization Supplement to Form I-485 Instructions
FORMS: I-485

OMB NO: 1615-0003    EXPIRATION DATE: 07/31/2004
RESPS:683,210        HOURS:512,407        COSTS(000):$81,985
  Application to Extend/Change Nonimmigrant Status
FORMS: I-539

OMB NO: 1615-0004    EXPIRATION DATE: 11/30/2004
RESPS:427,000        HOURS:213,500        COSTS(000):$0
  Supplement A to form I-539 (Filing Instructions for V
  Nonimmigrant Status)
FORMS: I-539-SUPP.A

OMB NO: 1615-0005    EXPIRATION DATE: 11/30/2004
RESPS:40,000         HOURS:100,000        COSTS(000):$6,600
  Application for Benefits Under the Family Unity Program
FORMS: I-817

OMB NO: 1615-0006    EXPIRATION DATE: 04/30/2003
RESPS:15,000         HOURS:16,200         COSTS(000):$5,250
  Checklist for On-Site Review of Schools
FORMS: NONE

OMB NO: 1615-0007    EXPIRATION DATE: 10/31/2004
RESPS:250,000        HOURS:20,750         COSTS(000):$0
  Alien Change of Address Card
FORMS: AR-11

OMB NO: 1615-0008    EXPIRATION DATE: 01/31/2005
RESPS:1,144,994      HOURS:286,249        COSTS(000):$0
  Biographic Information
FORMS: G-325

OMB NO: 1615-0009    EXPIRATION DATE: 06/30/2003
RESPS:368,948        HOURS:1,014,607      COSTS(000):$168,676
  Petition for Nonimmigrant Worker
FORMS: I-129

OMB NO: 1615-0010    EXPIRATION DATE: 09/30/2005
RESPS:250,000        HOURS:145,750        COSTS(000):$0
  Nonimmigrant Petition Based on Blanket L Petition
FORMS: I-129S

OMB NO: 1615-0011    EXPIRATION DATE: 02/28/2006
RESPS:64,046         HOURS:64,046         COSTS(000):$128,092
  H-1B Data Collection and Filing Fee Exemption
FORMS: I-129W

OMB NO: 1615-0012    EXPIRATION DATE: 05/31/2003
RESPS:506,358        HOURS:253,179        COSTS(000):$0
  Petition for Alien relative
FORMS: I-130

OMB NO: 1615-0013    EXPIRATION DATE: 06/30/2004
RESPS:453,318        HOURS:407,986        COSTS(000):$43,065
  Application for Travel Document
FORMS: I-131

OMB NO: 1615-0014    EXPIRATION DATE: 06/30/2003
RESPS:44,000         HOURS:14,652         COSTS(000):$0
  Affidavit of Support
FORMS: I-134

OMB NO: 1615-0015    EXPIRATION DATE: 08/31/2004
RESPS:96,000         HOURS:96,000         COSTS(000):$11,040
  Immigrant Petition for Alien Workers
FORMS: I-140

OMB NO: 1615-0016    EXPIRATION DATE: 06/30/2003
RESPS:300            HOURS:75             COSTS(000):$51
  Application for Advance Permission to Return to Unrelinquished
  Domicile
FORMS: I-191

OMB NO: 1615-0017    EXPIRATION DATE: 01/31/2005
RESPS:12,000         HOURS:3,000          COSTS(000):$2,040
  Application for Advance Permission to Enter as Nonimmigrant
  (Pusuant to 212(d)(3) of the Immigration and Nationality Act)
FORMS: FORM-I-192

OMB NO: 1615-0018    EXPIRATION DATE: 11/30/2005
RESPS:4,200          HOURS:8,400          COSTS(000):$819
  Application for Permission to reapply for Admission into the
  United States after Deportation or Removal
FORMS: I-212

OMB NO: 1615-0019    EXPIRATION DATE: 02/28/2005
RESPS:41             HOURS:7              COSTS(000):$0
  Application for Removal
FORMS: I-243

OMB NO: 1615-0020    EXPIRATION DATE: 02/28/2005
RESPS:8,397          HOURS:16,794         COSTS(000):$1,071
  Petition ofr Amerasian, Widow or Special Immigrant
FORMS: I-360

OMB NO: 1615-0021    EXPIRATION DATE: 12/31/2005
RESPS:50             HOURS:25             COSTS(000):$0
  Affidavit of Financial Support and Intent to Petition for Legal
  Custody for Public Law 97-359 Amerasian
FORMS: I-361

OMB NO: 1615-0022    EXPIRATION DATE: 10/31/2004
RESPS:50             HOURS:25             COSTS(000):$0
  Request to Enforce Affidavit of Financial Support and Intent to
  Petition for custody for Pub.L. 97-359 Amerasian
FORMS: I-363

OMB NO: 1615-0023    EXPIRATION DATE: 05/31/2005
RESPS:635,500        HOURS:2,781,321      COSTS(000):$193,256
  Application to Register Permanent Residence or Adjust Status,
  and Supplement A to Form I-485
FORMS: I-485 SUPP.A-I-485

OMB NO: 1615-0024    EXPIRATION DATE: 12/31/2005
RESPS:50,000         HOURS:25,000         COSTS(000):$0
  HRIFA Supplement to Form I-485 Instructions
FORMS: I-485-SUPP.C

OMB NO: 1615-0025    EXPIRATION DATE: 06/30/2005
RESPS:1,800          HOURS:150            COSTS(000):$0
  Waiver of Rights, Privileges, Exemptions and Immunities
FORMS: I-508

OMB NO: 1615-0026    EXPIRATION DATE: 02/28/2005
RESPS:1,368          HOURS:1,710          COSTS(000):$547
  Immigrant Petition by Alien Entrepreneur
FORMS: I-526

OMB NO: 1615-0027    EXPIRATION DATE: 05/31/2003
RESPS:4,400          HOURS:1,100          COSTS(000):$0
  Inter-Agency Record of Individual Requesting Change/Adjustment
  to or form A or g Status; or Requesting A, G. or NATO Dependent
  Employment Authorization
FORMS: I-566

OMB NO: 1615-0028    EXPIRATION DATE: 06/30/2005
RESPS:34,000         HOURS:17,000         COSTS(000):$15,640
  Petition to Classify Orphan as an Immediate Relative and
  Application for Advance Processing of Orphan Petition
FORMS: I-600 I-600A

OMB NO: 1615-0029    EXPIRATION DATE: 06/30/2003
RESPS:3,000          HOURS:1,500          COSTS(000):$510
  Application for Waiver of Ground of Excludability
FORMS: I-601

OMB NO: 1615-0030    EXPIRATION DATE: 06/30/2005
RESPS:1,300          HOURS:432            COSTS(000):$253
  Application for Waiver of the Foreign Residence Requirement of
  Section 212(e) of the Immigration and Nationality Act
FORMS: I-612

OMB NO: 1615-0031    EXPIRATION DATE: 07/31/2005
RESPS:3,000          HOURS:249            COSTS(000):$0
  Supplementary Statement for Graduate Medical Trainees
FORMS: I-644

OMB NO: 1615-0032    EXPIRATION DATE: 09/30/2005
RESPS:85             HOURS:21             COSTS(000):$3
  Application for Waiver of Grounds of Excludability
FORMS: I-690

OMB NO: 1615-0033    EXPIRATION DATE: 04/30/2005
RESPS:800,000        HOURS:1,200,000      COSTS(000):$0
  Medical Examination of Aliens Seeking Adjustment of Status
FORMS: I-693

OMB NO: 1615-0034    EXPIRATION DATE: 06/30/2005
RESPS:1,192          HOURS:596            COSTS(000):$60
  Notice of Appeal of Decision Under Section 210 or 245A of the
  Immigration and Nationality Act
FORMS: I-694

OMB NO: 1615-0035    EXPIRATION DATE: 11/30/2004
RESPS:1,179          HOURS:1,179          COSTS(000):$141
  Application to Adjust Status from Temporary to Permanent Resident
FORMS: I-698

OMB NO: 1615-0036    EXPIRATION DATE: 12/31/2005
RESPS:100,000        HOURS:16,600         COSTS(000):$0
  Certificate of Satisfactory Pursuit
FORMS: I-699

OMB NO: 1615-0037    EXPIRATION DATE: 04/30/2005
RESPS:86,400         HOURS:50,371         COSTS(000):$0
  Refugee/Asylee Relative Position
FORMS: I-730

OMB NO: 1615-0038    EXPIRATION DATE: 01/31/2005
RESPS:118,008        HOURS:156,951        COSTS(000):$17,111
  Petition to Remove the Conditions on Residence
FORMS: I-751

OMB NO: 1615-0039    EXPIRATION DATE: 06/30/2005
RESPS:5              HOURS:1              COSTS(000):$0
  Guam Visa Waiver Agreement
FORMS: I-760

OMB NO: 1615-0040    EXPIRATION DATE: 04/30/2005
RESPS:1,873,296      HOURS:4,083,785      COSTS(000):$224,795
  Application for Employment Authorization
FORMS: FORM-I-765

OMB NO: 1615-0041    EXPIRATION DATE: 06/30/2003
RESPS:15,000         HOURS:26,250         COSTS(000):$0
  Liberian Deferred Enforced Departure (DED) Supplement to Form
  I-765
FORMS: I-765D

OMB NO: 1615-0042    EXPIRATION DATE: 03/31/2004
RESPS:100            HOURS:50             COSTS(000):$2
  Application for Issuance or Replacement of Nothern Mariana Card
FORMS: I-777

OMB NO: 1615-0043    EXPIRATION DATE: 03/31/2004
RESPS:181,000        HOURS:90,500         COSTS(000):$8,800
  Application for Temporary Protected Status
FORMS: I-821 I-821A

OMB NO: 1615-0044    EXPIRATION DATE: 03/31/2004
RESPS:43,772         HOURS:18,209         COSTS(000):$5,253
  Application for Action on an Approved Application or Petition
FORMS: I-824

OMB NO: 1615-0045    EXPIRATION DATE: 12/31/2005
RESPS:200            HOURS:216            COSTS(000):$79
  Petition by Entrepreneur to Remove Conditions
FORMS: I-829

OMB NO: 1615-0046    EXPIRATION DATE: 09/30/2005
RESPS:125            HOURS:531            COSTS(000):$0
  Interagency Alien Witness and Informant Record
FORMS: I-854

OMB NO: 1615-0047    EXPIRATION DATE: 11/30/2003
RESPS:78,000,000     HOURS:13,020,000     COSTS(000):$0
  Employment Eligibility Verification
FORMS: I-9

OMB NO: 1615-0048    EXPIRATION DATE: 01/31/2005
RESPS:80,000         HOURS:40,000         COSTS(000):$8,000
  Request for Premium Processing Service
FORMS: I-907

OMB NO: 1615-0049    EXPIRATION DATE: 12/31/2005
RESPS:1,000          HOURS:250            COSTS(000):$0
  Request for Verification of Naturalization
FORMS: N-25

OMB NO: 1615-0050    EXPIRATION DATE: 07/31/2005
RESPS:7,669          HOURS:21,090         COSTS(000):$1,495
  Request for Hearing on a Decision in Naturalization Proceedings
  Under Section 336
FORMS: N-336

OMB NO: 1615-0051    EXPIRATION DATE: 02/28/2006
RESPS:1,920          HOURS:960            COSTS(000):$0
  Monthly Report Naturalization Papers
FORMS: N-4

OMB NO: 1615-0052    EXPIRATION DATE: 07/31/2005
RESPS:700,000        HOURS:4,291,000      COSTS(000):$182,000
  Application for Naturalization
FORMS: N-400

OMB NO: 1615-0053    EXPIRATION DATE: 02/29/2004
RESPS:45,000         HOURS:33,750         COSTS(000):$0
  Request for Certification of Military or Naval Service
FORMS: N-426

OMB NO: 1615-0054    EXPIRATION DATE: 10/31/2005
RESPS:650,000        HOURS:53,950         COSTS(000):$0
  Notice of Naturalization Oath Ceremony
FORMS: N-445

OMB NO: 1615-0055    EXPIRATION DATE: 07/31/2005
RESPS:100            HOURS:17             COSTS(000):$9
  Application for Transfer of Petition for Naturalization
FORMS: N-455

OMB NO: 1615-0056    EXPIRATION DATE: 08/31/2003
RESPS:375            HOURS:375            COSTS(000):$43
  Application to Preserve Residence for Naturalization
FORMS: N-470

OMB NO: 1615-0057    EXPIRATION DATE: 07/31/2005
RESPS:88,500         HOURS:88,500         COSTS(000):$15,932
  Application for Certificate of Citizenship
FORMS: N-600

OMB NO: 1615-0058    EXPIRATION DATE: 06/30/2003
RESPS:11,159         HOURS:11,159         COSTS(000):$1,395
  Application for Certificate of Citizenship in Behalf of an
  Adopted Child
FORMS: N-643

OMB NO: 1615-0059    EXPIRATION DATE: 02/28/2006
RESPS:50             HOURS:92             COSTS(000):$4
  Application for Posthumous Citizenship
FORMS: N-644

OMB NO: 1615-0060    EXPIRATION DATE: 03/31/2005
RESPS:20,000         HOURS:40,000         COSTS(000):$1,600
  Medical Certification for Disability Exceptions
FORMS: N-648

OMB NO: 1615-0061    EXPIRATION DATE: 07/31/2005
RESPS:50             HOURS:2,000          COSTS(000):$0
  Notice of Immigration Pilot Program
FORMS: NONE

OMB NO: 1615-0062    EXPIRATION DATE: 09/30/2005
RESPS:21,000         HOURS:37,240         COSTS(000):$4,550
  Certificates for Health Care Benefits
FORMS: NONE

OMB NO: 1615-0063    EXPIRATION DATE: 03/31/2004
RESPS:8,000          HOURS:8,000          COSTS(000):$3,240
  National Interest Waivers; Supplemental Evidence to I-140 and
  I-485
FORMS: NONE

OMB NO: 1615-0064    EXPIRATION DATE: 05/31/2005
RESPS:100            HOURS:200            COSTS(000):$0
  Special Immigrant Visas for Fourth Preference Employment-Based
  Broadcasters
FORMS: NONE

OMB NO: 1615-0065    EXPIRATION DATE: 12/31/2004
RESPS:2,000          HOURS:4,000          COSTS(000):$0
  Petitioning Requirements for H-1C Nonimmigrant Classification
FORMS: NONE

OMB NO: 1615-0066    EXPIRATION DATE: 01/31/2004
RESPS:5              HOURS:1,040,850      COSTS(000):$0
  The Student and Exchange Visitor Information System (SEVIS)
FORMS: NONE

OMB NO: 1615-0067    EXPIRATION DATE: 04/30/2003
RESPS:78,000         HOURS:936,000        COSTS(000):$780
  Application for Asylum and for Withholding of Removal
FORMS: I-589

OMB NO: 1615-0068    EXPIRATION DATE: 10/31/2005
RESPS:140,000        HOURS:81,620         COSTS(000):$0
  Registration for Classification as a Refugee
FORMS: FORM-I-590

OMB NO: 1615-0069    EXPIRATION DATE: 07/31/2005
RESPS:2,500          HOURS:625            COSTS(000):$0
  Application by Refugee for Waiver of Grounds of Excludability
FORMS: I-602

OMB NO: 1615-0070    EXPIRATION DATE: 01/31/2004
RESPS:195,000        HOURS:32,370         COSTS(000):$0
  Health and Human Services Statistical Data for Refugee/Asylee
  Adjusting Status
FORMS: I-643

OMB NO: 1615-0071    EXPIRATION DATE: 10/31/2005
RESPS:5,000          HOURS:2,500          COSTS(000):$0
  ABC Change of Address Form and Special Filing Instructions for
  ABC Class Members
FORMS: I-855 M-426

OMB NO: 1615-0072    EXPIRATION DATE: 02/28/2006
RESPS:55,000         HOURS:660,000        COSTS(000):$11,825
  Application for Suspension of Deportation or Special Rule
  Cancellation of Removal (Pursuant to Sec. 203 of Pub. L. 105-100)
FORMS: I-881

OMB NO: 1615-0073    EXPIRATION DATE: 07/31/2005
RESPS:20             HOURS:1,600          COSTS(000):$0
  Guidelines on Producing Master Exhibits for Asylum Applications
FORMS: NONE

OMB NO: 1615-0074    EXPIRATION DATE: 04/30/2003
RESPS:12             HOURS:51,960         COSTS(000):$0
  Contacts Concerning Project Speak Out!
FORMS: G-1046

OMB NO: 1615-0075    EXPIRATION DATE: 08/31/2004
RESPS:950,300        HOURS:2,443,350      COSTS(000):$0
  Affidavit of Support Under Sction 213A of the Act, and Contract
  Between Sponsor and Household Member
FORMS: I-864

OMB NO: 1615-0076    EXPIRATION DATE: 08/31/2004
RESPS:100,000        HOURS:23,300         COSTS(000):$0
  Sponsor's Notice of Change of Address
FORMS: I-865

OMB NO: 1615-0077    EXPIRATION DATE: 04/30/2004
RESPS:150,000        HOURS:75,000         COSTS(000):$0
  Generic Clearance of Customer Service Surveys (PREMIUM
  PROCESSING SURVEY)
FORMS: OMB-9

OMB NO: 1615-0078    EXPIRATION DATE: 02/29/2004
RESPS:433            HOURS:325            COSTS(000):$21
  Application to File Declaration of Intention
FORMS: N-300

OMB NO: 1615-0079    EXPIRATION DATE: 02/29/2004
RESPS:20,000         HOURS:5,073          COSTS(000):$1,700
  Application for Replacement/Initial Nonimmigrant Arrival-
  Departure Document
FORMS: I-102

OMB NO: 1615-0080    EXPIRATION DATE: 01/31/2006
RESPS:1,000,000      HOURS:75,000         COSTS(000):$0
  INS Case Status Online
FORMS: NONE

OMB NO: 1615-0081    EXPIRATION DATE: 06/30/2003
RESPS:5,000          HOURS:2,500          COSTS(000):$0
  Application Requirements for the Adjustment of Status Under
  Section 586 of Public Law 106-249
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
81 91,260,835 35,232,030 $1,292,733
U.S. Secret Service
OMB NO: 1620-0001    EXPIRATION DATE: 05/31/2003
RESPS:7,500          HOURS:22,500         COSTS(000):$0
  Supplemental Investigative Data
FORMS: SSF86A

OMB NO: 1620-0002    EXPIRATION DATE: 08/31/2003
RESPS:5,000          HOURS:1,250          COSTS(000):$0
  Contractor Personnel Access Application
FORMS: SSF-3237

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
2 12,500 23,750 $0
U.S. Coast Guard
OMB NO: 1625-0001    EXPIRATION DATE: 01/31/2005
RESPS:181,089        HOURS:19,195         COSTS(000):$0
  Marine Casualty Information; Chemical Drug and Alcohol Testing
  of Commercial Vessel Personnel; and Management Information
  System Requirements
FORMS: CG-2692 CG-2692A CG-2692B CG-5573

OMB NO: 1625-0002    EXPIRATION DATE: 08/31/2003
RESPS:2,443          HOURS:613            COSTS(000):$0
  Application for Vessel Inspection and Waiver
FORMS: CG-2633 CG-3752

OMB NO: 1625-0003    EXPIRATION DATE: 06/30/2003
RESPS:8,000          HOURS:4,000          COSTS(000):$0
  Recreational Boating Accident Report
FORMS: CG-3865

OMB NO: 1625-0004    EXPIRATION DATE: 02/29/2004
RESPS:13,600         HOURS:6,640          COSTS(000):$0
  U.S. Coast Guard Academy Preliminary Application and
  Supplemental Forms
FORMS: NONE

OMB NO: 1625-0005    EXPIRATION DATE: 04/30/2005
RESPS:265            HOURS:292            COSTS(000):$0
  Application and Permit to Handle Hazardous Material
FORMS: CG-4260

OMB NO: 1625-0006    EXPIRATION DATE: 10/31/2004
RESPS:12,000         HOURS:18,000         COSTS(000):$0
  Shipping Articles
FORMS: CG-705A

OMB NO: 1625-0007    EXPIRATION DATE: 01/31/2004
RESPS:43             HOURS:129            COSTS(000):$0
  Characteristics of Liquid Chemicals Proposed for Bulk Water
  Movement
FORMS: CG-4355

OMB NO: 1625-0008    EXPIRATION DATE: 08/31/2003
RESPS:1,500          HOURS:1,540          COSTS(000):$0
  Regattas and Marine Parades
FORMS: NONE

OMB NO: 1625-0009    EXPIRATION DATE: 08/31/2003
RESPS:1,697          HOURS:35,828         COSTS(000):$0
  Oil Record Book for Ships
FORMS: CG-4602A

OMB NO: 1625-0010    EXPIRATION DATE: 12/31/2005
RESPS:4              HOURS:328            COSTS(000):$0
  Defect/Noncompliance Report and Campaign Update Report
FORMS: 4917 4918

OMB NO: 1625-0011    EXPIRATION DATE: 07/31/2005
RESPS:1              HOURS:3,073          COSTS(000):$0
  CG-2554 Private Aids to Navigation Application. CG-4143
  Application for Class I Private Aids to Nav artificial
  islands/fixed structures
FORMS: CG-2554 CG-4143

OMB NO: 1625-0012    EXPIRATION DATE: 07/31/2003
RESPS:130,000        HOURS:4,500          COSTS(000):$0
  Certificate of Discharge to Merchant Mariners
FORMS: CG-718A

OMB NO: 1625-0013    EXPIRATION DATE: 05/31/2005
RESPS:20,495         HOURS:1,979          COSTS(000):$0
  Plan Approval and Records for Load Lines
FORMS: 98-USA-LL A21-HSSC-LL- EXEMPT LL-14-A LL-18-E LL-40-A LL-19
LL-13-C LL-18-F

OMB NO: 1625-0014    EXPIRATION DATE: 08/31/2003
RESPS:29             HOURS:29             COSTS(000):$0
  Request for Designation and Exemption of Oceanographic Research
  Vessels
FORMS: NONE

OMB NO: 1625-0015    EXPIRATION DATE: 09/30/2005
RESPS:100            HOURS:4,000          COSTS(000):$0
  Bridge Permit Application Guide; (BPAG)
FORMS: P16591.3B

OMB NO: 1625-0016    EXPIRATION DATE: 11/30/2004
RESPS:518            HOURS:226            COSTS(000):$0
  Welding and Hot Work Permits; Posting of Warning Signs
FORMS: CG-4201

OMB NO: 1625-0017    EXPIRATION DATE: 11/30/2003
RESPS:458            HOURS:38             COSTS(000):$0
  Various International Agreement Safety Certificates and Documents
FORMS: CG-967 CG-968 CG-968A CG-969 CG-3347 CG-3347B CG-4359 CG-5643
CG-5679 CG-5679A

OMB NO: 1625-0018    EXPIRATION DATE: 08/31/2005
RESPS:1,750          HOURS:1,750          COSTS(000):$0
  Official Logbook
FORMS: 706B

OMB NO: 1625-0019    EXPIRATION DATE: 09/30/2004
RESPS:34             HOURS:153            COSTS(000):$0
  Alternative Compliance for International and Inland Navigation
  Rules -- 33 CFR Parts 81 and 89
FORMS: NONE

OMB NO: 1625-0020    EXPIRATION DATE: 01/31/2005
RESPS:333            HOURS:417            COSTS(000):$0
  Security Zones, Regulated Navigation Areas, and Safety Zones
FORMS: NONE

OMB NO: 1625-0021    EXPIRATION DATE: 03/31/2005
RESPS:1,012          HOURS:27,369         COSTS(000):$0
  Operations Manual and Amendments for Facilities Transferring Oil
  and Hazardous Materials in Bulk
FORMS: NONE

OMB NO: 1625-0022    EXPIRATION DATE: 04/30/2003
RESPS:12,720         HOURS:27,600         COSTS(000):$0
  Application for Tonnage Measurement of Vessels
FORMS: CG-5397

OMB NO: 1625-0023    EXPIRATION DATE: 11/30/2003
RESPS:50             HOURS:30,618         COSTS(000):$0
  Barge Fleeting Facility Records
FORMS: NONE

OMB NO: 1625-0024    EXPIRATION DATE: 12/31/2004
RESPS:2,622,656      HOURS:101,732        COSTS(000):$0
  Safety Approval of Cargo Containers
FORMS: NONE

OMB NO: 1625-0025    EXPIRATION DATE: 07/31/2004
RESPS:1,538          HOURS:830            COSTS(000):$0
  Carriage of Bulk Solids Requiring Special Handling -- 46 CFR
  Part 148
FORMS: NONE

OMB NO: 1625-0026    EXPIRATION DATE: 09/30/2003
RESPS:61             HOURS:65             COSTS(000):$0
  Plan Approval and Records for Foreign Vessels Carrying Oil in
  Bulk
FORMS: NONE

OMB NO: 1625-0027    EXPIRATION DATE: 06/30/2004
RESPS:180,030        HOURS:50,452         COSTS(000):$0
  Vessel Documentation
FORMS: CG1258 CG1261 CG1270 CG1280 CG1280A CG1280B CG1340 CG1356 CG4593
CG5542

OMB NO: 1625-0028    EXPIRATION DATE: 11/30/2005
RESPS:375            HOURS:16,988         COSTS(000):$0
  Course Approvals for Merchant Marine Training Schools
FORMS: NONE

OMB NO: 1625-0029    EXPIRATION DATE: 03/31/2005
RESPS:326            HOURS:5,131          COSTS(000):$0
  Self-propelled Liquefied Gas Vessels
FORMS: CG-4355

OMB NO: 1625-0030    EXPIRATION DATE: 04/30/2004
RESPS:211            HOURS:106            COSTS(000):$0
  Oil and Hazardous Materials Transfer Procedures
FORMS: NONE

OMB NO: 1625-0031    EXPIRATION DATE: 03/31/2005
RESPS:1,153          HOURS:1,153          COSTS(000):$0
  Electrical Engineering Regulations--Title 46 CFR Subchapter J
FORMS: NONE

OMB NO: 1625-0032    EXPIRATION DATE: 06/30/2005
RESPS:3,405          HOURS:1,578          COSTS(000):$0
  Vessel Inspection Related Forms and Posting Requirements Under
  Title 46 U.S. Code
FORMS: CG-841 CG-854 CG-948 CG-949 CG-950 CG-950A CG-2832 CG-4504

OMB NO: 1625-0033    EXPIRATION DATE: 09/30/2003
RESPS:1,596          HOURS:798            COSTS(000):$0
  Display of Fire Control Plans for Vessels
FORMS: NONE

OMB NO: 1625-0034    EXPIRATION DATE: 11/30/2005
RESPS:2              HOURS:6              COSTS(000):$0
  Ships' Stores Certification for Hazardous Materials Aboard Ships
FORMS: NONE

OMB NO: 1625-0035    EXPIRATION DATE: 12/31/2005
RESPS:2,178          HOURS:16,880         COSTS(000):$0
  Title 46 CFR Subchapter Q: Lifesaving, Electrical, and
  Engineering Equipment, Construction and Materials (Consolidates
  COIs 2115-0121, 0141, 0525, 0576, 0577 & 0619)
FORMS: 10030

OMB NO: 1625-0036    EXPIRATION DATE: 12/31/2004
RESPS:2,023          HOURS:443            COSTS(000):$0
  Plan Approval and Records for Vessels Carrying Oil in Bulk
FORMS: NONE

OMB NO: 1625-0037    EXPIRATION DATE: 07/31/2005
RESPS:36,656         HOURS:17,555         COSTS(000):$0
  Tank Vessel Examination Letters, Certificates of Compliance,
  Boiler/Pressure Vessel Repairs, Cargo Gear Records, and Shipping
  Papers
FORMS: CG-840S-1 CG-840S-2 CG-3583

OMB NO: 1625-0038    EXPIRATION DATE: 08/31/2003
RESPS:11,963         HOURS:6,472          COSTS(000):$0
  Plan Approval & Records for Tank, Passenger, Cargo & Miscellan-
  eous Vessels, Mobile Off-shore Drilling Units, Nautical Schools,
  Oceanographic Vessels & Electrictal Engineering
FORMS: NONE

OMB NO: 1625-0039    EXPIRATION DATE: 08/31/2003
RESPS:92,283         HOURS:28,332         COSTS(000):$0
  Declaration of Inspection Before Transfer of Liquid Cargo in Bulk
FORMS: NONE

OMB NO: 1625-0040    EXPIRATION DATE: 01/31/2005
RESPS:48,029         HOURS:21,358         COSTS(000):$0
  Submission of continuous discharge book, revised merchant
  mariner application, physical report new sea service, chemical
  testing and entry level physical forms.
FORMS: CG-719A CG-719B CG-719K CG-719S CG-719P CG-719K/E

OMB NO: 1625-0041    EXPIRATION DATE: 02/29/2004
RESPS:1,889          HOURS:6,858          COSTS(000):$0
  International Oil Pollution Prevention Certificate
FORMS: CG-5352 CG-5352A CG-5352B

OMB NO: 1625-0042    EXPIRATION DATE: 07/31/2005
RESPS:1,300          HOURS:228            COSTS(000):$0
  Requirements for Lightering of Oil and Hazardous Material Cargoes
FORMS: NONE

OMB NO: 1625-0043    EXPIRATION DATE: 09/30/2005
RESPS:1,339          HOURS:2,929          COSTS(000):$0
  Ports and Waterways Safety -- Title 33 CFR Subchapter P
FORMS: NONE

OMB NO: 1625-0044    EXPIRATION DATE: 09/30/2003
RESPS:263            HOURS:526            COSTS(000):$0
  Station Bill for Manned Outer Continental Shelf Facilities
FORMS: NONE

OMB NO: 1625-0045    EXPIRATION DATE: 12/31/2004
RESPS:4,182          HOURS:1,215          COSTS(000):$0
  Advance Notice and Adequacy Certification for Reception
  Facilities
FORMS: CG-5401 CG-5401A CG-5401B CG-5401C

OMB NO: 1625-0046    EXPIRATION DATE: 06/30/2003
RESPS:1              HOURS:2,162          COSTS(000):$0
  Financial Responsibility for Water Pollution (Vessels)
FORMS: CG-5585 CG-5586 CG-5586-1 CG-5586-2 CG-5586-3 CG-5586-4
CG-5586-5

OMB NO: 1625-0047    EXPIRATION DATE: 08/31/2003
RESPS:765            HOURS:57,375         COSTS(000):$0
  Vital System Automation -- 46 CFR Parts 52, 56, 58, 61, 62, 110,
  111, and 113
FORMS: NONE

OMB NO: 1625-0048    EXPIRATION DATE: 04/30/2003
RESPS:546            HOURS:137            COSTS(000):$0
  Vessel Reporting Requirement
FORMS: NONE

OMB NO: 1625-0049    EXPIRATION DATE: 01/31/2004
RESPS:463            HOURS:3,272          COSTS(000):$0
  Liquefied Natural Gas and Liquefied Hazardous Gas Waterfront
  Facilities
FORMS: NONE

OMB NO: 1625-0050    EXPIRATION DATE: 12/31/2004
RESPS:5              HOURS:50             COSTS(000):$0
  Approval of Equivalent Equipment or Procedures Other than those
  Specified in Title 33 CFR Subchapter N
FORMS: NONE

OMB NO: 1625-0051    EXPIRATION DATE: 11/30/2005
RESPS:30             HOURS:10             COSTS(000):$0
  a) Reports of MARPOL 73/78 oil, noxious liquid substance (NLS)
  and garbage discharge; b) Application for equivalents,
  exemptions and alternatives; c) Pollution sightings
FORMS: NONE

OMB NO: 1625-0052    EXPIRATION DATE: 09/30/2003
RESPS:13             HOURS:84             COSTS(000):$0
  Nondestructive Testing Proposal and Results for Pressure Vessel
  Cargo Tanks on Unmanned Barges
FORMS: NONE

OMB NO: 1625-0053    EXPIRATION DATE: 01/31/2004
RESPS:15             HOURS:46             COSTS(000):$0
  Hopper Dredge Working Freeboard - - Load Line and Stability
FORMS: NONE

OMB NO: 1625-0054    EXPIRATION DATE: 03/31/2005
RESPS:3,489          HOURS:3,884          COSTS(000):$0
  Self Inspection of Fixed Outer Continental Shelf (OCS) Facilities
FORMS: CG-5432

OMB NO: 1625-0055    EXPIRATION DATE: 01/31/2004
RESPS:13             HOURS:143            COSTS(000):$0
  Alternative Provisions for Reinspection of Offshore Supply
  Vessels in Foreign Ports
FORMS: NONE

OMB NO: 1625-0056    EXPIRATION DATE: 08/31/2003
RESPS:261            HOURS:382,798        COSTS(000):$0
  Labeling Requirements in 33 CFR Parts 181 and 183
FORMS: NONE

OMB NO: 1625-0057    EXPIRATION DATE: 09/30/2003
RESPS:6,753          HOURS:436,173        COSTS(000):$0
  Small Passenger Vessels -- Title 46 CFR Subchapters K and T
FORMS: CG-841 CG-854 CG-948 CG-949 CG-3752 CG-5256

OMB NO: 1625-0058    EXPIRATION DATE: 12/31/2004
RESPS:350            HOURS:391            COSTS(000):$0
  Application for Permit to Transport Municipal and Commercial
  Waste
FORMS: NONE

OMB NO: 1625-0059    EXPIRATION DATE: 06/30/2004
RESPS:268            HOURS:884            COSTS(000):$0
  Outer Continental Shelf Activities -- Emergency Evacuation Plans
  for Manned OCS Facilities; Design & Plan Approvals; In-service
  Inspection & Letter of Compliance
FORMS: NONE

OMB NO: 1625-0060    EXPIRATION DATE: 07/31/2005
RESPS:122            HOURS:1,073          COSTS(000):$0
  Vapor Control Systems for Facilities and Tank Vessels
FORMS: NONE

OMB NO: 1625-0061    EXPIRATION DATE: 12/31/2004
RESPS:6,925          HOURS:8,205          COSTS(000):$0
  Commercial Fishing Industry Vessel Safety Regulations
FORMS: NONE

OMB NO: 1625-0062    EXPIRATION DATE: 10/31/2004
RESPS:1              HOURS:18             COSTS(000):$0
  Approval of Alterations to Marine Portable Tanks; Approval of
  Non-Specification Portable Tanks
FORMS: NONE

OMB NO: 1625-0063    EXPIRATION DATE: 06/30/2003
RESPS:200            HOURS:59,755         COSTS(000):$0
  Marine Occupational Health and Safety Standards for Benzene--46
  CFR 197 Subpart C
FORMS: NONE

OMB NO: 1625-0064    EXPIRATION DATE: 01/31/2004
RESPS:3,250          HOURS:10,003         COSTS(000):$0
  Plan Approval and Records for Subdivision and Stability
  Regulations--Title 46 CFR Subchapter S
FORMS: NONE

OMB NO: 1625-0065    EXPIRATION DATE: 09/30/2003
RESPS:580            HOURS:5,931          COSTS(000):$0
  Offshore Supply Vessels -- 46 CFR Subchapter L
FORMS: NONE

OMB NO: 1625-0066    EXPIRATION DATE: 08/31/2003
RESPS:5,207          HOURS:188,733        COSTS(000):$0
  Vessel Response Plans, Facility Response Plans, Shipboard Oil
  Pollution Emergency Plans, and Additional Response Equipment
  Requirements for Prince William Sound
FORMS: NONE

OMB NO: 1625-0067    EXPIRATION DATE: 04/30/2005
RESPS:831            HOURS:13,722         COSTS(000):$0
  Claims under the Oil Pollution Act of 1990
FORMS: NONE

OMB NO: 1625-0068    EXPIRATION DATE: 04/30/2005
RESPS:1              HOURS:3              COSTS(000):$0
  State access to the oil spill liability trust fund for removal
  costs under the Oil Pollution Act of 1990
FORMS: NONE

OMB NO: 1625-0069    EXPIRATION DATE: 11/30/2005
RESPS:50,000         HOURS:33,500         COSTS(000):$0
  Ballast Water Management for Vessels with Ballast Tanks Entering
  U.S. Waters
FORMS: CG-5662

OMB NO: 1625-0070    EXPIRATION DATE: 06/30/2003
RESPS:123,582        HOURS:5,697          COSTS(000):$308
  Vessel Identification System
FORMS: NONE

OMB NO: 1625-0071    EXPIRATION DATE: 07/31/2003
RESPS:1              HOURS:80             COSTS(000):$0
  Boat Owner's Report - Possible Safety Defect
FORMS: CG-5578

OMB NO: 1625-0072    EXPIRATION DATE: 04/30/2004
RESPS:5,707          HOURS:59,653         COSTS(000):$0
  Waste Management Plans, Refuse Discharge Logs, and Letters of
  Instruction for Certain Persons-in-Charge (PIC)
FORMS: NONE

OMB NO: 1625-0073    EXPIRATION DATE: 06/30/2003
RESPS:3              HOURS:120            COSTS(000):$0
  Alteration of Unreasonably Obstructive Bridges under the
  Truman-Hobbs (T-H) Act
FORMS: NONE

OMB NO: 1625-0074    EXPIRATION DATE: 02/29/2004
RESPS:18,823         HOURS:4,648          COSTS(000):$0
  Direct User Fees for Inspection or Examination of U.S. and
  Foreign Commercial Vessels
FORMS: CG-5565 CG-5565A

OMB NO: 1625-0075    EXPIRATION DATE: 06/30/2004
RESPS:1,600          HOURS:320            COSTS(000):$0
  Boating Statistics Questionnaire
FORMS: NONE

OMB NO: 1625-0076    EXPIRATION DATE: 09/30/2004
RESPS:50             HOURS:1,406          COSTS(000):$0
  Inflatable Personal Flotation Devices for Recreational Vessels
FORMS: NONE

OMB NO: 1625-0077    EXPIRATION DATE: 06/30/2003
RESPS:95             HOURS:1,811          COSTS(000):$0
  Security of Passenger Vessels and Passenger Terminals
FORMS: NONE

OMB NO: 1625-0078    EXPIRATION DATE: 05/31/2004
RESPS:226            HOURS:15,338         COSTS(000):$0
  Licensing and Manning Requirements for Officers on Towing Vessels
FORMS: NONE

OMB NO: 1625-0079    EXPIRATION DATE: 02/28/2006
RESPS:14,995         HOURS:18,693         COSTS(000):$0
  Standards of Training, Certification and Watchkeeping for
  Seafarers (STCW), 1995 and 1997 Amendments to the International
  Convention
FORMS: NONE

OMB NO: 1625-0080    EXPIRATION DATE: 09/30/2003
RESPS:13,485         HOURS:4,712          COSTS(000):$0
  Customer Satisfaction Surveys
FORMS: NONE

OMB NO: 1625-0081    EXPIRATION DATE: 07/31/2005
RESPS:75             HOURS:150            COSTS(000):$0
  Alternate Compliance Program
FORMS: CG-3752

OMB NO: 1625-0082    EXPIRATION DATE: 03/31/2004
RESPS:26,830         HOURS:281,998        COSTS(000):$0
  Navigation Safety Equipment and Emergency Instructions for
  Certain Towing Vessels
FORMS: NONE

OMB NO: 1625-0083    EXPIRATION DATE: 07/31/2005
RESPS:47,363         HOURS:18,006         COSTS(000):$0
  Operational Measures for Existing Tank Vessels Without Double
  Hulls
FORMS: NONE

OMB NO: 1625-0084    EXPIRATION DATE: 07/31/2003
RESPS:2,988          HOURS:3,650          COSTS(000):$0
  International Safety Management Code Audit Reports
FORMS: NONE

OMB NO: 1625-0085    EXPIRATION DATE: 01/31/2005
RESPS:1,907          HOURS:32,244         COSTS(000):$0
  Streamlined Inspection Program
FORMS: NONE

OMB NO: 1625-0086    EXPIRATION DATE: 10/31/2003
RESPS:60             HOURS:18             COSTS(000):$0
  Great Lakes Pilotage Rate Methodology
FORMS: NONE

OMB NO: 1625-0087    EXPIRATION DATE: 03/31/2005
RESPS:300            HOURS:125            COSTS(000):$0
  U.S. Coast Guard International Ice Patrol (IIP) Customer Survey
FORMS: NONE

OMB NO: 1625-0088    EXPIRATION DATE: 10/31/2004
RESPS:877            HOURS:439            COSTS(000):$0
  Voyage Planning for Tank Barge Transits in the Northeast United
  States
FORMS: NONE

OMB NO: 1625-0089    EXPIRATION DATE: 08/31/2005
RESPS:87,500         HOURS:11,458         COSTS(000):$0
  The National Recreational Boating Survey
FORMS: NONE

OMB NO: 1625-0090    EXPIRATION DATE: 09/30/2003
RESPS:2,784          HOURS:1,624          COSTS(000):$0
  Understanding How Mariners Use Aids to Navigation - A Tool for
  the Coast Guard's Office of Aids to Navigation
FORMS: NONE

OMB NO: 1625-0091    EXPIRATION DATE: 09/30/2003
RESPS:27             HOURS:54             COSTS(000):$0
  Certification of Navigation Lights for Recreational and
  Uninspected Vessels
FORMS: NONE

OMB NO: 1625-0092    EXPIRATION DATE: 09/30/2004
RESPS:23             HOURS:230            COSTS(000):$0
  Sewage and Graywater Discharge Records for Certain Cruise
  Vessels Operating on Alaskan Waters
FORMS: NONE

OMB NO: 1625-0093    EXPIRATION DATE: 03/31/2006
RESPS:1,395          HOURS:27,819         COSTS(000):$0
  Facilities Transferring Oil or Hazardous Materials in Bulk --
  Letter of Intent and Operations Manual
FORMS: NONE

OMB NO: 1625-0094    EXPIRATION DATE: 03/31/2006
RESPS:158            HOURS:738            COSTS(000):$0
  Ships Carrying Bulk Hazardous Liquid
FORMS: CG-4602B CG-5148 CG-5461 CG-5148A CG-5148B

OMB NO: 1625-0095    EXPIRATION DATE: 03/31/2006
RESPS:168            HOURS:1,440          COSTS(000):$0
  Oil and Hazardous Material Pollution Prevention and Safety
  Records, Equivalents/Alternatives and Exemptions
FORMS: NONE

OMB NO: 1625-0096    EXPIRATION DATE: 03/31/2006
RESPS:104,000        HOURS:8,667          COSTS(000):$0
  Report of Oil or Hazardous Substance Discharge
FORMS: NONE

OMB NO: 1625-0097    EXPIRATION DATE: 03/31/2006
RESPS:3,090          HOURS:3,090          COSTS(000):$0
  Plan Approval and Records for Marine Engineering Systems - 46
  CFR Subchapter F
FORMS: NONE

OMB NO: 1625-0098    EXPIRATION DATE: 03/31/2006
RESPS:6,633          HOURS:442            COSTS(000):$0
  Records Relating to Citizenship of Personnel on Units Engaged in
  Outer Continental Shelf (OCS) Activities
FORMS: NONE

OMB NO: 1625-0099    EXPIRATION DATE: 03/31/2006
RESPS:5,360          HOURS:2,680          COSTS(000):$0
  Requirements for the Use of Liquefied Petroleum Gas and
  Compressed Natural Gas as Cooking Fuel on Passenger Vessels
FORMS: NONE

OMB NO: 1625-0100    EXPIRATION DATE: 03/31/2006
RESPS:68,139         HOURS:174,179        COSTS(000):$0
  Advance Notice of Vessel Arrival and Departure
FORMS: I-418 1302

OMB NO: 1625-0101    EXPIRATION DATE: 03/31/2006
RESPS:236            HOURS:13,688         COSTS(000):$0
  Periodic Gauging and Engineering Analyses for Certain Tank
  Vessels Over 30 Years Old
FORMS: NONE

OMB NO: 1625-0102    EXPIRATION DATE: 03/31/2006
RESPS:85             HOURS:1,224          COSTS(000):$0
  National Response Resource Inventory
FORMS: NONE

OMB NO: 1625-0103    EXPIRATION DATE: 03/31/2006
RESPS:1,098          HOURS:88             COSTS(000):$0
  Mandatory Ship Reporting System for the Northeast and Southest
  Coasts of the United States
FORMS: NONE

OMB NO: 1625-0104    EXPIRATION DATE: 03/31/2006
RESPS:911            HOURS:10,903         COSTS(000):$0
  Barges Carrying Bulk Hazardous Materials
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
104 4,022,262 2,385,736 $308
Bureau of Customs and Border Protection
OMB NO: 1651-0001    EXPIRATION DATE: 10/31/2005
RESPS:12,828,300     HOURS:1,852,825      COSTS(000):$0
  Transportation Manifest (Cargo Declaration)
FORMS: CF-1302 CF-1302A

OMB NO: 1651-0002    EXPIRATION DATE: 05/31/2003
RESPS:1,500,000      HOURS:49,950         COSTS(000):$0
  General Declaration (Outward/Inward)
FORMS: FORM-7507

OMB NO: 1651-0003    EXPIRATION DATE: 09/30/2004
RESPS:560,000        HOURS:56,000         COSTS(000):$0
  Transportation Entry and Manifest of Goods Subject to Customs
  Inspection and Permit
FORMS: CF-7512

OMB NO: 1651-0004    EXPIRATION DATE: 09/30/2004
RESPS:15,000         HOURS:2,000          COSTS(000):$0
  Application for Exportation of Articles under Special Bond
FORMS: FORM-3495

OMB NO: 1651-0005    EXPIRATION DATE: 11/30/2003
RESPS:399,000        HOURS:39,900         COSTS(000):$0
  Application-Permit-Special License Unlading/Lading, Overtime
  Services
FORMS: FORM-3171

OMB NO: 1651-0006    EXPIRATION DATE: 06/30/2003
RESPS:137,400        HOURS:13,740         COSTS(000):$0
  Application and Approval to Manipulate, Examine, Sample, or
  Transfer Goods
FORMS: FORM-3499

OMB NO: 1651-0007    EXPIRATION DATE: 12/31/2003
RESPS:12,000         HOURS:1,600          COSTS(000):$0
  Application for Allowance in Duties
FORMS: FORM-4315

OMB NO: 1651-0008    EXPIRATION DATE: 06/30/2005
RESPS:45,000         HOURS:9,750          COSTS(000):$0
  Application for Identification Card
FORMS: 3078

OMB NO: 1651-0009    EXPIRATION DATE: 08/31/2005
RESPS:60,000,000     HOURS:3,960,000      COSTS(000):$0
  U.S. Customs Declaration
FORMS: 6059-B

OMB NO: 1651-0010    EXPIRATION DATE: 08/31/2003
RESPS:200,000        HOURS:10,000         COSTS(000):$0
  Certificate of Registration
FORMS: 4455 4457

OMB NO: 1651-0011    EXPIRATION DATE: 08/31/2003
RESPS:420,000        HOURS:51,000         COSTS(000):$0
  Declaration for Free Entry of Returned American Products
FORMS: FORMS-3311

OMB NO: 1651-0012    EXPIRATION DATE: 05/31/2003
RESPS:102,000        HOURS:8,497          COSTS(000):$0
  Lien Notice
FORMS: FORM-3485

OMB NO: 1651-0013    EXPIRATION DATE: 10/31/2005
RESPS:99,000         HOURS:8,247          COSTS(000):$0
  Entry and Manifest of Merchandise Free of Duty, Carrier's
  Certificate and Release
FORMS: 7523

OMB NO: 1651-0014    EXPIRATION DATE: 10/31/2003
RESPS:150,000        HOURS:25,000         COSTS(000):$0
  Declaration for Free Entry of Unaccompanied Articles
FORMS: FORM-3299

OMB NO: 1651-0015    EXPIRATION DATE: 06/30/2003
RESPS:16,800         HOURS:348            COSTS(000):$0
  Application for Extension of Bond for Temporary Importation
FORMS: FORM-3499

OMB NO: 1651-0016    EXPIRATION DATE: 09/30/2005
RESPS:310            HOURS:113            COSTS(000):$0
  Certificate of Origin
FORMS: 3229

OMB NO: 1651-0017    EXPIRATION DATE: 07/31/2003
RESPS:45,330         HOURS:67,995         COSTS(000):$0
  Protest
FORMS: FORM-19

OMB NO: 1651-0018    EXPIRATION DATE: 08/31/2005
RESPS:104,300        HOURS:26,000         COSTS(000):$0
  Ship's Stores Declaration
FORMS: 1303

OMB NO: 1651-0019    EXPIRATION DATE: 10/31/2005
RESPS:264,000        HOURS:21,991         COSTS(000):$0
  Vessel Entrance or Clearance Statement Form
FORMS: 1300

OMB NO: 1651-0020    EXPIRATION DATE: 10/31/2005
RESPS:206,100        HOURS:17,168         COSTS(000):$0
  Crew Effects Declaration
FORMS: 1304

OMB NO: 1651-0021    EXPIRATION DATE: 08/31/2003
RESPS:5,968,351      HOURS:298,418        COSTS(000):$0
  Crew Members Declaration
FORMS: 5129

OMB NO: 1651-0022    EXPIRATION DATE: 10/31/2005
RESPS:22,001,956     HOURS:6,627,678      COSTS(000):$0
  Entry Summary and Continuation Sheet
FORMS: 7501 7501A

OMB NO: 1651-0023    EXPIRATION DATE: 06/30/2005
RESPS:60,000         HOURS:60,000         COSTS(000):$0
  Request for Information
FORMS: FORM-28

OMB NO: 1651-0024    EXPIRATION DATE: 10/31/2005
RESPS:18,654,229     HOURS:2,775,043      COSTS(000):$0
  Immediate Delivery Application
FORMS: 3461 3461-ALTERNATE

OMB NO: 1651-0025    EXPIRATION DATE: 08/31/2005
RESPS:2,800          HOURS:233            COSTS(000):$0
  Report of Diversion
FORMS: 26

OMB NO: 1651-0026    EXPIRATION DATE: 08/31/2005
RESPS:3,800          HOURS:3,800          COSTS(000):$0
  Customshouse Broker's License/Permit
FORMS: 3124 3124E

OMB NO: 1651-0027    EXPIRATION DATE: 06/30/2005
RESPS:2,000          HOURS:1,500          COSTS(000):$0
  Record of Vessel Foreign Repair or Equipment
FORMS: FORM-226

OMB NO: 1651-0028    EXPIRATION DATE: 01/31/2005
RESPS:1,000          HOURS:50,000         COSTS(000):$0
  Cost Submission
FORMS: 247

OMB NO: 1651-0029    EXPIRATION DATE: 11/30/2003
RESPS:325,000        HOURS:79,500         COSTS(000):$0
  Application for Foreign Trade Zone Admission and Status
  Designation
FORMS: FORMS-214 214A 214B 214C 216

OMB NO: 1651-0030    EXPIRATION DATE: 06/30/2005
RESPS:15,000         HOURS:1,250          COSTS(000):$0
  Declaration of Unaccompanied Articles
FORMS: FORM-255

OMB NO: 1651-0031    EXPIRATION DATE: 08/31/2003
RESPS:259,350        HOURS:302,402        COSTS(000):$0
  Foreign Assemblers Declaration (with Endorsement by Importer)
FORMS: NONE

OMB NO: 1651-0032    EXPIRATION DATE: 05/31/2003
RESPS:12,000         HOURS:13,000         COSTS(000):$0
  Importers of Merchandise Subject to Actual Use Provisions
FORMS: NONE

OMB NO: 1651-0033    EXPIRATION DATE: 05/31/2003
RESPS:1,800          HOURS:36,000         COSTS(000):$0
  Bonded Warehouse Proprietor's Submission
FORMS: FORM-300

OMB NO: 1651-0034    EXPIRATION DATE: 06/30/2005
RESPS:7,100          HOURS:5,450          COSTS(000):$0
  Customs Regulations Pertaining to Customhouse Brokers
FORMS: NONE

OMB NO: 1651-0035    EXPIRATION DATE: 11/30/2003
RESPS:20             HOURS:90             COSTS(000):$0
  Holders or Containers Which Enter the United States Duty Free
FORMS: NONE

OMB NO: 1651-0036    EXPIRATION DATE: 01/31/2005
RESPS:165            HOURS:27             COSTS(000):$0
  Declaration of Ultimate Consignee That Articles Were Exported
  for Temporary Scientific or Educational Purposes
FORMS: NONE

OMB NO: 1651-0037    EXPIRATION DATE: 06/30/2005
RESPS:1,600          HOURS:530            COSTS(000):$0
  Entry of Articles for Exhibition
FORMS: NONE

OMB NO: 1651-0038    EXPIRATION DATE: 05/31/2003
RESPS:10,500         HOURS:3,500          COSTS(000):$0
  Proof of Use rates of Duty Dependent on Actual Use
FORMS: NONE

OMB NO: 1651-0039    EXPIRATION DATE: 01/31/2005
RESPS:7,500          HOURS:1,880          COSTS(000):$0
  Declaration by the Person Who Performed the Processing of Goods
  Abroad
FORMS: NONE

OMB NO: 1651-0040    EXPIRATION DATE: 08/31/2005
RESPS:205            HOURS:615            COSTS(000):$0
  Establishment of a Container Station
FORMS: NONE

OMB NO: 1651-0041    EXPIRATION DATE: 08/31/2005
RESPS:54             HOURS:162            COSTS(000):$0
  Establishment of a Bonded Warehouse
FORMS: NONE

OMB NO: 1651-0042    EXPIRATION DATE: 02/28/2006
RESPS:1,078          HOURS:539            COSTS(000):$0
  Disclosure of Information on Vessel Manifest
FORMS: NONE

OMB NO: 1651-0043    EXPIRATION DATE: 08/31/2005
RESPS:2              HOURS:16             COSTS(000):$0
  Application for Bonding of Smelting and Refining
FORMS: NONE

OMB NO: 1651-0044    EXPIRATION DATE: 07/31/2003
RESPS:1              HOURS:1              COSTS(000):$0
  Free Admittance Under Conditions of Emergency
FORMS: NONE

OMB NO: 1651-0045    EXPIRATION DATE: 08/31/2005
RESPS:9,000          HOURS:4,500          COSTS(000):$0
  Application to Receive Free Materials in a Bonded Warehouse
FORMS: NONE

OMB NO: 1651-0046    EXPIRATION DATE: 08/31/2005
RESPS:198            HOURS:232            COSTS(000):$0
  Bonded Warehouses-Alterations, Suspensions, Relocations &
  Discontinuances
FORMS: NONE

OMB NO: 1651-0047    EXPIRATION DATE: 05/31/2003
RESPS:15             HOURS:156            COSTS(000):$0
  Required Records for Smelting and Refining Warehouses
FORMS: NONE

OMB NO: 1651-0048    EXPIRATION DATE: 05/31/2003
RESPS:20,472         HOURS:10,236         COSTS(000):$0
  Declaration of Persons Who Perform Repairs or Alterations
FORMS: NONE

OMB NO: 1651-0049    EXPIRATION DATE: 08/31/2005
RESPS:1,400          HOURS:466            COSTS(000):$0
  Permit to Transfer Containers to a Container Station
FORMS: NONE

OMB NO: 1651-0050    EXPIRATION DATE: 01/31/2005
RESPS:590,250        HOURS:147,596        COSTS(000):$0
  Importation Bond Structure
FORMS: 301 5297

OMB NO: 1651-0051    EXPIRATION DATE: 10/31/2005
RESPS:260            HOURS:195            COSTS(000):$0
  Foreign Trade Zones Annual Reconciliation and Record Keeping
  Requirement
FORMS: NONE

OMB NO: 1651-0052    EXPIRATION DATE: 05/31/2005
RESPS:120,100        HOURS:16,100         COSTS(000):$0
  User Fees
FORMS: 339

OMB NO: 1651-0053    EXPIRATION DATE: 07/31/2004
RESPS:1              HOURS:250            COSTS(000):$0
  Approval of Commercial Gaugers & Accreditation of Commercial
  Laboratories
FORMS: NONE

OMB NO: 1651-0054    EXPIRATION DATE: 06/30/2003
RESPS:600,000        HOURS:100,000        COSTS(000):$0
  Exportation of Self-Propelled Vehicles
FORMS: NONE

OMB NO: 1651-0055    EXPIRATION DATE: 07/31/2003
RESPS:2,500,000      HOURS:1,250,000      COSTS(000):$0
  Harbor Maintenance Fee
FORMS: 349 350

OMB NO: 1651-0056    EXPIRATION DATE: 09/30/2004
RESPS:300            HOURS:25             COSTS(000):$0
  Importation of Ethyl Alcohol for Non-Beverage Purposes
FORMS: NONE

OMB NO: 1651-0057    EXPIRATION DATE: 05/31/2003
RESPS:10,000         HOURS:41             COSTS(000):$0
  Country of Origin Marking Requirements for Containers or Holders
FORMS: NONE

OMB NO: 1651-0058    EXPIRATION DATE: 11/30/2005
RESPS:150,000        HOURS:2,490          COSTS(000):$0
  Documents Required Aboard Private Aircraft
FORMS: NONE

OMB NO: 1651-0059    EXPIRATION DATE: 10/31/2005
RESPS:1,700          HOURS:425            COSTS(000):$0
  Automotive Products Act of 1965
FORMS: NONE

OMB NO: 1651-0060    EXPIRATION DATE: 09/30/2005
RESPS:25,700         HOURS:6,425          COSTS(000):$0
  Line Release/Border Release Advanced Screening and Selectivity
  (BRASS)
FORMS: NONE

OMB NO: 1651-0061    EXPIRATION DATE: 10/31/2003
RESPS:50             HOURS:100            COSTS(000):$0
  Centralized Examination Station
FORMS: NONE

OMB NO: 1651-0062    EXPIRATION DATE: 08/31/2005
RESPS:31,200         HOURS:1,030          COSTS(000):$0
  Air Waybill
FORMS: NONE

OMB NO: 1651-0063    EXPIRATION DATE: 06/30/2003
RESPS:936            HOURS:13,176         COSTS(000):$0
  Petroleum Refineries in Foreign Trade Subzones
FORMS: NONE

OMB NO: 1651-0064    EXPIRATION DATE: 07/31/2003
RESPS:1,000          HOURS:100            COSTS(000):$0
  Importer Input Record
FORMS: FORMS-5106

OMB NO: 1651-0065    EXPIRATION DATE: 01/31/2005
RESPS:34,500         HOURS:7,505          COSTS(000):$0
  U.S./Israel Free Trade Agreement
FORMS: NONE

OMB NO: 1651-0066    EXPIRATION DATE: 06/30/2005
RESPS:325            HOURS:200            COSTS(000):$0
  Report of Loss, Detention, or Accident by Bonded Carrier,
  Cartman, Lighterman, Foreign Trade Zone Operator, or Centralized
  Examination Station Operator.
FORMS: NONE

OMB NO: 1651-0067    EXPIRATION DATE: 08/31/2005
RESPS:58,300         HOURS:14,575         COSTS(000):$0
  Documentation Requirements for Articles Entered Under Various
  Special Treatment Provisions
FORMS: NONE

OMB NO: 1651-0068    EXPIRATION DATE: 08/31/2003
RESPS:310            HOURS:31             COSTS(000):$0
  Importers Declaration/Shippers Declaration
FORMS: NONE

OMB NO: 1651-0069    EXPIRATION DATE: 08/31/2004
RESPS:6,500          HOURS:2,750          COSTS(000):$0
  Voluntary Customer Information Surveys in Support of Executive
  Order 12862
FORMS: NONE

OMB NO: 1651-0070    EXPIRATION DATE: 01/31/2005
RESPS:2,000          HOURS:667            COSTS(000):$0
  Articles Assembled Abroad with Textile Components Cut to Shape
  in the U.S.
FORMS: NONE

OMB NO: 1651-0071    EXPIRATION DATE: 06/30/2005
RESPS:1,400          HOURS:280            COSTS(000):$0
  NAFTA Duty Deferral
FORMS: NONE

OMB NO: 1651-0072    EXPIRATION DATE: 06/30/2005
RESPS:360            HOURS:360            COSTS(000):$0
  Certificate of Compliance for Turbine Fuel Withdrawals
FORMS: NONE

OMB NO: 1651-0073    EXPIRATION DATE: 08/31/2005
RESPS:1,350          HOURS:2,700          COSTS(000):$0
  Notice of Detention
FORMS: NONE

OMB NO: 1651-0074    EXPIRATION DATE: 10/31/2005
RESPS:3,500          HOURS:3,500          COSTS(000):$0
  Prior Disclosure
FORMS: NONE

OMB NO: 1651-0075    EXPIRATION DATE: 05/31/2004
RESPS:163,000        HOURS:90,000         COSTS(000):$0
  Drawback Process Regulations and Entry Collection Documents.
FORMS: 7551 7552 7553

OMB NO: 1651-0076    EXPIRATION DATE: 05/31/2003
RESPS:9,114          HOURS:7,977,600      COSTS(000):$9,500
  Customs Modernization Act Recordkeeping Requirements
FORMS: NONE

OMB NO: 1651-0077    EXPIRATION DATE: 04/30/2004
RESPS:5,250          HOURS:5,250          COSTS(000):$0
  Land Border Carrier Initiative Program
FORMS: NONE

OMB NO: 1651-0078    EXPIRATION DATE: 08/31/2005
RESPS:3,000          HOURS:232            COSTS(000):$0
  Automated Clearinghouse Credit
FORMS: NONE

OMB NO: 1651-0079    EXPIRATION DATE: 06/30/2005
RESPS:50,700         HOURS:12,675         COSTS(000):$0
  Lay Order Period-General Order Merchandise
FORMS: NONE

OMB NO: 1651-0080    EXPIRATION DATE: 07/31/2003
RESPS:28             HOURS:28             COSTS(000):$0
  Deferral of Duty on Large Yachts Imported for Sale
FORMS: NONE

OMB NO: 1651-0081    EXPIRATION DATE: 09/30/2003
RESPS:20,000         HOURS:6,600          COSTS(000):$0
  Delivery Ticket
FORMS: FORM-6043

OMB NO: 1651-0082    EXPIRATION DATE: 08/31/2004
RESPS:31,150         HOURS:10,400         COSTS(000):$0
  African Growth and Opportunity Act Certificate of Origin
FORMS: NONE

OMB NO: 1651-0083    EXPIRATION DATE: 08/31/2004
RESPS:57,400         HOURS:18,720         COSTS(000):$0
  United States-Caribbean Basin Trade Partnership Act
FORMS: FORM-450

OMB NO: 1651-0084    EXPIRATION DATE: 10/31/2003
RESPS:60             HOURS:8,600          COSTS(000):$0
  Refund of Duties Paid on Imports of Certain Wool Products
FORMS: N/A

OMB NO: 1651-0085    EXPIRATION DATE: 12/31/2003
RESPS:12,200         HOURS:128,000        COSTS(000):$0
  Administrative Rulings
FORMS: NONE

OMB NO: 1651-0086    EXPIRATION DATE: 07/31/2004
RESPS:1              HOURS:1              COSTS(000):$0
  Distribution of Continued Dumping and Subsidy Offset to Affected
  Domestic Producers
FORMS: NONE

OMB NO: 1651-0087    EXPIRATION DATE: 01/31/2005
RESPS:5,500          HOURS:218            COSTS(000):$0
  Application for Exemption from Special Landing Requirements
  Overflight/GATE
FORMS: FORM-442

OMB NO: 1651-0088    EXPIRATION DATE: 08/31/2005
RESPS:850,000        HOURS:2,380          COSTS(000):$0
  Passenger and Crew Manifest for Passenger Flights
FORMS: NONE

OMB NO: 1651-0089    EXPIRATION DATE: 06/30/2005
RESPS:752,000        HOURS:12,833         COSTS(000):$0
  Advance Notice Requirements for Aircraft Landings and Arrivals
FORMS: NONE

OMB NO: 1651-0090    EXPIRATION DATE: 03/31/2005
RESPS:46,500,000     HOURS:130,200        COSTS(000):$0
  Commercial Invoice
FORMS: NONE

OMB NO: 1651-0091    EXPIRATION DATE: 03/31/2006
RESPS:48,000         HOURS:7,968          COSTS(000):$0
  Andean Trade Preferences
FORMS: NONE

OMB NO: 1651-0092    EXPIRATION DATE: 03/31/2006
RESPS:500            HOURS:42             COSTS(000):$0
  Application for Withdrawal of Bonded Stores for Fishing Vessels
  and Certification of Use
FORMS: 5125

OMB NO: 1651-0093    EXPIRATION DATE: 03/31/2006
RESPS:5,700          HOURS:570            COSTS(000):$0
  Declaration of Owner of Merchandise Obtained in Pursuance of
  Purchase and Declaration of Importer of Record When Entry is
  Made by an Agent
FORMS: 3347 3347-A

OMB NO: 1651-0094    EXPIRATION DATE: 03/31/2006
RESPS:1,500          HOURS:250            COSTS(000):$0
  Declaration of a Person Abroad Who Receives and is Returning
  Merchandise to the U.S.
FORMS: NONE

OMB NO: 1651-0095    EXPIRATION DATE: 03/31/2006
RESPS:1,471,625      HOURS:171,591        COSTS(000):$0
  Textiles and Textile Products
FORMS: NONE

OMB NO: 1651-0096    EXPIRATION DATE: 03/31/2006
RESPS:21,660         HOURS:2,513          COSTS(000):$0
  Transfer of Cargo to a Container Station
FORMS: NONE

OMB NO: 1651-0097    EXPIRATION DATE: 03/31/2006
RESPS:300            HOURS:75             COSTS(000):$0
  Blanket Certification of Chemical Substances
FORMS: NONE

OMB NO: 1651-0098    EXPIRATION DATE: 03/31/2006
RESPS:120,500        HOURS:30,037         COSTS(000):$0
  North American Free Trade Agreemtn (NAFTA) Certificate of Origin
FORMS: 434 446

OMB NO: 1651-0099    EXPIRATION DATE: 03/31/2006
RESPS:100            HOURS:50             COSTS(000):$0
  Bond Procedures for Articles Subject to Exclusion Orders Issued
  by the U.S. International Trade Commission.
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
99 178,740,466 26,686,702 $9,500
Transportation Security Administration
OMB NO: 1652-0001    EXPIRATION DATE: 08/31/2005
RESPS:780            HOURS:3,440          COSTS(000):$0
  Imposition of Passenger Civil Aviation Security Service Fees
FORMS: NONE

OMB NO: 1652-0002    EXPIRATION DATE: 03/31/2005
RESPS:458            HOURS:512,426        COSTS(000):$23
  Airport Security, Part 107
FORMS: NONE

OMB NO: 1652-0003    EXPIRATION DATE: 12/31/2003
RESPS:1,580          HOURS:8,855          COSTS(000):$0
  Aircraft Operator Security, 14 CFR Part 108 Revision
FORMS: 1650-7 1650-17

OMB NO: 1652-0004    EXPIRATION DATE: 06/30/2003
RESPS:2,820          HOURS:664            COSTS(000):$0
  Indirect Air Carrier Security -- 14 CFR Part 109
FORMS: N/A

OMB NO: 1652-0005    EXPIRATION DATE: 01/31/2006
RESPS:229            HOURS:5,193          COSTS(000):$0
  Security Programs for Foreign Air Carriers
FORMS: 1650-17 1650-8

OMB NO: 1652-0006    EXPIRATION DATE: 06/30/2003
RESPS:1,305          HOURS:16,297         COSTS(000):$0
  Employment Standards, FAR Part 107 and FAR Part 108
FORMS: NONE

OMB NO: 1652-0007    EXPIRATION DATE: 02/28/2005
RESPS:1              HOURS:5,193          COSTS(000):$0
  Security Programs for Foreign Air Carriers, 14 CFR Part 129
FORMS: NONE

OMB NO: 1652-0010    EXPIRATION DATE: 08/31/2003
RESPS:4              HOURS:20             COSTS(000):$0
  Transportation of Explosives from Canada to the United States
  Via Commercial Motor Carriers and Rail
FORMS: NONE

OMB NO: 1652-0011    EXPIRATION DATE: 09/30/2003
RESPS:10,000         HOURS:10,000         COSTS(000):$0
  Federal Flight Deck Officer Volunteer Questionnaire
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
9 17,177 562,088 $23
Bureau of Immigration and Customs Enforcement
OMB NO: 1653-0001    EXPIRATION DATE: 09/30/2003
RESPS:250            HOURS:63             COSTS(000):$0
  Report of Complaint
FORMS: I-847

OMB NO: 1653-0002    EXPIRATION DATE: 01/31/2004
RESPS:12,500         HOURS:6,625          COSTS(000):$0
  Application - Checkpoint Pre-enrolled Access Lane
FORMS: I-866

OMB NO: 1653-0003    EXPIRATION DATE: 10/31/2003
RESPS:270,410        HOURS:22,444         COSTS(000):$7,031
  Application for Nonresident Alien's Mexican Border Crossing Card
FORMS: I-190

OMB NO: 1653-0004    EXPIRATION DATE: 07/31/2005
RESPS:25,000         HOURS:4,150          COSTS(000):$4,875
  Application for Waiver of Passport and/or Visa
FORMS: I-193

OMB NO: 1653-0005    EXPIRATION DATE: 01/31/2005
RESPS:2,000          HOURS:500            COSTS(000):$0
  Request for Cancellation of Public Charge Bond
FORMS: FORM-I-356

OMB NO: 1653-0006    EXPIRATION DATE: 07/31/2005
RESPS:85,000         HOURS:35,360         COSTS(000):$0
  Application to Payoff or Discharge Alien Crewman
FORMS: I-408

OMB NO: 1653-0007    EXPIRATION DATE: 02/28/2005
RESPS:63,000         HOURS:10,458         COSTS(000):$1,008
  Canadian Border Boat Landing Permit
FORMS: I-68

OMB NO: 1653-0008    EXPIRATION DATE: 02/28/2006
RESPS:170,000        HOURS:14,110         COSTS(000):$0
  Guam Visa Waiver Information
FORMS: I-736

OMB NO: 1653-0009    EXPIRATION DATE: 10/31/2003
RESPS:50             HOURS:50             COSTS(000):$0
  Visa Waiver Pilot Program Carrier Agreement
FORMS: I-775

OMB NO: 1653-0010    EXPIRATION DATE: 08/31/2003
RESPS:500,000        HOURS:583,000        COSTS(000):$12,740
  Application - Alternative Inspection Services
FORMS: I-823

OMB NO: 1653-0011    EXPIRATION DATE: 09/30/2005
RESPS:14,424,380     HOURS:952,009        COSTS(000):$86,546
  Arrival and Departure Record
FORMS: I-94

OMB NO: 1653-0012    EXPIRATION DATE: 12/31/2003
RESPS:25,000         HOURS:1,250          COSTS(000):$0
  Arrival Record
FORMS: I-94A-OT

OMB NO: 1653-0013    EXPIRATION DATE: 02/28/2006
RESPS:200,000        HOURS:13,200         COSTS(000):$0
  Arrival Departure Record (Transit Without Visa)
FORMS: I-94T

OMB NO: 1653-0014    EXPIRATION DATE: 06/30/2005
RESPS:4,000,000      HOURS:420,000        COSTS(000):$24,000
  Visa Waiver Nonimmigrant Arrival/Departure Record
FORMS: I-94W

OMB NO: 1653-0015    EXPIRATION DATE: 10/31/2004
RESPS:433,000        HOURS:35,939         COSTS(000):$0
  Alien Crewman Landing Permit
FORMS: I-95A I-95B

OMB NO: 1653-0016    EXPIRATION DATE: 08/31/2004
RESPS:65             HOURS:6,500          COSTS(000):$0
  Screening Requirements of Carriers
FORMS: NONE

OMB NO: 1653-0017    EXPIRATION DATE: 01/31/2004
RESPS:1,500,400      HOURS:26,000         COSTS(000):$0
  Inspection of Persons Applying for Admissions; Transit Without
  Visa (TWOV) and International-to-International Agreements
FORMS: NONE

OMB NO: 1653-0018    EXPIRATION DATE: 10/31/2005
RESPS:75,000         HOURS:24,975         COSTS(000):$0
  Sworn Statement of Refugee Applying for Admission to the United
  States
FORMS: G-646

OMB NO: 1653-0019    EXPIRATION DATE: 07/31/2005
RESPS:10             HOURS:300            COSTS(000):$0
  Emergency Federal Lw Enforcement Assistance
FORMS: NONE

OMB NO: 1653-0020    EXPIRATION DATE: 02/29/2004
RESPS:20,000         HOURS:3,320          COSTS(000):$0
  Nonimmigrant Checkout Letter
FORMS: G-146

OMB NO: 1653-0021    EXPIRATION DATE: 11/30/2004
RESPS:10,000         HOURS:5,000          COSTS(000):$1,550
  Application for Stay of Deportation or Removal
FORMS: I-246

OMB NO: 1653-0022    EXPIRATION DATE: 06/30/2003
RESPS:25,000         HOURS:12,500         COSTS(000):$0
  Immigration Bond
FORMS: I-352

OMB NO: 1653-0023    EXPIRATION DATE: 06/30/2005
RESPS:600,000        HOURS:10,200         COSTS(000):$0
  Baggage and Personal Effects of Detained Alien
FORMS: I-43

OMB NO: 1653-0024    EXPIRATION DATE: 10/31/2005
RESPS:100            HOURS:8              COSTS(000):$0
  Guarantee of Payment
FORMS: I-510

OMB NO: 1653-0026    EXPIRATION DATE: 07/31/2005
RESPS:100            HOURS:100            COSTS(000):$0
  Data Relalting to Beneficiary of Private Bill
FORMS: G-79A

OMB NO: 1653-0027    EXPIRATION DATE: 08/31/2005
RESPS:34,500         HOURS:41,938         COSTS(000):$3,787
  Application for T nonimmigrant Status; Application for Immediate
  Family Member of T-1 Recipient; & Declaration of Law Enforcement
  Officer for Victim of Trafficking in Persons
FORMS: I-914 I-914-SUPP-A I-914-SUPP-B

OMB NO: 1653-0028    EXPIRATION DATE: 03/31/2005
RESPS:2,500          HOURS:625            COSTS(000):$0
  Request for the Return of Original Document(s)
FORMS: G-884

OMB NO: 1653-0029    EXPIRATION DATE: 04/30/2005
RESPS:13             HOURS:331            COSTS(000):$0
  Immigration User Fee
FORMS: NONE

OMB NO: 1653-0030    EXPIRATION DATE: 08/31/2005
RESPS:100,000        HOURS:25,000         COSTS(000):$0
  Freedom of Information/Privacy Act Request
FORMS: G-639

OMB NO: 1653-0031    EXPIRATION DATE: 04/30/2003
RESPS:75,000         HOURS:4,950          COSTS(000):$0
  Applicant
FORMS: G-942

OMB NO: 1653-0032    EXPIRATION DATE: 04/30/2005
RESPS:500,000        HOURS:41,500         COSTS(000):$0
  Document Verification Request and Document Verification Request
  Supplement
FORMS: G-845

OMB NO: 1653-0033    EXPIRATION DATE: 11/30/2003
RESPS:5,000          HOURS:7,915          COSTS(000):$0
  Memorandum of Understanding to Participate in Employment
  Eligibility Confirmation Pilot Program
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
32 23,158,278 2,310,320 $141,537
Directorate for Emergency Preparedness and Response (Undersecretary)
OMB NO: 1660-0001    EXPIRATION DATE: 04/30/2003
RESPS:50             HOURS:25             COSTS(000):$0
  National Defense Executive Reserve Personal Qualification
  Statement
FORMS: FEMA-85-3

OMB NO: 1660-0002    EXPIRATION DATE: 05/31/2003
RESPS:460,900        HOURS:171,148        COSTS(000):$0
  Disaster Assistance Registration; Applicant
  Statement/Authorization; Declaration of Applicant
FORMS: FEMA-90-69 FEMA-90-69A FEMA-90-69B FEMA-90-69C FEMA-90-69D
FEMA-90-69E

OMB NO: 1660-0003    EXPIRATION DATE: 10/31/2005
RESPS:9,844          HOURS:11,283         COSTS(000):$5,977
  National Flood Insurance Program Biennial Report
FORMS: FEMA-81-28 FEMA-81-29 FEMA-81-29A

OMB NO: 1660-0004    EXPIRATION DATE: 12/31/2005
RESPS:100            HOURS:400            COSTS(000):$0
  Application for Participation in the National Flood Insurance
  Program
FORMS: 81-64

OMB NO: 1660-0005    EXPIRATION DATE: 12/31/2003
RESPS:77,634         HOURS:310,536        COSTS(000):$0
  Claims for National Flood Insurance Program (NFIP)
FORMS: 81-40 81-41 81-41A 81-42 81-42A 81-43 81-44 81-57 81-58 81-59

OMB NO: 1660-0006    EXPIRATION DATE: 05/31/2003
RESPS:317,601        HOURS:31,718         COSTS(000):$16,856
  National Flood Insurance Policy Forms
FORMS: 81-16 81-17 81-18 81-25 81-67

OMB NO: 1660-0007    EXPIRATION DATE: 07/31/2003
RESPS:65,000         HOURS:8,500          COSTS(000):$0
  General Admissions Applications and General Admissions
  Application Short Form
FORMS: FEMA-FORM-75-5 FEMA-FORM-75-5A

OMB NO: 1660-0008    EXPIRATION DATE: 12/31/2005
RESPS:54,695         HOURS:177,756        COSTS(000):$0
  Post Construction Elevation Certificate/Floodproofing Certificate
FORMS: 81-31 81-65

OMB NO: 1660-0009    EXPIRATION DATE: 05/31/2003
RESPS:174            HOURS:13,224         COSTS(000):$0
  The Declaration Process: Request for Damage Assessment, Federal
  Disaster Assistance, Cost Share Adjustment, and Loans of the
  Non-Federal Share
FORMS: NONE

OMB NO: 1660-0010    EXPIRATION DATE: 11/30/2004
RESPS:60             HOURS:90             COSTS(000):$0
  Implementation of Coastal Barrier Resources Act
FORMS: NONE

OMB NO: 1660-0011    EXPIRATION DATE: 10/31/2004
RESPS:600            HOURS:450            COSTS(000):$0
  Debt Collection Financial Statement
FORMS: 22-13

OMB NO: 1660-0012    EXPIRATION DATE: 09/30/2003
RESPS:520            HOURS:86             COSTS(000):$0
  Request for Loan Information Verification
FORMS: FEMA-FORM-90-68

OMB NO: 1660-0013    EXPIRATION DATE: 12/31/2005
RESPS:20             HOURS:100            COSTS(000):$0
  Exemption of State-Owned Properties Under Self-Insurance Plan
FORMS: NONE

OMB NO: 1660-0014    EXPIRATION DATE: 02/28/2006
RESPS:16             HOURS:24             COSTS(000):$0
  Reimbursement for Cost of Fighting Fire on Federal Property
FORMS: NONE

OMB NO: 1660-0015    EXPIRATION DATE: 09/30/2005
RESPS:3,300          HOURS:11,583         COSTS(000):$0
  Right to Submit Technical or Scientific Data to Correct Mapping
  Deficiencies
FORMS: 81-87 81-87A 81-87B

OMB NO: 1660-0016    EXPIRATION DATE: 09/30/2005
RESPS:1,400          HOURS:19,600         COSTS(000):$0
  Consultation with Local Officials to Assure Compliance with
  Sections 110 and 206 of the Flood Disaster Protection Act
FORMS: 81-89 81-89A 81-89B 81-89C 81-89D 81-89E

OMB NO: 1660-0017    EXPIRATION DATE: 09/30/2005
RESPS:222,488        HOURS:94,243         COSTS(000):$0
  Public Assistance Progress Report and Program Forms
FORMS: 90-49/90-91 90-91A/90-91B 90-91C/90-19D 90-120/90-121
90-123/90-124 90-125/90-126 90-127/90-128

OMB NO: 1660-0018    EXPIRATION DATE: 04/30/2003
RESPS:7,364          HOURS:814            COSTS(000):$0
  Individual and Family Grants Program Administration Information
FORMS: 76-27 76-28 76-29 76-32 76-34 76-38

OMB NO: 1660-0019    EXPIRATION DATE: 07/31/2005
RESPS:7              HOURS:7              COSTS(000):$0
  Claims of Federal Personnel for Personal Property Damage or Loss
FORMS: NONE

OMB NO: 1660-0020    EXPIRATION DATE: 09/30/2005
RESPS:1,260          HOURS:693            COSTS(000):$0
  Write Your Own (WYO) Program
FORMS: NONE

OMB NO: 1660-0021    EXPIRATION DATE: 08/31/2004
RESPS:300            HOURS:300            COSTS(000):$0
  National Fire Academy Executive Fire Officer Program Application
  Form
FORMS: FORM-95-22

OMB NO: 1660-0022    EXPIRATION DATE: 02/28/2005
RESPS:940            HOURS:9,260          COSTS(000):$0
  Community Rating System (CRS) Program - Application Worksheets
  and Commentary
FORMS: FIMA-15 FIMA-15A

OMB NO: 1660-0023    EXPIRATION DATE: 11/30/2005
RESPS:5,000          HOURS:12,000         COSTS(000):$0
  Effectiveness of a Community's Implementation of the NFIP
  Community Assistance Program CAC and CAV Reports
FORMS: 81-69 81-68

OMB NO: 1660-0024    EXPIRATION DATE: 12/31/2005
RESPS:1              HOURS:160            COSTS(000):$0
  Federal Assistance for Offsite Radiological Emergency Planning
FORMS: NONE

OMB NO: 1660-0025    EXPIRATION DATE: 02/29/2004
RESPS:4,936          HOURS:31,775         COSTS(000):$600
  FEMA Grant Administration Forms
FORMS: FORMS-20-10 20-15 20-16A/B/C 20-17 20-18 20-19 20-20 76-10A

OMB NO: 1660-0026    EXPIRATION DATE: 12/31/2003
RESPS:26             HOURS:205            COSTS(000):$0
  State Administrative Plan for the Hazardous Mitigation Grant
  Program
FORMS: NONE

OMB NO: 1660-0027    EXPIRATION DATE: 09/30/2003
RESPS:26             HOURS:4,160          COSTS(000):$106
  Hazard Mitigation Planning/State Hazard Mitigation Plan
FORMS: NONE

OMB NO: 1660-0028    EXPIRATION DATE: 08/31/2004
RESPS:10             HOURS:30             COSTS(000):$0
  FEMA Contract Clause-Accessibility of Meetings to Persons with
  Disabilities
FORMS: NONE

OMB NO: 1660-0029    EXPIRATION DATE: 12/31/2003
RESPS:1,200          HOURS:130            COSTS(000):$3,000
  Approval and Coordination of Requirements to use the NETC for
  Extracurricular Training Activities
FORMS: 75-10 75-11

OMB NO: 1660-0030    EXPIRATION DATE: 09/30/2005
RESPS:1,200          HOURS:367            COSTS(000):$3,000
  Request for Site Inspection (FEMA Form 90-1); Landowner's
  Authorization/Ingress-Egress Agreement (FF 90-31)
FORMS: 90-1 90-31

OMB NO: 1660-0031    EXPIRATION DATE: 11/30/2005
RESPS:25,000         HOURS:6,250          COSTS(000):$0
  National Fire Academy Course Evalation Form (Used for Field/Off-
  campus and State Weekend Programs)
FORMS: FEMA-95-45

OMB NO: 1660-0032    EXPIRATION DATE: 12/31/2003
RESPS:5,500          HOURS:1,375          COSTS(000):$0
  National Fire Academy Resident Course Evaluation Form
FORMS: FEMA-FORM-95-20

OMB NO: 1660-0033    EXPIRATION DATE: 09/30/2003
RESPS:50             HOURS:163            COSTS(000):$0
  Residential Basement Floodproofing Certificate
FORMS: FEMA-FORM-81-78

OMB NO: 1660-0034    EXPIRATION DATE: 12/31/2005
RESPS:4,000          HOURS:667            COSTS(000):$0
  Emergency Mnagement Institute Resident Course Evaluation Form
FORMS: 95-41

OMB NO: 1660-0035    EXPIRATION DATE: 11/30/2004
RESPS:3,112          HOURS:4,668          COSTS(000):$90
  Emergency Management Exercise Reporting System (EMERS)
FORMS: FORM-95-44

OMB NO: 1660-0036    EXPIRATION DATE: 08/31/2004
RESPS:96,720         HOURS:24,180         COSTS(000):$0
  FEMA Response and Recovery Program Evaluation and Customer
  Satisfaction Surveys
FORMS: FORM-86-26(MW)

OMB NO: 1660-0037    EXPIRATION DATE: 05/31/2005
RESPS:9,000          HOURS:21,600         COSTS(000):$1,080
  Application Form for Single Lot or Structure Amendments to
  National Flood Insurance Program Maps
FORMS: 81-92 81-92A

OMB NO: 1660-0038    EXPIRATION DATE: 12/31/2005
RESPS:5              HOURS:35             COSTS(000):$0
  Write Your Own (WYO) Company Participation Criteria; New
  Applicant
FORMS: NONE

OMB NO: 1660-0039    EXPIRATION DATE: 11/30/2005
RESPS:1,500          HOURS:375            COSTS(000):$0
  National Fire Academy Long-term Course Evaluation Forms
FORMS: NONE

OMB NO: 1660-0040    EXPIRATION DATE: 09/30/2005
RESPS:20,000,000     HOURS:5,600,000      COSTS(000):$0
  Standard Flood Hazard Determination Form
FORMS: 81-93

OMB NO: 1660-0041    EXPIRATION DATE: 06/30/2004
RESPS:6,490          HOURS:2,164          COSTS(000):$44
  Federal Emergency Management Agency/Federal Insurance
FORMS: NONE

OMB NO: 1660-0042    EXPIRATION DATE: 07/31/2003
RESPS:7,500          HOURS:2,500          COSTS(000):$0
  Make Your Mark on the Floodplain-High Water Mark Form
FORMS: FORM-81-101

OMB NO: 1660-0043    EXPIRATION DATE: 10/31/2003
RESPS:56             HOURS:3,360          COSTS(000):$0
  Capability Assessment for Readiness (CAR)
FORMS: NONE

OMB NO: 1660-0044    EXPIRATION DATE: 10/31/2004
RESPS:2,320          HOURS:580            COSTS(000):$0
  Emergency Management Institute Follow-up Evaluation Survey
FORMS: 95-56

OMB NO: 1660-0045    EXPIRATION DATE: 12/31/2005
RESPS:1,500          HOURS:4,500          COSTS(000):$98
  Inspection of Insured Structures by Communities
FORMS: NONE

OMB NO: 1660-0046    EXPIRATION DATE: 02/29/2004
RESPS:90,000         HOURS:1,500          COSTS(000):$26
  EMI Independent Study Course Enrollment Application
FORMS: FEMA-FORM-95-23

OMB NO: 1660-0047    EXPIRATION DATE: 02/29/2004
RESPS:56             HOURS:182            COSTS(000):$0
  Request for Federal Assistance Form - How to Process Mission
  Assignments in Federal Disaster Operations
FORMS: FORM-90-129

OMB NO: 1660-0048    EXPIRATION DATE: 05/31/2004
RESPS:30,445         HOURS:60,182         COSTS(000):$1,021
  Supplemental Property Acquisition and Elevation Assistance
FORMS: SF-424 FEMA-20-10 FEMA-20-15 FEMA-20-16 FEMA-20-16B FEMA-20-16C
SF-LLL

OMB NO: 1660-0049    EXPIRATION DATE: 02/28/2005
RESPS:22,000         HOURS:17,000         COSTS(000):$0
  Notice of Loss- Cerro Grande Fire Assistance Act
FORMS: FFCG-1

OMB NO: 1660-0050    EXPIRATION DATE: 12/31/2003
RESPS:300            HOURS:235            COSTS(000):$0
  Closed-Basin Lake Endorsement
FORMS: 81-42 81-42A 81-43

OMB NO: 1660-0051    EXPIRATION DATE: 05/31/2004
RESPS:18,000         HOURS:405,000        COSTS(000):$0
  Proof of Loss Form - Cerro Grande Fire Assistance Claims
FORMS: CG-2

OMB NO: 1660-0052    EXPIRATION DATE: 12/31/2003
RESPS:178            HOURS:356            COSTS(000):$9
  Project Impact Baseline Report and Progress Report
FORMS: NONE

OMB NO: 1660-0053    EXPIRATION DATE: 05/31/2004
RESPS:12             HOURS:18,000         COSTS(000):$0
  Subrogration Notice and Proff of Loss - Cerro Grande Fire
  Assistance Act
FORMS: CG-3

OMB NO: 1660-0054    EXPIRATION DATE: 12/31/2005
RESPS:25,000         HOURS:174,500        COSTS(000):$0
  Assistance to Firefighters Grant Program-Grant Application
  Supplemental Information
FORMS: FEMA-20-10 FEMA-20-16 FEMA-16A FEMA-16B FEMA-16C FEMA-20-20

OMB NO: 1660-0055    EXPIRATION DATE: 08/31/2003
RESPS:800            HOURS:2,400          COSTS(000):$0
  Request for Mitigation Assistance-Cerro Grande Mitigation
  Proposal
FORMS: FFCG-4

OMB NO: 1660-0056    EXPIRATION DATE: 02/28/2005
RESPS:400            HOURS:400            COSTS(000):$0
  Small Business Notice and Proof of Loss
FORMS: FFCG-8

OMB NO: 1660-0057    EXPIRATION DATE: 08/31/2004
RESPS:555            HOURS:420            COSTS(000):$0
  Chemical Stockpile Emergency Preparedness Program (CSEPP)
  Program Evaluation and Customer Satisfaction Baseline Survey
FORMS: NONE

OMB NO: 1660-0058    EXPIRATION DATE: 11/30/2004
RESPS:1,029          HOURS:2,168          COSTS(000):$0
  Fire Management Assistance Grant Program
FORMS: 90-58 SF-424 90-91 20-10 270

OMB NO: 1660-0059    EXPIRATION DATE: 10/31/2004
RESPS:78,448         HOURS:3,915          COSTS(000):$0
  National Flood Insurance Telephone Response Center (TRC) and
  Leads Application Program
FORMS: 81-95

OMB NO: 1660-0060    EXPIRATION DATE: 02/28/2005
RESPS:125            HOURS:157            COSTS(000):$0
  Review of Local Mitigation Planning Intiatives and Practices
FORMS: NONE

OMB NO: 1660-0061    EXPIRATION DATE: 03/31/2005
RESPS:40,168         HOURS:29,948         COSTS(000):$0
  Federal Assistance to Individuals and Households Program
FORMS: NONE

OMB NO: 1660-0062    EXPIRATION DATE: 10/31/2005
RESPS:556            HOURS:160,460        COSTS(000):$0
  State/Local/Tribal Hazard Mitigation Plans Under Section 322 of
  the Disaster Mitigation Act of 2000
FORMS: NONE

OMB NO: 1660-0063    EXPIRATION DATE: 10/31/2005
RESPS:789            HOURS:3,555          COSTS(000):$67
  Management Costs
FORMS: SF424 20-10 20-16 20-16A 20-16C 20-20

OMB NO: 1660-0064    EXPIRATION DATE: 10/31/2005
RESPS:820            HOURS:215            COSTS(000):$0
  Cerro Grande Arbitrator and Cerro Grande Claimant Questionnaries
FORMS: NONE

OMB NO: 1660-0065    EXPIRATION DATE: 08/31/2003
RESPS:1,150          HOURS:288            COSTS(000):$0
  National Earthquake Hazards Reduction Program Review of Publica-
  tions
FORMS: NONE

OMB NO: 1660-0066    EXPIRATION DATE: 05/31/2003
RESPS:20             HOURS:80             COSTS(000):$0
  Citizen Corps Affiliate Programs and Organizations Application
FORMS: NONE

OMB NO: 1660-0067    EXPIRATION DATE: 06/30/2003
RESPS:162            HOURS:1,972          COSTS(000):$0
  Fire Suppression Assistance Program
FORMS: SF-424 SF-270 FEMA-90-91 FEMA-20-10

OMB NO: 1660-0068    EXPIRATION DATE: 02/28/2006
RESPS:2,000          HOURS:1,182          COSTS(000):$0
  Federal Hotel and Motel Fire Safety Declaration Form
FORMS: NONE

OMB NO: 1660-0069    EXPIRATION DATE: 03/31/2006
RESPS:1,700,000      HOURS:1,757,760      COSTS(000):$38,115
  National Fire Incident reporting System (NFIRS) Version 4.1 and
  Version 5.0
FORMS: 4.1-NFIRS-1 NFIRS-2 NFIRS-3 NFIRS-4 NFIRS-5 NFIRS-HMI
5.0-NFIRS-FORMS NO.-1-12

OMB NO: 1660-0070    EXPIRATION DATE: 03/31/2006
RESPS:17,000         HOURS:7,083          COSTS(000):$0
  National Fire Department Census
FORMS: 75-100

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
70 23,429,438 9,232,042 $70,089

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
397 320,640,956 76,432,668 $1,514,190
(RETURN TO AGENCY LIST)

Department of Housing and Urban Development
Office of the Secretary
OMB NO: 2501-0009    EXPIRATION DATE: 04/30/2005
RESPS:20,000         HOURS:10,000         COSTS(000):$0
  Record of Employee Interview
FORMS: HUD-11

OMB NO: 2501-0014    EXPIRATION DATE: 12/31/2003
RESPS:10,794,339     HOURS:365,858        COSTS(000):$0
  Restrictions on Assistance to Noncitizens (FR-2383)
FORMS: NONE

OMB NO: 2501-0017    EXPIRATION DATE: 03/31/2005
RESPS:1              HOURS:1              COSTS(000):$0
  HUD Alternative for SF 424 Forms, Application for Federal
  Assistance and Attendent forms
FORMS: HUD-424 HUD-424-B HUD-424-C HUD-424-CB HUD-424-F

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
3 10,814,340 375,859 $0
Office of Housing
OMB NO: 2502-0001    EXPIRATION DATE: 04/30/2003
RESPS:8,000          HOURS:64,000         COSTS(000):$0
  Personal Financial and Credit Statement -- HUD-92417
FORMS: HUD-92417

OMB NO: 2502-0005    EXPIRATION DATE: 05/31/2003
RESPS:4,130          HOURS:3,438          COSTS(000):$0
  Application for Approval - FHA Lender and/or Ginnie Mae
  mortgage-Backed Securities Issuer Branch Office Notification -
  Title I/Title II
FORMS: HUD-11701 HUD-92001 HUD-92001-B

OMB NO: 2502-0010    EXPIRATION DATE: 06/30/2005
RESPS:1,500          HOURS:750            COSTS(000):$3,000
  Land Survey Report for Insured Multifamily Projects
FORMS: HUD-2457

OMB NO: 2502-0011    EXPIRATION DATE: 01/31/2004
RESPS:4,000          HOURS:20,300         COSTS(000):$0
  Request for Construction Change
FORMS: HUD-92437 HUD-92442 HUD-92442A HUD-92442-CA HUD-92442-A-CA
HUD-92441

OMB NO: 2502-0012    EXPIRATION DATE: 11/30/2003
RESPS:16,000         HOURS:5,280          COSTS(000):$0
  Rent Schedule - Low Rent Housing
FORMS: HUD-92458

OMB NO: 2502-0016    EXPIRATION DATE: 02/29/2004
RESPS:465            HOURS:465            COSTS(000):$0
  Final Endorsement of Credit Instrument
FORMS: HUD-92023

OMB NO: 2502-0018    EXPIRATION DATE: 05/31/2003
RESPS:525            HOURS:1,050          COSTS(000):$0
  Advance of Escrow Funds
FORMS: HUD-92464

OMB NO: 2502-0025    EXPIRATION DATE: 06/30/2003
RESPS:300            HOURS:150            COSTS(000):$0
  Cooperative Membership Exhibit
FORMS: HUD-93203

OMB NO: 2502-0028    EXPIRATION DATE: 12/31/2005
RESPS:12,000         HOURS:72,000         COSTS(000):$0
  Contractor's Requisition - Project Mortgages
FORMS: HUD-92448

OMB NO: 2502-0029    EXPIRATION DATE: 07/31/2004
RESPS:6,300          HOURS:168,280        COSTS(000):$0
  Application for Multifamily Housing Project
FORMS: HUD-92013 HUD-92013-SUPP HUD-92013-NHICP

OMB NO: 2502-0036    EXPIRATION DATE: 10/31/2005
RESPS:10,000         HOURS:10,000         COSTS(000):$0
  Request for Credit Approval of Substitute Mortgagor
FORMS: HUD-92210

OMB NO: 2502-0041    EXPIRATION DATE: 01/31/2004
RESPS:1,935          HOURS:322            COSTS(000):$0
  Multifamily Default Status
FORMS: HUD-92426

OMB NO: 2502-0044    EXPIRATION DATE: 08/31/2003
RESPS:925            HOURS:10,200         COSTS(000):$0
  Contractor's and/or Mortgagor's Cost Breakdown Contractor's
  Certificate of Actual Cost Mortgagor's Certificate of Actual Cost
FORMS: HUD-2328 HUD-92330-A HUD-2205-A

OMB NO: 2502-0047    EXPIRATION DATE: 10/31/2005
RESPS:5,000          HOURS:2,500          COSTS(000):$0
  Construction Complaint - Request for Financial Assistance
FORMS: HUD-92556

OMB NO: 2502-0057    EXPIRATION DATE: 10/31/2005
RESPS:270            HOURS:90             COSTS(000):$0
  Application for Eligibility as a Nonprofit Corporation
FORMS: HUD-3433 HUD-3434 HUD-3435

OMB NO: 2502-0058    EXPIRATION DATE: 01/31/2004
RESPS:1,500          HOURS:3,000          COSTS(000):$0
  Financial Statement of Corporate Applicant for Cooperative
  Housing Mortgage
FORMS: HUD-93232-A

OMB NO: 2502-0059    EXPIRATION DATE: 07/31/2004
RESPS:1,000,000      HOURS:235,025        COSTS(000):$0
  Application for FHA Insured Mortgage (Addendum to Uniform
  Residential Loan Application/Mortgage Credit Analysis
FORMS: HUD-92900-A HUD-92900-B HUD-92900-WS HUD-92900-PUR HUD-92561
HUD-92544

OMB NO: 2502-0060    EXPIRATION DATE: 03/31/2006
RESPS:7,200          HOURS:1,440          COSTS(000):$0
  Monthly/Quarterly Single Family Delinquent Loan Reporting
FORMS: HUD-92068-A

OMB NO: 2502-0081    EXPIRATION DATE: 03/31/2006
RESPS:8,400          HOURS:5,250          COSTS(000):$0
  Mortgagee's Cert./Application/Monthly Summary of Assistance
  Payments
FORMS: HUD-300 HUD-93102

OMB NO: 2502-0082    EXPIRATION DATE: 06/30/2004
RESPS:100,073        HOURS:97,175         COSTS(000):$0
  Recertification of Family Income and Composition, Section 235(b)
  and Statistical Report Section 235(b), (i) and (j)
FORMS: HUD-93101 HUD-93101A

OMB NO: 2502-0086    EXPIRATION DATE: 09/30/2003
RESPS:32,500         HOURS:3,025          COSTS(000):$0
  Monthly Report of Excess Income
FORMS: HUD-93104

OMB NO: 2502-0094    EXPIRATION DATE: 02/28/2006
RESPS:7,600          HOURS:3,900          COSTS(000):$0
  Assistance Payment Contract - Notice of (1) Termination, (2)
  Suspension, or (3) Reinstatement
FORMS: HUD-93114

OMB NO: 2502-0097    EXPIRATION DATE: 03/31/2004
RESPS:5,000          HOURS:1,000          COSTS(000):$0
  Application for Insurance of Advance of Mortgage Proceeds
FORMS: HUD-92403

OMB NO: 2502-0098    EXPIRATION DATE: 08/31/2005
RESPS:800            HOURS:800            COSTS(000):$0
  Personal Financial Statement
FORMS: HUD-56142

OMB NO: 2502-0108    EXPIRATION DATE: 01/31/2004
RESPS:48,000         HOURS:168,000        COSTS(000):$0
  Monthly Reports for Establishing Income
FORMS: HUD-93479 93480 93481

OMB NO: 2502-0112    EXPIRATION DATE: 03/31/2005
RESPS:500            HOURS:4,000          COSTS(000):$0
  Mortgagor's Certificate of Actual Cost
FORMS: HUD-92330

OMB NO: 2502-0118    EXPIRATION DATE: 02/29/2004
RESPS:4,300          HOURS:2,150          COSTS(000):$0
  Previous Participation Certification
FORMS: HUD-2530

OMB NO: 2502-0141    EXPIRATION DATE: 09/30/2005
RESPS:15             HOURS:91             COSTS(000):$0
  Mortgage Insurance for Cooperative and Condominium Housing
FORMS: HUD-93201

OMB NO: 2502-0178    EXPIRATION DATE: 04/30/2005
RESPS:1,120          HOURS:4,480          COSTS(000):$0
  Management Reviews of Multifamily Housing Projects
FORMS: HUD-9834

OMB NO: 2502-0182    EXPIRATION DATE: 11/30/2003
RESPS:725,766        HOURS:284,110        COSTS(000):$0
  Applications for Housing Assistance Payments
FORMS: HUD-52670 52670-A-PT.1 52670-A-PT.2 HUD-52671-A HUD-52671-B
HUD-52671-C HUD-52671-D

OMB NO: 2502-0187    EXPIRATION DATE: 12/31/2005
RESPS:6,336          HOURS:3,168          COSTS(000):$0
  Requisition for Disbursement of Sections 202 & 811 Capital
  Advance/Loan Funds
FORMS: HUD-92403-CA HUD-92403-EH

OMB NO: 2502-0189    EXPIRATION DATE: 10/31/2004
RESPS:3,639,500      HOURS:909,875        COSTS(000):$0
  Compliance Inspection Report - HUD 92051 Mortgagee's Assurance
  of Completion - HUD-92300
FORMS: HUD-92051 HUD-92300

OMB NO: 2502-0192    EXPIRATION DATE: 04/30/2004
RESPS:50,000         HOURS:25,000         COSTS(000):$0
  Description of Materials
FORMS: HUD-92005

OMB NO: 2502-0204    EXPIRATION DATE: 10/31/2004
RESPS:2,207,339      HOURS:2,008,457      COSTS(000):$0
  Owner's Certification of Compliance with HUD Tenant Eligibility
  and Rent Procedures
FORMS: HUD-50059

OMB NO: 2502-0210    EXPIRATION DATE: 02/29/2004
RESPS:50             HOURS:10             COSTS(000):$0
  Certificate of Need for Health Facility and Assurance of
  Enforcement of State Standards
FORMS: HUD-2576-HF

OMB NO: 2502-0233    EXPIRATION DATE: 05/31/2003
RESPS:15,232         HOURS:8,032          COSTS(000):$265
  Manufactured Home Construction and Safety Standards Program
FORMS: HUD-101 -203 -203-B -301 -302 -303 -304

OMB NO: 2502-0235    EXPIRATION DATE: 08/31/2003
RESPS:12,000         HOURS:3,000          COSTS(000):$0
  Reporting Requirements Associated with 24 CFR 203.508b and 24
  CFR 235.1001 - Providing Information
FORMS: NONE

OMB NO: 2502-0243    EXPIRATION DATE: 05/31/2005
RESPS:136,435        HOURS:19,579         COSTS(000):$0
  Interstate Land Sales Registration and Consumer Notification
FORMS: NONE

OMB NO: 2502-0253    EXPIRATION DATE: 01/31/2005
RESPS:1,383,997      HOURS:245,493        COSTS(000):$0
  Manufactured Home Construction and Safety Standards Act
  Reporting Requirements
FORMS: NONE

OMB NO: 2502-0259    EXPIRATION DATE: 05/31/2003
RESPS:900            HOURS:6,300          COSTS(000):$0
  Management Review Report for Unsubsidized Multifamily Housing
  Projects
FORMS: HUD-9838

OMB NO: 2502-0261    EXPIRATION DATE: 04/30/2005
RESPS:7,275          HOURS:3,100          COSTS(000):$0
  Housing Counseling Program
FORMS: HUD-9900 HUD-9902 HUD-9908

OMB NO: 2502-0265    EXPIRATION DATE: 07/31/2003
RESPS:105,300,000    HOURS:6,500,000      COSTS(000):$0
  Real Estate Settlement Procedures Act (RESPA) Disclosures
FORMS: HUD-1 HUD-1A

OMB NO: 2502-0267    EXPIRATION DATE: 12/31/2003
RESPS:400            HOURS:16,164         COSTS(000):$0
  Application Submission Requirements - Section 202 Supportive
  Housing for the Elderly
FORMS: HUD-92015-CA HUD-92041

OMB NO: 2502-0268    EXPIRATION DATE: 08/31/2003
RESPS:61,525         HOURS:17,388         COSTS(000):$0
  Request for Occupied Conveyance
FORMS: HUD-9539

OMB NO: 2502-0275    EXPIRATION DATE: 04/30/2003
RESPS:350            HOURS:32,000         COSTS(000):$0
  Application for the Transfer of Physical Assets
FORMS: HUD-92266

OMB NO: 2502-0301    EXPIRATION DATE: 03/31/2006
RESPS:592            HOURS:296            COSTS(000):$0
  Application for Consent to Accept Deed-In-Lieu of Foreclosure
FORMS: NONE

OMB NO: 2502-0302    EXPIRATION DATE: 11/30/2005
RESPS:80             HOURS:3,200          COSTS(000):$0
  Local Appeals to Single-Family Mortgage Limits
FORMS: NONE

OMB NO: 2502-0305    EXPIRATION DATE: 04/30/2003
RESPS:3,600          HOURS:4,350          COSTS(000):$0
  Management Certifications and Management Entity Profile
FORMS: HUD-9832 HUD-9839-A HUD-9839-B HUD-9839-C

OMB NO: 2502-0306    EXPIRATION DATE: 06/30/2004
RESPS:1,127,580      HOURS:563,765        COSTS(000):$0
  Single Family Property Disposition and Acquisition (Conveyance)
  or Mortgaged Properties
FORMS: HUD-9516-A 9519 9519-A 9733 9544 9548 9548-A 9548-B 9548-C

OMB NO: 2502-0313    EXPIRATION DATE: 01/31/2005
RESPS:50             HOURS:2,200          COSTS(000):$0
  Technical Suitability of Products Program Section 521 of the
  National Housing Act
FORMS: HUD-92005

OMB NO: 2502-0314    EXPIRATION DATE: 11/30/2005
RESPS:16             HOURS:1,080          COSTS(000):$0
  Loan Servicing of All Three Coinsurance Programs: Section
  221(d), Section 223(f), and Section 232
FORMS: HUD-9815

OMB NO: 2502-0321    EXPIRATION DATE: 07/31/2004
RESPS:1,350          HOURS:10,800         COSTS(000):$0
  Minimum Property Standards for Housing, HUD Handbook 4910.1
FORMS: NONE

OMB NO: 2502-0322    EXPIRATION DATE: 03/31/2004
RESPS:100,000        HOURS:7,000          COSTS(000):$0
  Adjustable Rate Mortgages (ARMS)
FORMS: NONE

OMB NO: 2502-0324    EXPIRATION DATE: 04/30/2003
RESPS:12,500         HOURS:15,625         COSTS(000):$0
  Budget-Based Rent Increase
FORMS: HUD-92457-A

OMB NO: 2502-0328    EXPIRATION DATE: 04/30/2003
RESPS:330,370        HOURS:95,125         COSTS(000):$0
  Title I Property Improvement and Manufactured Home Loan -- 24
  CFR 201
FORMS: HUD-637 HUD-27029 HUD-27030 HUD-55013 HUD-55014 HUD-56001
HUD-56001MH HUD-56002 HUD-56002MH HUD-56004/92802

OMB NO: 2502-0340    EXPIRATION DATE: 09/30/2005
RESPS:1,220          HOURS:610            COSTS(000):$0
  Single Family Mortgage Insurance on Indian Reservations and
  Other Restricted Lands
FORMS: NONE

OMB NO: 2502-0342    EXPIRATION DATE: 07/31/2004
RESPS:123,602        HOURS:28,671         COSTS(000):$0
  Pet Ownership in Assisted Rental Housing for the Elderly or
  Handicapped
FORMS: NONE

OMB NO: 2502-0349    EXPIRATION DATE: 06/30/2003
RESPS:280            HOURS:140            COSTS(000):$0
  Certified Eligibility for Adjustments for Damage or Neglect
FORMS: NONE

OMB NO: 2502-0352    EXPIRATION DATE: 09/30/2003
RESPS:1,200          HOURS:600            COSTS(000):$0
  Utility Allowance Adjustments
FORMS: NONE

OMB NO: 2502-0355    EXPIRATION DATE: 10/31/2004
RESPS:1,138          HOURS:1,138          COSTS(000):$0
  Contract and Subcontract Activity Reporting for Housing's
  Multifamily Programs - Minority Business Enterprise (MBE)
FORMS: HUD-2516

OMB NO: 2502-0358    EXPIRATION DATE: 09/30/2005
RESPS:1,770          HOURS:253            COSTS(000):$0
  Single Family Mortgage Insurance on Hawaiian Homelands
FORMS: NONE

OMB NO: 2502-0369    EXPIRATION DATE: 01/31/2004
RESPS:17,100         HOURS:153,900        COSTS(000):$0
  Uniform Physical Standards & Physical Inspection Requirements
  for Certain HUD Housing, Administrative Process for Assessment
  of Insured and Assisted Properties
FORMS: NONE

OMB NO: 2502-0382    EXPIRATION DATE: 02/29/2004
RESPS:15             HOURS:120            COSTS(000):$0
  Housing Development Grant Program Project Settlement Procedures
FORMS: HUD-90024 HUD-90025 HUD-90026 HUD-90027 HUD-90028

OMB NO: 2502-0395    EXPIRATION DATE: 12/31/2005
RESPS:400            HOURS:2,030          COSTS(000):$0
  Flexible Subsidy, Capital Improvement Loan Program
FORMS: HUD-9823A HUD-9824A HUD-9826 HUD-9835 HUD-9835A HUD-9835B

OMB NO: 2502-0404    EXPIRATION DATE: 08/31/2005
RESPS:1,000,000      HOURS:250,000        COSTS(000):$0
  Requirements for Single Family Mortgage Instruments
FORMS: NONE

OMB NO: 2502-0412    EXPIRATION DATE: 01/31/2004
RESPS:300            HOURS:600            COSTS(000):$0
  Lease and Sale of HUD-Acquired Single Family Properties for the
  Homeless
FORMS: NONE

OMB NO: 2502-0414    EXPIRATION DATE: 02/29/2004
RESPS:807,500        HOURS:129,700        COSTS(000):$0
  Mortgage Insurance Termination; Application for Premium Refund
  or Distribute Share Payment
FORMS: HUD-27050-A HUD-27050-B

OMB NO: 2502-0415    EXPIRATION DATE: 05/31/2003
RESPS:118            HOURS:411            COSTS(000):$0
  Multifamily Mortgage Insurance Benefits Claim
FORMS: HUD-2742 2744-A 2744-B 2744-C 2744-D 2744-E

OMB NO: 2502-0416    EXPIRATION DATE: 04/30/2003
RESPS:500            HOURS:63             COSTS(000):$0
  Request for Termination of Multifamily Mortgage Insurance
FORMS: HUD-9807

OMB NO: 2502-0418    EXPIRATION DATE: 07/31/2005
RESPS:215            HOURS:107            COSTS(000):$0
  Statement of Taxes
FORMS: HUD-434

OMB NO: 2502-0419    EXPIRATION DATE: 02/29/2004
RESPS:215            HOURS:18             COSTS(000):$0
  Mortgagee's Application for Insurance Benefits (Multifamily
  Mortgage)
FORMS: HUD-2747

OMB NO: 2502-0420    EXPIRATION DATE: 02/29/2004
RESPS:12             HOURS:72             COSTS(000):$0
  Multifamily Coinsurance Claims Package, Section 223(f)
FORMS: HUD-27008 27009B 27009D 27009F

OMB NO: 2502-0422    EXPIRATION DATE: 07/31/2004
RESPS:2,800,000      HOURS:262,600        COSTS(000):$0
  Mortgage Record Change
FORMS: NONE

OMB NO: 2502-0423    EXPIRATION DATE: 01/31/2004
RESPS:804,000        HOURS:40,200         COSTS(000):$0
  Single Family Premium Collection Subsystem-Upfront
FORMS: NONE

OMB NO: 2502-0424    EXPIRATION DATE: 12/31/2004
RESPS:70             HOURS:18             COSTS(000):$0
  Preauthorized Debits, HUD PAD Authorization
FORMS: HUD-92090

OMB NO: 2502-0427    EXPIRATION DATE: 02/29/2004
RESPS:215            HOURS:54             COSTS(000):$0
  Mortgagee's Application for Partial Settlement (Multifamily
  Mortgage)
FORMS: HUD-2537

OMB NO: 2502-0429    EXPIRATION DATE: 05/31/2003
RESPS:90,000         HOURS:119,700        COSTS(000):$0
  Single Family Application for Insurance Benefits
FORMS: HUD-27011 A-B-C-D-E (2502-0523)

OMB NO: 2502-0436    EXPIRATION DATE: 01/31/2006
RESPS:12,000         HOURS:3,000          COSTS(000):$0
  Mortgagee's Request for Extension of Time
FORMS: HUD-50012

OMB NO: 2502-0446    EXPIRATION DATE: 11/30/2005
RESPS:1,250          HOURS:2,500          COSTS(000):$0
  Procedures for Appealing Section 8 Rent Adjustments
FORMS: NONE

OMB NO: 2502-0447    EXPIRATION DATE: 06/30/2003
RESPS:8,960          HOURS:47,400         COSTS(000):$0
  Multifamily Housing Service Coordinator Program
FORMS: HUD-92456 HUD-50080-SCMF SF-269 SF-424 SF-424-B HUD-2880 SF-LLL

OMB NO: 2502-0460    EXPIRATION DATE: 01/31/2005
RESPS:186            HOURS:104            COSTS(000):$0
  Reporting Requirements for the Auction of Section 221(g)(4)
  Multifamily Mortgages
FORMS: HUD-93487 HUD-93487-A

OMB NO: 2502-0462    EXPIRATION DATE: 12/31/2003
RESPS:260            HOURS:10,481         COSTS(000):$0
  Application Submission Requirements - Section 811 Supportive
  Housing for Persons with Disabilities
FORMS: HUD-92016-CA SF-424 HUD-50070 HUD-50071 SF-LLL HUD-2880 HUD-2992
HUD-2991 HUD-92041 HUD-92043

OMB NO: 2502-0470    EXPIRATION DATE: 01/31/2006
RESPS:2,290          HOURS:3,485          COSTS(000):$0
  Capital Advance Program Submission Requirements for Section 202
  Housing for the Elderly and Section 811 Housing for Persons with
  Disabilities
FORMS: HUD-90163-CA 90164-CA 90165-CA 90166-CA 90167-CA 90170-CA
90171-CA 90176-CA 90177-CA 91732-CA

OMB NO: 2502-0476    EXPIRATION DATE: 05/31/2003
RESPS:1,500          HOURS:55,950         COSTS(000):$0
  Federally Assisted Low-Income Housing Drug Elimination Grants
FORMS: HUD-50080-DF-2B SF-269 SF-424 SF-424-A HUD-2880 SF-LLL

OMB NO: 2502-0483    EXPIRATION DATE: 02/28/2006
RESPS:500            HOURS:250            COSTS(000):$0
  Repayment Agreement
FORMS: HUD-56146

OMB NO: 2502-0485    EXPIRATION DATE: 11/30/2004
RESPS:648            HOURS:1,013          COSTS(000):$0
  Congregate Housing Services Program
FORMS: HUD-90006 HUD-90198 HUD-91180-A SF-269

OMB NO: 2502-0486    EXPIRATION DATE: 12/31/2003
RESPS:272,950        HOURS:65,870         COSTS(000):$0
  Single Family Acquired Asset Management System (SAMS)
FORMS: SAMS-1100 1101 1103 1106 1106-C 1108 1110 1111 1111-A 1117

OMB NO: 2502-0493    EXPIRATION DATE: 01/31/2006
RESPS:3,500          HOURS:7,875          COSTS(000):$0
  Master Appraisal Reports
FORMS: HUD-91322 HUD-91322.1 HUD-91322.2 HUD-91322.3

OMB NO: 2502-0494    EXPIRATION DATE: 06/30/2004
RESPS:1,200,000      HOURS:140,000        COSTS(000):$0
  HUD Conditional Commitment/Direct Endorsement Statement of
  Appraised Value
FORMS: HUD-92800.5B

OMB NO: 2502-0496    EXPIRATION DATE: 04/30/2003
RESPS:65,600         HOURS:16,400         COSTS(000):$0
  Builder's Certification of Plans, Specifications, and Site
FORMS: HUD-92541

OMB NO: 2502-0505    EXPIRATION DATE: 11/30/2003
RESPS:26,000         HOURS:53,500         COSTS(000):$0
  Comprehensive Needs Assessment (CNA)
FORMS: HUD-96001 96002 96003

OMB NO: 2502-0507    EXPIRATION DATE: 03/31/2005
RESPS:6,000          HOURS:9,000          COSTS(000):$0
  AAF Rent Increase Requirement Pursuant to the Housing
  Appropriations Act of 1994
FORMS: HUD-92273-S8

OMB NO: 2502-0512    EXPIRATION DATE: 12/31/2004
RESPS:750            HOURS:188            COSTS(000):$3
  Automated Cleaning House (ACH) Program Application - Title I
  Insurance Charge Payments System
FORMS: HUD-56150

OMB NO: 2502-0514    EXPIRATION DATE: 01/31/2006
RESPS:87             HOURS:5,632          COSTS(000):$87
  The Federal National Mortgage Association (Fannie Mae) and the
  Federal Home Loan Mortgage Corporation (Freddie Mac) Regulations
FORMS: NONE

OMB NO: 2502-0518    EXPIRATION DATE: 10/31/2004
RESPS:15             HOURS:960            COSTS(000):$1,200
  Hospital, Section 242, Application for Project Mortgage Insurance
FORMS: HUD-92013-HOSP

OMB NO: 2502-0523    EXPIRATION DATE: 09/30/2005
RESPS:543,180        HOURS:135,795        COSTS(000):$0
  Loss Mitigation Evaluation
FORMS: NONE

OMB NO: 2502-0525    EXPIRATION DATE: 10/31/2005
RESPS:54,000         HOURS:8,964          COSTS(000):$0
  Builder's Certification/Guaranee and New Construction
  Subterranean Termit Soil Treatment Record
FORMS: HUD-NPCA-99-A HUD-NPCA-99-B

OMB NO: 2502-0526    EXPIRATION DATE: 08/31/2004
RESPS:20             HOURS:400            COSTS(000):$0
  Use of Materials Bulletins for the HUD Building Products
  Standards and Certification Program
FORMS: NONE

OMB NO: 2502-0527    EXPIRATION DATE: 04/30/2004
RESPS:259,200        HOURS:319,450        COSTS(000):$0
  203(K) Rehabilitation Mortgage Insurance
FORMS: HUD-92700 HUD-9746-A

OMB NO: 2502-0533    EXPIRATION DATE: 05/31/2003
RESPS:3,199          HOURS:371,652        COSTS(000):$0
  Multifamily Housing Mortgage and Housing Assistance Restructuring
FORMS: NONE

OMB NO: 2502-0534    EXPIRATION DATE: 08/31/2005
RESPS:32,000         HOURS:6,800          COSTS(000):$0
  Home Equity Conversion Mortgages (HECM): Consumer Protection
  Measures Against Excessive Fees
FORMS: NONE

OMB NO: 2502-0535    EXPIRATION DATE: 05/31/2003
RESPS:45             HOURS:825            COSTS(000):$15
  NOFA for Secondary Market for Non-Conforming Loans to Low Wealth
  Borrowers Demonstration Program
FORMS: HUD-2880 HUD-50071 HUD-2992

OMB NO: 2502-0536    EXPIRATION DATE: 01/31/2006
RESPS:96,000         HOURS:19,200         COSTS(000):$0
  Single Family Premium Collection Subsystem-Periodic (SFPCS-P)
FORMS: NONE

OMB NO: 2502-0537    EXPIRATION DATE: 08/31/2005
RESPS:9,000          HOURS:4,500          COSTS(000):$0
  Informed Consumer Choice Disclosure Notice
FORMS: NONE

OMB NO: 2502-0538    EXPIRATION DATE: 04/30/2003
RESPS:1,215,000      HOURS:502,500        COSTS(000):$625
  Fee or Roster Designation, HUD Conditions and Appraisal Report
FORMS: HUD-92563 HUD-92564-VC HUD-92564-HS HUD-92564-CN 1004 1004B

OMB NO: 2502-0539    EXPIRATION DATE: 04/30/2003
RESPS:1,800          HOURS:266,666        COSTS(000):$1,700
  HMDA Loan/Application Register
FORMS: HUD HMDA/LAR

OMB NO: 2502-0540    EXPIRATION DATE: 10/31/2003
RESPS:15,750         HOURS:81,000         COSTS(000):$0
  Application and Re-certification Packages for Approval of
  Nonprofit Organizations in FHA Activities
FORMS: NONE

OMB NO: 2502-0541    EXPIRATION DATE: 02/29/2004
RESPS:130            HOURS:1,300          COSTS(000):$0
  Lender Qualifications for Multifamily Accelerated Processing
  (MAP)
FORMS: NONE

OMB NO: 2502-0542    EXPIRATION DATE: 08/31/2003
RESPS:260            HOURS:4,300          COSTS(000):$0
  Assisted Living Conversion Program (ALCP)
FORMS: HUD-92045

OMB NO: 2502-0545    EXPIRATION DATE: 10/31/2004
RESPS:15             HOURS:1,200          COSTS(000):$0
  Review of Health Care Facility Portfolios
FORMS: NONE

OMB NO: 2502-0546    EXPIRATION DATE: 06/30/2004
RESPS:4,000          HOURS:2,000          COSTS(000):$0
  Home Equity Conversion Mortgage (HECM) Program; Insurance for
  Mortgages to Refinance Existing HECMs (FR-4667)
FORMS: NONE

OMB NO: 2502-0547    EXPIRATION DATE: 12/31/2003
RESPS:750,000        HOURS:27,500         COSTS(000):$0
  Owner of Record and Re-Sale Data to Preclude Predatory Lending
  Practices (Property Flipping) on FHA Insured Mortgages
FORMS: NONE

OMB NO: 2502-0548    EXPIRATION DATE: 04/30/2005
RESPS:9,000          HOURS:5,250          COSTS(000):$0
  FHA Fee Inspector Panel Application Package
FORMS: HUD-92563

OMB NO: 2502-0549    EXPIRATION DATE: 03/31/2006
RESPS:8,240          HOURS:4,120          COSTS(000):$0
  HUD's Loss Mitigation Default Counseling Demonstration Program
FORMS: NONE

OMB NO: 2502-0550    EXPIRATION DATE: 04/30/2003
RESPS:30,000         HOURS:15,000         COSTS(000):$0
  Inventory of Housing Units Designated for Elderly/Disabled
  Persons
FORMS: HUD-90059

OMB NO: 2502-0551    EXPIRATION DATE: 10/31/2005
RESPS:20,774         HOURS:53,784         COSTS(000):$0
  Multifamily Financial Management Template
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
116 126,715,580 14,920,097 $6,895
Government National Mortgage Association
OMB NO: 2503-0001    EXPIRATION DATE: 09/30/2003
RESPS:1,188          HOURS:297            COSTS(000):$0
  Application for Commitment to Guarantee Mortgage-Backed
  Securities
FORMS: HUD-11704

OMB NO: 2503-0004    EXPIRATION DATE: 07/31/2004
RESPS:263,340        HOURS:42,135         COSTS(000):$0
  Issuer's Monthly Accounting Reports
FORMS: 11710-A 11710-B 11710-C 11710-D 11710-E

OMB NO: 2503-0009    EXPIRATION DATE: 10/31/2005
RESPS:31,482         HOURS:5,352          COSTS(000):$0
  Schedule of Subscribers and Ginnie Mae Guaranty Agreement
FORMS: 11705

OMB NO: 2503-0010    EXPIRATION DATE: 08/31/2004
RESPS:31,540         HOURS:7,885          COSTS(000):$0
  Schedule of Pooled Mortgages
FORMS: 11706

OMB NO: 2503-0015    EXPIRATION DATE: 06/30/2004
RESPS:263,340        HOURS:2,633          COSTS(000):$0
  Issuer's Monthly Remittance Advice and Issuer's Monthly Serial
  Note Remittance Advice
FORMS: HUD-11714 HUD-11714SN

OMB NO: 2503-0016    EXPIRATION DATE: 06/30/2005
RESPS:1,100          HOURS:187            COSTS(000):$0
  Guaranty of Mortgage-backed Securities
FORMS: 11700 11702 11707

OMB NO: 2503-0017    EXPIRATION DATE: 01/31/2006
RESPS:4,154          HOURS:810            COSTS(000):$0
  Ginnie Mae's Document Release Request ACH Debit Authorization,
  Servicer's/Custodial Account, and Master Agreements
FORMS: 11708 11709 11709A 11715 11720

OMB NO: 2503-0018    EXPIRATION DATE: 04/30/2004
RESPS:31,540         HOURS:7,885          COSTS(000):$0
  Prospectus
FORMS: 11712/11712-11 11717/11717-11 1724 11728/11728-11 1731 1734
11747 11747-11 11772-11

OMB NO: 2503-0026    EXPIRATION DATE: 07/31/2005
RESPS:1,184          HOURS:4,736          COSTS(000):$0
  Quarterly Loan Level Reporting
FORMS: NONE

OMB NO: 2503-0032    EXPIRATION DATE: 08/31/2003
RESPS:150            HOURS:38             COSTS(000):$0
  Generic Customer Satisfaction Surveys for Business Partners and
  Multiclass Program Participants
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
10 629,018 71,958 $0
Office of Community Planning and Development
OMB NO: 2506-0016    EXPIRATION DATE: 04/30/2005
RESPS:36,800         HOURS:31,000         COSTS(000):$0
  Application for Relocation/Displacement Assistance
FORMS: HUD-40054 40055 40056 40057 40058 40061 40072

OMB NO: 2506-0020    EXPIRATION DATE: 05/31/2005
RESPS:800            HOURS:6,400          COSTS(000):$0
  HUD-Administered Small Cities Program Performance Assessment
  Report
FORMS: HUD-4052

OMB NO: 2506-0042    EXPIRATION DATE: 04/30/2003
RESPS:150            HOURS:350            COSTS(000):$0
  Urban Homesteading Program
FORMS: NONE

OMB NO: 2506-0077    EXPIRATION DATE: 01/31/2004
RESPS:1              HOURS:434,040        COSTS(000):$0
  24 CFR Part 570 - Community Development Block Grant Entitlement
  Program
FORMS: NONE

OMB NO: 2506-0080    EXPIRATION DATE: 01/31/2004
RESPS:900            HOURS:1,571          COSTS(000):$0
  Rental Rehabilitation Program
FORMS: HUD-40014 40014B 40021 40070 40014-A 40018 40018-A 40022

OMB NO: 2506-0085    EXPIRATION DATE: 10/31/2004
RESPS:50             HOURS:107,400        COSTS(000):$0
  State Community Development Block Grant (CDBG) Program
FORMS: NONE

OMB NO: 2506-0087    EXPIRATION DATE: 11/30/2004
RESPS:18,785         HOURS:11,271         COSTS(000):$0
  Environmental Review Procedures for Entities Assuming HUD
  Environmental Review Responsibilities
FORMS: HUD-7015.15

OMB NO: 2506-0112    EXPIRATION DATE: 06/30/2003
RESPS:4,620          HOURS:203,280        COSTS(000):$0
  Continuum of Care Homeless Assistance Application
FORMS: HUD-40076-COC HUD-40076-2 HUD-40085-2

OMB NO: 2506-0117    EXPIRATION DATE: 08/31/2005
RESPS:2,200          HOURS:549,925        COSTS(000):$2,150
  Consolidated Plan
FORMS: NONE

OMB NO: 2506-0121    EXPIRATION DATE: 04/30/2005
RESPS:80,000         HOURS:260,000        COSTS(000):$0
  Relocation and Real Property Acquisition, Recordkeeping
  Requirements Under the Uniform Relocation Assistance and Real
  Property Acquisition Policies Act of 1979
FORMS: NONE

OMB NO: 2506-0122    EXPIRATION DATE: 02/29/2004
RESPS:1,115          HOURS:42,700         COSTS(000):$0
  Historically Black Colleges and Universities (HBCUs)
FORMS: HUD-40076HBCU

OMB NO: 2506-0128    EXPIRATION DATE: 08/31/2003
RESPS:2,528          HOURS:15,490         COSTS(000):$0
  HOPE for Homeownership of Single Family Homes Program (HOPE 3)
FORMS: HUD-40086-B 40102-B 40103 40104 40105

OMB NO: 2506-0133    EXPIRATION DATE: 11/30/2003
RESPS:410            HOURS:28,635         COSTS(000):$0
  Housing Opportunities for Persons with AIDS (HOPWA) Program:
  Aplication for competitive grants award; annual progress report
  for competitive
FORMS: HUD-40110-B HUD-40110-C

OMB NO: 2506-0142    EXPIRATION DATE: 09/30/2003
RESPS:300            HOURS:9,250          COSTS(000):$0
  Youthbuild Program
FORMS: HUD-40200 -40201 -40202 -40203 SF-1199A HUD-27054

OMB NO: 2506-0145    EXPIRATION DATE: 06/30/2003
RESPS:1              HOURS:200,000        COSTS(000):$0
  Competitive Homeless Assistance Program Annual Progress Report
  (APR)
FORMS: HUD-40118

OMB NO: 2506-0148    EXPIRATION DATE: 12/31/2004
RESPS:97             HOURS:6,111          COSTS(000):$0
  Third Round Designation of Seven Urban Empowerment Zones
FORMS: HUD-40003

OMB NO: 2506-0151    EXPIRATION DATE: 08/31/2004
RESPS:300            HOURS:2,700          COSTS(000):$0
  24 CFR Part 55, Floodplain Management
FORMS: NONE

OMB NO: 2506-0153    EXPIRATION DATE: 08/31/2004
RESPS:100            HOURS:8,160          COSTS(000):$0
  Economic Development Initiative (EDI) & Brownfields Economic
  Development Initiative (BEDI) Grant Programs
FORMS: HUD-40076

OMB NO: 2506-0159    EXPIRATION DATE: 03/31/2005
RESPS:800            HOURS:10,200         COSTS(000):$0
  Loan Guarantee Recovery Fund Established Pursuant to the Church
  Arson Prevention Act of 1996
FORMS: SF-424 HUD-40076-LGA

OMB NO: 2506-0165    EXPIRATION DATE: 07/31/2004
RESPS:580            HOURS:18,560         COSTS(000):$52
  Disaster Recovery Grant Reporting System
FORMS: NONE

OMB NO: 2506-0166    EXPIRATION DATE: 11/30/2004
RESPS:3,688          HOURS:23,264         COSTS(000):$0
  Technical Assistance for Community Planning and Development
  Programs
FORMS: SF-424 SF-424B SF-LLL HUD-424M HUD-50070 HUD-50071 HUD-2880
HUD-2992

OMB NO: 2506-0169    EXPIRATION DATE: 11/30/2003
RESPS:1,240          HOURS:18,940         COSTS(000):$0
  Rural Housing and Economic Development Program
FORMS: SF-424

OMB NO: 2506-0170    EXPIRATION DATE: 10/31/2005
RESPS:58             HOURS:3,545          COSTS(000):$0
  CDBG Urban County/New York Towns Qualification/Requalification
  Process
FORMS: NONE

OMB NO: 2506-0171    EXPIRATION DATE: 03/31/2005
RESPS:245,539        HOURS:379,941        COSTS(000):$0
  HOME Investment Partnerships Program
FORMS: HUD-40093 HUD-40093A HUD-40107 HUD-40107-A

OMB NO: 2506-0173    EXPIRATION DATE: 12/31/2004
RESPS:94             HOURS:9,360          COSTS(000):$0
  Designation of Round III Empowerment Zones and Renewal
  Communities
FORMS: HUD-40005

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
25 401,156 2,382,093 $2,202
Real Estate Assessment Center
OMB NO: 2507-0001    EXPIRATION DATE: 11/30/2003
RESPS:269,091        HOURS:82,903         COSTS(000):$0
  Customer Service and Satisfaction Survey
FORMS: NONE

OMB NO: 2507-0003    EXPIRATION DATE: 05/31/2003
RESPS:732,300        HOURS:37,500         COSTS(000):$0
  Tenant Assessment Subsystem (TASS) computer matching income
  verification
FORMS: 50073 50074

OMB NO: 2507-0004    EXPIRATION DATE: 01/31/2005
RESPS:7,000          HOURS:21,000         COSTS(000):$0
  Electronic Financial Submissions for Certain HUD Lenders (HUD
  Approved Nonsupervised Lenders, Nonsupervised Mortgagees, and
  Loan Correspondents)
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
3 1,008,391 141,403 $0
Office of the General Counsel
OMB NO: 2510-0008    EXPIRATION DATE: 11/30/2004
RESPS:213            HOURS:213            COSTS(000):$0
  Information request to owners of HUD-assisted multifamily
  housing in Boston, pursuant to Section III.A of Consent Decree
  in N.A.A.C.P., Boston Chapter v. Martinez
FORMS: HUD-23002

OMB NO: 2510-0011    EXPIRATION DATE: 06/30/2003
RESPS:16,900         HOURS:40,560         COSTS(000):$0
  Accountability in the Provision of HUD Assistance
  Applicant/Recipient Disclosure/Update
FORMS: HUD-2880

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
2 17,113 40,773 $0
Policy Development and Research
OMB NO: 2528-0013    EXPIRATION DATE: 10/31/2004
RESPS:48,000         HOURS:4,000          COSTS(000):$0
  Survey of Market Absorption of New Apartment Buildings
FORMS: H-31 SOMA-1

OMB NO: 2528-0017    EXPIRATION DATE: 04/30/2004
RESPS:47,300         HOURS:30,517         COSTS(000):$0
  American Housing Survey (AHS) - 2001 National Survey
FORMS: AHS-26 AHS-27 AHS-28

OMB NO: 2528-0029    EXPIRATION DATE: 09/30/2003
RESPS:12,960         HOURS:6,480          COSTS(000):$0
  Survey of New Manufactured (Mobile) Home Placements
FORMS: C-MH-9A

OMB NO: 2528-0142    EXPIRATION DATE: 10/31/2003
RESPS:46,000         HOURS:11,454         COSTS(000):$0
  Section 8 Random Digit Dialing Fair Market Rent Surveys
FORMS: NONE

OMB NO: 2528-0165    EXPIRATION DATE: 06/30/2004
RESPS:58             HOURS:1,392          COSTS(000):$0
  Low Income Housing Tax Credit Database
FORMS: NONE

OMB NO: 2528-0170    EXPIRATION DATE: 02/29/2004
RESPS:187,000        HOURS:41,385         COSTS(000):$0
  Customer-Survey of Households Living in Federally Assisted Units
FORMS: NONE

OMB NO: 2528-0175    EXPIRATION DATE: 10/31/2003
RESPS:180            HOURS:3,150          COSTS(000):$0
  Community Development Work Study Program
FORMS: HUD-424 HUD-424B HUD-2880 HUD-2993 HUD-2994 HUD-3007 HUD-30013
HUD-30014 HUD-30015

OMB NO: 2528-0180    EXPIRATION DATE: 04/30/2003
RESPS:160            HOURS:14,208         COSTS(000):$0
  Community Outreach Partnership Centers Program (COPC)
FORMS: HUD-30001 HUD-30002 HUD-30003

OMB NO: 2528-0198    EXPIRATION DATE: 02/28/2006
RESPS:100            HOURS:4,160          COSTS(000):$0
  Hispanic-Serving Institutions Assisting Communities
FORMS: HUD-424 HUD-424-B HUD-424-C HUD2880 HUD2990 HUD2991 HUD2992
HUD2993 HUD2994 HUD3004

OMB NO: 2528-0206    EXPIRATION DATE: 05/31/2003
RESPS:36             HOURS:1,824          COSTS(000):$0
  Alaska Native / Native Hawaiian Institutions Assisting
  Communities (AN/NHIC)
FORMS: HUD-30005

OMB NO: 2528-0209    EXPIRATION DATE: 08/31/2003
RESPS:100            HOURS:33             COSTS(000):$0
  Assessment of the American Housing Survey - Metropolitan Sample
  (AHS-MS)
FORMS: NONE

OMB NO: 2528-0211    EXPIRATION DATE: 10/31/2003
RESPS:2,418          HOURS:605            COSTS(000):$0
  HUD 2020 Partners Survey
FORMS: NONE

OMB NO: 2528-0212    EXPIRATION DATE: 10/31/2003
RESPS:1,500          HOURS:175            COSTS(000):$0
  Fair Housing Literacy Survey
FORMS: NONE

OMB NO: 2528-0213    EXPIRATION DATE: 01/31/2004
RESPS:125            HOURS:2,710          COSTS(000):$0
  Doctoral Dissertation Research Grant Program
FORMS: NONE

OMB NO: 2528-0214    EXPIRATION DATE: 09/30/2004
RESPS:120            HOURS:3,320          COSTS(000):$0
  HUD Urban Scholars Fellowship Program
FORMS: HUD-424

OMB NO: 2528-0215    EXPIRATION DATE: 10/31/2004
RESPS:52             HOURS:3,208          COSTS(000):$0
  Tribal Colleges and Universities Program
FORMS: HUD-50070 50071 SF-424 HUD-424-M SF-424B SF-LLL HUD-2880

OMB NO: 2528-0216    EXPIRATION DATE: 04/30/2004
RESPS:125            HOURS:2,710          COSTS(000):$0
  Early Doctoral Student Grant Program
FORMS: NONE

OMB NO: 2528-0217    EXPIRATION DATE: 10/31/2004
RESPS:1,595          HOURS:661            COSTS(000):$0
  An Assessment of Third-Party Economic Development Loans Funded
  Through HUD's Community Planning and Development Programs
FORMS: NONE

OMB NO: 2528-0218    EXPIRATION DATE: 10/31/2004
RESPS:10,277         HOURS:13,933         COSTS(000):$0
  Data Collection for The Interim Impact Evaluation for the Moving
  to Opportunity Demonstration
FORMS: NONE

OMB NO: 2528-0219    EXPIRATION DATE: 01/31/2005
RESPS:200            HOURS:400            COSTS(000):$0
  Information collection to establish the needs for and uses of
  electronic permitting systems in use in building code offices in
  communities
FORMS: NONE

OMB NO: 2528-0220    EXPIRATION DATE: 01/31/2005
RESPS:480            HOURS:160            COSTS(000):$0
  HUD Mobility-Impaired Tenant Survey
FORMS: NONE

OMB NO: 2528-0221    EXPIRATION DATE: 06/30/2005
RESPS:216            HOURS:100            COSTS(000):$0
  Housing Choice Voucher Tenant Accessibility Study: 2002-2003
FORMS: NONE

OMB NO: 2528-0222    EXPIRATION DATE: 08/31/2005
RESPS:595            HOURS:595            COSTS(000):$0
  Mail Survey of HOME Investment Partnership Program Administrators
FORMS: NONE

OMB NO: 2528-0225    EXPIRATION DATE: 05/31/2003
RESPS:45             HOURS:101            COSTS(000):$0
  Survey to Determine the Utility of Proposed RESPA Good Faith
  Estimate and Guaranteed Mortgage Package Agreement
FORMS: NONE

OMB NO: 2528-0227    EXPIRATION DATE: 08/31/2003
RESPS:80             HOURS:1,700          COSTS(000):$0
  Notice of Funding Availability for Research on Socioeconomic
  Change in Cities
FORMS: HUD-424 HUD-424-B HUD-424-CB CBW STND.FORM-LLL HUD-2880 HUD-2993
HUD-2994 HUD-2993

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
25 359,722 148,981 $0
Office of Fair Housing and Equal Opportunity
OMB NO: 2529-0011    EXPIRATION DATE: 09/30/2004
RESPS:10,750         HOURS:7,148          COSTS(000):$0
  Housing Discrimination Information Form 903.1 and the Housing
  Discrimination Form HUD-903 (English) and HUD-903A (Spanish)
FORMS: HUD-903 HUD-903A

OMB NO: 2529-0013    EXPIRATION DATE: 09/30/2003
RESPS:3,006          HOURS:9,018          COSTS(000):$0
  Affirmative Fair Housing Marketing Plan, Form HUD-935.2
FORMS: HUD-935.2

OMB NO: 2529-0033    EXPIRATION DATE: 08/31/2003
RESPS:1,186          HOURS:48,472         COSTS(000):$0
  Fair Housing Initiative Program (FHIP) Grant Application
FORMS: 40076-FHIP 424 424B 424C 424CB 424CBW 2880 2990-2991 2993-2994
OMB-SF-LLL

OMB NO: 2529-0043    EXPIRATION DATE: 06/30/2004
RESPS:58,593         HOURS:117,186        COSTS(000):$0
  Economic Opportunities for Low-and Very Low-Income Persons
FORMS: HUD-60002 HUD-958

OMB NO: 2529-0046    EXPIRATION DATE: 06/30/2003
RESPS:12,000         HOURS:5,500          COSTS(000):$0
  Final Regulations Implementing Housing for Older Persons Act of
  (FR-4094-F-02) 1995 (HOPA)
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
5 85,535 187,324 $0
Office of Administration
OMB NO: 2535-0091    EXPIRATION DATE: 04/30/2003
RESPS:12             HOURS:45,600         COSTS(000):$0
  HUD Acquisition Regulation (HUDAR) (48 CFR 24)
FORMS: HUD-770

OMB NO: 2535-0102    EXPIRATION DATE: 01/31/2004
RESPS:237,200        HOURS:40,324         COSTS(000):$0
  Request Voucher for Grant Payment and LOCCS Voice Response
  System Access Authorization
FORMS: HUD-27053 HUD-27054

OMB NO: 2535-0106    EXPIRATION DATE: 11/30/2003
RESPS:3,169          HOURS:6,202          COSTS(000):$0
  Public Housing Assessment System (PHAS) Management Operations
  Certification
FORMS: HUD-50072

OMB NO: 2535-0107    EXPIRATION DATE: 11/30/2003
RESPS:5,964          HOURS:31,961         COSTS(000):$0
  Public Housing Financial Management Template
FORMS: NONE

OMB NO: 2535-0113    EXPIRATION DATE: 08/31/2003
RESPS:1              HOURS:1              COSTS(000):$0
  Standardized Form for "Race and Ethnic Data Collection"
FORMS: HUD-27061

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
5 246,346 124,088 $0
Office of Lead-Based Paint and Poison Prevention
OMB NO: 2539-0008    EXPIRATION DATE: 01/31/2004
RESPS:520            HOURS:6,240          COSTS(000):$0
  Lead-Based Paint Hazard Control Grant Program Data Collection
FORMS: HUD-96006

OMB NO: 2539-0009    EXPIRATION DATE: 12/31/2005
RESPS:2,355,621      HOURS:253,742        COSTS(000):$3,593
  Requirements for Lead-Based Paint Hazards in Federally Owned
  Resisential Properties and Housing Receiving Federal Assistance
FORMS: NONE

OMB NO: 2539-0010    EXPIRATION DATE: 06/30/2003
RESPS:50             HOURS:2,136          COSTS(000):$0
  Notice of Funding Availability / Improving the Evaluation and
  Control of Residential Lead-Based Hazards
FORMS: NONE

OMB NO: 2539-0015    EXPIRATION DATE: 01/31/2004
RESPS:290            HOURS:19,040         COSTS(000):$0
  Notice of Funding Availability Lead-Based Hazard Control,
  Healthy Homes Demonstration, Operation Lead Elimination Action
  Program, and Healthy Homes and Lead Technical Studies Grant
  Program
FORMS: HUD-424 HUD-424B HUD-424C HUD-2880 HUD-50070 HUD-50071 SF-LLL

OMB NO: 2539-0017    EXPIRATION DATE: 05/31/2003
RESPS:3              HOURS:425            COSTS(000):$0
  A Study of the Effectiveness of the Milwaukee Lead Hazard
  Control Ordinance
FORMS: NONE

OMB NO: 2539-0018    EXPIRATION DATE: 06/30/2003
RESPS:365            HOURS:43             COSTS(000):$0
  Evaluation of Environmental Interventions Conducted under HUD
  Lead-Based Paint Abatement Program
FORMS: NONE

OMB NO: 2539-0019    EXPIRATION DATE: 06/30/2004
RESPS:150            HOURS:700            COSTS(000):$0
  First National Survey of Environmental Hazards in Child Care
  Centers
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
7 2,356,999 282,326 $3,593
Office of Public and Indian Housing
OMB NO: 2577-0006    EXPIRATION DATE: 03/31/2006
RESPS:3,330          HOURS:158,400        COSTS(000):$0
  Public Housing Agency (PHA), Lease Requirements, Recordkeeping
  Requirements
FORMS: NONE

OMB NO: 2577-0012    EXPIRATION DATE: 08/31/2004
RESPS:716            HOURS:2,652          COSTS(000):$0
  Outline Specifications
FORMS: HUD-5087

OMB NO: 2577-0015    EXPIRATION DATE: 09/30/2005
RESPS:2,630          HOURS:8,548          COSTS(000):$0
  Contract for Development of A/E Services.
FORMS: HUD-51915 HUD-51915-A

OMB NO: 2577-0021    EXPIRATION DATE: 06/30/2004
RESPS:147            HOURS:147            COSTS(000):$0
  Consolidated Public Housing Certificate of Completion
FORMS: NONE

OMB NO: 2577-0024    EXPIRATION DATE: 11/30/2003
RESPS:238            HOURS:1,428          COSTS(000):$0
  Life-Cycle Cost Analysis of Utility Combination in Public Housing
FORMS: HUD-51994

OMB NO: 2577-0025    EXPIRATION DATE: 09/30/2004
RESPS:10,150         HOURS:20,155         COSTS(000):$0
  Periodical Estimate for Partial Payment and Related Schedules
FORMS: HUD-51001 HUD-51002 HUD-51003 HUD-51004

OMB NO: 2577-0027    EXPIRATION DATE: 05/31/2003
RESPS:3,792          HOURS:720            COSTS(000):$0
  Public Housing Construction Report
FORMS: HUD-5378

OMB NO: 2577-0029    EXPIRATION DATE: 10/31/2004
RESPS:22,400         HOURS:16,038         COSTS(000):$0
  Allocation of Operating Subsidies Under the Operating Fund
  Formula: Data Collection (formerly the Performance Funding
  System (PFS)).
FORMS: HUD-52720-A HUD-52720-B HUD-52720-C HUD-52721 HUD-52722-A
HUD-52722-B HUD-52723 HUD-53087

OMB NO: 2577-0033    EXPIRATION DATE: 06/30/2004
RESPS:334            HOURS:7,595          COSTS(000):$0
  Public Housing Development and Mixed-Finance Development of
  Units; Proposal, Financial Feasibility, Site Information Turnkey
  Method, Evidentiary Materials
FORMS: HUD-51971-I HUD-51971-II HUD-52482 HUD-52483-A HUD-52485
HUD-52651-A

OMB NO: 2577-0036    EXPIRATION DATE: 05/31/2004
RESPS:2,435          HOURS:11,667         COSTS(000):$0
  Public Housing Agency (PHA) Development cost Budget/Cost
  Statement, Actual Development Cost Certification, Acquisition
  and Relocation Report
FORMS: HUD-52427 HUD-52484

OMB NO: 2577-0037    EXPIRATION DATE: 08/31/2004
RESPS:110            HOURS:248            COSTS(000):$0
  Analysis of Proposed Main Construction Contract
FORMS: HUD-52396

OMB NO: 2577-0039    EXPIRATION DATE: 03/31/2004
RESPS:11,608         HOURS:14,506         COSTS(000):$0
  Contract Administration - Public and Indian Housing
FORMS: HUD-5372 HUD-5100

OMB NO: 2577-0044    EXPIRATION DATE: 04/30/2004
RESPS:1,000          HOURS:10,000         COSTS(000):$0
  Comprehensive Improvement Assistance Program (CIAP)
  Budget/Progress Report and Actual Modernization Cost Certificate
FORMS: HUD-52825 HUD-53001

OMB NO: 2577-0045    EXPIRATION DATE: 05/31/2004
RESPS:60             HOURS:60             COSTS(000):$0
  Insurance Information
FORMS: HUD-5460

OMB NO: 2577-0046    EXPIRATION DATE: 10/31/2004
RESPS:12,000         HOURS:12,000         COSTS(000):$0
  Procedure for Obtaining Certificates of Insurance for Capital
  Program Projects
FORMS: NONE

OMB NO: 2577-0066    EXPIRATION DATE: 09/30/2004
RESPS:3,100          HOURS:6,200          COSTS(000):$0
  Housing Agency (HA) Calculation of Occupancy Percentage for
  Requested Budget Year (RBY) PHA-Owned Rental Housing,
  Performance Funding System (PFS)
FORMS: HUD-52728

OMB NO: 2577-0075    EXPIRATION DATE: 03/31/2005
RESPS:120            HOURS:2,010          COSTS(000):$0
  Demolition/Disposition Application and Reporting
FORMS: HUD-52860

OMB NO: 2577-0078    EXPIRATION DATE: 10/31/2004
RESPS:32,000         HOURS:256            COSTS(000):$0
  Pet Ownership in Public Housing for the Elderly or Persons with
  Disabilities
FORMS: NONE

OMB NO: 2577-0083    EXPIRATION DATE: 09/30/2003
RESPS:4,689,165      HOURS:1,563,054      COSTS(000):$0
  Multifamily Tenant Characteristics Family Reporting
FORMS: HUD-50058 HUD-50058-MTW

OMB NO: 2577-0087    EXPIRATION DATE: 03/31/2004
RESPS:1,916          HOURS:3,832          COSTS(000):$0
  Tenant Opportunities Program (TOP) Semi-Annual Report
FORMS: HUD-52370

OMB NO: 2577-0088    EXPIRATION DATE: 06/30/2004
RESPS:3,596          HOURS:3,596          COSTS(000):$0
  Contract and Subcontract Activity
FORMS: HUD-2516

OMB NO: 2577-0090    EXPIRATION DATE: 06/30/2004
RESPS:3,100          HOURS:3,100          COSTS(000):$0
  Annual Lead-Based Paint Activity Report
FORMS: HUD-52850

OMB NO: 2577-0094    EXPIRATION DATE: 11/30/2003
RESPS:2,694          HOURS:2,694          COSTS(000):$0
  General Conditions of the Contract for Construction - Public
  Housing Programs
FORMS: HUD-5370

OMB NO: 2577-0133    EXPIRATION DATE: 02/29/2004
RESPS:1,500          HOURS:30,000         COSTS(000):$0
  Public and Indian Housing Drug Elimination Technical Assistance
  Program (DETAP) Consultant Services - Application Kit
FORMS: HUD-52354

OMB NO: 2577-0161    EXPIRATION DATE: 08/31/2003
RESPS:1              HOURS:8,500          COSTS(000):$0
  Public Housing-Contracting with Resident-Owned Businesses
  Application Requirements
FORMS: NONE

OMB NO: 2577-0166    EXPIRATION DATE: 02/29/2004
RESPS:116,864        HOURS:17,540         COSTS(000):$0
  Public and Indian Housing-LOCCS/VRS Payment Vouchers
FORMS: HUD-50080SERIES

OMB NO: 2577-0169    EXPIRATION DATE: 03/31/2004
RESPS:2,562,500      HOURS:775,750        COSTS(000):$0
  Housing Choice Voucher Program (Part 982)
FORMS: HUD-52515 HUD-52517 HUD-52580 HUD-52580-A HUD-52646 HUD-52663
HUD-52665 HUD-52667 HUD-52672 HUD-52673......

OMB NO: 2577-0178    EXPIRATION DATE: 05/31/2003
RESPS:4,550          HOURS:39,090         COSTS(000):$0
  Family Self-Sufficiency Program (FSS)
FORMS: HUD-52650 HUD-52552

OMB NO: 2577-0186    EXPIRATION DATE: 04/30/2004
RESPS:19             HOURS:190            COSTS(000):$0
  Financial Standards for Housing Agency-Owned Insurance Entities
FORMS: NONE

OMB NO: 2577-0191    EXPIRATION DATE: 05/31/2003
RESPS:1              HOURS:12,800         COSTS(000):$0
  Application for Indian Community Development Block Grant (ICDBG)
  Program
FORMS: HUD-4121 HUD-4122 HUD-4123 HUD-4125 HUD-4126

OMB NO: 2577-0192    EXPIRATION DATE: 06/30/2004
RESPS:176            HOURS:3,358          COSTS(000):$0
  Requirements for Designating Housing Projects Plan
FORMS: NONE

OMB NO: 2577-0200    EXPIRATION DATE: 06/30/2005
RESPS:250            HOURS:46             COSTS(000):$0
  Loan Guarantees for Indian Housing
FORMS: HUD-53036 HUD-53038

OMB NO: 2577-0201    EXPIRATION DATE: 01/31/2005
RESPS:73             HOURS:5,421          COSTS(000):$0
  Section 5(h) Homeownership Program for Public Housing:
  Submission of Plan and Reporting
FORMS: NONE

OMB NO: 2577-0208    EXPIRATION DATE: 12/31/2004
RESPS:80             HOURS:29,773         COSTS(000):$0
  HOPE VI Application Requirements (Data Forms, Budget, etc.),
  Reporting, Procurement
FORMS: HUD-52600-A HUD-52825-A

OMB NO: 2577-0211    EXPIRATION DATE: 04/30/2004
RESPS:224            HOURS:1,792          COSTS(000):$0
  Economic Development and Supportive Services Program: Reporting
  Requirements
FORMS: NONE

OMB NO: 2577-0215    EXPIRATION DATE: 08/31/2003
RESPS:2,565          HOURS:34,720         COSTS(000):$0
  Section 8 Management Assessment Program (SEMAP)
FORMS: HUD-52648

OMB NO: 2577-0218    EXPIRATION DATE: 11/30/2004
RESPS:1              HOURS:134,592        COSTS(000):$0
  Indian Housing Plan (IHP); Annual Performance Report (APR);
FORMS: IHP-52735 APR-52735-AS

OMB NO: 2577-0220    EXPIRATION DATE: 11/30/2004
RESPS:3,200          HOURS:256,000        COSTS(000):$0
  Admission to, and Occupancy of Public Housing: Admission and
  Tenant Selection Policies, Verification, Notification
  Preference, Waiting List, Exemption of Police Officers
FORMS: NONE

OMB NO: 2577-0226    EXPIRATION DATE: 02/28/2006
RESPS:4,100          HOURS:85,800         COSTS(000):$0
  Public Housing Agency (PHA) Plan
FORMS: NONE

OMB NO: 2577-0229    EXPIRATION DATE: 11/30/2003
RESPS:850            HOURS:44,800         COSTS(000):$0
  Resident Opportunities Self-Sufficiency (ROSS) Program:
  Application Requirements, Evaluation, Assessment, Certifications
FORMS: NONE

OMB NO: 2577-0230    EXPIRATION DATE: 04/30/2003
RESPS:3,400          HOURS:169,300        COSTS(000):$0
  Public Housing Reform; Change in Admission and Occupancy
  Requirements
FORMS: NONE

OMB NO: 2577-0232    EXPIRATION DATE: 03/31/2006
RESPS:4,500          HOURS:10,850         COSTS(000):$0
  Screening and Eviction for Drug Abuse and other Criminal
  Activity-Final Rule
FORMS: NONE

OMB NO: 2577-0233    EXPIRATION DATE: 06/30/2003
RESPS:1,000          HOURS:9,720          COSTS(000):$0
  Public Housing Homeownership Program Family Application,
  Reporting and Recordkeeping Requirements, Homeownership Program
  Application and Approval
FORMS: NONE

OMB NO: 2577-0237    EXPIRATION DATE: 08/31/2004
RESPS:939            HOURS:34,026         COSTS(000):$0
  Public Housing Assessment System (PHAS) Memorandum of Agreement
  (MOA) and Improvement Plan (IP)
FORMS: NONE

OMB NO: 2577-0238    EXPIRATION DATE: 12/31/2004
RESPS:365            HOURS:820            COSTS(000):$7,500
  Revision to Cost Limits for Native American Housing
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
45 7,513,799 3,553,794 $7,500

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
246 150,147,999 22,228,696 $20,190
(RETURN TO AGENCY LIST)

Department of the Interior
Bureau of Land Management
OMB NO: 1004-0001    EXPIRATION DATE: 01/31/2004
RESPS:450            HOURS:215            COSTS(000):$0
  Free Use Application and Permit - Vegetative or Mineral Material
  (as required by 43 CFR 3620, 5510)
FORMS: FORM-5510-1

OMB NO: 1004-0004    EXPIRATION DATE: 08/31/2003
RESPS:17             HOURS:34             COSTS(000):$0
  Desert Land entry Application
FORMS: FORM-2520-1

OMB NO: 1004-0005    EXPIRATION DATE: 02/28/2005
RESPS:6,000          HOURS:2,000          COSTS(000):$0
  Grazing Application - Grazing Schedules (43 CFR 4130)
FORMS: 4130-1

OMB NO: 1004-0009    EXPIRATION DATE: 10/31/2004
RESPS:641            HOURS:3,140          COSTS(000):$312
  Land Use Application and Permit (43 CFR 2920)
FORMS: 2920-1

OMB NO: 1004-0010    EXPIRATION DATE: 08/31/2003
RESPS:20             HOURS:20             COSTS(000):$0
  Conveyances Affecting Color or Claim of title
FORMS: FORM-2540-2

OMB NO: 1004-0011    EXPIRATION DATE: 08/31/2003
RESPS:20             HOURS:20             COSTS(000):$0
  Color-of-Title Tax Levy and Payment Record
FORMS: FORM-2540-3

OMB NO: 1004-0012    EXPIRATION DATE: 08/31/2003
RESPS:25             HOURS:1,000          COSTS(000):$3
  Application for Land for Recreation and Public Purposes
FORMS: FORM-2740-1

OMB NO: 1004-0019    EXPIRATION DATE: 01/31/2004
RESPS:60             HOURS:20             COSTS(000):$0
  Range Improvement Permit (43 CFR 4120.3)
FORMS: FORM-4120-7

OMB NO: 1004-0025    EXPIRATION DATE: 07/31/2003
RESPS:255            HOURS:12,185         COSTS(000):$6,612
  43 CFR 3860 & 3870 -- Mineral Surveys, Mineral Patent
  Applications, Adverse Claims, Protests, & Contests
FORMS: 3860-2 3860-5

OMB NO: 1004-0029    EXPIRATION DATE: 08/31/2003
RESPS:20             HOURS:10             COSTS(000):$0
  Color-of-Title Application Form
FORMS: FORM-2540-1

OMB NO: 1004-0034    EXPIRATION DATE: 10/31/2004
RESPS:60,000         HOURS:30,000         COSTS(000):$3,000
  Oil and Gas Lease Transfers by Assignment or Operating Rights
  (Sublease) (43 CFR 3106, 3135, adn 3216)
FORMS: 3000-1 3000-3A

OMB NO: 1004-0041    EXPIRATION DATE: 02/28/2005
RESPS:7,689          HOURS:1,794          COSTS(000):$0
  Automated Grazing Application (formerly Grazing Preference
  Statement) (43 CFR 4130)
FORMS: 4130-3A

OMB NO: 1004-0042    EXPIRATION DATE: 06/30/2004
RESPS:30,000         HOURS:5,000          COSTS(000):$0
  The Application for Adoption of Wild Horses(s) and Burro(s) (43
  CFR 4700)
FORMS: 4710-10

OMB NO: 1004-0051    EXPIRATION DATE: 06/30/2004
RESPS:15,000         HOURS:6,250          COSTS(000):$0
  Actual Grazing Use Report (43 CFR 4130)
FORMS: 4130-5

OMB NO: 1004-0058    EXPIRATION DATE: 01/31/2004
RESPS:25             HOURS:45             COSTS(000):$0
  Timber Export Reporting and Substitution Determination (43 CFR
  Subpart 5424)
FORMS: FORM-5460-17

OMB NO: 1004-0068    EXPIRATION DATE: 05/31/2005
RESPS:600            HOURS:200            COSTS(000):$0
  Cooperative Range Improvement Agreement (43 CFR 4120.3-2)
FORMS: 4120-6

OMB NO: 1004-0073    EXPIRATION DATE: 12/31/2003
RESPS:1,185          HOURS:23,986         COSTS(000):$40
  43 C.F.R. Group 3400, Coal Management
FORMS: 3400-12 3440-1

OMB NO: 1004-0074    EXPIRATION DATE: 07/31/2003
RESPS:443            HOURS:886            COSTS(000):$0
  Oil and Gas and Geothemal Resources Leasing
FORMS: 3000-2 3200-9

OMB NO: 1004-0103    EXPIRATION DATE: 02/28/2005
RESPS:4,400          HOURS:2,200          COSTS(000):$0
  Mineral Materials Disposal (43 CFR 3600, 3601, and 3602)
FORMS: 3600-9

OMB NO: 1004-0109    EXPIRATION DATE: 06/30/2003
RESPS:50             HOURS:1,000          COSTS(000):$0
  Payments in Lieu of Taxes (43 CFR 1881)
FORMS: 1004-0109

OMB NO: 1004-0114    EXPIRATION DATE: 11/30/2003
RESPS:236,852        HOURS:31,585         COSTS(000):$368
  Recordation of Location Notices and Annual for Mining Claims,
  Mill Sites, and Tunnel Sites; Payment of Location and Maintenace
  Fees and Service Charges (43 CFR 3730, 3810, 3830, and 3850
FORMS: 3830-2 3830-3

OMB NO: 1004-0119    EXPIRATION DATE: 05/31/2004
RESPS:31,000         HOURS:15,500         COSTS(000):$0
  Special Recreation Application and Permit (43 CFR 8370)
FORMS: 8370-1

OMB NO: 1004-0121    EXPIRATION DATE: 06/30/2003
RESPS:276            HOURS:3,760          COSTS(000):$3
  Leasing of Solid Minerals Other Than Coal and Oil Shale: 43 CFR
  Part 3500 through 3590
FORMS: 3510-1 3520-7 3510-2 3504-1 3504-3 3504-4

OMB NO: 1004-0132    EXPIRATION DATE: 01/31/2004
RESPS:760            HOURS:1,700          COSTS(000):$0
  Geothermal Resources Operations (as required by 43 CFR 3260)
FORMS: 3260-2 3260-3 3260-4 3260-5

OMB NO: 1004-0133    EXPIRATION DATE: 05/31/2004
RESPS:353,000        HOURS:11,767         COSTS(000):$0
  Permit Fee Envelope (36 CFR 71)
FORMS: FORM-1370-36

OMB NO: 1004-0134    EXPIRATION DATE: 01/31/2004
RESPS:193,855        HOURS:96,885         COSTS(000):$0
  Onshore Oil and Gas Operations Nonform Items (as required by 43
  CFR 3160)
FORMS: NONE

OMB NO: 1004-0135    EXPIRATION DATE: 01/31/2004
RESPS:34,000         HOURS:14,166         COSTS(000):$0
  Sundry Notices and Reports on Wells (as required by 43 CFR 3162)
FORMS: 3160-5

OMB NO: 1004-0136    EXPIRATION DATE: 01/31/2004
RESPS:4,000          HOURS:2,250          COSTS(000):$0
  Application for Permit to Drill (as required by 43 CFR 3162)
FORMS: 3160-3

OMB NO: 1004-0137    EXPIRATION DATE: 01/31/2004
RESPS:2,200          HOURS:2,290          COSTS(000):$0
  Well Completion or Recompletion Report and Log (as required by
  43 CFR Part 3160)
FORMS: 3160-4

OMB NO: 1004-0145    EXPIRATION DATE: 11/30/2005
RESPS:1,770          HOURS:2,235          COSTS(000):$0
  Oil and Gas Exploration and Leasing (43 CFR 3100, 3120, and 3150
FORMS: 3100-11

OMB NO: 1004-0153    EXPIRATION DATE: 11/30/2005
RESPS:30             HOURS:300            COSTS(000):$2
  43 CFR Part 2720, Conveyance of Federally-Owned Mineral Interests
FORMS: NONE

OMB NO: 1004-0157    EXPIRATION DATE: 12/31/2003
RESPS:80             HOURS:240            COSTS(000):$0
  43 CFR Subpart 2808 - Reimbursement of Costs
FORMS: NONE

OMB NO: 1004-0160    EXPIRATION DATE: 10/31/2004
RESPS:75             HOURS:150            COSTS(000):$0
  Geothermal Leasing Reports (43 CFR 3208)
FORMS: NONE

OMB NO: 1004-0162    EXPIRATION DATE: 12/31/2005
RESPS:1,253          HOURS:836            COSTS(000):$0
  Oil and Gas Geophysical Exploration Operations (43 CFR 3150)
FORMS: 3150-4 3150-5 2800-16 2800-16A

OMB NO: 1004-0165    EXPIRATION DATE: 08/31/2003
RESPS:60             HOURS:155            COSTS(000):$0
  Cave Management: Cave Nominations and Confidential Information
  43 CFR Part 37
FORMS: NONE

OMB NO: 1004-0168    EXPIRATION DATE: 06/30/2004
RESPS:1,600          HOURS:1,600          COSTS(000):$0
  Report on Road Use (43 CFR 2812)
FORMS: OR-2812-6

OMB NO: 1004-0169    EXPIRATION DATE: 06/30/2005
RESPS:150            HOURS:300            COSTS(000):$0
  Use and Occupancy (43 CFR 3715)
FORMS: NONE

OMB NO: 1004-0172    EXPIRATION DATE: 12/31/2004
RESPS:10,000         HOURS:500            COSTS(000):$0
  Generic Clearance for Customer Comment Cards
FORMS: NONE

OMB NO: 1004-0179    EXPIRATION DATE: 06/30/2004
RESPS:304            HOURS:912            COSTS(000):$0
  In-Kind Crude Helium Sales Contract (43 CFR 3195)
FORMS: NONE

OMB NO: 1004-0180    EXPIRATION DATE: 08/31/2004
RESPS:200            HOURS:50             COSTS(000):$0
  Gas Well Data Survey of Helium-Bearing Natural Gas (PL 104-273)
FORMS: 3100-12

OMB NO: 1004-0181    EXPIRATION DATE: 12/31/2004
RESPS:13,000         HOURS:3,250          COSTS(000):$0
  Generic Clearance for Customer Surveys
FORMS: NONE

OMB NO: 1004-0182    EXPIRATION DATE: 09/30/2004
RESPS:6              HOURS:7              COSTS(000):$0
  Alaska Reindeer Grazing (43 CFR 4300)
FORMS: AK-4201-1 AK-4132-2

OMB NO: 1004-0184    EXPIRATION DATE: 04/30/2005
RESPS:22,945         HOURS:9,441          COSTS(000):$0
  Onshore Oil and Gas Leasing and Operations (43 CFR Part 3100 et
  al.)
FORMS: NONE

OMB NO: 1004-0185    EXPIRATION DATE: 06/30/2005
RESPS:1,110          HOURS:4,600          COSTS(000):$0
  Drainage Protection (43 CFR Subparts 3100 and 3162)
FORMS: NONE

OMB NO: 1004-0187    EXPIRATION DATE: 12/31/2005
RESPS:5,000          HOURS:83             COSTS(000):$0
  Social Security Number/Taxpayer Identification Number (SSN/TIN)
  Request
FORMS: 1372-6

OMB NO: 1004-0188    EXPIRATION DATE: 11/30/2003
RESPS:5,066          HOURS:126,650        COSTS(000):$1,862
  Rights-of-Way, Federal Land Policy and Management Act of 1976,
  and Rights-of-Way, Mineral Leasing Act of 1920 (43 CFR 2800 and
  2880).
FORMS: NONE

OMB NO: 1004-0189    EXPIRATION DATE: 10/31/2005
RESPS:5,066          HOURS:126,650        COSTS(000):$1,862
  Application for Transportation and Utility Systems and
  Facilities on Federal Lands, Standard Form 299.
FORMS: NONE

OMB NO: 1004-0190    EXPIRATION DATE: 10/31/2005
RESPS:6              HOURS:12             COSTS(000):$1
  Indian Allotments
FORMS: 2530-1

OMB NO: 1004-0192    EXPIRATION DATE: 06/30/2003
RESPS:1,760          HOURS:440            COSTS(000):$0
  Trans-Alaska Pipeline System Survey of the Employee Concerns
  Program
FORMS: NONE

OMB NO: 1004-0193    EXPIRATION DATE: 08/31/2003
RESPS:1,720          HOURS:430            COSTS(000):$0
  Generic Clearance for Customer Surveys for Stakeholders/Partners
  and State and Local Government
FORMS: NONE

OMB NO: 1004-0194    EXPIRATION DATE: 11/30/2003
RESPS:1,897          HOURS:306,536        COSTS(000):$0
  Surface Management Activities Under the General Mining Law, 43
  CFR Subpart 3809
FORMS: 3809-1 3809-2 3809-4

OMB NO: 1004-0195    EXPIRATION DATE: 02/29/2004
RESPS:540            HOURS:240            COSTS(000):$0
  Program Evaluation for the National Riparian Management Service
  Team (NRST) and the extended riparian network
FORMS: NONE

OMB NO: 1004-0196    EXPIRATION DATE: 12/31/2004
RESPS:35             HOURS:410            COSTS(000):$0
  Oil and Gas Leasing: National Petroleum Reserve, Alaska (NPRA)
  (43 CFR 3130, 3133, 3135, 3137, 3138, 3160)
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
53 1,056,516 855,935 $14,065
Bureau of Reclamation
OMB NO: 1006-0001    EXPIRATION DATE: 02/28/2006
RESPS:25,225         HOURS:8,050          COSTS(000):$0
  Crop Acreage and Yields and Water Distribution
FORMS: 7-332 7-2045

OMB NO: 1006-0002    EXPIRATION DATE: 04/30/2003
RESPS:535            HOURS:1,070          COSTS(000):$0
  Recreation Use Data Report
FORMS: 7-2534-PART1 7-2535-PART2

OMB NO: 1006-0003    EXPIRATION DATE: 01/31/2006
RESPS:500            HOURS:1,000          COSTS(000):$100
  Right-of-Use Application, 43 CFR 429
FORMS: 7-2540

OMB NO: 1006-0005    EXPIRATION DATE: 12/31/2003
RESPS:19,586         HOURS:14,829         COSTS(000):$0
  Individual Landholder's Certification and Reporting Forms for
  Acreage Limitation, 43 CFR Part 426 and 43 CFR Part 428
FORMS: 7-21INFO 7-2180 7-2180EZ 7-2181 7-2184 7-2190 7-2190EZ 7-2191
7-2194 7-21PE

OMB NO: 1006-0006    EXPIRATION DATE: 12/31/2003
RESPS:345            HOURS:13,800         COSTS(000):$235
  Certification Summary Form, Reporting Summary Form for Acreage
  Limitation, 43 CFR Part 426 and 43 CFR Part 428
FORMS: 7-21SUMM-C 7-21SUMM-R

OMB NO: 1006-0014    EXPIRATION DATE: 01/31/2006
RESPS:1,000          HOURS:500            COSTS(000):$0
  Lower Colorado River Well Inventory
FORMS: NONE

OMB NO: 1006-0015    EXPIRATION DATE: 08/31/2003
RESPS:54             HOURS:290            COSTS(000):$0
  Diversions, Return Flows, and Consumptive Use of Colorado River
  Water in the Lower Colorado River Basin
FORMS: LC-72 LC-72A LC-72B

OMB NO: 1006-0023    EXPIRATION DATE: 12/31/2003
RESPS:1,105          HOURS:92             COSTS(000):$0
  Limited Recipient Identification Sheet and Trust Information
  Sheet for Acreage Limitation, 43 CFR Part 426
FORMS: 7-2536 7-2537

OMB NO: 1006-0024    EXPIRATION DATE: 12/31/2005
RESPS:44             HOURS:44             COSTS(000):$0
  Summary of Water Requirements for Crops Grown on Eligible Land
FORMS: LS-924

OMB NO: 1006-0025    EXPIRATION DATE: 09/30/2003
RESPS:250            HOURS:125            COSTS(000):$0
  Ririe Reservoir Recreation Survey
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
10 48,644 39,800 $335
Minerals Management Service
OMB NO: 1010-0006    EXPIRATION DATE: 03/31/2004
RESPS:8,815          HOURS:16,329         COSTS(000):$414
  30 CFR Part 256, Leasing of Sulphur or Oil and Gas in the Outer
  Continental Shelf (OCS)
FORMS: FORM-MMS-2028 FORM-MMS-2028A

OMB NO: 1010-0017    EXPIRATION DATE: 08/31/2005
RESPS:13,600         HOURS:1,336          COSTS(000):$0
  Form MMS-128, Semiannual Well Test Report (SWTR)
FORMS: MMS-128

OMB NO: 1010-0018    EXPIRATION DATE: 08/31/2004
RESPS:960            HOURS:960            COSTS(000):$0
  Form MMS-127, Sensitive Reservior Informaiton Report (SRI)
FORMS: MMS-127

OMB NO: 1010-0039    EXPIRATION DATE: 08/31/2004
RESPS:1,250          HOURS:1,250          COSTS(000):$0
  Form MMS-126, Well Potential Test Report (WPT)
FORMS: MMS-126

OMB NO: 1010-0041    EXPIRATION DATE: 06/30/2003
RESPS:1,949          HOURS:14,189         COSTS(000):$0
  30 CFR 250, Subpart K, Oil and Gas Production Rates
FORMS: MMS-140

OMB NO: 1010-0042    EXPIRATION DATE: 04/30/2004
RESPS:17             HOURS:19             COSTS(000):$0
  Sale of Federal Royalty Oil, 30 CFR Part 208 (Originally titled
  "Application for the Purchase of Royalty Oil"
FORMS: MMS-4070

OMB NO: 1010-0043    EXPIRATION DATE: 08/31/2004
RESPS:11,625         HOURS:19,205         COSTS(000):$0
  30 CFR 250, Subpart F, Oil and Gas Well-Workover Operations
FORMS: NONE

OMB NO: 1010-0044    EXPIRATION DATE: 10/31/2005
RESPS:1,315          HOURS:3,288          COSTS(000):$0
  Form MMS-123, Application for Permit to Drill (APD)
FORMS: MMS-123

OMB NO: 1010-0045    EXPIRATION DATE: 10/31/2005
RESPS:13,570         HOURS:16,963         COSTS(000):$0
  Please note NEW title for this form: Form MMS-124, Application
  for Permit to Modify
FORMS: MMS-124

OMB NO: 1010-0046    EXPIRATION DATE: 10/31/2005
RESPS:3,230          HOURS:3,230          COSTS(000):$0
  Please note NEW Title for this form: Form MMS-125, End of
  Operations Report
FORMS: MMS-125

OMB NO: 1010-0048    EXPIRATION DATE: 05/31/2003
RESPS:963            HOURS:8,109          COSTS(000):$0
  30 CFR Part 251, Geological and Geophysical (G&G) Explorations
  of the OCS
FORMS: MMS-327 MMS-328 MMS-329

OMB NO: 1010-0049    EXPIRATION DATE: 09/30/2003
RESPS:1,016          HOURS:257,470        COSTS(000):$0
  30 CFR 250, Subpart B, Exploration and Development and Production
FORMS: MMS-137 MMS-138 MMS-139 MMS-141

OMB NO: 1010-0050    EXPIRATION DATE: 01/31/2006
RESPS:2,972          HOURS:106,086        COSTS(000):$370
  30 CFR 250, Subpart J, Pipelines and Pipeline Rights-of-Way
FORMS: 2030

OMB NO: 1010-0051    EXPIRATION DATE: 07/31/2004
RESPS:36,098         HOURS:6,540          COSTS(000):$0
  30 CFR 250, Subpart L, Oil and Gas Production Measurement,
  Surface Commingling, and Security
FORMS: NONE

OMB NO: 1010-0057    EXPIRATION DATE: 01/31/2006
RESPS:5,462          HOURS:159,913        COSTS(000):$0
  30 CFR 250, Subpart C, Pollution Prevention and Control
FORMS: NONE

OMB NO: 1010-0058    EXPIRATION DATE: 09/30/2004
RESPS:787            HOURS:28,344         COSTS(000):$0
  30, CFR 250, Subpart I, Platforms and Structures
FORMS: NONE

OMB NO: 1010-0059    EXPIRATION DATE: 01/31/2006
RESPS:2,133          HOURS:11,357         COSTS(000):$0
  30 CFR 250, Subpart H, Oil and Gas Production Safety Systems
FORMS: NONE

OMB NO: 1010-0061    EXPIRATION DATE: 10/31/2004
RESPS:20             HOURS:5              COSTS(000):$0
  Oil Transportation Allowances (30 CFR Part 206.55(a)(1)(i); (b)
  (1); (c)(1)(i) and (iii), and (iv))
FORMS: MMS-4110

OMB NO: 1010-0067    EXPIRATION DATE: 08/31/2004
RESPS:2,285          HOURS:9,520          COSTS(000):$0
  30 CFR 250, Subpart E, Oil and Gas Well-Completion Operations
FORMS: NONE

OMB NO: 1010-0068    EXPIRATION DATE: 08/31/2005
RESPS:460            HOURS:5,396          COSTS(000):$0
  30 CFR 250, Subpart M, Unitization
FORMS: NONE

OMB NO: 1010-0071    EXPIRATION DATE: 09/30/2003
RESPS:22             HOURS:8,650          COSTS(000):$661
  30 CFR Part 203, Relief or Reduction in Royalty Rates
FORMS: NONE

OMB NO: 1010-0072    EXPIRATION DATE: 01/31/2006
RESPS:21             HOURS:108            COSTS(000):$0
  30 CFR Part 280, Prospecting for Minerals other than Oil, Gas,
  and Sulphur on the OCS
FORMS: 134 135 136

OMB NO: 1010-0073    EXPIRATION DATE: 08/31/2005
RESPS:319            HOURS:3,674          COSTS(000):$0
  30 CFR Part 220, Accounting Procedures for Determining Net
  Profit Share Payment for Outer Continental Shelf Oil and Gas
  Leases (30 CFR 220.010(a); 220.030(a); 220.031(a), (b), (d), (e);
FORMS: NONE

OMB NO: 1010-0074    EXPIRATION DATE: 10/31/2004
RESPS:2              HOURS:4              COSTS(000):$0
  Coal Washing and transportation Allowances (30 CFR
  206.458(a)(1), (b)(1), (c)(1)(i)&(iii), (c)(2)(i)&(iii) and
  206.461(a)(1), (b)(1), (c)(1)(i)&(iii), (c)(2)(i)&(iii))
FORMS: MMS-4292 MMS-4293

OMB NO: 1010-0075    EXPIRATION DATE: 10/31/2004
RESPS:3,000          HOURS:750            COSTS(000):$0
  Gas Processing and Transportation Allowances (30 CFR Part
  206.178 (b)(1)(ii) and 206.180(b)(1)(ii))
FORMS: MMS-4109 MMS-4295

OMB NO: 1010-0086    EXPIRATION DATE: 08/31/2004
RESPS:29             HOURS:903            COSTS(000):$0
  30 CFR 250, Subpart P, Sulphur Operations
FORMS: NONE

OMB NO: 1010-0087    EXPIRATION DATE: 08/31/2003
RESPS:85             HOURS:1,224          COSTS(000):$0
  Cooperative Agreements
FORMS: NONE

OMB NO: 1010-0088    EXPIRATION DATE: 08/31/2003
RESPS:48,050         HOURS:210,400        COSTS(000):$80
  Delegation of Authority to States
FORMS: NONE

OMB NO: 1010-0090    EXPIRATION DATE: 09/30/2004
RESPS:1,600          HOURS:800            COSTS(000):$0
  Stripper Royalty Rate Reduction Notification (43 CFR Part
  3103.4- 2)
FORMS: MMS-4377

OMB NO: 1010-0091    EXPIRATION DATE: 10/31/2003
RESPS:801            HOURS:42,233         COSTS(000):$0
  30 CFR part 254, Oil-Spill Responses Requirements for Facilities
  Located Seaward of the Coast Line
FORMS: NONE

OMB NO: 1010-0095    EXPIRATION DATE: 03/31/2005
RESPS:75             HOURS:37             COSTS(000):$0
  Request to Exceed Regulatory Allowance Limitation (30 CFR
  206.54(b)(2), 206.109(c)(2), 206.156(c)(3), 206.158(c)(3) and
  206.177(c)(3))
FORMS: MMS-4393

OMB NO: 1010-0098    EXPIRATION DATE: 03/31/2004
RESPS:200            HOURS:7              COSTS(000):$0
  Office of Indian Royalty Assistance (OIRA) Customer Satisfaction
  Postcard
FORMS: NONE

OMB NO: 1010-0103    EXPIRATION DATE: 04/30/2003
RESPS:420            HOURS:10,500         COSTS(000):$0
  Safety Net Report
FORMS: MMS-4411

OMB NO: 1010-0104    EXPIRATION DATE: 01/31/2005
RESPS:475            HOURS:1,000          COSTS(000):$0
  Accounting for Comparison (Dual Accounting) (30 CFR
  206.172(b)(1)(iii), 206.173(a)(1) and (2), 206.176(b) and (c))
FORMS: MMS-4410

OMB NO: 1010-0106    EXPIRATION DATE: 09/30/2004
RESPS:1,834          HOURS:19,504         COSTS(000):$0
  30 CFR Part 253, Oil Spill Financial Responsibility for Offshore
  Facilities
FORMS: MMS-1016 MMS-1017 MMS-1018 MMS-1019 MMS-1020 MMS-1021 MMS-1022

OMB NO: 1010-0107    EXPIRATION DATE: 06/30/2005
RESPS:1,607          HOURS:1,207          COSTS(000):$0
  30 CFR Part 218, Subpart B-Oil and Gas, General (formerly
  Designation of Royalty Payment Responsibility)
FORMS: MMS-4425 MMS-4280

OMB NO: 1010-0110    EXPIRATION DATE: 08/31/2004
RESPS:1,260          HOURS:126            COSTS(000):$0
  Training and Outreach Evaluation Forms
FORMS: MMS-4420A-H

OMB NO: 1010-0112    EXPIRATION DATE: 12/31/2004
RESPS:63             HOURS:756            COSTS(000):$0
  Form MMS-131, Performance Data Form
FORMS: MMS-131

OMB NO: 1010-0113    EXPIRATION DATE: 04/30/2003
RESPS:6,075          HOURS:1              COSTS(000):$0
  Indian Crude Oil Valuation Report
FORMS: MMS-4416

OMB NO: 1010-0114    EXPIRATION DATE: 07/31/2005
RESPS:18,387         HOURS:22,467         COSTS(000):$2
  30 CFR 250, Subpart A, General
FORMS: MMS-132 MMS-1123 MMS-1832

OMB NO: 1010-0119    EXPIRATION DATE: 01/31/2006
RESPS:25             HOURS:100            COSTS(000):$0
  Royalty Oil Sales to Eligible Refiners (30 CFR 208.4(a) and (d))
FORMS: NONE

OMB NO: 1010-0120    EXPIRATION DATE: 08/31/2004
RESPS:5,495          HOURS:1,452          COSTS(000):$0
  Solid Minerals Compliance and Asset Management Process, 30 CFR
  Parts 206, 210, 216, and 218 (Current title: Solid Minerals
  Operational Model)
FORMS: MMS-4430

OMB NO: 1010-0121    EXPIRATION DATE: 09/30/2005
RESPS:180            HOURS:265            COSTS(000):$2
  Administrative Appeal Procedures (30 CFR 250.1409(a) and (b)(2);
  290.4(a) and (b)(1); 290.105(a); and 290.106(a))
FORMS: NONE

OMB NO: 1010-0122    EXPIRATION DATE: 06/30/2005
RESPS:300            HOURS:300            COSTS(000):$1
  30 CFR Part 243 Suspensions Pending Appeal and Bonding (formerly
  Filing Sureties)
FORMS: MMS-4435 MMS-4436

OMB NO: 1010-0123    EXPIRATION DATE: 08/31/2005
RESPS:12             HOURS:180            COSTS(000):$0
  30 CFR Part 242, Subpart C-Requests from Indian Lessors for MMS
  to Issue Orders (Requirements contained in proposed rule RIN
  1010-AC80)
FORMS: NONE

OMB NO: 1010-0126    EXPIRATION DATE: 05/31/2003
RESPS:4,320          HOURS:3,720          COSTS(000):$0
  Royalty-In-Kind Pilot Program Directed Third-Party
  Communications Between Operators and Purchasers of RIK Federal
  Oil and Gas Purchase System
FORMS: NONE

OMB NO: 1010-0128    EXPIRATION DATE: 08/31/2003
RESPS:717            HOURS:5,739          COSTS(000):$0
  30 CFR 250, Subpart O-Well Control & Production Safety Training
FORMS: NONE

OMB NO: 1010-0129    EXPIRATION DATE: 06/30/2003
RESPS:1,869          HOURS:1,324          COSTS(000):$0
  Bids and Financial Statements for Sale of Royalty Oil and Gas
  (RIK Pilots)
FORMS: FORM-MMS-4440

OMB NO: 1010-0130    EXPIRATION DATE: 04/30/2003
RESPS:30             HOURS:201            COSTS(000):$0
  Directed Communications Between Operators of Federaal RIK Leases
  and Deliverers of Equivalent Oil Production to the Strategic
  Petroleum Reserve
FORMS: NONE

OMB NO: 1010-0131    EXPIRATION DATE: 10/31/2005
RESPS:1,315          HOURS:1,973          COSTS(000):$0
  Form MMS-123S, Supplemental APD Information Sheet
FORMS: MMS-123S

OMB NO: 1010-0132    EXPIRATION DATE: 10/31/2005
RESPS:10,000         HOURS:10,000         COSTS(000):$0
  Please note NEW title form: Form MMS-133, Well Activity Report
FORMS: MMS-133

OMB NO: 1010-0135    EXPIRATION DATE: 05/31/2003
RESPS:25             HOURS:25             COSTS(000):$0
  Royalty-in-King (RIK) Small Refiner Sale Program
FORMS: MMS-4071 MMS-4072

OMB NO: 1010-0136    EXPIRATION DATE: 04/30/2003
RESPS:85             HOURS:17,711         COSTS(000):$0
  Federal Oil Valuation
FORMS: NONE

OMB NO: 1010-0137    EXPIRATION DATE: 08/31/2003
RESPS:130            HOURS:90,000         COSTS(000):$0
  Historical Well Data Cleanup (HWDC) Project
FORMS: NONE

OMB NO: 1010-0138    EXPIRATION DATE: 04/30/2003
RESPS:2,714          HOURS:1              COSTS(000):$0
  Indian Crude Oil Valuation Report
FORMS: NONE

OMB NO: 1010-0139    EXPIRATION DATE: 07/31/2003
RESPS:360,400        HOURS:89,129         COSTS(000):$1,533
  Production Accounting and Auditing System Oil and Gas Reports
FORMS: MMS-4054 MMS-4055 MMS-4056 MMS-4058

OMB NO: 1010-0140    EXPIRATION DATE: 08/31/2003
RESPS:2,496,000      HOURS:133,120        COSTS(000):$4,700
  Report of Sales and Royalty Remittance
FORMS: MMS-2014

OMB NO: 1010-0141    EXPIRATION DATE: 01/31/2006
RESPS:12,720         HOURS:111,209        COSTS(000):$0
  Note New title for this collection: 30 CFR 250, Subpart D, Oil
  and Gas Drilling Operations
FORMS: NONE

OMB NO: 1010-0142    EXPIRATION DATE: 07/31/2004
RESPS:1,334          HOURS:6,071          COSTS(000):$0
  30 CFR 250, Subpart Q - Decommissioning Activities
FORMS: NONE

OMB NO: 1010-0143    EXPIRATION DATE: 11/30/2003
RESPS:7              HOURS:1,603          COSTS(000):$0
  30 CFR Part 260, Outer Continental Shelf Oil and Gas Leasing
FORMS: NONE

OMB NO: 1010-0145    EXPIRATION DATE: 02/29/2004
RESPS:6,338          HOURS:10,792         COSTS(000):$0
  Survey-Gulf of Mexico Labor Needs
FORMS: NONE

OMB NO: 1010-0146    EXPIRATION DATE: 09/30/2004
RESPS:130            HOURS:260            COSTS(000):$0
  Proposed Rulemaking-30 CFR 250, Subpart A, Crane Requirements
FORMS: NONE

OMB NO: 1010-0147    EXPIRATION DATE: 10/31/2004
RESPS:200            HOURS:800            COSTS(000):$0
  Proposed Rulemaking - 30 CFR 250, Subpart J - Safety Measure and
  Procedures for Pipeline Modifications and Repairs
FORMS: NONE

OMB NO: 1010-0148    EXPIRATION DATE: 12/31/2004
RESPS:650            HOURS:1,300          COSTS(000):$0
  Proposed Rulemaking - 30, CFR 250, Subpart E-Procedures for
  Dealing with Sustained Casing Pressure
FORMS: NONE

OMB NO: 1010-0149    EXPIRATION DATE: 02/28/2005
RESPS:806            HOURS:1              COSTS(000):$0
  Proposed Rulemaking-30, CFR 250, Subparts J, H, and I, Fixed and
  Floating Platforms and Structures
FORMS: NONE

OMB NO: 1010-0150    EXPIRATION DATE: 05/31/2005
RESPS:1,800          HOURS:180            COSTS(000):$0
  Form MMS-144-RIG Movement Notification Report
FORMS: MMS-144

OMB NO: 1010-0151    EXPIRATION DATE: 06/30/2005
RESPS:1,182          HOURS:1              COSTS(000):$0
  Proposed Rulemaking-30, CFR 250, Subpart B, Plans and Information
FORMS: MMS-137 MMS-138 MMS-139 MMS-141

OMB NO: 1010-0152    EXPIRATION DATE: 06/30/2003
RESPS:380            HOURS:36,960         COSTS(000):$0
  Notice toLessees and Operators: Damage Caused by Hurricane Lili
FORMS: NONE

OMB NO: 1010-0154    EXPIRATION DATE: 09/30/2003
RESPS:420            HOURS:310            COSTS(000):$0
  Notices to Lesses and Operators Numbers 2002-G07, 2003-G06,and
  20 03-G07
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
69 3,102,436 1,518,587 $7,763
United States Fish and Wildlife Service
OMB NO: 1018-0007    EXPIRATION DATE: 09/30/2003
RESPS:56             HOURS:56             COSTS(000):$0
  State cert. of hunting and fishing licenses issued annually; 50
  CFR 80
FORMS: FORM-3-154A FORM-3-154B

OMB NO: 1018-0010    EXPIRATION DATE: 10/31/2005
RESPS:1,062          HOURS:2,698          COSTS(000):$0
  Mourning Dove Call Count Survey
FORMS: 3-159

OMB NO: 1018-0012    EXPIRATION DATE: 10/31/2003
RESPS:85,000         HOURS:21,250         COSTS(000):$0
  Declaration for Import or Export of Fish/Wildlife, 50 CFR 14.61-
  14.64
FORMS: 3-177

OMB NO: 1018-0014    EXPIRATION DATE: 08/31/2003
RESPS:212            HOURS:1,820          COSTS(000):$0
  Special Use Permit Applications on National Wildlife Refuges in
  Alaska covers 50 CFR 25.61, 26.22(b), 26.25, 36.33, 36.37, and
  36.41.
FORMS: 3-2001

OMB NO: 1018-0015    EXPIRATION DATE: 10/31/2004
RESPS:3,852,000      HOURS:138,917        COSTS(000):$0
  Migratory Bird Harvest Surveys
FORMS: 3-1823A 3-2056G 3-2056J 3-2056K 3-2056M 3-165 3-165A 3-165B
3-165C

OMB NO: 1018-0019    EXPIRATION DATE: 10/31/2005
RESPS:750            HOURS:527            COSTS(000):$0
  North American Woodcock Singing Ground Survey
FORMS: 3-156

OMB NO: 1018-0022    EXPIRATION DATE: 04/30/2004
RESPS:47,326         HOURS:22,234         COSTS(000):$246
  Federal Fish and Wildlife License/Permit Application and Report
FORMS: 3-200-6THRU18 3-200-67THRU70 3-202-1THRU9 3-186 3-186A

OMB NO: 1018-0023    EXPIRATION DATE: 07/31/2003
RESPS:7,400          HOURS:614            COSTS(000):$0
  Sandhill Crane Harvest Survey
FORMS: 3-530 3-530A 3-2056N

OMB NO: 1018-0049    EXPIRATION DATE: 09/30/2003
RESPS:1,456          HOURS:5,250          COSTS(000):$0
  Grant agreement and amendment to grant agreement
FORMS: FORM-3-1552 FORM-3-1591

OMB NO: 1018-0066    EXPIRATION DATE: 10/31/2004
RESPS:2,695          HOURS:674            COSTS(000):$0
  Marine Mammal Marking, Tagging, and Reporting Certificates-50
  CFR 18.23(f)
FORMS: R7-50 R7-51 R7-52

OMB NO: 1018-0067    EXPIRATION DATE: 10/31/2003
RESPS:1              HOURS:3,200          COSTS(000):$0
  Protocol for Nontoxic Approval Procedures for Shot and Shot
  Coatings Migratory Bird Treaty Act
FORMS: NONE

OMB NO: 1018-0070    EXPIRATION DATE: 09/30/2004
RESPS:49             HOURS:1,047          COSTS(000):$0
  Incidental Take of Marine Mammals During Specified Activities
  Applications; 50 CFR Part 18, Subpart J
FORMS: NONE

OMB NO: 1018-0075    EXPIRATION DATE: 07/31/2003
RESPS:6,900          HOURS:1,725          COSTS(000):$0
  Fed. Subsistence Hunt Application, Designated Hunter, Fish/
  Shellfish; 50 CFR 100
FORMS: 7-FS-1 7FS-2 7FS-3

OMB NO: 1018-0088    EXPIRATION DATE: 09/30/2003
RESPS:161,000        HOURS:27,000         COSTS(000):$0
  FHWAR SURVEY. 16 U.S.C. 669-699i, 742d-f, 777-777k P.L. 98-369
FORMS: FH-2 FH-3 FH-4

OMB NO: 1018-0092    EXPIRATION DATE: 07/31/2004
RESPS:8,236          HOURS:8,233          COSTS(000):$308
  Federal Fish and Wildlife License/Permit Application, Law
  Enforcement--50 CFR Parts 13, 14, 15, 16, 17, 18, 23
FORMS: 3-200-1 3-200-2 3-200-3 3-200-26

OMB NO: 1018-0093    EXPIRATION DATE: 03/31/2004
RESPS:5,959          HOURS:4,500          COSTS(000):$149
  Federal Fish and Wildlife License/Permit Application-Management
  Authority; 50 CFR 13, 15, 17, 18, 21, 23
FORMS: 3-200-19/20/21 22/23/24/25 3-200-27/28/29 30/31/32/33/34
35/36/37/38/39 40/41/42/43/44 45/46/47/48/49 50

OMB NO: 1018-0094    EXPIRATION DATE: 07/31/2004
RESPS:1,275          HOURS:4,125          COSTS(000):$17
  Federal Fish and Wildlife License Permit Application
  Forms-Native Endangered and Threatened Species. 50 CFR 13, 50
  CFR 17.22 50 CFR 17.32, 50 CFR 17.62, 50 CFR 17.72
FORMS: 3-200-54 3-200-55 3-200-56

OMB NO: 1018-0095    EXPIRATION DATE: 10/31/2004
RESPS:62             HOURS:16             COSTS(000):$0
  Endangered and Threatened Wildlife, 50 CFR 17.84, Experimental
  populations.
FORMS: NONE

OMB NO: 1018-0097    EXPIRATION DATE: 01/31/2004
RESPS:2,450          HOURS:875            COSTS(000):$0
  Depredation Order for Double-crested Cormorant 50 CFR 21.47
FORMS: NONE

OMB NO: 1018-0100    EXPIRATION DATE: 08/31/2005
RESPS:150            HOURS:37,600         COSTS(000):$0
  Information Collection In Support of Grant Programs Authorized
  by the North American Wetlands Conservation Act (NAWCA)
FORMS: NONE

OMB NO: 1018-0101    EXPIRATION DATE: 03/31/2005
RESPS:135            HOURS:270            COSTS(000):$0
  Monitoring Recovered Species After Delisting As Required Under
  Section 4(g) of the Endangered Species Act
FORMS: N/A

OMB NO: 1018-0102    EXPIRATION DATE: 11/30/2004
RESPS:10,440         HOURS:10,440         COSTS(000):$0
  Special use permit application on National Wildlife Refuges
  outside Alaska covering 50 CFR 25.41, 25.61, 30.11, 31.13, and
  31.16
FORMS: 3-1383

OMB NO: 1018-0103    EXPIRATION DATE: 03/31/2005
RESPS:24             HOURS:720            COSTS(000):$0
  Conservation Order for Control of Mid-Continent Light Geese, 50
  CFR 21.60
FORMS: NONE

OMB NO: 1018-0104    EXPIRATION DATE: 11/30/2005
RESPS:40             HOURS:640            COSTS(000):$0
  Information Collection in support of programs authorized by the
  North American Wetlands Conservation Act (NAWCA) and Council
FORMS: NONE

OMB NO: 1018-0109    EXPIRATION DATE: 01/31/2004
RESPS:5,750          HOURS:323,000        COSTS(000):$0
  The Federal Aid Grant Application Booklet 50 CFR 80
FORMS: NONE

OMB NO: 1018-0110    EXPIRATION DATE: 03/31/2004
RESPS:160            HOURS:80             COSTS(000):$0
  NEPA Compliance Checklist
FORMS: FWS-FORM-3-2185

OMB NO: 1018-0111    EXPIRATION DATE: 09/30/2004
RESPS:34             HOURS:17             COSTS(000):$0
  Summary Information for Ranking National Coastal Wetlands Grant
  Program Proposals, 50 CFR 84.
FORMS: FORM-3-2179

OMB NO: 1018-0112    EXPIRATION DATE: 11/30/2004
RESPS:400            HOURS:100            COSTS(000):$0
  U.S. Fish & Wildlife Service Employee Exit Follow-up, authorized
  by the Merit System Principles (5 U.S.C. 2301)
FORMS: 3-2186

OMB NO: 1018-0113    EXPIRATION DATE: 11/30/2005
RESPS:30             HOURS:1,200          COSTS(000):$0
  Information collection in support of grant program authorized by
  the Neotropical Migratory Bird Conservation Act (PL 106-247, 114
  Stat. 593).
FORMS: NONE

OMB NO: 1018-0115    EXPIRATION DATE: 04/30/2005
RESPS:1,227          HOURS:61             COSTS(000):$0
  USFWS Training Records: Application for FWS Training Request
FORMS: FORM-3-2193

OMB NO: 1018-0117    EXPIRATION DATE: 05/31/2005
RESPS:60             HOURS:30             COSTS(000):$0
  State Certification of Expenditures, Public Law 106-408
FORMS: 3-2197A

OMB NO: 1018-0118    EXPIRATION DATE: 07/31/2005
RESPS:550            HOURS:4,200          COSTS(000):$0
  Private Stewardship Grants Program
FORMS: NONE

OMB NO: 1018-0119    EXPIRATION DATE: 12/31/2005
RESPS:6              HOURS:16,600         COSTS(000):$0
  Policy for Evaluation of Conservation Efforts When Making
  Listing Decisions
FORMS: NONE

OMB NO: 1018-0120    EXPIRATION DATE: 02/28/2006
RESPS:1,020          HOURS:510            COSTS(000):$0
  Federal Subsistence Regional Advisory Council Membership
  Application, Nomination, & Interview Forms
FORMS: 7-FW4 7-FW5 7-FW6

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
34 4,203,915 640,229 $720
National Park Service
OMB NO: 1024-0009    EXPIRATION DATE: 05/31/2003
RESPS:3,000          HOURS:7,500          COSTS(000):$764
  Historic Preservation Certification Application
FORMS: 10-168

OMB NO: 1024-0018    EXPIRATION DATE: 01/31/2005
RESPS:1,575          HOURS:56,700         COSTS(000):$0
  36 CFR 60 and 63. National Register of Historic Places
  Registration form; Continuation Sheet; Multiple Property
  Documentation Form.
FORMS: 10-900 10-900-A 10-900B

OMB NO: 1024-0021    EXPIRATION DATE: 04/30/2004
RESPS:4,200          HOURS:2,100          COSTS(000):$0
  National Capital Region Application for Public Gathering, 36 CFR
  7.96(g)
FORMS: NONE

OMB NO: 1024-0022    EXPIRATION DATE: 01/31/2004
RESPS:295,339        HOURS:24,612         COSTS(000):$0
  Backcountry Use Permit (36 CFR 1.5, 1.6, and 2.10)
FORMS: 10-404

OMB NO: 1024-0026    EXPIRATION DATE: 09/30/2003
RESPS:18,600         HOURS:11,150         COSTS(000):$930
  Special Park Use Applications (36 CFR)
FORMS: NPS-10-939 NPS-10-931 NPS-10-932

OMB NO: 1024-0028    EXPIRATION DATE: 02/29/2004
RESPS:164            HOURS:248            COSTS(000):$0
  Urban Park and Recreation Recovery Program Project Performance
  Report
FORMS: CONSTR.11/80 NONCONSTR.11/80

OMB NO: 1024-0029    EXPIRATION DATE: 09/30/2003
RESPS:500            HOURS:3,800          COSTS(000):$0
  Concessioner Annual Financial Report
FORMS: 10-356 10-356A 10-356B

OMB NO: 1024-0031    EXPIRATION DATE: 02/29/2004
RESPS:450            HOURS:115            COSTS(000):$0
  Land and Water Conservation Fund Description and Notification
  Form
FORMS: 10-903

OMB NO: 1024-0032    EXPIRATION DATE: 02/29/2004
RESPS:700            HOURS:700            COSTS(000):$0
  Land and Water Conservation Fund Program Performance Report
FORMS: N/A

OMB NO: 1024-0033    EXPIRATION DATE: 02/29/2004
RESPS:450            HOURS:450            COSTS(000):$0
  Land and Water Conservation Fund Project Agreement and Amendment
FORMS: 10-902 10-902A

OMB NO: 1024-0034    EXPIRATION DATE: 02/29/2004
RESPS:7,400          HOURS:3,700          COSTS(000):$0
  Land and Water Conservation Fund On-Site Inspection Report
FORMS: N/A

OMB NO: 1024-0037    EXPIRATION DATE: 11/30/2004
RESPS:2,100          HOURS:1,750          COSTS(000):$0
  Archeology Permits and Reports - 43 CFR parts 3 & 7
FORMS: DI-1926 DI-1991

OMB NO: 1024-0038    EXPIRATION DATE: 07/31/2004
RESPS:29,500         HOURS:21,508         COSTS(000):$0
  Procedures for State, Tribal, and Local Government Historic
  Preservation Programs; 36 CFR 61
FORMS: NONE

OMB NO: 1024-0047    EXPIRATION DATE: 02/29/2004
RESPS:50             HOURS:1,750          COSTS(000):$0
  Land and Water Conservation Fund Conversion of Use Provisions
FORMS: N/A

OMB NO: 1024-0048    EXPIRATION DATE: 02/29/2004
RESPS:3              HOURS:75             COSTS(000):$0
  Urban Park and Recreation Recovery Program Conversion of Use
  Provisions
FORMS: N/A

OMB NO: 1024-0064    EXPIRATION DATE: 06/30/2003
RESPS:23             HOURS:4,048          COSTS(000):$0
  36 CFR Part 9, Subpart A - Mining and Minimg Claims 36 CFR Part
  9, Subpart B - Non-Federal Oil and Gas
FORMS: NONE

OMB NO: 1024-0089    EXPIRATION DATE: 02/29/2004
RESPS:20             HOURS:20             COSTS(000):$0
  Urban Park and Recreation Recovery Program Project Agreement and
  Amendment
FORMS: FNP10-912 FNP10-915

OMB NO: 1024-0125    EXPIRATION DATE: 08/31/2003
RESPS:240            HOURS:76,800         COSTS(000):$1,120
  Submission of Offers in Response to Concession Opportunities
FORMS: NONE

OMB NO: 1024-0126    EXPIRATION DATE: 02/28/2006
RESPS:20             HOURS:1,600          COSTS(000):$5
  Proposed Sale of Concession Operations (36 CFR, Part 51,.
  Subpart J)
FORMS: NONE

OMB NO: 1024-0224    EXPIRATION DATE: 09/30/2004
RESPS:90,000         HOURS:15,000         COSTS(000):$0
  Programmatic Approval for National Park Service-Sponsored Public
  Surveys
FORMS: NONE

OMB NO: 1024-0226    EXPIRATION DATE: 07/31/2005
RESPS:790            HOURS:132            COSTS(000):$0
  National Park Service Partnership Programs GPRA Information
  Collections
FORMS: NONE

OMB NO: 1024-0231    EXPIRATION DATE: 11/30/2003
RESPS:758            HOURS:3,276          COSTS(000):$0
  Concession Contract - 36 CFR 51
FORMS: NONE

OMB NO: 1024-0232    EXPIRATION DATE: 11/30/2003
RESPS:100            HOURS:1,000          COSTS(000):$0
  NPS Underground Railroad Network to Freedom Application
FORMS: NONE

OMB NO: 1024-0233    EXPIRATION DATE: 01/31/2004
RESPS:627            HOURS:4,392          COSTS(000):$0
  National Park Service leasing Program -- 36 CFR Part 18
FORMS: NONE

OMB NO: 1024-0236    EXPIRATION DATE: 04/30/2004
RESPS:6,000          HOURS:4,875          COSTS(000):$0
  Application for a Scientific Research and Collecting Permit:
  Investigator's Annual Report; re 36 CFR 2.1 and 2.5
FORMS: 10-741 10-226

OMB NO: 1024-0242    EXPIRATION DATE: 09/30/2004
RESPS:400            HOURS:125            COSTS(000):$0
  National Park Service Urban and Adjacent Parks: Assessment and
  Development of Community Outreach
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
26 463,009 247,426 $2,819
Geological Survey
OMB NO: 1028-0048    EXPIRATION DATE: 10/31/2005
RESPS:100,000        HOURS:10,000         COSTS(000):$0
  Earthquake Report
FORMS: 9-3013

OMB NO: 1028-0051    EXPIRATION DATE: 11/30/2003
RESPS:370            HOURS:12,800         COSTS(000):$0
  National Earthquake Hazards Reduction Program Annual Announce-
  ment of Availability of Funds
FORMS: 424 269 270

OMB NO: 1028-0053    EXPIRATION DATE: 09/30/2005
RESPS:5,897          HOURS:4,791          COSTS(000):$0
  Nonferrous Metals Surveys
FORMS: 32

OMB NO: 1028-0056    EXPIRATION DATE: 05/31/2004
RESPS:450            HOURS:150            COSTS(000):$0
  North American Reporting Center for Amphibian Malformations
FORMS: NONE

OMB NO: 1028-0057    EXPIRATION DATE: 11/30/2003
RESPS:1,000          HOURS:350            COSTS(000):$0
  The National Atlas of the United States of America
FORMS: NONE

OMB NO: 1028-0059    EXPIRATION DATE: 02/29/2004
RESPS:3,000          HOURS:750            COSTS(000):$0
  Comprehensive Test Ban Treaty
FORMS: 9-4040-A

OMB NO: 1028-0060    EXPIRATION DATE: 12/31/2003
RESPS:739            HOURS:555            COSTS(000):$0
  Mine, Development, and Mineral Exploration Supplement
FORMS: 9-4000-A

OMB NO: 1028-0062    EXPIRATION DATE: 02/29/2004
RESPS:19,008         HOURS:13,185         COSTS(000):$0
  Industrial Minerals Survey
FORMS: NONE

OMB NO: 1028-0065    EXPIRATION DATE: 02/29/2004
RESPS:3,450          HOURS:742            COSTS(000):$0
  Production Estimate, Quarterly Construction Sand and Gravel and
  Crushed and Broken Stone
FORMS: 9-4042-A 9-4124-A

OMB NO: 1028-0068    EXPIRATION DATE: 09/30/2004
RESPS:3,479          HOURS:1,970          COSTS(000):$0
  Ferrous Metals Surveys
FORMS: NONE

OMB NO: 1028-0069    EXPIRATION DATE: 10/31/2004
RESPS:3,000          HOURS:150            COSTS(000):$0
  User Survey for National Biological Information Infrastructure
FORMS: NONE

OMB NO: 1028-0070    EXPIRATION DATE: 09/30/2004
RESPS:3,670          HOURS:2,753          COSTS(000):$0
  Consolidated Consumers' Report
FORMS: 9-4117-MA

OMB NO: 1028-0072    EXPIRATION DATE: 10/31/2005
RESPS:9,000          HOURS:2,250          COSTS(000):$0
  Frogwatch USA
FORMS: NONE

OMB NO: 1028-0074    EXPIRATION DATE: 07/31/2004
RESPS:700            HOURS:292            COSTS(000):$0
  Assessment of the Use and Benefits of Waterfowl Production Areas
  in Minnesota
FORMS: NONE

OMB NO: 1028-0075    EXPIRATION DATE: 07/31/2004
RESPS:1,000          HOURS:416            COSTS(000):$0
  Understanding Visitor Uses, Motives, and Benefits at Sherburne
  National Wildlife Refuge
FORMS: NONE

OMB NO: 1028-0076    EXPIRATION DATE: 07/31/2004
RESPS:1,400          HOURS:268            COSTS(000):$0
  Conservation Reserve Program (CRP) Contractee Perceptions on
  Environmental Benefits and Management
FORMS: NONE

OMB NO: 1028-0077    EXPIRATION DATE: 03/31/2005
RESPS:600            HOURS:150            COSTS(000):$0
  Visitor knowledge and economic impact at Arapaho, Arrowwod and
  Sand Lake National Wildlife Refuges
FORMS: NONE

OMB NO: 1028-0078    EXPIRATION DATE: 03/31/2005
RESPS:1,000          HOURS:7,000          COSTS(000):$0
  North American Amphibian Monitoring Program
FORMS: NONE

OMB NO: 1028-0079    EXPIRATION DATE: 03/31/2005
RESPS:2,500          HOURS:12,500         COSTS(000):$0
  North American Breeding Bird Survey
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
19 160,263 71,072 $0
Office of Surface Mining Reclamation and Enforcement
OMB NO: 1029-0024    EXPIRATION DATE: 08/31/2004
RESPS:65             HOURS:9,205          COSTS(000):$0
  Procedures and Criteria for Approval or Disapproval of State
  Program Submissions, 30 CFR PART 732
FORMS: NONE

OMB NO: 1029-0025    EXPIRATION DATE: 08/31/2003
RESPS:2              HOURS:200            COSTS(000):$0
  Maintenance of State programs and procedures for substituting
  Federal enforcement of State programs and withdrawing approval
  of State programs, 30 CFR 733.
FORMS: NONE

OMB NO: 1029-0027    EXPIRATION DATE: 10/31/2005
RESPS:36             HOURS:2,433          COSTS(000):$0
  General Requirements for Surface Coal Mining and Reclamation
  Operations on Federal Lands - 30 CFR 740
FORMS: NONE

OMB NO: 1029-0030    EXPIRATION DATE: 07/31/2004
RESPS:4              HOURS:7,240          COSTS(000):$0
  State processes for designating areas unsuitable for surface
  coal mining operations, 30 CFR Part 764
FORMS: NONE

OMB NO: 1029-0035    EXPIRATION DATE: 06/30/2003
RESPS:315            HOURS:51,188         COSTS(000):$0
  Surface Mining Permit Applications - Minimum Requirements for
  Environmental Resources - Part 779
FORMS: NONE

OMB NO: 1029-0036    EXPIRATION DATE: 10/31/2005
RESPS:325            HOURS:186,556        COSTS(000):$2,878
  Surface Mining Permit Applications - Minimum Requirements for
  Reclamation and Operation Plans - 30 CFR Part 780
FORMS: NONE

OMB NO: 1029-0038    EXPIRATION DATE: 03/31/2006
RESPS:59             HOURS:25,088         COSTS(000):$0
  Underground Mining Permit Applications - Minimum Requirements
  for information on Environmental Resources - 30 CFR Part 783
FORMS: NONE

OMB NO: 1029-0039    EXPIRATION DATE: 06/30/2004
RESPS:100            HOURS:96,460         COSTS(000):$850
  Underground Mining Permit Applications - Minimum Requirements
  for Reclamation and Operations Plans, 30 CFR 784.
FORMS: NONE

OMB NO: 1029-0040    EXPIRATION DATE: 08/31/2003
RESPS:347            HOURS:16,372         COSTS(000):$0
  30 CFR Part 785 -- Requirements for permits for special
  categories of mining
FORMS: NONE

OMB NO: 1029-0043    EXPIRATION DATE: 12/31/2005
RESPS:14,167         HOURS:166,114        COSTS(000):$2,437
  30 CFR Part 800 -- Bond and Insurance Requirements for Surface
  Coal Mining and Reclamation Operations Under Regulatory Programs
FORMS: NONE

OMB NO: 1029-0047    EXPIRATION DATE: 02/29/2004
RESPS:731,787        HOURS:355,405        COSTS(000):$0
  Permanent Program Performance Standards - Surface Mining
  Activities, 30 CFR Part 816.
FORMS: NONE

OMB NO: 1029-0048    EXPIRATION DATE: 06/30/2004
RESPS:20,745         HOURS:95,618         COSTS(000):$1,272
  Permanent Program Performance Standards - Underground Mining
  Activities, 30 CFR Part 817
FORMS: NONE

OMB NO: 1029-0049    EXPIRATION DATE: 07/31/2004
RESPS:10             HOURS:1,000          COSTS(000):$0
  Special permanent program performance standards-operations in
  alluvial valley floors, 30 CFR Part 822
FORMS: NONE

OMB NO: 1029-0051    EXPIRATION DATE: 01/31/2004
RESPS:99,013         HOURS:578,509        COSTS(000):$1
  Permanent Program Inspection and Enforcement Procedures, 30 CFR
  Part 840.
FORMS: NONE

OMB NO: 1029-0054    EXPIRATION DATE: 08/31/2005
RESPS:1              HOURS:1              COSTS(000):$0
  Abandoned mine reclamation funds - 30 CFR 872
FORMS: NONE

OMB NO: 1029-0055    EXPIRATION DATE: 05/31/2005
RESPS:20             HOURS:20             COSTS(000):$1
  Rights of Entry - Part 877
FORMS: NONE

OMB NO: 1029-0057    EXPIRATION DATE: 03/31/2004
RESPS:1              HOURS:16             COSTS(000):$0
  Reclamation on Private Land - 30 CFR 882
FORMS: NONE

OMB NO: 1029-0059    EXPIRATION DATE: 01/31/2006
RESPS:132            HOURS:706            COSTS(000):$0
  30 CFR 735 - Grants for Program Development and Administration
  and Enforcement, and 30 CFR 886 - State and Tribal Reclamation
  Grants
FORMS: 47 49 51

OMB NO: 1029-0061    EXPIRATION DATE: 06/30/2003
RESPS:160            HOURS:10,635         COSTS(000):$0
  Small Operator Assistance Program - Part 795
FORMS: FORM-FS-6

OMB NO: 1029-0063    EXPIRATION DATE: 06/30/2003
RESPS:15,804         HOURS:4,280          COSTS(000):$0
  Coal Production and Reclamation Fee Report
FORMS: OSM-1

OMB NO: 1029-0067    EXPIRATION DATE: 08/31/2005
RESPS:2,909          HOURS:974            COSTS(000):$0
  Statement of Employment and Financial Interests for Use by State
  Employees - 30 CFR Part 705
FORMS: OSM-23

OMB NO: 1029-0080    EXPIRATION DATE: 03/31/2004
RESPS:1              HOURS:173            COSTS(000):$0
  Permanent regulatory program requirements-standards for
  certification of blasters, 30 CFR 850
FORMS: NONE

OMB NO: 1029-0083    EXPIRATION DATE: 08/31/2005
RESPS:33             HOURS:57             COSTS(000):$3
  Application for Blaster Certification in Federal Program States
  and Indian Lands - 30 CFR Part 955
FORMS: OSM-74

OMB NO: 1029-0087    EXPIRATION DATE: 03/31/2004
RESPS:1,800          HOURS:4,000          COSTS(000):$0
  Abandoned Mine Land Problem Area Description Form, OSM 76
FORMS: OSM-76

OMB NO: 1029-0089    EXPIRATION DATE: 03/31/2004
RESPS:61             HOURS:513            COSTS(000):$0
  Exemption for Coal Extraction Incidental to the Extraction of
  Other Minerals, 30 CFR Part 702
FORMS: NONE

OMB NO: 1029-0090    EXPIRATION DATE: 01/31/2006
RESPS:933            HOURS:700            COSTS(000):$0
  Abandoned Mine Reclamation Fund - Fee Collection and Coal Pro-
  duction Reporting - 30 CFR 870.18
FORMS: NONE

OMB NO: 1029-0091    EXPIRATION DATE: 05/31/2005
RESPS:75             HOURS:1,400          COSTS(000):$15
  Requirements for Surface Coal Mining and Reclamation Operations
  on Indian Lands-30 CFR 750
FORMS: NONE

OMB NO: 1029-0092    EXPIRATION DATE: 10/31/2005
RESPS:12             HOURS:454            COSTS(000):$0
  State-Federal cooperative agreements - 30 CFR 745
FORMS: NONE

OMB NO: 1029-0094    EXPIRATION DATE: 11/30/2003
RESPS:6              HOURS:12             COSTS(000):$0
  General - 30 CFR Part 700
FORMS: NONE

OMB NO: 1029-0098    EXPIRATION DATE: 11/30/2003
RESPS:1              HOURS:120            COSTS(000):$0
  Petition process for designation of Federal lands as unsuitable
  for all or certain types of surface coal mining operations and
  for termination of previous designation - 30 CFR 769
FORMS: NONE

OMB NO: 1029-0103    EXPIRATION DATE: 09/30/2003
RESPS:7              HOURS:340            COSTS(000):$0
  Noncoal Reclamation - 30 CFR 875
FORMS: NONE

OMB NO: 1029-0104    EXPIRATION DATE: 08/31/2003
RESPS:1              HOURS:350            COSTS(000):$0
  Acid Mine Drainage Treatment of Abatement Program - 30 CFR 876
FORMS: NONE

OMB NO: 1029-0107    EXPIRATION DATE: 10/31/2005
RESPS:1              HOURS:8              COSTS(000):$0
  Subsidence Insurance Program Grants - 30 CFR Part 887
FORMS: NONE

OMB NO: 1029-0110    EXPIRATION DATE: 06/30/2003
RESPS:315            HOURS:53             COSTS(000):$0
  Technical Training Program Course Effectiveness Evaluation
FORMS: NONE

OMB NO: 1029-0111    EXPIRATION DATE: 12/31/2005
RESPS:262            HOURS:1,864          COSTS(000):$12
  Areas Designated by Act of Congress - 30 CFR Part 761
FORMS: NONE

OMB NO: 1029-0112    EXPIRATION DATE: 12/31/2005
RESPS:905            HOURS:8,510          COSTS(000):$1
  30 CFR Part 772 -- Requirements for Coal Exploration
FORMS: NONE

OMB NO: 1029-0113    EXPIRATION DATE: 08/31/2004
RESPS:45             HOURS:3,240          COSTS(000):$0
  General Reclamation Requirements 30 CFR 874
FORMS: NONE

OMB NO: 1029-0114    EXPIRATION DATE: 11/30/2004
RESPS:750            HOURS:125            COSTS(000):$0
  Technical Evaluations Series
FORMS: NONE

OMB NO: 1029-0115    EXPIRATION DATE: 12/31/2003
RESPS:310            HOURS:11,116         COSTS(000):$12
  Requirements for permits and permit processing - 30 CFR Part 773
FORMS: NONE

OMB NO: 1029-0116    EXPIRATION DATE: 12/31/2003
RESPS:12,090         HOURS:97,780         COSTS(000):$0
  Revision; Renewal; and Transfer, Assignment, or Sale of Permit
  Rights - 30 CFR 774
FORMS: NONE

OMB NO: 1029-0117    EXPIRATION DATE: 12/31/2003
RESPS:310            HOURS:8,437          COSTS(000):$0
  Permit Applications - minimum requirements for legal, financial,
  compliance, and related information-Part 778
FORMS: NONE

OMB NO: 1029-0118    EXPIRATION DATE: 06/30/2005
RESPS:126            HOURS:95             COSTS(000):$0
  Federal inspections and monitoring - 30 CFR Part 842
FORMS: NONE

OMB NO: 1029-0119    EXPIRATION DATE: 11/30/2003
RESPS:519            HOURS:465            COSTS(000):$0
  Abandoned Mine Land Contractor Information Form
FORMS: NONE

OMB NO: 1029-0120    EXPIRATION DATE: 01/31/2004
RESPS:1,600          HOURS:134            COSTS(000):$0
  Technical Training Program Course Nomination and Payment for
  Travel and Per Diem Forms
FORMS: OSM-105 OSM-140

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
44 906,165 1,747,966 $7,482
Office of the Special Trustee
OMB NO: 1035-0001    EXPIRATION DATE: 05/31/2003
RESPS:12             HOURS:468            COSTS(000):$0
  Application for Technical Assistance to Withdraw Tribal Funds
  from Trust Status (Specific Budget)
FORMS: SF-424A

OMB NO: 1035-0002    EXPIRATION DATE: 05/31/2003
RESPS:12             HOURS:156            COSTS(000):$0
  Application for assistance to withdraw Tribal funds from Trust
  Status (General)
FORMS: SF-424

OMB NO: 1035-0003    EXPIRATION DATE: 05/31/2003
RESPS:12             HOURS:4,104          COSTS(000):$0
  Application to Withdraw Tribal funds from Trust Status
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
3 36 4,728 $0
Office of Planning and Performance Management
OMB NO: 1040-0001    EXPIRATION DATE: 01/31/2005
RESPS:120,000        HOURS:18,000         COSTS(000):$0
  DOI Programmatic Clearance for Customer Satisfaction Surveys
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
1 120,000 18,000 $0
Office of Historical Trust Accounting
OMB NO: 1050-0001    EXPIRATION DATE: 04/30/2003
RESPS:2,000          HOURS:8,000          COSTS(000):$0
  Cobell v. Norton Litigation; project to correct "Collection of
  Missing Information" breach of trust duty.
FORMS: NONE

OMB NO: 1050-0002    EXPIRATION DATE: 04/30/2003
RESPS:40             HOURS:40             COSTS(000):$0
  Pilot Testing of Individual Indian Money Account-holder Customer
  Feedback Methods for Historical Accounting (Previously approved
  as OMB #1090-0004)
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
2 2,040 8,040 $0
Bureau of Indian Affairs
OMB NO: 1076-0017    EXPIRATION DATE: 07/31/2005
RESPS:200,000        HOURS:50,000         COSTS(000):$0
  Financial Assistance & Social Services Program 25 CFR 20
FORMS: 5-6601

OMB NO: 1076-0018    EXPIRATION DATE: 02/28/2006
RESPS:25             HOURS:25             COSTS(000):$0
  Tribal Colleges and Universities Grant Application Form 25 CFR
  41.8
FORMS: 62107

OMB NO: 1076-0020    EXPIRATION DATE: 10/31/2003
RESPS:852            HOURS:519            COSTS(000):$0
  25 CFR 103- Loan Guaranty, Insurance, and Interest Subsidy
FORMS: 5-4749 5-4753 5-4754 5-4755 5-4759 5-4760

OMB NO: 1076-0021    EXPIRATION DATE: 04/30/2003
RESPS:4,750          HOURS:1,188          COSTS(000):$0
  Electrical Service Application -- 25 CFR 175
FORMS: NONE

OMB NO: 1076-0062    EXPIRATION DATE: 04/30/2003
RESPS:4,900          HOURS:2,450          COSTS(000):$0
  Application for Training or Employment
FORMS: BIA-8205

OMB NO: 1076-0084    EXPIRATION DATE: 10/31/2004
RESPS:3,500          HOURS:1,750          COSTS(000):$0
  25 CFR 256 United States Department of the Interior, Burau of
  Indian Affairs Housing Improvement Program
FORMS: BIA-6407

OMB NO: 1076-0094    EXPIRATION DATE: 06/30/2005
RESPS:260            HOURS:65             COSTS(000):$0
  Title 25 CFR 11, Subpart F, Law & Order on Indian Reservations
FORMS: NONE

OMB NO: 1076-0096    EXPIRATION DATE: 09/30/2005
RESPS:360            HOURS:1,800          COSTS(000):$0
  Education Contracts under Johnson O'Malley Act Application and
  regulatory Requirements, 25 CFR 273.50
FORMS: BIA-NO-62118

OMB NO: 1076-0100    EXPIRATION DATE: 12/31/2003
RESPS:9,200          HOURS:36,800         COSTS(000):$0
  25 CFR 151, Acquisition of Title to Land in Trust
FORMS: NONE

OMB NO: 1076-0101    EXPIRATION DATE: 10/31/2004
RESPS:14,000         HOURS:14,000         COSTS(000):$0
  Higher Education Grant Application 25 CFR 40
FORMS: 6237

OMB NO: 1076-0104    EXPIRATION DATE: 09/30/2003
RESPS:10             HOURS:22,377         COSTS(000):$0
  Documented Petitions for Federal Acknowledgment as an Indian
  Tribe, 25 CFR 83
FORMS: 8304 8305 8306

OMB NO: 1076-0105    EXPIRATION DATE: 02/28/2006
RESPS:25             HOURS:75             COSTS(000):$0
  Tribal Colleges and Universities Annual Report Form 25 CFR 41.9
FORMS: 6259

OMB NO: 1076-0106    EXPIRATION DATE: 10/31/2004
RESPS:125            HOURS:375            COSTS(000):$0
  Higher Education Annual Report, 25 CFR 40 Subchapter E
FORMS: NONE

OMB NO: 1076-0111    EXPIRATION DATE: 10/31/2003
RESPS:4              HOURS:12             COSTS(000):$0
  25 CFR 23.13, Payment for Appointed Counsel in Involuntary
  Indian Child Custody Proceedings in State Courts
FORMS: NONE

OMB NO: 1076-0112    EXPIRATION DATE: 04/30/2003
RESPS:2              HOURS:16             COSTS(000):$0
  Contents of Reassumption Petition -- 25 CFR 13.11
FORMS: NONE

OMB NO: 1076-0114    EXPIRATION DATE: 10/31/2005
RESPS:3,943          HOURS:2,214          COSTS(000):$15
  Application for Admission to Haskell Indian Nations University
  and to Southwestern Indian Polytechnic Institure
FORMS: NONE

OMB NO: 1076-0120    EXPIRATION DATE: 01/31/2005
RESPS:70             HOURS:280            COSTS(000):$0
  Adult Education Annual Report Form
FORMS: 6-2123

OMB NO: 1076-0122    EXPIRATION DATE: 08/31/2005
RESPS:48,000         HOURS:12,000         COSTS(000):$0
  Data Elements for Student Enrollment in Bureau - funded Schools
FORMS: NONE

OMB NO: 1076-0131    EXPIRATION DATE: 01/31/2005
RESPS:2,144          HOURS:1,072          COSTS(000):$0
  Indian Child Welfare Assistance Annual Report (25 CFR 23/47)
FORMS: NONE

OMB NO: 1076-0134    EXPIRATION DATE: 12/31/2005
RESPS:121            HOURS:726            COSTS(000):$0
  Student Transportation Form, Subpart H, 25 CFR 39.100 - 103
FORMS: NONE

OMB NO: 1076-0135    EXPIRATION DATE: 06/30/2003
RESPS:37             HOURS:370            COSTS(000):$0
  A Reporting System for P.L. 102-477 Deomonstration Project
FORMS: NONE

OMB NO: 1076-0136    EXPIRATION DATE: 09/30/2003
RESPS:5,507          HOURS:238,992        COSTS(000):$0
  Indian Self-Determination and Education Assistance Act Programs
FORMS: NONE

OMB NO: 1076-0141    EXPIRATION DATE: 04/30/2003
RESPS:51,500         HOURS:4,292          COSTS(000):$0
  Water Request -- 25 CFR 171
FORMS: NONE

OMB NO: 1076-0143    EXPIRATION DATE: 04/30/2003
RESPS:257            HOURS:10,766         COSTS(000):$16
  Tribal Self-Governance Program, 25 CFR Part 1000
FORMS: NONE

OMB NO: 1076-0146    EXPIRATION DATE: 06/30/2005
RESPS:70             HOURS:1,680          COSTS(000):$0
  Evaluation of the performance of trust functions performed by
  tribes under self-governance compacts, 25 CFR 1000, Subpart O
FORMS: NONE

OMB NO: 1076-0147    EXPIRATION DATE: 05/31/2005
RESPS:280            HOURS:140            COSTS(000):$0
  U.S. Department of the Interior, Bureau of Indian Affairs Indian
  Service Population and Labor Force Estimates Report
FORMS: NONE

OMB NO: 1076-0149    EXPIRATION DATE: 04/30/2003
RESPS:12             HOURS:3,840          COSTS(000):$0
  Class III Gaming Procedures 25 CFR 522
FORMS: NONE

OMB NO: 1076-0152    EXPIRATION DATE: 04/30/2003
RESPS:50             HOURS:5,000          COSTS(000):$0
  Tribal Revenue Allocation Plans 25 CFR 290
FORMS: NONE

OMB NO: 1076-0153    EXPIRATION DATE: 06/30/2003
RESPS:287,400        HOURS:433,500        COSTS(000):$0
  Request for Certificate of Degree of Indian or Alaska Native
  Blood, 25 CFR Part 70
FORMS: NONE

OMB NO: 1076-0154    EXPIRATION DATE: 10/31/2003
RESPS:1,997,500      HOURS:1,577,125      COSTS(000):$0
  Funds Held in Trust for Tribes and Individuals 25 CFR-115
FORMS: NONE

OMB NO: 1076-0155    EXPIRATION DATE: 09/30/2003
RESPS:79,843         HOURS:70,237         COSTS(000):$0
  Leases and Permits 25 CFR 162
FORMS: NONE

OMB NO: 1076-0156    EXPIRATION DATE: 09/30/2003
RESPS:32,589         HOURS:156,407        COSTS(000):$60
  Probate of Indian Estates, Except for Members of the Five
  Civilized Tribes 25 CFR 15
FORMS: NONE

OMB NO: 1076-0157    EXPIRATION DATE: 09/30/2003
RESPS:4,200          HOURS:3,088          COSTS(000):$0
  Grazing Permits 25 CFR 166
FORMS: 5-5513 5-5514 5-5515 5-5516 5-5517 5-5519 5-5423 5-5522 5-5523
5-5524

OMB NO: 1076-0158    EXPIRATION DATE: 11/30/2003
RESPS:2              HOURS:2,000          COSTS(000):$0
  Gaming on Trust Lands Acquired After October 17, 1988 25 CFR 292
FORMS: NONE

OMB NO: 1076-0159    EXPIRATION DATE: 03/31/2004
RESPS:1,325          HOURS:68,035         COSTS(000):$0
  25 CFR 151, Acquisition of Title to Land in Trust and Tribal
  Land Acquisition Area
FORMS: NONE

OMB NO: 1076-0160    EXPIRATION DATE: 05/31/2005
RESPS:5,000          HOURS:2,500          COSTS(000):$6
  Verification of Indian Preference for Employment in BIA & IHS
FORMS: BIA-4432

OMB NO: 1076-0161    EXPIRATION DATE: 10/31/2005
RESPS:557            HOURS:31,470         COSTS(000):$0
  25 CFR 170, Indian Reservation Roads
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
37 2,758,420 2,757,186 $97
Office of Acquisition and Property Management
OMB NO: 1084-0010    EXPIRATION DATE: 02/28/2006
RESPS:200            HOURS:88             COSTS(000):$0
  Claim for Relocation Payments - Residential, DI-381 Claim for
  Relocation Payments - Nonresidential, DI-382
FORMS: 381 382

OMB NO: 1084-0033    EXPIRATION DATE: 01/31/2004
RESPS:5,279          HOURS:1,046          COSTS(000):$0
  Private Rental Survey
FORMS: OS-2000 OS-2001

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
2 5,479 1,134 $0
Indian Arts and Crafts Board
OMB NO: 1085-0001    EXPIRATION DATE: 06/30/2005
RESPS:100            HOURS:25             COSTS(000):$0
  Source Directory of American Indian and Alaska Native owned and
  operated arts & crafts businesses
FORMS: NONE

OMB NO: 1085-0002    EXPIRATION DATE: 06/30/2005
RESPS:580            HOURS:97             COSTS(000):$0
  Non-member Indian Artisan Certification Program - 25 CFR 309
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
2 680 122 $0
Office for Equal Opportunity
OMB NO: 1091-0001    EXPIRATION DATE: 03/31/2006
RESPS:560,000        HOURS:46,480         COSTS(000):$0
  US Department of the Interior, Applicant Background Survey
FORMS: 1935

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
1 560,000 46,480 $0

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
303 13,387,603 7,956,705 $33,281
(RETURN TO AGENCY LIST)

Department of Justice
General Administration
OMB NO: 1103-0016    EXPIRATION DATE: 02/29/2004
RESPS:153,333        HOURS:38,333         COSTS(000):$77
  Certification of Identify
FORMS: DOJ-361

OMB NO: 1103-0018    EXPIRATION DATE: 02/29/2004
RESPS:7,462          HOURS:149,240        COSTS(000):$0
  Department of Justice Procurement Blanket Clearance
FORMS: NONE

OMB NO: 1103-0019    EXPIRATION DATE: 09/30/2003
RESPS:2,500          HOURS:62,500         COSTS(000):$0
  COPS Making Officer Redeployment Effective (MORE) Grant Program
  Application Kit.
FORMS: NONE

OMB NO: 1103-0027    EXPIRATION DATE: 09/30/2003
RESPS:3,500          HOURS:31,500         COSTS(000):$0
  COPS Universal Hiring Program (UHP) and COPS in Schools (CIS)
  Grant Applications
FORMS: NONE

OMB NO: 1103-0030    EXPIRATION DATE: 04/30/2003
RESPS:1,600          HOURS:2,400          COSTS(000):$0
  COPS Department Initial Report
FORMS: COPS-012/01

OMB NO: 1103-0037    EXPIRATION DATE: 06/30/2003
RESPS:1,830          HOURS:9,150          COSTS(000):$0
  COPS MORE (Making Officer Redeployment Effective) '98 Progress
  Report
FORMS: NONE

OMB NO: 1103-0043    EXPIRATION DATE: 10/31/2003
RESPS:128            HOURS:1,472          COSTS(000):$0
  Regional Community Policing Institute Quarterly Progress Report
FORMS: 022/01

OMB NO: 1103-0061    EXPIRATION DATE: 02/29/2004
RESPS:23,118         HOURS:11,559         COSTS(000):$0
  COPS Grant Status Survey
FORMS: 301/02

OMB NO: 1103-0066    EXPIRATION DATE: 02/29/2004
RESPS:10,000         HOURS:2,500          COSTS(000):$0
  National Center for Victims of Crime: Service Referral
  Questionnaire
FORMS: COPS/PPSE/02

OMB NO: 1103-0067    EXPIRATION DATE: 05/31/2003
RESPS:1,550          HOURS:975            COSTS(000):$0
  COPS Crime Analysis Unit Survey
FORMS: COPS-034/01

OMB NO: 1103-0072    EXPIRATION DATE: 01/31/2005
RESPS:200            HOURS:1,800          COSTS(000):$0
  Tribal Resources Grant Program Application
FORMS: NONE

OMB NO: 1103-0078    EXPIRATION DATE: 09/30/2005
RESPS:10             HOURS:35             COSTS(000):$0
  Mental Health and Community Safety Initiative Equipment and
  Training Progress Report
FORMS: NONE

OMB NO: 1103-0079    EXPIRATION DATE: 09/30/2005
RESPS:2,800          HOURS:1,400          COSTS(000):$0
  COPS In Schools/Safe Schools Healthy Students Annual Report
FORMS: NONE

OMB NO: 1103-0080    EXPIRATION DATE: 07/31/2005
RESPS:10             HOURS:15             COSTS(000):$0
  Mental Health and Community Safety Initiative Hiring Progress
  Report
FORMS: NONE

OMB NO: 1103-0081    EXPIRATION DATE: 09/30/2005
RESPS:6,100          HOURS:6,100          COSTS(000):$0
  Department Annual Report
FORMS: NONE

OMB NO: 1103-0082    EXPIRATION DATE: 10/31/2003
RESPS:200            HOURS:5,200          COSTS(000):$0
  Technology Initiative Grant Application Kit
FORMS: NONE

OMB NO: 1103-0083    EXPIRATION DATE: 10/31/2003
RESPS:100            HOURS:900            COSTS(000):$0
  Secure Our Schools Act Grant Application Kit
FORMS: NONE

OMB NO: 1103-0084    EXPIRATION DATE: 10/31/2003
RESPS:100            HOURS:1,500          COSTS(000):$0
  Methamphetamine Discretionary Grant Program Application
FORMS: NONE

OMB NO: 1103-0085    EXPIRATION DATE: 10/31/2003
RESPS:200            HOURS:1,800          COSTS(000):$0
  Community Policing Development Proposal Packet
FORMS: NONE

OMB NO: 1103-0086    EXPIRATION DATE: 10/31/2003
RESPS:200            HOURS:300            COSTS(000):$0
  Tribal Resources Grant Program Hiring Progress Report
FORMS: NONE

OMB NO: 1103-0087    EXPIRATION DATE: 10/31/2003
RESPS:200            HOURS:600            COSTS(000):$0
  Tribal Resources Grant Program Equipment and Training Progress
  Report
FORMS: NONE

OMB NO: 1103-0088    EXPIRATION DATE: 10/31/2003
RESPS:15             HOURS:37             COSTS(000):$0
  Tribal Hiring Renewal Grant Program Application
FORMS: NONE

OMB NO: 1103-0089    EXPIRATION DATE: 01/31/2006
RESPS:160            HOURS:2,560          COSTS(000):$0
  Public Safety/Crime Prevention Proposal Kit
FORMS: NONE

OMB NO: 1103-0090    EXPIRATION DATE: 01/31/2006
RESPS:1,835          HOURS:3,239          COSTS(000):$0
  Making Officer Redeployment Effective (MORE) Closeout Report
FORMS: NONE

OMB NO: 1103-0091    EXPIRATION DATE: 01/31/2006
RESPS:100            HOURS:325            COSTS(000):$0
  Methamphetamine Project Final Update Report
FORMS: NONE

OMB NO: 1103-0092    EXPIRATION DATE: 01/31/2006
RESPS:100            HOURS:325            COSTS(000):$0
  Methamphetamine Project, Status Update Report (SUR)
FORMS: NONE

OMB NO: 1103-0093    EXPIRATION DATE: 03/31/2006
RESPS:4,000          HOURS:2,000          COSTS(000):$0
  Universal Hiring Program Extension Request Worksheet
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
27 221,351 337,765 $77
Legal Activities
OMB NO: 1105-0001    EXPIRATION DATE: 04/30/2004
RESPS:54             HOURS:81             COSTS(000):$0
  Registration Statement of Individuals (Foreign Agents)
FORMS: OBD-63(CRM) FORM-CRM-153

OMB NO: 1105-0002    EXPIRATION DATE: 04/30/2004
RESPS:1,034          HOURS:1,421          COSTS(000):$0
  Supplemental Registration Statement of Individuals (Foreign
  Agents)
FORMS: OBD-64 FORM-CRM-154

OMB NO: 1105-0003    EXPIRATION DATE: 04/30/2004
RESPS:127            HOURS:62             COSTS(000):$0
  Exhibit A to Registration Statement (Foreign Agents)
FORMS: OBD-67 FORM-CRM-157

OMB NO: 1105-0004    EXPIRATION DATE: 04/30/2004
RESPS:175            HOURS:262            COSTS(000):$0
  Amendment to Registration or Supplemental Registration Reports
  (Foreign Agents)
FORMS: OBD-68 CRM FORM-CRM-158

OMB NO: 1105-0007    EXPIRATION DATE: 04/30/2004
RESPS:127            HOURS:41             COSTS(000):$0
  Exhibit B to Registration Statement (Foreign Agents)
FORMS: OBD-65(CRM) FORM-CRM-155

OMB NO: 1105-0008    EXPIRATION DATE: 05/31/2005
RESPS:300,000        HOURS:1,800,000      COSTS(000):$0
  Claim for Damage, Injury, or Death
FORMS: SF-95

OMB NO: 1105-0013    EXPIRATION DATE: 04/30/2004
RESPS:388            HOURS:166            COSTS(000):$0
  Short-form Registration Statement of Individuals (Foreign Agents)
FORMS: OBD-66 FORM-CRM-156

OMB NO: 1105-0025    EXPIRATION DATE: 10/31/2005
RESPS:20             HOURS:40             COSTS(000):$0
  Department of Justice Federal Coal Lease Review Information
FORMS: ATR-139 ATR-140

OMB NO: 1105-0030    EXPIRATION DATE: 07/31/2004
RESPS:4,500          HOURS:4,500          COSTS(000):$0
  Application Booklets-Attorney General's Honor Program; Summer
  Law Intern Program
FORMS: NONE

OMB NO: 1105-0052    EXPIRATION DATE: 07/31/2005
RESPS:3,000          HOURS:7,500          COSTS(000):$0
  Claims Under the Radiation Exposure Compensation Act
FORMS: NONE

OMB NO: 1105-0072    EXPIRATION DATE: 02/28/2005
RESPS:1,000          HOURS:500            COSTS(000):$0
  Applicant Qualification Form
FORMS: NONE

OMB NO: 1105-0073    EXPIRATION DATE: 09/30/2005
RESPS:5,000          HOURS:30,000         COSTS(000):$0
  Registration/Eligibility Form and Application for Emergency
  Benefits from the Victim Compensation Fund
FORMS: SM-001

OMB NO: 1105-0074    EXPIRATION DATE: 01/31/2006
RESPS:203,500        HOURS:25,050         COSTS(000):$0
  Flight Training Candidate Checks Program
FORMS: FTTTF-1 FTTTF-2

OMB NO: 1105-0077    EXPIRATION DATE: 10/31/2005
RESPS:250            HOURS:500            COSTS(000):$0
  Victim Compensation Fund Objection Form
FORMS: SM-002

OMB NO: 1105-0078    EXPIRATION DATE: 10/31/2005
RESPS:5,000          HOURS:75,000         COSTS(000):$500
  The Death Compensation form for the September 11 Victim
  Compensation Fund and The Personal Injury Compensation Form for
  the September 11 Victim Compensation Fund
FORMS: SM-003

OMB NO: 1105-0079    EXPIRATION DATE: 06/30/2003
RESPS:2,000          HOURS:1,000          COSTS(000):$0
  Application for Representative Payee
FORMS: NONE

OMB NO: 1105-0080    EXPIRATION DATE: 09/30/2003
RESPS:400            HOURS:400            COSTS(000):$20
  Annuity Broker Qualification Declaration Form
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
17 526,575 1,946,523 $520
Federal Bureau of Investigation
OMB NO: 1110-0001    EXPIRATION DATE: 09/30/2003
RESPS:212,004        HOURS:74,201         COSTS(000):$449
  Return A-Monthly Return of Offenses known to Police and
  Supplement to Return A-Monthly Return of Offenses known to
  Police.
FORMS: 4-927A 4-919

OMB NO: 1110-0002    EXPIRATION DATE: 07/31/2004
RESPS:201,456        HOURS:30,218         COSTS(000):$0
  Supplementary Homicide Report
FORMS: I-704

OMB NO: 1110-0004    EXPIRATION DATE: 09/30/2005
RESPS:16,825         HOURS:2,243          COSTS(000):$0
  Full-Time Law Enforcement Employee as of October 31
FORMS: 1-711 1-711A 1-711B

OMB NO: 1110-0005    EXPIRATION DATE: 10/31/2005
RESPS:403,800        HOURS:201,900        COSTS(000):$0
  Age, Sex and Race of person arrested (18 years of age and over)
  Age, sex, and Race of person arrested (Under 18 years of age)
FORMS: 1-708 1-708A

OMB NO: 1110-0006    EXPIRATION DATE: 02/29/2004
RESPS:212,004        HOURS:24,734         COSTS(000):$0
  Law Enforcement Officers Killed and Assaulted
FORMS: I-750

OMB NO: 1110-0008    EXPIRATION DATE: 09/30/2005
RESPS:201,900        HOURS:30,285         COSTS(000):$0
  Monthly Return of Arson Offenses Known to Law Enforcement
FORMS: 1-725

OMB NO: 1110-0009    EXPIRATION DATE: 02/29/2004
RESPS:570            HOURS:570            COSTS(000):$0
  Analysis of Law Enforcement Officers Killed And Assaulted
FORMS: I-701

OMB NO: 1110-0011    EXPIRATION DATE: 12/31/2004
RESPS:10,000         HOURS:10,000         COSTS(000):$0
  VICAP Crime Analysis Report
FORMS: FD-676-REV

OMB NO: 1110-0015    EXPIRATION DATE: 09/30/2003
RESPS:106,002        HOURS:15,900         COSTS(000):$216
  Hate Crime Incident Report/Quarterly Hate Crime Report
FORMS: 11-1 11-2

OMB NO: 1110-0016    EXPIRATION DATE: 06/30/2005
RESPS:50,000         HOURS:500,000        COSTS(000):$0
  Application for employment/Federal Bureau of Investigation
FORMS: FD-140

OMB NO: 1110-0022    EXPIRATION DATE: 04/30/2003
RESPS:11,500         HOURS:46,000         COSTS(000):$0
  Cost Recovery Regulations, Communications Assistance for Law
  Enforcement Act of 1994
FORMS: NONE

OMB NO: 1110-0030    EXPIRATION DATE: 04/30/2003
RESPS:5,000          HOURS:21,250         COSTS(000):$0
  Flexible Deployment Assistance Guide
FORMS: NONE

OMB NO: 1110-0031    EXPIRATION DATE: 05/31/2003
RESPS:3,200          HOURS:1,600          COSTS(000):$0
  Emergency Law Enforcement Services Vulnerability Survey
FORMS: NONE

OMB NO: 1110-0033    EXPIRATION DATE: 05/31/2004
RESPS:250,000        HOURS:8,333          COSTS(000):$0
  National Sex: Offender Registry
FORMS: NONE

OMB NO: 1110-0036    EXPIRATION DATE: 01/31/2005
RESPS:150,000        HOURS:702,000        COSTS(000):$0
  National Stolen Passenger Motor Vehicle Information System
FORMS: NONE

OMB NO: 1110-0037    EXPIRATION DATE: 05/31/2003
RESPS:10,000         HOURS:10,000         COSTS(000):$0
  VICAP Sexual Assault Crime Analysis Report
FORMS: NONE

OMB NO: 1110-0039    EXPIRATION DATE: 09/30/2003
RESPS:20,000         HOURS:10,000         COSTS(000):$0
  Bioterrorism Preparedness Act: Entity/Individual Information
FORMS: FD-961

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
17 1,864,261 1,689,234 $665
Immigration and Naturalization Service
OMB NO: 1115-0015    EXPIRATION DATE: 04/30/2003
RESPS:22,567         HOURS:20,671         COSTS(000):$3,272
  Application for Replacement Naturalization/Citizenship Document
FORMS: N-565

OMB NO: 1115-0068    EXPIRATION DATE: 04/30/2003
RESPS:3,000          HOURS:249            COSTS(000):$0
  Notice to Student or Exchange Visitor
FORMS: I-515

OMB NO: 1115-0078    EXPIRATION DATE: 04/30/2003
RESPS:720,000        HOURS:129,600        COSTS(000):$0
  Aircraft/Vessel Report
FORMS: I-92

OMB NO: 1115-0083    EXPIRATION DATE: 04/30/2003
RESPS:95,000         HOURS:95,000         COSTS(000):$0
  Passenger List, Crew List
FORMS: I-418

OMB NO: 1115-0238    EXPIRATION DATE: 06/30/2004
RESPS:10             HOURS:40             COSTS(000):$2
  Application for Authorization to Issue Health Care Certificates
FORMS: I-905

OMB NO: 1115-0253    EXPIRATION DATE: 08/31/2004
RESPS:1,500          HOURS:1,500          COSTS(000):$273
  Application for Citizenship and Issuance of Certificate Under
  Section 322
FORMS: N-600K

OMB NO: 1115-0254    EXPIRATION DATE: 04/30/2003
RESPS:140,000        HOURS:70,000         COSTS(000):$0
  National Security Entry-Exit Registration System
FORMS: NONE

OMB NO: 1115-0255    EXPIRATION DATE: 04/30/2003
RESPS:600            HOURS:36,500         COSTS(000):$0
  Visa Waiver Program Passenger Arrival and Departure Data
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
8 982,677 353,560 $3,547
Drug Enforcement Administration
OMB NO: 1117-0001    EXPIRATION DATE: 01/31/2005
RESPS:6,151          HOURS:3,076          COSTS(000):$0
  Report of Theft or Loss of Controlled Substances--DEA Form 106
FORMS: FORM-106

OMB NO: 1117-0003    EXPIRATION DATE: 03/31/2005
RESPS:5,630          HOURS:1,700          COSTS(000):$0
  ARCOS Transaction Reporting--DEA Form 333
FORMS: FORM-333

OMB NO: 1117-0004    EXPIRATION DATE: 01/31/2005
RESPS:2,000          HOURS:1,034          COSTS(000):$0
  Application for Permit to Export Controlled Substances--DEA Form
  161
FORMS: FORM-161

OMB NO: 1117-0006    EXPIRATION DATE: 03/31/2006
RESPS:264            HOURS:132            COSTS(000):$0
  Application for Individual Manufacturing Quota for a Basic Class
  of Controlled Substance
FORMS: 189

OMB NO: 1117-0007    EXPIRATION DATE: 01/31/2005
RESPS:20,000         HOURS:10,000         COSTS(000):$0
  Registrants Inventory of Drugs Surrendered--DEA Form 41
FORMS: FORM-41

OMB NO: 1117-0008    EXPIRATION DATE: 03/31/2006
RESPS:818            HOURS:818            COSTS(000):$0
  Application for Procurement Quota for Controlled Substances
FORMS: 250

OMB NO: 1117-0009    EXPIRATION DATE: 01/31/2005
RESPS:2,864          HOURS:1,432          COSTS(000):$0
  Controlled Substances Import/Export Declaration--DEA Form 236
FORMS: FORM-236

OMB NO: 1117-0010    EXPIRATION DATE: 03/31/2005
RESPS:663,523        HOURS:193,508        COSTS(000):$10,279
  U.S. Official Order Forms for Schedules I and II Controlled
  Substances (ACCOUNTABLE FORMS), Order Form Requisition
FORMS: DEA-222 DEA-222A

OMB NO: 1117-0012    EXPIRATION DATE: 10/31/2005
RESPS:11,379         HOURS:5,693          COSTS(000):$1,376
  Application for Registration (DEA Form 225); Application for
  Registration Renewal (DEA Form 225a); Affidavit for Chain
  Renewal (DEA Form 225B)
FORMS: 225 225A 225B

OMB NO: 1117-0013    EXPIRATION DATE: 06/30/2004
RESPS:320            HOURS:86             COSTS(000):$0
  Application for Permit to Import Controlled Substances for
  Domestic and/or Scientific Purposes pursuant to 21 U.S.C. 952
FORMS: FORM-357

OMB NO: 1117-0014    EXPIRATION DATE: 10/31/2005
RESPS:425,009        HOURS:85,232         COSTS(000):$85,739
  Application for Registration (DEA Form 224); Application for
  Registration Renewal (DEA Form 224a); and Affidavit for Chain
  Renewal DEA Retail Pharmacy Registration (DEA Form 224B)
FORMS: 224 224A 224B

OMB NO: 1117-0015    EXPIRATION DATE: 10/31/2005
RESPS:1,251          HOURS:626            COSTS(000):$80
  Application for Registration (DEA Form 363), Application for
  Registration Renewal (DEA Form 363a), Application for
  Registration Renewal (Chain) (DEA Form 363b)
FORMS: 363 363A 363B

OMB NO: 1117-0021    EXPIRATION DATE: 03/31/2005
RESPS:500            HOURS:50,250         COSTS(000):$0
  Records and Reports of Registrants: Changes in Record
  Requirements for Individual Practitioners
FORMS: NONE

OMB NO: 1117-0023    EXPIRATION DATE: 02/28/2005
RESPS:7,000          HOURS:1,600          COSTS(000):$0
  Import/Export Declaration: Precursor and Essential Chemicals
FORMS: FORM-486

OMB NO: 1117-0024    EXPIRATION DATE: 03/31/2005
RESPS:1,996          HOURS:499            COSTS(000):$0
  Reports of Suspicious Orders or Theft/Loss of Listed Chemicals/
  Machines
FORMS: NONE

OMB NO: 1117-0029    EXPIRATION DATE: 09/30/2003
RESPS:100            HOURS:400            COSTS(000):$0
  Annual Reporting Requirement for Manufacturers of Listed
  Chemicals
FORMS: NONE

OMB NO: 1117-0031    EXPIRATION DATE: 01/31/2005
RESPS:3,200          HOURS:1,600          COSTS(000):$0
  Application for Registration Under Domestic Chemical Diversion
  Control Act of 1993 and Renewal Application for Registration
  under Domestic Chemical Diversion Control Act of 1993
FORMS: FORM-510 FORM-510A

OMB NO: 1117-0033    EXPIRATION DATE: 09/30/2003
RESPS:1,200          HOURS:1,200          COSTS(000):$0
  Report of Mail Order Transactions
FORMS: NONE

OMB NO: 1117-0034    EXPIRATION DATE: 09/30/2003
RESPS:1,200          HOURS:1,200          COSTS(000):$0
  Collection of Laboratory Analysis Data on Drug Samples Testes by
  Non-Federal (State and Local Government) Crime Laboratories
FORMS: NONE

OMB NO: 1117-0037    EXPIRATION DATE: 01/31/2006
RESPS:25             HOURS:125            COSTS(000):$0
  Prescription Monitoring Program Questionnaire
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
20 1,154,430 360,211 $97,474
Office of Justice Programs
OMB NO: 1121-0021    EXPIRATION DATE: 10/31/2003
RESPS:100            HOURS:400            COSTS(000):$0
  Accounting System and Financial Capability Questionnaire
FORMS: 7120/1

OMB NO: 1121-0030    EXPIRATION DATE: 03/31/2004
RESPS:3,796          HOURS:1,885          COSTS(000):$0
  Capital Punishment report of inmates under sentence of death
FORMS: NPS-8 NPS-8A NPS-8B NPS-8C

OMB NO: 1121-0064    EXPIRATION DATE: 06/30/2005
RESPS:537            HOURS:656            COSTS(000):$0
  Annual Parole Survey, Annual Probation Survey, and Annual
  Probation Survey (Short Form)
FORMS: CJ-7 CJ-8 CJ-8A

OMB NO: 1121-0065    EXPIRATION DATE: 06/30/2003
RESPS:2              HOURS:2,196          COSTS(000):$0
  National Corrections Reporting Program
FORMS: NCRP-1A NCRP-1B NCRP-1C NCRP-1D

OMB NO: 1121-0078    EXPIRATION DATE: 05/31/2005
RESPS:52             HOURS:338            COSTS(000):$0
  Summary of Sentenced Population Movement
FORMS: NPS-1

OMB NO: 1121-0094    EXPIRATION DATE: 05/31/2005
RESPS:946            HOURS:1,183          COSTS(000):$0
  Annual Survey of Jails
FORMS: CJ-5 CJ-5A CJ-5B

OMB NO: 1121-0098    EXPIRATION DATE: 09/30/2004
RESPS:8,420          HOURS:7,730          COSTS(000):$0
  Survey of Inmates in Local Jails, 2001
FORMS: SIJ-43(X) SIJ-50(X)

OMB NO: 1121-0102    EXPIRATION DATE: 12/31/2004
RESPS:104            HOURS:156            COSTS(000):$0
  National Prisoner Statistics-Prison Population Reports NPS-1A:
  Midyear Population Counts NPS-1B: Advance Endyear Population
  Counts
FORMS: NPS-1A NPS-1B

OMB NO: 1121-0111    EXPIRATION DATE: 10/31/2003
RESPS:270,000        HOURS:80,477         COSTS(000):$0
  National Crime Victimization Survey (NCVS)
FORMS: NCVS-1-1A-2-7 NCVS-500-110 572(L)-573(L) 593(L)-594(L) 541-545
1SP-2SP 554-554SP 572(L)SP/KOR/

OMB NO: 1121-0114    EXPIRATION DATE: 10/31/2004
RESPS:53             HOURS:106            COSTS(000):$0
  Victims of Crime Act, Victim Compensation Grant Program, State
  Performance Report
FORMS: FORM-7390/6

OMB NO: 1121-0130    EXPIRATION DATE: 04/30/2005
RESPS:445,000        HOURS:2,778          COSTS(000):$0
  National Judicial Reporting Program (NJRP)
FORMS: NJRP-1

OMB NO: 1121-0137    EXPIRATION DATE: 05/31/2005
RESPS:70,000         HOURS:43,750         COSTS(000):$0
  Firearms Addendum to the Arrestee Drug Abuse Monitoring Program
  (ADAM)
FORMS: AD-1

OMB NO: 1121-0140    EXPIRATION DATE: 01/31/2006
RESPS:8,250          HOURS:3,000          COSTS(000):$0
  Equal Employment Opportunity Plan Short Form and Certification,
  28 CFR Section 42.301 et seq.
FORMS: NONE

OMB NO: 1121-0142    EXPIRATION DATE: 10/31/2003
RESPS:5,900          HOURS:295            COSTS(000):$0
  Victims of Crime Act, Crime Victim Assistance Grant Program,
  Subgrant Award Report
FORMS: 7390/2A

OMB NO: 1121-0147    EXPIRATION DATE: 04/30/2003
RESPS:1,750          HOURS:5,250          COSTS(000):$0
  2000 Census of State and Federal Adult Correctional Facilities
FORMS: CJ-43

OMB NO: 1121-0149    EXPIRATION DATE: 03/31/2004
RESPS:2,400          HOURS:850            COSTS(000):$0
  2000 National Survey of Prosecutors
FORMS: NSP-5L NSP-5S

OMB NO: 1121-0152    EXPIRATION DATE: 10/31/2005
RESPS:20,435         HOURS:25,345         COSTS(000):$0
  Survey of Inmates in State and Federal Correctional Facilities,
  2003
FORMS: NPS-25 NPS-26 NPS-27 NPS-13

OMB NO: 1121-0170    EXPIRATION DATE: 12/31/2005
RESPS:54             HOURS:54             COSTS(000):$0
  Crime Victim Compensation State Certification Form
FORMS: 7390/5

OMB NO: 1121-0184    EXPIRATION DATE: 05/31/2004
RESPS:12,200         HOURS:2,038          COSTS(000):$0
  School Crime Supplement (SCS)
FORMS: SCS-1

OMB NO: 1121-0188    EXPIRATION DATE: 10/31/2003
RESPS:2,500          HOURS:10,000         COSTS(000):$0
  Budget Detail Worksheet
FORMS: NONE

OMB NO: 1121-0189    EXPIRATION DATE: 04/30/2005
RESPS:20             HOURS:60             COSTS(000):$0
  Nomination for Young American Medal for Bravery
FORMS: 1673/1

OMB NO: 1121-0190    EXPIRATION DATE: 04/30/2005
RESPS:20             HOURS:60             COSTS(000):$0
  Nomination for Young American Medal for Service
FORMS: 1673/2

OMB NO: 1121-0196    EXPIRATION DATE: 05/31/2003
RESPS:1              HOURS:3,500          COSTS(000):$0
  Local Law Enforcement Block Grants Program Application
FORMS: NONE

OMB NO: 1121-0204    EXPIRATION DATE: 04/30/2004
RESPS:1              HOURS:3,500          COSTS(000):$0
  Local Law Enforcement Block Grants Program
FORMS: NONE

OMB NO: 1121-0218    EXPIRATION DATE: 07/31/2004
RESPS:1              HOURS:10,675         COSTS(000):$0
  Census of Juveniles in Residential Placement
FORMS: CJ-14

OMB NO: 1121-0219    EXPIRATION DATE: 03/31/2004
RESPS:1              HOURS:7,000          COSTS(000):$0
  Juvenile Residential Facility Census
FORMS: CJ-15

OMB NO: 1121-0223    EXPIRATION DATE: 02/29/2004
RESPS:2,798          HOURS:562            COSTS(000):$0
  Crime Mapping Survey
FORMS: NONE

OMB NO: 1121-0224    EXPIRATION DATE: 04/30/2005
RESPS:2,565          HOURS:641            COSTS(000):$0
  National Youth Gang Survey
FORMS: NONE

OMB NO: 1121-0233    EXPIRATION DATE: 07/31/2003
RESPS:125            HOURS:62             COSTS(000):$0
  Certification of Compliance with Eligibility Requirements of
  Sec. 826 of the Higher Education Amendments of 1998
FORMS: NONE

OMB NO: 1121-0234    EXPIRATION DATE: 04/30/2003
RESPS:4,200          HOURS:4,200          COSTS(000):$0
  Requirements: Data Collection Application for the Juvenile
  Accountability Incentive Block Grant Program
FORMS: NONE

OMB NO: 1121-0235    EXPIRATION DATE: 04/30/2003
RESPS:3              HOURS:125,000        COSTS(000):$0
  Bulletproof Vest Partnership
FORMS: NONE

OMB NO: 1121-0237    EXPIRATION DATE: 06/30/2003
RESPS:7,000          HOURS:1,650          COSTS(000):$0
  Generic Clearance of Customer Satisfaction Surveys
FORMS: NCJ-CR-01-001 NCJ-CR-01-002 NCJ-CR-01-003 NCJ-CR-01-004
NCJ-CR-01-005 NCJ-CR-01-006

OMB NO: 1121-0238    EXPIRATION DATE: 07/31/2003
RESPS:10,780         HOURS:7,875          COSTS(000):$0
  Survey of Youth in Residential Placement
FORMS: NONE

OMB NO: 1121-0240    EXPIRATION DATE: 05/31/2003
RESPS:19,000         HOURS:14,000         COSTS(000):$0
  2000 Census of State and Local Law Enforcement Agencies
FORMS: CJ-38L CJ-38S

OMB NO: 1121-0242    EXPIRATION DATE: 06/30/2004
RESPS:250            HOURS:375            COSTS(000):$0
  Comprehensive Strategy Stakeholder Survey
FORMS: NONE

OMB NO: 1121-0243    EXPIRATION DATE: 02/29/2004
RESPS:3,000          HOURS:12,000         COSTS(000):$0
  Grants Management System Online Application
FORMS: NONE

OMB NO: 1121-0245    EXPIRATION DATE: 05/31/2004
RESPS:550            HOURS:416,150        COSTS(000):$23,045
  Program Guidance on Environmental Protection Requirements and
  Project Status Report
FORMS: N/A

OMB NO: 1121-0246    EXPIRATION DATE: 08/31/2004
RESPS:1,070          HOURS:450            COSTS(000):$0
  National Business Survey on White Collar Crime
FORMS: NONE

OMB NO: 1121-0247    EXPIRATION DATE: 10/31/2004
RESPS:19,426         HOURS:17,796         COSTS(000):$0
  National Evaluation of the Safe Schools/Healthy Students
  Initiative
FORMS: NONE

OMB NO: 1121-0249    EXPIRATION DATE: 09/30/2004
RESPS:16,067         HOURS:3,802          COSTS(000):$0
  Deaths in Custody, 2001--series of collections on local jail
  jurisdictions, State prisons, and State juvenile facilities
FORMS: NPS-4 NPS-4A NPS-5 NPS-5A CJ-9 CJ-9A CJ-10 CJ-10A

OMB NO: 1121-0250    EXPIRATION DATE: 12/31/2004
RESPS:1,000          HOURS:4,000          COSTS(000):$0
  Community Gun Violence Prosecution Program
FORMS: NONE

OMB NO: 1121-0251    EXPIRATION DATE: 09/30/2004
RESPS:300            HOURS:187            COSTS(000):$0
  Victimization of People With Disabilities
FORMS: CDER-1A CDER-1B CDER-2A CDER-2B

OMB NO: 1121-0252    EXPIRATION DATE: 12/31/2004
RESPS:556            HOURS:185            COSTS(000):$0
  2001 Census of Tribal Justice Agencies
FORMS: CTJA01

OMB NO: 1121-0253    EXPIRATION DATE: 09/30/2004
RESPS:20,732         HOURS:41,464         COSTS(000):$0
  Categorical Assistance Progress Report
FORMS: 4587/1

OMB NO: 1121-0255    EXPIRATION DATE: 04/30/2005
RESPS:800            HOURS:1,200          COSTS(000):$0
  2002 Census of Law Enforcement Training Academies
FORMS: CJ-52

OMB NO: 1121-0258    EXPIRATION DATE: 10/31/2003
RESPS:45             HOURS:45             COSTS(000):$0
  Data Collection from Grantees from the Grants to Reduce Violent
  Crimes on Campus Program
FORMS: NONE

OMB NO: 1121-0259    EXPIRATION DATE: 12/31/2005
RESPS:500            HOURS:500            COSTS(000):$0
  Public Safety Officer Medal of Valor Application
FORMS: 1121

OMB NO: 1121-0260    EXPIRATION DATE: 06/30/2003
RESPS:84,700         HOURS:5,065          COSTS(000):$0
  Police Public Contact Survey
FORMS: PPCS-1

OMB NO: 1121-0261    EXPIRATION DATE: 09/30/2005
RESPS:21,390         HOURS:5,347          COSTS(000):$0
  Domestic Preparedness Training Evaluation and Follow-up
FORMS: NONE

OMB NO: 1121-0264    EXPIRATION DATE: 01/31/2006
RESPS:81,284         HOURS:67,752         COSTS(000):$0
  Financial Status Report (Short Form)
FORMS: NONE

OMB NO: 1121-0265    EXPIRATION DATE: 05/31/2003
RESPS:250            HOURS:125            COSTS(000):$0
  Survey of Practitioners to Assess the Impact of Transnational
  Crime
FORMS: NONE

OMB NO: 1121-0266    EXPIRATION DATE: 01/31/2006
RESPS:290            HOURS:2,320          COSTS(000):$0
  NITAC User Feedback Form
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
52 1,151,224 946,035 $23,045
Executive Office for Immigration Review
OMB NO: 1125-0001    EXPIRATION DATE: 08/31/2005
RESPS:11,000         HOURS:63,250         COSTS(000):$1,100
  Application for Cancellation of Removal: 42A) for Certain
  Permanent Residents, and 42B) Adjustment of Status for Certain
  Nonpermanent Residents
FORMS: EOIR-42A 42B

OMB NO: 1125-0002    EXPIRATION DATE: 12/31/2005
RESPS:23,417         HOURS:11,708         COSTS(000):$2,576
  Notice of Appeal From a Decision of an Immigration Judge
FORMS: EOIR-26

OMB NO: 1125-0003    EXPIRATION DATE: 09/30/2005
RESPS:1,500          HOURS:1,500          COSTS(000):$0
  Fee Waiver Request
FORMS: EOIR-26A

OMB NO: 1125-0004    EXPIRATION DATE: 08/31/2005
RESPS:15,000         HOURS:750            COSTS(000):$0
  Alien's Change of Address Form (formerly) Change of Address Form
FORMS: EOIR-33/IC EOIR-33/BIA

OMB NO: 1125-0005    EXPIRATION DATE: 02/28/2006
RESPS:26,000         HOURS:2,600          COSTS(000):$130
  Notice of Entry of Appearance as Attorney or Representative
  Before the Board of Immigration Appeals
FORMS: EOIR-27

OMB NO: 1125-0006    EXPIRATION DATE: 02/28/2006
RESPS:77,000         HOURS:7,700          COSTS(000):$385
  Notice of Entry of Appearance as Attorney or Representative
  Before the Immigration Court
FORMS: EOIR-28

OMB NO: 1125-0007    EXPIRATION DATE: 02/28/2006
RESPS:500            HOURS:1,000          COSTS(000):$0
  Immigration Practitioner Complaint Form
FORMS: EOIR-44

OMB NO: 1125-0008    EXPIRATION DATE: 02/28/2006
RESPS:50             HOURS:50             COSTS(000):$0
  Notice of Appeal to the Board of Immigration Appeals of Decision
  of Adjudicating Official in Practitioner Disciplinary Case
FORMS: EOIR-45

OMB NO: 1125-0009    EXPIRATION DATE: 03/31/2006
RESPS:2,000          HOURS:11,500         COSTS(000):$200
  Application for Suspension of Deportation
FORMS: EOIR-40

OMB NO: 1125-0010    EXPIRATION DATE: 01/31/2006
RESPS:3,156          HOURS:1,578          COSTS(000):$347
  Notice of Appeal to the Board of Immigration Appeals From a
  Decision of an INS Officer
FORMS: EOIR-29

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
10 159,623 101,636 $4,738
Bureau of Alcohol, Tobacco, Firearms and Explosives
OMB NO: 1140-0001    EXPIRATION DATE: 07/31/2003
RESPS:21,000         HOURS:168            COSTS(000):$0
  ATF Distribution Center Contractor Survey
FORMS: ATF-F-1600.7

OMB NO: 1140-0002    EXPIRATION DATE: 07/31/2003
RESPS:250            HOURS:125            COSTS(000):$0
  Application for Restoration of Firearms Privileges
FORMS: ATF-F-3210.1

OMB NO: 1140-0003    EXPIRATION DATE: 08/31/2003
RESPS:40,000         HOURS:8,000          COSTS(000):$0
  Report of Multiple Sales or Other Disposition of Pistols and
  Revolvers
FORMS: ATF-F-3310.4

OMB NO: 1140-0004    EXPIRATION DATE: 08/31/2004
RESPS:338            HOURS:338            COSTS(000):$0
  Interstate Firearms Shipment Report of Theft/Loss
FORMS: ATF-FORM-3310.6

OMB NO: 1140-0005    EXPIRATION DATE: 07/31/2005
RESPS:11,000         HOURS:5,500          COSTS(000):$0
  Application and Permit for Importation of Firearms, Ammunition
  and Implements of War
FORMS: 6(5330.3A)PT.I

OMB NO: 1140-0006    EXPIRATION DATE: 09/30/2003
RESPS:9,000          HOURS:4,500          COSTS(000):$0
  Application and Permit for Importation of Firearms, Ammunition
  and Implements of War
FORMS: ATF-FORM-6 PARTII(5330.3B)

OMB NO: 1140-0007    EXPIRATION DATE: 12/31/2003
RESPS:20,000         HOURS:8,000          COSTS(000):$0
  Release and Receipt of Imported firearms, Ammunition and
  Implements of War
FORMS: ATF-FORM-6A (5330.3C)

OMB NO: 1140-0008    EXPIRATION DATE: 07/31/2003
RESPS:350            HOURS:1,050          COSTS(000):$0
  Application and Permit for Permanent Exportation of Firearms
FORMS: FORM-9(5320.9)

OMB NO: 1140-0009    EXPIRATION DATE: 01/31/2004
RESPS:300            HOURS:150            COSTS(000):$0
  Application to Register as an Importer of U.S. Munitions Import
  List Articles
FORMS: ATF-F-4587 (5330.4)

OMB NO: 1140-0010    EXPIRATION DATE: 07/31/2003
RESPS:800            HOURS:400            COSTS(000):$0
  Application to Transport Interstate or Temporarily Export
  Certain National Firearms Act (NFA) Firearms
FORMS: FORM-5320.20

OMB NO: 1140-0011    EXPIRATION DATE: 02/29/2004
RESPS:1,071          HOURS:4,271          COSTS(000):$0
  Application to Make and Register a Firearm
FORMS: ATF1(5320.1)

OMB NO: 1140-0012    EXPIRATION DATE: 05/31/2004
RESPS:5,000          HOURS:3,750          COSTS(000):$0
  Notice of Firearms Manufactured or Imported
FORMS: ATF-F-2(5320.2)

OMB NO: 1140-0013    EXPIRATION DATE: 07/31/2004
RESPS:26,221         HOURS:13,111         COSTS(000):$0
  Application for Tax Exempt Transfer of Firearm and Registration
  to Special (Occupational) Taxpayer
FORMS: FORM-3(5320.3)

OMB NO: 1140-0014    EXPIRATION DATE: 08/31/2004
RESPS:11,065         HOURS:44,260         COSTS(000):$0
  Application for Tax Paid Transfer and Registration of Firearm
FORMS: FORM-4(5320.4)

OMB NO: 1140-0015    EXPIRATION DATE: 08/31/2004
RESPS:94,974         HOURS:379,896        COSTS(000):$0
  Application for Tax Exempt Transfer and Registration of Firearm
FORMS: FORM5(5320.5)

OMB NO: 1140-0016    EXPIRATION DATE: 01/31/2005
RESPS:1,200          HOURS:300            COSTS(000):$0
  Application for Registration of Firearms Acquired by Certain
  Governmental Entities
FORMS: FORM-10(5320.10

OMB NO: 1140-0017    EXPIRATION DATE: 07/31/2003
RESPS:1,500          HOURS:1,125          COSTS(000):$0
  Annual Firearms Manufacturing and Exportation Report
FORMS: ATF-F-5300.11

OMB NO: 1140-0018    EXPIRATION DATE: 02/29/2004
RESPS:10,000         HOURS:12,500         COSTS(000):$0
  Application for License under 18 U.S.C. Chapter 44, Firearms
FORMS: ATF7(5310.12)

OMB NO: 1140-0019    EXPIRATION DATE: 08/31/2004
RESPS:35,000         HOURS:14,700         COSTS(000):$0
  Application for Renewal of Federal Firearms License
FORMS: ATF-F-8 5310.11PARTII

OMB NO: 1140-0020    EXPIRATION DATE: 06/30/2005
RESPS:10,225,000     HOURS:3,408,333      COSTS(000):$0
  Firearms Transaction Record, Part 1, Over-the-Counter
FORMS: ATF-F-4473 (5300.9)PT.1

OMB NO: 1140-0021    EXPIRATION DATE: 04/30/2005
RESPS:20,900         HOURS:9,057          COSTS(000):$0
  Firearms Transaction Record, Part II Non-Over-The-Counter
FORMS: 4473(5300.9) PARTII

OMB NO: 1140-0022    EXPIRATION DATE: 07/31/2003
RESPS:2,500          HOURS:825            COSTS(000):$0
  Renewal of Explosives License or Permit
FORMS: 5400.14 5400.15 PART-III

OMB NO: 1140-0023    EXPIRATION DATE: 05/31/2003
RESPS:25,000         HOURS:7,500          COSTS(000):$0
  Explosives Delivery Record
FORMS: 5400.8

OMB NO: 1140-0024    EXPIRATION DATE: 08/31/2005
RESPS:1              HOURS:250            COSTS(000):$0
  Report of Firearms Transactions, ATF F 4483 (5300.35)
FORMS: 4483(5300.35)

OMB NO: 1140-0025    EXPIRATION DATE: 05/31/2003
RESPS:22,800         HOURS:7,227          COSTS(000):$0
  Explosives transaction Record
FORMS: 5400.4

OMB NO: 1140-0026    EXPIRATION DATE: 11/30/2005
RESPS:150            HOURS:270            COSTS(000):$0
  Report of Theft or Loss of Explosives
FORMS: 5400.5

OMB NO: 1140-0027    EXPIRATION DATE: 08/31/2004
RESPS:1,092          HOURS:22             COSTS(000):$0
  User-limited (Explosives) ATF F 5400.6
FORMS: ATF-FORM-5400.6

OMB NO: 1140-0028    EXPIRATION DATE: 08/31/2004
RESPS:26,212         HOURS:26,212         COSTS(000):$0
  Inventories, Licensed Explosives Importers, Manufacturers,
  Dealers, and Permittees
FORMS: ATF-REC-5400/1

OMB NO: 1140-0029    EXPIRATION DATE: 10/31/2005
RESPS:68,335         HOURS:68,835         COSTS(000):$0
  Records and Supporting Data: Daily Summaries, Records of
  Production, Storage, and Disposition, and Suppporting Data by
  Licensed Explosives Manufacturers and Manufacturers (Limited)
FORMS: ATF-REC-5004/2

OMB NO: 1140-0030    EXPIRATION DATE: 12/31/2004
RESPS:637,570        HOURS:637,570        COSTS(000):$0
  RECORDS AND SUPPORTING DATA: Importation, Receipt, Storage, and
  Disposition by Licensed Explosives Manufacturers, Importers,
  Dealers, and Users
FORMS: ATF-REC-5400/A

OMB NO: 1140-0031    EXPIRATION DATE: 08/31/2005
RESPS:5              HOURS:250            COSTS(000):$0
  Records of Acquisition and Dispositon - Registered Importers of
  Arms, Ammunition and Implements of War on the U.S. Munitions
  imports List ATF REC 7570/1
FORMS: ATF-REC-7570/1

OMB NO: 1140-0032    EXPIRATION DATE: 02/29/2004
RESPS:172,250        HOURS:559,791        COSTS(000):$0
  Records of Acquisition and Disposition, Collectors of Firearms
FORMS: 7570/2 7570/3

OMB NO: 1140-0033    EXPIRATION DATE: 04/30/2004
RESPS:3,000          HOURS:1,500          COSTS(000):$0
  Request for Disposition of Offense
FORMS: FORM-5020.29

OMB NO: 1140-0034    EXPIRATION DATE: 01/31/2006
RESPS:1,800          HOURS:540            COSTS(000):$4
  Application Permit For User Limited Special Fireworks (18 U.S.C.
  Chapter 40, Explosives)
FORMS: 5400.21

OMB NO: 1140-0035    EXPIRATION DATE: 04/30/2005
RESPS:5,000          HOURS:1,042          COSTS(000):$0
  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
FORMS: ATF-F-4473 (5300.24)PT-I ATF-F-4473 (5300.25)PT-II ATF-REC7570/2

OMB NO: 1140-0036    EXPIRATION DATE: 11/30/2005
RESPS:28,000         HOURS:2,380          COSTS(000):$9,000
  Letterhead Request for Information in Regard to Federal Firearms
  Dealer's Records (Dealer's Records of Acquisition, Disposition &
  Supporting Data)
FORMS: 5300.3

OMB NO: 1140-0037    EXPIRATION DATE: 02/29/2004
RESPS:5              HOURS:3              COSTS(000):$0
  Letter Application to Obtain Authorization for the Assembly of a
  Nonsporting Rifle or Nonsporting Shotgun for the Purpose of
  Testing and Evaluation
FORMS: NONE

OMB NO: 1140-0038    EXPIRATION DATE: 05/31/2004
RESPS:6,000          HOURS:1,500          COSTS(000):$0
  Application for License, Collector of Curios and Relics
FORMS: ATF-F-7CR 5310.16

OMB NO: 1140-0039    EXPIRATION DATE: 05/31/2003
RESPS:4,000          HOURS:1,600          COSTS(000):$0
  Federal Firearms Licensee Theft/Loss Report ATF F 3310.11
FORMS: ATF-F-3310.11

OMB NO: 1140-0040    EXPIRATION DATE: 07/31/2004
RESPS:18,000         HOURS:22,500         COSTS(000):$0
  ATF F 5300.38, Application for an Amended Federal Firearms
  License
FORMS: ATF-F-5300.38

OMB NO: 1140-0041    EXPIRATION DATE: 07/31/2004
RESPS:2,107,000      HOURS:458,942        COSTS(000):$0
  Implementation of Public Law 103-322, The Violent Crime Control
  and Law Enforcement Act of 1994
FORMS: NONE

OMB NO: 1140-0042    EXPIRATION DATE: 01/31/2004
RESPS:32             HOURS:16             COSTS(000):$0
  Statement of Process-Marking of Plastic Explosives for the
  Purpose of Detection
FORMS: NONE

OMB NO: 1140-0043    EXPIRATION DATE: 09/30/2003
RESPS:183,933        HOURS:198,015        COSTS(000):$0
  National Tracing Center Trace Request and NTC Obliterated Serial
  Number Trace Request
FORMS: ATF-F-3312.1 ATF-F-3312.2

OMB NO: 1140-0044    EXPIRATION DATE: 12/31/2004
RESPS:1,556          HOURS:156            COSTS(000):$0
  Annual Firearms Manufacturing and Exportation Report of
  Semiautomatic Assault Weapons
FORMS: ATF-F-5300.11A

OMB NO: 1140-0045    EXPIRATION DATE: 08/31/2004
RESPS:9,248,000      HOURS:1              COSTS(000):$0
  Implementation of Public Law 103-159, Relating to the Permanent
  Provisions of the Brady Handgun Violence Prevention Act. "FINAL
  RULE"
FORMS: NONE

OMB NO: 1140-0046    EXPIRATION DATE: 02/28/2005
RESPS:50,000         HOURS:389            COSTS(000):$0
  Certification on Agency Letterhead Authorizing Purchase of
  Firearm for Official Duties of Law Enforcement Officer
FORMS: NONE

OMB NO: 1140-0047    EXPIRATION DATE: 11/30/2004
RESPS:10,000         HOURS:500            COSTS(000):$0
  Race and National Origin Identification
FORMS: ATF-F-2931.1

OMB NO: 1140-0048    EXPIRATION DATE: 05/31/2005
RESPS:400            HOURS:800            COSTS(000):$0
  Gang Resistance Education and Training Funding Application
FORMS: ATF-F-6410.1

OMB NO: 1140-0049    EXPIRATION DATE: 11/30/2005
RESPS:75             HOURS:13             COSTS(000):$0
  Application for National Firearm Examiner Academy
FORMS: 6330.1

OMB NO: 1140-0050    EXPIRATION DATE: 10/31/2005
RESPS:2,506          HOURS:5,665          COSTS(000):$0
  Notice of Proposed Rulemaking Identification Markings Placed on
  Firearms 27 CFR 178.92 and 179.102
FORMS: NONE

OMB NO: 1140-0051    EXPIRATION DATE: 01/31/2006
RESPS:31,000         HOURS:600            COSTS(000):$0
  Certification of Secure Gun Storage or Safety Devices
FORMS: 5300.42

OMB NO: 1140-0052    EXPIRATION DATE: 05/31/2003
RESPS:1,500          HOURS:450            COSTS(000):$0
  Strategic Planning Environmental Assessment Outreach
FORMS: NONE

OMB NO: 1140-0053    EXPIRATION DATE: 10/31/2003
RESPS:500            HOURS:50             COSTS(000):$0
  State and Local Training Registration Request
FORMS: 6400.1

OMB NO: 1140-0054    EXPIRATION DATE: 10/31/2003
RESPS:929,000        HOURS:15,483         COSTS(000):$0
  Notice of Proposed Rulemaking Commerce in Firearms and
  Ammunition - Annual Inventory of Firearms
FORMS: NONE

OMB NO: 1140-0055    EXPIRATION DATE: 05/31/2004
RESPS:1,563          HOURS:1              COSTS(000):$0
  Identification of Explosive Materials
FORMS: NONE

OMB NO: 1140-0056    EXPIRATION DATE: 05/31/2004
RESPS:300            HOURS:225            COSTS(000):$0
  Special Agent Medical Preplacement
FORMS: ATF-F-2300.10

OMB NO: 1140-0057    EXPIRATION DATE: 01/31/2005
RESPS:100            HOURS:17             COSTS(000):$0
  Notice of proposed rulemaking: A National Repository for the
  collection and inventory of information related to arson and the
  criminal misuse of explosives
FORMS: NONE

OMB NO: 1140-0058    EXPIRATION DATE: 10/31/2004
RESPS:2,500          HOURS:250            COSTS(000):$0
  Investigator Integrity Questionnaire
FORMS: ATF-F-8620.7

OMB NO: 1140-0059    EXPIRATION DATE: 04/30/2005
RESPS:1,900          HOURS:317            COSTS(000):$646
  Search For Artifacts and Memorabilia
FORMS: NONE

OMB NO: 1140-0060    EXPIRATION DATE: 08/31/2005
RESPS:12,100         HOURS:1,210          COSTS(000):$0
  Implementation of Public Law 105-277, Omnibus Consolidated and
  Emergency Appropriations Act, 1999, Related to Firearms
  Disabilities for Nonimmigrant Aliens
FORMS: NONE

OMB NO: 1140-0061    EXPIRATION DATE: 11/30/2005
RESPS:3,000          HOURS:150            COSTS(000):$0
  Certificate of Compliance with 18 USC 922(g)(5)(B)
FORMS: 5330.20

OMB NO: 1140-0062    EXPIRATION DATE: 11/30/2005
RESPS:45             HOURS:45             COSTS(000):$0
  Identification of Imported Explosives Materials (NPRM)
FORMS: NONE

OMB NO: 1140-0063    EXPIRATION DATE: 11/30/2005
RESPS:125            HOURS:63             COSTS(000):$0
  Evaluation of Training Arson For Prosecutors (follow-up survey)
  Training Program
FORMS: NONE

OMB NO: 1140-0064    EXPIRATION DATE: 05/31/2003
RESPS:150            HOURS:75             COSTS(000):$0
  Application for Restoration of Explosives Privileges
FORMS: 5400.29

OMB NO: 1140-0065    EXPIRATION DATE: 08/31/2003
RESPS:30,000         HOURS:1,725          COSTS(000):$10,000
  Requisition For Forms or Publications - ATF F 1370.3 Requisition
  For Firearms Explosives Forms - ATF F 1370.2
FORMS: 1370.3 1370.2

OMB NO: 1140-0066    EXPIRATION DATE: 07/31/2003
RESPS:325            HOURS:325            COSTS(000):$0
  Manufacturers of Ammunition, Records and Supporting Data of
  Ammunition Manufactured and Disposed of
FORMS: ATF-REC-5000/2

OMB NO: 1140-0067    EXPIRATION DATE: 08/31/2005
RESPS:4,304,000      HOURS:76,611         COSTS(000):$0
  Licensed Firearms Manufacturers Records of Production,
  Disposition, and Supporting Data
FORMS: 5300/1

OMB NO: 1140-0068    EXPIRATION DATE: 01/31/2005
RESPS:1,000          HOURS:83             COSTS(000):$0
  Personnel Security Request
FORMS: FORM-8620.5

OMB NO: 1140-0069    EXPIRATION DATE: 04/30/2005
RESPS:5,500          HOURS:2,750          COSTS(000):$0
  Computer Security Incident Report
FORMS: ATF-F-7500.1

OMB NO: 1140-0070    EXPIRATION DATE: 08/31/2003
RESPS:1,000          HOURS:15,000         COSTS(000):$741,300
  Application for Explosives License or Permit
FORMS: 5400.13 5400.16

OMB NO: 1140-0071    EXPIRATION DATE: 03/31/2006
RESPS:20,014         HOURS:60,342         COSTS(000):$0
  Notification to Fire Marshal and Chief, Law Enforcement Officer
  of Storage of Explosive Material
FORMS: NONE

OMB NO: 1140-0072    EXPIRATION DATE: 08/31/2003
RESPS:10,000         HOURS:3,334          COSTS(000):$0
  Employee Possessor Questionnaire
FORMS: ATF-F-5400.28

OMB NO: 1140-0073    EXPIRATION DATE: 08/31/2003
RESPS:2,350          HOURS:1,175          COSTS(000):$47
  Furnishing of samples
FORMS: NONE

OMB NO: 1140-0074    EXPIRATION DATE: 08/31/2003
RESPS:100,000        HOURS:100,000        COSTS(000):$0
  List of Responsible Persons
FORMS: NONE

OMB NO: 1140-0075    EXPIRATION DATE: 08/31/2003
RESPS:50,000         HOURS:25,000         COSTS(000):$0
  Transactions among licensees/permittees, Limited
FORMS: NONE

OMB NO: 1140-0076    EXPIRATION DATE: 08/31/2003
RESPS:50             HOURS:1              COSTS(000):$0
  Relief of Disabilities
FORMS: NONE

OMB NO: 1140-0077    EXPIRATION DATE: 08/31/2003
RESPS:800            HOURS:264            COSTS(000):$0
  Report of Stolen or Lost ATEE Forms 5400.30, Intrastate Purchase
  Explosive Coupon
FORMS: NONE

OMB NO: 1140-0078    EXPIRATION DATE: 08/31/2003
RESPS:1,500,000      HOURS:12,000         COSTS(000):$0
  Limited Permittee Transaction Report
FORMS: NONE

OMB NO: 1140-0079    EXPIRATION DATE: 08/31/2003
RESPS:50,000         HOURS:25,000         COSTS(000):$0
  Transactions among licensee/permittees and transactions among
  licensees and holders of used permits.
FORMS: NONE

OMB NO: 1140-0080    EXPIRATION DATE: 08/31/2003
RESPS:1,000          HOURS:170            COSTS(000):$0
  Notification of Change of Mailing or Premise Address
FORMS: NONE

OMB NO: 1140-0081    EXPIRATION DATE: 08/31/2003
RESPS:500            HOURS:1,000          COSTS(000):$0
  Appeals of Background Checks
FORMS: NONE

OMB NO: 1140-0082    EXPIRATION DATE: 08/31/2003
RESPS:50,000         HOURS:416            COSTS(000):$0
  Certificate of Knowledge of State Laws, Submission of Water
  Pollution Act
FORMS: NONE

OMB NO: 1140-0083    EXPIRATION DATE: 08/31/2003
RESPS:24,000         HOURS:2,000          COSTS(000):$0
  Application for Limited Permit
FORMS: NONE

OMB NO: 1140-0084    EXPIRATION DATE: 06/30/2003
RESPS:15,000         HOURS:7,500          COSTS(000):$0
  Application and Permit for Temporary Importation of Firearms and
  Ammunition by Nonimmigrant Aliens
FORMS: 6NIA

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
84 30,309,513 6,277,480 $760,997
Civil Rights Division
OMB NO: 1190-0001    EXPIRATION DATE: 11/30/2005
RESPS:4,873          HOURS:48,730         COSTS(000):$0
  Procedures for the Administration of Section 5 of the Voting
  Rights Act of 1965
FORMS: NONE

OMB NO: 1190-0004    EXPIRATION DATE: 02/29/2004
RESPS:6,000          HOURS:48,000         COSTS(000):$0
  Nondiscrimination on the Basis of Disability in State and Local
  Government Services
FORMS: NONE

OMB NO: 1190-0005    EXPIRATION DATE: 02/29/2004
RESPS:10             HOURS:320            COSTS(000):$0
  Nondiscrimination on the Basis of Disability in State and Local
  Government Services (Certification).
FORMS: NONE

OMB NO: 1190-0006    EXPIRATION DATE: 02/29/2004
RESPS:15,000         HOURS:90,000         COSTS(000):$0
  Nondiscrimination on the Basis of Disability in State and Local
  Government Services (Self-Evaluation).
FORMS: NONE

OMB NO: 1190-0008    EXPIRATION DATE: 02/29/2004
RESPS:1,560          HOURS:780            COSTS(000):$0
  Complaint Form, Coordination and Review Section, Civil Rights
  Division, Department of Justice
FORMS: NONE

OMB NO: 1190-0009    EXPIRATION DATE: 02/29/2004
RESPS:5,000          HOURS:3,750          COSTS(000):$0
  Title II of the Americans with Disabilities Act of 1990/Section
  504 of the Rehabilitation Act of 1973 Discrimination Complaint
  Form.
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
6 32,443 191,580 $0

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
241 36,402,097 12,204,024 $891,063
(RETURN TO AGENCY LIST)

Department of Labor
Employment and Training Administration
OMB NO: 1205-0001    EXPIRATION DATE: 02/29/2004
RESPS:416            HOURS:416            COSTS(000):$0
  Work Application/Job Order Recordkeeping
FORMS: N/A

OMB NO: 1205-0009    EXPIRATION DATE: 04/30/2003
RESPS:12             HOURS:5,512          COSTS(000):$0
  Distribution of Characteristics of the Insured Unemployed
FORMS: ETA-203

OMB NO: 1205-0010    EXPIRATION DATE: 04/30/2003
RESPS:714            HOURS:1,359          COSTS(000):$0
  Claims and Payment Activities
FORMS: ETA-5159

OMB NO: 1205-0015    EXPIRATION DATE: 08/31/2003
RESPS:73,500         HOURS:196,000        COSTS(000):$0
  Application for Alien employment certification
FORMS: ETA-750-PART-A ETA-750-PART-B

OMB NO: 1205-0016    EXPIRATION DATE: 04/30/2003
RESPS:17,100         HOURS:3,420          COSTS(000):$0
  Quarterly Determinations, Allowance Activities, and
  Employability Services under the Trade Act
FORMS: ETA-563

OMB NO: 1205-0017    EXPIRATION DATE: 03/31/2004
RESPS:39,405         HOURS:16,301         COSTS(000):$0
  Domestic Agricultural In-Season Wage Report
FORMS: ETA-232 ETA-232A

OMB NO: 1205-0025    EXPIRATION DATE: 09/30/2003
RESPS:94,792         HOURS:47,781         COSTS(000):$3,060
  Job Corps Application Data
FORMS: ETA-652 ETA-655 ETA-682

OMB NO: 1205-0028    EXPIRATION DATE: 07/31/2003
RESPS:5,512          HOURS:3,675          COSTS(000):$0
  Weekly Claims and Extended Benefits Data and Weekly Initial and
  Continued Weeks Claimed
FORMS: 539 538

OMB NO: 1205-0029    EXPIRATION DATE: 12/31/2004
RESPS:212            HOURS:848            COSTS(000):$0
  Interstate Arrangement for Combining Employment and Wages
FORMS: ETA-586

OMB NO: 1205-0030    EXPIRATION DATE: 02/29/2004
RESPS:1              HOURS:1,500          COSTS(000):$0
  Job Corps Enrollee Allotment Determination
FORMS: ETA-658

OMB NO: 1205-0033    EXPIRATION DATE: 01/31/2004
RESPS:93,000         HOURS:7,750          COSTS(000):$0
  Job Corps Health Questionnaire
FORMS: ETA-6-53

OMB NO: 1205-0035    EXPIRATION DATE: 02/29/2004
RESPS:62,429         HOURS:13,567         COSTS(000):$177
  Job Corps Placement and Assistance Record
FORMS: ETA-678

OMB NO: 1205-0039    EXPIRATION DATE: 06/30/2004
RESPS:3,046          HOURS:5,537          COSTS(000):$3
  Program Monitoring Report and Job Srvice Complaint Form
FORMS: ETA-8429 ETA-5148

OMB NO: 1205-0040    EXPIRATION DATE: 08/31/2003
RESPS:434            HOURS:1,776          COSTS(000):$0
  Senior Community Service Employment Program (SCSEP)
FORMS: ETA-5140 ETA-8705 ETA-5163

OMB NO: 1205-0051    EXPIRATION DATE: 01/31/2005
RESPS:162,795        HOURS:10,177         COSTS(000):$0
  Employment and Training Administration (ETA) Disaster
  Unemployment Assistance (DUA) Handbook and Operating Forms,
  Including ETA 90-2, Disaster Payment Activities Under the....
FORMS: ETA-90-2

OMB NO: 1205-0132    EXPIRATION DATE: 03/31/2005
RESPS:835            HOURS:2,121          COSTS(000):$0
  Unemployment Insurance (UI) State Quality Service Plan (SQSP)
FORMS: NONE

OMB NO: 1205-0134    EXPIRATION DATE: 06/30/2004
RESPS:5,000          HOURS:3,500          COSTS(000):$0
  Forms for Agricultural Recruitment System of Services to
  Migratory Workers and Their Employers; Application for Alien
  Certification
FORMS: ETA-790 ETA-795

OMB NO: 1205-0137    EXPIRATION DATE: 10/31/2003
RESPS:95             HOURS:47             COSTS(000):$0
  Occupational Code Request
FORMS: ETA-741

OMB NO: 1205-0150    EXPIRATION DATE: 10/31/2004
RESPS:224            HOURS:896            COSTS(000):$0
  Non-monetary Determination Activity Report
FORMS: NONE

OMB NO: 1205-0154    EXPIRATION DATE: 03/31/2006
RESPS:3,498          HOURS:1,749          COSTS(000):$0
  Unemployment Insurance Trust Fund Activity
FORMS: 8401 8405 8403 8413 8414 2112

OMB NO: 1205-0162    EXPIRATION DATE: 07/31/2003
RESPS:212            HOURS:1,272          COSTS(000):$0
  Statement of Expenditures and Adjustments of Federal Funds for
  Unemployment Compensation for Federal Employees and
  Ex-Servicemembers
FORMS: ETA-191

OMB NO: 1205-0164    EXPIRATION DATE: 01/31/2006
RESPS:53             HOURS:13             COSTS(000):$0
  Experience Rating Report
FORMS: ETA-204

OMB NO: 1205-0172    EXPIRATION DATE: 10/31/2004
RESPS:648            HOURS:648            COSTS(000):$0
  Benefit Appeals Report
FORMS: ETA-5130

OMB NO: 1205-0173    EXPIRATION DATE: 11/30/2003
RESPS:212            HOURS:2,968          COSTS(000):$0
  Overpayment Detection and recovery Activities
FORMS: ETA-227

OMB NO: 1205-0176    EXPIRATION DATE: 04/30/2003
RESPS:66,126         HOURS:1,708          COSTS(000):$1,527
  Unemployment Compensation for Ex-Servicemembers (UCX) Handbook
  (ETA Handbook No. 384)
FORMS: ETA-841 ETA-843

OMB NO: 1205-0177    EXPIRATION DATE: 07/31/2004
RESPS:216            HOURS:108            COSTS(000):$0
  Benefit Rights and Experience Report
FORMS: ETA-218

OMB NO: 1205-0178    EXPIRATION DATE: 08/31/2005
RESPS:212            HOURS:1,802          COSTS(000):$0
  Contribution Operations
FORMS: ETA-581

OMB NO: 1205-0179    EXPIRATION DATE: 04/30/2003
RESPS:209,521        HOURS:216            COSTS(000):$0
  Unemployment Compensation for Former Federal Employees Handbook
  No. 391
FORMS: ES-931 ES-931A ES-933 ES-934 ES-935 ES-936 ES-939 ETA-8-32

OMB NO: 1205-0187    EXPIRATION DATE: 02/28/2005
RESPS:53             HOURS:159            COSTS(000):$0
  Internal Fraud Activities
FORMS: ETA-9000

OMB NO: 1205-0190    EXPIRATION DATE: 06/30/2003
RESPS:8,780          HOURS:15,628         COSTS(000):$0
  Customer Survey and TAA Customer Survey
FORMS: ETA-8562 ETA-8562A

OMB NO: 1205-0192    EXPIRATION DATE: 07/31/2003
RESPS:1,400          HOURS:350            COSTS(000):$0
  Petition for Adjustment Assistance/Solicitud De Asistencia Para
  Ajuste
FORMS: ETA-8560 ETA-8559

OMB NO: 1205-0197    EXPIRATION DATE: 10/31/2003
RESPS:1,500          HOURS:4,500          COSTS(000):$0
  Business Confidential Data Request
FORMS: ETA-9014

OMB NO: 1205-0199    EXPIRATION DATE: 04/30/2003
RESPS:1              HOURS:1              COSTS(000):$0
  Title XII Advances and Voluntary Repayment Process
FORMS: NONE

OMB NO: 1205-0207    EXPIRATION DATE: 09/30/2004
RESPS:1              HOURS:3              COSTS(000):$0
  Procedures for Classifying Labor Surplus Areas
FORMS: NONE

OMB NO: 1205-0219    EXPIRATION DATE: 04/30/2003
RESPS:314,570        HOURS:84,741         COSTS(000):$0
  Standard Job Corps Request for Proposal and Related Contractor
  Information Gathering
FORMS: NONE

OMB NO: 1205-0222    EXPIRATION DATE: 04/30/2004
RESPS:3,180          HOURS:53             COSTS(000):$0
  Administrative Procedures - 20 CFR 601 Including Form MA 8-7
FORMS: MA-8-7

OMB NO: 1205-0223    EXPIRATION DATE: 10/31/2003
RESPS:238,929        HOURS:47,520         COSTS(000):$0
  Title 29 CFR Part 29 -- Labor Standards for the Registration of
  Apprenticeship Programs
FORMS: ETA-671

OMB NO: 1205-0224    EXPIRATION DATE: 10/31/2003
RESPS:63,736         HOURS:6,264          COSTS(000):$0
  Title 29 CFR Part 30 - Equal Employment Opportunity in
  Apprenticeship and Training
FORMS: ETA-9039

OMB NO: 1205-0228    EXPIRATION DATE: 01/31/2004
RESPS:1              HOURS:14             COSTS(000):$0
  Preliminary Estimates of Average Employer Contribution Rates
FORMS: ETA-205

OMB NO: 1205-0238    EXPIRATION DATE: 04/30/2004
RESPS:212            HOURS:39,388         COSTS(000):$985
  Income and Eligibility Verification
FORMS: NONE

OMB NO: 1205-0240    EXPIRATION DATE: 04/30/2005
RESPS:28,824         HOURS:27,294         COSTS(000):$10,819
  Labor Exchange Reporting System
FORMS: ETA-9002A 9002B 9002C 9002D 9002E VETS-200A-C

OMB NO: 1205-0245    EXPIRATION DATE: 03/31/2004
RESPS:47,160         HOURS:255,694        COSTS(000):$442
  Benefit Accuracy Measurement
FORMS: ETAHANDBOOK395

OMB NO: 1205-0268    EXPIRATION DATE: 02/28/2005
RESPS:212            HOURS:212            COSTS(000):$0
  Alien Claims Activity Report
FORMS: ETA-9016

OMB NO: 1205-0272    EXPIRATION DATE: 10/31/2003
RESPS:75             HOURS:225            COSTS(000):$0
  Oil and Gas Drilling and Exploration Oilfield Services
FORMS: ETA-9018

OMB NO: 1205-0275    EXPIRATION DATE: 04/30/2003
RESPS:500            HOURS:1,000          COSTS(000):$26
  Trade Adjustment Assistance/NAFTA (Financial Status/Requests for
  funds Report)
FORMS: ETA-9023

OMB NO: 1205-0309    EXPIRATION DATE: 04/30/2004
RESPS:1              HOURS:4              COSTS(000):$0
  Attestations by Employers Using Alien Crewmmembers for Longshore
  Activities in U.S. Ports
FORMS: ETA-9033

OMB NO: 1205-0310    EXPIRATION DATE: 08/31/2003
RESPS:334,275        HOURS:310,421        COSTS(000):$0
  Labor Condition Application and Requirements for Employers Using
  Nonimmigrants on H-1B Visas
FORMS: ETA-9035 ETA-9035E WH4

OMB NO: 1205-0319    EXPIRATION DATE: 06/30/2005
RESPS:108            HOURS:216            COSTS(000):$0
  State Alien Labor Certification Activity Report
FORMS: ETA-9037

OMB NO: 1205-0332    EXPIRATION DATE: 12/31/2005
RESPS:52             HOURS:91,000         COSTS(000):$0
  Tax Performance System
FORMS: 407

OMB NO: 1205-0337    EXPIRATION DATE: 07/31/2004
RESPS:1,050          HOURS:2,100          COSTS(000):$0
  NAFTA Customer Survey Data Request
FORMS: ETA-9044

OMB NO: 1205-0339    EXPIRATION DATE: 06/30/2003
RESPS:5,100          HOURS:21,850         COSTS(000):$0
  Business Confidential Data Request and NAFTA Transitional
  Adjustment Assistance Confidential Data Request
FORMS: ETA-9043 ETA-9043A

OMB NO: 1205-0342    EXPIRATION DATE: 06/30/2003
RESPS:4,100          HOURS:1,367          COSTS(000):$0
  Petition for Trade Adjustment Assistance
FORMS: ETA-9042A ETA-9042A-1

OMB NO: 1205-0352    EXPIRATION DATE: 03/31/2005
RESPS:350            HOURS:1,050          COSTS(000):$0
  Attestations by Employers Using Alien Crewmembers for Longshore
  Activities at Locations in the State of Alaska
FORMS: ETA-9033A

OMB NO: 1205-0353    EXPIRATION DATE: 02/29/2004
RESPS:424            HOURS:106            COSTS(000):$0
  Worker Profiling and Reemployment Services Activity and Worker
  Profiling and Reemployment Services Outcomes
FORMS: ETA9048 ETA9049

OMB NO: 1205-0359    EXPIRATION DATE: 11/30/2004
RESPS:28,912         HOURS:38,168         COSTS(000):$0
  Benefits, Timeliness and Quality (BTQ) Review System
FORMS: ETA-9050 ETA-9051 ETA-9052 ETA-9053 ETA-9054 ETA-9055 ETA-9056
ETA-9057

OMB NO: 1205-0371    EXPIRATION DATE: 12/31/2004
RESPS:1,101,028      HOURS:415,368        COSTS(000):$0
  Work Opportunity Tax Credit (WOTC) and Welfare-to-work (WtW) Tax
  Credit
FORMS: ETA-9057-59 ETA-9058 ETA-9061-63 ETA-9065

OMB NO: 1205-0373    EXPIRATION DATE: 04/30/2003
RESPS:1              HOURS:2,176          COSTS(000):$0
  Baseline and Post-Program Employment Rate for the Youth
  Opportunity Area Demonstration
FORMS: NONE

OMB NO: 1205-0385    EXPIRATION DATE: 03/31/2004
RESPS:1,204          HOURS:2,026          COSTS(000):$0
  Welfare to Work (WtW) Formula/Competitive Cumulative Quarterly
  Status Reports
FORMS: ETA-9068 ETA-9068-1

OMB NO: 1205-0391    EXPIRATION DATE: 08/31/2004
RESPS:2,302          HOURS:1,420          COSTS(000):$0
  Center for Employment and Training (CET) Follow-up Survey
FORMS: NONE

OMB NO: 1205-0392    EXPIRATION DATE: 02/29/2004
RESPS:200            HOURS:9,500          COSTS(000):$325
  Trade Act Participant Report (TAPR), a GPRA-compliant data
  collection and reporting system
FORMS: NONE

OMB NO: 1205-0397    EXPIRATION DATE: 04/30/2005
RESPS:846            HOURS:282            COSTS(000):$0
  Quantum Opportunity Program (QOP) Demonsration Net Impact
  Evaluation
FORMS: NONE

OMB NO: 1205-0398    EXPIRATION DATE: 05/31/2004
RESPS:59             HOURS:1,475          COSTS(000):$0
  Planning Guidance and Instructions for Submission of the
  Strategic Five Year State Plan and Plan Modifications for Title
  I of the Workforce Investment Act of 1988 (Workforce
  Investment....
FORMS: NONE

OMB NO: 1205-0404    EXPIRATION DATE: 10/31/2005
RESPS:318            HOURS:80             COSTS(000):$0
  Labor Certification for the Temporary Employment of Nonimmigrant
  Aliens in Agriculture in the United States; Administrative
  Measures to Improve Program Performance
FORMS: NONE

OMB NO: 1205-0407    EXPIRATION DATE: 04/30/2003
RESPS:57             HOURS:19,095         COSTS(000):$0
  State Unified Plan Planning Guidance for State Unified Plans
  Submitted Under Section 501 of the Workforce Invesment Act of
  1998.
FORMS: NONE

OMB NO: 1205-0408    EXPIRATION DATE: 02/29/2004
RESPS:672            HOURS:672            COSTS(000):$0
  Workforce Investment Act Cumulative Quarterly Financial
  Reporting for Funds Allotted to States for: 1) Services to
  Youth, 2) Services to Adults, 3) Services to Dislocated
  Workers........
FORMS: 9076-A 9076-B 9076-C 9076-D 9076-E 9076-F

OMB NO: 1205-0410    EXPIRATION DATE: 06/30/2003
RESPS:16             HOURS:64             COSTS(000):$0
  Employers' Use and Assessment of the WOTC and Welfare-to-Work
  Tax Credit Programs
FORMS: NONE

OMB NO: 1205-0412    EXPIRATION DATE: 08/31/2003
RESPS:1,200          HOURS:300            COSTS(000):$0
  Benefit-Cost Analysis of the Self-Employment Assistance Program
  for the United States Unemployment Insurance Program
FORMS: NONE

OMB NO: 1205-0414    EXPIRATION DATE: 12/31/2005
RESPS:576            HOURS:51,840         COSTS(000):$0
  MIS Requirements for Youth Opportunity Grants
FORMS: ETA-9086 ETA-9087

OMB NO: 1205-0415    EXPIRATION DATE: 05/31/2004
RESPS:172            HOURS:68             COSTS(000):$0
  Attestations by Facilities Temporarily Employing H-1C
  Nonimmigrant Aliens as Registered Nurses
FORMS: ETA-9081

OMB NO: 1205-0416    EXPIRATION DATE: 10/31/2003
RESPS:75             HOURS:1,500          COSTS(000):$0
  Disability Employment and Initiatives Grant Program
FORMS: APR-ETA-9077 PCR-ETA-9078

OMB NO: 1205-0417    EXPIRATION DATE: 12/31/2003
RESPS:162            HOURS:46,656         COSTS(000):$0
  PY 2002 Workforce Information Grant Plan and Annual Performance
  Report
FORMS: NONE

OMB NO: 1205-0420    EXPIRATION DATE: 08/31/2005
RESPS:318            HOURS:758,236        COSTS(000):$19,905
  WIA Management Information and Rreporting System
FORMS: ETA-9090 ETA-9091

OMB NO: 1205-0421    EXPIRATION DATE: 09/30/2005
RESPS:80,919         HOURS:33,373         COSTS(000):$0
  O*NET Data Collection Program
FORMS: NONE

OMB NO: 1205-0423    EXPIRATION DATE: 03/31/2004
RESPS:1,800          HOURS:1,800          COSTS(000):$0
  Workforce Investment Act (WIA) Employment and Training
  Administration (ETA) Financial Reporting Requirements for Indian
  and Native American (INA) Grantee Activities
FORMS: ETA-9080

OMB NO: 1205-0424    EXPIRATION DATE: 11/30/2004
RESPS:108            HOURS:3,024          COSTS(000):$0
  Re-employment Services Plan Narrative and Progress Report
FORMS: ETA-9096

OMB NO: 1205-0425    EXPIRATION DATE: 12/31/2004
RESPS:42,833         HOURS:88,899         COSTS(000):$0
  Reporting and Performance Standards System for Migrant and
  Seasonal Farmworker Programs Under Title I, Section 167 of the
  Workforce Investment Act (WIA)
FORMS: ETA-9093 ETA-9094 ETA-9095

OMB NO: 1205-0426    EXPIRATION DATE: 08/31/2004
RESPS:83,728         HOURS:17,485         COSTS(000):$0
  Placement Verification and Follow-up of Job Corps Participants
FORMS: NONE

OMB NO: 1205-0428    EXPIRATION DATE: 10/31/2004
RESPS:636            HOURS:636            COSTS(000):$0
  Workforce Investment Act (WIA) Employment and Training
  Administration (ETA) Financial Reporting Requirements for
  NATIONAL FARMWORKERS JOBS PROGRAM (NFJP) UNDER TITLE I of the Act
FORMS: ETA-9092

OMB NO: 1205-0429    EXPIRATION DATE: 07/31/2003
RESPS:5,080          HOURS:15,650         COSTS(000):$0
  Reporting and Performance Standards System for Migrant and
  Seasonal Farmworker :Youth Programs Under Title I-D, Section 167
  of the Workforce Investment Act (WIA)
FORMS: ETA-9096 ETA-9097 ETA-9098

OMB NO: 1205-0430    EXPIRATION DATE: 11/30/2004
RESPS:636            HOURS:9,911          COSTS(000):$842
  Resource Justification Model (RJM)
FORMS: NONE

OMB NO: 1205-0431    EXPIRATION DATE: 12/31/2004
RESPS:30             HOURS:30,187         COSTS(000):$4,399
  Unemployment Insurance Data Validation Program
FORMS: HANDBOOK-361

OMB NO: 1205-0432    EXPIRATION DATE: 12/31/2004
RESPS:25             HOURS:960            COSTS(000):$0
  Workforce Flexibility (Work-Flex) Program
FORMS: NONE

OMB NO: 1205-0433    EXPIRATION DATE: 12/31/2004
RESPS:5,300          HOURS:1,787          COSTS(000):$0
  Reporting for Temporary Extended Unemployment Compensation
  Program
FORMS: NONE

OMB NO: 1205-0434    EXPIRATION DATE: 07/31/2005
RESPS:320            HOURS:160            COSTS(000):$0
  Workforce Investment Act (WIA) National Emergency Grant (NEG)
  Financial Reporting
FORMS: ETA-9099

OMB NO: 1205-0435    EXPIRATION DATE: 12/31/2003
RESPS:52             HOURS:52             COSTS(000):$0
  Study of the WIA Allocation Formula - Phase II
FORMS: NONE

OMB NO: 1205-0436    EXPIRATION DATE: 12/31/2003
RESPS:5,000          HOURS:7,500          COSTS(000):$0
  Quick Turnaround Surveys on Workforce Investment Act
  Implementation
FORMS: NONE

OMB NO: 1205-0438    EXPIRATION DATE: 01/31/2006
RESPS:605            HOURS:303            COSTS(000):$0
  Local Area Survey of Self-Directed Labor Exchange Services
FORMS: NONE

OMB NO: 1205-0439    EXPIRATION DATE: 05/31/2003
RESPS:440            HOURS:333            COSTS(000):$0
  Workfoce Investment Act: National Emergency Grants for Trade
  Health Insurance Assistance-Application and Reporting Procedures
FORMS: ETA-9103 ETA-9104 ETA-9105 ETA-9106

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
88 3,260,444 2,804,813 $42,510
Employee Benefits Security Administration
OMB NO: 1210-0034    EXPIRATION DATE: 02/28/2005
RESPS:20,693         HOURS:1,954          COSTS(000):$8
  Regulation--Alternative Method of Compliance for Certain
FORMS: NONE

OMB NO: 1210-0039    EXPIRATION DATE: 11/30/2003
RESPS:52,771,000     HOURS:710,134        COSTS(000):$243,226
  Summar Plan Description Requirements under ERISA
FORMS: NONE

OMB NO: 1210-0040    EXPIRATION DATE: 04/30/2003
RESPS:235,000,000    HOURS:1,404,924      COSTS(000):$119,327
  ERISA Summary Annual Report Requirement
FORMS: NONE

OMB NO: 1210-0048    EXPIRATION DATE: 02/28/2005
RESPS:74,872         HOURS:18,718         COSTS(000):$63
  Suspension of Pension Benefits Regulation Pursuant to 29 CFR
FORMS: NONE

OMB NO: 1210-0049    EXPIRATION DATE: 02/28/2005
RESPS:82,240         HOURS:7,069          COSTS(000):$31
  Prohibited Transaction Class Exemption 77-44 for Certain Benefit
  Plans
FORMS: NONE

OMB NO: 1210-0053    EXPIRATION DATE: 11/30/2003
RESPS:118,000,000    HOURS:316,000        COSTS(000):$95,637
  Employee Benefit Plan Claim Procedures under the Employee
  Retirement Income Security Act of 1974 (ERISA)
FORMS: NONE

OMB NO: 1210-0058    EXPIRATION DATE: 06/30/2003
RESPS:3,187          HOURS:797            COSTS(000):$0
  Prohibited Transaction Class Exemption 76-1 and Prohibited
  Transaction Class Exemption 77-10
FORMS: NONE

OMB NO: 1210-0059    EXPIRATION DATE: 06/30/2005
RESPS:543,513        HOURS:99,033         COSTS(000):$188
  Prohibited Transaction Exemption 86-128
FORMS: NONE

OMB NO: 1210-0060    EXPIRATION DATE: 02/28/2005
RESPS:116            HOURS:1              COSTS(000):$163
  Procedure for Application for Exemption from the Prohibited
  Transaction Provisions of Section 408(a) of the Employee
  Retirement Income Security Act of 1974 (ERISA)
FORMS: NONE

OMB NO: 1210-0061    EXPIRATION DATE: 11/30/2004
RESPS:191,000        HOURS:31,900         COSTS(000):$71
  Class Exemption 81-8 for Investment of Plan Assets in Certain
  types of Short-Term Investments
FORMS: NONE

OMB NO: 1210-0062    EXPIRATION DATE: 06/30/2004
RESPS:126,000        HOURS:3,500          COSTS(000):$0
  Prohibited Transaction Class Exemption 82-63
FORMS: NONE

OMB NO: 1210-0063    EXPIRATION DATE: 06/30/2004
RESPS:7,656          HOURS:1,531          COSTS(000):$3
  Prohibited Transaction Class Exemption 92-6
FORMS: NONE

OMB NO: 1210-0064    EXPIRATION DATE: 01/31/2004
RESPS:25             HOURS:2              COSTS(000):$0
  Prohibited Transaction Exemption 80-83--Involving Purchase of
  Securities where issuer may use proceeds to Reduce indebtedness
  to parties in interest
FORMS: NONE

OMB NO: 1210-0065    EXPIRATION DATE: 07/31/2004
RESPS:126,000        HOURS:10,500         COSTS(000):$48
  Prohibited Transaction Class Exemption 81-6
FORMS: NONE

OMB NO: 1210-0066    EXPIRATION DATE: 04/30/2003
RESPS:83             HOURS:101            COSTS(000):$88
  Advisory Opinion Procedure -- ERISA Procedure 76-1
FORMS: NONE

OMB NO: 1210-0074    EXPIRATION DATE: 11/30/2004
RESPS:1              HOURS:1              COSTS(000):$0
  Prohibited Transaction Class Exemption T88-1
FORMS: NONE

OMB NO: 1210-0076    EXPIRATION DATE: 08/31/2004
RESPS:1,310          HOURS:1              COSTS(000):$283
  Regulatoin Relating to Loans to Plan Participants and to the Plan
FORMS: NONE

OMB NO: 1210-0079    EXPIRATION DATE: 06/30/2004
RESPS:3              HOURS:2,384          COSTS(000):$0
  Prohibited Transaction Class Exeption 91-55
FORMS: NONE

OMB NO: 1210-0080    EXPIRATION DATE: 06/30/2003
RESPS:1,275          HOURS:106            COSTS(000):$0
  Prohibited Exemption 786-6
FORMS: NONE

OMB NO: 1210-0082    EXPIRATION DATE: 06/30/2003
RESPS:1,000          HOURS:83             COSTS(000):$0
  Prohibition Transaction Exemption 91-38
FORMS: NONE

OMB NO: 1210-0083    EXPIRATION DATE: 06/30/2003
RESPS:128            HOURS:11             COSTS(000):$0
  Prohibited Transaction Class Exemption 90-1 -- Pooled Separate
  Accounts
FORMS: NONE

OMB NO: 1210-0084    EXPIRATION DATE: 02/28/2006
RESPS:66             HOURS:4,567          COSTS(000):$34
  ERISA Technical Release 91-1
FORMS: NONE

OMB NO: 1210-0085    EXPIRATION DATE: 06/30/2003
RESPS:175            HOURS:15             COSTS(000):$0
  Prohibited Transaction Class Exemption 94-20, Purchases and
  Sales of Foreign Currencies
FORMS: NONE

OMB NO: 1210-0089    EXPIRATION DATE: 02/28/2005
RESPS:3,100          HOURS:109            COSTS(000):$74
  Delinquesnt Filer Voluntary Compliance Program
FORMS: NONE

OMB NO: 1210-0090    EXPIRATION DATE: 02/28/2006
RESPS:39,100,000     HOURS:36,950         COSTS(000):$17,755
  Disclosures for Participant Directed Individual Account Plans
  Under ERISA Section 404(c)
FORMS: NONE

OMB NO: 1210-0091    EXPIRATION DATE: 11/30/2004
RESPS:1,080          HOURS:40             COSTS(000):$0
  Prohibited Transaction Class Exemption 94-71
FORMS: NONE

OMB NO: 1210-0092    EXPIRATION DATE: 01/31/2004
RESPS:42,000         HOURS:3,500          COSTS(000):$0
  Prohibited Transaction Exemption 75-1- Broker-Dealers, Reporting
  Dealers, Banks Engaging in Securities Transactions
FORMS: NONE

OMB NO: 1210-0094    EXPIRATION DATE: 07/31/2004
RESPS:960            HOURS:960            COSTS(000):$0
  Prohibited Transaction Class Exemption 85-68 to Permit Employee
  Benefit Plans to Invest in Customer Notes of Employers
FORMS: NONE

OMB NO: 1210-0095    EXPIRATION DATE: 01/31/2004
RESPS:2,500          HOURS:208            COSTS(000):$0
  Prohibited Transaction Exemption 88-59 Residential Mortgage
  Financing Arrangements Involving Employee Benefit Plans
FORMS: NONE

OMB NO: 1210-0098    EXPIRATION DATE: 11/30/2004
RESPS:42             HOURS:53             COSTS(000):$38
  Prohibited Transaction Class Exemption 96-62; Process for
  Expedited Approval of an Exemption for Prohibited Transaction
FORMS: NONE

OMB NO: 1210-0100    EXPIRATION DATE: 05/31/2003
RESPS:1              HOURS:3              COSTS(000):$0
  Definition of Plan Assets - Participant Contributions
FORMS: NONE

OMB NO: 1210-0101    EXPIRATION DATE: 06/30/2003
RESPS:9,602,000      HOURS:7,200          COSTS(000):$841
  Notice of Enrollment Rights
FORMS: NONE

OMB NO: 1210-0102    EXPIRATION DATE: 06/30/2003
RESPS:8,570,000      HOURS:9,004          COSTS(000):$1,088
  Notice of Pre-Existing Condition Exclusion
FORMS: NONE

OMB NO: 1210-0103    EXPIRATION DATE: 06/30/2003
RESPS:44,396,000     HOURS:351,150        COSTS(000):$34,689
  Establishing Creditable Coverage
FORMS: NONE

OMB NO: 1210-0104    EXPIRATION DATE: 08/31/2003
RESPS:75             HOURS:2,625          COSTS(000):$162
  Prohibition Transaction Exemption 97-41
FORMS: NONE

OMB NO: 1210-0105    EXPIRATION DATE: 11/30/2004
RESPS:10,000         HOURS:333            COSTS(000):$5
  Notice to Participants and Beneficiaries and the Federal
  Government to Electing one Percent Increased Cost Exemption
FORMS: NONE

OMB NO: 1210-0106    EXPIRATION DATE: 10/31/2004
RESPS:200            HOURS:10             COSTS(000):$0
  Calculation and Disclosure of Documentation of Eligibility for
  Exemption
FORMS: NONE

OMB NO: 1210-0110    EXPIRATION DATE: 10/31/2004
RESPS:863,682        HOURS:1,847,163      COSTS(000):$546,789
  Form 5500 Annual Return/Report of Employee Benefit Plan
FORMS: FORM-5500

OMB NO: 1210-0111    EXPIRATION DATE: 02/28/2005
RESPS:8,400          HOURS:4,200          COSTS(000):$0
  Prohibited Transactions Exemption 98-54 Relating to Certain
  Employee Benefit Plan Foreign Exchange Transactions Executed
  Pursuant to Standing Instructions
FORMS: NONE

OMB NO: 1210-0112    EXPIRATION DATE: 12/31/2005
RESPS:1,000          HOURS:95             COSTS(000):$4
  Furnishing Documents to the Secretary of Labor on Request under
  ERISA section 104(a)(6)
FORMS: NONE

OMB NO: 1210-0113    EXPIRATION DATE: 04/30/2003
RESPS:770,000        HOURS:785,000        COSTS(000):$1,100
  National Medical Support Notice -- Part B
FORMS: NONE

OMB NO: 1210-0114    EXPIRATION DATE: 01/31/2006
RESPS:123,500        HOURS:466,667        COSTS(000):$46
  Disclosures by Insurers to General Account Policyholders
FORMS: NONE

OMB NO: 1210-0115    EXPIRATION DATE: 04/30/2003
RESPS:840            HOURS:9,100          COSTS(000):$421
  Proposed Class Exemption for Cross-Trades of Securities by Index
  and Model-Driven Funds
FORMS: NONE

OMB NO: 1210-0116    EXPIRATION DATE: 11/30/2003
RESPS:2,678          HOURS:874            COSTS(000):$394
  Annual Report for Multiple Employer Welfare Arrangements and
  Certain Entities Claiming Exception (Form M-1)
FORMS: M-1

OMB NO: 1210-0117    EXPIRATION DATE: 05/31/2005
RESPS:7,200          HOURS:2,400          COSTS(000):$3
  Application for EFAST-1 Electronic Signature and Codes for EFAST
  Transmitters and Software Developers
FORMS: EFAST-1

OMB NO: 1210-0118    EXPIRATION DATE: 11/30/2003
RESPS:1,050          HOURS:5,710          COSTS(000):$272
  The Voluntary Fiduciary Correction Program and Prohibited
  Transaction Class Exemption
FORMS: NONE

OMB NO: 1210-0119    EXPIRATION DATE: 01/31/2004
RESPS:45             HOURS:1              COSTS(000):$104
  Petition for Finding under Section 3(40) of ERISA
FORMS: NONE

OMB NO: 1210-0121    EXPIRATION DATE: 05/31/2005
RESPS:50,000         HOURS:5,042          COSTS(000):$2,447
  Consent to Receive Employee Benefit Plan Disclosure
  Electronically
FORMS: NONE

OMB NO: 1210-0122    EXPIRATION DATE: 04/30/2003
RESPS:11,956,600     HOURS:166,129        COSTS(000):$9,351
  Notice of Blackout Period Under ERISA
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
49 522,463,296 6,317,858 $1,074,753
Employment Standards Administration
OMB NO: 1215-0001    EXPIRATION DATE: 06/30/2004
RESPS:39,000         HOURS:13,000         COSTS(000):$0
  Employment Information Forms
FORMS: WH-3 WH-3SP.

OMB NO: 1215-0005    EXPIRATION DATE: 11/30/2004
RESPS:16,550         HOURS:12,400         COSTS(000):$2
  Applications to Employ Special Industrial Homeworkers and
FORMS: WH-2 WH-226 WH-226A

OMB NO: 1215-0013    EXPIRATION DATE: 09/30/2003
RESPS:18,985         HOURS:9,757          COSTS(000):$0
  Applications to Employ Homeworkers Piece Rate Measurements,
  Homeworker Handbooks
FORMS: WH-46 WH-75

OMB NO: 1215-0017    EXPIRATION DATE: 05/31/2004
RESPS:5,800,000      HOURS:926,156        COSTS(000):$0
  Records To Be Kept By Employers - FLSA
FORMS: NONE

OMB NO: 1215-0022    EXPIRATION DATE: 03/31/2006
RESPS:26,100         HOURS:6,525          COSTS(000):$10
  Payment of Compensation Without Award
FORMS: LS-206

OMB NO: 1215-0023    EXPIRATION DATE: 03/31/2006
RESPS:18,900         HOURS:4,725          COSTS(000):$8
  Notice of Controversion of Right to Compensation
FORMS: LS-207

OMB NO: 1215-0024    EXPIRATION DATE: 03/31/2006
RESPS:18,950         HOURS:4,738          COSTS(000):$11
  Notice of Final Payment or Suspension of Compensation Benefits
FORMS: LS-208

OMB NO: 1215-0027    EXPIRATION DATE: 04/30/2005
RESPS:195            HOURS:49             COSTS(000):$0
  Certification of Funeral Expenses
FORMS: LS-265

OMB NO: 1215-0028    EXPIRATION DATE: 08/31/2003
RESPS:50             HOURS:38             COSTS(000):$0
  Economic Survey Schedule
FORMS: WH-1

OMB NO: 1215-0031    EXPIRATION DATE: 10/31/2004
RESPS:26,660         HOURS:6,705          COSTS(000):$11
  Employer's First Report of Injury or Occupational Disease
  LS-202; Physician's Report on Impairment of Vision LS-205;
  Employer's Supplementary Report of Accident or Occupational
  Illness LS-210
FORMS: LS-202 LS-205 LS-210

OMB NO: 1215-0032    EXPIRATION DATE: 10/31/2005
RESPS:350            HOURS:69             COSTS(000):$0
  Applications for Authority to Employ Full-Time Students at
  Subminimum Wages in Retail or Service Establishments or
  Agriculture
FORMS: WH-200 WH-202

OMB NO: 1215-0034    EXPIRATION DATE: 12/31/2005
RESPS:300            HOURS:75             COSTS(000):$0
  Agreement and Undertaking
FORMS: OWCP-1

OMB NO: 1215-0036    EXPIRATION DATE: 07/31/2004
RESPS:3,600          HOURS:300            COSTS(000):$166
  Vehicle Mechanical Inspection Report for Transportation Subject
  to DOT Requirements; Subject to DOL Safety Standards
FORMS: WH-514 WH-514A

OMB NO: 1215-0037    EXPIRATION DATE: 08/31/2003
RESPS:9,000          HOURS:4,600          COSTS(000):$2
  Application for Farm Labor Contractor and Farm Labor Contractor
  Employee Certificate of Registration
FORMS: WH-530

OMB NO: 1215-0046    EXPIRATION DATE: 02/28/2005
RESPS:75,000         HOURS:25,000         COSTS(000):$0
  Report of Construction Contractor's Wage Rates
FORMS: WD-10

OMB NO: 1215-0052    EXPIRATION DATE: 08/31/2005
RESPS:20,200         HOURS:9,116          COSTS(000):$4
  1) Miner's Claim for Benefits Under the Black Lung Benefits Act;
  2) Employment History; 3) Miner Reimbursement Form
FORMS: CM-911 CM-911A CM-915

OMB NO: 1215-0054    EXPIRATION DATE: 06/30/2004
RESPS:8,700          HOURS:1,450          COSTS(000):$2
  Medical Travel Refund Requst
FORMS: OWCP-957

OMB NO: 1215-0055    EXPIRATION DATE: 11/30/2003
RESPS:1,610,030      HOURS:187,663        COSTS(000):$0
  Health Insurance Claim Form
FORMS: OWCP-1500

OMB NO: 1215-0056    EXPIRATION DATE: 04/30/2005
RESPS:1,700          HOURS:800            COSTS(000):$1
  (1) Comparability of Current Work to Coal Mine Employment; (2)
  Coal Mine Employment Afidavit; (3) Afidavit of Deceased Miner's
  Condition
FORMS: CM-913 CM-918 CM-1093

OMB NO: 1215-0057    EXPIRATION DATE: 11/30/2003
RESPS:2,700          HOURS:225            COSTS(000):$0
  Authorization for Release of Medical Information
FORMS: CM-936

OMB NO: 1215-0058    EXPIRATION DATE: 10/31/2004
RESPS:10,800         HOURS:2,283          COSTS(000):$4
  Operator Controversion, Operator Response, Operator Response to
  Response to Notice of Claim
FORMS: CM-970 CM-970A CM-2970 CM-2970A

OMB NO: 1215-0059    EXPIRATION DATE: 03/31/2004
RESPS:4,000          HOURS:667            COSTS(000):$2
  Notice of Issuance of Insurance Policy
FORMS: CM-921

OMB NO: 1215-0060    EXPIRATION DATE: 10/31/2004
RESPS:3,522          HOURS:881            COSTS(000):$12
  Request for State or Federal Workers' Compensation Information
FORMS: CM-905

OMB NO: 1215-0061    EXPIRATION DATE: 04/30/2004
RESPS:1,000          HOURS:167            COSTS(000):$0
  Certification by School Official
FORMS: CM-981

OMB NO: 1215-0064    EXPIRATION DATE: 08/31/2003
RESPS:9,000          HOURS:1,800          COSTS(000):$3
  Notice of Termination, Suspension, Reduction or Increase in
  Benefit Payments
FORMS: CM-908

OMB NO: 1215-0066    EXPIRATION DATE: 11/30/2005
RESPS:109,725        HOURS:118,503        COSTS(000):$44
  Request for Examination and/or Treatment
FORMS: LS-1

OMB NO: 1215-0067    EXPIRATION DATE: 06/30/2005
RESPS:7,000          HOURS:3,500          COSTS(000):$0
  Rehabilitation Plan and Award
FORMS: OWCP-16

OMB NO: 1215-0069    EXPIRATION DATE: 08/31/2004
RESPS:2,500          HOURS:333            COSTS(000):$1
  Survivor's Form for Benefits
FORMS: CM-912

OMB NO: 1215-0072    EXPIRATION DATE: 07/31/2003
RESPS:95,311         HOURS:9,967,675      COSTS(000):$23
  OFCCP Recordkeeping and Reporting Requirements--Supply and
  Service
FORMS: NONE

OMB NO: 1215-0073    EXPIRATION DATE: 12/31/2004
RESPS:43             HOURS:22             COSTS(000):$0
  Application for Continuation of Death Benefit for Student
FORMS: LS-266

OMB NO: 1215-0078    EXPIRATION DATE: 03/31/2004
RESPS:12,700         HOURS:7,850          COSTS(000):$17
  Representative Fee Request
FORMS: NONE

OMB NO: 1215-0080    EXPIRATION DATE: 11/30/2005
RESPS:15             HOURS:5              COSTS(000):$0
  Application for Authority for an Institution on Higher Education
  to Employ its Full-time Students at Subminimum Wages Under
  Regulations Part 519
FORMS: WH-201

OMB NO: 1215-0083    EXPIRATION DATE: 01/31/2006
RESPS:10             HOURS:2              COSTS(000):$0
  Application for Federal Certificate of Age
FORMS: WH-14

OMB NO: 1215-0084    EXPIRATION DATE: 06/30/2005
RESPS:1              HOURS:2,208          COSTS(000):$0
  Report of Changes That May Afect Your Black Lung Benefits
FORMS: CM-929

OMB NO: 1215-0085    EXPIRATION DATE: 05/31/2005
RESPS:6,800          HOURS:1,088          COSTS(000):$3
  Pre-Hearing Statement
FORMS: LS-18

OMB NO: 1215-0090    EXPIRATION DATE: 04/30/2005
RESPS:26,000         HOURS:6,334          COSTS(000):$0
  Report of Ventilator Study (CM-907), Roentgenograhic
  Interpretation (CM-933) Roentgenographic Quality Rereading
  (CM-933b), Medical History and Examination for Coal Mine.......
FORMS: CM-907 CM-933 CM-933B CM-988 CM-1159 CM-2907

OMB NO: 1215-0103    EXPIRATION DATE: 08/31/2005
RESPS:287,660        HOURS:29,403         COSTS(000):$106
  FECA Medical Report Forms, Claim for Compensation
FORMS: CA-7 CA-16 CA-17 CA-20 CA-1090 CA-1303 CA-1305 CA-1331 CA-1087
CA-1332

OMB NO: 1215-0105    EXPIRATION DATE: 03/31/2004
RESPS:500            HOURS:125            COSTS(000):$0
  Request for Employment Information
FORMS: CA-1027

OMB NO: 1215-0112    EXPIRATION DATE: 06/30/2003
RESPS:1,700          HOURS:425            COSTS(000):$0
  Request for Earnings Information
FORMS: LS-426

OMB NO: 1215-0113    EXPIRATION DATE: 11/30/2005
RESPS:12,000         HOURS:4,800          COSTS(000):$0
  Certificate of Medical Necessity
FORMS: CM-893

OMB NO: 1215-0116    EXPIRATION DATE: 08/31/2004
RESPS:23             HOURS:31             COSTS(000):$0
  Notice of Law Enforcement Officer's Injury or Occupational
  Disease (CA-721); Notice of Law Enforcement Officer's Death
  (CA-722)
FORMS: CA-721 CA-722

OMB NO: 1215-0119    EXPIRATION DATE: 03/31/2006
RESPS:462,000        HOURS:2              COSTS(000):$0
  Requirements of a Bona Fide Thrift or Savings Plan (29 CFR Part
  547) and Requirements of a Bona Fide Profit-Sharing Plan or
  Trust (29 CFR Part 549)
FORMS: NONE

OMB NO: 1215-0120    EXPIRATION DATE: 08/31/2004
RESPS:1              HOURS:4              COSTS(000):$0
  29 CFR Part 575 - Waiver of Child Labor Provisions for
  Agricultural Employment of 10 and 11 Year Old Minors in Hand
  Harvesting of Short Season Crops
FORMS: NONE

OMB NO: 1215-0121    EXPIRATION DATE: 03/31/2006
RESPS:14,014         HOURS:7,145          COSTS(000):$0
  Work Experience and Career Exploration Programs (20 CFR 570.35A)
FORMS: NONE

OMB NO: 1215-0124    EXPIRATION DATE: 06/30/2004
RESPS:150            HOURS:1              COSTS(000):$0
  Maintenance of Receipt for Benefits Paid by a Coal Mine Operator
FORMS: CM-200

OMB NO: 1215-0131    EXPIRATION DATE: 11/30/2004
RESPS:1,046          HOURS:1,339          COSTS(000):$0
  OFCCP Complaint Form
FORMS: CC-4

OMB NO: 1215-0137    EXPIRATION DATE: 03/31/2004
RESPS:20,100         HOURS:2,497          COSTS(000):$8
  Provider Enrollment Form
FORMS: OWCP01168

OMB NO: 1215-0140    EXPIRATION DATE: 04/30/2004
RESPS:3,506          HOURS:881            COSTS(000):$1
  Davis-Bacon and Related Acts/Contract Work Hours and Safety
  Standards Act Reporting Requirements - Regulations, 29 CFR Part 5
FORMS: NONE

OMB NO: 1215-0144    EXPIRATION DATE: 10/31/2003
RESPS:4,500          HOURS:4,500          COSTS(000):$2
  Overpayment Recovery Questionnaire
FORMS: OWCP-20

OMB NO: 1215-0146    EXPIRATION DATE: 09/30/2005
RESPS:1,300          HOURS:650            COSTS(000):$0
  Housing Terms and Conditions
FORMS: WH-521

OMB NO: 1215-0148    EXPIRATION DATE: 08/31/2003
RESPS:34,000,000     HOURS:566,667        COSTS(000):$0
  Wage Statement
FORMS: WH-501 WH-501S

OMB NO: 1215-0149    EXPIRATION DATE: 03/31/2006
RESPS:9,280,960      HOURS:8,700,000      COSTS(000):$371
  Optional Use Payroll Form Under the Davis-Bacon Act
FORMS: WH-347

OMB NO: 1215-0150    EXPIRATION DATE: 09/30/2004
RESPS:64,026         HOURS:62,554         COSTS(000):$0
  Labor Standards for Federal Service Contracts - 29 CFR, Part 4
FORMS: NONE

OMB NO: 1215-0151    EXPIRATION DATE: 02/28/2005
RESPS:50,000         HOURS:16,667         COSTS(000):$18
  Request for Information on Earnings, Dual Benefits, Dependents
  and Third Party Settlements
FORMS: CA-1032

OMB NO: 1215-0154    EXPIRATION DATE: 05/31/2005
RESPS:5,900          HOURS:492            COSTS(000):$2
  Claim for Continuance of Compensation
FORMS: CA-12

OMB NO: 1215-0155    EXPIRATION DATE: 04/30/2004
RESPS:1,895          HOURS:1,210          COSTS(000):$0
  Claim for Compensation by Dependents Information Reports
FORMS: CA-5 CA-5B CA-1031 CA-1074 CA-1085 CA-1093 CA-1615 CA-1617
CA-1618

OMB NO: 1215-0158    EXPIRATION DATE: 06/30/2005
RESPS:60             HOURS:4              COSTS(000):$0
  Occupancy Certificate - Migrant and Seasonal Agricultural Worker
  Protection Act
FORMS: WH-520

OMB NO: 1215-0160    EXPIRATION DATE: 11/30/2003
RESPS:189,144        HOURS:76,326         COSTS(000):$59
  Regulations Governing the Administration of the Longshore and
  Harbor Workers' Compensation Act
FORMS: LS-200 LS-271 LS-201 LS-513 LS-267 LS-203 LS-204 LS-262

OMB NO: 1215-0161    EXPIRATION DATE: 09/30/2003
RESPS:15,600         HOURS:2,605          COSTS(000):$0
  Rehabilitation Maintenance Certificate
FORMS: OWCP-17

OMB NO: 1215-0163    EXPIRATION DATE: 12/31/2003
RESPS:103,711        HOURS:4,841,475      COSTS(000):$0
  Recordkeeping and Reporting Requirements, Construction
FORMS: CC-41

OMB NO: 1215-0166    EXPIRATION DATE: 03/31/2006
RESPS:2,000          HOURS:667            COSTS(000):$1
  Request to be Selected as Payee
FORMS: CM910

OMB NO: 1215-0167    EXPIRATION DATE: 07/31/2005
RESPS:550            HOURS:275            COSTS(000):$0
  Notice of Recurrence
FORMS: CA-2A

OMB NO: 1215-0170    EXPIRATION DATE: 10/31/2005
RESPS:328,000        HOURS:82,406         COSTS(000):$0
  Application of the Employee Polygraph Protection Act
FORMS: NONE

OMB NO: 1215-0171    EXPIRATION DATE: 11/30/2004
RESPS:500            HOURS:350            COSTS(000):$0
  Application for Approval of a Representative's Fee in Black Laor
FORMS: CM-972

OMB NO: 1215-0173    EXPIRATION DATE: 10/31/2005
RESPS:3,098          HOURS:3,569          COSTS(000):$0
  Representative Payee Report, Representative Payee Report (Short
  Form), Physician's/Medical Officer's Report
FORMS: CM-623 CM-623S CM-787

OMB NO: 1215-0175    EXPIRATION DATE: 06/30/2003
RESPS:15,000         HOURS:5,000          COSTS(000):$0
  The Remedial Education Provisions of the Fair Labor Standards Act
FORMS: NONE

OMB NO: 1215-0176    EXPIRATION DATE: 12/31/2003
RESPS:170,755        HOURS:29,261         COSTS(000):$0
  Uniform Health Insurance Claim Form
FORMS: OWCP-92(UB-92)

OMB NO: 1215-0178    EXPIRATION DATE: 06/30/2004
RESPS:80             HOURS:40             COSTS(000):$0
  Claim for Reimbursement-Assisted Reemployment
FORMS: CA-2231

OMB NO: 1215-0181    EXPIRATION DATE: 07/31/2003
RESPS:10,107,000     HOURS:718,529        COSTS(000):$0
  29 CFR Part 825, The Family and Medical Leave Act of 1993
FORMS: WH-380 WH-381

OMB NO: 1215-0182    EXPIRATION DATE: 08/31/2005
RESPS:7,000          HOURS:1,750          COSTS(000):$0
  Rehabilitation Action Report
FORMS: OWCP-44

OMB NO: 1215-0187    EXPIRATION DATE: 02/28/2005
RESPS:3.24000000     HOURS:73,067         COSTS(000):$29
  Worker Information - Terms and Conditions of Employment
FORMS: WH-516-ENGLISH WH-516-ESPANOL

OMB NO: 1215-0188    EXPIRATION DATE: 07/31/2004
RESPS:30,369         HOURS:185,152        COSTS(000):$0
  Labor Organization and Auxilliary Reports
FORMS: LM-1/LM-2/LM-3 LM-4/LM-10 LM-15/LM-15A LM-16/LM-20 LM-21 LM-30
S-1

OMB NO: 1215-0192    EXPIRATION DATE: 07/31/2003
RESPS:651            HOURS:325            COSTS(000):$0
  Employment Under Special Certificate of Apprentices, Messengers
  and Learners (including Student Learners)
FORMS: WH-205 WH-209

OMB NO: 1215-0193    EXPIRATION DATE: 01/31/2004
RESPS:41,907         HOURS:6,957          COSTS(000):$15
  Claimant Medical Reimbursement Form
FORMS: CA-915

OMB NO: 1215-0194    EXPIRATION DATE: 01/31/2004
RESPS:607,762        HOURS:50,443         COSTS(000):$0
  The NCPDP Universal Pharmacy Billing Form
FORMS: 79-1A

OMB NO: 1215-0196    EXPIRATION DATE: 06/30/2003
RESPS:50,000         HOURS:1,050,000      COSTS(000):$150
  Equal Opportunity Survey
FORMS: NONE

OMB NO: 1215-0197    EXPIRATION DATE: 07/31/2004
RESPS:93,116         HOURS:40,396         COSTS(000):$24
  Energy Employee Occupational Illness Compensation Program Act
  Forms (various)
FORMS: EE-1 EE-2 EE-3 EE-4 EE-7 EE-8 EE-9 EE-20 EE-915

OMB NO: 1215-0199    EXPIRATION DATE: 01/31/2006
RESPS:2,000          HOURS:1,000          COSTS(000):$0
  Alternate Employment Information Request
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
78 63,964,984 27,895,699 $1,112
Occupational Safety and Health Administration
OMB NO: 1218-0003    EXPIRATION DATE: 10/31/2004
RESPS:340            HOURS:81             COSTS(000):$1,433
  GEAR Certification (29 CFR Part 1919)
FORMS: OSHA-70 OSHA-71 OSHA-72

OMB NO: 1218-0010    EXPIRATION DATE: 09/30/2005
RESPS:1,743          HOURS:1,040          COSTS(000):$114
  Vinyl Chloride
FORMS: NONE

OMB NO: 1218-0011    EXPIRATION DATE: 03/31/2005
RESPS:885,304        HOURS:134,819        COSTS(000):$0
  Subpart A (General Provisions) and Subpart B (Confined and
  Enclosed Spaces and Other Dangerous Atmpospheres) of 29 CFR part
  1915
FORMS: NONE

OMB NO: 1218-0020    EXPIRATION DATE: 06/30/2004
RESPS:200            HOURS:11,050         COSTS(000):$0
  Application for Training Grant
FORMS: NONE

OMB NO: 1218-0048    EXPIRATION DATE: 02/29/2004
RESPS:17,982,447     HOURS:5,175,645      COSTS(000):$98,815
  Noise (29 CFR 1910.95)
FORMS: NONE

OMB NO: 1218-0054    EXPIRATION DATE: 11/30/2004
RESPS:2,900          HOURS:97             COSTS(000):$9
  Cranes and Derricks Standards for Construction: Recording Tests
  for toxic Gases and Oxygen-Deficient Atmospheres in Enclosed
  Speces
FORMS: NONE

OMB NO: 1218-0061    EXPIRATION DATE: 09/30/2005
RESPS:185,384        HOURS:70,340         COSTS(000):$6,526
  Cotton Dust 29CFR 1910.1043
FORMS: NONE

OMB NO: 1218-0064    EXPIRATION DATE: 12/31/2004
RESPS:55,132         HOURS:14,767         COSTS(000):$1
  Notice of Alleged Safety and Health Hazards, OSHA-7 Form
FORMS: OSHA-7

OMB NO: 1218-0065    EXPIRATION DATE: 02/29/2004
RESPS:5,030,002      HOURS:613,127        COSTS(000):$0
  Access to Employee Exposure and Medical Records (29 CFR
  1910.1020)
FORMS: NONE

OMB NO: 1218-0067    EXPIRATION DATE: 02/28/2005
RESPS:88,578         HOURS:57,464         COSTS(000):$117
  Underground Construction Standard
FORMS: NONE

OMB NO: 1218-0069    EXPIRATION DATE: 01/31/2005
RESPS:4,005,966      HOURS:205,397        COSTS(000):$0
  Commercial Diving Operations (29 CFR Part 1910, Subpart T)
FORMS: NONE

OMB NO: 1218-0070    EXPIRATION DATE: 05/31/2003
RESPS:123            HOURS:41             COSTS(000):$0
  Reports of Injuries to Employees Operating Mechanical Power
  Presses (29 CFR 1910.217(g))
FORMS: NONE

OMB NO: 1218-0072    EXPIRATION DATE: 09/30/2005
RESPS:460,242,484    HOURS:7,553,465      COSTS(000):$494
  Hazard Communication 29 CFR 1910.1200; Parts 1915, 1917, 1918,
  1926, 1928
FORMS: NONE

OMB NO: 1218-0075    EXPIRATION DATE: 01/31/2005
RESPS:8,391          HOURS:6,042          COSTS(000):$0
  Fire Brigades (29 CFR 1910.156)
FORMS: NONE

OMB NO: 1218-0085    EXPIRATION DATE: 11/30/2005
RESPS:2,187          HOURS:1,634          COSTS(000):$86
  The 13 Carcinogens Standard (29 CFR 1910, 1003, 1915.1003, and
  1926.1103)
FORMS: NONE

OMB NO: 1218-0092    EXPIRATION DATE: 12/31/2005
RESPS:4,020,412      HOURS:1,229,515      COSTS(000):$138,134
  Lead in General Industry
FORMS: NONE

OMB NO: 1218-0093    EXPIRATION DATE: 11/30/2004
RESPS:140,325        HOURS:5,726          COSTS(000):$0
  Construction Standards on Posting Emergency Telephone Numbers
  and Floor Load Limits
FORMS: NONE

OMB NO: 1218-0095    EXPIRATION DATE: 10/31/2004
RESPS:280,000        HOURS:22,400         COSTS(000):$0
  Concrete and Masonry Construction
FORMS: NONE

OMB NO: 1218-0096    EXPIRATION DATE: 03/31/2006
RESPS:863            HOURS:69             COSTS(000):$0
  Temporary Labor Camps (29 CFR 1910.142)
FORMS: NONE

OMB NO: 1218-0099    EXPIRATION DATE: 09/30/2004
RESPS:18,112,941     HOURS:6,685,348      COSTS(000):$72,901
  Respiratory Protection
FORMS: NONE

OMB NO: 1218-0100    EXPIRATION DATE: 06/30/2004
RESPS:244            HOURS:2,928          COSTS(000):$0
  Grantee Quarterly Progress Report
FORMS: OSHA-171

OMB NO: 1218-0101    EXPIRATION DATE: 11/30/2005
RESPS:1              HOURS:1              COSTS(000):$0
  1,2-Dibromo-3-Chloropropane (DBCP) 29 CFR 1910.1044
FORMS: NONE

OMB NO: 1218-0103    EXPIRATION DATE: 09/30/2004
RESPS:159,043        HOURS:29,661         COSTS(000):$1,720
  Ionizing Radiation 29 CFR 1910.1096
FORMS: NONE

OMB NO: 1218-0104    EXPIRATION DATE: 09/30/2005
RESPS:15,929         HOURS:4,860          COSTS(000):$396
  Inorganic Arsenic (29 CFR 1910.1018)
FORMS: NONE

OMB NO: 1218-0108    EXPIRATION DATE: 09/30/2003
RESPS:232,564        HOURS:49,200         COSTS(000):$7,056
  Ethylene Oxide (29 CFR 1910.1047)
FORMS: NONE

OMB NO: 1218-0110    EXPIRATION DATE: 08/31/2005
RESPS:84,688         HOURS:17,530         COSTS(000):$0
  Consultant Agreements
FORMS: FORM-33

OMB NO: 1218-0113    EXPIRATION DATE: 09/30/2004
RESPS:132,737        HOURS:218,090        COSTS(000):$0
  Construction Crane or Derrick Annual Inspection Record
FORMS: NONE

OMB NO: 1218-0115    EXPIRATION DATE: 11/30/2004
RESPS:67,773         HOURS:5,416          COSTS(000):$431
  Cranes and Derricks Standards for Construction: Notification of
  Operational Specification and Hand Signals
FORMS: NONE

OMB NO: 1218-0121    EXPIRATION DATE: 09/30/2004
RESPS:167,569        HOURS:124,357        COSTS(000):$0
  Powered Platforms for Building Maintenace (29 CFR 1910.66)
FORMS: NONE

OMB NO: 1218-0126    EXPIRATION DATE: 09/30/2005
RESPS:13,492         HOURS:2,922          COSTS(000):$223
  Acrylonitrile (29 CFR 1910.1045)
FORMS: NONE

OMB NO: 1218-0128    EXPIRATION DATE: 09/30/2005
RESPS:67,345         HOURS:56,238         COSTS(000):$1,126
  Coke Oven Emissions (29 CFR 1910.1028)
FORMS: NONE

OMB NO: 1218-0129    EXPIRATION DATE: 05/31/2003
RESPS:185,719        HOURS:125,195        COSTS(000):$8,180
  Benzene 29 CFR 1910.1028
FORMS: NONE

OMB NO: 1218-0130    EXPIRATION DATE: 03/31/2005
RESPS:2,829,582      HOURS:84,803         COSTS(000):$933
  Electrical Standards for Construction (29 CFR Part 1926, Subpart
  K)
FORMS: NONE

OMB NO: 1218-0131    EXPIRATION DATE: 02/28/2005
RESPS:866,756        HOURS:269,273        COSTS(000):$18,235
  Occupational Exposure to Hazardous Chemicals in Laboratories
FORMS: NONE

OMB NO: 1218-0132    EXPIRATION DATE: 09/30/2004
RESPS:112,000        HOURS:30,225         COSTS(000):$0
  Specifications for Accident Prevention Signs and Tags (29 CFR
  1910.145)
FORMS: NONE

OMB NO: 1218-0133    EXPIRATION DATE: 03/31/2004
RESPS:65,893         HOURS:23,849         COSTS(000):$1,625
  Asbestos in General Industry 1910.1001
FORMS: NONE

OMB NO: 1218-0134    EXPIRATION DATE: 12/31/2005
RESPS:53,145,470     HOURS:5,569,963      COSTS(000):$30,730
  Asbestos in Construction 1926.1101
FORMS: NONE

OMB NO: 1218-0137    EXPIRATION DATE: 10/31/2004
RESPS:10,000         HOURS:120,011        COSTS(000):$307
  Design of Cave-in Protection Systems
FORMS: NONE

OMB NO: 1218-0143    EXPIRATION DATE: 04/30/2003
RESPS:1              HOURS:1              COSTS(000):$0
  Presence Sensing Device Initiation (PSDI) (29 CFR 1910.217(h))
FORMS: NONE

OMB NO: 1218-0145    EXPIRATION DATE: 02/29/2004
RESPS:1,569,329      HOURS:591,079        COSTS(000):$56,531
  Formaldehyde (29 CFR 1910.1048)
FORMS: NONE

OMB NO: 1218-0147    EXPIRATION DATE: 02/29/2004
RESPS:58             HOURS:1,345          COSTS(000):$0
  Definition and Requirements for a Nationally Recognized Testing
  Laboratory (29 CFR 1910.7)
FORMS: NONE

OMB NO: 1218-0150    EXPIRATION DATE: 05/31/2004
RESPS:94,561,759     HOURS:2,462,279      COSTS(000):$0
  Standard on the Control of Hazardous Energy Sources
  (Lockout/Tagout) (29 CFR 1910.147)
FORMS: NONE

OMB NO: 1218-0151    EXPIRATION DATE: 11/30/2004
RESPS:2,750          HOURS:229            COSTS(000):$0
  Cranes and Derricks Standards for Construction: Posting Weight
  and Load Capacity of Personnel Platforms
FORMS: NONE

OMB NO: 1218-0170    EXPIRATION DATE: 05/31/2003
RESPS:335,944        HOURS:2,909          COSTS(000):$82
  1,3-Butadiene (29 CFR 1910.1051)
FORMS: NONE

OMB NO: 1218-0172    EXPIRATION DATE: 07/31/2004
RESPS:5,000          HOURS:417            COSTS(000):$0
  Student Data Form
FORMS: OSHA-182

OMB NO: 1218-0173    EXPIRATION DATE: 08/31/2004
RESPS:16,300         HOURS:2,716          COSTS(000):$0
  Course Evaluation
FORMS: OSHA-49

OMB NO: 1218-0176    EXPIRATION DATE: 10/31/2004
RESPS:1,444,000      HOURS:3,353,237      COSTS(000):$0
  29 CFR Part 1904 Recording and Reporting Occupational Injuries
  and Illnesses
FORMS: OSHA-300 OSHA-300A OSHA-301

OMB NO: 1218-0179    EXPIRATION DATE: 10/31/2004
RESPS:418,496        HOURS:103,282        COSTS(000):$23,700
  Methylene Chloride 1910.1052
FORMS: NONE

OMB NO: 1218-0180    EXPIRATION DATE: 03/31/2004
RESPS:1,569,329      HOURS:12,719,062     COSTS(000):$27,362
  Bloodborne Pathogens Standard (29 CFR 1910.1030)
FORMS: NONE

OMB NO: 1218-0183    EXPIRATION DATE: 09/30/2003
RESPS:3,962          HOURS:1,609          COSTS(000):$80
  4,4'-Methylenedianline (MDA) Construction 29 CFR 1926.60
FORMS: NONE

OMB NO: 1218-0184    EXPIRATION DATE: 09/30/2003
RESPS:785            HOURS:394            COSTS(000):$26
  4,4'-Methylenedianline (MDA) General Industry 1910.1050
FORMS: NONE

OMB NO: 1218-0185    EXPIRATION DATE: 12/31/2005
RESPS:394,889        HOURS:121,344        COSTS(000):$6,191
  Cadmium in General Industry (29 CFR 1910.1027)
FORMS: NONE

OMB NO: 1218-0186    EXPIRATION DATE: 12/31/2005
RESPS:376,889        HOURS:39,331         COSTS(000):$2,237
  Cadmium in Construction (29 CFR 1926.1127)
FORMS: NONE

OMB NO: 1218-0189    EXPIRATION DATE: 12/31/2005
RESPS:5,782,074      HOURS:1,560,718      COSTS(000):$69,083
  Lead in Construction 1926.62
FORMS: NONE

OMB NO: 1218-0190    EXPIRATION DATE: 09/30/2003
RESPS:515,094        HOURS:34,496         COSTS(000):$0
  Electrical Protective Equipment (1910.137), and Electric Power
  Generation, Transmission, and Distribution (1910.269) Standard
FORMS: NONE

OMB NO: 1218-0195    EXPIRATION DATE: 12/31/2005
RESPS:2,470          HOURS:1,426          COSTS(000):$34
  Asbestos in Shipyards 1915.1001
FORMS: NONE

OMB NO: 1218-0196    EXPIRATION DATE: 10/31/2005
RESPS:149,670        HOURS:36,688         COSTS(000):$0
  Longshoring and Marine Terminal Operations (29 CFR Parts 1917
  and 1918)
FORMS: NONE

OMB NO: 1218-0197    EXPIRATION DATE: 02/29/2004
RESPS:100,000        HOURS:771,166        COSTS(000):$0
  Construction Fall Protection Plans and Records
FORMS: NONE

OMB NO: 1218-0198    EXPIRATION DATE: 09/30/2004
RESPS:166,040        HOURS:22,730         COSTS(000):$0
  Logging Operations (29 CFR 1910.266)
FORMS: NONE

OMB NO: 1218-0199    EXPIRATION DATE: 06/30/2003
RESPS:10,100         HOURS:33,837         COSTS(000):$0
  Standard on Walking-Working Surfaces (29 CFR Part 1910, Subpart
  D)
FORMS: NONE

OMB NO: 1218-0200    EXPIRATION DATE: 03/31/2006
RESPS:7,398,312      HOURS:50,980,689     COSTS(000):$0
  Process Safety Management of Highly Hazardous Chemicals (PSM)
  (29 CFR 1910.119)
FORMS: NONE

OMB NO: 1218-0202    EXPIRATION DATE: 12/31/2005
RESPS:203,851        HOURS:1,404,369      COSTS(000):$4,668
  Hazardous Waste Operations and Emergency Response (Hazwoper) (29
  CFR 1910.120)
FORMS: NONE

OMB NO: 1218-0203    EXPIRATION DATE: 10/31/2005
RESPS:9,281,633      HOURS:1,666,663      COSTS(000):$0
  Permit-Required Confined Spaces (29 CFR 1910.146)
FORMS: NONE

OMB NO: 1218-0205    EXPIRATION DATE: 05/31/2003
RESPS:5,965,572      HOURS:1,834,279      COSTS(000):$0
  Personal Protection Equipment for General Industry (29 CFR
  1910.132)
FORMS: NONE

OMB NO: 1218-0206    EXPIRATION DATE: 10/31/2004
RESPS:1,774,166      HOURS:136,781        COSTS(000):$0
  Grain Handling Facilities (29 CFR 1910.272)
FORMS: NONE

OMB NO: 1218-0207    EXPIRATION DATE: 08/31/2004
RESPS:101,492        HOURS:8,119          COSTS(000):$0
  Welding, Cutting and Brazing (29 CFR part 1910, Subpart Q)
FORMS: NONE

OMB NO: 1218-0208    EXPIRATION DATE: 09/30/2004
RESPS:330            HOURS:2,500          COSTS(000):$0
  Storage and Handling of Anhydrous Ammonia (29 CFR 1910.111(b)(3)
  and (b)(4))
FORMS: NONE

OMB NO: 1218-0209    EXPIRATION DATE: 04/30/2003
RESPS:100,175        HOURS:48,088         COSTS(000):$0
  OSHA Data Initiative (ODI)
FORMS: OSHA-196A OSHA-196B

OMB NO: 1218-0215    EXPIRATION DATE: 05/31/2003
RESPS:87,000         HOURS:2,255          COSTS(000):$0
  Personal Protective Equipment (PPE) for Shipyard Employment (29
  CFR Part 1915)
FORMS: NONE

OMB NO: 1218-0216    EXPIRATION DATE: 12/31/2003
RESPS:60             HOURS:3              COSTS(000):$0
  Manfacturer's Certification of Modifications Made to
  Construction Aerial Lifts
FORMS: NONE

OMB NO: 1218-0217    EXPIRATION DATE: 10/31/2005
RESPS:160            HOURS:1,280          COSTS(000):$1,704
  Blasting Operations (29 CFR 1926.900(k)(3)(i))
FORMS: NONE

OMB NO: 1218-0218    EXPIRATION DATE: 05/31/2004
RESPS:1,170,733      HOURS:131,708        COSTS(000):$11,941
  The Hydrostatic Testing Provision of the Standard on Portable
  Fire Extinguishers (29 CFR 1910.157(f)(16))
FORMS: NONE

OMB NO: 1218-0219    EXPIRATION DATE: 09/30/2005
RESPS:8              HOURS:1              COSTS(000):$0
  Servicing Multi-Piece and Single Piece Rim Wheels (29 CFR
  1910.177(d)(3)(iv))
FORMS: NONE

OMB NO: 1218-0220    EXPIRATION DATE: 09/30/2005
RESPS:16,320         HOURS:4,416          COSTS(000):$0
  Shipyard Employment Standards (29 CFR 1915.113(b)(1) and
  1915.172(d))
FORMS: NONE

OMB NO: 1218-0221    EXPIRATION DATE: 05/31/2004
RESPS:462,040        HOURS:174,040        COSTS(000):$0
  Crawler, Locomotive, and Truck Cranes Standard (29 CFR 1910.180)
FORMS: NONE

OMB NO: 1218-0222    EXPIRATION DATE: 04/30/2004
RESPS:115,000        HOURS:28,550         COSTS(000):$0
  Derricks (29 CFR 1910.181)
FORMS: NONE

OMB NO: 1218-0223    EXPIRATION DATE: 08/31/2005
RESPS:155,838        HOURS:21,517         COSTS(000):$0
  Slings (29 CFR 1910.184)
FORMS: NONE

OMB NO: 1218-0224    EXPIRATION DATE: 05/31/2004
RESPS:720,105        HOURS:360,140        COSTS(000):$0
  Overhead and Gantry Cranes Standard (29 CFR 1910.179(b)(3),
  (b)(5), (j)(2)(iii), (j)(2)(iv), (k)(2), (m)(1), and (m)(2))
FORMS: NONE

OMB NO: 1218-0225    EXPIRATION DATE: 09/30/2005
RESPS:107,138        HOURS:7,487          COSTS(000):$0
  Telecommunications, Training Certification (29 CFR 1910.268(c))
FORMS: NONE

OMB NO: 1218-0226    EXPIRATION DATE: 08/31/2004
RESPS:36,000         HOURS:41,400         COSTS(000):$0
  Standard on Manlifts (29 CFR 1910.68(e)(3))
FORMS: NONE

OMB NO: 1218-0227    EXPIRATION DATE: 10/31/2005
RESPS:52             HOURS:9              COSTS(000):$0
  Trucks Used Underground to Transport Explosives (29 CFR 1926.903
  (e) -- Inspection Certifications
FORMS: NONE

OMB NO: 1218-0228    EXPIRATION DATE: 08/31/2005
RESPS:1,440,400      HOURS:244,868        COSTS(000):$0
  Forging Machines, Inspection Certification Records (29 CFR
  1910.218(a)(2)(i) and (a)(2)(ii))
FORMS: NONE

OMB NO: 1218-0229    EXPIRATION DATE: 05/31/2004
RESPS:9,971,000      HOURS:1,372,930      COSTS(000):$0
  Mechanical Power Presses (29 CFR 1910.217(e)(1)(i) and
  (e)(1)(ii))
FORMS: NONE

OMB NO: 1218-0230    EXPIRATION DATE: 10/31/2005
RESPS:900            HOURS:45             COSTS(000):$0
  Vehicle-Mounted Elevating and Rotating Work Platforms (Aerial
  Lifts) (29 CFR 1910.67(b)(2))
FORMS: NONE

OMB NO: 1218-0231    EXPIRATION DATE: 04/30/2004
RESPS:130,095        HOURS:30,271         COSTS(000):$0
  Material Hoists, Personnel Hoists, and Elevators; Posting
  Requirements, Text and Inspections 1926.552 (a)(2), (b)(1)(i),
  (c)(10), and (c)(15)
FORMS: NONE

OMB NO: 1218-0232    EXPIRATION DATE: 05/31/2004
RESPS:254,856        HOURS:169,200        COSTS(000):$0
  Crawler, Truck and Locomotive Cranes (29 CFR 1926.550(b)(2))
FORMS: NONE

OMB NO: 1218-0233    EXPIRATION DATE: 05/31/2004
RESPS:301,619        HOURS:56,236         COSTS(000):$0
  Rigging Equipment for Material Handling (29 CFR 1926.251(b)(1),
  (b)(6)(i), (c)(15)(ii), (e)(1)(i), (ii), (iii), and (f)(2)
FORMS: NONE

OMB NO: 1218-0236    EXPIRATION DATE: 06/30/2004
RESPS:250            HOURS:250            COSTS(000):$0
  Regulations, 29 CFR Part 24, Procedures for Handling of
  Discrimination Complaints Under Federal Employee Protection
  Statutes
FORMS: NONE

OMB NO: 1218-0237    EXPIRATION DATE: 05/31/2004
RESPS:1              HOURS:1              COSTS(000):$0
  Dipping and Coating Operations (Dip Tanks)
FORMS: NONE

OMB NO: 1218-0238    EXPIRATION DATE: 05/31/2004
RESPS:132,000        HOURS:66,000         COSTS(000):$19,008
  Portable Fire Extinguishers (Annual Maintenance Certification
  Record) (29 CFR 1910.157(e)(3))
FORMS: NONE

OMB NO: 1218-0239    EXPIRATION DATE: 10/31/2004
RESPS:1,107          HOURS:48,443         COSTS(000):$0
  Voluntary Protection Program Application Information
FORMS: NONE

OMB NO: 1218-0241    EXPIRATION DATE: 02/28/2005
RESPS:252,975        HOURS:30,786         COSTS(000):$0
  Subpart R Steel Erection 29 CFR 1926.750 through 1926.761
FORMS: NONE

OMB NO: 1218-0242    EXPIRATION DATE: 01/31/2005
RESPS:1,423,368      HOURS:949,505        COSTS(000):$210
  Powered Industrial Trucks (29 CFR 1910.178)
FORMS: NONE

OMB NO: 1218-0244    EXPIRATION DATE: 01/31/2006
RESPS:4,410          HOURS:49,254         COSTS(000):$0
  OSHA Strategic Partnership Program for Worker Safey and Health
FORMS: NONE

OMB NO: 1218-0246    EXPIRATION DATE: 03/31/2004
RESPS:5,340,499      HOURS:1,236,764      COSTS(000):$0
  Bloodborne Pathogens Standard (Needlestick Safety and Prevention
  Act)
FORMS: NONE

OMB NO: 1218-0247    EXPIRATION DATE: 11/30/2005
RESPS:979            HOURS:8,522          COSTS(000):$0
  Occupational Safety and Health State Plan Information
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
96 723,577,910 111,500,253 $612,449
Mine Safety and Health Administration
OMB NO: 1219-0001    EXPIRATION DATE: 04/30/2004
RESPS:2,886          HOURS:13,297         COSTS(000):$410
  Certificate of Electrical Training (30 CFR 75.153(a)(2) and
  77.103(a)(2)
FORMS: MSHA-5000-1

OMB NO: 1219-0003    EXPIRATION DATE: 10/31/2004
RESPS:100            HOURS:800            COSTS(000):$0
  Radiation Sampling and Exposure Records (30 CFR 57.5037, and
  57.5040)
FORMS: 4000-9

OMB NO: 1219-0004    EXPIRATION DATE: 05/31/2003
RESPS:3,517          HOURS:5,967          COSTS(000):$6
  Roof Control Plans (30 CFR 75.220, 75.221, and 75.223)
FORMS: NONE

OMB NO: 1219-0006    EXPIRATION DATE: 11/30/2005
RESPS:86,158         HOURS:41,155         COSTS(000):$27
  Quarterly Mine Employment and Coal Production Report (30 CFR
  50.30(a))
FORMS: MSHA-7000-2

OMB NO: 1219-0007    EXPIRATION DATE: 12/31/2004
RESPS:58,224         HOURS:49,823         COSTS(000):$13
  Mine Accident, Injury & Illness Report (30 CFR 50.10; 50.11, &
  50.20(a))
FORMS: MSHA-7000-1

OMB NO: 1219-0008    EXPIRATION DATE: 02/28/2005
RESPS:6,625          HOURS:1,735          COSTS(000):$2
  Notification of Legal Identity (30 CFR Section 41.10, 41.11,
  41.12, and 41.20
FORMS: MSHA-2000-7

OMB NO: 1219-0009    EXPIRATION DATE: 11/30/2004
RESPS:1,294          HOURS:10,352         COSTS(000):$2
  Training Plan Regulations (30 CFR 48.3 and 48.23)
FORMS: NONE

OMB NO: 1219-0011    EXPIRATION DATE: 04/30/2003
RESPS:58,162         HOURS:42,454         COSTS(000):$3,128
  Mine Operator Dust Data Cards -- 70/71/90.209; 70/71/90.201(c);
  70/71/90.202(b); 70/7l/90.220(a); 7l/90.300; and 70/90.301(d)
FORMS: NONE

OMB NO: 1219-0012    EXPIRATION DATE: 06/30/2003
RESPS:7              HOURS:11             COSTS(000):$0
  Main Fan Maintenance Record
FORMS: NONE

OMB NO: 1219-0014    EXPIRATION DATE: 09/30/2004
RESPS:651            HOURS:130            COSTS(000):$0
  Hazardous Conditions Complaints (30 CFR 43.4 and 43.7)
FORMS: NONE

OMB NO: 1219-0015    EXPIRATION DATE: 03/31/2005
RESPS:12,428         HOURS:95,753         COSTS(000):$0
  Refuse Piles and Impounding Structures, Recordkeeping and
  Reporting Requirements (30 CFR 77.215(j); 77.215-2 thur 4;
  77.216-2 through 5)
FORMS: NONE

OMB NO: 1219-0016    EXPIRATION DATE: 09/30/2004
RESPS:284            HOURS:6,816          COSTS(000):$0
  Mine Ventilation System Plan (57.8520)
FORMS: NONE

OMB NO: 1219-0019    EXPIRATION DATE: 09/30/2004
RESPS:48             HOURS:960            COSTS(000):$1
  Slope and Shaft Sinking Plans (30 CFR 77.1900)
FORMS: NONE

OMB NO: 1219-0020    EXPIRATION DATE: 08/31/2004
RESPS:10             HOURS:50             COSTS(000):$0
  Operations Under Water (30 CFR 75.1716, 75.1716-1, and 75.1716.3
FORMS: NONE

OMB NO: 1219-0024    EXPIRATION DATE: 10/31/2004
RESPS:546            HOURS:221            COSTS(000):$0
  Application for Waiver of Surface Facilities Requirements (30
  CFR 71.403, 71.404, 75.1712-4, and 75.1712-5)
FORMS: NONE

OMB NO: 1219-0025    EXPIRATION DATE: 06/30/2004
RESPS:161            HOURS:90             COSTS(000):$1
  Application for a Permit to Fire More than 20 Boreholes for the
  use of Nonpermissible Blasting Units, Explosive, and Shot-firing
  Units
FORMS: NONE

OMB NO: 1219-0026    EXPIRATION DATE: 09/30/2003
RESPS:159            HOURS:1,404          COSTS(000):$0
  Ground Control Plan (30 CFR 77.1000 and 77.1000-1)
FORMS: NONE

OMB NO: 1219-0030    EXPIRATION DATE: 12/31/2003
RESPS:2,625          HOURS:1,313          COSTS(000):$2
  Main Fan Operation and Inspection (30 CFR 57.22204)
FORMS: NONE

OMB NO: 1219-0034    EXPIRATION DATE: 03/31/2005
RESPS:276,032        HOURS:136,038        COSTS(000):$209
  Records of Tests and Examinations of Personnel Hoisting Equipment
FORMS: NONE

OMB NO: 1219-0039    EXPIRATION DATE: 01/31/2004
RESPS:2              HOURS:2              COSTS(000):$0
  Gamma Radiation Exposure Records
FORMS: NONE

OMB NO: 1219-0040    EXPIRATION DATE: 02/28/2006
RESPS:99,398         HOURS:13,250         COSTS(000):$175
  Independent Contractor Register
FORMS: NONE

OMB NO: 1219-0041    EXPIRATION DATE: 08/31/2004
RESPS:188            HOURS:94             COSTS(000):$0
  Program to Prevent Smoking in Hazardous Areas (30 CFR 75.1702)
FORMS: NONE

OMB NO: 1219-0042    EXPIRATION DATE: 10/31/2004
RESPS:108            HOURS:81             COSTS(000):$0
  representative of Miners (30 CFR 40.3, 40.4, and 40.5)
FORMS: NONE

OMB NO: 1219-0043    EXPIRATION DATE: 07/31/2003
RESPS:1,687          HOURS:191            COSTS(000):$1
  Identification of Independent Contractors (30 CFR 45.3)
FORMS: NONE

OMB NO: 1219-0044    EXPIRATION DATE: 11/30/2004
RESPS:236,632        HOURS:118,268        COSTS(000):$0
  Record of Results of Examinations of Self-Rescuers, Underground
  Coal Mines -- 30 CFR 75.1714-3(e)
FORMS: NONE

OMB NO: 1219-0046    EXPIRATION DATE: 11/30/2004
RESPS:568            HOURS:4,544          COSTS(000):$2
  Escape and Evacuation Plans (30 CFR 57.11053)
FORMS: NONE

OMB NO: 1219-0048    EXPIRATION DATE: 02/28/2005
RESPS:5,530          HOURS:2,235          COSTS(000):$156
  Respirator Program Records (30 CFR 56.5005 and 57.5005)
FORMS: NONE

OMB NO: 1219-0049    EXPIRATION DATE: 03/31/2005
RESPS:235            HOURS:8              COSTS(000):$72
  Hoist Operators' Physical Fitness
FORMS: NONE

OMB NO: 1219-0051    EXPIRATION DATE: 11/30/2003
RESPS:59             HOURS:263            COSTS(000):$0
  Fire Protection, Escape and Evacuation Plan -- 30 CFR 77.1101
FORMS: NONE

OMB NO: 1219-0054    EXPIRATION DATE: 09/30/2003
RESPS:398,339        HOURS:89,263         COSTS(000):$2
  Fire Protection for Underground Coal Mines (30 CFR Part 75,
  Subpart L)
FORMS: NONE

OMB NO: 1219-0065    EXPIRATION DATE: 10/31/2003
RESPS:174            HOURS:5,400          COSTS(000):$79
  Petitions for Modification - Pertains to All Mines (30 CFR 44,9,
  44.10, and 44.11)
FORMS: NONE

OMB NO: 1219-0066    EXPIRATION DATE: 07/31/2005
RESPS:592            HOURS:2,926          COSTS(000):$447
  Permissible Equipment Testing
FORMS: NONE

OMB NO: 1219-0067    EXPIRATION DATE: 05/31/2005
RESPS:1,591,866      HOURS:1,011,034      COSTS(000):$30,000
  Examinations and Tests of Electrical Equipment (30 CFR 75.512,
  75.703(d)(II), 77.502, 75.800, 77.900, 75.1001-1(c), and 75.351)
FORMS: NONE

OMB NO: 1219-0069    EXPIRATION DATE: 05/31/2003
RESPS:611            HOURS:213            COSTS(000):$0
  Qualification and Certification Program (30 CFR 75.100; 75.155;
  77.100; and 77.105)
FORMS: 5000-4 5000-7

OMB NO: 1219-0070    EXPIRATION DATE: 11/30/2004
RESPS:105,050        HOURS:8,393          COSTS(000):$210
  Certificate of Training (30 CFR 48.9 and 48.29)
FORMS: 5000-23

OMB NO: 1219-0073    EXPIRATION DATE: 03/31/2006
RESPS:1,645          HOURS:23,928         COSTS(000):$23,803
  Record of Mine Closures, Opening and Reopening of Mines
FORMS: NONE

OMB NO: 1219-0078    EXPIRATION DATE: 01/31/2004
RESPS:46,282         HOURS:24,975         COSTS(000):$468
  Mine Rescue Teams; Arrangements for Emergency Medical
  Assistance; and Arrangements for Transportation of Injured
  Persons
FORMS: 5000-3

OMB NO: 1219-0082    EXPIRATION DATE: 11/30/2003
RESPS:11,858         HOURS:14,823         COSTS(000):$0
  Records of Preshift and Onshift Inspections of Slope and Shaft
  Areas (30 CFR 77.1901)
FORMS: NONE

OMB NO: 1219-0083    EXPIRATION DATE: 12/31/2003
RESPS:411,885        HOURS:617,828        COSTS(000):$0
  Record of Examinations for Hazardous Conditions (30 CFR 77.1713)
FORMS: NONE

OMB NO: 1219-0088    EXPIRATION DATE: 03/31/2004
RESPS:2,262,566      HOURS:2,725,770      COSTS(000):$194
  Ventilation Plans, Tests, and Examinations in Underground Coal
  Mines (30 CFR 7 70.205(a); 70.211(b); 212(b); .216(a); 75.310;
  312; 342; 351; 360; 361; 362; 363; 364; 370; and 382
FORMS: NONE

OMB NO: 1219-0089    EXPIRATION DATE: 09/30/2004
RESPS:18,203,818     HOURS:1,224,406      COSTS(000):$0
  Safety Defects; Examination, Correction and Records (30 CFR
  56/57.13015; 13030; 14100; and 56/57.18002)
FORMS: NONE

OMB NO: 1219-0092    EXPIRATION DATE: 04/30/2003
RESPS:2,070          HOURS:259            COSTS(000):$1
  Notification of Commencement of Operations and Closing of Mines
  (30 CFR 56.1000 and 57.1000)
FORMS: NONE

OMB NO: 1219-0095    EXPIRATION DATE: 12/31/2003
RESPS:7              HOURS:7              COSTS(000):$0
  Explosive Materials and Blasting Units (30 CFR 57.22606)
FORMS: NONE

OMB NO: 1219-0096    EXPIRATION DATE: 08/31/2003
RESPS:1              HOURS:160            COSTS(000):$0
  Underground Retorts (30 CFR 57.22401)
FORMS: NONE

OMB NO: 1219-0097    EXPIRATION DATE: 02/28/2005
RESPS:2              HOURS:24             COSTS(000):$0
  Rock Burst Control Plan (Pertains to Underground Metal/Nonmetal
  Mines (30 CFR 57.3461)
FORMS: NONE

OMB NO: 1219-0100    EXPIRATION DATE: 08/31/2003
RESPS:307            HOURS:565            COSTS(000):$42
  Product Testing by Applicant or Third Part (30 CFR Part 7,
  Subparts A through F, and J through K)
FORMS: NONE

OMB NO: 1219-0101    EXPIRATION DATE: 11/30/2003
RESPS:2              HOURS:16             COSTS(000):$0
  Applications for Approval of Sanitary Toilet Facilities (30 CFR
  71.500 and 75.1712-6)
FORMS: NONE

OMB NO: 1219-0103    EXPIRATION DATE: 08/31/2003
RESPS:372            HOURS:31             COSTS(000):$0
  Notification of Methane Detected in Mine Atmosphere (30 CFR
  57.220004(c); 57.22229; 57.22230; 57.22231, and 57.22239)
FORMS: NONE

OMB NO: 1219-0116    EXPIRATION DATE: 04/30/2005
RESPS:24,762         HOURS:5,736          COSTS(000):$0
  High-Voltage Longwall Equipment Standards for Underground Coal
  Mines (75.820(b), 75.820(e), and 75.821(d))
FORMS: NONE

OMB NO: 1219-0119    EXPIRATION DATE: 03/31/2006
RESPS:101,944        HOURS:58,265         COSTS(000):$377
  Approval, Exhaust Gas Monitoring, and Safety Requirements for
  the Use of Diesel-Powered Equipment in Underground Coal Mines
FORMS: NONE

OMB NO: 1219-0120    EXPIRATION DATE: 01/31/2006
RESPS:821,843        HOURS:101,852        COSTS(000):$4,151
  Noise Exposure Assessment; Audometric Testing Evaluaiton, and
  Records and Training in All Mines
FORMS: NONE

OMB NO: 1219-0121    EXPIRATION DATE: 08/31/2003
RESPS:8,616          HOURS:431            COSTS(000):$0
  Safety Standard for Roof Bolts in Metal and Nonmetal Mines and
  Underground Coal Mines (30 CFR 56/57.3203(a), and 75.204(a))
FORMS: NONE

OMB NO: 1219-0124    EXPIRATION DATE: 05/31/2004
RESPS:5,758          HOURS:1,697          COSTS(000):$171
  Diesel Particulate Matter Exposure of Underground Coal Miners.
  (30 CFR 75.1915, 72.503, 72.510, 72.520, 72.500, Part 7 of Part
  36)
FORMS: NONE

OMB NO: 1219-0125    EXPIRATION DATE: 02/28/2005
RESPS:102,000        HOURS:78,001         COSTS(000):$0
  Safety Standards for Underground Coal Mine Ventilation (30 CFR
  75.360(a)(1) and 75.360(f))
FORMS: NONE

OMB NO: 1219-0127    EXPIRATION DATE: 04/30/2005
RESPS:11,825         HOURS:20,888         COSTS(000):$0
  Records of All Certified and Qualified Persons; and Man Hoist
  Operators Physicial Fitness (30 CFR 75.155, 75.159 - 161,
  77.105, 77.107, 77.107-1, 77.106)
FORMS: NONE

OMB NO: 1219-0131    EXPIRATION DATE: 02/28/2006
RESPS:167,340        HOURS:263,274        COSTS(000):$521
  Training Plans, New Miner Training, Newly hired Experienced
  Miner Training
FORMS: NONE

OMB NO: 1219-0133    EXPIRATION DATE: 08/31/2005
RESPS:940,758        HOURS:648,638        COSTS(000):$552
  Hazard Communication - 30 CFR Part 47 - Final Rule
FORMS: NONE

OMB NO: 1219-0135    EXPIRATION DATE: 09/30/2004
RESPS:152,565        HOURS:6,047          COSTS(000):$781
  Health Standards for Diesel Particulates (Underground Metal and
  Nonmetal Mines) 57.5060; 5062; 5066; 5071; and 5075
FORMS: NONE

OMB NO: 1219-0137    EXPIRATION DATE: 06/30/2003
RESPS:55,908         HOURS:5,010          COSTS(000):$0
  Emergency Evacuations and Mine Emergency Evaluation and Fire-
  Fighting Program of Instructon
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
59 26,285,090 7,487,165 $66,006
Bureau of Labor Statistics
OMB NO: 1220-0008    EXPIRATION DATE: 05/31/2005
RESPS:1,266,340      HOURS:390,680        COSTS(000):$0
  Producer Price Index Survey
FORMS: BLS-473P BLS-1810A A1 B C C1 E

OMB NO: 1220-0011    EXPIRATION DATE: 02/28/2005
RESPS:4,482,000      HOURS:508,180        COSTS(000):$0
  Report on Employment, Payroll, and Hours
FORMS: BLS-790

OMB NO: 1220-0012    EXPIRATION DATE: 09/30/2004
RESPS:212            HOURS:954,720        COSTS(000):$0
  Employment, Wages, and Contributions Program - ES-202
FORMS: NONE

OMB NO: 1220-0017    EXPIRATION DATE: 12/31/2005
RESPS:87,300         HOURS:139,680        COSTS(000):$0
  Local Area Unemployment Statistics Program Manual
FORMS: BLS-3040 LAUS-8 LAUS-15 LAUS-16

OMB NO: 1220-0025    EXPIRATION DATE: 09/30/2003
RESPS:40,240         HOURS:23,379         COSTS(000):$0
  International Price Program (IPP) U.S. Export Price Indexes
FORMS: BLS-3007D BLS-3008

OMB NO: 1220-0026    EXPIRATION DATE: 09/30/2003
RESPS:40,240         HOURS:24,246         COSTS(000):$0
  International Price Program/U.S. Import Product Information
FORMS: BLS-3007D BLS-3008

OMB NO: 1220-0032    EXPIRATION DATE: 10/31/2004
RESPS:2,272,998      HOURS:206,903        COSTS(000):$0
  Annual Refiling Survey (ARS) [formerly called the Standard
  Industrial Classification (SIC) forms]
FORMS: BLS-3023-NVS BLS-3023-NVM BLS-3023-NCA

OMB NO: 1220-0039    EXPIRATION DATE: 07/31/2005
RESPS:362,804        HOURS:97,792         COSTS(000):$0
  Consumer Price Index Commodities and Services Survey
FORMS: BLS-3400 BLS-3400-A.2 BLS-3400-B BLS-3400-C BLS-3401

OMB NO: 1220-0042    EXPIRATION DATE: 08/31/2004
RESPS:317,492        HOURS:238,119        COSTS(000):$0
  Report on Occupational Employment
FORMS: BLS-2877

OMB NO: 1220-0044    EXPIRATION DATE: 12/31/2005
RESPS:57,280         HOURS:10,501         COSTS(000):$0
  Point of Purchase Survey
FORMS: NONE

OMB NO: 1220-0045    EXPIRATION DATE: 10/31/2004
RESPS:230,000        HOURS:327,666        COSTS(000):$0
  Survey of Occupational Injuries and Illnesses
FORMS: BLS-9300

OMB NO: 1220-0050    EXPIRATION DATE: 10/31/2005
RESPS:80,652         HOURS:95,352         COSTS(000):$0
  The Consumer Expenditure Surveys: The Quarterly Interview and
  the Diary
FORMS: CE-801 CE-802 CE-880 CE-880N

OMB NO: 1220-0079    EXPIRATION DATE: 08/31/2003
RESPS:860            HOURS:793            COSTS(000):$0
  Labor Market Information (LMI) Cooperative Agreement
FORMS: BLS-LMI-1A 1B 2A 2B

OMB NO: 1220-0090    EXPIRATION DATE: 11/30/2005
RESPS:23,848         HOURS:81,547         COSTS(000):$0
  Mass Layoff Statistics Program
FORMS: NONE

OMB NO: 1220-0100    EXPIRATION DATE: 08/31/2005
RESPS:684,000        HOURS:79,800         COSTS(000):$0
  Current Population Survey (CPS) Basic Labor Force
FORMS: NONE

OMB NO: 1220-0110    EXPIRATION DATE: 12/31/2003
RESPS:7,345          HOURS:7,904          COSTS(000):$0
  National Longitudinal Survey of Women
FORMS: NLS-A033 NLS-A033(L) NLS-A035.1 NSL-A035.2 NLS-A037.1 NLS-A037.2
NLS-A0336

OMB NO: 1220-0133    EXPIRATION DATE: 02/28/2005
RESPS:27,500         HOURS:5,000          COSTS(000):$0
  Census of Fatal Occupational Injuries
FORMS: BLS-CFOI-1

OMB NO: 1220-0134    EXPIRATION DATE: 02/29/2004
RESPS:459,068        HOURS:169,855        COSTS(000):$0
  Multiple Workshie Report and the Report of Federal Employment
  and Wages
FORMS: BLS-3020 BLS-3021

OMB NO: 1220-0141    EXPIRATION DATE: 01/31/2006
RESPS:4,000          HOURS:4,000          COSTS(000):$0
  Cognitive and Psychological Research
FORMS: NONE

OMB NO: 1220-0149    EXPIRATION DATE: 10/31/2003
RESPS:285            HOURS:342            COSTS(000):$0
  BLS/OSHS Federal/State Cooperative Agreement (Application
  Package)
FORMS: BLS-OSHS1 BLS-OSHS2

OMB NO: 1220-0157    EXPIRATION DATE: 09/30/2004
RESPS:17,151         HOURS:10,972         COSTS(000):$0
  National Longitudinal Survey of Youth 1997
FORMS: NONE

OMB NO: 1220-0163    EXPIRATION DATE: 08/31/2003
RESPS:163,394        HOURS:19,299         COSTS(000):$0
  Consumer Price Index (CPI) Housing Survey (CADC)
FORMS: NONE

OMB NO: 1220-0164    EXPIRATION DATE: 10/31/2004
RESPS:70,886         HOURS:66,593         COSTS(000):$0
  National Compensation Survey
FORMS: NONE

OMB NO: 1220-0168    EXPIRATION DATE: 09/30/2003
RESPS:23,890         HOURS:15,762         COSTS(000):$0
  General Inquiries to State Agency Contacts
FORMS: NONE

OMB NO: 1220-0170    EXPIRATION DATE: 04/30/2003
RESPS:111,440        HOURS:24,765         COSTS(000):$0
  Job Openings and Labor Turnover Survey (JOLTS)
FORMS: BLS-1411-C1 BLS-1411-C2 BLS-1411-C3 BLS-1411-TD1 BLS-1411-TD2
BLS-1411-TD3 BLS-1411-FM2 BLS-1411-FM3

OMB NO: 1220-0175    EXPIRATION DATE: 10/31/2004
RESPS:28,000         HOURS:9,333          COSTS(000):$0
  American Time Use Survey (ATUS)
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
26 10,859,225 3,513,183 $0
Departmental Management
OMB NO: 1225-0013    EXPIRATION DATE: 02/28/2005
RESPS:10             HOURS:50             COSTS(000):$0
  Equal Access to Justice Act
FORMS: NONE

OMB NO: 1225-0030    EXPIRATION DATE: 09/30/2003
RESPS:7,000          HOURS:12,250         COSTS(000):$0
  Disclosure of Information to Credit Reporting Agencies;
  Administrative Offset, Interest, Penalties and Administrative
  Costs
FORMS: NONE

OMB NO: 1225-0038    EXPIRATION DATE: 11/30/2003
RESPS:300            HOURS:375            COSTS(000):$0
  Salary Offset
FORMS: NONE

OMB NO: 1225-0044    EXPIRATION DATE: 11/30/2003
RESPS:5,500          HOURS:5,840          COSTS(000):$0
  National Agricultural Workers Survey
FORMS: NONE

OMB NO: 1225-0059    EXPIRATION DATE: 06/30/2003
RESPS:63,750         HOURS:13,500         COSTS(000):$0
  Customer Satisfaction Surveys and Conference Evaluations Generic
  Clearance
FORMS: NONE

OMB NO: 1225-0072    EXPIRATION DATE: 11/30/2003
RESPS:3,000          HOURS:250            COSTS(000):$0
  Applicant Background Questionnaire
FORMS: NONE

OMB NO: 1225-0080    EXPIRATION DATE: 12/31/2005
RESPS:110            HOURS:588            COSTS(000):$0
  Women in Apprenticeship and Nontraditional Occupations (WANTO)
  Act Grant Application and Reporting Requirements
FORMS: NONE

OMB NO: 1225-0082    EXPIRATION DATE: 06/30/2003
RESPS:1,000          HOURS:100            COSTS(000):$0
  The National Survey of Attitudes Reguarding Comp Time and
  Balancing Work and Family
FORMS: NONE

OMB NO: 1225-0083    EXPIRATION DATE: 02/28/2006
RESPS:1,000          HOURS:80             COSTS(000):$0
  Survey on Ensuring Equal Opportunity for Applicants
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
9 81,670 33,033 $0
Office of Disability Employment Policy
OMB NO: 1230-0002    EXPIRATION DATE: 12/31/2005
RESPS:100            HOURS:1,000          COSTS(000):$0
  Solicitation of Nominations for the Department of Labor's New
  Freedom Initiative Award
FORMS: NONE

OMB NO: 1230-0003    EXPIRATION DATE: 02/28/2006
RESPS:14,100         HOURS:4,655          COSTS(000):$0
  Employment Assistance Referral Network (EARN) Employer and
  Provider Enrollment Forms, Employer Job Posting Form, and
  Employer and Provider Surveys
FORMS: EARN-1 EARN-2

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
2 14,200 5,655 $0
Office of the Secretary
OMB NO: 1290-0002    EXPIRATION DATE: 08/31/2004
RESPS:6,000          HOURS:540            COSTS(000):$0
  Small Business Program Information Management System
FORMS: NONE

OMB NO: 1290-0003    EXPIRATION DATE: 12/31/2005
RESPS:3,719,308      HOURS:111,579        COSTS(000):$0
  Information Collection Plan for GovBenefits Online
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
2 3,725,308 112,119 $0
Office of the Assistant Secretary for Veterans' Employment and Training
OMB NO: 1293-0002    EXPIRATION DATE: 01/31/2004
RESPS:1,500          HOURS:375            COSTS(000):$0
  Eligibility Data Form: Uniformed Services and Reemployment
  Rights Act and Veteran's Preference
FORMS: USERRA/VP-1010

OMB NO: 1293-0005    EXPIRATION DATE: 04/30/2003
RESPS:194,580        HOURS:145,935        COSTS(000):$0
  Federal Contractor Veterans' Employment Report - VETS-100
FORMS: VETS-100

OMB NO: 1293-0009    EXPIRATION DATE: 09/30/2004
RESPS:5,065          HOURS:19,465         COSTS(000):$0
  VETS 300 Cost Accounting Report and Manager's Report
FORMS: VETS-300

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
3 201,145 165,775 $0

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
412 1,354,433,272 159,835,553 $1,796,830
(RETURN TO AGENCY LIST)

Department of State
Administration of Foreign Affairs
OMB NO: 1405-0002    EXPIRATION DATE: 07/31/2005
RESPS:5,000          HOURS:10,000         COSTS(000):$3,000
  Statement of Registration
FORMS: DS-2032

OMB NO: 1405-0003    EXPIRATION DATE: 07/31/2005
RESPS:30,000         HOURS:30,000         COSTS(000):$0
  Application/License for permanent export of unclassified defense
  articles and related unclassified technical data
FORMS: DSP-5 DSP-5(WEBBASED)

OMB NO: 1405-0004    EXPIRATION DATE: 03/31/2005
RESPS:8,411,550      HOURS:2,803,850      COSTS(000):$720,500
  Application for Passport/Registration
FORMS: DS-11

OMB NO: 1405-0007    EXPIRATION DATE: 12/31/2005
RESPS:230,912        HOURS:19,243         COSTS(000):$2,093
  Passport Amendment/Validation Application
FORMS: DS-19

OMB NO: 1405-0008    EXPIRATION DATE: 04/30/2003
RESPS:13,660         HOURS:3,415          COSTS(000):$0
  Department of State-Foreign Service Officer Written Examination
  Registration
FORMS: DS-1998

OMB NO: 1405-0013    EXPIRATION DATE: 07/31/2005
RESPS:1,000          HOURS:500            COSTS(000):$0
  Application/License for temporary import of unclassified defense
  articles
FORMS: DSP-61

OMB NO: 1405-0014    EXPIRATION DATE: 12/31/2005
RESPS:75,000         HOURS:6,250          COSTS(000):$0
  Statement Regarding A Lost or Stolen Passport
FORMS: DS-64

OMB NO: 1405-0015    EXPIRATION DATE: 05/31/2004
RESPS:750,000        HOURS:1,500,000      COSTS(000):$0
  Application for Immigrant Visa and Alien Registration
FORMS: DS-230

OMB NO: 1405-0018    EXPIRATION DATE: 08/31/2004
RESPS:9,600,000      HOURS:9,600,000      COSTS(000):$432,000
  Nonimmigrant Visa Application
FORMS: DS-156(PAPER) DS-156(WEBFORM)

OMB NO: 1405-0020    EXPIRATION DATE: 03/31/2005
RESPS:1,462,200      HOURS:365,300        COSTS(000):$125,916
  Application for Passport by mail
FORMS: DS-82

OMB NO: 1405-0021    EXPIRATION DATE: 07/31/2005
RESPS:17,000         HOURS:17,000         COSTS(000):$0
  Non Transfer and Use Certificate
FORMS: DSP-83

OMB NO: 1405-0022    EXPIRATION DATE: 07/31/2005
RESPS:250            HOURS:250            COSTS(000):$0
  Application/License for Permanent/Temporary Export or Temporary
  Import of Classified Defense Articles and Classified Technical
  Data
FORMS: DSP-85

OMB NO: 1405-0023    EXPIRATION DATE: 07/31/2005
RESPS:2,500          HOURS:2,500          COSTS(000):$0
  Application/License for temporary export of unclassified defense
  articles
FORMS: DSP-73

OMB NO: 1405-0025    EXPIRATION DATE: 07/31/2005
RESPS:12,000         HOURS:12,000         COSTS(000):$0
  Statement of political contributions, fees or commissions in
  connection with the sale of defense articles or services
FORMS: NONE

OMB NO: 1405-0031    EXPIRATION DATE: 09/30/2005
RESPS:89             HOURS:45             COSTS(000):$0
  Approval of Funding to Support Educational Projects
FORMS: 2061

OMB NO: 1405-0033    EXPIRATION DATE: 01/31/2004
RESPS:190            HOURS:217            COSTS(000):$7
  Overseas Schools - Grant Status Report
FORMS: DS-2028

OMB NO: 1405-0036    EXPIRATION DATE: 07/31/2005
RESPS:189            HOURS:284            COSTS(000):$0
  Grant Request Automated Submissions Program (GRASP) (Formerly
  Overseas Schools Questionnaire)
FORMS: DS-573 DS-574 DS-575 DS-576 DS-577

OMB NO: 1405-0050    EXPIRATION DATE: 02/28/2006
RESPS:2,790          HOURS:225,503        COSTS(000):$283
  Department of State Acquisition Regulation (DOSAR)
FORMS: NONE

OMB NO: 1405-0051    EXPIRATION DATE: 07/31/2005
RESPS:2,500          HOURS:1,250          COSTS(000):$0
  Authority to export defense articles and services sold under the
  foreign military sales (FMS) Program
FORMS: DSP-94

OMB NO: 1405-0060    EXPIRATION DATE: 04/30/2003
RESPS:5,000          HOURS:2,125          COSTS(000):$100
  Notification of Appointment of Foreign Government Employees
FORMS: DS-2004

OMB NO: 1405-0061    EXPIRATION DATE: 04/30/2003
RESPS:6,000          HOURS:720            COSTS(000):$0
  Notification of Termination of Diplomatic, Consular, and Foreign
  Government Employees
FORMS: DS-2008

OMB NO: 1405-0062    EXPIRATION DATE: 04/30/2003
RESPS:2,000          HOURS:850            COSTS(000):$40
  Notification of Appointment of Foreign Diplomatic Officer and
  Career Consular Officer
FORMS: DS-2003

OMB NO: 1405-0064    EXPIRATION DATE: 04/30/2003
RESPS:200            HOURS:80             COSTS(000):$4
  Notification of Appointment of Honorary Consular Officer
FORMS: DS-2005

OMB NO: 1405-0068    EXPIRATION DATE: 09/30/2005
RESPS:12,000         HOURS:12,000         COSTS(000):$0
  Medical History and Examination for Foreign Service-For persons
  12 years and over Medical History and Examination for Foreign
  Service-For children 11 years under
FORMS: DS-1843 DS-1622

OMB NO: 1405-0069    EXPIRATION DATE: 12/31/2005
RESPS:2,916          HOURS:49             COSTS(000):$0
  Application for Diplomatic Exemption from Taxes on Utilities
  Application for Diplomatic Exemption from Taxes on Gasoline
FORMS: DS-98 DS-99

OMB NO: 1405-0072    EXPIRATION DATE: 03/31/2006
RESPS:1,800          HOURS:9,250          COSTS(000):$0
  Diplomatic Motor Vehicles Application for: Vehicle Registration,
  Title & Replacement Plates
FORMS: DS-100 DS-101 DS-102 DS-104

OMB NO: 1405-0076    EXPIRATION DATE: 10/31/2003
RESPS:500            HOURS:500            COSTS(000):$0
  Application for Assistance Under the Hague Convention on Child
  Abduction
FORMS: DS-3013

OMB NO: 1405-0082    EXPIRATION DATE: 05/31/2003
RESPS:500            HOURS:250            COSTS(000):$0
  Petition to Classify Special Immigrant Under INA 203(b)(4) as an
  employee or former employee of the U.S. Government
FORMS: DS-1884

OMB NO: 1405-0088    EXPIRATION DATE: 12/31/2005
RESPS:120,000        HOURS:10,000         COSTS(000):$0
  Affidavit of Identifying Witness
FORMS: DS-71

OMB NO: 1405-0089    EXPIRATION DATE: 04/30/2003
RESPS:5,000          HOURS:600            COSTS(000):$0
  Notification of Change Identification Card Request
FORMS: DS-2006

OMB NO: 1405-0090    EXPIRATION DATE: 04/30/2003
RESPS:7,000          HOURS:840            COSTS(000):$140
  Notification of Dependents of Diplomatic, Consular, and Foreign
  Government Employees (Continuation Sheet)
FORMS: DS-2007

OMB NO: 1405-0091    EXPIRATION DATE: 05/31/2004
RESPS:1,000          HOURS:500            COSTS(000):$0
  Application to Determine Returning Resident Status
FORMS: DS-117

OMB NO: 1405-0092    EXPIRATION DATE: 07/31/2005
RESPS:9,000          HOURS:4,500          COSTS(000):$0
  Application for amendment to license for export or import of
  classified or unclassified defense articles and related
  technical data
FORMS: DSP-119

OMB NO: 1405-0093    EXPIRATION DATE: 07/31/2005
RESPS:5,000          HOURS:10,000         COSTS(000):$0
  Request for approval of manufacturing license agreements,
  technical assistance agreements and other agreements
FORMS: NONE

OMB NO: 1405-0095    EXPIRATION DATE: 07/31/2004
RESPS:10,000         HOURS:1,666          COSTS(000):$0
  Shrimp Exporter's/Importer's Declaration
FORMS: DS-2031

OMB NO: 1405-0096    EXPIRATION DATE: 05/31/2004
RESPS:18,500         HOURS:18,500         COSTS(000):$0
  Nonimmigrant Fiance(e) Visa Application
FORMS: DS-156K

OMB NO: 1405-0098    EXPIRATION DATE: 06/30/2003
RESPS:90,000         HOURS:45,000         COSTS(000):$0
  Supplemental Registration for the Diversity Immigrant Visa
  Program
FORMS: DSP-122

OMB NO: 1405-0100    EXPIRATION DATE: 06/30/2003
RESPS:20,000         HOURS:10,000         COSTS(000):$0
  Application for A, G, or NATO Visa
FORMS: DS-1648

OMB NO: 1405-0101    EXPIRATION DATE: 05/31/2004
RESPS:17,000         HOURS:34,000         COSTS(000):$0
  Nonimmigrant Treaty Trader/Investor Application
FORMS: DS-156E

OMB NO: 1405-0102    EXPIRATION DATE: 12/31/2004
RESPS:80,000         HOURS:40,000         COSTS(000):$0
  Refugee BiographicDData
FORMS: NONE

OMB NO: 1405-0104    EXPIRATION DATE: 02/28/2005
RESPS:13,200         HOURS:3,072          COSTS(000):$0
  Request for Customs Clearance of Merchandise
FORMS: DS-1504

OMB NO: 1405-0105    EXPIRATION DATE: 04/30/2005
RESPS:12,500         HOURS:6,250          COSTS(000):$0
  United States Department of State Driver License and Tax
  Exemption Card Application
FORMS: DS-1972

OMB NO: 1405-0111    EXPIRATION DATE: 07/31/2005
RESPS:5,000          HOURS:100,000        COSTS(000):$1,500
  "Maintenance of records by registrants" Section 122.5 of the
  International Traffic in Arms Regulations (ITAR)
FORMS: NONE

OMB NO: 1405-0113    EXPIRATION DATE: 01/31/2004
RESPS:700,000        HOURS:1,400,000      COSTS(000):$70,000
  Medical Examination of Applicants for United States Visas
FORMS: DS-2053 DS-3024 DS-3025 DS-3026

OMB NO: 1405-0114    EXPIRATION DATE: 09/30/2005
RESPS:862            HOURS:1,724          COSTS(000):$0
  Fulbright Teacher and Administrator Exchange Program Application
  OMB#1405-0114 U.S. Department of State, Bureau of Education and
  Cultural Affairs
FORMS: 4500 4501 4502 4503 4504 4505 4506

OMB NO: 1405-0115    EXPIRATION DATE: 03/31/2005
RESPS:800            HOURS:16,000         COSTS(000):$418
  Proposal Submission Instructions
FORMS: DS-2011 DS-2012 DS-2013 DS-2014 DS-2015 DS-2016 DS-2017 DS-2018

OMB NO: 1405-0118    EXPIRATION DATE: 02/28/2005
RESPS:3,877          HOURS:1,938          COSTS(000):$0
  Evaluation of DOS-sponsored Educational and Cultural Exchange
  Programs (formerly, USIA-sponsored Educational and Cultural
  Exchange Activities; USIA Program Participant Survey
FORMS: NONE

OMB NO: 1405-0119    EXPIRATION DATE: 02/28/2005
RESPS:300,000        HOURS:225,000        COSTS(000):$5,625
  Certificate of Eligibility for Exchange Visitor (J-1) Status
FORMS: DS-2019

OMB NO: 1405-0120    EXPIRATION DATE: 09/30/2005
RESPS:3,150          HOURS:2,200          COSTS(000):$119,850
  Exchange Visitor Program
FORMS: 3036 3037

OMB NO: 1405-0124    EXPIRATION DATE: 08/31/2003
RESPS:20,200         HOURS:12,400         COSTS(000):$0
  Irish Peace Process Cultural and Training Program (IPPCTP)
  Employer Information Collection
FORMS: NONE

OMB NO: 1405-0126    EXPIRATION DATE: 10/31/2003
RESPS:350,000        HOURS:175,000        COSTS(000):$0
  Choice of Address and Agent for US Department of State Immigrant
  Visa Applicants
FORMS: NONE

OMB NO: 1405-0128    EXPIRATION DATE: 06/30/2003
RESPS:100,000        HOURS:100,000        COSTS(000):$0
  Nonimmigrant V Visa Application
FORMS: DS-3052

OMB NO: 1405-0129    EXPIRATION DATE: 03/31/2005
RESPS:1,300,000      HOURS:108,300        COSTS(000):$0
  Statement of Consent: Issuance of a passport to a minor under
  the age of 14
FORMS: DS-3053

OMB NO: 1405-0131    EXPIRATION DATE: 05/31/2005
RESPS:12,000         HOURS:3,000          COSTS(000):$0
  Medical Clearance Update
FORMS: DS-3057

OMB NO: 1405-0132    EXPIRATION DATE: 11/30/2004
RESPS:81,500         HOURS:20,375         COSTS(000):$0
  Birth Affidavit
FORMS: DS-10

OMB NO: 1405-0133    EXPIRATION DATE: 11/30/2004
RESPS:106,800        HOURS:26,700         COSTS(000):$0
  Affidavit regarding change of name
FORMS: DS-60

OMB NO: 1405-0134    EXPIRATION DATE: 07/31/2005
RESPS:960,000        HOURS:9,600,000      COSTS(000):$0
  Supplemental Nonimmigrant Visa Application
FORMS: DS-157

OMB NO: 1405-0135    EXPIRATION DATE: 03/31/2005
RESPS:10,000         HOURS:20,000         COSTS(000):$1,360
  J-1 Visa Waiver Review Application
FORMS: DS-3035

OMB NO: 1405-0137    EXPIRATION DATE: 04/30/2005
RESPS:1,485          HOURS:743            COSTS(000):$0
  Evaluation of DOS-Sponsored Citizen Exchange Programs
FORMS: NONE

OMB NO: 1405-0138    EXPIRATION DATE: 04/30/2005
RESPS:2,386          HOURS:1,193          COSTS(000):$0
  Evaluation of DOS-Sponsored Academic Exchange Programs
FORMS: NONE

OMB NO: 1405-0139    EXPIRATION DATE: 05/31/2005
RESPS:25,000         HOURS:12,500         COSTS(000):$0
  U.S. Department of State, Application for Employment, DS-1950
FORMS: DS-1950

OMB NO: 1405-0141    EXPIRATION DATE: 07/31/2005
RESPS:500            HOURS:1,000          COSTS(000):$0
  Reporting on brokering activities
FORMS: NONE

OMB NO: 1405-0142    EXPIRATION DATE: 07/31/2005
RESPS:30             HOURS:60             COSTS(000):$0
  Prior approval for brokering activity
FORMS: NONE

OMB NO: 1405-0143    EXPIRATION DATE: 05/31/2005
RESPS:250            HOURS:3,750          COSTS(000):$0
  Thomas R. Pickering Foreign Affairs Fellowship Program
FORMS: DS-3091

OMB NO: 1405-0144    EXPIRATION DATE: 04/30/2003
RESPS:2,500,000      HOURS:2,500,000      COSTS(000):$0
  Contact Information and Work History For Nonimmigrant Visa
  Applicant
FORMS: DS-158

OMB NO: 1405-0145    EXPIRATION DATE: 09/30/2005
RESPS:200            HOURS:100            COSTS(000):$54
  Training Registration Form (For Non-US Government Persons)
FORMS: 3083

OMB NO: 1405-0146    EXPIRATION DATE: 12/31/2005
RESPS:20,000         HOURS:1,667          COSTS(000):$0
  Statement of Non-Receipt of a Passport
FORMS: DS-86

OMB NO: 1405-0147    EXPIRATION DATE: 06/30/2003
RESPS:1,666          HOURS:272,100        COSTS(000):$0
  22 CFR Part 62
FORMS: NONE

OMB NO: 1405-0148    EXPIRATION DATE: 09/30/2003
RESPS:3,120          HOURS:6,240          COSTS(000):$0
  Technical Assistance Agreement (TAA) Cover Letter; Technical
  Assistance Agreement
FORMS: DS-4028 DS-4029

OMB NO: 1405-0150    EXPIRATION DATE: 09/30/2003
RESPS:500            HOURS:83             COSTS(000):$0
  Emergency Loan Application and Evacuation Documentation
FORMS: DS-3072

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
70 27,565,272 29,420,432 $1,482,890

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
70 27,565,272 29,420,432 $1,482,890
(RETURN TO AGENCY LIST)

Department of Transportation
Department of Transportation
OMB NO: 2100-0019    EXPIRATION DATE: 06/30/2005
RESPS:3,448          HOURS:316,226        COSTS(000):$0
  American with Disabilities; Information Collection Requirements
  for Final Rule on Over-the-Road Buses
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
1 3,448 316,226 $0
Office of the Secretary
OMB NO: 2105-0009    EXPIRATION DATE: 02/28/2006
RESPS:1              HOURS:25             COSTS(000):$0
  Advisory Committee Candidate Biographical Information Request
FORMS: F1120.1

OMB NO: 2105-0508    EXPIRATION DATE: 09/30/2004
RESPS:1,460          HOURS:29,043         COSTS(000):$0
  Uniform Relocation Assistance and Real Property Acquisition
  Regulations for Federal and Federally Assisted Programs
FORMS: NONE

OMB NO: 2105-0510    EXPIRATION DATE: 04/30/2003
RESPS:1,798          HOURS:1,456,683      COSTS(000):$0
  Report of DBE Awards and Commitments
FORMS: DOT-F4630

OMB NO: 2105-0517    EXPIRATION DATE: 11/30/2003
RESPS:25,094         HOURS:33,115         COSTS(000):$0
  Transportation Acquisition Regulation (TAR)
FORMS: DOT-F-4220.4 4220.7 4220.43 4220.45 4220.46 FORM-DD882

OMB NO: 2105-0520    EXPIRATION DATE: 10/31/2004
RESPS:7,180          HOURS:125,650        COSTS(000):$0
  Uniform Administrative Requirements for Grants and Cooperative
  Agreements to State and Local Governments
FORMS: 269 270 271 272 424

OMB NO: 2105-0529    EXPIRATION DATE: 01/31/2004
RESPS:8,475,340      HOURS:842,478        COSTS(000):$0
  Procedures for Transportation Drug and Alcohol Testing Program
FORMS: NONE

OMB NO: 2105-0531    EXPIRATION DATE: 08/31/2004
RESPS:600            HOURS:10,500         COSTS(000):$0
  Uniform Administrative Requirements for Grants and Agreements
  with Institutions of Higher Education, Hospitals and Other Non-
  Profit Organizations
FORMS: NONE

OMB NO: 2105-0534    EXPIRATION DATE: 03/31/2004
RESPS:55,800,000     HOURS:1,050,000      COSTS(000):$0
  Passenger Manifest Information
FORMS: NONE

OMB NO: 2105-0537    EXPIRATION DATE: 09/30/2005
RESPS:102            HOURS:849,988        COSTS(000):$0
  Disclosure of Code-Sharing Arrangements and Long-Term Wet Leases
FORMS: NONE

OMB NO: 2105-0538    EXPIRATION DATE: 09/30/2005
RESPS:740,000,000    HOURS:308,861        COSTS(000):$0
  Disclosure of Change-of-gauge Services
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
10 804,311,575 4,706,343 $0
Office of the Secretary - Aviation
OMB NO: 2106-0005    EXPIRATION DATE: 01/31/2006
RESPS:1,738          HOURS:1,343          COSTS(000):$0
  Public Charter-14 CFR Part 380
FORMS: 4532 4533 4534 4535

OMB NO: 2106-0009    EXPIRATION DATE: 09/30/2005
RESPS:3,068,200      HOURS:650,000        COSTS(000):$0
  14 CFR Part 221 - Construction, Publication, Filing and Posting
  of Tariffs of Air Carriers and Foreign Air Carriers
FORMS: NONE

OMB NO: 2106-0023    EXPIRATION DATE: 11/30/2003
RESPS:127            HOURS:4,604          COSTS(000):$0
  Procedures & Evidence rules for Air Carrier Authority
  Applications
FORMS: NONE

OMB NO: 2106-0030    EXPIRATION DATE: 02/29/2004
RESPS:5,525          HOURS:2,763          COSTS(000):$0
  Aircraft Accident Liability Insurance
FORMS: OST-FORM-6410 OST-FORM-6411

OMB NO: 2106-0043    EXPIRATION DATE: 09/30/2003
RESPS:15             HOURS:69             COSTS(000):$0
  Use and Change of Names of Air Carriers, Foreign Air Carriers,
  and Commuter Air Carriers
FORMS: NONE

OMB NO: 2106-0044    EXPIRATION DATE: 09/30/2003
RESPS:816            HOURS:4,176          COSTS(000):$0
  Supporting Statements--Air Carriers' claims for subsidy payments
FORMS: OST-FORM-397 OST-FORM-398

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
6 3,076,421 662,955 $0
Federal Aviation Administration
OMB NO: 2120-0001    EXPIRATION DATE: 05/31/2004
RESPS:53,000         HOURS:15,500         COSTS(000):$0
  Notice of Proposed Construction or Alteration, Notice of Actual
  Construction or Alteration, & Project Status Report
FORMS: FORM-7460-1 FORM-7460-2

OMB NO: 2120-0003    EXPIRATION DATE: 07/31/2005
RESPS:56,045         HOURS:8,407          COSTS(000):$0
  Malfunction or Defect Report
FORMS: 8010-4

OMB NO: 2120-0005    EXPIRATION DATE: 02/28/2005
RESPS:21,197         HOURS:231,064        COSTS(000):$0
  General Operating and Flight Rules - 14 CFR Part 91
FORMS: NONE

OMB NO: 2120-0007    EXPIRATION DATE: 12/31/2005
RESPS:4,891          HOURS:1,416          COSTS(000):$0
  Flight Engineers and Flight Navigators-FAR Part 63
FORMS: 8400-3

OMB NO: 2120-0008    EXPIRATION DATE: 12/31/2005
RESPS:61,844         HOURS:1,273,247      COSTS(000):$0
  Part 121-Operating Requirements: Domestic, Flag, and
  Supplemental Operations
FORMS: 8070-1

OMB NO: 2120-0009    EXPIRATION DATE: 09/30/2005
RESPS:524            HOURS:28,878         COSTS(000):$0
  Pilot Schools-FAR 141
FORMS: 8420-8

OMB NO: 2120-0010    EXPIRATION DATE: 04/30/2003
RESPS:1,100          HOURS:304,647        COSTS(000):$0
  Repair Station Certification
FORMS: 8310-3

OMB NO: 2120-0014    EXPIRATION DATE: 12/31/2005
RESPS:2,413          HOURS:33,116         COSTS(000):$0
  Procedures for non-Federal Navigational Facilities, FAR Part 171
FORMS: 6030-1 6030-17 6790-4 6790-5

OMB NO: 2120-0015    EXPIRATION DATE: 10/31/2005
RESPS:19,345         HOURS:8,770          COSTS(000):$0
  Airport Master Record
FORMS: 5010-1 5010-2 5010-3 5010-5

OMB NO: 2120-0018    EXPIRATION DATE: 07/31/2004
RESPS:52,020         HOURS:44,101         COSTS(000):$0
  Certification Procedures for Products and Parts FAR 21
FORMS: 8110-12 8130-1 8130-6 8130-9 8130-12

OMB NO: 2120-0020    EXPIRATION DATE: 08/31/2004
RESPS:184,006        HOURS:1,432,784      COSTS(000):$0
  Maintenance, Preventive Maintenance, Rebuilding and Alteration
  FAR Part 43
FORMS: FAA-337

OMB NO: 2120-0021    EXPIRATION DATE: 04/30/2004
RESPS:125,500        HOURS:252,100        COSTS(000):$0
  Certification: Pilots and Flight Instructors
FORMS: FAA8710-1

OMB NO: 2120-0022    EXPIRATION DATE: 06/30/2004
RESPS:34,970         HOURS:34,432         COSTS(000):$0
  Certificate: Mechanics, Repairmen, Parachute Riggers, and
  Inspection Authorizations-FAR Part 65
FORMS: FAA-FORM-8610-1 FAA-FORM-8610-2

OMB NO: 2120-0024    EXPIRATION DATE: 05/31/2005
RESPS:2,077          HOURS:1,557          COSTS(000):$0
  Dealer's Aircraft Registration Application
FORMS: 8050-5

OMB NO: 2120-0026    EXPIRATION DATE: 04/30/2003
RESPS:17,584,302     HOURS:293,072        COSTS(000):$0
  Domestic and International Flight Plan Forms
FORMS: 7233-1 7233-4

OMB NO: 2120-0027    EXPIRATION DATE: 06/30/2005
RESPS:25,231         HOURS:12,202         COSTS(000):$0
  Application for Certificate of Waiver or Authorization
FORMS: 7711-2

OMB NO: 2120-0033    EXPIRATION DATE: 12/31/2003
RESPS:4,840          HOURS:3,974          COSTS(000):$0
  Representatives of the Administrator, FAR 183
FORMS: FAA-8110-14 FAA-8110-28 FAA-8710-9 FAA-8110-10

OMB NO: 2120-0034    EXPIRATION DATE: 11/30/2004
RESPS:483,554        HOURS:707,253        COSTS(000):$0
  Medical Standards and Certification (14 CFR part 67) Duration of
  Medical Certificates (14 CFR part 61)
FORMS: 8500-7 8500-8 8500-14 8500-20

OMB NO: 2120-0036    EXPIRATION DATE: 01/31/2004
RESPS:3,868          HOURS:2,901          COSTS(000):$0
  Notice of Landing Area Proposal
FORMS: FAA/7480-1

OMB NO: 2120-0039    EXPIRATION DATE: 04/30/2003
RESPS:9,050,493      HOURS:1,128,904      COSTS(000):$0
  Operating Requirements: Commuter and On-Demand Operation -- 14
  CFR Part 135
FORMS: 8070-1

OMB NO: 2120-0040    EXPIRATION DATE: 11/30/2004
RESPS:174            HOURS:66,134         COSTS(000):$0
  Aviation Maintenance Technician Schools - FAR Part 147
FORMS: 8310-6

OMB NO: 2120-0042    EXPIRATION DATE: 06/30/2005
RESPS:119,592        HOURS:73,572         COSTS(000):$0
  Aircraft Registration
FORMS: AC8050-1 AC8050-2 AC8050-4 AC8050-81 AC8050-98 AC8050-117

OMB NO: 2120-0043    EXPIRATION DATE: 04/30/2003
RESPS:55,406         HOURS:55,406         COSTS(000):$0
  Recording of Aircraft Conveyanes and Security Documents
FORMS: AC8050-41

OMB NO: 2120-0044    EXPIRATION DATE: 09/30/2005
RESPS:1,449          HOURS:3,268          COSTS(000):$0
  Rotorcraft External-Load Certificate Application
FORMS: 8710-4

OMB NO: 2120-0045    EXPIRATION DATE: 08/31/2003
RESPS:5,000          HOURS:400            COSTS(000):$0
  Bird/Other Wildlife Strike
FORMS: FAA-FORM-5200-7

OMB NO: 2120-0049    EXPIRATION DATE: 04/30/2003
RESPS:1,075          HOURS:14,037         COSTS(000):$0
  Agricultural Aircraft Operator Certificate Application
FORMS: FAA-FORM-8710-3

OMB NO: 2120-0056    EXPIRATION DATE: 07/31/2004
RESPS:25,725         HOURS:2,144          COSTS(000):$0
  Report of Inspections Required by Airworthiness Directives, 14
  CFR Part 39
FORMS: NONE

OMB NO: 2120-0057    EXPIRATION DATE: 01/31/2005
RESPS:17,392         HOURS:1,769          COSTS(000):$0
  Safety Improvement Report, Accident Prevention Counselor
  Activity Reports
FORMS: 8740-5 8740-6

OMB NO: 2120-0060    EXPIRATION DATE: 10/31/2005
RESPS:16,500         HOURS:5,500          COSTS(000):$0
  General Aviation/Air Taxi activity and Avionics Survey
FORMS: 1800-54

OMB NO: 2120-0063    EXPIRATION DATE: 05/31/2005
RESPS:274,885        HOURS:173,869        COSTS(000):$0
  Certificationof Airports
FORMS: 5280-1

OMB NO: 2120-0067    EXPIRATION DATE: 07/31/2004
RESPS:500            HOURS:750            COSTS(000):$0
  Air Taxi and Commercial Operator Activity Survey
FORMS: 1800-31

OMB NO: 2120-0085    EXPIRATION DATE: 04/30/2004
RESPS:45,999         HOURS:29,445         COSTS(000):$0
  Certification and Operations: Federal Aviation Regulations Part
  125
FORMS: NONE

OMB NO: 2120-0101    EXPIRATION DATE: 07/31/2004
RESPS:5,500          HOURS:733            COSTS(000):$0
  Physiological Training
FORMS: FORM-3150-7

OMB NO: 2120-0507    EXPIRATION DATE: 06/30/2005
RESPS:39             HOURS:326            COSTS(000):$0
  Special Federal Aviation Regulation (SFAR) 36, development of
  Major Repair Data
FORMS: 8100-8

OMB NO: 2120-0508    EXPIRATION DATE: 07/31/2004
RESPS:1,200          HOURS:100            COSTS(000):$0
  Fuel Venting and Exhaust Emission Requirements for Turbine
  Engine Powered Airplanes
FORMS: NONE

OMB NO: 2120-0514    EXPIRATION DATE: 07/31/2005
RESPS:530            HOURS:1,668          COSTS(000):$0
  War Risk Insurance (Formerly Aviation Insurance)
FORMS: NONE

OMB NO: 2120-0517    EXPIRATION DATE: 02/28/2005
RESPS:28             HOURS:50,400         COSTS(000):$0
  14 CFR Part 150-Airport Noise Compatibility Planning
FORMS: NONE

OMB NO: 2120-0524    EXPIRATION DATE: 09/30/2004
RESPS:2,742          HOURS:3,064          COSTS(000):$0
  High Density Traffic Airports; Slot Allocation and Transfer
  Methods
FORMS: NONE

OMB NO: 2120-0535    EXPIRATION DATE: 12/31/2005
RESPS:251,729        HOURS:26,373         COSTS(000):$0
  Antidrug and Alcohol Misuse Prevention Programs for Personnel
  Engaged in Specified Aviation Activities
FORMS: 9000-2 9000-3

OMB NO: 2120-0539    EXPIRATION DATE: 01/31/2005
RESPS:15             HOURS:600            COSTS(000):$0
  Implementation of the Equal Access to Justice Act
FORMS: NONE

OMB NO: 2120-0543    EXPIRATION DATE: 01/31/2006
RESPS:2,184          HOURS:364            COSTS(000):$0
  Pilots Convicted of Alcohol or Drug-Related Motor Vehicle
  Offenses or Subject to State Motor Vehicle Administrative
  Procedures.
FORMS: 8500-8

OMB NO: 2120-0552    EXPIRATION DATE: 04/30/2003
RESPS:400            HOURS:60             COSTS(000):$0
  Suspected Unapproved Parts Notification
FORMS: FORM-8120-11

OMB NO: 2120-0557    EXPIRATION DATE: 08/31/2003
RESPS:1,655          HOURS:26,592         COSTS(000):$0
  Passenger Facility Charge (PFC) Application
FORMS: FAA-FORM-5500-1

OMB NO: 2120-0559    EXPIRATION DATE: 09/30/2003
RESPS:100            HOURS:1,400          COSTS(000):$0
  Aviation Research Grants Program
FORMS: FAA-9550-1 FAA-9550-2 FAA-9550-3 FAA-9550-5 SF-269 SF-270 SF-272
SF-3881 SF-LLL

OMB NO: 2120-0563    EXPIRATION DATE: 11/30/2003
RESPS:8              HOURS:30,000         COSTS(000):$0
  Notice and Approval of Airport Noise and Access Restrictions
FORMS: NONE

OMB NO: 2120-0568    EXPIRATION DATE: 05/31/2004
RESPS:33,333         HOURS:6,667          COSTS(000):$0
  FAA Flight Standards Customer Satisfaction Survey
FORMS: NONE

OMB NO: 2120-0569    EXPIRATION DATE: 07/31/2004
RESPS:10,176         HOURS:67,714         COSTS(000):$0
  Airports Grants Program
FORMS: 5100-100 5100-108 5100-125 5100-126 5370-1

OMB NO: 2120-0570    EXPIRATION DATE: 04/30/2005
RESPS:75             HOURS:6,822          COSTS(000):$0
  Part 142-Certificated Training Centers, Simulator Rule
FORMS: 8400-8

OMB NO: 2120-0574    EXPIRATION DATE: 06/30/2005
RESPS:180            HOURS:180            COSTS(000):$0
  Aviation Safety Counselor of the Year Award
FORMS: 8740-14

OMB NO: 2120-0587    EXPIRATION DATE: 10/31/2005
RESPS:3,333          HOURS:3,333          COSTS(000):$0
  Aviator Safety Studies
FORMS: NONE

OMB NO: 2120-0593    EXPIRATION DATE: 12/31/2004
RESPS:1,702          HOURS:8,855          COSTS(000):$0
  Part 119-Certification: Air Carrier and Commercial Operators
FORMS: FORM-8400-6

OMB NO: 2120-0595    EXPIRATION DATE: 05/31/2005
RESPS:264,718        HOURS:1,701,099      COSTS(000):$0
  Federal Aviation Administration Acquisition Management System
  (FAAAMS)
FORMS: NONE

OMB NO: 2120-0597    EXPIRATION DATE: 04/30/2003
RESPS:50,000         HOURS:75,000         COSTS(000):$0
  Application for Employment with the Federal Aviation
  Administration
FORMS: 3330.76

OMB NO: 2120-0600    EXPIRATION DATE: 12/31/2005
RESPS:3,000          HOURS:13             COSTS(000):$0
  Training and Qualification Requirements for Check Airmen and
  Flight Instructors
FORMS: NONE

OMB NO: 2120-0601    EXPIRATION DATE: 08/31/2005
RESPS:5              HOURS:1,305          COSTS(000):$0
  Commercial Space Transportation Financial Responsibility for
  Licensed Launch Activities
FORMS: NONE

OMB NO: 2120-0604    EXPIRATION DATE: 12/31/2005
RESPS:450            HOURS:225            COSTS(000):$0
  Aviation Medical Examiner Program
FORMS: 8520-2

OMB NO: 2120-0605    EXPIRATION DATE: 01/31/2006
RESPS:200            HOURS:100            COSTS(000):$0
  ACSEP Evaluation Customer Feedback Report
FORMS: 8100.7

OMB NO: 2120-0607    EXPIRATION DATE: 02/29/2004
RESPS:232,488        HOURS:101,708        COSTS(000):$0
  Pilot Records Improvement Act of 1996
FORMS: 8060-10 8060-11

OMB NO: 2120-0608    EXPIRATION DATE: 04/30/2003
RESPS:8              HOURS:3,236          COSTS(000):$0
  Commercial Space Transportation Licensing Regulations
FORMS: NONE

OMB NO: 2120-0611    EXPIRATION DATE: 11/30/2003
RESPS:300            HOURS:300            COSTS(000):$0
  Associate Administrator for Commercial Space Transportation
  (AST) Customer Service Survey
FORMS: NONE

OMB NO: 2120-0614    EXPIRATION DATE: 08/31/2003
RESPS:360            HOURS:720            COSTS(000):$0
  Revised Standards for Cargo or Baggage Compartments in Transport
  Category Airplanes
FORMS: NONE

OMB NO: 2120-0616    EXPIRATION DATE: 08/31/2003
RESPS:2,960          HOURS:1              COSTS(000):$54,600
  Revisions to Digital Flight Data Recorders
FORMS: NONE

OMB NO: 2120-0618    EXPIRATION DATE: 12/31/2003
RESPS:600            HOURS:50             COSTS(000):$0
  Overflight Billing and Collection Customer Information Form
FORMS: NONE

OMB NO: 2120-0620    EXPIRATION DATE: 01/31/2004
RESPS:100,000        HOURS:6,667          COSTS(000):$0
  Special Federal Aviation Regulation No. 71
FORMS: NONE

OMB NO: 2120-0631    EXPIRATION DATE: 07/31/2004
RESPS:1              HOURS:1              COSTS(000):$140,000
  Terrain Awareness and Warning System (TAWS)
FORMS: NONE

OMB NO: 2120-0632    EXPIRATION DATE: 01/31/2005
RESPS:40             HOURS:820            COSTS(000):$0
  Office of Dispute Resolution Procedures for Protests and
  Contract Disputes, 14 CFR part 17
FORMS: NONE

OMB NO: 2120-0633    EXPIRATION DATE: 09/30/2005
RESPS:2,059          HOURS:1,026          COSTS(000):$0
  Exemptions for Air Taxi and Commuter Air Carrier Operations
FORMS: OST-FORM-4507

OMB NO: 2120-0643    EXPIRATION DATE: 05/31/2005
RESPS:35             HOURS:4,384          COSTS(000):$0
  Commerical Space Transportation Reusable Launch Vehicle and
  Reentry Licensing Regulations
FORMS: NONE

OMB NO: 2120-0644    EXPIRATION DATE: 07/31/2005
RESPS:2              HOURS:1,592          COSTS(000):$0
  Commercial Space Transportation Licensing Requirements for
  Operation of a Launch Site
FORMS: NONE

OMB NO: 2120-0646    EXPIRATION DATE: 08/31/2005
RESPS:5              HOURS:5              COSTS(000):$0
  Protection of Voluntarily Submitted Information
FORMS: NONE

OMB NO: 2120-0648    EXPIRATION DATE: 11/30/2005
RESPS:82             HOURS:4,679          COSTS(000):$0
  Part 65, Certification: Airmen Other Than Flight Crewmembers,
  Subpart C, Aircraft Dispatchers and Appendix A, Aircraft
  Dispatcher Courses
FORMS: NONE

OMB NO: 2120-0649    EXPIRATION DATE: 11/30/2005
RESPS:5              HOURS:1,305          COSTS(000):$0
  Financil Responsibility Requirements for Licensed Reentry
  Activities
FORMS: NONE

OMB NO: 2120-0651    EXPIRATION DATE: 01/31/2006
RESPS:1,200          HOURS:1              COSTS(000):$205,000
  Additional Flight Data Recorder Requirements for certain Boeing
  737 Airplanes
FORMS: NONE

OMB NO: 2120-0652    EXPIRATION DATE: 04/30/2003
RESPS:100            HOURS:25             COSTS(000):$0
  Changes in Permissible Stage 2 Airplane Operations
FORMS: NONE

OMB NO: 2120-0653    EXPIRATION DATE: 01/31/2006
RESPS:81             HOURS:86             COSTS(000):$0
  Part 93, Subpart U-Special Flight Rules in the Vicinity of Grand
  Canyon National Park, AZ (formerly titled Commercial Air Tour
  Limitation in the Grand Canyon National Park Special Flight Rules
FORMS: NONE

OMB NO: 2120-0657    EXPIRATION DATE: 09/30/2003
RESPS:2,558          HOURS:18,815         COSTS(000):$0
  Type Certification Procedures for Changed Products
FORMS: NONE

OMB NO: 2120-0659    EXPIRATION DATE: 09/30/2003
RESPS:10             HOURS:1,350          COSTS(000):$0
  Noise Certification Standards for Subsonic Jet Airplanes and
  Subsonic Transport Category Large Airplanes
FORMS: NONE

OMB NO: 2120-0660    EXPIRATION DATE: 09/30/2003
RESPS:360            HOURS:360            COSTS(000):$0
  Flight Operational Quality Assurance (FOQA) Program
FORMS: NONE

OMB NO: 2120-0661    EXPIRATION DATE: 09/30/2003
RESPS:82             HOURS:5,945          COSTS(000):$0
  Competition Plans, Passenger Facility Charges
FORMS: NONE

OMB NO: 2120-0662    EXPIRATION DATE: 09/30/2003
RESPS:200            HOURS:2,200          COSTS(000):$0
  Laser Operations in the Navigable Airspace (Advisory Circular
  (AC), Outdoor Laser Operations)
FORMS: NONE

OMB NO: 2120-0663    EXPIRATION DATE: 11/30/2003
RESPS:41,500         HOURS:6,107          COSTS(000):$0
  Service Difficulty Report (SDR)
FORMS: FAA-FORM-8070-1

OMB NO: 2120-0664    EXPIRATION DATE: 11/30/2003
RESPS:100            HOURS:100            COSTS(000):$0
  Volcanic Activity User Needs Analysis Questionnaire
FORMS: NONE

OMB NO: 2120-0665    EXPIRATION DATE: 12/31/2003
RESPS:625,000        HOURS:52,000         COSTS(000):$0
  Safe Disposition of Life-Limited Aircraft Parts
FORMS: NONE

OMB NO: 2120-0666    EXPIRATION DATE: 04/30/2004
RESPS:50             HOURS:875            COSTS(000):$0
  Noise Levels for U.S. Certificated and Foreign Aircraft; Estimat
  Estimated Airplan Noise Levels in A-Weighted Decibels
FORMS: NONE

OMB NO: 2120-0668    EXPIRATION DATE: 08/31/2004
RESPS:9              HOURS:27             COSTS(000):$0
  FAA Form 1200-5, NAS Data Release Request
FORMS: FORM-1200-5

OMB NO: 2120-0669    EXPIRATION DATE: 12/31/2003
RESPS:50             HOURS:67             COSTS(000):$0
  Flight Data Recorder Resolution Requirements
FORMS: NONE

OMB NO: 2120-0672    EXPIRATION DATE: 12/31/2004
RESPS:10             HOURS:5,680          COSTS(000):$0
  Criteria for internet communications of aviation weather, notam
  and aeronautical data
FORMS: NONE

OMB NO: 2120-0674    EXPIRATION DATE: 05/31/2005
RESPS:49             HOURS:2,352          COSTS(000):$0
  Special Federal Aviation Regulation (SFAR) 92, Flightcrew
  Compartment Access and Door Designs
FORMS: NONE

OMB NO: 2120-0675    EXPIRATION DATE: 02/28/2005
RESPS:2,269          HOURS:52,993         COSTS(000):$0
  Certification of Airports, 14 CFR Part 139 (Final Rule)
FORMS: 5281-1

OMB NO: 2120-0677    EXPIRATION DATE: 09/30/2005
RESPS:89,450         HOURS:8,269          COSTS(000):$0
  Enhanced Security Procedures at Certain Airports, Washington DC
  Area
FORMS: NONE

OMB NO: 2120-0679    EXPIRATION DATE: 06/30/2005
RESPS:2,275          HOURS:68,250         COSTS(000):$334,756
  Reduced Vertical Separation Minimum
FORMS: NONE

OMB NO: 2120-0680    EXPIRATION DATE: 09/30/2005
RESPS:450            HOURS:201,653        COSTS(000):$0
  Part 60-Flight Simulation Device Initial and Continuing
  Qualification and Use (NPRM)
FORMS: NONE

OMB NO: 2120-0682    EXPIRATION DATE: 12/31/2005
RESPS:19,497         HOURS:270,239        COSTS(000):$0
  New Final Rule Certification of Repair Stations, Part 145 of
  Title 14, CFR
FORMS: 8310-3

OMB NO: 2120-0683    EXPIRATION DATE: 01/31/2006
RESPS:174            HOURS:1,218          COSTS(000):$0
  National Parks Air Tour Management, 14 CFR Part 136
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
94 30,092,638 9,082,718 $734,356
Federal Highway Administration
OMB NO: 2125-0010    EXPIRATION DATE: 03/31/2004
RESPS:1,300          HOURS:975            COSTS(000):$0
  Bid Price Data
FORMS: FHWA-45

OMB NO: 2125-0019    EXPIRATION DATE: 01/31/2004
RESPS:4,552          HOURS:3,916          COSTS(000):$0
  Federal-Aid Highway Construction Equal Employment Opportunity
FORMS: PR-1391 PR-1392

OMB NO: 2125-0025    EXPIRATION DATE: 05/31/2004
RESPS:52             HOURS:10,400         COSTS(000):$0
  Highway Safety Improvement Programs
FORMS: NONE

OMB NO: 2125-0028    EXPIRATION DATE: 04/30/2003
RESPS:56             HOURS:74,960         COSTS(000):$0
  Highway Performance Monitoring System (HPMS) Field Manual
FORMS: NONE

OMB NO: 2125-0032    EXPIRATION DATE: 03/31/2006
RESPS:1,826          HOURS:42,206         COSTS(000):$0
  A Guide to Reporting Highway Statistics
FORMS: FHWA-531 532 534 536 539 541 542 543 551M 556

OMB NO: 2125-0033    EXPIRATION DATE: 12/31/2003
RESPS:1,300          HOURS:8,450          COSTS(000):$0
  Statement of Materials and Labor used by Contractors on Highway
  Construction involving Federal Funds
FORMS: FHWA-47

OMB NO: 2125-0034    EXPIRATION DATE: 05/31/2003
RESPS:104            HOURS:4,160          COSTS(000):$0
  Certification of Enforcement of Vehicle Size and Weight Laws
FORMS: NONE

OMB NO: 2125-0039    EXPIRATION DATE: 04/30/2004
RESPS:52             HOURS:29,120         COSTS(000):$0
  Planning and Research Program Administration
FORMS: NONE

OMB NO: 2125-0501    EXPIRATION DATE: 04/30/2004
RESPS:270,000        HOURS:540,000        COSTS(000):$0
  Structure Inventory and Appraisal Sheet
FORMS: NONE

OMB NO: 2125-0507    EXPIRATION DATE: 08/31/2004
RESPS:12,300         HOURS:6,150          COSTS(000):$0
  Voucher for Federal-aid Reimbursements
FORMS: PR-20

OMB NO: 2125-0514    EXPIRATION DATE: 08/31/2004
RESPS:5              HOURS:1,400          COSTS(000):$3
  Develop and Submit Utility Accommodation Policies
FORMS: NONE

OMB NO: 2125-0515    EXPIRATION DATE: 08/31/2004
RESPS:5              HOURS:90             COSTS(000):$1
  Eligibility Statement for Utility Adjustment
FORMS: NONE

OMB NO: 2125-0519    EXPIRATION DATE: 10/31/2003
RESPS:9,000          HOURS:72,000         COSTS(000):$180
  Developing and Recording Costs for Utility Adjustments
FORMS: NONE

OMB NO: 2125-0521    EXPIRATION DATE: 10/31/2003
RESPS:1,200          HOURS:9,600          COSTS(000):$24
  Developing and Recording Costs for Railroad Adjustments
FORMS: NONE

OMB NO: 2125-0522    EXPIRATION DATE: 10/31/2003
RESPS:69,000         HOURS:414,000        COSTS(000):$690
  Utility Use and Occupancy Agreements
FORMS: NONE

OMB NO: 2125-0525    EXPIRATION DATE: 05/31/2004
RESPS:30             HOURS:6,000          COSTS(000):$1
  Emergency Relief Funding Applications
FORMS: NONE

OMB NO: 2125-0529    EXPIRATION DATE: 06/30/2004
RESPS:12,040         HOURS:12,040         COSTS(000):$0
  Preparation and Execution of the Project Agreement and
  Modifications
FORMS: NONE

OMB NO: 2125-0541    EXPIRATION DATE: 08/31/2004
RESPS:51             HOURS:612            COSTS(000):$0
  Certification of Enforcement of Heavy Vehicle Use Tax
FORMS: NONE

OMB NO: 2125-0545    EXPIRATION DATE: 02/29/2004
RESPS:25,000         HOURS:20,833         COSTS(000):$0
  Nationwide Personal Transportation Survey (NPTS)
FORMS: NONE

OMB NO: 2125-0579    EXPIRATION DATE: 06/30/2004
RESPS:52             HOURS:260            COSTS(000):$0
  Drug Offenders' Drivers' License Suspension Certification
FORMS: NONE

OMB NO: 2125-0586    EXPIRATION DATE: 08/31/2003
RESPS:52             HOURS:4,000          COSTS(000):$0
  State Right-of-Way Operations Manuals
FORMS: NONE

OMB NO: 2125-0587    EXPIRATION DATE: 04/30/2004
RESPS:51             HOURS:2,550          COSTS(000):$0
  Heavy Vehicle Travel Information System (HVTIS)
FORMS: NONE

OMB NO: 2125-0589    EXPIRATION DATE: 01/31/2005
RESPS:500            HOURS:84             COSTS(000):$0
  FHWA Highway Design Handbook for Older Drivers and Pedestrians
  Workshop Participants' Feedback Survey
FORMS: NONE

OMB NO: 2125-0590    EXPIRATION DATE: 02/28/2005
RESPS:65,662         HOURS:1,755          COSTS(000):$0
  Customer Satisfaction Surveys
FORMS: 2125-0590R

OMB NO: 2125-0591    EXPIRATION DATE: 08/31/2003
RESPS:675            HOURS:338            COSTS(000):$0
  Environmental Streamlining Measuring the Performance of
  Stakeholders in the Transportation Project Development Process
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
25 474,865 1,265,899 $899
Federal Motor Carrier Safety Administration
OMB NO: 2126-0001    EXPIRATION DATE: 12/31/2005
RESPS:1,550,023,200  HOURS:162,200,492    COSTS(000):$64,026
  Driver's Record of Duty Status
FORMS: NONE

OMB NO: 2126-0003    EXPIRATION DATE: 12/31/2005
RESPS:4,888,430      HOURS:35,408,332     COSTS(000):$226
  Inspection, Repair, and Maintenance
FORMS: NONE

OMB NO: 2126-0004    EXPIRATION DATE: 12/31/2005
RESPS:6,458,430      HOURS:951,023        COSTS(000):$28,094
  Driver Qualification Files
FORMS: NONE

OMB NO: 2126-0006    EXPIRATION DATE: 12/31/2005
RESPS:3,229,215      HOURS:1,184,826      COSTS(000):$0
  Medical Qualification Requirements
FORMS: NONE

OMB NO: 2126-0008    EXPIRATION DATE: 06/30/2003
RESPS:118,590        HOURS:5,285          COSTS(000):$0
  Financial Responsibility for Motor Carriers of Passengers and
  Motor Carriers of Property
FORMS: MCS-90 MCS-90B MCS-82 MCS-82B

OMB NO: 2126-0009    EXPIRATION DATE: 09/30/2005
RESPS:125,150        HOURS:37,800         COSTS(000):$0
  Accident Recordkeeping Requirements
FORMS: NONE

OMB NO: 2126-0010    EXPIRATION DATE: 06/30/2004
RESPS:2,200,265      HOURS:8,520          COSTS(000):$250
  Motor Carrier Safety Assistance Program (MCSAP)
FORMS: MCSAP-1 MCSAP-2 MCSAP-2A

OMB NO: 2126-0011    EXPIRATION DATE: 10/31/2005
RESPS:10,241,818     HOURS:819,982        COSTS(000):$11,400
  Commercial Driver Licensing and Testing Standards
FORMS: NONE

OMB NO: 2126-0012    EXPIRATION DATE: 08/31/2004
RESPS:5,969,686      HOURS:573,490        COSTS(000):$0
  Controlled Substances and Alcohol Use and Testing
FORMS: MCS-154 NCS-155

OMB NO: 2126-0013    EXPIRATION DATE: 07/31/2005
RESPS:274,500        HOURS:74,250         COSTS(000):$0
  Motor Carrier Identification Report
FORMS: MCS-150 MCS-150A

OMB NO: 2126-0014    EXPIRATION DATE: 08/31/2004
RESPS:53             HOURS:13             COSTS(000):$0
  Transportation of Hazardous Materials; Highway Routing
FORMS: NONE

OMB NO: 2126-0015    EXPIRATION DATE: 11/30/2004
RESPS:30,000         HOURS:5,000          COSTS(000):$1
  Designation of Agents, Motor Carriers, Brokers and Freight
  Forwarders
FORMS: BOC-3

OMB NO: 2126-0016    EXPIRATION DATE: 03/31/2005
RESPS:26,637         HOURS:59,001         COSTS(000):$7,479
  Revision of Licensing Application Forms, Application Procedures,
  and Corresponding Regulations
FORMS: OP-1(MX) OP-1 OP-1(FF) OP-1(P)

OMB NO: 2126-0017    EXPIRATION DATE: 09/30/2005
RESPS:270,157        HOURS:45,225         COSTS(000):$173
  Financial Responsibility, Trucking and Freight Forwarding
FORMS: 91 91X 34 82 83 84 85 90 32 35/36/40

OMB NO: 2126-0018    EXPIRATION DATE: 04/30/2004
RESPS:1,000          HOURS:250            COSTS(000):$0
  Request for Revocation of Authority Granted
FORMS: OCE-46

OMB NO: 2126-0019    EXPIRATION DATE: 03/31/2005
RESPS:7,218          HOURS:23,818         COSTS(000):$307
  Application for Certificate of Registration for Foreign Motor
  Carriers and Foreign Motor Private Carriers
FORMS: OP-2

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
16 1,583,864,349 201,397,307 $111,956
National Highway Traffic Safety Administration
OMB NO: 2127-0001    EXPIRATION DATE: 07/31/2003
RESPS:10,470,555     HOURS:1,852          COSTS(000):$0
  National Driver Register (NDR)
FORMS: NONE

OMB NO: 2127-0002    EXPIRATION DATE: 05/31/2003
RESPS:838,000        HOURS:72,500         COSTS(000):$2
  Motor Vehicle Importation
FORMS: HS-7 HS-474

OMB NO: 2127-0003    EXPIRATION DATE: 03/31/2005
RESPS:1,140          HOURS:570            COSTS(000):$0
  23 CFR Parts Uniform Safety Program Cost Summary Form for
  Highway Safety Plan
FORMS: FORM-217

OMB NO: 2127-0004    EXPIRATION DATE: 02/28/2006
RESPS:3,527          HOURS:15,844         COSTS(000):$0
  Defect and Noncompliance Notification
FORMS: NONE

OMB NO: 2127-0006    EXPIRATION DATE: 01/31/2005
RESPS:136,500        HOURS:45,045         COSTS(000):$0
  Consumer Compliant/Recall Audit Information
FORMS: 350 350C

OMB NO: 2127-0008    EXPIRATION DATE: 02/28/2005
RESPS:136,500        HOURS:45,045         COSTS(000):$0
  Consumer Complaint/Recall Audit Information
FORMS: 350 350C

OMB NO: 2127-0019    EXPIRATION DATE: 09/30/2004
RESPS:36             HOURS:3,474          COSTS(000):$721
  49 CFR Part 537--Automotive Fuel Economy Reports
FORMS: NONE

OMB NO: 2127-0021    EXPIRATION DATE: 05/31/2003
RESPS:13,500         HOURS:5,807          COSTS(000):$0
  National Automotive Sampling System (NASS) Crashworthiness Data
  Systems (CDS)
FORMS: HS-433A HS-433B HS-435H HS-435I

OMB NO: 2127-0025    EXPIRATION DATE: 02/28/2005
RESPS:266            HOURS:1,064          COSTS(000):$0
  49 CFR Part 512, Confidential Business Information
FORMS: NONE

OMB NO: 2127-0038    EXPIRATION DATE: 11/30/2004
RESPS:23             HOURS:11             COSTS(000):$0
  Assigning DOT Code Numbers to Glazing Material Manufacturers
FORMS: NONE

OMB NO: 2127-0039    EXPIRATION DATE: 02/28/2005
RESPS:21             HOURS:21             COSTS(000):$0
  49 CFR Part 557, Petitions for Hearings on Notification and
  Remedy of Defects.
FORMS: NONE

OMB NO: 2127-0040    EXPIRATION DATE: 05/31/2003
RESPS:70             HOURS:70             COSTS(000):$0
  Designation of Agents
FORMS: NONE

OMB NO: 2127-0042    EXPIRATION DATE: 02/28/2005
RESPS:1,000          HOURS:40,000         COSTS(000):$0
  49 CFR Part 576 Record Retention
FORMS: NONE

OMB NO: 2127-0043    EXPIRATION DATE: 02/28/2005
RESPS:100            HOURS:25             COSTS(000):$0
  49 CFR Part 566 Manufacturers' Identification
FORMS: NONE

OMB NO: 2127-0044    EXPIRATION DATE: 02/28/2005
RESPS:14,250,000     HOURS:950,000        COSTS(000):$467
  Names and Addresses of First Purchasers of Motor Vehicles
FORMS: NONE

OMB NO: 2127-0045    EXPIRATION DATE: 02/28/2005
RESPS:15             HOURS:30             COSTS(000):$0
  49 CFR 556, Petitions for Inconsequentiality
FORMS: NONE

OMB NO: 2127-0046    EXPIRATION DATE: 02/28/2005
RESPS:20             HOURS:20             COSTS(000):$0
  49 CFR Part 552, Petitions for Rulemaking Defect and
  Noncompliance Orders
FORMS: NONE

OMB NO: 2127-0047    EXPIRATION DATE: 02/28/2005
RESPS:130,772,582    HOURS:2,432,879      COSTS(000):$0
  49 CFR Part 580 Odometer Disclosure Statement
FORMS: NONE

OMB NO: 2127-0049    EXPIRATION DATE: 04/30/2003
RESPS:15             HOURS:300            COSTS(000):$2,362
  49 CFR Part 575 Consumer Information Regulations (Section 103
  and 105)
FORMS: NONE

OMB NO: 2127-0050    EXPIRATION DATE: 09/30/2003
RESPS:54,000,000     HOURS:245,000        COSTS(000):$5,340
  Tire Identification and Recordkeeping
FORMS: NONE

OMB NO: 2127-0052    EXPIRATION DATE: 11/30/2004
RESPS:20             HOURS:30             COSTS(000):$0
  Brake Hose Manufacturers Identification
FORMS: NONE

OMB NO: 2127-0501    EXPIRATION DATE: 04/30/2003
RESPS:52             HOURS:2,340          COSTS(000):$0
  23 CFR Part 1313 Certification Requirements for State Grants for
  Drunk Driving Prevention Programs.
FORMS: HS-217

OMB NO: 2127-0503    EXPIRATION DATE: 12/31/2005
RESPS:190,000,000    HOURS:271,750        COSTS(000):$954
  Tire Identification and Recordkeeping
FORMS: NONE

OMB NO: 2127-0506    EXPIRATION DATE: 11/30/2004
RESPS:2,850,000      HOURS:1              COSTS(000):$0
  49 CFR Section 571.125, Warning Devices
FORMS: NONE

OMB NO: 2127-0510    EXPIRATION DATE: 01/31/2005
RESPS:22,725,000     HOURS:456,212        COSTS(000):$2
  49 CFR Part 541, Consolidated Labeling Requirements for 49 CFR
  571.115 Parts 565, 541 and 587
FORMS: NONE

OMB NO: 2127-0511    EXPIRATION DATE: 06/30/2003
RESPS:4,500,000      HOURS:90,000         COSTS(000):$1,229
  49 CFR Part 571.213, "Child Restraint Systems"
FORMS: NONE

OMB NO: 2127-0512    EXPIRATION DATE: 11/30/2004
RESPS:83,759,930     HOURS:72,959         COSTS(000):$1,459
  Consolidated Labeling Requirements for Motor Vehicles (Except
  the V.I.N)
FORMS: NONE

OMB NO: 2127-0518    EXPIRATION DATE: 11/30/2004
RESPS:1,600,000      HOURS:5,333          COSTS(000):$640
  49 CFR 571.218, Motorcycle helmets (Labeling)
FORMS: NONE

OMB NO: 2127-0519    EXPIRATION DATE: 11/30/2004
RESPS:131            HOURS:79,650         COSTS(000):$23,000
  49 CFR Part 575, 104; Uniform Tire Quality Grading Standard
FORMS: NONE

OMB NO: 2127-0521    EXPIRATION DATE: 07/31/2004
RESPS:70,000,000     HOURS:7,000          COSTS(000):$81
  49 CFR Part 571.116 Motor Vehicle Brake Fluids
FORMS: NONE

OMB NO: 2127-0539    EXPIRATION DATE: 11/30/2004
RESPS:40             HOURS:640            COSTS(000):$0
  49 CFR Part 542, Procedures for Selecting Lines To Be Covered by
  the Theft Prevention Standard
FORMS: NONE

OMB NO: 2127-0541    EXPIRATION DATE: 12/31/2005
RESPS:204            HOURS:1,771          COSTS(000):$3,887
  Consolidated Justification of Owner's Manual Requirements for
  Vehicle Equipment
FORMS: NONE

OMB NO: 2127-0542    EXPIRATION DATE: 11/30/2004
RESPS:4              HOURS:64             COSTS(000):$0
  49 CFR Part 543, Exemption from Vehicle Theft Prevention Standard
FORMS: NONE

OMB NO: 2127-0547    EXPIRATION DATE: 08/31/2003
RESPS:46             HOURS:68,325         COSTS(000):$2,010
  Part 544 - Insurer Reporting Requirements -- Motor Vechicle
  Theft Law Enforcement Act of 1984
FORMS: NONE

OMB NO: 2127-0563    EXPIRATION DATE: 11/30/2004
RESPS:7              HOURS:28             COSTS(000):$0
  Replaceable Light Source Dimensional Information Collection, 49
  CFR Part 564
FORMS: NONE

OMB NO: 2127-0569    EXPIRATION DATE: 11/30/2004
RESPS:10,000,000     HOURS:1              COSTS(000):$1
  Compliance Labeling of Retroreflective Materials for Heavy
  Trailer Conspicuity
FORMS: NONE

OMB NO: 2127-0573    EXPIRATION DATE: 10/31/2004
RESPS:57             HOURS:47,918         COSTS(000):$2,130
  49 CFR Part 583--Motor Vehicle Content Labeling
FORMS: NONE

OMB NO: 2127-0576    EXPIRATION DATE: 01/31/2005
RESPS:1,200          HOURS:120            COSTS(000):$0
  Voluntary Child Safety Registration Form
FORMS: NONE

OMB NO: 2127-0579    EXPIRATION DATE: 11/30/2004
RESPS:131,334        HOURS:13,468         COSTS(000):$0
  Generic Clearance for Customer Surveys
FORMS: 2127-0579L

OMB NO: 2127-0581    EXPIRATION DATE: 11/30/2004
RESPS:35             HOURS:1,260          COSTS(000):$0
  Part 589-Upper Interior Component Head Impact Protection
  Phase-in Reporting Requirements
FORMS: NONE

OMB NO: 2127-0588    EXPIRATION DATE: 01/31/2004
RESPS:15,000         HOURS:7,500          COSTS(000):$5
  Air Bag Deactivation
FORMS: HS-FORM-603 DOT-HS-808-629

OMB NO: 2127-0597    EXPIRATION DATE: 03/31/2005
RESPS:52             HOURS:17,942         COSTS(000):$0
  Uniform criteria for State observational surveys of seat belt use
FORMS: NONE

OMB NO: 2127-0599    EXPIRATION DATE: 03/31/2005
RESPS:21             HOURS:1,260          COSTS(000):$0
  Part 585 - Advanced Air Bag Phase-In Reporting Requirements
FORMS: NONE

OMB NO: 2127-0600    EXPIRATION DATE: 03/31/2005
RESPS:56             HOURS:1,736          COSTS(000):$0
  23 Part 1345 Occupant Protection Incentive Grant Section 405
FORMS: HS-217

OMB NO: 2127-0606    EXPIRATION DATE: 06/30/2003
RESPS:57             HOURS:114            COSTS(000):$0
  23 CFR Part 1335-State Highway Safety Data and Traffice Records
  Improvements
FORMS: NONE

OMB NO: 2127-0607    EXPIRATION DATE: 10/31/2003
RESPS:12,000         HOURS:3,845          COSTS(000):$0
  2000 Motor Vehicle Occupant Safety Survey
FORMS: NONE

OMB NO: 2127-0608    EXPIRATION DATE: 11/30/2003
RESPS:1,520          HOURS:253            COSTS(000):$0
  Part Time Seat Belt User Program
FORMS: NONE

OMB NO: 2127-0609    EXPIRATION DATE: 08/31/2004
RESPS:9              HOURS:18             COSTS(000):$0
  Criminal Penalty Safe Harbor Provision
FORMS: NONE

OMB NO: 2127-0610    EXPIRATION DATE: 07/31/2004
RESPS:9              HOURS:4              COSTS(000):$0
  Reporting of Sale or Lease of Defective or Noncompliant Tires
FORMS: NONE

OMB NO: 2127-0612    EXPIRATION DATE: 10/31/2004
RESPS:5,600          HOURS:1,680          COSTS(000):$0
  National Survey of Drinking and Driving Attitudes & Behaviors -
  2001
FORMS: NONE

OMB NO: 2127-0613    EXPIRATION DATE: 11/30/2004
RESPS:4,000          HOURS:1,000          COSTS(000):$0
  National Survey of Speeding, Driving While Distracted and other
  Unsafe Driving Behaviors
FORMS: NONE

OMB NO: 2127-0614    EXPIRATION DATE: 04/30/2005
RESPS:7,500          HOURS:4,373          COSTS(000):$0
  Highway Crash Data Collection for Evaluation of Antilock Braking
  Systems (ABS) & Rear Impact Guards
FORMS: NONE

OMB NO: 2127-0615    EXPIRATION DATE: 12/31/2004
RESPS:54,800         HOURS:9,133          COSTS(000):$0
  Buckle Up America Telephone Surveys 2002-2004
FORMS: NONE

OMB NO: 2127-0616    EXPIRATION DATE: 12/31/2005
RESPS:444            HOURS:240,284        COSTS(000):$70,369
  Reporting of Information and Documents about Potential Defects-
  Retention of Records 49 CFR Part 579
FORMS: NONE

OMB NO: 2127-0618    EXPIRATION DATE: 12/31/2003
RESPS:12,000         HOURS:4,000          COSTS(000):$0
  2002 Motor Vehicle Occupant Safety Survey
FORMS: NONE

OMB NO: 2127-0620    EXPIRATION DATE: 12/31/2005
RESPS:500            HOURS:2,060          COSTS(000):$0
  Reporting of Information About Foreign Safety Recalls and
  Campaigns Related to Potential Defects
FORMS: NONE

OMB NO: 2127-0621    EXPIRATION DATE: 12/31/2005
RESPS:10             HOURS:144            COSTS(000):$0
  FMVSS 571.403 Platform Lift Systems for Motor vehicles. FMVSS
  571.404 Platform Lift installation in Motor Vehicles.
FORMS: NONE

OMB NO: 2127-0623    EXPIRATION DATE: 06/30/2003
RESPS:27             HOURS:2,700          COSTS(000):$0
  Tire Pressure Reserve and Tire Failure Data Special Order
FORMS: NONE

OMB NO: 2127-0624    EXPIRATION DATE: 10/31/2003
RESPS:840            HOURS:420            COSTS(000):$0
  Heavy Vehicle Antilock Braking System and Underride Guard Fleet
  Maintenance Study
FORMS: NONE

OMB NO: 2127-0626    EXPIRATION DATE: 09/30/2003
RESPS:12,000         HOURS:3,000          COSTS(000):$0
  National Automotive Sampling System Tire Pressure Monitoring
  System Study (TPMSS)
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
60 596,318,375 5,279,893 $114,659
Federal Railroad Administration
OMB NO: 2130-0004    EXPIRATION DATE: 09/30/2003
RESPS:5,666,801      HOURS:1,150,330      COSTS(000):$23
  Railroad Locomotive Safety Standards and Event Recorders
FORMS: FRA-F-6180.49A

OMB NO: 2130-0005    EXPIRATION DATE: 09/30/2003
RESPS:27,431,566     HOURS:4,067,432      COSTS(000):$1
  Hours of Service Regulations
FORMS: FRA-F-6180.3

OMB NO: 2130-0006    EXPIRATION DATE: 07/31/2003
RESPS:1,673,786      HOURS:480,326        COSTS(000):$5
  Railroad Signal System Requirements
FORMS: FRA-F-6180.14 FRA-F-6180.47

OMB NO: 2130-0008    EXPIRATION DATE: 12/31/2003
RESPS:12,013,516,275 HOURS:696,174        COSTS(000):$9,438
  Inspection Brake System Safety Standards for Freight and Other
FORMS: NONE

OMB NO: 2130-0010    EXPIRATION DATE: 03/31/2004
RESPS:1,635,052      HOURS:1,767,433      COSTS(000):$0
  Track Safety Standards (Gage Restraint Measurement Systems
  Amendment)
FORMS: NONE

OMB NO: 2130-0017    EXPIRATION DATE: 04/30/2003
RESPS:65,377         HOURS:3,104          COSTS(000):$0
  U.S. DOT Crossing Inventory Form
FORMS: FRA-6180.71

OMB NO: 2130-0035    EXPIRATION DATE: 08/31/2003
RESPS:500,343        HOURS:131,192        COSTS(000):$0
  Railroad Operating Rules
FORMS: NONE

OMB NO: 2130-0500    EXPIRATION DATE: 11/30/2005
RESPS:81,977         HOURS:47,900         COSTS(000):$176
  Accident/Incident Reporting and Recordkeeping
FORMS: 6180.54;55;55A 56;57;78;81;97 98;107

OMB NO: 2130-0502    EXPIRATION DATE: 07/31/2003
RESPS:4              HOURS:4              COSTS(000):$0
  Filing of Dedicated Cars
FORMS: NONE

OMB NO: 2130-0504    EXPIRATION DATE: 03/31/2004
RESPS:58             HOURS:7              COSTS(000):$0
  Special Notice for Repairs
FORMS: 6180.8 6180.8A

OMB NO: 2130-0505    EXPIRATION DATE: 01/31/2006
RESPS:4,694          HOURS:314            COSTS(000):$1
  Inspection and Maintenance Standards For Steam Locomotives
FORMS: FRA-1 FRA-2 FRA-3 FRA-4 FRA-5 FRA-19

OMB NO: 2130-0506    EXPIRATION DATE: 06/30/2003
RESPS:800            HOURS:67             COSTS(000):$0
  Identification of Cars Moved in Accordance with Order 13528
FORMS: NONE

OMB NO: 2130-0509    EXPIRATION DATE: 08/31/2003
RESPS:25,362         HOURS:9,467          COSTS(000):$30
  State Safety Participation Regulations and Remedial Actions
FORMS: FRA-F-6180.10 FRA-F-6180.29 FRA-F-6180.29A FRA-F-6180.33
FRA-F-6180.61 FRA-F-6180.67 FRA-F-6180.68 FRA-F-6180.68A
FRA-F-6180.96 FRA-F-6180.96A

OMB NO: 2130-0511    EXPIRATION DATE: 03/31/2004
RESPS:1,200          HOURS:40             COSTS(000):$0
  Designation of Qualified Persons
FORMS: NONE

OMB NO: 2130-0516    EXPIRATION DATE: 07/31/2003
RESPS:3,604,000      HOURS:240,267        COSTS(000):$0
  Remotely Controlled Switch Operations
FORMS: NONE

OMB NO: 2130-0517    EXPIRATION DATE: 08/31/2005
RESPS:2,000          HOURS:6,000          COSTS(000):$8
  Supplemental Qualifications Statement for Railroad Safety
  Inspector Applicants
FORMS: FRA-F-120

OMB NO: 2130-0519    EXPIRATION DATE: 07/31/2003
RESPS:150,000        HOURS:10,833         COSTS(000):$1
  Bad Order and Home Shop Card
FORMS: NONE

OMB NO: 2130-0520    EXPIRATION DATE: 07/31/2003
RESPS:35,000         HOURS:26,250         COSTS(000):$0
  Stenciling Reporting Mark on Freight Cars
FORMS: NONE

OMB NO: 2130-0523    EXPIRATION DATE: 08/31/2003
RESPS:4              HOURS:8              COSTS(000):$0
  Rear-End Marking Devices
FORMS: NONE

OMB NO: 2130-0524    EXPIRATION DATE: 11/30/2004
RESPS:8,786,542      HOURS:255,372        COSTS(000):$10
  Railroad Communications (Formerly Radio Standards and Procedures)
FORMS: NONE

OMB NO: 2130-0525    EXPIRATION DATE: 08/31/2003
RESPS:28,776         HOURS:1,010          COSTS(000):$29
  Certification of Glazing Materials
FORMS: FRA-F-6180.3

OMB NO: 2130-0526    EXPIRATION DATE: 06/30/2003
RESPS:360,124        HOURS:129,916        COSTS(000):$56
  Control of Alcohol and Drug Use in Railroad Operations
FORMS: FRA-F-6180.73 6180.74 6180-94A 6180.94B

OMB NO: 2130-0527    EXPIRATION DATE: 07/31/2003
RESPS:120            HOURS:160            COSTS(000):$0
  New Locomotive Certification (Noise Compliance Regulations)
FORMS: NONE

OMB NO: 2130-0529    EXPIRATION DATE: 07/31/2003
RESPS:3              HOURS:5              COSTS(000):$0
  Disqualification Proceedings
FORMS: NONE

OMB NO: 2130-0533    EXPIRATION DATE: 06/30/2005
RESPS:165,420        HOURS:202,741        COSTS(000):$154
  Qualifications for Locomotive Engineers
FORMS: NONE

OMB NO: 2130-0534    EXPIRATION DATE: 07/31/2003
RESPS:3,204          HOURS:601            COSTS(000):$0
  Grade Crossing Signal System Safety
FORMS: FRA-F-6180.83

OMB NO: 2130-0535    EXPIRATION DATE: 08/31/2003
RESPS:6              HOURS:1              COSTS(000):$0
  Bridge Worker Safety Rules
FORMS: NONE

OMB NO: 2130-0537    EXPIRATION DATE: 06/30/2003
RESPS:60             HOURS:155            COSTS(000):$5
  Railroad Polic Officers
FORMS: NONE

OMB NO: 2130-0539    EXPIRATION DATE: 03/31/2004
RESPS:19,373,189     HOURS:588,570        COSTS(000):$3,051
  Roadway Worker Protection: Roadway Maintenance Machine Safety
FORMS: NONE

OMB NO: 2130-0540    EXPIRATION DATE: 08/31/2003
RESPS:537,571        HOURS:5,797          COSTS(000):$3
  Two-way End-of-Train Devices
FORMS: NONE

OMB NO: 2130-0544    EXPIRATION DATE: 06/30/2005
RESPS:5,076,058      HOURS:83,186         COSTS(000):$62
  Passenger Equipment Safety Standards
FORMS: NONE

OMB NO: 2130-0545    EXPIRATION DATE: 05/31/2004
RESPS:35,363         HOURS:4,595          COSTS(000):$18
  Passenger Train Emergency Preparedness
FORMS: NONE

OMB NO: 2130-0548    EXPIRATION DATE: 01/31/2006
RESPS:159            HOURS:5,881          COSTS(000):$151
  Railroad Rehabilitation and Improvement Financing Program
FORMS: NONE

OMB NO: 2130-0550    EXPIRATION DATE: 09/30/2003
RESPS:1,120          HOURS:1,150          COSTS(000):$0
  Rail-Equipment Accident/Incident Cost Analysis Study
FORMS: F6180.105

OMB NO: 2130-0551    EXPIRATION DATE: 12/31/2003
RESPS:8,135          HOURS:3,387          COSTS(000):$0
  Regional Inspection Point Listing Forms
FORMS: FRA-F-6180.106 (A)-(E)

OMB NO: 2130-0552    EXPIRATION DATE: 06/30/2005
RESPS:124,800        HOURS:1,560          COSTS(000):$23
  Locomotive Cab Sanitation Standards
FORMS: NONE

OMB NO: 2130-0553    EXPIRATION DATE: 09/30/2004
RESPS:15,058         HOURS:23,513         COSTS(000):$2
  Positive Train Control
FORMS: NONE

OMB NO: 2130-0555    EXPIRATION DATE: 01/31/2005
RESPS:417            HOURS:622            COSTS(000):$2
  Foreign Railroads Foreign-Based (FRFB) Employees Who Perform
  Train or Dispatching Service in the United States
FORMS: NONE

OMB NO: 2130-0556    EXPIRATION DATE: 01/31/2006
RESPS:8              HOURS:36             COSTS(000):$0
  U. S. Locational Requirement for Dispatching U.S. Rail Operations
FORMS: NONE

OMB NO: 2130-0557    EXPIRATION DATE: 03/31/2005
RESPS:79             HOURS:496            COSTS(000):$1
  Safety Integration Plans
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
40 12,088,910,511 9,945,902 $13,250
Federal Transit Administration
OMB NO: 2132-0008    EXPIRATION DATE: 06/30/2005
RESPS:578            HOURS:238,136        COSTS(000):$0
  49 U.S.C. Section 5335(a) and (b) National Transit Database
FORMS: 001 100 200 400

OMB NO: 2132-0500    EXPIRATION DATE: 05/31/2004
RESPS:111            HOURS:6,540          COSTS(000):$0
  49 U.S.C. Section 5310-Capital Assistance Program for Elderly
  Persons and Persons with Disabilities and Section 5311-
  Nonurbanized Area Formula Program
FORMS: NONE

OMB NO: 2132-0502    EXPIRATION DATE: 12/31/2004
RESPS:198,466        HOURS:198,466        COSTS(000):$0
  49 U.S.C. Section 5309 Capital Program and Section 5307
  Urbanized Area Formula Progrm
FORMS: NONE

OMB NO: 2132-0529    EXPIRATION DATE: 03/31/2004
RESPS:101,339        HOURS:253,250        COSTS(000):$1,460
  Metropolitan and Statewide Transportation Planning
FORMS: NONE

OMB NO: 2132-0540    EXPIRATION DATE: 07/31/2003
RESPS:200            HOURS:4,454          COSTS(000):$11
  Title VI as it Applies to FTA Grant Programs
FORMS: NONE

OMB NO: 2132-0542    EXPIRATION DATE: 06/30/2003
RESPS:150            HOURS:4,500          COSTS(000):$0
  Nondiscrimination as it Applies to FTA Grant Programs
FORMS: NONE

OMB NO: 2132-0543    EXPIRATION DATE: 12/31/2004
RESPS:1,656          HOURS:1,984          COSTS(000):$0
  Charter Service Operations
FORMS: NONE

OMB NO: 2132-0544    EXPIRATION DATE: 04/30/2004
RESPS:3              HOURS:3,024          COSTS(000):$0
  Pre-Award, Post-Delivery Review Requirements under Buy America
FORMS: NONE

OMB NO: 2132-0546    EXPIRATION DATE: 06/30/2003
RESPS:2,210          HOURS:13,940         COSTS(000):$0
  49 U.S.C. Section 5312(a) Transit Research, Development,
  Demonstration and Training Projects
FORMS: NONE

OMB NO: 2132-0549    EXPIRATION DATE: 06/30/2003
RESPS:104            HOURS:156            COSTS(000):$3
  Technical Activities Form
FORMS: NONE

OMB NO: 2132-0550    EXPIRATION DATE: 06/30/2003
RESPS:15             HOURS:53             COSTS(000):$103
  Bus Testing Program
FORMS: NONE

OMB NO: 2132-0555    EXPIRATION DATE: 04/30/2004
RESPS:750            HOURS:40,000         COSTS(000):$0
  Americans with Disabilities Act
FORMS: NONE

OMB NO: 2132-0556    EXPIRATION DATE: 09/30/2003
RESPS:87,568         HOURS:10,113         COSTS(000):$0
  Prevention of Prohibited Drug Use & Control of Alcohol Misuse in
  Transit Operations (Was 2 separate information collections:
  2132-0556 Prevention of Prohibited Drug Use in Transit Operations
FORMS: NONE

OMB NO: 2132-0558    EXPIRATION DATE: 11/30/2005
RESPS:160            HOURS:37,158         COSTS(000):$0
  Rail Fixed Guideway Systems-State Safety Oversight
FORMS: NONE

OMB NO: 2132-0559    EXPIRATION DATE: 07/31/2005
RESPS:1,021          HOURS:511            COSTS(000):$0
  Customer Service Surveys
FORMS: NONE

OMB NO: 2132-0560    EXPIRATION DATE: 08/31/2003
RESPS:1,770          HOURS:32,742         COSTS(000):$0
  49 U.S.C. Section 5308 Clean Fuels Formula Grant Program
FORMS: NONE

OMB NO: 2132-0561    EXPIRATION DATE: 08/31/2004
RESPS:1              HOURS:47,200         COSTS(000):$0
  49 CFR Part 611 Major Capital Investment Projects; Final Rule
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
17 396,102 892,227 $1,577
Maritime Administration
OMB NO: 2133-0005    EXPIRATION DATE: 01/31/2005
RESPS:198            HOURS:1,881          COSTS(000):$0
  Uniform Financial Reporting Requirements
FORMS: MA-172

OMB NO: 2133-0006    EXPIRATION DATE: 07/31/2003
RESPS:100            HOURS:200            COSTS(000):$0
  Request for Transfer of Ownership, Registry, and Flag, or
  Charter, Lease, or Mortgage of U.S. Citizen Owned Documented
  Vessels
FORMS: MA-29 MA-29A MA-29B

OMB NO: 2133-0007    EXPIRATION DATE: 07/31/2003
RESPS:25             HOURS:300            COSTS(000):$0
  Maintenance and Repair Cumulative Summary
FORMS: MA-140

OMB NO: 2133-0010    EXPIRATION DATE: 06/30/2005
RESPS:2,500          HOURS:12,500         COSTS(000):$0
  U.S. Merchant Marine Academy Candidate Application for Admission
FORMS: KP-2-65

OMB NO: 2133-0011    EXPIRATION DATE: 10/31/2004
RESPS:1,165          HOURS:626            COSTS(000):$0
  War Risk Insurance - Applications and Related Information
FORMS: MA-355 MA-528 MA-742 MA-828 MA-942

OMB NO: 2133-0012    EXPIRATION DATE: 12/31/2004
RESPS:300            HOURS:1,500          COSTS(000):$0
  Requirements for establishing U.S. Citizenship (46 CFR 355)
FORMS: NONE

OMB NO: 2133-0013    EXPIRATION DATE: 02/28/2006
RESPS:336            HOURS:168            COSTS(000):$0
  Monthly Report of Ocean Shipments Moving under Export-Imported
  Bank Financing
FORMS: MA-518

OMB NO: 2133-0018    EXPIRATION DATE: 08/31/2005
RESPS:21             HOURS:1,470          COSTS(000):$0
  46 CFR Part 298-Title XI Obligation Guarantees
FORMS: MA-163 MA-163A

OMB NO: 2133-0024    EXPIRATION DATE: 12/31/2004
RESPS:8              HOURS:16             COSTS(000):$0
  Subsidy Voucher - Operating Differential Subsidy (Bulk & Liner
  Cargo Vessels
FORMS: MA-790 SF-1034

OMB NO: 2133-0025    EXPIRATION DATE: 01/31/2004
RESPS:32,480         HOURS:2,598          COSTS(000):$0
  Automated Mutual-Assistance Vessel Rescue System (AMVER)
FORMS: CG-47960A(MA) (REV.8-88)

OMB NO: 2133-0027    EXPIRATION DATE: 01/31/2006
RESPS:140            HOURS:2,130          COSTS(000):$0
  Capital Construction Fund and Exhibits
FORMS: NONE

OMB NO: 2133-0029    EXPIRATION DATE: 10/31/2005
RESPS:800            HOURS:400            COSTS(000):$0
  Shipbuilding Orderbook and Shipyard Employment
FORMS: MA-832

OMB NO: 2133-0030    EXPIRATION DATE: 02/28/2005
RESPS:20,000         HOURS:100            COSTS(000):$0
  Supplementary Training Course Application
FORMS: MA-823

OMB NO: 2133-0032    EXPIRATION DATE: 08/31/2005
RESPS:21             HOURS:189            COSTS(000):$0
  Application for Construction Reserve Fund and Annual Statements
  (CRF)
FORMS: NONE

OMB NO: 2133-0501    EXPIRATION DATE: 03/31/2006
RESPS:3              HOURS:150            COSTS(000):$0
  Records Retention Schedule
FORMS: NONE

OMB NO: 2133-0503    EXPIRATION DATE: 02/28/2006
RESPS:22             HOURS:66             COSTS(000):$0
  Inventory of American Intermodal Equipment
FORMS: NONE

OMB NO: 2133-0504    EXPIRATION DATE: 04/30/2005
RESPS:60             HOURS:60             COSTS(000):$0
  Regulations for Making Excess or Surplus Federal Property
  Available to the U.S. Merchant Marine Academy State Maritime
  Academies
FORMS: NONE

OMB NO: 2133-0505    EXPIRATION DATE: 01/31/2004
RESPS:20             HOURS:20             COSTS(000):$0
  Voluntary Tanker Agreement
FORMS: NONE

OMB NO: 2133-0506    EXPIRATION DATE: 05/31/2004
RESPS:1,500          HOURS:1,500          COSTS(000):$0
  Merchant Marine Medals and Awards
FORMS: NONE

OMB NO: 2133-0509    EXPIRATION DATE: 03/31/2006
RESPS:2,300          HOURS:1,150          COSTS(000):$0
  Maritime Administration Service Obligation Compliance Report and
  Merchant Marine Reserve US Naval Reserve (USNR) Annual Report
FORMS: MA-930

OMB NO: 2133-0510    EXPIRATION DATE: 04/30/2005
RESPS:61             HOURS:21             COSTS(000):$0
  Request for Waiver of Service Obligation; Request for Deferment
  of Service Obligation; Application for Review
FORMS: MA-935 MA-936 MA-937

OMB NO: 2133-0511    EXPIRATION DATE: 04/30/2003
RESPS:92             HOURS:46             COSTS(000):$0
  EUSC/Parent Company
FORMS: NONE

OMB NO: 2133-0514    EXPIRATION DATE: 03/31/2006
RESPS:175            HOURS:700            COSTS(000):$0
  Determination of Fair and Reasonable Rates for Carriage of
  Agricltural Cargoes on U.S. Commercial Vessels
FORMS: MA-1025 MA-1026 MA-172

OMB NO: 2133-0517    EXPIRATION DATE: 03/31/2006
RESPS:62             HOURS:46             COSTS(000):$0
  Approval of Underwriters for Marine Hull Insurance
FORMS: NONE

OMB NO: 2133-0521    EXPIRATION DATE: 03/31/2005
RESPS:1              HOURS:1              COSTS(000):$0
  Part 380, Subpart B-Application for Designation of Vessels as
  American Great Lakes Vessels
FORMS: NONE

OMB NO: 2133-0522    EXPIRATION DATE: 02/28/2006
RESPS:150            HOURS:1,875          COSTS(000):$0
  Seamen's Claims; Administrative Action and Litigation
FORMS: NONE

OMB NO: 2133-0524    EXPIRATION DATE: 01/31/2004
RESPS:30             HOURS:1,280          COSTS(000):$0
  Port Facility Conveyance Information
FORMS: NONE

OMB NO: 2133-0525    EXPIRATION DATE: 07/31/2005
RESPS:132            HOURS:152            COSTS(000):$0
  Application and Reporting Elements for participation in the
  Martime Security Program, under Subtitle B, Title VI, Merchant
  Marine Act, 1936
FORMS: NONE

OMB NO: 2133-0526    EXPIRATION DATE: 03/31/2006
RESPS:50             HOURS:50             COSTS(000):$0
  Information to Determine Seamen's Reemployment Rights - National
  Emergency
FORMS: NONE

OMB NO: 2133-0528    EXPIRATION DATE: 09/30/2003
RESPS:6,650          HOURS:256            COSTS(000):$0
  Customer Service Surveys
FORMS: MA-1016 MA-1017 MA-1021

OMB NO: 2133-0529    EXPIRATION DATE: 11/30/2005
RESPS:100            HOURS:100            COSTS(000):$0
  Application for Waiver of the Coastwise Trade Laws for Small
  Passenger Vessels
FORMS: NONE

OMB NO: 2133-0530    EXPIRATION DATE: 03/31/2006
RESPS:500            HOURS:2,950          COSTS(000):$0
  Eligibility of U.S.-flag Vessels 100 feet or Greater in
  Registered Length to Obtain a Fishery Endorsement to the
  Vessel's Documentation
FORMS: NONE

OMB NO: 2133-0532    EXPIRATION DATE: 07/31/2003
RESPS:40             HOURS:200            COSTS(000):$0
  Voluntary Intermodal Sealift Agreement (VISA)
FORMS: MA-1020

OMB NO: 2133-0533    EXPIRATION DATE: 03/31/2004
RESPS:230            HOURS:115            COSTS(000):$0
  "Intermodal Access to U.S. Ports Survey" "Intermodal Access to
  U.S. Marine Terminals Survey"
FORMS: NONE

OMB NO: 2133-0534    EXPIRATION DATE: 07/31/2005
RESPS:45             HOURS:23             COSTS(000):$0
  "Intermodal Access to Shallow Draft Ports and Terminals Survey"
FORMS: MA-1024B

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
35 70,317 34,839 $0
Research and Special Programs Administration
OMB NO: 2137-0014    EXPIRATION DATE: 01/31/2005
RESPS:132,600        HOURS:102,021        COSTS(000):$1,595,000
  Cargo Tank Specification Requirements
FORMS: NONE

OMB NO: 2137-0018    EXPIRATION DATE: 07/31/2004
RESPS:86,100         HOURS:66,390         COSTS(000):$0
  Inspection and Testing of Portable Tanks and Intermediate Bulk
  Containers
FORMS: NONE

OMB NO: 2137-0022    EXPIRATION DATE: 09/30/2005
RESPS:153,287        HOURS:168,431        COSTS(000):$0
  Testing, Inspection, and Marking Requirements for Cylinders
FORMS: NONE

OMB NO: 2137-0034    EXPIRATION DATE: 09/30/2005
RESPS:260,000,000    HOURS:6,861,111      COSTS(000):$0
  "Hazardous Materials Shipping Papers & Emergency Response
  Information"
FORMS: NONE

OMB NO: 2137-0039    EXPIRATION DATE: 10/31/2004
RESPS:20,600         HOURS:30,942         COSTS(000):$0
  Hazardous Materials Incident Reports
FORMS: F-5800-1

OMB NO: 2137-0047    EXPIRATION DATE: 04/30/2005
RESPS:1,849          HOURS:51,011         COSTS(000):$0
  Transportation of Hazardous Liquids by Pipeline: Recordkeeping
  and Accident Reporting Requirements
FORMS: 7000-1

OMB NO: 2137-0048    EXPIRATION DATE: 04/30/2005
RESPS:150            HOURS:19,000         COSTS(000):$0
  Recordkeeping for LNG Facilities (LNG)
FORMS: NONE

OMB NO: 2137-0049    EXPIRATION DATE: 04/30/2005
RESPS:22,700         HOURS:940,991        COSTS(000):$0
  Recordkeeping for Gas Pipeline Operators
FORMS: NONE

OMB NO: 2137-0051    EXPIRATION DATE: 08/31/2003
RESPS:4,294          HOURS:4,219          COSTS(000):$0
  Rulemaking, Exemption, and Preemption Requirements
FORMS: NONE

OMB NO: 2137-0510    EXPIRATION DATE: 01/31/2004
RESPS:21,319         HOURS:14,480         COSTS(000):$0
  "Radioactive (RAM) Transportation Requirements"
FORMS: NONE

OMB NO: 2137-0522    EXPIRATION DATE: 06/30/2004
RESPS:3,960          HOURS:6,725          COSTS(000):$0
  Incident and Annual Report for Gas Pipeline Operators
FORMS: 7100.01 7100.2 7100.1-1 7100.2-1

OMB NO: 2137-0542    EXPIRATION DATE: 10/31/2004
RESPS:18,200         HOURS:1,213          COSTS(000):$0
  Flammable Cryogenic Liquids
FORMS: NONE

OMB NO: 2137-0557    EXPIRATION DATE: 12/31/2005
RESPS:11,074         HOURS:25,605         COSTS(000):$0
  Approvals for Hazardous Materials
FORMS: NONE

OMB NO: 2137-0559    EXPIRATION DATE: 08/31/2003
RESPS:16,640         HOURS:2,759          COSTS(000):$0
  (Rail Carriers and Tank Car Tank Requirements) Requirements for
  Rail Tank Car Tanks--Transportation of Hazardous Materials by
  Rail
FORMS: NONE

OMB NO: 2137-0572    EXPIRATION DATE: 09/30/2004
RESPS:15,000         HOURS:30,000         COSTS(000):$0
  Testing Requirements for Non-Bulk Packaging
FORMS: NONE

OMB NO: 2137-0578    EXPIRATION DATE: 06/30/2004
RESPS:47             HOURS:282            COSTS(000):$0
  Reporting on Safety Related Conditions on Gas Hazardous Liquid
  Pipelines and LNG Facilities
FORMS: NONE

OMB NO: 2137-0579    EXPIRATION DATE: 05/31/2004
RESPS:2,419          HOURS:2,963          COSTS(000):$0
  Drug and Alcohol Testing of Pipeline Operators
FORMS: NONE

OMB NO: 2137-0582    EXPIRATION DATE: 09/30/2004
RESPS:864,400        HOURS:14,409         COSTS(000):$0
  Container Certification Statements
FORMS: NONE

OMB NO: 2137-0584    EXPIRATION DATE: 04/30/2005
RESPS:61             HOURS:3,660          COSTS(000):$0
  Certification and Agreement Forms for the Gas and Hazardous
  Liquid Pipeline Safety Program
FORMS: NONE

OMB NO: 2137-0586    EXPIRATION DATE: 09/30/2004
RESPS:1              HOURS:4,080          COSTS(000):$0
  Hazardous Materials Public Sector Training and Planning Grants
FORMS: NONE

OMB NO: 2137-0589    EXPIRATION DATE: 01/31/2006
RESPS:147            HOURS:29,780         COSTS(000):$0
  Response Plans for Onshore Pipelines
FORMS: NONE

OMB NO: 2137-0591    EXPIRATION DATE: 10/31/2004
RESPS:8,000          HOURS:10,560         COSTS(000):$0
  Response Plans for Shipments of Oil
FORMS: NONE

OMB NO: 2137-0593    EXPIRATION DATE: 07/31/2005
RESPS:900,000        HOURS:20,000         COSTS(000):$0
  Recordkeeping Requirements for Excess Flow Valves Customer
  Notification
FORMS: NONE

OMB NO: 2137-0594    EXPIRATION DATE: 06/30/2005
RESPS:550,000        HOURS:9,167          COSTS(000):$0
  Customer-Owned Service Lines
FORMS: NONE

OMB NO: 2137-0595    EXPIRATION DATE: 10/31/2004
RESPS:920,530        HOURS:200,615        COSTS(000):$0
  Cargo Tank Motor Vehicles in Liquefied Compressed Gas Service
FORMS: NONE

OMB NO: 2137-0596    EXPIRATION DATE: 01/31/2004
RESPS:1,350          HOURS:40,500         COSTS(000):$0
  Nation Pipeline Mapping System
FORMS: NONE

OMB NO: 2137-0598    EXPIRATION DATE: 04/30/2004
RESPS:50             HOURS:100            COSTS(000):$0
  Incorporation by Reference of Industry Standard on Leak Detection
FORMS: NONE

OMB NO: 2137-0600    EXPIRATION DATE: 08/31/2005
RESPS:50,000         HOURS:466,667        COSTS(000):$29
  Qualification of Pipeline Personnel
FORMS: NONE

OMB NO: 2137-0601    EXPIRATION DATE: 09/30/2005
RESPS:400            HOURS:2,400          COSTS(000):$0
  Pipeline Safety Reports of Abandoned Underwater Pipelines
FORMS: NONE

OMB NO: 2137-0604    EXPIRATION DATE: 12/31/2003
RESPS:66             HOURS:245,980        COSTS(000):$0
  Pipeline Integrity Management in High Consequence Areas
FORMS: NONE

OMB NO: 2137-0605    EXPIRATION DATE: 04/30/2005
RESPS:132            HOURS:501,000        COSTS(000):$0
  Pipeline Integrity Management in High Consequence Areas less
  than 500 miles
FORMS: NONE

OMB NO: 2137-0610    EXPIRATION DATE: 03/31/2006
RESPS:1              HOURS:2,845,724      COSTS(000):$0
  Pipeline Integrity Management in High Consequence Areas Gas
  Transmission Pipeline Operators
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
32 263,805,377 12,722,785 $1,595,029
Bureau of Transportation Statistics - Aviation
OMB NO: 2138-0004    EXPIRATION DATE: 11/30/2005
RESPS:75             HOURS:20             COSTS(000):$0
  Submission of Audit Reports, Part 248
FORMS: NONE

OMB NO: 2138-0006    EXPIRATION DATE: 06/30/2003
RESPS:482            HOURS:710            COSTS(000):$55
  Part 249 Preservation of Records
FORMS: NONE

OMB NO: 2138-0009    EXPIRATION DATE: 06/30/2005
RESPS:1,512          HOURS:1,720          COSTS(000):$25
  Form 298-C Report of Financial and Operating Statistics for
  Small Aircraft Operators
FORMS: 298-C

OMB NO: 2138-0013    EXPIRATION DATE: 06/30/2005
RESPS:8,000          HOURS:24,428         COSTS(000):$0
  Report of Financial and Operating Statistics for Large
  Certificated Air Carriers
FORMS: FORM-41

OMB NO: 2138-0016    EXPIRATION DATE: 06/30/2003
RESPS:24             HOURS:24             COSTS(000):$600
  Report of Extension of Credit to Political Candidates
FORMS: FORM-183

OMB NO: 2138-0018    EXPIRATION DATE: 01/31/2004
RESPS:560            HOURS:2,200          COSTS(000):$0
  Form 251 Report of Passengers Denied Confirmed Space
FORMS: BTS-FORM-251

OMB NO: 2138-0039    EXPIRATION DATE: 11/30/2005
RESPS:40             HOURS:26             COSTS(000):$0
  Reporting Required for International Civil Aviation Organization
FORMS: NONE

OMB NO: 2138-0040    EXPIRATION DATE: 07/31/2005
RESPS:3,972          HOURS:24,180         COSTS(000):$90
  Report of Traffic and Capacity Statistic-The T-100 System
FORMS: T-100 T-100(F)

OMB NO: 2138-0041    EXPIRATION DATE: 02/28/2005
RESPS:276            HOURS:1,908          COSTS(000):$0
  Airline Service Quality Performance
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
9 14,941 55,216 $770
Bureau of Transportation Statistics
OMB NO: 2139-0001    EXPIRATION DATE: 09/30/2003
RESPS:160            HOURS:38,080         COSTS(000):$8,000
  Passenger Origin-Destination Survey Report
FORMS: NONE

OMB NO: 2139-0002    EXPIRATION DATE: 01/31/2006
RESPS:4,000          HOURS:1,800          COSTS(000):$56
  Quarterly Report of Class I Motor Carriers of Property (OMB
  2139-0002)
FORMS: FORM-QFR

OMB NO: 2139-0004    EXPIRATION DATE: 01/31/2006
RESPS:3,000          HOURS:27,000         COSTS(000):$886
  Annual Report of Class I and Class II Motor Carriers of Property
  (OMB 2139-0004)
FORMS: FORM-M

OMB NO: 2139-0007    EXPIRATION DATE: 04/30/2004
RESPS:22,000         HOURS:8,700          COSTS(000):$0
  Bureau of Transportation Statistics' Customer Satisfaction
  Surveys Program
FORMS: NONE

OMB NO: 2139-0008    EXPIRATION DATE: 02/29/2004
RESPS:25,000         HOURS:13,750         COSTS(000):$0
  American Travel Survey (ATS)
FORMS: NONE

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
5 54,160 89,330 $8,942

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
350 15,371,393,079 246,451,640 $2,581,438
(RETURN TO AGENCY LIST)

Department of Veterans Affairs
OMB NO: 2900-0001    EXPIRATION DATE: 11/30/2003
RESPS:395,000        HOURS:592,500        COSTS(000):$0
  Veteran's Application for Compensation and/or Pension
FORMS: 21-526

OMB NO: 2900-0002    EXPIRATION DATE: 05/31/2003
RESPS:104,440        HOURS:104,440        COSTS(000):$0
  Income-Net Worth and Employment Statement
FORMS: 21-527

OMB NO: 2900-0003    EXPIRATION DATE: 12/31/2004
RESPS:300,000        HOURS:100,000        COSTS(000):$0
  Application for Burial Benefits
FORMS: 21-530

OMB NO: 2900-0004    EXPIRATION DATE: 12/31/2005
RESPS:63,300         HOURS:79,125         COSTS(000):$0
  Application for Dependency and Indemnity Compensation, Death
  Pension and Accrued Benefits by a Surviving Spouse or Child
  (Including Death Compensation if Applicable)
FORMS: 21-534

OMB NO: 2900-0005    EXPIRATION DATE: 04/30/2003
RESPS:20,880         HOURS:25,056         COSTS(000):$0
  Application for Dependency and Indemnity Compensation by
  parents(s) (Including Accrued Benfits and Death Compensation
  When Applicable)
FORMS: 21-535

OMB NO: 2900-0006    EXPIRATION DATE: 09/30/2005
RESPS:2,400          HOURS:1,200          COSTS(000):$0
  Application for Accrued Amouts of Veterans Benefits Payable to
  Surviving Spouse, Child or Dependent Parents
FORMS: 21-614

OMB NO: 2900-0009    EXPIRATION DATE: 04/30/2005
RESPS:54,000         HOURS:13,500         COSTS(000):$0
  Disabled Veterans Application for Vocational Rehabilitation
FORMS: 28-1900

OMB NO: 2900-0011    EXPIRATION DATE: 12/31/2004
RESPS:1,500          HOURS:875            COSTS(000):$0
  Application for Reinstatement
FORMS: 29-352 29-353

OMB NO: 2900-0012    EXPIRATION DATE: 07/31/2004
RESPS:29,636         HOURS:4,939          COSTS(000):$0
  Application for Cash Surrender or Policy Loan
FORMS: 29-1546 29-1546-1

OMB NO: 2900-0013    EXPIRATION DATE: 06/30/2003
RESPS:650,000        HOURS:162,500        COSTS(000):$0
  Application for United States Flag for Burial Purposes
FORMS: 21-2008

OMB NO: 2900-0014    EXPIRATION DATE: 08/31/2005
RESPS:35,000         HOURS:2,917          COSTS(000):$0
  Authorization and Certification of Entrance or Reentrance into
  Rehabilitation and Certification of Status
FORMS: VA-28-1905

OMB NO: 2900-0016    EXPIRATION DATE: 12/31/2005
RESPS:8,100          HOURS:14,175         COSTS(000):$0
  Claim for Disability Insurance Benefits
FORMS: 29-357

OMB NO: 2900-0017    EXPIRATION DATE: 10/31/2003
RESPS:24,868         HOURS:22,946         COSTS(000):$0
  Court Appointed Fiduciarys Account (letter size), Federal
  Fiduciary's Account, Account Book, and Court Appointed
  Fiduciary's Account (legal size)
FORMS: 21-4706 21-4706B 21-4706C 21-4718

OMB NO: 2900-0018    EXPIRATION DATE: 04/30/2003
RESPS:11,100         HOURS:2,775          COSTS(000):$0
  (1) Application for Accreditation as Service Organization
  Representative, (2) Appointment of Individual as Claimant's
  Representative
FORMS: VA-FORM-21 VA-FORM-22A

OMB NO: 2900-0020    EXPIRATION DATE: 09/30/2004
RESPS:83,500         HOURS:13,917         COSTS(000):$0
  Designation of Beneficiary, Government Life Insurance
FORMS: VA-29-336

OMB NO: 2900-0021    EXPIRATION DATE: 05/31/2004
RESPS:279,000        HOURS:66,166         COSTS(000):$0
  Notice of Default; Notice of Default and Intention to Foreclose;
  Notice of Intention to Foreclose
FORMS: 26-6850 26-6850A 26-6851

OMB NO: 2900-0024    EXPIRATION DATE: 07/31/2005
RESPS:3,732          HOURS:622            COSTS(000):$0
  Insurance Deduction Authorization
FORMS: 29-888

OMB NO: 2900-0027    EXPIRATION DATE: 06/30/2005
RESPS:100            HOURS:33             COSTS(000):$0
  Application for Accrued Benefits by Veteran's Surviving Spouse,
  Child, or Dependent Parent
FORMS: 21-551

OMB NO: 2900-0028    EXPIRATION DATE: 10/31/2005
RESPS:196,200        HOURS:22,700         COSTS(000):$0
  a. Application of Service Reresentative for Placement on Mailing
  List b. Request for and Consen to Release of Information from
  Claimant's Records c. Requests to Corespondent for Identifing....
FORMS: VA-3215 VA-3288 VA-70-2

OMB NO: 2900-0029    EXPIRATION DATE: 07/31/2005
RESPS:172,500        HOURS:57,917         COSTS(000):$0
  VA Forms 26-6705, Offer to Purchase and Contract of Sale, VA
  Form 26-6705b, Credit Statement of Prospective Purchaser, VA
  Form 26-6705d, Addendum to VA Form 26-6705 (Virginia)
FORMS: 26-6705 26-6705B 26-6705D

OMB NO: 2900-0031    EXPIRATION DATE: 09/30/2005
RESPS:600            HOURS:150            COSTS(000):$0
  Veteran's Supplemental Application for Assistance in Acquiring
  Specially Adapted Housing
FORMS: 26-4555C

OMB NO: 2900-0032    EXPIRATION DATE: 04/30/2005
RESPS:200,000        HOURS:50,000         COSTS(000):$0
  Report and Certification of Loan Disbursement
FORMS: 26-1820

OMB NO: 2900-0034    EXPIRATION DATE: 10/31/2003
RESPS:30,000         HOURS:7,500          COSTS(000):$0
  Trainee Request for Leave - Chapter 31, Title 38, U.S. Code
FORMS: 28-1905H

OMB NO: 2900-0036    EXPIRATION DATE: 03/31/2005
RESPS:10             HOURS:28             COSTS(000):$0
  Statement of Disappearance
FORMS: VA-21-1775

OMB NO: 2900-0038    EXPIRATION DATE: 03/31/2005
RESPS:9,000          HOURS:3,000          COSTS(000):$0
  Information from Remarried Widow(er)
FORMS: 21-4103

OMB NO: 2900-0041    EXPIRATION DATE: 12/31/2004
RESPS:31,500         HOURS:5,925          COSTS(000):$0
  Compliance Inspection Report
FORMS: 26-1839

OMB NO: 2900-0042    EXPIRATION DATE: 10/31/2003
RESPS:32,895         HOURS:32,895         COSTS(000):$0
  Statement of Accredited Representative in Appealed Case
FORMS: 646

OMB NO: 2900-0043    EXPIRATION DATE: 03/31/2005
RESPS:226,000        HOURS:56,500         COSTS(000):$0
  Declaration of Status of Dependents
FORMS: 21-686C

OMB NO: 2900-0045    EXPIRATION DATE: 12/31/2004
RESPS:300,000        HOURS:60,000         COSTS(000):$0
  VA Request for Determination of Reasonable Value
FORMS: 26-1805

OMB NO: 2900-0046    EXPIRATION DATE: 09/30/2004
RESPS:312            HOURS:78             COSTS(000):$0
  Statement of Heirs for Payment of Credits Due Estate of Veteran
FORMS: FL29-596

OMB NO: 2900-0047    EXPIRATION DATE: 05/31/2005
RESPS:40,000         HOURS:30,000         COSTS(000):$0
  Financial Statement
FORMS: 26-6807

OMB NO: 2900-0049    EXPIRATION DATE: 08/31/2005
RESPS:177,500        HOURS:37,792         COSTS(000):$0
  Request for Approval of School Attendance - VA Form 21-674 and
  VA Form 21-674c. School Attendance Report- VA Form 21-674b.
FORMS: 21-674 21-674B 21-674C

OMB NO: 2900-0051    EXPIRATION DATE: 10/31/2003
RESPS:228            HOURS:228            COSTS(000):$0
  Quarterly Report of State Approving Agency Activities
FORMS: 22-7398

OMB NO: 2900-0052    EXPIRATION DATE: 06/30/2005
RESPS:180,000        HOURS:45,000         COSTS(000):$0
  Report of Medical Examination for Disability Evaluation
FORMS: 21-2545

OMB NO: 2900-0055    EXPIRATION DATE: 06/30/2005
RESPS:1,000          HOURS:250            COSTS(000):$0
  Request for Determination of Loan Guaranty Eligibility -
  Unmarried Surviving Spouses
FORMS: 26-1817

OMB NO: 2900-0059    EXPIRATION DATE: 03/31/2005
RESPS:2,000          HOURS:4,000          COSTS(000):$0
  Statement of Person Claiming to Have Stood in Relation of Parent
FORMS: VA-21-524

OMB NO: 2900-0060    EXPIRATION DATE: 08/31/2005
RESPS:85,850         HOURS:8,938          COSTS(000):$0
  Claim for Life Insurance Proceeds (NSLI & USGLI)
FORMS: 29-4125 29-4125A 29-4125K

OMB NO: 2900-0061    EXPIRATION DATE: 12/31/2005
RESPS:1,000          HOURS:1,000          COSTS(000):$0
  Request for Supplies
FORMS: 28-1905M

OMB NO: 2900-0064    EXPIRATION DATE: 07/31/2005
RESPS:750            HOURS:375            COSTS(000):$0
  Application for Amounts Due Estates of Persons Entitled to
  Benefits
FORMS: VA-FORM-21-609

OMB NO: 2900-0065    EXPIRATION DATE: 09/30/2004
RESPS:60,000         HOURS:15,000         COSTS(000):$0
  Request for Employment Information in Connection with Claim for
  Disability Benefits
FORMS: VA-21-4192

OMB NO: 2900-0066    EXPIRATION DATE: 09/30/2004
RESPS:5,167          HOURS:862            COSTS(000):$0
  Request for Employment Information
FORMS: 29-459

OMB NO: 2900-0067    EXPIRATION DATE: 12/31/2005
RESPS:1,500          HOURS:375            COSTS(000):$0
  Application for Automobile or Other Conveyance and Adaptive
  Equipment (Under 38 U.S.C. 3901-3904)
FORMS: 21-4502

OMB NO: 2900-0068    EXPIRATION DATE: 07/31/2005
RESPS:4,250          HOURS:2,833          COSTS(000):$0
  Application for Service-Disabled Insurance
FORMS: 29-4364 29-0151

OMB NO: 2900-0073    EXPIRATION DATE: 10/31/2003
RESPS:725,802        HOURS:120,967        COSTS(000):$0
  Enrollment Certification
FORMS: 22-1999 22-1999-1 22-1999-2 22-1999-3

OMB NO: 2900-0074    EXPIRATION DATE: 12/31/2003
RESPS:120,300        HOURS:24,060         COSTS(000):$0
  Request for Change of Program or Place of Training (Under
  Chapters 30 and 32, Title 38, U.S. Code; Section 903 of Public
  Law 96-342; or Chapter 1606, Title 10, U.S. Code)
FORMS: 22-1995

OMB NO: 2900-0075    EXPIRATION DATE: 06/30/2005
RESPS:752,000        HOURS:188,000        COSTS(000):$0
  Statement in Support of Claim
FORMS: 21-4138

OMB NO: 2900-0080    EXPIRATION DATE: 10/31/2004
RESPS:480,100        HOURS:32,742         COSTS(000):$0
  Claim for Payment of Cost of Unauthorized Medical Services;
  Funeral Arrangements; Authority & Invoice for Travel by
  Ambulance or other Hired Vehicle; Authorization & Invoice for
  Medical....
FORMS: 10-583 10-2065 10-2511 10-7078

OMB NO: 2900-0085    EXPIRATION DATE: 07/31/2005
RESPS:39,782         HOURS:35,608         COSTS(000):$0
  Appeal to Board of Veterans' Appeals, Withdrawal of Services by
  a Representative, Filing of Representatives' Fee Agreements and
  Motions for Review of Such Agreements, Motion for Review of......
FORMS: 9

OMB NO: 2900-0086    EXPIRATION DATE: 08/31/2005
RESPS:442,500        HOURS:110,625        COSTS(000):$0
  Request for a Certificate of Eligibility for VA Home Loan
  Benefits
FORMS: 26-1880

OMB NO: 2900-0089    EXPIRATION DATE: 03/31/2005
RESPS:40,000         HOURS:20,000         COSTS(000):$0
  Statement of Dependency of Parent(s)
FORMS: 21-509

OMB NO: 2900-0090    EXPIRATION DATE: 11/30/2003
RESPS:30,000         HOURS:7,500          COSTS(000):$0
  Application for Voluntary Service
FORMS: 10-7055

OMB NO: 2900-0091    EXPIRATION DATE: 03/31/2005
RESPS:5,985,000      HOURS:2,655,417      COSTS(000):$0
  Application for Health Benefits
FORMS: VA-10-10EZ

OMB NO: 2900-0092    EXPIRATION DATE: 05/31/2004
RESPS:60,000         HOURS:30,000         COSTS(000):$0
  Counseling Record - Personal Information
FORMS: 28-1902

OMB NO: 2900-0094    EXPIRATION DATE: 06/30/2005
RESPS:1,000          HOURS:250            COSTS(000):$0
  Supplement to VA Forms 21-526, 21-534, and 21-535 (For
  Philippine Claims)
FORMS: VA-21-4169

OMB NO: 2900-0095    EXPIRATION DATE: 03/31/2005
RESPS:25,000         HOURS:12,500         COSTS(000):$0
  Pension Claim Questionnair for Farm Income
FORMS: VA-21-4165

OMB NO: 2900-0098    EXPIRATION DATE: 07/31/2003
RESPS:20,100         HOURS:10,050         COSTS(000):$0
  Application for Survivors' and Dependents' Educational
  Assistance (Under Chapter 35, Title 38 U.S.C.)
FORMS: 22-5490

OMB NO: 2900-0099    EXPIRATION DATE: 09/30/2004
RESPS:12,000         HOURS:3,000          COSTS(000):$0
  Request for Change of Program or Place of Training Survivors'
  and Dependents' Education Assistance (Under Provisions of
  Chapter 35, Title 38 U.S.C.)
FORMS: VA-22-5495

OMB NO: 2900-0101    EXPIRATION DATE: 05/31/2005
RESPS:293,894        HOURS:146,947        COSTS(000):$0
  Eligibility Verification Reports
FORMS: 21-0510 21-0511S 21-0511S-1 21-0511V 21-0511V-1 21-0512S
21-0512S-1 21-0512V 21-0512V-1 21-0513

OMB NO: 2900-0103    EXPIRATION DATE: 03/31/2005
RESPS:7,900          HOURS:1,975          COSTS(000):$0
  Application for Dependency and Indemnity Compensation by Child
FORMS: VA-21-4183

OMB NO: 2900-0104    EXPIRATION DATE: 04/30/2003
RESPS:4,400          HOURS:2,200          COSTS(000):$0
  Report of Accidental Injury in Support of Claim for Compensation
  or Pension
FORMS: 21-4176

OMB NO: 2900-0105    EXPIRATION DATE: 03/31/2005
RESPS:13,200         HOURS:4,400          COSTS(000):$0
  Statement of Witness to Accident
FORMS: 21-806

OMB NO: 2900-0107    EXPIRATION DATE: 12/31/2005
RESPS:4,316          HOURS:863            COSTS(000):$0
  Certificate As To Assets
FORMS: 21-4709

OMB NO: 2900-0108    EXPIRATION DATE: 12/31/2005
RESPS:59,000         HOURS:29,500         COSTS(000):$0
  Report of Income from Property or Business
FORMS: 21-4185

OMB NO: 2900-0110    EXPIRATION DATE: 07/31/2003
RESPS:4,082          HOURS:680            COSTS(000):$0
  Application for Assumption Approval and/or Release From Personal
  Liability to the Government on a Home Loan
FORMS: 26-6381

OMB NO: 2900-0111    EXPIRATION DATE: 10/31/2004
RESPS:9,000          HOURS:2,250          COSTS(000):$0
  Statement of Purchaser or Owner Assuming Seller's Loan
FORMS: 26-6382

OMB NO: 2900-0112    EXPIRATION DATE: 08/31/2003
RESPS:7,000          HOURS:1,167          COSTS(000):$0
  Statement of Holder or Servicer of Veteran's Loan
FORMS: 26-559

OMB NO: 2900-0113    EXPIRATION DATE: 09/30/2003
RESPS:6,200          HOURS:2,067          COSTS(000):$0
  Application for Fee Personnel Designation
FORMS: 26-6681

OMB NO: 2900-0114    EXPIRATION DATE: 04/30/2005
RESPS:6,000          HOURS:3,000          COSTS(000):$0
  Statement of Marital Relationship
FORMS: 21-4170

OMB NO: 2900-0115    EXPIRATION DATE: 06/30/2005
RESPS:2,400          HOURS:800            COSTS(000):$0
  Supporting Statement Regarding Marriage
FORMS: 21-4171

OMB NO: 2900-0116    EXPIRATION DATE: 05/31/2005
RESPS:1,664          HOURS:416            COSTS(000):$0
  Notice of Department of Veterans Affairs of Veteran or
  Beneficiary Incarcerated in Penal Institution
FORMS: 21-4193

OMB NO: 2900-0117    EXPIRATION DATE: 07/31/2004
RESPS:12,500         HOURS:3,125          COSTS(000):$0
  Inquiry Concerning Application for Employment
FORMS: VAFL-5-127

OMB NO: 2900-0118    EXPIRATION DATE: 07/31/2004
RESPS:20,600         HOURS:3,433          COSTS(000):$0
  Transfer of Scholastic Credit (Schools)
FORMS: 22-315

OMB NO: 2900-0119    EXPIRATION DATE: 10/31/2005
RESPS:20,277         HOURS:4,055          COSTS(000):$0
  Report of Treatment in Hospital
FORMS: 29-551

OMB NO: 2900-0120    EXPIRATION DATE: 05/31/2005
RESPS:20,277         HOURS:5,069          COSTS(000):$0
  Report of Treatment of Attending Physician
FORMS: FL-29-551A

OMB NO: 2900-0121    EXPIRATION DATE: 03/31/2006
RESPS:244            HOURS:61             COSTS(000):$0
  Obtaining Supplemental Information from Hospital or Doctor
FORMS: 29-551B

OMB NO: 2900-0129    EXPIRATION DATE: 04/30/2005
RESPS:6,570          HOURS:548            COSTS(000):$0
  Supplemental Disability Report
FORMS: FL-29-30A

OMB NO: 2900-0130    EXPIRATION DATE: 03/31/2005
RESPS:40,000         HOURS:20,000         COSTS(000):$0
  Status of Loan Account - Foreclosure or Other Liquidation
FORMS: 26-567

OMB NO: 2900-0131    EXPIRATION DATE: 07/31/2005
RESPS:9,000          HOURS:3,000          COSTS(000):$0
  Request for Supplemental Information on Medical and Nonmedical
  Applications
FORMS: FL-29-615

OMB NO: 2900-0132    EXPIRATION DATE: 03/31/2006
RESPS:1,500          HOURS:250            COSTS(000):$0
  Veteran's Application in Acquiring Specially Adapted Housing or
  Special Home Adaptation Grant
FORMS: 26-4555

OMB NO: 2900-0133    EXPIRATION DATE: 09/30/2004
RESPS:700            HOURS:175            COSTS(000):$0
  Application for Amounts on Deposit for Deceased Veteran
FORMS: VA-21-6898

OMB NO: 2900-0138    EXPIRATION DATE: 11/30/2004
RESPS:22,800         HOURS:5,700          COSTS(000):$0
  Request for Details of Expenses
FORMS: 21-8049

OMB NO: 2900-0139    EXPIRATION DATE: 03/31/2005
RESPS:1,200          HOURS:300            COSTS(000):$0
  Notice - Payment Not Applied
FORMS: 29-4499A

OMB NO: 2900-0143    EXPIRATION DATE: 10/31/2004
RESPS:100            HOURS:33             COSTS(000):$0
  Offer To Rent On Month-To-Month Basis and Credit Statement Of
  Prospective Tenant
FORMS: 26-6725

OMB NO: 2900-0144    EXPIRATION DATE: 10/31/2004
RESPS:200,000        HOURS:20,000         COSTS(000):$0
  HUD/VA Addendum to Uniform Residential Loan Application and
  Uniform Residential Loan Application
FORMS: 26-1802A FREDDIEMAC-65 FANNIEMAE-1003

OMB NO: 2900-0149    EXPIRATION DATE: 03/31/2005
RESPS:4,000          HOURS:1,125          COSTS(000):$0
  Application for Conversion
FORMS: 29-0152

OMB NO: 2900-0153    EXPIRATION DATE: 04/30/2005
RESPS:60,000         HOURS:15,000         COSTS(000):$0
  Disability Benefits Questionnaire
FORMS: 29-8313 29-8313-1

OMB NO: 2900-0154    EXPIRATION DATE: 01/31/2004
RESPS:126,093        HOURS:73,554         COSTS(000):$0
  Application for VA Education Benefits
FORMS: 22-1990

OMB NO: 2900-0156    EXPIRATION DATE: 04/30/2003
RESPS:824,588        HOURS:68,716         COSTS(000):$0
  Notice of Change in Student Status
FORMS: 22-1999B

OMB NO: 2900-0159    EXPIRATION DATE: 03/31/2005
RESPS:8,600          HOURS:2,867          COSTS(000):$0
  Application for Payment of Matured Endowment
FORMS: 29-5767

OMB NO: 2900-0160    EXPIRATION DATE: 09/30/2003
RESPS:55,993         HOURS:14,245         COSTS(000):$0
  Title 38, CFR Part 51 and Title 38, CFR Part 52
FORMS: VA-10-10SH VA-10-3567 VA-10-5588 VA-10-0143 VA-10-0143A
VA-10-0144 VA-10-0144A

OMB NO: 2900-0161    EXPIRATION DATE: 05/31/2005
RESPS:96,400         HOURS:48,200         COSTS(000):$0
  Medical Expense Report
FORMS: 21-8416

OMB NO: 2900-0162    EXPIRATION DATE: 07/31/2004
RESPS:12,100         HOURS:6,050          COSTS(000):$0
  Monthly Certification of Flight Training
FORMS: 22-6553C

OMB NO: 2900-0165    EXPIRATION DATE: 07/31/2003
RESPS:41,800         HOURS:41,800         COSTS(000):$0
  Financial Status Report
FORMS: 20-5655

OMB NO: 2900-0166    EXPIRATION DATE: 05/31/2005
RESPS:15,400         HOURS:1,284          COSTS(000):$0
  Application for Ordinary Life Insurance and Information about
  Modified Life
FORMS: 29-8485 29-8485A 29-8700A-E 29-8701A-E

OMB NO: 2900-0171    EXPIRATION DATE: 01/31/2006
RESPS:2,400          HOURS:1,200          COSTS(000):$0
  Application and Enrollment Certification for Individualized
  Tutorial Assistance
FORMS: 22-1990T

OMB NO: 2900-0176    EXPIRATION DATE: 03/31/2004
RESPS:12,000         HOURS:3,000          COSTS(000):$30
  Monthly Record of Training and Wages
FORMS: 28-1905C

OMB NO: 2900-0178    EXPIRATION DATE: 03/31/2006
RESPS:120,600        HOURS:20,100         COSTS(000):$0
  Monthly Certification of On-The-Job and Apprenticeship Training
FORMS: 22-6553D 22-6553D-1

OMB NO: 2900-0179    EXPIRATION DATE: 03/31/2005
RESPS:28             HOURS:14             COSTS(000):$0
  Application for Change of Permanent Plan (Medical)
FORMS: 29-1549

OMB NO: 2900-0180    EXPIRATION DATE: 08/31/2003
RESPS:1              HOURS:124            COSTS(000):$0
  Compliance Report of Proprietary Institutions
FORMS: 27-4274

OMB NO: 2900-0188    EXPIRATION DATE: 10/31/2004
RESPS:519,844        HOURS:37,079         COSTS(000):$0
  Claim, Authorization and Invoice for Prosthetic Items and
  Services
FORMS: 10-90 10-426 10-0103 10-1394 10-2421 10-2520 10-2914

OMB NO: 2900-0198    EXPIRATION DATE: 07/31/2003
RESPS:6,720          HOURS:1,120          COSTS(000):$0
  Application for Annual Clothing Allowance
FORMS: 21-8678

OMB NO: 2900-0205    EXPIRATION DATE: 03/31/2006
RESPS:166,342        HOURS:75,471         COSTS(000):$0
  Application for Employment and Appraisal of Applicant for Title
  38 Positions
FORMS: 10-2850 10-2850A 10-2850B 10-2850C 10-341A

OMB NO: 2900-0208    EXPIRATION DATE: 03/31/2006
RESPS:18,205         HOURS:4,591          COSTS(000):$0
  Daily Log-Formal Contract and Architect-Engineer Fee Proposal
FORMS: 10-6131 10-6298

OMB NO: 2900-0209    EXPIRATION DATE: 09/30/2003
RESPS:80,000         HOURS:9,184          COSTS(000):$0
  Application for Work-Study Allowance, Student Work-Study
  Agreement (Student Services), Extended Student Work-Study
  Agreement, Work-Study Agreement (Student Services)
FORMS: 22-8691 8692 8692A 8692B

OMB NO: 2900-0212    EXPIRATION DATE: 09/30/2004
RESPS:450            HOURS:113            COSTS(000):$0
  Veterans Mortgage Life Insurance Statement
FORMS: 29-8636

OMB NO: 2900-0215    EXPIRATION DATE: 03/31/2005
RESPS:22,600         HOURS:3,767          COSTS(000):$0
  Request for Information to make Direct Payment to Child Reaching
  Majority
FORMS: 21-863

OMB NO: 2900-0216    EXPIRATION DATE: 06/30/2005
RESPS:3,750          HOURS:1,875          COSTS(000):$0
  Application for Reimbursement from Accrued Amounts Due a
  Deceased Beneficiary
FORMS: 21-601

OMB NO: 2900-0219    EXPIRATION DATE: 03/31/2004
RESPS:381,000        HOURS:63,000         COSTS(000):$0
  CHAMPVA Benefits - Application, Claim, OHI, Potential Liability
  and Spina Bifida Benefits
FORMS: 10-10D 10-7959A 10-7959C 10-7959D

OMB NO: 2900-0222    EXPIRATION DATE: 04/30/2004
RESPS:334,000        HOURS:83,500         COSTS(000):$0
  Application for Standard Government Headstone or Marker for
  Installation in Private or State Veterans' Cemetery
FORMS: 40-1330

OMB NO: 2900-0227    EXPIRATION DATE: 06/30/2003
RESPS:278,062        HOURS:49,099         COSTS(000):$0
  Nation-wide Customer Satisfaction Surveys
FORMS: 10-0142B 10-0142C 10-1465-1 10-1465-3 10-1465-7 10-1465-9
10-5387

OMB NO: 2900-0249    EXPIRATION DATE: 08/31/2004
RESPS:65,000         HOURS:27,083         COSTS(000):$0
  Loan Service Report
FORMS: 26-6808

OMB NO: 2900-0251    EXPIRATION DATE: 11/30/2005
RESPS:175,000        HOURS:29,167         COSTS(000):$0
  Present Status of Loan
FORMS: 26-8778

OMB NO: 2900-0252    EXPIRATION DATE: 12/31/2004
RESPS:120            HOURS:50             COSTS(000):$0
  Application for Authority to Close Loans on an Automatic Basis -
  Nonsupervised Lenders
FORMS: 26-8736

OMB NO: 2900-0253    EXPIRATION DATE: 12/31/2004
RESPS:3,000          HOURS:1,000          COSTS(000):$0
  Nonsuperivsed Lender's Nomination and Recommendation of Credit
  Underwriter
FORMS: 26-8736A

OMB NO: 2900-0260    EXPIRATION DATE: 10/31/2004
RESPS:326,000        HOURS:10,867         COSTS(000):$0
  Request for and Consent to Release of Medical Records Protected
  by 38 U.S.C. 7332
FORMS: 10-5345

OMB NO: 2900-0261    EXPIRATION DATE: 03/31/2005
RESPS:50,000         HOURS:8,333          COSTS(000):$0
  Application for Refund of Educational Contributions
FORMS: 24-5281

OMB NO: 2900-0262    EXPIRATION DATE: 10/31/2003
RESPS:2,500          HOURS:417            COSTS(000):$0
  Designation of Certifying Official
FORMS: 22-8794

OMB NO: 2900-0265    EXPIRATION DATE: 10/31/2003
RESPS:5,000          HOURS:417            COSTS(000):$0
  Application for Counseling
FORMS: 28-8832

OMB NO: 2900-0270    EXPIRATION DATE: 06/30/2005
RESPS:5,000          HOURS:3,750          COSTS(000):$0
  Financial Counseling Statement
FORMS: 26-8844

OMB NO: 2900-0276    EXPIRATION DATE: 11/30/2003
RESPS:124            HOURS:186            COSTS(000):$0
  Manufactured Home Appraisal Report
FORMS: 26-8712

OMB NO: 2900-0300    EXPIRATION DATE: 07/31/2004
RESPS:75             HOURS:25             COSTS(000):$0
  Veterans Application for Assistance in Acquiring Special Housing
  Adaptations
FORMS: 26-4555D

OMB NO: 2900-0317    EXPIRATION DATE: 09/30/2004
RESPS:2,400          HOURS:200            COSTS(000):$0
  Request for Identifying Information Re: Veteran's Loan Records
FORMS: 26-626

OMB NO: 2900-0319    EXPIRATION DATE: 10/31/2003
RESPS:16,676         HOURS:1,390          COSTS(000):$0
  Fiduciary Agreement
FORMS: 21-4703

OMB NO: 2900-0320    EXPIRATION DATE: 08/31/2005
RESPS:10,000         HOURS:5,000          COSTS(000):$0
  Escrow Agreement for Postponed Exterior Onsite Information
FORMS: 26-1849

OMB NO: 2900-0321    EXPIRATION DATE: 06/30/2003
RESPS:325,000        HOURS:27,083         COSTS(000):$0
  Appointment of Veterans Service Organization as Claimant's
  Representatives
FORMS: 21-22

OMB NO: 2900-0324    EXPIRATION DATE: 07/31/2005
RESPS:1,440          HOURS:1,080          COSTS(000):$0
  Supplemental Physical Examination Reports
FORMS: 29-8146 29-8158 29-8160

OMB NO: 2900-0325    EXPIRATION DATE: 07/31/2004
RESPS:21,353         HOURS:1,779          COSTS(000):$0
  Certificate of Delivery of Advance Payment and Enrollment
FORMS: 22-1999V

OMB NO: 2900-0335    EXPIRATION DATE: 03/31/2004
RESPS:43,000         HOURS:14,333         COSTS(000):$0
  Dental Record Authorization and Invoice for Outpatient Services
FORMS: 10-2570D

OMB NO: 2900-0342    EXPIRATION DATE: 08/31/2004
RESPS:600            HOURS:450            COSTS(000):$0
  Application and On-the-Job Training Agreement and Standards and
  Employer's Application to Provide Training
FORMS: 22-8864 22-8865

OMB NO: 2900-0353    EXPIRATION DATE: 11/30/2003
RESPS:10,617         HOURS:1,780          COSTS(000):$0
  Certification of Lessons Completed
FORMS: 22-6553B 22-6553B-1

OMB NO: 2900-0355    EXPIRATION DATE: 03/31/2005
RESPS:56,000         HOURS:9,333          COSTS(000):$0
  Verification of Pursuit of Course (Leading to a Standard College
  Degree)
FORMS: VA-22-6553

OMB NO: 2900-0358    EXPIRATION DATE: 08/31/2003
RESPS:16,500         HOURS:8,250          COSTS(000):$0
  Supplemental Information for Change of Program or Reenrollment
  After Unsatisfactory Attendance, Conduct or Progress
FORMS: 22-8873

OMB NO: 2900-0362    EXPIRATION DATE: 08/31/2005
RESPS:26,806         HOURS:26,139         COSTS(000):$0
  Claim Under Loan Guaranty, Supplemental Claim Form - Adjustable
  Rate Mortgages
FORMS: VA-26-1874 VA-26-1874A

OMB NO: 2900-0365    EXPIRATION DATE: 06/30/2004
RESPS:329            HOURS:33             COSTS(000):$0
  Request for Disinterment
FORMS: 40-4970

OMB NO: 2900-0368    EXPIRATION DATE: 09/30/2005
RESPS:3,600          HOURS:1,800          COSTS(000):$0
  Monthly Statement of Wages to Trainee
FORMS: 28-1917

OMB NO: 2900-0376    EXPIRATION DATE: 03/31/2004
RESPS:5,500          HOURS:1,833          COSTS(000):$0
  Agent Orange Registry Codesheet
FORMS: 10-9009

OMB NO: 2900-0377    EXPIRATION DATE: 02/29/2004
RESPS:842            HOURS:421            COSTS(000):$0
  Claim for Repurchase of Loan
FORMS: VA/FORM26-8084

OMB NO: 2900-0379    EXPIRATION DATE: 11/30/2003
RESPS:164,000        HOURS:13,667         COSTS(000):$0
  Time Record (Work-Study Program)
FORMS: 22-8690

OMB NO: 2900-0381    EXPIRATION DATE: 03/31/2006
RESPS:25,000         HOURS:4,167          COSTS(000):$0
  Notice of Election to Convey and/or Invoice for Transfer of
  Property
FORMS: 26-8903

OMB NO: 2900-0383    EXPIRATION DATE: 09/30/2004
RESPS:12             HOURS:6              COSTS(000):$0
  Application for Educational Assistance Test Program Benefits
  (Section 901, PL 96-342)
FORMS: 22-8889

OMB NO: 2900-0386    EXPIRATION DATE: 10/31/2003
RESPS:50,000         HOURS:8,333          COSTS(000):$0
  Interest Rate Reduction Refinancing Loan Worksheet
FORMS: 26-8923

OMB NO: 2900-0387    EXPIRATION DATE: 09/30/2004
RESPS:195,817        HOURS:16,318         COSTS(000):$0
  Request for Verification of Deposit
FORMS: VA-26-8497A

OMB NO: 2900-0390    EXPIRATION DATE: 07/31/2005
RESPS:7,500          HOURS:2,500          COSTS(000):$0
  Application of Surviving Spouse or Child for REPS Benefits
  (Restored Entitlement Program for Survivors)
FORMS: 21-8924

OMB NO: 2900-0393    EXPIRATION DATE: 03/31/2005
RESPS:10,650         HOURS:10,650         COSTS(000):$0
  Department of Veterans Affairs Acquisition Regulation (VAAR)
  Part 813
FORMS: NONE

OMB NO: 2900-0394    EXPIRATION DATE: 04/30/2005
RESPS:1,200          HOURS:300            COSTS(000):$0
  Certification of School Attendance - REPS
FORMS: 21-8926

OMB NO: 2900-0399    EXPIRATION DATE: 12/31/2005
RESPS:5,300          HOURS:1,767          COSTS(000):$0
  Student Beneficiary Report -- REPS
FORMS: 21-8938

OMB NO: 2900-0404    EXPIRATION DATE: 03/31/2005
RESPS:24,000         HOURS:18,000         COSTS(000):$0
  Veteran's Application for Increased Compensation Based on
  Individual Unemployability
FORMS: 21-8940

OMB NO: 2900-0405    EXPIRATION DATE: 07/31/2005
RESPS:2,200          HOURS:550            COSTS(000):$0
  REPS Annual Eligibility Report
FORMS: 21-8941

OMB NO: 2900-0406    EXPIRATION DATE: 02/29/2004
RESPS:75,000         HOURS:6,250          COSTS(000):$0
  Verification of a Benefit-Related Indebtedness
FORMS: 26-8937

OMB NO: 2900-0408    EXPIRATION DATE: 10/31/2005
RESPS:110            HOURS:36             COSTS(000):$0
  Manufactured Home Loan Claim Under Loan Guaranty (Manufactured
  Home Unit Only)--Manufactured Home Loan Claim Under Loan
  Guaranty (Combination Loan - Manufactured Home Unit & Lot/Lot
  Only)
FORMS: 26-8629 26-8630

OMB NO: 2900-0418    EXPIRATION DATE: 03/31/2005
RESPS:1,600          HOURS:1,030          COSTS(000):$0
  VAAR Sections 809.106-1 and 809.504(d) and VAAR Clause 852.209-70
FORMS: NONE

OMB NO: 2900-0422    EXPIRATION DATE: 03/31/2005
RESPS:3,534          HOURS:4,802          COSTS(000):$0
  VAAR Clauses 852-236-72, 852.236-81, 852.236-82, 852.236-83,
  852.236-84, and 852.236-88
FORMS: NONE

OMB NO: 2900-0427    EXPIRATION DATE: 11/30/2003
RESPS:50             HOURS:50             COSTS(000):$0
  Former POW Medical History
FORMS: 10-0048

OMB NO: 2900-0432    EXPIRATION DATE: 02/29/2004
RESPS:60,000         HOURS:1              COSTS(000):$0
  Invitation, Bid, and/or Acceptance or Authorization
FORMS: 26-6724

OMB NO: 2900-0442    EXPIRATION DATE: 10/31/2004
RESPS:102,000        HOURS:17,000         COSTS(000):$0
  Request for Armed Forces Separation Records from Veteran
FORMS: FL-21-80E

OMB NO: 2900-0455    EXPIRATION DATE: 09/30/2004
RESPS:228            HOURS:247            COSTS(000):$0
  Equal Opportunity Compliance Review Report and Supplement to
  Equal Opportunity Compliance Review Report
FORMS: 20-8734 20-8734A

OMB NO: 2900-0458    EXPIRATION DATE: 12/31/2005
RESPS:70,000         HOURS:11,667         COSTS(000):$0
  Certification of School Attendance or Termination
FORMS: 21-8960 21-8960-1

OMB NO: 2900-0459    EXPIRATION DATE: 11/30/2003
RESPS:22,000         HOURS:44,000         COSTS(000):$0
  Property Management Consolidated Invoice
FORMS: 26-8974

OMB NO: 2900-0460    EXPIRATION DATE: 02/28/2006
RESPS:185,000        HOURS:30,833         COSTS(000):$0
  Request for Verification of Employment
FORMS: 26-8497

OMB NO: 2900-0463    EXPIRATION DATE: 06/30/2005
RESPS:21,000         HOURS:3,500          COSTS(000):$0
  Notice of Waiver of VA Compensation or Pension to Receive
  Military Pay and Allowances
FORMS: 21-8951 21-8951-2

OMB NO: 2900-0465    EXPIRATION DATE: 01/31/2004
RESPS:2,190,000      HOURS:146,000        COSTS(000):$0
  Student Verification of Enrollment
FORMS: 22-8979

OMB NO: 2900-0466    EXPIRATION DATE: 10/31/2003
RESPS:23,700         HOURS:1,185          COSTS(000):$0
  Certificate of Balance on Deposit and Authorization to Disclose
  Financial Records
FORMS: 21-4178A

OMB NO: 2900-0469    EXPIRATION DATE: 05/31/2005
RESPS:2,078          HOURS:1,039          COSTS(000):$0
  Certificate Showing Residence and Heirs of Dec. Vet. or Bene.
FORMS: 29-541

OMB NO: 2900-0474    EXPIRATION DATE: 12/31/2004
RESPS:200,000        HOURS:6,667          COSTS(000):$0
  A Computer Generated Funding Fee Receipt
FORMS: NONE

OMB NO: 2900-0492    EXPIRATION DATE: 07/31/2005
RESPS:3,000          HOURS:1,500          COSTS(000):$0
  VA Matic Authorization
FORMS: 29-0532-1

OMB NO: 2900-0495    EXPIRATION DATE: 10/31/2004
RESPS:34,500         HOURS:2,875          COSTS(000):$0
  Marital Status Questionnaire
FORMS: 21-0537

OMB NO: 2900-0500    EXPIRATION DATE: 05/31/2005
RESPS:84,500         HOURS:14,083         COSTS(000):$0
  Status of Dependents Questionnaire
FORMS: 21-0538

OMB NO: 2900-0501    EXPIRATION DATE: 07/31/2005
RESPS:540            HOURS:45             COSTS(000):$0
  Veterans Mortgage Protection Insurance
FORMS: 29-0543

OMB NO: 2900-0503    EXPIRATION DATE: 06/30/2005
RESPS:240            HOURS:240            COSTS(000):$0
  Veterans Mortgage Life Insurance Change of Address Statement
FORMS: 29-0563

OMB NO: 2900-0510    EXPIRATION DATE: 06/30/2005
RESPS:25,000         HOURS:18,750         COSTS(000):$0
  Application for Exclusion of Children's Income
FORMS: 21-0571

OMB NO: 2900-0518    EXPIRATION DATE: 05/31/2004
RESPS:114,000        HOURS:15,000         COSTS(000):$0
  Income Verification
FORMS: 21-0161A

OMB NO: 2900-0519    EXPIRATION DATE: 09/30/2005
RESPS:2,025          HOURS:1,519          COSTS(000):$0
  Locality Pay System for Nurses and Other Health Care Personnel
FORMS: 10-0132

OMB NO: 2900-0521    EXPIRATION DATE: 10/31/2004
RESPS:300,000        HOURS:1              COSTS(000):$0
  Credit Underwriting Standards and Procedures for Processing VA
  Guaranteed Loans
FORMS: NONE

OMB NO: 2900-0523    EXPIRATION DATE: 04/30/2004
RESPS:200,000        HOURS:100,000        COSTS(000):$0
  Loan Analysis
FORMS: 26-6393

OMB NO: 2900-0524    EXPIRATION DATE: 10/31/2003
RESPS:1,800          HOURS:300            COSTS(000):$0
  VA Police Officer Pre-Employment Screening Checklist
FORMS: 0120

OMB NO: 2900-0525    EXPIRATION DATE: 09/30/2004
RESPS:5,000          HOURS:1,250          COSTS(000):$0
  VA MATIC Change
FORMS: 29-0165

OMB NO: 2900-0539    EXPIRATION DATE: 09/30/2004
RESPS:10,000         HOURS:3,333          COSTS(000):$0
  Application for Supplemental Service Disabled Veterans Insurance
FORMS: 29-0188 29-0189 29-0190

OMB NO: 2900-0545    EXPIRATION DATE: 08/31/2005
RESPS:10,000         HOURS:7,500          COSTS(000):$0
  Report of Medical, Legal, and Other Expenses Incident to
  Recovery for Injury or Death
FORMS: 21-8416B

OMB NO: 2900-0546    EXPIRATION DATE: 08/31/2004
RESPS:18,000         HOURS:3,000          COSTS(000):$0
  Gravesite Reservation Survey (2 Year)
FORMS: FL-40-40

OMB NO: 2900-0548    EXPIRATION DATE: 12/31/2005
RESPS:6,000          HOURS:600            COSTS(000):$0
  Generic Clearance for Board of Veterans' Appeals Customer
  Satisfaction with Hearing Survey
FORMS: 0745

OMB NO: 2900-0554    EXPIRATION DATE: 04/30/2004
RESPS:1,100          HOURS:3,527          COSTS(000):$0
  Homeless Providers Grant and Per Diem Program
FORMS: 10-0361

OMB NO: 2900-0556    EXPIRATION DATE: 09/30/2005
RESPS:243,000        HOURS:101,250        COSTS(000):$0
  Advanced Directive - Living Will and Durable Power of Attorney
FORMS: 10-0137

OMB NO: 2900-0559    EXPIRATION DATE: 06/30/2004
RESPS:65             HOURS:65             COSTS(000):$0
  State Cemetery Data
FORMS: 40-0241

OMB NO: 2900-0564    EXPIRATION DATE: 07/31/2003
RESPS:198,000        HOURS:6,600          COSTS(000):$0
  Direct Deposit Enrollment
FORMS: 24-0296

OMB NO: 2900-0565    EXPIRATION DATE: 08/31/2003
RESPS:40,000         HOURS:20,000         COSTS(000):$0
  State Application for Interment Allowance Under 38 U.S.C.
FORMS: 21-530A

OMB NO: 2900-0567    EXPIRATION DATE: 02/29/2004
RESPS:38,952         HOURS:1,298          COSTS(000):$0
  PMC Insert
FORMS: 40-0247

OMB NO: 2900-0568    EXPIRATION DATE: 08/31/2005
RESPS:7,600          HOURS:1,900          COSTS(000):$0
  Submission of School Catalog to the State Approving Agency
FORMS: NONE

OMB NO: 2900-0569    EXPIRATION DATE: 12/31/2003
RESPS:195,966        HOURS:26,810         COSTS(000):$0
  VA Voluntary Customer Surveys to Implement E.O. 12862
FORMS: NONE

OMB NO: 2900-0570    EXPIRATION DATE: 05/31/2003
RESPS:338,780        HOURS:75,069         COSTS(000):$0
  Generic Veterans Health Administration Customer Satisfaction
  Surveys
FORMS: NONE

OMB NO: 2900-0571    EXPIRATION DATE: 10/31/2003
RESPS:21,400         HOURS:9,496          COSTS(000):$0
  Generic Clearance for NCA, OFM, and IG Customer Satisfaction
  Surveys
FORMS: NONE

OMB NO: 2900-0572    EXPIRATION DATE: 05/31/2004
RESPS:2,000          HOURS:335            COSTS(000):$0
  Application for Spina Bifida Benefits
FORMS: 21-0304

OMB NO: 2900-0576    EXPIRATION DATE: 08/31/2005
RESPS:4,700          HOURS:235            COSTS(000):$0
  Affirmation of Enrollment Agreement
FORMS: 22-1999C

OMB NO: 2900-0577    EXPIRATION DATE: 03/31/2004
RESPS:2,000          HOURS:500            COSTS(000):$0
  Spina Bifida Award Attachment Important Information
FORMS: 21-0307

OMB NO: 2900-0578    EXPIRATION DATE: 07/31/2004
RESPS:3,400          HOURS:3,400          COSTS(000):$0
  Provision of Health Care to Vietnam Veterans' Children with
  Spina Bifida-Regulation
FORMS: 10-7959E

OMB NO: 2900-0579    EXPIRATION DATE: 11/30/2005
RESPS:60             HOURS:15             COSTS(000):$0
  Request for Vocational Training Benefits--Certain Children of
  Vietnam Veterans (Title 38 CFR 21.8014)
FORMS: NONE

OMB NO: 2900-0580    EXPIRATION DATE: 11/30/2005
RESPS:650            HOURS:63             COSTS(000):$0
  Request for Transportation Expense Reimbursement (Title 38 CFR
  21.8370)
FORMS: NONE

OMB NO: 2900-0583    EXPIRATION DATE: 11/30/2004
RESPS:240,000        HOURS:60,000         COSTS(000):$0
  Regulation for Informed Consent for Patient Care (Title 38 CFR
  17.32)
FORMS: NONE

OMB NO: 2900-0585    EXPIRATION DATE: 08/31/2004
RESPS:10,000         HOURS:833            COSTS(000):$0
  VA Acquisition Regulation Clause 852.211-77, Brand Name or Equal
  (was 852.210-77)
FORMS: NONE

OMB NO: 2900-0586    EXPIRATION DATE: 08/31/2004
RESPS:100            HOURS:50             COSTS(000):$0
  VA Acquisition Regulation Provision 852.211-75, Technical
  Industry Standards
FORMS: NONE

OMB NO: 2900-0587    EXPIRATION DATE: 08/31/2004
RESPS:15,000         HOURS:2,500          COSTS(000):$0
  VA Acquisition Regulation Clause 852.211-70, Service Data Manual
  (previously 852.210-70)
FORMS: NONE

OMB NO: 2900-0588    EXPIRATION DATE: 08/31/2004
RESPS:30             HOURS:150            COSTS(000):$0
  VA Acquisition Regulation Provision 852.211-74, Special Notice
  (previously 852.210-74)
FORMS: NONE

OMB NO: 2900-0589    EXPIRATION DATE: 08/31/2004
RESPS:1,000          HOURS:17             COSTS(000):$0
  VA Acquisition Regulation Provision 852.270-3, Shellfish
FORMS: NONE

OMB NO: 2900-0590    EXPIRATION DATE: 03/31/2005
RESPS:2,600          HOURS:1,300          COSTS(000):$0
  VAAR Clauses 852.237-7, 852.237-71, and 852.207-70
FORMS: NONE

OMB NO: 2900-0593    EXPIRATION DATE: 08/31/2004
RESPS:346,000        HOURS:960            COSTS(000):$0
  VA Acquisition Regulation Provision 852.214-70, Caution to
  Bidders - Bid Envelopes
FORMS: NONE

OMB NO: 2900-0594    EXPIRATION DATE: 08/31/2005
RESPS:36             HOURS:12             COSTS(000):$0
  Election to Apply Selected Reserve Service to Either Montgomery
  GI Bill - Active Duty or to the Montgomery GI Bill - Selected
  Reserve -- 38 CFR 21.7042 and 21.7540
FORMS: NONE

OMB NO: 2900-0600    EXPIRATION DATE: 06/30/2004
RESPS:101,652        HOURS:50,826         COSTS(000):$0
  Regulation for Reconsideration of Denied claims
FORMS: NONE

OMB NO: 2900-0601    EXPIRATION DATE: 04/30/2005
RESPS:170            HOURS:85             COSTS(000):$0
  Loan Guaranty: Requirements for Interest Rate Reduction
  Refinancing Loans
FORMS: NONE

OMB NO: 2900-0605    EXPIRATION DATE: 04/30/2005
RESPS:20             HOURS:15             COSTS(000):$0
  Application for Accreditation as a Claims Agent
FORMS: 21A

OMB NO: 2900-0606    EXPIRATION DATE: 05/31/2005
RESPS:400            HOURS:800            COSTS(000):$0
  Regulation for Submission of Evidence - Title 38 CFR 17.1C1(a)(2)
FORMS: NONE

OMB NO: 2900-0609    EXPIRATION DATE: 02/28/2006
RESPS:57,500         HOURS:11,042         COSTS(000):$0
  Survey of Veteran Enrollees' Health and Reliance Upon VA
FORMS: 10-21034G 10-21034H

OMB NO: 2900-0610    EXPIRATION DATE: 03/31/2006
RESPS:10             HOURS:3              COSTS(000):$0
  Ecclesiastical Endorsing Organization
  Verification/Reverification Information
FORMS: 10-0379

OMB NO: 2900-0613    EXPIRATION DATE: 12/31/2005
RESPS:2,400          HOURS:800            COSTS(000):$0
  Recordkeeping at Flight Schools
FORMS: NONE

OMB NO: 2900-0616    EXPIRATION DATE: 04/30/2004
RESPS:1,500          HOURS:250            COSTS(000):$0
  Application for Furnishing Nursing Home Care to Beneficiaries of
  Veterans Affairs
FORMS: 10-1170 10-2407

OMB NO: 2900-0618    EXPIRATION DATE: 08/31/2005
RESPS:200            HOURS:40             COSTS(000):$0
  Application by Insured terminally Ill Person Accelerated
  Benefit- 38 CFR 9.14(e)
FORMS: NONE

OMB NO: 2900-0619    EXPIRATION DATE: 09/30/2004
RESPS:1,392,000      HOURS:23,200         COSTS(000):$0
  Inquiry Routing and Information System (IRIS)
FORMS: NONE

OMB NO: 2900-0620    EXPIRATION DATE: 10/31/2005
RESPS:241,457        HOURS:120,729        COSTS(000):$0
  Payment or Reimbursement for Emergency Services for
  Nonservice-Connected Conditions in Non-VA Facilities
FORMS: NONE

OMB NO: 2900-0621    EXPIRATION DATE: 04/30/2005
RESPS:350            HOURS:1,750          COSTS(000):$0
  National Practitioner Data Bank Regulations
FORMS: NONE

OMB NO: 2900-0622    EXPIRATION DATE: 05/31/2005
RESPS:40             HOURS:20             COSTS(000):$0
  VAAR Clause 852.236-89, Buy American Act
FORMS: NONE

OMB NO: 2900-0623    EXPIRATION DATE: 05/31/2005
RESPS:870            HOURS:445            COSTS(000):$0
  VAAR Clause 852.236-91, Special Notes
FORMS: NONE

OMB NO: 2900-0624    EXPIRATION DATE: 11/30/2004
RESPS:372,209        HOURS:31,017         COSTS(000):$0
  Obligation to Report Factors Affecting Entitlement-38CFR
  3.204(a)1)/3.256(a)(1)/3.277(b)
FORMS: NONE

OMB NO: 2900-0629    EXPIRATION DATE: 05/31/2005
RESPS:8,600          HOURS:12,900         COSTS(000):$0
  Application for Extended Care Services
FORMS: 10-10EC

OMB NO: 2900-0630    EXPIRATION DATE: 02/28/2006
RESPS:500,000        HOURS:83,333         COSTS(000):$0
  Regulation on Application for Fisher Houses and Other Temporary
  Lodging
FORMS: NONE

OMB NO: 2900-0631    EXPIRATION DATE: 09/30/2005
RESPS:500            HOURS:500            COSTS(000):$0
  Credentialing Documentation
FORMS: 10-0376A 10-0376B

OMB NO: 2900-0633    EXPIRATION DATE: 10/31/2005
RESPS:3,828          HOURS:2,871          COSTS(000):$0
  Survey of Department of Veterans Affairs (VA) Pension and
  Parents DIC Participants
FORMS: NONE

OMB NO: 2900-0634    EXPIRATION DATE: 10/31/2005
RESPS:5,000          HOURS:83             COSTS(000):$0
  VA Museum Fund Donations Via Credit Card
FORMS: 5579A

OMB NO: 2900-0635    EXPIRATION DATE: 10/31/2005
RESPS:1,200          HOURS:200            COSTS(000):$0
  Suspension of Monthly Check
FORMS: 29-0759

OMB NO: 2900-0636    EXPIRATION DATE: 10/31/2003
RESPS:51,949         HOURS:2,597          COSTS(000):$0
  Request for Accelerated Payment
FORMS: NONE

OMB NO: 2900-0637    EXPIRATION DATE: 11/30/2005
RESPS:7,933          HOURS:4,628          COSTS(000):$0
  Longitudinal Health Study of Persian Gulf War Veterans
FORMS: 10-21055(NR)

OMB NO: 2900-0638    EXPIRATION DATE: 06/30/2003
RESPS:3,158          HOURS:525            COSTS(000):$0
  Questionnaire for Coroners and Medical Examiners
FORMS: 21-0766

OMB NO: 2900-0641    EXPIRATION DATE: 02/29/2004
RESPS:3,500          HOURS:2,625          COSTS(000):$0
  Study of Health and Communications of Veterans for the
  War-Related Illness and Post-Deployment Health Issues Centers
  (WRIISC)
FORMS: 10-21060(NR)

OMB NO: 2900-0642    EXPIRATION DATE: 09/30/2003
RESPS:24,000         HOURS:12,000         COSTS(000):$0
  VA Copayment Refund - USAA/Hartford Claim Form
FORMS: 10-0406

OMB NO: 2900-0643    EXPIRATION DATE: 09/30/2004
RESPS:2,050          HOURS:683            COSTS(000):$0
  Women Veterans Ambulatory Care Use: Patterns, Barriers, and
  Influences
FORMS: 10-21063(NR)

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
232 26,448,203 7,172,955 $30
(RETURN TO AGENCY LIST)

Environmental Protection Agency
Regional Office San Francisco
OMB NO: 2009-0001    EXPIRATION DATE: 08/31/2004
RESPS:145            HOURS:290            COSTS(000):$0
  2001 Emergency Planning and Community Right-to-know Act (EPCRA)
  and Risk Management Program (RMP) Implementation Status
  Questionnaire for Tribal Emergency Response Commission ...
FORMS: 2004.01

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
1 145 290 $0
Policy Planning and Evaluation
OMB NO: 2010-0026    EXPIRATION DATE: 08/31/2005
RESPS:480            HOURS:72,299         COSTS(000):$24
  Regulatory Reinvention Pilot Projects Under Project XL1
FORMS: 1755.06

OMB NO: 2010-0031    EXPIRATION DATE: 10/31/2004
RESPS:2,800          HOURS:3,775          COSTS(000):$49,683
  Valuing Inland Water Quality Improvements
FORMS: 1914.01

OMB NO: 2010-0032    EXPIRATION DATE: 06/30/2003
RESPS:200            HOURS:50,450         COSTS(000):$0
  Performance Track Program Level One: The Environmental Achieve-
  ment Track
FORMS: 1949.01

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
3 3,480 126,524 $49,707
Office of Enforcement and Compliance Assurance
OMB NO: 2020-0003    EXPIRATION DATE: 09/30/2003
RESPS:1,101          HOURS:6,432          COSTS(000):$0
  Confidentiality Rules
FORMS: 1665.03

OMB NO: 2020-0007    EXPIRATION DATE: 10/31/2004
RESPS:5              HOURS:562            COSTS(000):$0
  Environmental Impact Assessment of Nongovernmental Activities in
FORMS: 1808.03

OMB NO: 2020-0015    EXPIRATION DATE: 02/28/2005
RESPS:25,676         HOURS:3,956          COSTS(000):$0
  Assessment of Compliance Assistance Projects
FORMS: 1860.02

OMB NO: 2020-0020    EXPIRATION DATE: 09/30/2004
RESPS:54             HOURS:4,300          COSTS(000):$0
  Safe Drinking Water Act: Annual Public Water Systems Compliance
  Report
FORMS: 1812.02

OMB NO: 2020-0022    EXPIRATION DATE: 08/31/2004
RESPS:700            HOURS:1,900          COSTS(000):$0
  Compliance Assistance Surveys for the Marina, Metal Finishing,
  Construction Site, and Auto Salvage Yard Sectors
FORMS: 2021.01

OMB NO: 2020-0023    EXPIRATION DATE: 10/31/2004
RESPS:289            HOURS:2,000          COSTS(000):$0
  Proposed Information Collection Request for the Evaluation of
  Print STEP.
FORMS: 1941.02

OMB NO: 2020-0027    EXPIRATION DATE: 05/31/2003
RESPS:1              HOURS:266            COSTS(000):$0
  Survey of Air Quality Issues After September 11, 2001
FORMS: ICR-2094.01

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
7 27,826 19,416 $0
Administration and Resources Management
OMB NO: 2030-0005    EXPIRATION DATE: 03/31/2006
RESPS:3,888          HOURS:140,940        COSTS(000):$39
  Monthly Progress Reports
FORMS: 1039.10

OMB NO: 2030-0006    EXPIRATION DATE: 02/29/2004
RESPS:1,261          HOURS:246,527        COSTS(000):$0
  Invitation for Bids and Request for Proposals (IFBs and RFPs)
FORMS: 1038.10

OMB NO: 2030-0007    EXPIRATION DATE: 04/30/2003
RESPS:37,492         HOURS:9,373          COSTS(000):$0
  Oral and Written Purchase Orders
FORMS: 1900-8 1900-13 1037.06

OMB NO: 2030-0016    EXPIRATION DATE: 03/31/2006
RESPS:247            HOURS:163            COSTS(000):$2
  Contractor Cumulative Claim and Reconciliation
FORMS: 0246.08 1900-10

OMB NO: 2030-0020    EXPIRATION DATE: 12/31/2005
RESPS:5,100          HOURS:166,037        COSTS(000):$0
  General Administrative Requirements for Assistance Programs
FORMS: 0938.09

OMB NO: 2030-0023    EXPIRATION DATE: 02/29/2004
RESPS:165            HOURS:324,885        COSTS(000):$0
  Conflict of Interest, Rule #1
FORMS: 1550.05

OMB NO: 2030-0039    EXPIRATION DATE: 12/31/2005
RESPS:9,746          HOURS:28,316         COSTS(000):$0
  Synopses of Proposed Contract Actions and Market Research
  Activity
FORMS: 1910.02

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
7 57,899 916,241 $41
Water
OMB NO: 2040-0004    EXPIRATION DATE: 02/28/2005
RESPS:598,016        HOURS:14,221,957     COSTS(000):$0
  NPDES and Sewage Sludge Monitoring Reports
FORMS: 0229.15

OMB NO: 2040-0009    EXPIRATION DATE: 09/30/2003
RESPS:2,028,826      HOURS:2,847,167      COSTS(000):$0
  Information Collection Request for the National Pretreatment
  Program
FORMS: 0002.09

OMB NO: 2040-0027    EXPIRATION DATE: 04/30/2003
RESPS:280            HOURS:76,752         COSTS(000):$0
  Construction Grants Program Information Collection Request
FORMS: 0827.05

OMB NO: 2040-0042    EXPIRATION DATE: 01/31/2005
RESPS:422,287        HOURS:1,091,945      COSTS(000):$31,828
  Underground Injection Control Program
FORMS: 0370.18 7520-1-TO-4 7520-6-TO-12 7520-14 7520-16

OMB NO: 2040-0049    EXPIRATION DATE: 08/31/2005
RESPS:298            HOURS:238,776        COSTS(000):$0
  Water Quality Standards Regulation (40 CFR Part 131)
FORMS: 0988.08

OMB NO: 2040-0050    EXPIRATION DATE: 07/31/2005
RESPS:4,950          HOURS:7,672          COSTS(000):$0
  Clean Watersheds Needs Survey (CWNS)
FORMS: 0318.09

OMB NO: 2040-0057    EXPIRATION DATE: 04/30/2003
RESPS:23,086         HOURS:1,140,794      COSTS(000):$0
  Pollutant Discharge Elimination System and Sewage Sludge
  Management State Programs
FORMS: 0168.07

OMB NO: 2040-0068    EXPIRATION DATE: 04/30/2003
RESPS:15,594         HOURS:293,323        COSTS(000):$0
  National Pollutant Discharge Elimination System (NPDES)
  Modification and Variance Requests
FORMS: 0029.07

OMB NO: 2040-0071    EXPIRATION DATE: 07/31/2003
RESPS:59             HOURS:4,489,147      COSTS(000):$0
  National Water Quality Inventory Reports (TMDL Final Rule: Clean
  Water Act Sections 305(b), 303(d), 314(a) and 106(e)).
FORMS: 1560.06

OMB NO: 2040-0086    EXPIRATION DATE: 04/30/2003
RESPS:88,209         HOURS:2,038,694      COSTS(000):$1,005
  Applications for NPDES Discharge Permits and the Sewage
  Management Permits
FORMS: 0226.15

OMB NO: 2040-0088    EXPIRATION DATE: 09/30/2005
RESPS:117            HOURS:65,057         COSTS(000):$0
  Modification of Secondary Treatment Requirements for Discharges
  into Marine Waters
FORMS: 0138.07

OMB NO: 2040-0090    EXPIRATION DATE: 11/30/2004
RESPS:494,815        HOURS:2,621,848      COSTS(000):$18,283
  Public Water Systems Supervision Program: Public Notification
  Amendment
FORMS: 0270.41

OMB NO: 2040-0095    EXPIRATION DATE: 04/30/2003
RESPS:111            HOURS:6,016          COSTS(000):$0
  Construction Grants Delegation to States
FORMS: 0909.06

OMB NO: 2040-0101    EXPIRATION DATE: 02/29/2004
RESPS:200            HOURS:2,800          COSTS(000):$0
  Questionnaire for Nominees for the Annual National Clean Water
  Excellence Awards Program).
FORMS: 1287.06

OMB NO: 2040-0110    EXPIRATION DATE: 02/29/2004
RESPS:1,026,264      HOURS:1,375,412      COSTS(000):$0
  Information Collection Request for the National Pollutant
  Discharge Elimination System (NPDES) Compliance Assessment/
  Certification Information
FORMS: ICR-1427.06

OMB NO: 2040-0118    EXPIRATION DATE: 11/30/2004
RESPS:2,244          HOURS:262,905        COSTS(000):$0
  CWA State Revolving Fund Program
FORMS: 1391.06

OMB NO: 2040-0138    EXPIRATION DATE: 04/30/2003
RESPS:41             HOURS:46,767         COSTS(000):$0
  National Estuary Program
FORMS: 1500.04

OMB NO: 2040-0153    EXPIRATION DATE: 04/30/2003
RESPS:29             HOURS:3,625          COSTS(000):$0
  Approval of State Coastal Nonpoint Control Program -- CZARA
  Section 6217
FORMS: EPA-1569.04

OMB NO: 2040-0164    EXPIRATION DATE: 04/30/2003
RESPS:895            HOURS:2,556          COSTS(000):$0
  Reporting Requirements under EPA's Water Alliances for Voluntary
  Efficiency (WAVE) Program
FORMS: 1654.03

OMB NO: 2040-0168    EXPIRATION DATE: 04/30/2003
RESPS:20,005         HOURS:100,667        COSTS(000):$0
  Clean Water Act Section 404 State-Assumed Programs
FORMS: 0220.08

OMB NO: 2040-0170    EXPIRATION DATE: 10/31/2004
RESPS:2.483          HOURS:580,044        COSTS(000):$182
  Information Collection Request for the Combined Sewer Overflow
  Policy
FORMS: 1680.03

OMB NO: 2040-0180    EXPIRATION DATE: 11/30/2004
RESPS:1,257          HOURS:122,863        COSTS(000):$0
  National Pollutant Discharge Elimination System Great Lakes
  Water Quality Guidance
FORMS: 1639.04

OMB NO: 2040-0185    EXPIRATION DATE: 06/30/2003
RESPS:1,377          HOURS:192,950        COSTS(000):$0
  Information Collection Request for Drinking Water State
  Revolving Fund Programs
FORMS: 1803.03

OMB NO: 2040-0187    EXPIRATION DATE: 10/31/2004
RESPS:15             HOURS:2,207          COSTS(000):$2
  Establishing No-Discharge Zones (NDZs) Under Clean Water Act
  Section 312
FORMS: 1791.03

OMB NO: 2040-0188    EXPIRATION DATE: 04/30/2003
RESPS:186,121        HOURS:4,753,452      COSTS(000):$2,045
  Notice of Intent for Storm Water Discharges Associated with
  Construction Activity under a NPDES General Permit
FORMS: 3510-9 1842.02

OMB NO: 2040-0189    EXPIRATION DATE: 04/30/2003
RESPS:533            HOURS:1,280          COSTS(000):$1
  National Health Protection Survey of Beaches
FORMS: 1814.02

OMB NO: 2040-0197    EXPIRATION DATE: 10/31/2004
RESPS:104            HOURS:2,608,787      COSTS(000):$7,102
  State Source Water Assessment and Protection Programs
FORMS: 1816.02

OMB NO: 2040-0202    EXPIRATION DATE: 06/30/2005
RESPS:29             HOURS:1,418          COSTS(000):$0
  Milestones Plan for the Bleached papergrade Kraft and Soda Sub-
  category of the Pulp, Paper, and Paperboard Point Source Category
FORMS: 1877.02

OMB NO: 2040-0204    EXPIRATION DATE: 12/31/2004
RESPS:2,676,159      HOURS:4,337,535      COSTS(000):$148,459
  Disinfectants/Disinfection Byproducts, Chemical, and Radionu-
  clides Information Collection Request; Unregulated Contaminant
  Monitoring Regulation List 2 Amendments (proposed rule)
FORMS: 1896.03

OMB NO: 2040-0205    EXPIRATION DATE: 11/30/2004
RESPS:22,602,222     HOURS:8,193,200      COSTS(000):$82,564
  Microbial Rules
FORMS: 1895.02

OMB NO: 2040-0207    EXPIRATION DATE: 06/30/2005
RESPS:130            HOURS:60,909         COSTS(000):$0
  Best Management Practices (BMP) for Bleached Papergrade Kraft
  and Soda Subcategory and the Papergrade Kraft Sulfite
  Subcategory of the Pulp, Paper and Paperboard Point Source
  Category
FORMS: 1829.02

OMB NO: 2040-0208    EXPIRATION DATE: 12/31/2003
RESPS:170            HOURS:11,519         COSTS(000):$3,407
  Unregulated Contiminant Monitoring Regulations for Public Water
  systems; Analytical Methods for List 2 Contaminants (Proposed
  Rule)
FORMS: 1882.02

OMB NO: 2040-0210    EXPIRATION DATE: 06/30/2003
RESPS:159,929        HOURS:2,431,728      COSTS(000):$14,026
  Information Collection Request: National Primary Drinking Water
  Regulation for Lead and Copper (Final Rule)
FORMS: 1912.01

OMB NO: 2040-0211    EXPIRATION DATE: 04/30/2003
RESPS:36,421         HOURS:56,369         COSTS(000):$0
  Phase II of the NPDES Storm Water Program (Final Rule ICR)
FORMS: 1820.02

OMB NO: 2040-0213    EXPIRATION DATE: 04/30/2003
RESPS:1,836          HOURS:128,736        COSTS(000):$14
  Industry Detailed Questionnaire: Phase II Cooling Water Intake
  Structures
FORMS: 1838.01

OMB NO: 2040-0216    EXPIRATION DATE: 09/30/2003
RESPS:20             HOURS:3,603          COSTS(000):$0
  Information Collection Request for the State Water Quality Pro-
  gram management Gap Analysis.
FORMS: 1945.01

OMB NO: 2040-0224    EXPIRATION DATE: 08/31/2004
RESPS:7,942          HOURS:66,363         COSTS(000):$0
  Information Collection Request for Filter Backwash Recycling
  Rule (Final Rule)
FORMS: 1928.02

OMB NO: 2040-0225    EXPIRATION DATE: 02/29/2004
RESPS:2,000          HOURS:20,060         COSTS(000):$3
  Meat Products Industry Survey
FORMS: 1961.01

OMB NO: 2040-0226    EXPIRATION DATE: 01/31/2004
RESPS:92             HOURS:3,565          COSTS(000):$1
  Information Collection Request for the National Listing of
  Advisories
FORMS: 1959.01

OMB NO: 2040-0227    EXPIRATION DATE: 02/29/2004
RESPS:1,442          HOURS:3,381          COSTS(000):$0
  Community Water System Survey
FORMS: 1946.01

OMB NO: 2040-0228    EXPIRATION DATE: 11/30/2003
RESPS:33             HOURS:342,873        COSTS(000):$0
  Information Collection Request for National Primary Drinking
  Water Regulations: Radionuclides
FORMS: 1972.01

OMB NO: 2040-0229    EXPIRATION DATE: 10/31/2004
RESPS:15,131         HOURS:330,329        COSTS(000):$6,653
  Information Collection Request for Long Term 1 Enhanced Surface
  Water Treatment Rule (Final Rule)
FORMS: 1928.03

OMB NO: 2040-0230    EXPIRATION DATE: 01/31/2004
RESPS:67             HOURS:47,168         COSTS(000):$0
  Information Collection Request for Best Management Practices
  Alternatives, Effluent Limitations Guidelines and Standards, Oil
  and Gas Extraction Point Source Category (40 CFR Part 435)
FORMS: 1953.02

OMB NO: 2040-0231    EXPIRATION DATE: 01/31/2004
RESPS:49,813         HOURS:667,179        COSTS(000):$0
  National Primary Drinking Water Regulations: Arsenic and
  Clarifications to Compliance and New Source Contaminants
  Monitoring
FORMS: EPA-ICR-1948.02

OMB NO: 2040-0235    EXPIRATION DATE: 10/31/2004
RESPS:79             HOURS:19,144         COSTS(000):$0
  Pollution Prevention Compliance Alternative; Transportation
  Equipment Cleaning (TEC) Point Source Category (40 CFR Part 442)
FORMS: 2018.01

OMB NO: 2040-0236    EXPIRATION DATE: 06/30/2005
RESPS:22,799         HOURS:100,808        COSTS(000):$914
  Operator Certification Guidelines and Operator Certification
  Expense Reimbursement Grants Program
FORMS: 1955.02

OMB NO: 2040-0237    EXPIRATION DATE: 08/31/2004
RESPS:6,000          HOURS:6,000          COSTS(000):$16
  200 Aquatic Animal Production Industry Surveys
FORMS: 1988.01

OMB NO: 2040-0238    EXPIRATION DATE: 09/30/2004
RESPS:144            HOURS:336            COSTS(000):$0
  National Wastewater Operator Training and Technical Assistance
  Program - CWA 104(g)(1)
FORMS: 1977.01

OMB NO: 2040-0239    EXPIRATION DATE: 11/30/2004
RESPS:93             HOURS:9,261          COSTS(000):$0
  Information Collection Request for Baseline Standards and Best
  Management Practices for the Coal Mining Point Source Category
  (40 CFR Part 434) - Coal Remining Subcategory and Western Alkalin
FORMS: 1944.02

OMB NO: 2040-0240    EXPIRATION DATE: 11/30/2004
RESPS:825            HOURS:19,840         COSTS(000):$12
  2000 Aquatic Animal Production Industry Surveys
FORMS: 2038.01

OMB NO: 2040-0241    EXPIRATION DATE: 11/30/2004
RESPS:152            HOURS:40,376         COSTS(000):$1,766
  Cooling Water Intake Structures New Facility Final Rule
FORMS: 1973.02

OMB NO: 2040-0242    EXPIRATION DATE: 02/28/2005
RESPS:86             HOURS:480            COSTS(000):$0
  Certification in Lieu of Chloroform Minimum Monitoring Require-
  ments for Direct and Indirect Discharging Mills in the Bleached
  Papergrade Kraft and Soda Subcategory of the Public, Paper,...
FORMS: 2015.01

OMB NO: 2040-0243    EXPIRATION DATE: 02/28/2005
RESPS:104            HOURS:36,858         COSTS(000):$19,002
  Minimum Monitoring Requirements for Direct and Indirect
  Discharg- ing Mills in the Bleached Papergrade Kraft and Soda
  Subcategory and the Papergrade Sulfite Subcategory of the Pulp,
  Paper, ...
FORMS: 1878.01

OMB NO: 2040-0244    EXPIRATION DATE: 07/31/2005
RESPS:35             HOURS:69,755         COSTS(000):$473
  US EPA BEACH Act Grant Program
FORMS: 2048.01

OMB NO: 2040-0246    EXPIRATION DATE: 10/31/2005
RESPS:60             HOURS:4,347          COSTS(000):$123
  Laboratory Quality Assurance Evaluation Program for Analysis of
  Cryptosporidium Under the Safe Drinking Water Act
FORMS: 2067.02

OMB NO: 2040-0247    EXPIRATION DATE: 05/31/2003
RESPS:1,250          HOURS:188            COSTS(000):$0
  Drinking Water Customer Satisfaction Survey
FORMS: 2016.01

OMB NO: 2040-0248    EXPIRATION DATE: 07/31/2003
RESPS:535            HOURS:6,300          COSTS(000):$0
  2003 Report to Congress on Impacvts and Control of Combined
  Sewer Overflows and Sanitary Sewer Overflows
FORMS: 2063.01

OMB NO: 2040-0251    EXPIRATION DATE: 11/30/2005
RESPS:3,790          HOURS:14,809         COSTS(000):$0
  2003 Drinking Water Infrausructure Needs Survey
FORMS: 2085.01

OMB NO: 2040-0253    EXPIRATION DATE: 09/30/2003
RESPS:22,499         HOURS:2,652,392      COSTS(000):$82
  Title VI of the Public Health Security and Bioterrorism Pre-
  paredness and Response Act of 2002: Drinking Water Security and
  Safety
FORMS: 2103.01

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
59 30,527,622 58,882,292 $337,963
Solid Waste and Emergency Response
OMB NO: 2050-0009    EXPIRATION DATE: 04/30/2003
RESPS:579            HOURS:177,732        COSTS(000):$48,468
  Part B Permit Application, Permit Modifications, and Special
  Permits (Corrective Action Management Proposed Rule)
FORMS: 1573.08

OMB NO: 2050-0021    EXPIRATION DATE: 08/31/2005
RESPS:419,033        HOURS:2,208,701      COSTS(000):$22,541
  Spill Prevention, Control and Countermeasures (SPCC) Plans
FORMS: 0328.10

OMB NO: 2050-0024    EXPIRATION DATE: 06/30/2003
RESPS:505,047        HOURS:188,624        COSTS(000):$26
  The 2001 Hazardous Waste Report (Biennial Report)
FORMS: 0976.10

OMB NO: 2050-0028    EXPIRATION DATE: 01/31/2006
RESPS:31,125         HOURS:96,250         COSTS(000):$131
  Notification of Regulated Waste Activity
FORMS: 0261.14 8700-12

OMB NO: 2050-0033    EXPIRATION DATE: 01/31/2005
RESPS:824            HOURS:96,913         COSTS(000):$16,757
  Facility Ground-water Monitoring Requirments
FORMS: 0959.11

OMB NO: 2050-0034    EXPIRATION DATE: 11/30/2005
RESPS:36             HOURS:576            COSTS(000):$1
  RCRA Hazardous Waste Permit Application and Modification, Part A
FORMS: 0262.10

OMB NO: 2050-0035    EXPIRATION DATE: 10/31/2004
RESPS:140,877        HOURS:475,802        COSTS(000):$54
  Hazardous Waste Generator Standards
FORMS: 0820.08

OMB NO: 2050-0039    EXPIRATION DATE: 05/31/2005
RESPS:2.20           HOURS:3,612,539      COSTS(000):$2,416
  Requirements for Generators, Transporters, and Disposers under
  the RCRA Hazardous Waste Manifest System
FORMS: 0801.14

OMB NO: 2050-0041    EXPIRATION DATE: 07/31/2005
RESPS:50             HOURS:19,968         COSTS(000):$0
  Final Authorization for Hazardous Waste Management
FORMS: 0969.06

OMB NO: 2050-0046    EXPIRATION DATE: 04/30/2004
RESPS:23,726         HOURS:97,277         COSTS(000):$0
  Notification of Episodic Releases of Oil and Hazardous Sub-
  stances (Renewal)
FORMS: 1049.09

OMB NO: 2050-0050    EXPIRATION DATE: 12/31/2003
RESPS:6,341          HOURS:287,069        COSTS(000):$875
  Hazardous Waste Specific Unit Requirements, and Special Waste
  processes and Types
FORMS: 1572.05

OMB NO: 2050-0053    EXPIRATION DATE: 11/30/2004
RESPS:166            HOURS:20,809         COSTS(000):$888
  Identification Listing and Rulemaking Petitions (Zinc Ferti-
  lizers Final Rule)
FORMS: 1189.11

OMB NO: 2050-0062    EXPIRATION DATE: 09/30/2003
RESPS:0.33           HOURS:3,137          COSTS(000):$1
  Land Disposal Restrictions No-Migration Variances
FORMS: 1353.06

OMB NO: 2050-0068    EXPIRATION DATE: 10/31/2004
RESPS:500,000        HOURS:6,025,543      COSTS(000):$363
  Underground Storage Tanks: Technical & Financial Require- ments
  & State Program Approval Procedures
FORMS: 1360.06

OMB NO: 2050-0072    EXPIRATION DATE: 10/31/2004
RESPS:504,000        HOURS:2,028,701      COSTS(000):$6,391
  Community Right-to-Know Reporting Requirements under section 311
  and 312 of the Emergency Planning and Community Right-to- Know
  Act (EPCRA) - Minimal Hazard Proposed Rule
FORMS: 1352.09

OMB NO: 2050-0073    EXPIRATION DATE: 12/31/2005
RESPS:1,969          HOURS:307,949        COSTS(000):$26,353
  Information Requirements for Boilers and Industrial Furnaces:
  General Hazardous Waste Facility Standards, Specific Unit
  Require ments, & Part B Permit Applicaition and Modification
  Requirements
FORMS: 1361.09

OMB NO: 2050-0077    EXPIRATION DATE: 08/31/2004
RESPS:200            HOURS:1,800          COSTS(000):$0
  Application for Reimbursement to Local Governments for Emergency
  Response to Hazardous Substance Releases Under CERCLA section 123
FORMS: 1425.05 9310-1

OMB NO: 2050-0078    EXPIRATION DATE: 09/30/2003
RESPS:315            HOURS:3,121          COSTS(000):$0
  Trade Secret Claims for Emergency Planning and Community
  Right-to-Know (EPCRA Section 322)
FORMS: ICR-1428.05

OMB NO: 2050-0085    EXPIRATION DATE: 02/29/2004
RESPS:274,033        HOURS:1,182,612      COSTS(000):$72,851
  Lland Disposal Restrictions
FORMS: 1442.17

OMB NO: 2050-0086    EXPIRATION DATE: 11/30/2004
RESPS:23,280         HOURS:249,451        COSTS(000):$76
  Continuous Release Reporting Regulations (CRRR) under the
  Comprehensive Environmental Response, Compensation, and
  Liability Act of 1980 (CERCLA)
FORMS: 1445.05

OMB NO: 2050-0092    EXPIRATION DATE: 02/28/2006
RESPS:82,260         HOURS:212,460        COSTS(000):$15
  Emergency Planning and Release Notification Requirements under
  Emergency Planning and Community Right-to-Know Act Sections 302,
  303 and 304.
FORMS: 1395.05

OMB NO: 2050-0095    EXPIRATION DATE: 11/30/2004
RESPS:60             HOURS:230,533        COSTS(000):$0
  Superfund Site Evaluation and Hazard Ranking System
FORMS: 1488.05

OMB NO: 2050-0096    EXPIRATION DATE: 10/31/2004
RESPS:7,560          HOURS:185,860        COSTS(000):$0
  National Oil and Hazardous Substances Pollution Contingency Plan
  (NCP); (40 CFR Part 300)
FORMS: ICR-1463.05

OMB NO: 2050-0105    EXPIRATION DATE: 12/31/2005
RESPS:24,000         HOURS:255,427        COSTS(000):$0
  EPA Worker Protection Standard for Hazardous Waste Operations
  and Emergency Response
FORMS: 1426.06

OMB NO: 2050-0120    EXPIRATION DATE: 02/28/2006
RESPS:1,675          HOURS:719,059        COSTS(000):$760
  General Hazardous Waste Facility Standards
FORMS: 1571.07

OMB NO: 2050-0122    EXPIRATION DATE: 08/31/2003
RESPS:2,300          HOURS:239,858        COSTS(000):$0
  Recordkeeping and Reporting Requirements for 40 CFR Part 258 -
  Solid Waste Disposal Facilities and Practices
FORMS: 1381.06

OMB NO: 2050-0124    EXPIRATION DATE: 12/31/2005
RESPS:1,640          HOURS:460,286        COSTS(000):$10,011
  Used Oil Management Standards Recordkeeping and Reporting
  Requirements
FORMS: 1286.06

OMB NO: 2050-0135    EXPIRATION DATE: 05/31/2004
RESPS:10,310         HOURS:583,130        COSTS(000):$22
  Oil Pollution Act Facility Response Plans - 40 CFR Part 112.20
FORMS: 1630.07

OMB NO: 2050-0139    EXPIRATION DATE: 05/31/2004
RESPS:1,740          HOURS:64,260         COSTS(000):$0
  Reporting and Recordkeeping Requirements Under EPA's WasteWise
  Program
FORMS: 1698.04

OMB NO: 2050-0141    EXPIRATION DATE: 01/31/2004
RESPS:28             HOURS:826            COSTS(000):$150
  The National Oil and Hazardous Substances Pollution Contingency
  Plan Subpart J (Product Schedule)
FORMS: 1664.04

OMB NO: 2050-0143    EXPIRATION DATE: 04/30/2004
RESPS:1,562          HOURS:9,334          COSTS(000):$1
  Exports from and Imports to the United States under
  International and Bilateral Waste Agreements
FORMS: 1647.03

OMB NO: 2050-0144    EXPIRATION DATE: 10/31/2005
RESPS:5,550          HOURS:97,160         COSTS(000):$6
  Information Collection Requirements for Registration and
  Documentation of Risk Management Plans under Section 112r of the
  Clean Air Act.
FORMS: 1656.09

OMB NO: 2050-0145    EXPIRATION DATE: 11/30/2004
RESPS:133,181        HOURS:218,168        COSTS(000):$3
  Reporting and Recording Requirements for the Universal Waste
  Handlers and Destination Facilities
FORMS: 1597.04

OMB NO: 2050-0149    EXPIRATION DATE: 08/31/2005
RESPS:33             HOURS:3,005          COSTS(000):$4
  RCRA Expanded Public Participation
FORMS: 1688.04

OMB NO: 2050-0152    EXPIRATION DATE: 06/30/2005
RESPS:6              HOURS:3,189          COSTS(000):$0
  State Program Adequacy Determination: Municipal Solid Waste
  Landfills (MSWLFs) and Non-municipal, Non-hazardous Waste
  Disposal Units that Receive Conditionally Exempt Small
FORMS: 1608.03

OMB NO: 2050-0154    EXPIRATION DATE: 11/30/2005
RESPS:145            HOURS:9,675          COSTS(000):$938
  Criteria for Clssification of Solid Waste Disposal Facilities
  and Practices -- 40 CFR Part 257 Subpart B.
FORMS: 1745.04

OMB NO: 2050-0161    EXPIRATION DATE: 09/30/2005
RESPS:176            HOURS:4,959          COSTS(000):$35
  Hazardous Remediation Waste Management Requirements (HWIR-Media)
FORMS: 1775.03

OMB NO: 2050-0171    EXPIRATION DATE: 10/31/2004
RESPS:930            HOURS:71,075         COSTS(000):$1,612
  Amendments to the Reporting and Recordkeeping Requirements for
  National Emissions Standards for Hazardous Air Pollutants
  (NESHAP) for Hazardous Waste Combustors - Direct Final Rule.
FORMS: 1773.05

OMB NO: 2050-0172    EXPIRATION DATE: 10/31/2003
RESPS:10,380         HOURS:99,518         COSTS(000):$126
  Distribution of Off-site Consequence Analysis Information under
  Section 112(r) of the Clean Air Act.
FORMS: 1981.01

OMB NO: 2050-0173    EXPIRATION DATE: 01/31/2004
RESPS:5              HOURS:93             COSTS(000):$1
  Hazardous Waste Listing for Chlorinated Aliphatics Production
  Wastes
FORMS: 1924.02

OMB NO: 2050-0175    EXPIRATION DATE: 12/31/2003
RESPS:10,157         HOURS:2,590          COSTS(000):$143
  The RCRA Subtitle C Site Identification Form
FORMS: 2005.01 8700-13A/B

OMB NO: 2050-0179    EXPIRATION DATE: 11/30/2004
RESPS:581            HOURS:5,115          COSTS(000):$0
  Cooperative Agreements and Superfund State Contracts for
  Superfund Response Actions
FORMS: 1487.07

OMB NO: 2050-0181    EXPIRATION DATE: 08/31/2004
RESPS:7,010          HOURS:3,079          COSTS(000):$4
  Storage, Treatment, Transportation, and Disposal of Mixed Waste
  (Final Rule)
FORMS: 1922.02

OMB NO: 2050-0182    EXPIRATION DATE: 12/31/2004
RESPS:175            HOURS:1              COSTS(000):$2
  Standardized Permit for RCRA Hazardous Waste
FORMS: 1935.01

OMB NO: 2050-0185    EXPIRATION DATE: 05/31/2005
RESPS:262            HOURS:2,620          COSTS(000):$0
  Institional Controls Tracking Systems and Costs Survey
FORMS: 2043.01

OMB NO: 2050-0187    EXPIRATION DATE: 10/31/2004
RESPS:1,034          HOURS:2,050          COSTS(000):$1
  Reporting and Recordkeeping Requirements for NESHAP: Standards
  for Hazardous Air Pollutants for Hazardous Waste Combustors
  (Final Amendments Rule); Final Rule
FORMS: 2070.01

OMB NO: 2050-0188    EXPIRATION DATE: 05/31/2005
RESPS:200            HOURS:2,000          COSTS(000):$0
  Soil Ingestion Research
FORMS: 1965.01

OMB NO: 2050-0189    EXPIRATION DATE: 03/31/2006
RESPS:550            HOURS:1,375          COSTS(000):$0
  Tribal Lands Hazardous Waste Sites Census
FORMS: 2059.01

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
48 2,735,113 20,571,279 $212,026
Air and Radiation
OMB NO: 2060-0001    EXPIRATION DATE: 04/30/2003
RESPS:105            HOURS:3,092          COSTS(000):$50
  NSPS for Beverage Can Surface Coating -- 40 CFR Part 60, Subpart
  WW
FORMS: 0663.07

OMB NO: 2060-0002    EXPIRATION DATE: 11/30/2004
RESPS:10             HOURS:15,089         COSTS(000):$3,105
  NSPS for Asphalt Processing and Asphalt Roofing Manufacture,
  Subpart UU - Reporting and Recordkeeping Requirements
FORMS: 0661.06

OMB NO: 2060-0003    EXPIRATION DATE: 10/31/2004
RESPS:1,022          HOURS:4,878,634      COSTS(000):$0
  Prevention of Significant Deterioration Non-Attainment Area New
  Source Review (Final Rule for PSD and NSR Applicability)
FORMS: 1230.11 2074.01

OMB NO: 2060-0004    EXPIRATION DATE: 04/30/2003
RESPS:1,025          HOURS:39,104         COSTS(000):$1,880
  Pressure-Sensitive Tape and Lable Surface Coating Operations,
  Information Request -- NSPS Subpart RR
FORMS: 0658.07

OMB NO: 2060-0006    EXPIRATION DATE: 12/31/2005
RESPS:40             HOURS:11,420         COSTS(000):$0
  NSPS Bulk Gasoline Terminals, 40 CFR60, Supbart XX
FORMS: 0664.07

OMB NO: 2060-0015    EXPIRATION DATE: 08/31/2003
RESPS:22,846         HOURS:8,363          COSTS(000):$0
  Environmental Radiation Ambient Monitoring System (ERAMS)
FORMS: NONE

OMB NO: 2060-0016    EXPIRATION DATE: 09/30/2005
RESPS:44             HOURS:1,760          COSTS(000):$14
  NSPS for Metallic Mineral Processing Plants (Subpart LL)
FORMS: 0982.07

OMB NO: 2060-0019    EXPIRATION DATE: 01/31/2004
RESPS:71             HOURS:1,796          COSTS(000):$3,568
  New Source Performace Standards for Nitric Acid Plants, Subpart
  G, Part 60
FORMS: 1056.07

OMB NO: 2060-0021    EXPIRATION DATE: 04/30/2003
RESPS:170            HOURS:9,959          COSTS(000):$2,828
  New Source Performance Standard (NSPS) for Kraft Pulp Mills --
  Subpart BB
FORMS: 1055.06

OMB NO: 2060-0022    EXPIRATION DATE: 11/30/2005
RESPS:430            HOURS:17,359         COSTS(000):$91
  Standards of Performance for Petroleum Refineries (40 CFR Part
  60 Subpart J)
FORMS: 1054.08

OMB NO: 2060-0023    EXPIRATION DATE: 04/30/2003
RESPS:494            HOURS:28,606         COSTS(000):$3,095
  Standard of Performance for Electric Utility Steam Generating
  Units -- NSPS Subpart Da
FORMS: 1053.06

OMB NO: 2060-0025    EXPIRATION DATE: 11/30/2004
RESPS:448            HOURS:7,968          COSTS(000):$987
  New Source Performance Standard for Portland Cement Plants, 40
  CFR Part 60, Subpart F
FORMS: 1051.08

OMB NO: 2060-0026    EXPIRATION DATE: 04/30/2003
RESPS:2,640          HOURS:62,865         COSTS(000):$9,900
  Standards of Performance for Fossil-Fuel-Fired Steam Generating
  Units -- NSPS Subpart D
FORMS: 1052.06

OMB NO: 2060-0028    EXPIRATION DATE: 07/31/2004
RESPS:1,650          HOURS:93,439         COSTS(000):$0
  NSPS-Standard of Performance for Stationary Gas Turbines 40 CFR
  Part 60, Subpart GG
FORMS: 1071.07

OMB NO: 2060-0029    EXPIRATION DATE: 10/31/2005
RESPS:10             HOURS:1,012          COSTS(000):$26
  NSPS for Iron and Steel Plants: Basic Oxygen Process Furnaces
  (40 CFR Part 60, Subparts N and Na)
FORMS: 1069.07

OMB NO: 2060-0032    EXPIRATION DATE: 01/31/2004
RESPS:2              HOURS:182            COSTS(000):$0
  NSPS for Ammonium Sulfate Manufacturing Plants, 40 CFR Part 60,
  Subpart PP
FORMS: 1066.03

OMB NO: 2060-0034    EXPIRATION DATE: 09/30/2003
RESPS:171            HOURS:145,599        COSTS(000):$7
  NSPS Subpart MM-Automobile and Light Duty Truck Surface Coating
  Opeations 40 CFR Part 63, Subpart MM
FORMS: 1064.09

OMB NO: 2060-0035    EXPIRATION DATE: 09/30/2004
RESPS:294            HOURS:9,089          COSTS(000):$5,845
  NSPS for Sewage Sludge Treatment Plant Incineration (40 CFR Part
  60, Subpart O)
FORMS: 1063.08

OMB NO: 2060-0037    EXPIRATION DATE: 06/30/2003
RESPS:11             HOURS:963            COSTS(000):$0
  NSPS for Phosphate Fertilizer Industry, 40 CFR Part 60, Subparts
  T, U, V, W, and X
FORMS: 1061.08

OMB NO: 2060-0038    EXPIRATION DATE: 06/30/2003
RESPS:182            HOURS:48,413         COSTS(000):$95
  The New Source Performance Standards (NSPS) for Steel Plants:
  Electric Arc Furnaces and Argon-Oxygen Decarburization Vessels.
FORMS: 1060.10 40CFR PART60 SUBPARTAA SUBPARTAAA

OMB NO: 2060-0040    EXPIRATION DATE: 10/31/2004
RESPS:96             HOURS:8,544          COSTS(000):$240
  NSPS Subpart E: Standards of Performance for Incinerators (40
  CFR Part 60, subpart E)
FORMS: 1058.07

OMB NO: 2060-0041    EXPIRATION DATE: 10/31/2005
RESPS:212            HOURS:23,320         COSTS(000):$477
  NSPS for Sulfuric Acid Plants (40 CFR Part 60, Subpart H)
FORMS: 1057.09

OMB NO: 2060-0043    EXPIRATION DATE: 10/31/2005
RESPS:31             HOURS:4,524          COSTS(000):$98
  NESHAP for Inorganic Arsenic Emissions from Glass Manufacturing
  Plants (40 CFR Part 61, Subpart N)
FORMS: 1081.07

OMB NO: 2060-0048    EXPIRATION DATE: 01/31/2004
RESPS:46             HOURS:4,925          COSTS(000):$0
  Emission Defect Information Reports (DIR) and Voluntary Emission
  Recall Reports (VERR) for manufacturers of on-highway heavy-duty
  engines, non-road compression-ignition, engines, non-road...
FORMS: 0282.12

OMB NO: 2060-0050    EXPIRATION DATE: 06/30/2003
RESPS:2,320          HOURS:31,746         COSTS(000):$0
  NSPS 40 CFR, Part 60, Subpart OOO - Nonmetallic Mineral Pro-
  cessing
FORMS: 1084.06

OMB NO: 2060-0054    EXPIRATION DATE: 12/31/2005
RESPS:87             HOURS:590            COSTS(000):$261
  NSPS for Glass Manufacturing Plants (40 Part 60, Subpart CC)
FORMS: 1131.07

OMB NO: 2060-0059    EXPIRATION DATE: 04/30/2003
RESPS:85             HOURS:2,696          COSTS(000):$228
  Synthetic Fiber Production Facilities -- NSPS Subpart HHH
FORMS: 1156.08

OMB NO: 2060-0060    EXPIRATION DATE: 02/29/2004
RESPS:2              HOURS:1,722          COSTS(000):$0
  Emission Control System Performance Warranty Regulations and
  Voluntary Aftermath Part Certification Program, 40 CFR Part 85,
  Subpart V
FORMS: 0116.06

OMB NO: 2060-0063    EXPIRATION DATE: 04/30/2003
RESPS:102            HOURS:4,190          COSTS(000):$95
  Lime Manufacturing -- NSPS Subpart HH
FORMS: 1167.06

OMB NO: 2060-0067    EXPIRATION DATE: 12/31/2005
RESPS:102            HOURS:6,137          COSTS(000):$0
  NSPS Equipment Leaks of VOC in Peroleum Refineries (40 CFR Part
  60, subpart GGG)
FORMS: 0983.07

OMB NO: 2060-0071    EXPIRATION DATE: 11/30/2004
RESPS:308            HOURS:16,159         COSTS(000):$1,980
  NESHAP for Vinyl Chloride 40 CFR Part 61, Subpart F
FORMS: 0186.09

OMB NO: 2060-0072    EXPIRATION DATE: 04/30/2003
RESPS:3,016          HOURS:575,033        COSTS(000):$25,955
  NSPS Subpart Db, Standards of Performance for Industrial-Commer-
  cial-Institutional Steam Generating Units
FORMS: 1088.09

OMB NO: 2060-0073    EXPIRATION DATE: 06/30/2003
RESPS:21             HOURS:329            COSTS(000):$52
  NSPS, 40 CFR Part 60, Subpart FFF for Flexible Vinyl and
  Urethane Coating and Printing
FORMS: 1157.06

OMB NO: 2060-0078    EXPIRATION DATE: 06/30/2003
RESPS:3,750          HOURS:1,649          COSTS(000):$0
  Mobile Source Emission Factor Recruitment Questionnaire
FORMS: 0619.08

OMB NO: 2060-0079    EXPIRATION DATE: 04/30/2003
RESPS:93             HOURS:1,483          COSTS(000):$0
  Petroleum Dry Cleaners -- NSPS Subpart JJ
FORMS: 0997.06

OMB NO: 2060-0080    EXPIRATION DATE: 06/30/2003
RESPS:23             HOURS:35             COSTS(000):$0
  NSPS CFR 40, Part 60, Subpart L - Secondary Lead Smelters
FORMS: 1128.06

OMB NO: 2060-0081    EXPIRATION DATE: 06/30/2003
RESPS:82             HOURS:123            COSTS(000):$18
  NSPS Subpart KK - Lead-Acid Battery Manufacturing, 40 CFR Part
  60 Subpart KK
FORMS: 1072.06

OMB NO: 2060-0082    EXPIRATION DATE: 04/30/2003
RESPS:121            HOURS:250            COSTS(000):$0
  Information Requirements for Grain Elevators -- NSPS Subpart DD
FORMS: 1130.06

OMB NO: 2060-0083    EXPIRATION DATE: 04/30/2003
RESPS:200            HOURS:6,890          COSTS(000):$0
  Hot Mix Asphalt Facilities -- NSPS Subpart I
FORMS: 1127.06

OMB NO: 2060-0084    EXPIRATION DATE: 04/30/2003
RESPS:520            HOURS:2,404,606      COSTS(000):$73,642
  Ambient Air Quality Surveillance -- 40 CFR Part 58
FORMS: 0940.16

OMB NO: 2060-0086    EXPIRATION DATE: 08/31/2003
RESPS:1,800          HOURS:600            COSTS(000):$0
  Investigation into Possible Noncompliance of Motor Vehicles
FORMS: 0222.6

OMB NO: 2060-0088    EXPIRATION DATE: 10/31/2004
RESPS:54             HOURS:11,448         COSTS(000):$29
  Annual Updates of Emission Data to the Aerometric Information
  Retrieval System (AIRS)
FORMS: 0916.11

OMB NO: 2060-0092    EXPIRATION DATE: 09/30/2004
RESPS:166            HOURS:2,232          COSTS(000):$35
  NESHAP for Beryllium (40 CFR part 61, subpart C)
FORMS: 0193.07

OMB NO: 2060-0095    EXPIRATION DATE: 08/31/2003
RESPS:21,200         HOURS:14,400         COSTS(000):$1,296
  Importation Requirements for Importation of Nonconforming Vehi-
  cles
FORMS: 0010.09

OMB NO: 2060-0096    EXPIRATION DATE: 01/31/2005
RESPS:356            HOURS:85,496         COSTS(000):$0
  Source Compliance and State Action Reporting
FORMS: 0107.07

OMB NO: 2060-0097    EXPIRATION DATE: 06/30/2003
RESPS:24             HOURS:26,504         COSTS(000):$0
  National Emission Standard for Mercury -- NESHAP Part 61 Subpart
  E
FORMS: 0113.07

OMB NO: 2060-0101    EXPIRATION DATE: 03/31/2006
RESPS:123,008        HOURS:342,249        COSTS(000):$0
  NESHAP for Asbestos, 40 CFR Part 61, Subpart M
FORMS: 0111.10

OMB NO: 2060-0104    EXPIRATION DATE: 07/31/2005
RESPS:70             HOURS:514,000        COSTS(000):$7,100
  Motor Vehicle Emission and Fuel Economy Compliance; Light Duty
  Vehicles, Light Duty Trucks and Motorcycle (Consolidated/Renewal)
FORMS: 0783.42

OMB NO: 2060-0105    EXPIRATION DATE: 10/31/2004
RESPS:60             HOURS:3,871          COSTS(000):$0
  New Source Performance Standards for Graphic Arts Industry, 40
  CFR Part 60, Subpart QQ
FORMS: 0657.07

OMB NO: 2060-0106    EXPIRATION DATE: 04/30/2003
RESPS:1,600          HOURS:101,070        COSTS(000):$1,120
  NSPS for Metal Furniture Coating -- 40 CFR Part 60, Subpart EE
FORMS: 0649.07

OMB NO: 2060-0107    EXPIRATION DATE: 12/31/2005
RESPS:404            HOURS:14,531         COSTS(000):$318
  NSPS for Metal Coil Surface Coating (Subpart TT)
FORMS: 0660.08

OMB NO: 2060-0108    EXPIRATION DATE: 04/30/2003
RESPS:1,273          HOURS:29,564         COSTS(000):$618
  NSPS for Large Appliance Surface Coating -- 40 CFR Part 60,
  Subpart SS
FORMS: 0659.07

OMB NO: 2060-0110    EXPIRATION DATE: 02/29/2004
RESPS:82             HOURS:5,351          COSTS(000):$232
  NSPS Smelters: Subpart M - Secondary Brass and Bronze Production
  Subpart P - Primary Copper; Subpart Q - Primary Zinc, Subpart R
  - Primary Lead; Subpart S - Primary Aluminum Reduction Plants;
  ...
FORMS: 1604.06

OMB NO: 2060-0111    EXPIRATION DATE: 10/31/2004
RESPS:31             HOURS:3,002          COSTS(000):$327
  NSPS Subpart NN Phosphate Rock Plants
FORMS: ICR-1078.06

OMB NO: 2060-0114    EXPIRATION DATE: 07/31/2003
RESPS:128            HOURS:19,098         COSTS(000):$689
  NSPS - Wool Fiberglas Insulation Manufacturing Plants, 40 CFR
  Part 60, Subpart PPP. NESHAP-MACT - Wool Fiberglass Manufactur-
  ing Plants, 40 CFR Part 63, Subpart NNN
FORMS: 1160.06

OMB NO: 2060-0120    EXPIRATION DATE: 10/31/2004
RESPS:1,116          HOURS:114,036        COSTS(000):$74
  NSPS Subparts KKK and LLL Standards of Performance for Onshore
  Natural gas Processing Plants
FORMS: 1086.06

OMB NO: 2060-0121    EXPIRATION DATE: 10/31/2004
RESPS:6,514          HOURS:39,139         COSTS(000):$0
  NSPS for Storage Vessels for Petroleum Liquids 40 CFR part 60,
  subpart Ka
FORMS: 1050.07

OMB NO: 2060-0122    EXPIRATION DATE: 04/30/2003
RESPS:390            HOURS:15,463         COSTS(000):$15
  NSPS for Coal Preparation Plants - Subpart Y
FORMS: 1062.07

OMB NO: 2060-0132    EXPIRATION DATE: 07/31/2005
RESPS:52             HOURS:1,178          COSTS(000):$18
  Nonconformanace Penalties for Heavy-Duty Engines and Heavy-Duty
  Vehicles, Including Light-Duty Trucks Reporting and
  Recordkeeping Requirements
FORMS: 1285.05

OMB NO: 2060-0135    EXPIRATION DATE: 08/31/2005
RESPS:30,020         HOURS:111,308        COSTS(000):$856
  Aftermarket Catalytic Converter Policy
FORMS: 1292.06

OMB NO: 2060-0150    EXPIRATION DATE: 01/31/2004
RESPS:9,200          HOURS:18,500         COSTS(000):$28
  Registration of Fuels and Fuel Additives: Requirements for
  Manufacturers (40 CFR 79)
FORMS: 309.10 3520-12 3250-13 3520-16 3520-13A

OMB NO: 2060-0156    EXPIRATION DATE: 10/31/2004
RESPS:79             HOURS:13,151         COSTS(000):$17
  Standards of Performance for New Stationary Sources; Rubber Tire
  Manufacturing, Subpart 40 CFR Part 60, Subpart BBB
FORMS: 1158.07

OMB NO: 2060-0161    EXPIRATION DATE: 02/29/2004
RESPS:3,093          HOURS:7,653          COSTS(000):$1,501
  40 CFR 60.530 thru 60.539(b), New Source Performance Standards
  for New Residential Wood Heaters (Subpart AAA)
FORMS: 1176.06

OMB NO: 2060-0162    EXPIRATION DATE: 07/31/2003
RESPS:121            HOURS:3,639          COSTS(000):$0
  New Source Performance Standards (NSPS), 40 CFR Part 60, Subpart
  TTT, Surface Coating of Plastic Parts for Business Machines
FORMS: 1093.06

OMB NO: 2060-0170    EXPIRATION DATE: 05/31/2005
RESPS:1,842          HOURS:7,357          COSTS(000):$0
  Recordkeeping and Periodic Reporting of the Production, Import,
  Recycling, Destruction, Transshipment and Feedstock Use of
  Ozone- Depleting Substances
FORMS: 1432.21

OMB NO: 2060-0171    EXPIRATION DATE: 02/29/2004
RESPS:56             HOURS:3,891          COSTS(000):$93
  New Source Performance Standards (NSPS) for Magnetic Tape Coat-
  ing Facilities, 40 CFR Part 60, Subpart SSS
FORMS: 1135.07

OMB NO: 2060-0172    EXPIRATION DATE: 09/30/2004
RESPS:320            HOURS:36,866         COSTS(000):$57
  NSPS 40 CFR Part 60, Subpart QQQ - Standards of Performance for
  VOC Emissions form Petroleum Refinery Wastewater Systems - Re-
  porting and Recordkeeping
FORMS: 1136.06

OMB NO: 2060-0178    EXPIRATION DATE: 12/31/2004
RESPS:3,000,002      HOURS:4,178          COSTS(000):$0
  Regulation of Fuels and Fuel Additives: Gasoline Volatility:
  Reporting Requirements (40 CFR 80.27)
FORMS: 1367.06

OMB NO: 2060-0181    EXPIRATION DATE: 01/31/2005
RESPS:173            HOURS:14,366         COSTS(000):$564
  Standards of Performance for New Stationary Sources, Polymeric
  Coating of Supporting Substrates Facilities, Subpart VVV
FORMS: 1284.06

OMB NO: 2060-0183    EXPIRATION DATE: 04/30/2003
RESPS:240            HOURS:17,028         COSTS(000):$0
  Benzene Waste Operations -- NESHAP Subpart FF
FORMS: 1541.06

OMB NO: 2060-0185    EXPIRATION DATE: 08/31/2004
RESPS:76             HOURS:7,083          COSTS(000):$0
  National Emission Standards for Hazardous Air Pollutants,
  Benzene Emission from Benzene Storage Vessels and Coke
  by-product re- covery plants. 40 CFR Part 61, Subparts L & Y
FORMS: 1080.10

OMB NO: 2060-0191    EXPIRATION DATE: 08/31/2005
RESPS:62             HOURS:5,812          COSTS(000):$231
  National Emission Standards for Hazardous Air Pollutants:
  Radionuclides - (40 CFR Part 61) Subparts B, H, K, R, and W.
FORMS: 1100.00

OMB NO: 2060-0202    EXPIRATION DATE: 10/31/2004
RESPS:1,696          HOURS:432,767        COSTS(000):$13,185
  NSPS 40 CFR Part 60, Subpart Dc - Standards of Performance for
  Small Industrial-Commercial-Institutional Steam Generating Units
FORMS: 1564.05

OMB NO: 2060-0210    EXPIRATION DATE: 04/30/2005
RESPS:50             HOURS:11,885         COSTS(000):$132
  NSPS Municipal Waste Combustors (MWC) for Subpart Ea and Subpart
  Eb
FORMS: 1506.09

OMB NO: 2060-0220    EXPIRATION DATE: 12/31/2005
RESPS:299            HOURS:3,390          COSTS(000):$107
  NSPS for Municipal Solid Waste Landfills, 40 CFR Part 60,
  Subpart WWW
FORMS: ICR-1557.05

OMB NO: 2060-0226    EXPIRATION DATE: 10/31/2004
RESPS:330            HOURS:10,363         COSTS(000):$45
  Information Collection Activities: Significant New Alternatives
  Policy (SNAP) Program Final Rulemaking under Title VI of the
  Clean Air Act Amendments of 1990, 40 CFR part 82, Subpart G.
FORMS: 1596.05

OMB NO: 2060-0234    EXPIRATION DATE: 09/30/2003
RESPS:5,270          HOURS:1,212,129      COSTS(000):$47
  NESHAP for Perchloroethylene (PCE) Dry Cleaning Facilities,
FORMS: 1415.04

OMB NO: 2060-0243    EXPIRATION DATE: 10/31/2004
RESPS:21,036         HOURS:4,779,620      COSTS(000):$0
  Part 70 Operating Permits Regulations
FORMS: 1587.05

OMB NO: 2060-0247    EXPIRATION DATE: 09/30/2005
RESPS:35,020         HOURS:6,512          COSTS(000):$0
  Stratospheric Ozone Protecton, Servicing of Motor Vehicle Air
  Conditions, CFR 40 Subpart B (82.30 et. seq.)
FORMS: 1617.04

OMB NO: 2060-0249    EXPIRATION DATE: 10/31/2005
RESPS:82             HOURS:33,649         COSTS(000):$148
  Air Pollution Regulations for Outer Continental Shelf Activities
FORMS: 1601.05 7610-12 7610-14

OMB NO: 2060-0251    EXPIRATION DATE: 12/31/2005
RESPS:342            HOURS:6,506          COSTS(000):$115
  NSPS for Calciners and Dryers in Mineral Industries (40 CFR Part
  60, Subpart UUU)
FORMS: 0746.05

OMB NO: 2060-0253    EXPIRATION DATE: 05/31/2005
RESPS:58             HOURS:104,659        COSTS(000):$0
  National Emission Standards for Coke Oven Batteries, 40 CFR Part
  63, Subpart L
FORMS: 1362.04

OMB NO: 2060-0256    EXPIRATION DATE: 07/31/2003
RESPS:2,342,047      HOURS:419,546        COSTS(000):$0
  National Recycling and Emissions Reduction Program
FORMS: 1626.07

OMB NO: 2060-0258    EXPIRATION DATE: 04/30/2003
RESPS:10,085         HOURS:1,330,327      COSTS(000):$135,632
  Information Collection Request for the Acid Rain Program under
  Title IV of the Clean Air Act Amendments of 1990
FORMS: 1633.12

OMB NO: 2060-0264    EXPIRATION DATE: 06/30/2004
RESPS:4,555          HOURS:137,549        COSTS(000):$0
  Application Requirements for the Approval and Delegation of
  Federal Air Toxics Programs to State, Territorial, Local, and
  Tribal Agencies
FORMS: 1643.04

OMB NO: 2060-0266    EXPIRATION DATE: 05/31/2005
RESPS:28,000         HOURS:172,200        COSTS(000):$0
  Control Technology Determination for Equivalent Emission Limita-
  tions by Permit
FORMS: 1648.04

OMB NO: 2060-0273    EXPIRATION DATE: 10/31/2003
RESPS:3,923          HOURS:45,207         COSTS(000):$4,091
  NESHAP for Halogenated Solvent Cleaners/Halogenated Hazardous
  Air Pollutants (40 CFR Part 63, subpart T)
FORMS: 1652.04

OMB NO: 2060-0275    EXPIRATION DATE: 10/31/2004
RESPS:69,558         HOURS:223,008        COSTS(000):$536
  Detergent Gasoline: Certification Requirements for Manufac-
  urers of Detergent Additives; Requirements for Transferors and
  Transferees of Detergent Additives; Requirements for ...
FORMS: 1655.04

OMB NO: 2060-0277    EXPIRATION DATE: 04/30/2004
RESPS:53,171         HOURS:101,571        COSTS(000):$22,986
  Regulation of Fuels and Fuel Additives: Reformulated Gasoline
  Terminal Receipt Date
FORMS: 1591.14

OMB NO: 2060-0279    EXPIRATION DATE: 04/30/2005
RESPS:733            HOURS:10,246         COSTS(000):$0
  General Conformity of Federal Actions to State Implemenation
  Plan 40 CFR Part 51, Subpart W, Part 93, Subpart B
FORMS: 1637.05

OMB NO: 2060-0283    EXPIRATION DATE: 02/29/2004
RESPS:98             HOURS:7,328          COSTS(000):$228
  NESHAP 40 CFR Part 63 Subpart O: National Emission Standards for
  Hazardous Air Pollutants (NESHAP) for Commercial Ethylene Oxide
  Sterilization and Fumigation Operations
FORMS: 1666.05

OMB NO: 2060-0287    EXPIRATION DATE: 09/30/2004
RESPS:779            HOURS:89,047         COSTS(000):$4,089
  Non-road Compression-Ignition Engine and On-Highway Heavy Duty
  Engine Application for Emissions Certification, and
  Participation in the Averaging, Banking, and Trading Program 40
  Part 86.094,...
FORMS: 1684.05

OMB NO: 2060-0289    EXPIRATION DATE: 05/31/2005
RESPS:105            HOURS:28,131         COSTS(000):$0
  Federal Standards for Marine Tank Vessel Loading Operations and
  National Emission Standards for Hazardous Air Pollutants for
  Marine Tank Vessel Loading Operations.(40 CFR Part 63, Subpart Y)
FORMS: 1679.04

OMB NO: 2060-0290    EXPIRATION DATE: 09/30/2004
RESPS:29             HOURS:4,525          COSTS(000):$9
  NESHAP: Epoxy Resin and Non-Nylon Polyamide Production - Subpart
  W
FORMS: 1681.04

OMB NO: 2060-0294    EXPIRATION DATE: 08/31/2003
RESPS:150,215        HOURS:75,393         COSTS(000):$4,686
  Reporting and Recordkeeping Requirements for Importation of
  Nonconforming Nonroad Compression Ignition (CI) & Small Spark
  Ignition (SI) Engines
FORMS: 1673.02 3520-1 3520-8 3520-14

OMB NO: 2060-0296    EXPIRATION DATE: 10/31/2003
RESPS:70             HOURS:16,033         COSTS(000):$150
  NESHAP for the Secondary Lead Smelter Industry
FORMS: 1686.04

OMB NO: 2060-0297    EXPIRATION DATE: 05/31/2003
RESPS:3              HOURS:67,467         COSTS(000):$6,500
  Registration of Fuels and Fuel Additives: Health-Effects
  Research Requirements for Manufacturers -- 40 CFR 79, Subpart F
FORMS: 1696.03

OMB NO: 2060-0302    EXPIRATION DATE: 11/30/2004
RESPS:188            HOURS:3,709          COSTS(000):$106
  Retrofit/Rebuild Requirements for 1993 and Earlier Model Year
  Urban Buses, 40 CFR Part 85
FORMS: 1702.03

OMB NO: 2060-0306    EXPIRATION DATE: 10/31/2004
RESPS:7              HOURS:293            COSTS(000):$0
  Clean Air Act Tribal Authority
FORMS: 1676.03

OMB NO: 2060-0308    EXPIRATION DATE: 09/30/2004
RESPS:400,000        HOURS:222            COSTS(000):$0
  Tax-exempt (Dyed) Highway Diesel Fuel; Requirements for
  Transferors and Transferees
FORMS: 1718.03

OMB NO: 2060-0313    EXPIRATION DATE: 01/31/2004
RESPS:1,000          HOURS:162,050        COSTS(000):$0
  National Emission Standards for Hazardous Air Pollutants
  (NESHAP) for for-Site Waste and Recovery Operations (Subpart DD)
FORMS: 1717.03

OMB NO: 2060-0314    EXPIRATION DATE: 05/31/2004
RESPS:16,402         HOURS:3,737,400      COSTS(000):$561
  40 CFR 63 Subpart GG NESHAP, Aerospace Manufacturing and Rework
FORMS: 1687.05

OMB NO: 2060-0318    EXPIRATION DATE: 07/31/2004
RESPS:6,318          HOURS:672,640        COSTS(000):$1,460
  Standards of Performance for Air Emission Standards for Tanks,
  Surface Impoundments and Containers, 40 CFR Part 264, Subpart CC
  and 40 CFR Part 265.
FORMS: 1593.05

OMB NO: 2060-0320    EXPIRATION DATE: 11/30/2004
RESPS:3,100          HOURS:1,550          COSTS(000):$78
  Importation of Nonconforming Marine Engines: Reporting and
  Record keeping Requirements
FORMS: 1723.03

OMB NO: 2060-0321    EXPIRATION DATE: 09/30/2004
RESPS:254            HOURS:38,674         COSTS(000):$2
  Spark-ignition Marine Engine Application for Emission
  Certification and Participation in the Averaging, Banking, and
  Trading Program 40 CFR Part 91, Subpart B and C
FORMS: 1722.03

OMB NO: 2060-0322    EXPIRATION DATE: 10/31/2004
RESPS:68             HOURS:10,405         COSTS(000):$694
  Marine Engine Manufacturer In-use Emission Testing Program Re-
  porting and Recordkeeping, 40 CFR Part 91, Subpart N
FORMS: 1726.03

OMB NO: 2060-0323    EXPIRATION DATE: 09/30/2004
RESPS:340            HOURS:19,300         COSTS(000):$2,821
  Marine Engine Manufacturer Production Line Testing Reporting and
  Recordkeeping Requirements, 40 CFR Part 91
FORMS: 1725.03

OMB NO: 2060-0324    EXPIRATION DATE: 02/29/2004
RESPS:47,800         HOURS:92,071         COSTS(000):$41
  National Emission Standards for Hazardous Air Pollutants
  (NESHAP) from Wood Furniture Manufacturing Operations. 40 CFR
  Part 63, Subpart JJ
FORMS: 1716.03

OMB NO: 2060-0325    EXPIRATION DATE: 02/29/2004
RESPS:526            HOURS:32,575         COSTS(000):$851
  National Emission Standards for Hazardous Air Pollutants for
FORMS: 1659.04

OMB NO: 2060-0326    EXPIRATION DATE: 01/31/2004
RESPS:26             HOURS:7,042          COSTS(000):$89
  NESHAP, Magnetic Tape Manufacturing Operations, 40 CFR Part 63,
  Subpart EE
FORMS: 1678.04

OMB NO: 2060-0327    EXPIRATION DATE: 02/29/2004
RESPS:1,896          HOURS:516,186        COSTS(000):$75,300
  NESHAP for Chromium Emissions from Hard and Decorative Chromium
  Electroplating and Chromium Anodizing Tanks 40 CFR Part 63
  (Subpart N)
FORMS: 1611.04

OMB NO: 2060-0328    EXPIRATION DATE: 11/30/2004
RESPS:120            HOURS:4,059          COSTS(000):$1
  EPA's Natural Gas STAR Program
FORMS: 1763.03

OMB NO: 2060-0330    EXPIRATION DATE: 08/31/2003
RESPS:45             HOURS:22,149         COSTS(000):$0
  National Emissions Standards for Hazardous Air Pollutants for
  Shipbuilding and Ship Repair Facilities (Surface Coating) CFR 40
  Part 63, Subpart Ii
FORMS: 1712.03

OMB NO: 2060-0335    EXPIRATION DATE: 09/30/2003
RESPS:273            HOURS:52,495         COSTS(000):$403
  MACT Subpart KK, National Emission Standards for the Printing
  and Publishing Industry
FORMS: 1739.03

OMB NO: 2060-0336    EXPIRATION DATE: 10/31/2004
RESPS:3,179          HOURS:15,323         COSTS(000):$0
  Information Collection Request for Part 71 Federal Operating
  Permit Regulations
FORMS: 1713.04

OMB NO: 2060-0337    EXPIRATION DATE: 10/31/2004
RESPS:53             HOURS:2,120          COSTS(000):$0
  State Small Business Stationary Source Technical and Environ-
  mental Compliance Assistance Program Annual Reporting Form
FORMS: 1748.03

OMB NO: 2060-0338    EXPIRATION DATE: 09/30/2004
RESPS:653            HOURS:47,736         COSTS(000):$3,240
  Certification and the Averaging, Banking, and Trading Program
  for Non-road Spark-Ingnition Engines at or Below 19 Kilowatts,
  40 Part 90, Subpart C
FORMS: 1695.07

OMB NO: 2060-0340    EXPIRATION DATE: 12/31/2004
RESPS:314            HOURS:469,430        COSTS(000):$542
  NESHAP for Petroleum Refineries, 40 CFR Part 63, Subpart CC
FORMS: 1692.04

OMB NO: 2060-0345    EXPIRATION DATE: 09/30/2004
RESPS:18             HOURS:4,338          COSTS(000):$0
  Regulations for a Voluntary Emissions Standards Program
  Applicable to Manufacturers of Light-Duty Vehicles and Trucks
  Beginning in Model Year 1997 - 40 CFR 86.1700
FORMS: 1761.03

OMB NO: 2060-0347    EXPIRATION DATE: 04/30/2003
RESPS:15,529         HOURS:217,714        COSTS(000):$15
  Information Collection Activities Associated with EPA's Energy
  Star Buildings Program
FORMS: ICR1772.02

OMB NO: 2060-0348    EXPIRATION DATE: 06/30/2003
RESPS:375            HOURS:29,695         COSTS(000):$0
  Reporting and Recordkeeping Requirements for National Volatile
  Organic Compound Emission Standards for Consumer products CFR 40
  Part 59, Subpart C
FORMS: 1764.02

OMB NO: 2060-0350    EXPIRATION DATE: 09/30/2003
RESPS:5,000,000      HOURS:416,667        COSTS(000):$500
  Mobile Air Conditioner Retrofitting Program, 40 CFR Part 82.180
FORMS: 1774.02

OMB NO: 2060-0353    EXPIRATION DATE: 06/30/2003
RESPS:10             HOURS:22             COSTS(000):$0
  Reporting and Recordkeeping Requirements for National Volatile
  Organic Compound Emission Standards for Automobile Refinish
  Coatings CFR 40 Part 59 Subpart B
FORMS: 1765.02

OMB NO: 2060-0357    EXPIRATION DATE: 01/31/2004
RESPS:143            HOURS:6,400          COSTS(000):$0
  MACT - Flexible Polyurethane Foam Product, 40 CFR Part 63,
  Subpart III
FORMS: 1783.02

OMB NO: 2060-0358    EXPIRATION DATE: 02/29/2004
RESPS:209            HOURS:161,326        COSTS(000):$8
  National Emission Standard for Hazardous Air Pollutants for
  Source Categories; Pharmaceutical Production, 40 CFR Part 63,
  Subpart GGG
FORMS: 1781.02

OMB NO: 2060-0360    EXPIRATION DATE: 09/30/2004
RESPS:50             HOURS:121,277        COSTS(000):$117
  MACT for Primary Aluminum Reduction Plants, 40 CFR, Subpart L.
FORMS: 1767.03

OMB NO: 2060-0361    EXPIRATION DATE: 01/31/2004
RESPS:193            HOURS:4,143          COSTS(000):$66
  NESHAP - Phosphoric Acid Manufacturing and Phosphate Fertilizers
  Production, 40 CFR Part 63, Subparts AA and BB
FORMS: 1790.02

OMB NO: 2060-0362    EXPIRATION DATE: 01/31/2004
RESPS:26             HOURS:5,779          COSTS(000):$100
  NESHAP/MACT 40 CFR Part 63, Subpart DDD - Mineral Wool Produc-
  tion
FORMS: 1799.02

OMB NO: 2060-0363    EXPIRATION DATE: 11/30/2004
RESPS:2,349          HOURS:4,541          COSTS(000):$19
  Standards of Performance for New Stationary Sources: Hospital/
  Medical/Infectious Waste Incinerators, 40 CFR Part 60, Subpart Ec
FORMS: 1730.03

OMB NO: 2060-0369    EXPIRATION DATE: 09/30/2004
RESPS:205            HOURS:66,647         COSTS(000):$19
  Transition Program for Equipment Manufacturers, 40 CFR Part 89.
  101
FORMS: 1862.02

OMB NO: 2060-0370    EXPIRATION DATE: 10/31/2004
RESPS:375            HOURS:53,752         COSTS(000):$2,268
  National Emissions Standards for Hazardous Air Pollutants-
  Pesticide Active Ingredient Production, 40 CFR Part 63, Subpart
  MMM
FORMS: ICR#1807.2

OMB NO: 2060-0373    EXPIRATION DATE: 10/31/2004
RESPS:600            HOURS:92,210         COSTS(000):$0
  Control Technology Determinations for Constructed or Reconstruc-
  ted Major Sources of Hazardous Air Pollutants, 40 CFR Part 63,
  Subpart B
FORMS: 1658.03

OMB NO: 2060-0376    EXPIRATION DATE: 11/30/2004
RESPS:4,040          HOURS:172,698        COSTS(000):$9,699
  Information Collection Request Update for the 40 CFR Part 64
  Compliance Assurance Monitoring Program
FORMS: 1663.03

OMB NO: 2060-0377    EXPIRATION DATE: 12/31/2004
RESPS:125            HOURS:21,528         COSTS(000):$5
  National Emission Standards for Hazardous Air Polluants for
  Chemical Recovery Combustion Sources at Kraft, Soda, Sulfite,
  and Stand-Alone Semichemical Pulp Mills
FORMS: 1805.03

OMB NO: 2060-0382    EXPIRATION DATE: 11/30/2004
RESPS:25             HOURS:14,950         COSTS(000):$139
  PFC Emission Reduction Partnership for the Semiconductor
  Industry, Non Rule Related, Memo of Understanding
FORMS: 1823.02

OMB NO: 2060-0387    EXPIRATION DATE: 11/30/2004
RESPS:500            HOURS:50,232         COSTS(000):$370
  NESHAP for Total HAP Emissions form the Pulp Paper Production
  Source Category - Process Operations, 40 CFR Part 63, Subpart S.
FORMS: 1657.04

OMB NO: 2060-0390    EXPIRATION DATE: 04/30/2003
RESPS:112            HOURS:58,915         COSTS(000):$3,218
  Federal Plan Recordkeeping and Reporting Requirements for Large
  Municipal Waste Combustors Constructed on or Before September
  20, 1994 (Subpart FFF)
FORMS: 1847.02

OMB NO: 2060-0391    EXPIRATION DATE: 12/31/2004
RESPS:20             HOURS:746            COSTS(000):$0
  NESHAP for Ferroalloys Production
FORMS: EPA-ICR-1831.02

OMB NO: 2060-0392    EXPIRATION DATE: 12/31/2004
RESPS:67             HOURS:11,121         COSTS(000):$388
  Information Requirements for Locomotives and Locomotive Engines
FORMS: 1800.02

OMB NO: 2060-0393    EXPIRATION DATE: 04/30/2005
RESPS:745            HOURS:23,411         COSTS(000):$0
  National Volatile Organic Compound Emission Standards for
  Architechural Coatings
FORMS: 1750.03

OMB NO: 2060-0394    EXPIRATION DATE: 11/30/2004
RESPS:1              HOURS:8              COSTS(000):$0
  National Emission Standards for Hazardous Air Pollutants for
  Beryllium Rocket Motor Firing 40 CFR part 61, Subpart D.
FORMS: 1125.03

OMB NO: 2060-0395    EXPIRATION DATE: 08/31/2005
RESPS:12             HOURS:69             COSTS(000):$1
  Exclucion Determinations for New Non-road Spark-ignited Engines
  at or Below 19 Kilowats, New Non-road Compressionigintied
  Engines New Marine Engines, and New on-raod Heavy Duty Engines
  (40 CFR 85
FORMS: EPA-1852.02

OMB NO: 2060-0411    EXPIRATION DATE: 12/31/2005
RESPS:8              HOURS:584            COSTS(000):$0
  Voluntary Aluminum Industrial Partnership (VAIP)
FORMS: 1867.02

OMB NO: 2060-0414    EXPIRATION DATE: 10/31/2005
RESPS:4              HOURS:12,246         COSTS(000):$40
  National Emission Standard for Hazardous Air Pollutants (NESHAP)
  for Primary Lead Smelters (40 CFR Part 63, Subpart TTT)
FORMS: 1856.03

OMB NO: 2060-0415    EXPIRATION DATE: 09/30/2005
RESPS:158            HOURS:88,680         COSTS(000):$513
  NESHAP for Polyether Polyols Production (40 CFR part 63, Subpart
  PPP)
FORMS: 1811.03

OMB NO: 2060-0416    EXPIRATION DATE: 10/31/2005
RESPS:214            HOURS:53,181         COSTS(000):$685
  NESHAP for the Portland Cement Manufacturing Industry (40 CFR
  Part 63, Subpart LLL)
FORMS: 1801.03

OMB NO: 2060-0417    EXPIRATION DATE: 08/31/2005
RESPS:996            HOURS:29,489         COSTS(000):$567
  NESHAP: Oil and Natural Gas Production (40 CFR part 63, Subpart
  HH)
FORMS: 1788.03

OMB NO: 2060-0418    EXPIRATION DATE: 09/30/2005
RESPS:14             HOURS:581            COSTS(000):$0
  NESHAP: Natural Gas Transmission and Storage Facilities (40 CFR
  Part 63, Subpart HHH)
FORMS: 1789.03

OMB NO: 2060-0419    EXPIRATION DATE: 10/31/2005
RESPS:231            HOURS:25,104         COSTS(000):$9
  National Emission Standard for Hazardous Air Pollutants (NESHAP)
  for Steel Pickling. (40 CFR, Subpart PPP)
FORMS: 1821.03

OMB NO: 2060-0420    EXPIRATION DATE: 12/31/2005
RESPS:30             HOURS:4,077          COSTS(000):$107
  National Emission Standards for Hazardous Air Pollutants for
  Source Categories: Generic Maximum Achievable Control Technology
  (40 CFR Part 63, Subpart YY)
FORMS: 1871.03

OMB NO: 2060-0421    EXPIRATION DATE: 04/30/2003
RESPS:51             HOURS:11,500         COSTS(000):$0
  Final Regional Haze Rule
FORMS: 1813.02

OMB NO: 2060-0422    EXPIRATION DATE: 04/30/2003
RESPS:1,146          HOURS:133,404        COSTS(000):$0
  Reporting and Recordkeeping Requirements for the Emission
  Guidelines for Hospital/Medical/Infectious Waste Incinerators
FORMS: 1899.01

OMB NO: 2060-0423    EXPIRATION DATE: 04/30/2003
RESPS:6              HOURS:8,559          COSTS(000):$219
  Reporting and Recordkeeping Requirements for the New Source
  Performance Standards for Small Municipal Waste Combustors --
  Subpart AAAA
FORMS: 1900.01

OMB NO: 2060-0424    EXPIRATION DATE: 04/30/2003
RESPS:90             HOURS:1,297          COSTS(000):$0
  Emission Guidelines Reporting and Recordkeeping Requirements for
  Existing Small Municipal Waste Combustion (MWC) Units
FORMS: 1901.01

OMB NO: 2060-0425    EXPIRATION DATE: 01/31/2004
RESPS:176            HOURS:1,256          COSTS(000):$1
  Emission Defect Information and Voluntary Emission Recall
  Reports for On-Highway, Light-Duty Vehicles
FORMS: 1916.01

OMB NO: 2060-0427    EXPIRATION DATE: 10/31/2003
RESPS:200            HOURS:80,383         COSTS(000):$0
  Small Spark Ignition Manufacturers Production Line Testing
FORMS: 1845.02

OMB NO: 2060-0428    EXPIRATION DATE: 04/30/2003
RESPS:41             HOURS:41             COSTS(000):$0
  NESHAP for Source Category: Publicly Owned Treatment Works
FORMS: 1891.02

OMB NO: 2060-0430    EXPIRATION DATE: 04/30/2003
RESPS:384            HOURS:15,110         COSTS(000):$890
  Federal Emission Guidelines for Existing Municipal Solid Waste
  Landfills
FORMS: 1893.02

OMB NO: 2060-0433    EXPIRATION DATE: 07/31/2003
RESPS:2,315          HOURS:148,031        COSTS(000):$687
  Recordkeeping and Reporting Requirements for the Secondary
  Aluminum Production - NESHAP
FORMS: 1894.02

OMB NO: 2060-0434    EXPIRATION DATE: 02/29/2004
RESPS:80             HOURS:32,252         COSTS(000):$80
  National Emission Standard for Hazardous Air Pollutants: Manu-
  facture of Amino/Phenolic Resins
FORMS: 1869.02

OMB NO: 2060-0436    EXPIRATION DATE: 09/30/2003
RESPS:3,112          HOURS:5,602          COSTS(000):$38
  Indoor Air Quality Practices in Large Buildings Survey
FORMS: 1917.01

OMB NO: 2060-0437    EXPIRATION DATE: 01/31/2004
RESPS:192,268        HOURS:12,532         COSTS(000):$0
  Recordkeeping and Reporting Requirements Regarding the Sulfur
  Content of Motor Vehicle Gasoline Under the Tier 2 Rule.
FORMS: 1907.02

OMB NO: 2060-0439    EXPIRATION DATE: 11/30/2003
RESPS:5,000          HOURS:1,667          COSTS(000):$0
  Information Collection Request: The Sun Wise School Program
FORMS: 1904.01

OMB NO: 2060-0442    EXPIRATION DATE: 01/31/2004
RESPS:4              HOURS:678            COSTS(000):$0
  NSPS Subpart K, Storage Vessels for Petroleum Liquids for Which
  Construction, Reconstruction, or Modification Commenced after
  June 11.
FORMS: 1797.02

OMB NO: 2060-0443    EXPIRATION DATE: 08/31/2005
RESPS:10,361         HOURS:2,165,600      COSTS(000):$99,921
  Synthetic Organic Chemical Industry (SOCMI): Consolidation of
  Information Collection Request (Revision)
FORMS: 1854.03

OMB NO: 2060-0445    EXPIRATION DATE: 10/31/2003
RESPS:3,982          HOURS:284,746        COSTS(000):$15,686
  Emission Reporting Requirements for Ozone SIP Revisions (or
  Associated Federal Implementation Plans) Relating to Statewide
  Budgets for NOx Emissions to Reduce the Regional Transport of OZ.
FORMS: 1857.02

OMB NO: 2060-0446    EXPIRATION DATE: 10/31/2003
RESPS:323            HOURS:1,484          COSTS(000):$1
  Landfill Methane Outreach Program
FORMS: 1849.01

OMB NO: 2060-0450    EXPIRATION DATE: 01/31/2004
RESPS:18             HOURS:11,209         COSTS(000):$14
  Reporting and Recordkeeping Requirements for Standards of
  Performance for New Stationary Sources: Commercial and Indus-
  trial Solid Waste Incineration (CISWI) Units (Subpart CCC).
FORMS: 1926.02

OMB NO: 2060-0451    EXPIRATION DATE: 01/31/2004
RESPS:116            HOURS:9,145          COSTS(000):$0
  Reporting and Recordkeeping Requirements for the Emission
  Guidelines for Existing Commercial and Industrial Solid Waste
  Incineration (CISWI) Units (Subpart DDDD).
FORMS: 1927.02

OMB NO: 2060-0460    EXPIRATION DATE: 10/31/2004
RESPS:30             HOURS:53,791         COSTS(000):$5,219
  Information Requirements for Marine Diesel Engines (Nonroad
  Large SI Engines and Marine Diesel Engines)(Amendments) (Final
  Rule)
FORMS: 1897.04

OMB NO: 2060-0463    EXPIRATION DATE: 07/31/2004
RESPS:806            HOURS:564            COSTS(000):$0
  IAQ Practices in Schols Survey
FORMS: 1885.01

OMB NO: 2060-0471    EXPIRATION DATE: 01/31/2005
RESPS:75             HOURS:10,092         COSTS(000):$0
  National Emission Standards for Hazardous Air Pollutants:
  Solvent Extraction for Vegetable Oil Production
FORMS: 1947.02

OMB NO: 2060-0476    EXPIRATION DATE: 05/31/2005
RESPS:90             HOURS:20,506         COSTS(000):$98
  NESHAP: Primary Copper Smelters
FORMS: 1850.03

OMB NO: 2060-0478    EXPIRATION DATE: 06/30/2005
RESPS:12             HOURS:485            COSTS(000):$0
  National Emission Standards for Hazardous Air Pollutants
  (NESHAP) for Leather Finishing Operations
FORMS: 1985.02

OMB NO: 2060-0481    EXPIRATION DATE: 07/31/2005
RESPS:5              HOURS:1              COSTS(000):$2
  Reporting and Recordkeeping Requirements for the Friction
  Materials Manufacturing NESHAP
FORMS: 2025.01

OMB NO: 2060-0482    EXPIRATION DATE: 05/31/2005
RESPS:275            HOURS:97,605         COSTS(000):$99
  Protection of Stratospheric Ozone: Request for Applications for
  Critical use Exemptions from the Phaseout of Methyl Bromide
FORMS: 2031.01

OMB NO: 2060-0483    EXPIRATION DATE: 07/31/2005
RESPS:74             HOURS:1              COSTS(000):$2
  National Emission Standards for Hazardous Air Pollutants for
  Engine Test Cells/Stands.
FORMS: 2066.01

OMB NO: 2060-0486    EXPIRATION DATE: 08/31/2005
RESPS:180            HOURS:139,380        COSTS(000):$3
  National Emission Standards for Hazardous Air Pollutants:
  Miscellaneous Metal Parts and Products Surface Coating Operations
FORMS: 2056.01

OMB NO: 2060-0487    EXPIRATION DATE: 08/31/2005
RESPS:241            HOURS:25,048         COSTS(000):$236
  Reporting and Recordkeeping Requirements for Metal Coil Surface
  Coating Plants
FORMS: 1957.02

OMB NO: 2060-0488    EXPIRATION DATE: 08/31/2005
RESPS:9              HOURS:1,436          COSTS(000):$56
  National Emission Standards for Hazardous Air Pollutants for
  Cellulose Products Manufacturing (Final Rule)
FORMS: 1974.02

OMB NO: 2060-0489    EXPIRATION DATE: 08/31/2005
RESPS:275            HOURS:33,926         COSTS(000):$4,917
  NESHAP for Source Categories: Generic Maximum Achievable Control
  Technology Standards (Final Rule)
FORMS: 1983.02

OMB NO: 2060-0490    EXPIRATION DATE: 08/31/2005
RESPS:52,591         HOURS:726            COSTS(000):$0
  National Survey on Environmental Management of Asthma
FORMS: 1996.01

OMB NO: 2060-0496    EXPIRATION DATE: 12/31/2005
RESPS:14             HOURS:2,983          COSTS(000):$2
  Reporting & Recordkeeping Requirements of the National Emission
  Standard for Hazardous Air Pollutants from Wet-formed Fiberglass
  Mat Production Industry
FORMS: 1964.02

OMB NO: 2060-0502    EXPIRATION DATE: 02/28/2006
RESPS:1,000          HOURS:417            COSTS(000):$9,230
  Eliciting Risk Tradeoffs for Valuing Fatal Cancer Risks
FORMS: 2057.01

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
184 11,759,344 30,373,802 $584,884
Office of Prevention, Pesticides and Toxic Substances
OMB NO: 2070-0004    EXPIRATION DATE: 02/28/2006
RESPS:495            HOURS:2,344          COSTS(000):$0
  Health and Safety Data Reporting; Submission of Lists and Copies
  of Health and Safety Studies
FORMS: 0575.09

OMB NO: 2070-0012    EXPIRATION DATE: 07/31/2004
RESPS:1,674          HOURS:184,608        COSTS(000):$0
  Pre-Manufacture Review Reporting and Exemption Requirements for
  New Chemical Substances and Significant New Use Reporting
  Requirements for Chemical Substances.
FORMS: 7710-25 7710-56 574.11

OMB NO: 2070-0017    EXPIRATION DATE: 12/31/2005
RESPS:7,397          HOURS:29,939         COSTS(000):$0
  Recordkeeping and Reporting Requirements for Allegations of
  Significant Adverse Reactions to Human Health or the Environment
  (TSCA Section 8(c))
FORMS: 1031.07

OMB NO: 2070-0020    EXPIRATION DATE: 01/31/2006
RESPS:18,500         HOURS:5,550          COSTS(000):$0
  Notice of Arrival of Pesticides and Devices (FIFRA)
FORMS: 0152.07 3540-1

OMB NO: 2070-0024    EXPIRATION DATE: 04/30/2003
RESPS:150            HOURS:258,900        COSTS(000):$0
  Tolerance Petitions for Pesticides on Food/Feed Crops and New
  Inert Ingredients
FORMS: 0597.07

OMB NO: 2070-0027    EXPIRATION DATE: 01/31/2006
RESPS:2,500          HOURS:24,753         COSTS(000):$0
  Foreign Purchaser Acknowledgment Statement of Unregistered
  Pesticides
FORMS: 0161.09

OMB NO: 2070-0028    EXPIRATION DATE: 10/31/2004
RESPS:12,336         HOURS:24,672         COSTS(000):$0
  Recordkeeping Requirements for Producers of Pesticides under
  Section 8 of the Federal Insecticide, Pungicide, and Rodenticide
  Act (FIFRA)
FORMS: 0143.07

OMB NO: 2070-0029    EXPIRATION DATE: 08/31/2004
RESPS:413,293        HOURS:1,285,865      COSTS(000):$0
  Certification of Pesticide Applicators
FORMS: 0155.07 8500-17

OMB NO: 2070-0030    EXPIRATION DATE: 04/30/2003
RESPS:11,000         HOURS:10,400         COSTS(000):$0
  Notification of Chemical Exports -- TSCA Section 12(b)
FORMS: 0795.10

OMB NO: 2070-0032    EXPIRATION DATE: 11/30/2004
RESPS:600            HOURS:59,400         COSTS(000):$0
  Application and Summary Report for Emergency Exemption for
  Pesticides
FORMS: 0596.07

OMB NO: 2070-0033    EXPIRATION DATE: 10/31/2004
RESPS:17,299         HOURS:1,182,574      COSTS(000):$0
  TSCA Section 4 Test Rules, Consent Orders, Test Rule Exemptions,
  and Voluntary Data Submission
FORMS: 1139.06

OMB NO: 2070-0038    EXPIRATION DATE: 01/31/2006
RESPS:8              HOURS:1,020          COSTS(000):$0
  TSCA Section 5(a)(2) Significant New Use Rules for Existing
  Chemicals
FORMS: 1188.07 7710-25

OMB NO: 2070-0039    EXPIRATION DATE: 01/31/2004
RESPS:260            HOURS:166,266        COSTS(000):$0
  Submission of Unreasonable Adverse Effects Information Under
  FIFRA Section 6(a)(2)
FORMS: 1204.08

OMB NO: 2070-0040    EXPIRATION DATE: 09/30/2003
RESPS:75             HOURS:757            COSTS(000):$0
  Application for Experimental use Permit (EUP) to Ship and Use a
  Pesticide for Experimental Purposes Only
FORMS: 0276.11 8570-17

OMB NO: 2070-0044    EXPIRATION DATE: 10/31/2003
RESPS:5,000          HOURS:1,250          COSTS(000):$0
  Notice of Supplemental Distribution of a Registered Pesticide
  Product
FORMS: 0278.07 8570-05

OMB NO: 2070-0046    EXPIRATION DATE: 04/30/2003
RESPS:467            HOURS:8,209          COSTS(000):$0
  Notification of Substantial Risk of Injury to Health and the
  Environment under TSCA Secton 8(e)
FORMS: EPA-0794-09

OMB NO: 2070-0052    EXPIRATION DATE: 01/31/2004
RESPS:502            HOURS:853            COSTS(000):$0
  Compliance Requirements for Child Resistant Packaging
FORMS: EPA-616.07

OMB NO: 2070-0054    EXPIRATION DATE: 10/31/2004
RESPS:118            HOURS:3,355          COSTS(000):$5
  TSCA Section 8(a) Preliminary Assessment Information Rule (PAIR)
FORMS: 0586.09 7710-35 7710-51

OMB NO: 2070-0055    EXPIRATION DATE: 01/31/2006
RESPS:350            HOURS:18,200         COSTS(000):$0
  Notice of Pesticide Registration by States to Meet a Special
  Local Need (SLN) Under FIFRA Section 24(c)
FORMS: 0595.08 8570-25 8570-4

OMB NO: 2070-0057    EXPIRATION DATE: 08/31/2004
RESPS:68             HOURS:71,132         COSTS(000):$0
  Data Call-Ins for the Special Review and Registration Review
  Programs
FORMS: 0922.06 8570-32

OMB NO: 2070-0060    EXPIRATION DATE: 10/31/2005
RESPS:7,021          HOURS:152,974        COSTS(000):$0
  Application for New and Amended Pesticide Registration
FORMS: 0277.13 8570-1 8570-4 8570-27 8570-34 8570-35 8570-36 8570-37

OMB NO: 2070-0067    EXPIRATION DATE: 04/30/2004
RESPS:4              HOURS:275            COSTS(000):$0
  Chemical-Specific Rules, TSCA section 8(a)
FORMS: 1198.06

OMB NO: 2070-0070    EXPIRATION DATE: 11/30/2004
RESPS:3,000          HOURS:65,640         COSTS(000):$0
  Partial Updating of TSCA Inventory Data Base, Production and
FORMS: 1011.05 7740-8

OMB NO: 2070-0072    EXPIRATION DATE: 07/31/2004
RESPS:1,272,138      HOURS:436,289        COSTS(000):$0
  Rule Related Replacement ICR to the Existing ICR entitled
  "Reporting and Recordkeeping for Asbestos Abatement Worker
  Protection"
FORMS: ICR(1246.08)

OMB NO: 2070-0074    EXPIRATION DATE: 09/30/2003
RESPS:84             HOURS:3,353          COSTS(000):$0
  Recordkeeping for Certified Applicators Using 1080 Collars for
  Livestock Protection
FORMS: 1249.06

OMB NO: 2070-0075    EXPIRATION DATE: 02/29/2004
RESPS:432            HOURS:675            COSTS(000):$0
  Request for Contractor Access to TSCA Confidential Business
  Information
FORMS: 1250.06 7740-6 7700

OMB NO: 2070-0078    EXPIRATION DATE: 07/31/2005
RESPS:12,412         HOURS:17,959         COSTS(000):$0
  Psticide Registration Application, Notification and Report for
  Pesticide-Producing Establishments
FORMS: 3540-8 3540-8A 3540-16

OMB NO: 2070-0091    EXPIRATION DATE: 10/31/2004
RESPS:107,551        HOURS:2,212,151      COSTS(000):$0
  Asbestos-Containing Materials in Schools Rule and Asbestos Model
  Accreditation Plan Rule (MAP)
FORMS: 1365.06

OMB NO: 2070-0093    EXPIRATION DATE: 10/31/2003
RESPS:88,117         HOURS:5,566,564      COSTS(000):$0
  Toxic Chemical Release Reporting, Recordkeeping, Supplier
  Notification and Petitions under Section 313 of the Emergency
  Planning and Community Right-to-Know Act (EPCRA): Renewal
FORMS: ICR-1363-12 9350-1

OMB NO: 2070-0100    EXPIRATION DATE: 01/31/2004
RESPS:1,977          HOURS:1,858          COSTS(000):$0
  Pesticide Product Registration Maintenance Fee
FORMS: 1214.05 8570-30

OMB NO: 2070-0107    EXPIRATION DATE: 09/30/2004
RESPS:30             HOURS:90,725         COSTS(000):$0
  Data Generation for Pesticide Reregistration
FORMS: 1504.04 8570-32 8570-34

OMB NO: 2070-0112    EXPIRATION DATE: 08/31/2004
RESPS:1,300,240      HOURS:741,261        COSTS(000):$0
  PCBs: Consolidated Reporting and Recordkeeping Requirements
FORMS: 1446.07 7710-53 7720-12

OMB NO: 2070-0122    EXPIRATION DATE: 12/31/2004
RESPS:20             HOURS:117,256        COSTS(000):$0
  Data Acquisition for Registration
FORMS: 1503.04

OMB NO: 2070-0142    EXPIRATION DATE: 07/31/2004
RESPS:15             HOURS:1,370          COSTS(000):$0
  Plant-Incorporated Protectants; CBI Substantiation and Adverse
  Effects Reporting
FORMS: 1693.02

OMB NO: 2070-0143    EXPIRATION DATE: 10/31/2003
RESPS:5,121          HOURS:463,670        COSTS(000):$0
  Alternative Threshold for Low Annual Reportable Amounts; Toxic
  Chemical Release Reporting Under Section 313 of the Emergency
  Planning and Community Right-to-know Act (EPCRA): Renewal
FORMS: ICR-1704-06 9350-2

OMB NO: 2070-0145    EXPIRATION DATE: 01/31/2005
RESPS:200            HOURS:200            COSTS(000):$0
  Correction of Misreported Chemical Substances on the Toxic
  Substances Control Act (TSCA) Chemical Substances Inventory
FORMS: 7710-3C 1741.03

OMB NO: 2070-0148    EXPIRATION DATE: 02/28/2005
RESPS:4,476,250      HOURS:2,294,625      COSTS(000):$0
  Worker Protection Standard Training and Notification
FORMS: 1759.03

OMB NO: 2070-0151    EXPIRATION DATE: 07/31/2004
RESPS:12,359,721     HOURS:7,145,412      COSTS(000):$0
  Residential Lead-Based Paint Hazard Disclosure Requirements
FORMS: 1710.03

OMB NO: 2070-0155    EXPIRATION DATE: 08/31/2004
RESPS:21,528         HOURS:371,214        COSTS(000):$0
  TSCA Section 402 and Section 404 Training and Certification,
  Accreditiation and Standards for Lead-Based Paint Activities
FORMS: 1715.03

OMB NO: 2070-0156    EXPIRATION DATE: 02/29/2004
RESPS:1,830          HOURS:915            COSTS(000):$0
  Voluntary Cover Sheet for TSCA Submissions
FORMS: 1780.02

OMB NO: 2070-0158    EXPIRATION DATE: 12/31/2004
RESPS:3,046,000      HOURS:2,938,546      COSTS(000):$9,231
  Lead-based Paint Pre-Renovation Information Dissemination - TSCA
  Sec. 406(b)
FORMS: 1669.03

OMB NO: 2070-0162    EXPIRATION DATE: 12/31/2005
RESPS:3,000          HOURS:413,577        COSTS(000):$0
  TSCA Inventory Update Rule Amendment
FORMS: 1884.02

OMB NO: 2070-0164    EXPIRATION DATE: 09/30/2004
RESPS:31             HOURS:29,807         COSTS(000):$0
  Data Acquisition for Anticipated Residue and Percent Crop Treated
FORMS: 1911.01

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
43 23,198,814 26,406,363 $9,236
Office of Research and Development
OMB NO: 2080-0005    EXPIRATION DATE: 02/28/2005
RESPS:5              HOURS:4,718          COSTS(000):$89
  Application for Reference and Equivalent Method Determination
FORMS: 0559.07

OMB NO: 2080-0021    EXPIRATION DATE: 04/30/2003
RESPS:23,430         HOURS:241,619        COSTS(000):$0
  Performance Evaluation Studies on Water and Wastewater
  Laboratories
FORMS: 0234.07

OMB NO: 2080-0033    EXPIRATION DATE: 08/31/2004
RESPS:1,940          HOURS:164,900        COSTS(000):$0
  Quality Assurance Specification and Requirements
FORMS: EPA-ICR-0866.06

OMB NO: 2080-0048    EXPIRATION DATE: 02/29/2004
RESPS:1,511          HOURS:1,620          COSTS(000):$0
  Request for Information for Bioremediation Field Initiative
  Database System
FORMS: 1672.03

OMB NO: 2080-0050    EXPIRATION DATE: 04/30/2003
RESPS:1,800          HOURS:12,240         COSTS(000):$0
  Evaluation of the Burden of Waterborne Disease Within
  Communities in the United States
FORMS: 1727.02

OMB NO: 2080-0058    EXPIRATION DATE: 10/31/2005
RESPS:30             HOURS:2,090          COSTS(000):$0
  Personal Exposure of High-Risk Subpopulations to Particles
FORMS: 1887.02

OMB NO: 2080-0065    EXPIRATION DATE: 09/30/2003
RESPS:13,400         HOURS:5,145          COSTS(000):$0
  Health Effects of Particulate Matter and Co-pollutant Exposures
  Near the EI Paso/Juarez Border Crossings
FORMS: 1940.02

OMB NO: 2080-0067    EXPIRATION DATE: 08/31/2005
RESPS:600            HOURS:525            COSTS(000):$0
  Reliability, Validity, and Variability in Behavioral
  Determinants of Drinking Water Disinfection By-Product Exposure
FORMS: 2030.01

OMB NO: 2080-0068    EXPIRATION DATE: 08/31/2005
RESPS:10,980         HOURS:5,000          COSTS(000):$0
  Natioanal Epidemiological and Environmental Assessment of
  Recreational Water Study (N.E.E.A.R.)
FORMS: 2081.01

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
9 53,696 437,857 $89
Office of the Administrator
OMB NO: 2090-0014    EXPIRATION DATE: 04/30/2003
RESPS:13,100         HOURS:6,550          COSTS(000):$0
  Pre-Award Compliance Review Report for All Applicants Requesting
  Federal Financial Assistance
FORMS: 4700-4 0275.07

OMB NO: 2090-0019    EXPIRATION DATE: 04/30/2003
RESPS:68,740         HOURS:15,536         COSTS(000):$0
  Voluntary Customer Service Satisfaction Surveys
FORMS: 1711.03

SUBAGENCY TOTALS

ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
2 81,840 22,086 $0

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
363 68,445,779 137,756,150 $1,193,946
(RETURN TO AGENCY LIST)

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