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Agency for International Development
OMB NO: 0412-0004    EXPIRATION DATE: 09/30/2005
RESPS:850            HOURS:425            COSTS(000):$5
  Application for Approval of Commodity Eligibility
FORMS: AID-11

OMB NO: 0412-0011    EXPIRATION DATE: 12/31/2003
RESPS:85             HOURS:1,020          COSTS(000):$0
  Application for Assistance - American Schools and Hospitals
FORMS: AID-1010-2

OMB NO: 0412-0012    EXPIRATION DATE: 05/31/2004
RESPS:2,400          HOURS:1,200          COSTS(000):$0
  Supplier's Certificate Agreement With the U.S. Agency for
  International Development-In voice and contract abstract.
FORMS: AID-282

OMB NO: 0412-0017    EXPIRATION DATE: 06/30/2003
RESPS:216            HOURS:126            COSTS(000):$0
  Contractor's Certificate with the Agency for International
  Development--Contractor's Invoice--Contract Abstract
FORMS: FORM-AID-1440-3

OMB NO: 0412-0020    EXPIRATION DATE: 06/30/2003
RESPS:300            HOURS:196            COSTS(000):$0
  Supplier's Certificate and Agreement with the Agency for
  International Development for Project Commodities/Invoice--and--
  Contract
FORMS: FORM-AID-1450-4

OMB NO: 0412-0035    EXPIRATION DATE: 07/31/2003
RESPS:442            HOURS:1,320          COSTS(000):$0
  USAID FOrm 1550-2 Private and Voluntary Organization Annual
  Return
FORMS: 1550-2

OMB NO: 0412-0506    EXPIRATION DATE: 10/31/2003
RESPS:1,000          HOURS:1,000          COSTS(000):$0
  Vendor Database (formerly known as ACRIS)
FORMS: AID-1420-50 (03/31/2002)

OMB NO: 0412-0510    EXPIRATION DATE: 04/30/2005
RESPS:1,100          HOURS:37,400         COSTS(000):$0
  Administration of Assistance Awards to U.S. Non-Governmental
  Organizations - 22 CFR 226 and USAID ADS Chapter 303
FORMS: NONE

OMB NO: 0412-0514    EXPIRATION DATE: 09/30/2003
RESPS:1,991          HOURS:869            COSTS(000):$0
  AID Regulation 1-Rules and Procedures Applicable to Commodity
  Transactions
FORMS: NONE

OMB NO: 0412-0520    EXPIRATION DATE: 09/30/2004
RESPS:53,270         HOURS:74,620         COSTS(000):$0
  Information collection elements in the USAID Acquisition
  Regulation (AIDAR), 48 CFR Chapter 7
FORMS: FORM-1420-17

OMB NO: 0412-0542    EXPIRATION DATE: 09/30/2004
RESPS:1,140          HOURS:2,280          COSTS(000):$0
  Request for Advance or Reimbursement
FORMS: AID-1558-2

OMB NO: 0412-0543    EXPIRATION DATE: 09/30/2004
RESPS:760            HOURS:5,320          COSTS(000):$0
  Exception to the Financial Status Report (SF-269) and Supplement
  to the Financial Status Report (worksheet)
FORMS: 1558-1 1558-1A

OMB NO: 0412-0552    EXPIRATION DATE: 07/31/2005
RESPS:320            HOURS:800            COSTS(000):$133
  Financial Status Report by Country
FORMS: NONE

OMB NO: 0412-0554    EXPIRATION DATE: 09/30/2004
RESPS:15,720         HOURS:2,630          COSTS(000):$0
  Training Results and Information Network (TraiNet)
FORMS: NONE

OMB NO: 0412-0559    EXPIRATION DATE: 08/31/2003
RESPS:500            HOURS:4,800          COSTS(000):$235
  Mexico City Police Certification
FORMS: NONE

OMB NO: 0412-0562    EXPIRATION DATE: 10/31/2003
RESPS:380            HOURS:30,600         COSTS(000):$0
  Narrative/Time-Line (NTL) Report
FORMS: 1570-13

OMB NO: 0412-0563    EXPIRATION DATE: 10/31/2003
RESPS:1,120          HOURS:30,600         COSTS(000):$0
  Report on Commodities (ROC)
FORMS: USAID-1570-14

OMB NO: 0412-0565    EXPIRATION DATE: 12/31/2005
RESPS:4,000          HOURS:1,500          COSTS(000):$93
  Applicant's Certification that it Does not Support Terrorist
  Organizations or Individuals
FORMS: NONE

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
18 85,594 196,706 $466
(RETURN TO AGENCY LIST)

Committee for Purchase from the Blind and Other Severely Handicapped
OMB NO: 3037-0001    EXPIRATION DATE: 03/31/2006
RESPS:77             HOURS:231            COSTS(000):$0
  Annual Certification - Qualified Nonprofit Agency Serving People
  Who are Blind
FORMS: 403

OMB NO: 3037-0002    EXPIRATION DATE: 03/31/2006
RESPS:565            HOURS:1,695          COSTS(000):$0
  Annual Certification - Qualified Nonprofit Agency Serving People
  who are Severly Disabled.
FORMS: 404

OMB NO: 3037-0003    EXPIRATION DATE: 03/31/2005
RESPS:50             HOURS:50             COSTS(000):$0
  Committee Form 402 -- Initial Certification - Qualified
  Nonprofit Agency Serving People Who Are Severely Disabled
FORMS: 402

OMB NO: 3037-0004    EXPIRATION DATE: 03/31/2005
RESPS:5              HOURS:5              COSTS(000):$0
  Committee form 401 -- Initial Certification - Qualified
  Nonprofit Agency Serving Peiple Who Are Blind
FORMS: 401

OMB NO: 3037-0005    EXPIRATION DATE: 01/31/2005
RESPS:650            HOURS:3,250          COSTS(000):$0
  Nonprofit Agency Responsibilities
FORMS: NONE

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
5 1,347 5,231 $0
(RETURN TO AGENCY LIST)

Corporation for National and Community Service
OMB NO: 3045-0004    EXPIRATION DATE: 10/31/2003
RESPS:100,000        HOURS:5,000          COSTS(000):$0
  AmeriCorps National Referral Card
FORMS: NONE

OMB NO: 3045-0005    EXPIRATION DATE: 10/31/2004
RESPS:500            HOURS:1,000          COSTS(000):$0
  AmericCorps*NCCC Team Leader Application
FORMS: NONE

OMB NO: 3045-0006    EXPIRATION DATE: 11/30/2003
RESPS:48,000         HOURS:5,600          COSTS(000):$0
  Corporation for National Service, Enrollment Form
FORMS: NONE

OMB NO: 3045-0010    EXPIRATION DATE: 12/31/2003
RESPS:900            HOURS:7,200          COSTS(000):$108,000
  AmeriCorps*National Civilian Community Corps Service Project
  Application
FORMS: NONE

OMB NO: 3045-0014    EXPIRATION DATE: 06/30/2004
RESPS:55,000         HOURS:4,585          COSTS(000):$0
  Voucher and Payment Request Form
FORMS: NONE

OMB NO: 3045-0015    EXPIRATION DATE: 11/30/2003
RESPS:48,000         HOURS:5,600          COSTS(000):$0
  Corporation for National Service EXIT FORM
FORMS: NONE

OMB NO: 3045-0030    EXPIRATION DATE: 05/31/2005
RESPS:1,300          HOURS:2,166          COSTS(000):$0
  Forbearance Request for National Service Form
FORMS: NONE

OMB NO: 3045-0033    EXPIRATION DATE: 05/31/2003
RESPS:2,104          HOURS:12,576         COSTS(000):$3
  National Senior Service Corps Project Progress Report
FORMS: A-1020

OMB NO: 3045-0035    EXPIRATION DATE: 03/31/2005
RESPS:1,513          HOURS:2,027          COSTS(000):$0
  National Senior Service Corps Grant Application
FORMS: 424-NSSC

OMB NO: 3045-0038    EXPIRATION DATE: 03/31/2005
RESPS:1,200          HOURS:7,200          COSTS(000):$10
  AmeriCorps*VISTA 2003 Application Instructions
FORMS: NONE

OMB NO: 3045-0043    EXPIRATION DATE: 05/31/2005
RESPS:4,800          HOURS:9,600          COSTS(000):$0
  AmeriCorps*VISTA Project Progress Report
FORMS: CNCS-1433

OMB NO: 3045-0045    EXPIRATION DATE: 04/30/2003
RESPS:1              HOURS:2,250          COSTS(000):$0
  The 2000 Application Guidelines for Learn and Serve America
  School- and Community-Based Programs
FORMS: NONE

OMB NO: 3045-0047    EXPIRATION DATE: 03/31/2005
RESPS:2,000          HOURS:20,000         COSTS(000):$0
  AmeriCorps National, State and Indian Tribes and U.S.
  Territories 2003 Application Instructions
FORMS: NONE

OMB NO: 3045-0048    EXPIRATION DATE: 03/31/2004
RESPS:290,000        HOURS:11,667         COSTS(000):$0
  AmeriCorps*VISTA Alumni Locator Card Part A, B, and C
FORMS: NONE

OMB NO: 3045-0053    EXPIRATION DATE: 05/31/2005
RESPS:13,000         HOURS:1,083          COSTS(000):$0
  Interest Accrual Form (Interest Accrued During National SVC)
FORMS: NONE

OMB NO: 3045-0054    EXPIRATION DATE: 10/31/2005
RESPS:60,000         HOURS:45,000         COSTS(000):$0
  AmeriCorps Member Application
FORMS: NONE

OMB NO: 3045-0065    EXPIRATION DATE: 03/31/2005
RESPS:300            HOURS:2,400          COSTS(000):$0
  AmeriCorps Education Awards Program 2003 Application Instructions
FORMS: NONE

OMB NO: 3045-0067    EXPIRATION DATE: 05/31/2003
RESPS:1,304          HOURS:978            COSTS(000):$0
  National Senior Service Corps (NSSC) Government Performance and
  Results Act (GPRA) Project Data Report
FORMS: NONE

OMB NO: 3045-0068    EXPIRATION DATE: 06/30/2003
RESPS:319            HOURS:156            COSTS(000):$0
  Evaluation of the Accomplishments and Outcomes of
  AmeriCorps*NCCC Projects
FORMS: NONE

OMB NO: 3045-0070    EXPIRATION DATE: 08/31/2004
RESPS:3,337          HOURS:3,227          COSTS(000):$0
  The Longitudinal Research on Member Outcomes
FORMS: NONE

OMB NO: 3045-0071    EXPIRATION DATE: 09/30/2003
RESPS:100            HOURS:1,000          COSTS(000):$2
  Outreach to Individuals with a Disability to Increase their
  Participation in National Service Application Guidelines
FORMS: NONE

OMB NO: 3045-0072    EXPIRATION DATE: 05/31/2004
RESPS:470            HOURS:470            COSTS(000):$0
  Evaluation of the Effectiveness of Learn and Serve America
  Grants in Promoting Institutuionalization of Service-Learning
FORMS: NONE

OMB NO: 3045-0073    EXPIRATION DATE: 05/31/2004
RESPS:90             HOURS:2,520          COSTS(000):$0
  2001 AmeriCorps Promise Fellows Application Instructions
FORMS: NONE

OMB NO: 3045-0077    EXPIRATION DATE: 10/31/2005
RESPS:10,000         HOURS:500            COSTS(000):$0
  Volunteer Service Hour Tracking Tool
FORMS: NONE

OMB NO: 3045-0078    EXPIRATION DATE: 11/30/2005
RESPS:11,700,000     HOURS:413,400        COSTS(000):$0
  "Join Senior Service Now" Senior Service Web-based Recruitment
  System
FORMS: NONE

OMB NO: 3045-0080    EXPIRATION DATE: 07/31/2005
RESPS:400            HOURS:200            COSTS(000):$0
  Cross-sectional Study of AmeriCorps*VISTA Member and Supervisor
  Training - Supervisor Survey
FORMS: NONE

OMB NO: 3045-0081    EXPIRATION DATE: 04/30/2003
RESPS:1,000          HOURS:500            COSTS(000):$0
  AmeriCorps Attrition Study
FORMS: NONE

OMB NO: 3045-0083    EXPIRATION DATE: 03/31/2005
RESPS:400            HOURS:4,000          COSTS(000):$0
  Innovative and Demonstration Program 2003 Application
  Instructions
FORMS: NONE

OMB NO: 3045-0084    EXPIRATION DATE: 07/31/2003
RESPS:187            HOURS:154            COSTS(000):$0
  Study of Community, Higher Education, and School Partnership
  (CHESP)
FORMS: NONE

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
29 12,346,225 572,059 $108,015
(RETURN TO AGENCY LIST)

Equal Employment Opportunity Commission
OMB NO: 3046-0003    EXPIRATION DATE: 12/31/2003
RESPS:5,000          HOURS:10,000         COSTS(000):$0
  Elementary-Secondary Staff Information (EEO-5)
FORMS: EEOC-168A

OMB NO: 3046-0006    EXPIRATION DATE: 05/31/2003
RESPS:3,000          HOURS:4,500          COSTS(000):$0
  Local Union Report (EEO-3)
FORMS: 274

OMB NO: 3046-0007    EXPIRATION DATE: 12/31/2003
RESPS:170,000        HOURS:402,700        COSTS(000):$0
  Employer Information Report (EEO-1)
FORMS: SF-100

OMB NO: 3046-0008    EXPIRATION DATE: 07/31/2003
RESPS:10,000         HOURS:40,000         COSTS(000):$0
  State and Local Government (EEO-4)
FORMS: 164

OMB NO: 3046-0017    EXPIRATION DATE: 06/30/2003
RESPS:666,000        HOURS:1,450,000      COSTS(000):$0
  Uniform Guidelines on Employee Selection Procedures
FORMS: NONE

OMB NO: 3046-0040    EXPIRATION DATE: 08/31/2003
RESPS:627,000        HOURS:16,677         COSTS(000):$0
  Recordkeeping and Reporting under Title VII and the ADA
FORMS: NONE

OMB NO: 3046-0043    EXPIRATION DATE: 07/31/2003
RESPS:1              HOURS:41,000         COSTS(000):$0
  Waiver of Rights and Claims Under the Age Discrimination in
  Employment Act (ADEA)
FORMS: NONE

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
7 1,481,001 1,964,877 $0
(RETURN TO AGENCY LIST)

Export-Import Bank of the United States
OMB NO: 3048-0003    EXPIRATION DATE: 02/29/2004
RESPS:600            HOURS:1,200          COSTS(000):$0
  U.S. Small Business Administration Export-Import Bank of the
  United States Joint Application for Working Capital Guarantee
FORMS: EIB-SBAFORM84-1

OMB NO: 3048-0004    EXPIRATION DATE: 02/28/2005
RESPS:50             HOURS:50             COSTS(000):$0
  Annual Competitiveness Report Survey of Exporters and Bankers
FORMS: 00-02

OMB NO: 3048-0005    EXPIRATION DATE: 10/31/2004
RESPS:960            HOURS:310            COSTS(000):$0
  Ex-Im Bank Letter of Interest Application
FORMS: EIB-95-9

OMB NO: 3048-0009    EXPIRATION DATE: 10/31/2003
RESPS:2,219          HOURS:2,219          COSTS(000):$0
  Application forms for export credit insurance program
FORMS: EIB-92-34 EIB-92-37 EIB-92-41 EIB-92-45 EIB-92-48 EIB-92-50
EIB-92-64 EIB-92-72 EIB-92-79

OMB NO: 3048-0012    EXPIRATION DATE: 08/31/2004
RESPS:2              HOURS:1,200          COSTS(000):$0
  Foreign Content Aggregate/Cause Report
FORMS: EIB-FORM-01-02 EIB-FORM-01-02A

OMB NO: 3048-0013    EXPIRATION DATE: 11/30/2004
RESPS:225            HOURS:337            COSTS(000):$0
  Export-Import Bank of the United States Preliminary Commitment
  and Final Commitment
FORMS: 95-10

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
6 4,056 5,316 $0
(RETURN TO AGENCY LIST)

Federal Emergency Management Agency
OMB NO: 3067-0298    EXPIRATION DATE: 04/30/2003
RESPS:5,550          HOURS:10,200         COSTS(000):$0
  Mortgage abd Rental Assistance Program
FORMS: NONE

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
1 5,550 10,200 $0
(RETURN TO AGENCY LIST)

Appraisal Subcommittee of the FFIEC
OMB NO: 3139-0005    EXPIRATION DATE: 03/31/2006
RESPS:2              HOURS:120            COSTS(000):$0
  Rules of Practice for Proceedings; 12 CFR Part 1102, subpart B
FORMS: NONE

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
1 2 120 $0
(RETURN TO AGENCY LIST)

Federal Mediation and Conciliation Service
OMB NO: 3076-0001    EXPIRATION DATE: 01/31/2006
RESPS:250            HOURS:250            COSTS(000):$0
  Arbitrator's Personal Data Questionnaire
FORMS: R-22

OMB NO: 3076-0002    EXPIRATION DATE: 02/28/2006
RESPS:18,000         HOURS:3,000          COSTS(000):$0
  Request for Arbitration
FORMS: R-43

OMB NO: 3076-0003    EXPIRATION DATE: 01/31/2006
RESPS:2,500          HOURS:416            COSTS(000):$0
  Arbitrator's Report and Fee Statement
FORMS: R-19

OMB NO: 3076-0004    EXPIRATION DATE: 01/31/2006
RESPS:21,000         HOURS:1,750          COSTS(000):$0
  Notice to Mediation Agency
FORMS: F-7

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
4 41,750 5,416 $0
(RETURN TO AGENCY LIST)

General Services Administration
OMB NO: 3090-0006    EXPIRATION DATE: 05/31/2005
RESPS:15,496         HOURS:15,496         COSTS(000):$0
  Qualifications of Employees, GSAR Reference 537.110(b)
FORMS: GSA-176

OMB NO: 3090-0007    EXPIRATION DATE: 01/31/2005
RESPS:2,767          HOURS:6,917          COSTS(000):$0
  Contractor's Qualifications and Financial Information
FORMS: GSA-527

OMB NO: 3090-0014    EXPIRATION DATE: 03/31/2005
RESPS:63,000         HOURS:18,900         COSTS(000):$0
  Transfer Order - Surplus Personal Property and Continuation Sheet
FORMS: SF-123/123-A

OMB NO: 3090-0021    EXPIRATION DATE: 08/31/2003
RESPS:1              HOURS:250            COSTS(000):$0
  Profit and Loss Statement - Operating Statement
FORMS: GSA-2817

OMB NO: 3090-0023    EXPIRATION DATE: 05/31/2005
RESPS:12,000         HOURS:996            COSTS(000):$0
  Surplus Personal Property Mailing List Application
FORMS: GSA-2170

OMB NO: 3090-0027    EXPIRATION DATE: 01/31/2005
RESPS:116,869        HOURS:7,830          COSTS(000):$0
  GSAM, Part 542, Contract Administration - Part 546, Quality
  Assurance
FORMS: GSA-1678 GSA-250 GSA-308

OMB NO: 3090-0040    EXPIRATION DATE: 06/30/2004
RESPS:3,000          HOURS:1,000          COSTS(000):$0
  Application for Shipping Instructions and Notice of Availability
FORMS: GSA-1611

OMB NO: 3090-0043    EXPIRATION DATE: 01/31/2005
RESPS:1,300          HOURS:2,080          COSTS(000):$0
  Appraisal of Fair Annual parking Rate Per Space for Standard
  Level User Charge
FORMS: GSA-3357

OMB NO: 3090-0044    EXPIRATION DATE: 11/30/2005
RESPS:8,000          HOURS:400            COSTS(000):$0
  Application/Permit for Use of Space in Public Buildings and
  Grounds
FORMS: GSA-3453

OMB NO: 3090-0057    EXPIRATION DATE: 01/31/2005
RESPS:500            HOURS:125            COSTS(000):$0
  Deposit Bond Individual - Sale of Government Personal Property
FORMS: SF-150

OMB NO: 3090-0058    EXPIRATION DATE: 01/31/2005
RESPS:1,000          HOURS:250            COSTS(000):$6,600
  Deposit Bond - Annual Sale of Government Personal Property
FORMS: SF-151

OMB NO: 3090-0080    EXPIRATION DATE: 01/31/2005
RESPS:2,000          HOURS:200            COSTS(000):$0
  General Services Administration Acquisition Manual (GSAM) Part
  532, Contract Financing
FORMS: GSA-1142

OMB NO: 3090-0086    EXPIRATION DATE: 03/31/2005
RESPS:5,016          HOURS:25,183         COSTS(000):$0
  GSA Form 1364, Proposal to Lease Space
FORMS: GSA-1364

OMB NO: 3090-0093    EXPIRATION DATE: 11/30/2004
RESPS:1,434          HOURS:1,434          COSTS(000):$0
  Transportation Discrepancy Report, SF 361
FORMS: SF-361

OMB NO: 3090-0112    EXPIRATION DATE: 05/31/2005
RESPS:220            HOURS:330            COSTS(000):$0
  State Agency Monthly Donation Report of Surplus Personal Property
FORMS: GSA-3040

OMB NO: 3090-0118    EXPIRATION DATE: 01/31/2005
RESPS:874            HOURS:291            COSTS(000):$0
  Statement of Witness, Standard Form 94
FORMS: SF-94

OMB NO: 3090-0121    EXPIRATION DATE: 01/31/2005
RESPS:184,280        HOURS:1,530          COSTS(000):$0
  GSAM, Part 538.2 Establishing and Administering Schedules
FORMS: GSA-72A

OMB NO: 3090-0163    EXPIRATION DATE: 11/30/2004
RESPS:172,500        HOURS:68,900         COSTS(000):$0
  Information Specific to a Contract
FORMS: NONE

OMB NO: 3090-0197    EXPIRATION DATE: 01/31/2005
RESPS:6,722          HOURS:6,722          COSTS(000):$0
  GSAR 537.110(a) (Insert 552.237-70, Qualification of Offerors)
FORMS: NONE

OMB NO: 3090-0200    EXPIRATION DATE: 01/31/2005
RESPS:10             HOURS:5              COSTS(000):$0
  General Services Administration Acquisition Manual Part 514,
  Sealed Bidding
FORMS: NONE

OMB NO: 3090-0204    EXPIRATION DATE: 02/28/2005
RESPS:10,305         HOURS:2,669          COSTS(000):$0
  GSAR Part 552.211.-82 Notice of Shipment & Part 552.211-78
  Commercial Delivery Schedule (Multiple Award Schedule)
FORMS: NONE

OMB NO: 3090-0221    EXPIRATION DATE: 01/31/2004
RESPS:55             HOURS:6              COSTS(000):$0
  GSA Board of Contract Appeals Subpoena, GSA Board of Contract
  Appeals Forms 4 and 5 (Certificates of Finality)
FORMS: GSA-9534

OMB NO: 3090-0228    EXPIRATION DATE: 08/31/2005
RESPS:220            HOURS:440            COSTS(000):$0
  Nondiscrimination in Federal Financial Assistance Programs
FORMS: NONE

OMB NO: 3090-0235    EXPIRATION DATE: 04/30/2005
RESPS:19,094         HOURS:143,205        COSTS(000):$0
  Price Reductions Clause
FORMS: NONE

OMB NO: 3090-0246    EXPIRATION DATE: 01/31/2005
RESPS:931,219        HOURS:7,760          COSTS(000):$0
  General Services Administration Acquisition Regulation (GSAR)
  Packing List Clause
FORMS: NONE

OMB NO: 3090-0248    EXPIRATION DATE: 09/30/2005
RESPS:5,380          HOURS:1,345          COSTS(000):$0
  GSAR 516.506 Solicitation Provisions and Contracts, 552.216-72
  Placement of orders, 552.216-73 Ordering Information
FORMS: NONE

OMB NO: 3090-0250    EXPIRATION DATE: 08/31/2005
RESPS:1              HOURS:1              COSTS(000):$0
  Zero Burden Information Collection Reports
FORMS: NONE

OMB NO: 3090-0252    EXPIRATION DATE: 08/31/2005
RESPS:1              HOURS:12,240         COSTS(000):$0
  Preparation, Submission, and Neogtiation of Subcontracting Plans
FORMS: NONE

OMB NO: 3090-0259    EXPIRATION DATE: 08/31/2005
RESPS:25             HOURS:12             COSTS(000):$0
  Market Research Questionnaire
FORMS: NONE

OMB NO: 3090-0262    EXPIRATION DATE: 03/31/2005
RESPS:9,200          HOURS:46,000         COSTS(000):$0
  Idenfitication of Products with Environmental Attributes
FORMS: NONE

OMB NO: 3090-0270    EXPIRATION DATE: 05/31/2003
RESPS:100,000        HOURS:250,000        COSTS(000):$0
  Access Certificates for Electronic Services (ACES)
FORMS: NONE

OMB NO: 3090-0271    EXPIRATION DATE: 04/30/2003
RESPS:23,400         HOURS:3,900          COSTS(000):$0
  American Customer Satisfaction Index (ACSI)
FORMS: NONE

OMB NO: 3090-0273    EXPIRATION DATE: 04/30/2003
RESPS:1,000          HOURS:50             COSTS(000):$0
  Questionnaire: CD-ROM of the Ctalog of Federal Domestic
  Assistance and Federal Assistance Award Data System
FORMS: NONE

OMB NO: 3090-0274    EXPIRATION DATE: 05/31/2003
RESPS:360            HOURS:90             COSTS(000):$2
  Art-in-Architecture Program National Artist Registry
FORMS: GSA-7437

OMB NO: 3090-0275    EXPIRATION DATE: 10/31/2003
RESPS:50             HOURS:1,250          COSTS(000):$0
  Child Care Subsidy Application - Main Provider
FORMS: GSA-3674A

OMB NO: 3090-0277    EXPIRATION DATE: 04/30/2003
RESPS:190            HOURS:230            COSTS(000):$0
  Market Research Collection for the Office of Citizen Services
  and Communications
FORMS: NONE

OMB NO: 3090-0278    EXPIRATION DATE: 06/30/2003
RESPS:2,250          HOURS:112            COSTS(000):$0
  National Contact Center Customer Evaluation Survey
FORMS: NONE

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
37 1,699,739 628,149 $6,602
(RETURN TO AGENCY LIST)

International Trade Commission
OMB NO: 3117-0016    EXPIRATION DATE: 06/30/2005
RESPS:5,216          HOURS:210,129        COSTS(000):$13,551
  Information collections for import injury investigations
  (producers, importers, purchasers, and foreign producer
  questionnaires and institution notices for 5-year reviews)
FORMS: NONE

OMB NO: 3117-0188    EXPIRATION DATE: 12/31/2005
RESPS:600            HOURS:100            COSTS(000):$0
  USITC Reader Satisfaction Survey
FORMS: NONE

OMB NO: 3117-0190    EXPIRATION DATE: 04/30/2003
RESPS:2,000          HOURS:66             COSTS(000):$0
  ITC DataWeb: User Registration Forms
FORMS: NONE

OMB NO: 3117-0204    EXPIRATION DATE: 04/30/2003
RESPS:449            HOURS:3,592          COSTS(000):$0
  Conditions of Competition in the US Mkt for Wood Structural
  Building Components
FORMS: NONE

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
4 8,265 213,887 $13,551
(RETURN TO AGENCY LIST)

M.K. Udall Foundation U.S. Institute for Environmental Conflict Resolution
OMB NO: 3320-0001    EXPIRATION DATE: 06/30/2004
RESPS:80             HOURS:187            COSTS(000):$0
  Application for National Roster of Environmental Dispute
  Resolution and Consensus Building Professionals. Sub-Roster of
  Transportation Mediators and Facilitors.
FORMS: NONE

OMB NO: 3320-0002    EXPIRATION DATE: 03/31/2005
RESPS:15             HOURS:160            COSTS(000):$0
  Application for support from the US Institute for Environmental
  Conflict Resolution for Environmental Conflict Resolution (ECR)
  Participation Program
FORMS: NONE

OMB NO: 3320-0003    EXPIRATION DATE: 06/30/2005
RESPS:530            HOURS:103            COSTS(000):$0
  Program Evaluation Instruments-Environmental Conflict Assessment
  Services (Three Questionnaries)
FORMS: NONE

OMB NO: 3320-0004    EXPIRATION DATE: 06/30/2005
RESPS:5,445          HOURS:775            COSTS(000):$0
  Program Evaluation Instruments--Environmental Conflict
  Resolution Services (Six Questionaries)
FORMS: NONE

OMB NO: 3320-0005    EXPIRATION DATE: 06/30/2005
RESPS:492            HOURS:137            COSTS(000):$0
  Program Evaluation Instruments-National Roster of Environmental
  Dispute Resolution and Consensus Building Professionals (Five
  Questionnaries)
FORMS: NONE

OMB NO: 3320-0006    EXPIRATION DATE: 06/30/2005
RESPS:24,450         HOURS:476            COSTS(000):$0
  Program Evaluation Instruments-Environmental Conflict Resolution
  Training (Five Questionnaires)
FORMS: NONE

OMB NO: 3320-0007    EXPIRATION DATE: 06/30/2005
RESPS:2,500          HOURS:382            COSTS(000):$0
  Program Evaluation Instruments - Meeting Facilitation Services
  (One Questionnaire)
FORMS: NONE

OMB NO: 3320-0008    EXPIRATION DATE: 10/31/2005
RESPS:155            HOURS:106            COSTS(000):$0
  Application for National Roster of Environmental Dispute
  Resolution and Consensus Building Professionals
FORMS: NONE

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
8 33,667 2,326 $0
(RETURN TO AGENCY LIST)

Merit Systems Protection Board
OMB NO: 3124-0009    EXPIRATION DATE: 12/31/2003
RESPS:9,000          HOURS:4,500          COSTS(000):$0
  U.S. Merit Systems Protection Board Appeal Form (OF-283)
FORMS: NONE

OMB NO: 3124-0012    EXPIRATION DATE: 08/31/2004
RESPS:1,500          HOURS:375            COSTS(000):$0
  Customer Surveys
FORMS: NONE

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
2 10,500 4,875 $0
(RETURN TO AGENCY LIST)

National Aeronautics and Space Administration
OMB NO: 2700-0003    EXPIRATION DATE: 01/31/2006
RESPS:10,200         HOURS:91,500         COSTS(000):$0
  NASA Contractor Financial Management Reports
FORMS: NASA-533M NASA-533Q

OMB NO: 2700-0007    EXPIRATION DATE: 08/31/2005
RESPS:30             HOURS:29             COSTS(000):$0
  Radioactive Material Transfer Receipt
FORMS: JSC-1625

OMB NO: 2700-0009    EXPIRATION DATE: 09/30/2004
RESPS:930            HOURS:895            COSTS(000):$0
  AST-Technology Utilization
FORMS: NONE

OMB NO: 2700-0010    EXPIRATION DATE: 09/30/2003
RESPS:60             HOURS:30             COSTS(000):$0
  Patent License Report
FORMS: NONE

OMB NO: 2700-0017    EXPIRATION DATE: 08/31/2005
RESPS:1              HOURS:7,000          COSTS(000):$0
  NASA Property in the Custody of Contractors
FORMS: NASA-1018

OMB NO: 2700-0039    EXPIRATION DATE: 09/30/2003
RESPS:80             HOURS:640            COSTS(000):$0
  Application for a Patent License
FORMS: NONE

OMB NO: 2700-0047    EXPIRATION DATE: 08/31/2005
RESPS:28,596         HOURS:114,384        COSTS(000):$0
  Property Management and Control, Grants
FORMS: NONE

OMB NO: 2700-0048    EXPIRATION DATE: 09/30/2003
RESPS:9,347          HOURS:17,276         COSTS(000):$0
  Patents
FORMS: NONE

OMB NO: 2700-0049    EXPIRATION DATE: 10/31/2003
RESPS:37,696         HOURS:284,792        COSTS(000):$0
  Financial Monitoring and Control, Grants
FORMS: NONE

OMB NO: 2700-0052    EXPIRATION DATE: 11/30/2004
RESPS:2,386          HOURS:7,276          COSTS(000):$0
  NASA FAR Supplement, Part 1827, Patents, Data and Copyrights
FORMS: NONE

OMB NO: 2700-0054    EXPIRATION DATE: 08/31/2005
RESPS:176            HOURS:7,920          COSTS(000):$0
  Contract Modifications, NASA FAR Supplement Part 18-43
FORMS: NONE

OMB NO: 2700-0057    EXPIRATION DATE: 05/31/2005
RESPS:30             HOURS:20             COSTS(000):$0
  Application for Volunteer Program
FORMS: NONE

OMB NO: 2700-0063    EXPIRATION DATE: 05/31/2003
RESPS:75             HOURS:19             COSTS(000):$0
  NASA Safety Reporting System
FORMS: NONE

OMB NO: 2700-0064    EXPIRATION DATE: 10/31/2003
RESPS:8,456          HOURS:702            COSTS(000):$0
  Locator and Information Services Tracking System (LISTS) Form
FORMS: GSFC-24-27

OMB NO: 2700-0073    EXPIRATION DATE: 08/31/2005
RESPS:450            HOURS:5,400          COSTS(000):$0
  Small Business and small disadvantaged business concerns and
  related contract provisions, NASSA FAR Supplement Part 18-19, SF
  295
FORMS: NONE

OMB NO: 2700-0078    EXPIRATION DATE: 09/30/2003
RESPS:96             HOURS:140            COSTS(000):$0
  Small Business and Small Disadvantaged Business Concerns
FORMS: NONE

OMB NO: 2700-0080    EXPIRATION DATE: 09/30/2003
RESPS:650            HOURS:2,113          COSTS(000):$0
  Uncompensated Overtime
FORMS: NONE

OMB NO: 2700-0085    EXPIRATION DATE: 11/30/2003
RESPS:1,496          HOURS:663,816        COSTS(000):$0
  NASA Acquisition Process, bids and proposals for contracts with
  an estimated value mor than $500,000.
FORMS: NONE

OMB NO: 2700-0086    EXPIRATION DATE: 11/30/2003
RESPS:250,865        HOURS:73,380         COSTS(000):$0
  NASA Acquisition Process, Purchase orders for goods and services
  with an estimated value of $100,000 or less
FORMS: NONE

OMB NO: 2700-0087    EXPIRATION DATE: 11/30/2003
RESPS:11,000         HOURS:2,790,000      COSTS(000):$0
  NASA Acquisition Process, bids and proposals for contracts with
  an estimated value less than $500,000.
FORMS: NONE

OMB NO: 2700-0088    EXPIRATION DATE: 05/31/2005
RESPS:38,460         HOURS:1,065,600      COSTS(000):$0
  NASA Acquisition Process - Reports Required on Contracts Valued
  at less than $500 K
FORMS: NONE

OMB NO: 2700-0089    EXPIRATION DATE: 11/30/2003
RESPS:76,160         HOURS:609,280        COSTS(000):$0
  NASA Acquisiiton Process, reports required for contracts with an
  estimated value more than $500,000.
FORMS: NONE

OMB NO: 2700-0092    EXPIRATION DATE: 05/31/2005
RESPS:658            HOURS:4,592          COSTS(000):$0
  Cooperative Agreements with Commercial Firms
FORMS: NONE

OMB NO: 2700-0093    EXPIRATION DATE: 08/31/2005
RESPS:95             HOURS:485            COSTS(000):$0
  Grants and Cooperative Agreements with State and Local
  Governments
FORMS: NONE

OMB NO: 2700-0094    EXPIRATION DATE: 08/31/2005
RESPS:11             HOURS:506            COSTS(000):$0
  Cost Reduction Proposals under the NASA FAR Supplement Shared
  Savings Clause
FORMS: NONE

OMB NO: 2700-0095    EXPIRATION DATE: 06/30/2003
RESPS:200            HOURS:200            COSTS(000):$0
  NASA Small Business Innovative Research Commercial Metrics
FORMS: NONE

OMB NO: 2700-0097    EXPIRATION DATE: 03/31/2006
RESPS:1,200          HOURS:3,130          COSTS(000):$0
  Required Central Contractor Registration
FORMS: NONE

OMB NO: 2700-0099    EXPIRATION DATE: 07/31/2005
RESPS:8,000          HOURS:5,455          COSTS(000):$0
  National Aviation Operations Monitoring Service
FORMS: NONE

OMB NO: 2700-0101    EXPIRATION DATE: 02/28/2005
RESPS:720            HOURS:180            COSTS(000):$0
  NASA Procurement Customer Survey
FORMS: NONE

OMB NO: 2700-0102    EXPIRATION DATE: 01/31/2006
RESPS:10,000         HOURS:6,820          COSTS(000):$0
  National Aviation Operations Monitoring Service - General
  Aviation Pilots
FORMS: NONE

OMB NO: 2700-0103    EXPIRATION DATE: 11/30/2005
RESPS:40,000         HOURS:3,334          COSTS(000):$0
  NASA Voluntary On-Line Job Applicant Racial and Ethnic Data
  Collection
FORMS: NONE

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
31 538,124 5,766,914 $0
(RETURN TO AGENCY LIST)

National Archives and Records Administration
OMB NO: 3095-0002    EXPIRATION DATE: 08/31/2004
RESPS:1              HOURS:7              COSTS(000):$0
  Statistical Research in Archival Records Containing Personal
  Information
FORMS: NONE

OMB NO: 3095-0007    EXPIRATION DATE: 02/29/2004
RESPS:1,925          HOURS:160            COSTS(000):$0
  Customer Comment Form
FORMS: NA-14045

OMB NO: 3095-0012    EXPIRATION DATE: 11/30/2005
RESPS:25             HOURS:37.5           COSTS(000):$0
  Application for Attendance at the Institute for the Editing of
  Historical Documents
FORMS: NONE

OMB NO: 3095-0013    EXPIRATION DATE: 11/30/2005
RESPS:134            HOURS:7,636          COSTS(000):$0
  National Historical Publications and Records Commission Grant
  Program
FORMS: NONE

OMB NO: 3095-0014    EXPIRATION DATE: 11/30/2005
RESPS:9              HOURS:72             COSTS(000):$0
  Applicatin for Archival Administration or Historical Documentary
  Editing Fellowships
FORMS: NONE

OMB NO: 3095-0015    EXPIRATION DATE: 11/30/2005
RESPS:9              HOURS:153            COSTS(000):$0
  Application for Host Institutions of Archival Administration or
  Historical Documentary Editing Fellowships
FORMS: NONE

OMB NO: 3095-0016    EXPIRATION DATE: 06/30/2005
RESPS:27,273         HOURS:3,636          COSTS(000):$0
  Researcher Application
FORMS: NA-14003

OMB NO: 3095-0017    EXPIRATION DATE: 05/31/2003
RESPS:1              HOURS:50             COSTS(000):$0
  Request to Microfilm Records
FORMS: NONE

OMB NO: 3095-0021    EXPIRATION DATE: 02/29/2004
RESPS:36             HOURS:216            COSTS(000):$0
  National Historical Publications and Records Commission (NHPRC)
  Subvention Grant Guidelines and Aplications
FORMS: NONE

OMB NO: 3095-0022    EXPIRATION DATE: 12/31/2003
RESPS:36             HOURS:36             COSTS(000):$0
  National Historical Publications & Records Commission (NHPRC)
  Annual Sales Report for Subvention Grants
FORMS: NONE

OMB NO: 3095-0023    EXPIRATION DATE: 06/30/2003
RESPS:6,400          HOURS:533            COSTS(000):$0
  NARA Class Evaluation Form
FORMS: NA-2019

OMB NO: 3095-0024    EXPIRATION DATE: 08/31/2004
RESPS:1,000          HOURS:333            COSTS(000):$0
  Application and Permit for Use of Space in Presidential
FORMS: NA-16011

OMB NO: 3095-0025    EXPIRATION DATE: 06/30/2004
RESPS:2,816          HOURS:704            COSTS(000):$0
  Item Approval Request List
FORMS: NA-14110 NA-14110A

OMB NO: 3095-0026    EXPIRATION DATE: 08/31/2004
RESPS:1,266          HOURS:63             COSTS(000):$0
  Request for and Record of Pass
FORMS: NA-6006

OMB NO: 3095-0027    EXPIRATION DATE: 03/31/2005
RESPS:97,600         HOURS:16,267         COSTS(000):$0
  Order Forms for Genealogical Reserach in the National Archives
FORMS: NATF-81 NATF-82 NATF-83 NATF-84 NATF-85 NATF-86

OMB NO: 3095-0029    EXPIRATION DATE: 09/30/2005
RESPS:552,500        HOURS:46,042         COSTS(000):$0
  Request Pertaining to Military Records
FORMS: SF-180

OMB NO: 3095-0033    EXPIRATION DATE: 04/30/2003
RESPS:10,000         HOURS:1,667          COSTS(000):$0
  National Archives Order for Land Entry Files
FORMS: NATF-84

OMB NO: 3095-0035    EXPIRATION DATE: 11/30/2004
RESPS:1              HOURS:15             COSTS(000):$0
  Request to use Paper-to-Paper Copiers at the National Archives
  at the College Park Facility
FORMS: NONE

OMB NO: 3095-0036    EXPIRATION DATE: 04/30/2005
RESPS:1              HOURS:31             COSTS(000):$1
  Presidential Library Facilities
FORMS: NONE

OMB NO: 3095-0037    EXPIRATION DATE: 02/28/2006
RESPS:4,500          HOURS:375            COSTS(000):$0
  Forms Relating to Civilian Service Records
FORMS: 13022 13064 13068

OMB NO: 3095-0038    EXPIRATION DATE: 12/31/2005
RESPS:5,000          HOURS:1,250          COSTS(000):$0
  Court Order Requirements
FORMS: NA-13027

OMB NO: 3095-0039    EXPIRATION DATE: 12/31/2005
RESPS:79,800         HOURS:6,650          COSTS(000):$0
  Forms Relating to Military Service Records
FORMS: NA-13036 NA-13042 NA-13075 NA-13055

OMB NO: 3095-0040    EXPIRATION DATE: 05/31/2003
RESPS:660            HOURS:110            COSTS(000):$0
  Request to film, photograph, or videotape at a NARA facility for
  news purposes
FORMS: NONE

OMB NO: 3095-0042    EXPIRATION DATE: 01/31/2006
RESPS:4,960          HOURS:827            COSTS(000):$0
  Miitary Personnel Records (MPR) Customer Satisfaction Survey
FORMS: NONE

OMB NO: 3095-0043    EXPIRATION DATE: 05/31/2003
RESPS:52             HOURS:52             COSTS(000):$0
  Request to use NARA facilities for events
FORMS: NA-16008

OMB NO: 3095-0045    EXPIRATION DATE: 10/31/2003
RESPS:13,300         HOURS:1,108          COSTS(000):$0
  Applicant Background Survey
FORMS: NA-3035

OMB NO: 3095-0046    EXPIRATION DATE: 02/29/2004
RESPS:5,200          HOURS:867            COSTS(000):$0
  Microfilm Order Form
FORMS: NATF-36

OMB NO: 3095-0047    EXPIRATION DATE: 04/30/2005
RESPS:130,000        HOURS:10,833         COSTS(000):$0
  Customer Request for Information and Order Forms
FORMS: NA-14116

OMB NO: 3095-0052    EXPIRATION DATE: 10/31/2005
RESPS:5              HOURS:1              COSTS(000):$0
  Use of NARA Official Seals
FORMS: NONE

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
29 944,510 99,731 $1
(RETURN TO AGENCY LIST)

National Commission on Libraries and Information Science
OMB NO: 3130-0005    EXPIRATION DATE: 04/30/2005
RESPS:325            HOURS:2              COSTS(000):$0
  Assessment of NCLIS Sister Libraries Millennium project
FORMS: NONE

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
1 325 2 $0
(RETURN TO AGENCY LIST)

Institute of Museum and Library Services
OMB NO: 3137-0029    EXPIRATION DATE: 12/31/2003
RESPS:2,664          HOURS:36,432         COSTS(000):$0
  Generic Clearance Grant Application Guidelines, Instructions and
  Reporting Forms
FORMS: NONE

OMB NO: 3137-0040    EXPIRATION DATE: 01/31/2004
RESPS:1              HOURS:1,605          COSTS(000):$50,686
  Technology Survey for Libraries and Museums
FORMS: NONE

OMB NO: 3137-0042    EXPIRATION DATE: 05/31/2004
RESPS:400            HOURS:78             COSTS(000):$0
  Evaluation Professional Services Program
FORMS: NONE

OMB NO: 3137-0043    EXPIRATION DATE: 06/30/2004
RESPS:1              HOURS:2,250          COSTS(000):$33,533
  Museum/School Program Research
FORMS: NONE

OMB NO: 3137-0044    EXPIRATION DATE: 08/31/2004
RESPS:1              HOURS:135            COSTS(000):$0
  Survey on the Partnerships in Museums in the Community Grant
  Program
FORMS: NONE

OMB NO: 3137-0046    EXPIRATION DATE: 03/31/2004
RESPS:1              HOURS:116            COSTS(000):$0
  Survey on User Need Assessments in Digitization Projects
FORMS: NONE

OMB NO: 3137-0047    EXPIRATION DATE: 03/31/2005
RESPS:1,500          HOURS:750            COSTS(000):$73,585
  Evaluation of IMLS General Operating Support Grant Program for
  Museums
FORMS: NONE

OMB NO: 3137-0048    EXPIRATION DATE: 08/31/2005
RESPS:900            HOURS:36,000         COSTS(000):$0
  Learning Opportunity Grant Application and Guidelines
FORMS: NONE

OMB NO: 3137-0049    EXPIRATION DATE: 01/31/2005
RESPS:1              HOURS:4,800          COSTS(000):$0
  Recuriting and Educating Librarians for the 21st Century
FORMS: NONE

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
9 5,469 82,166 $157,804
(RETURN TO AGENCY LIST)

National Endowment for the Arts
OMB NO: 3135-0094    EXPIRATION DATE: 08/31/2004
RESPS:40             HOURS:1,800          COSTS(000):$0
  Application for Indemnification
FORMS: NONE

OMB NO: 3135-0098    EXPIRATION DATE: 08/31/2003
RESPS:271            HOURS:54             COSTS(000):$0
  National Endowment for the Arts Panelist Profile Form
FORMS: NONE

OMB NO: 3135-0112    EXPIRATION DATE: 02/28/2005
RESPS:5,380          HOURS:129,152        COSTS(000):$0
  FY 2004 - 2007 Blanket Justification for NEA Funding Application
  Guidelines and Reporting Requirements
FORMS: NONE

OMB NO: 3135-0114    EXPIRATION DATE: 04/30/2005
RESPS:40             HOURS:550            COSTS(000):$0
  Customer Service Information Collection
FORMS: NONE

OMB NO: 3135-0116    EXPIRATION DATE: 05/31/2003
RESPS:1,062          HOURS:2,124          COSTS(000):$0
  Civil Rights Compliance and Section 504 Accessibility Checklists
FORMS: NONE

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
5 6,793 133,680 $0
(RETURN TO AGENCY LIST)

National Endowment for the Humanities
OMB NO: 3136-0134    EXPIRATION DATE: 06/30/2003
RESPS:20,569         HOURS:91,301         COSTS(000):$3,378
  Generic Clearance Authority for the National Endowment for the
  Humanities
FORMS: NONE

OMB NO: 3136-0137    EXPIRATION DATE: 11/30/2004
RESPS:1,224          HOURS:612            COSTS(000):$0
  General Clearance Authority to Develop Evaluation Instruments
  for the National Endowment for the Humanities
FORMS: NONE

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
2 21,793 91,913 $3,378
(RETURN TO AGENCY LIST)

National Mediation Board
OMB NO: 3140-0001    EXPIRATION DATE: 10/31/2005
RESPS:68             HOURS:17             COSTS(000):$0
  Application for Investigation of Representation Dispute
FORMS: NONE

OMB NO: 3140-0002    EXPIRATION DATE: 09/30/2005
RESPS:70             HOURS:17             COSTS(000):$0
  Application for Mediation Services
FORMS: NONE

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
2 138 34 $0
(RETURN TO AGENCY LIST)

National Science Foundation
OMB NO: 3145-0001    EXPIRATION DATE: 02/28/2005
RESPS:150            HOURS:262            COSTS(000):$0
  Application for NATO Advanced Study Institutes Travel Award and
  NATO Advanced Study Institutes Travel Award Report Form
FORMS: 192 250

OMB NO: 3145-0019    EXPIRATION DATE: 05/31/2003
RESPS:42,683         HOURS:14,228         COSTS(000):$0
  Survey of Earned Doctorates
FORMS: NONE

OMB NO: 3145-0020    EXPIRATION DATE: 04/30/2003
RESPS:34,000         HOURS:14,167         COSTS(000):$0
  2001 Survey of Doctorate Recipients (SDR)
FORMS: NONE

OMB NO: 3145-0023    EXPIRATION DATE: 07/31/2005
RESPS:13,000         HOURS:156,000        COSTS(000):$0
  Fellowship Applications and Award Forms
FORMS: NONE

OMB NO: 3145-0027    EXPIRATION DATE: 01/31/2005
RESPS:31,200         HOURS:59,400         COSTS(000):$0
  Survey of Industrial Research and Development, 2001-2004
FORMS: RD-1 RD-1A

OMB NO: 3145-0034    EXPIRATION DATE: 07/31/2004
RESPS:25             HOURS:12             COSTS(000):$0
  Antarctic Conservation Act Application and Permit Form
FORMS: NONE

OMB NO: 3145-0035    EXPIRATION DATE: 07/31/2005
RESPS:137            HOURS:1,467          COSTS(000):$0
  National Science Foundation Science Honor Awards
FORMS: NSF-1122 NSF-1123 NSF-1124

OMB NO: 3145-0058    EXPIRATION DATE: 08/31/2004
RESPS:30,000         HOURS:3,600,000      COSTS(000):$0
  National Science Foundation Proposal/Award Information - Grant
  Proposal Guide
FORMS: NONE

OMB NO: 3145-0060    EXPIRATION DATE: 03/31/2005
RESPS:96,000         HOURS:480,000        COSTS(000):$0
  National Science Foundation Proposal Evaluation Process
FORMS: NSF-FORM-1 NSF-FORM-428

OMB NO: 3145-0062    EXPIRATION DATE: 05/31/2005
RESPS:11,793         HOURS:28,796         COSTS(000):$0
  Survey of Graduate Students and Postdoctorates in Science and
  Engineering
FORMS: NSF-811 NSF-812

OMB NO: 3145-0077    EXPIRATION DATE: 05/31/2004
RESPS:11,475         HOURS:5,737          COSTS(000):$0
  2001 National Survey of Recent College Graduates
FORMS: NONE

OMB NO: 3145-0080    EXPIRATION DATE: 07/31/2003
RESPS:270            HOURS:56,010         COSTS(000):$0
  Request for Proposals
FORMS: NONE

OMB NO: 3145-0096    EXPIRATION DATE: 08/31/2005
RESPS:5,000          HOURS:250            COSTS(000):$0
  Applicant Survey
FORMS: NSF-1232

OMB NO: 3145-0100    EXPIRATION DATE: 07/31/2003
RESPS:646            HOURS:13,795         COSTS(000):$0
  Survey of Research and Development Expenditures at Universities
  and Colleges, FY 2002
FORMS: NSF-411

OMB NO: 3145-0136    EXPIRATION DATE: 11/30/2004
RESPS:16,423         HOURS:48,041         COSTS(000):$0
  EHR Generic Clearance
FORMS: NONE

OMB NO: 3145-0153    EXPIRATION DATE: 04/30/2005
RESPS:364            HOURS:146            COSTS(000):$0
  Impact on Industry of Interaction with Engineering Research
  Centers
FORMS: NONE

OMB NO: 3145-0157    EXPIRATION DATE: 08/31/2005
RESPS:30,000         HOURS:5,000          COSTS(000):$0
  National Science Foundation Surveys to Measure Customer
  Satisfaction
FORMS: NONE

OMB NO: 3145-0161    EXPIRATION DATE: 07/31/2005
RESPS:14,040         HOURS:4,950          COSTS(000):$0
  Cross-Project Evaluation of the National Science Foundation's
  Local Systemic Change Through Teacher Enhancement Program (LSC)
FORMS: NONE

OMB NO: 3145-0174    EXPIRATION DATE: 12/31/2003
RESPS:1,620          HOURS:6,240          COSTS(000):$0
  Generic Survey Clearance of the Science Resources Studies Survey
  Improvement Projects and Quick Response Studies
FORMS: NONE

OMB NO: 3145-0175    EXPIRATION DATE: 11/30/2003
RESPS:1,040          HOURS:780            COSTS(000):$0
  Evaluation of the NSF Summer Programs in Japan; NSF postdoctoral
  Fellowships in Japan; and the NSF-CGP Fellowship Program.
FORMS: NONE

OMB NO: 3145-0176    EXPIRATION DATE: 04/30/2004
RESPS:500            HOURS:2,000          COSTS(000):$0
  Generic Survey Clearance of the Science Resources Studies Quick
  Response Capability
FORMS: NONE

OMB NO: 3145-0177    EXPIRATION DATE: 05/31/2004
RESPS:3,120          HOURS:29,617         COSTS(000):$0
  Medical Clearance Process for Deployment to the Polar Regions
FORMS: 1421 1422 1423 1424 1425 1426 1427 1428 1429 1451

OMB NO: 3145-0178    EXPIRATION DATE: 05/31/2004
RESPS:3,750          HOURS:750            COSTS(000):$0
  Information Technology Innovation Survey
FORMS: NONE

OMB NO: 3145-0180    EXPIRATION DATE: 08/31/2004
RESPS:12             HOURS:480            COSTS(000):$0
  Response plan and educational materials for non-governmental
  Antarctic expeditions.
FORMS: NONE

OMB NO: 3145-0182    EXPIRATION DATE: 07/31/2005
RESPS:880            HOURS:690            COSTS(000):$0
  Cross-Site Analysis of the NSF Integrative Graduate Education
  and Research Traineeships Program
FORMS: NONE

OMB NO: 3145-0183    EXPIRATION DATE: 07/31/2004
RESPS:150            HOURS:734            COSTS(000):$0
  Evaluation of the Preparing Future Faculty (PFF) Program
FORMS: NONE

OMB NO: 3145-0184    EXPIRATION DATE: 02/28/2005
RESPS:6,500          HOURS:4,875          COSTS(000):$0
  eRecruitment System
FORMS: NONE

OMB NO: 3145-0186    EXPIRATION DATE: 09/30/2005
RESPS:243            HOURS:121            COSTS(000):$0
  Cross-Site Evaluation of USP Program
FORMS: NONE

OMB NO: 3145-0187    EXPIRATION DATE: 03/31/2005
RESPS:1              HOURS:1,253          COSTS(000):$0
  Evaluation of NSF's Graduate teaching Fellows in K-12 Education
  (GK-12)
FORMS: NONE

OMB NO: 3145-0188    EXPIRATION DATE: 04/30/2005
RESPS:150            HOURS:37             COSTS(000):$0
  Survey of Colleges, Universities and Professional Development
  Providers Regarding Evaluation Training Programs
FORMS: NONE

OMB NO: 3145-0189    EXPIRATION DATE: 05/31/2005
RESPS:1              HOURS:68             COSTS(000):$0
  Outcomes and Impact of the NSF Minority Postdoctoral Research
  Fellowships (MPRF) Program
FORMS: NONE

OMB NO: 3145-0190    EXPIRATION DATE: 05/31/2005
RESPS:795            HOURS:318            COSTS(000):$0
  Evaluation of NSF's Louis Stokes Alliances for Minority
  Participation (LSAMP) Program
FORMS: NONE

OMB NO: 3145-0191    EXPIRATION DATE: 08/31/2004
RESPS:560            HOURS:560            COSTS(000):$0
  NSF Graduate Research Traineeships Program Followup Study
FORMS: NONE

OMB NO: 3145-0192    EXPIRATION DATE: 09/30/2004
RESPS:6,132          HOURS:6,952          COSTS(000):$0
  Evaluation of the Adoption and use of the National Institutes of
  Health Curriculum Supplements on Students' Scientific Knowledge
FORMS: NONE

OMB NO: 3145-0194    EXPIRATION DATE: 01/31/2006
RESPS:6              HOURS:600            COSTS(000):$0
  Grantee Reporting Requirements for Science and Technology
  Centers (STC): Integrative Partnerships
FORMS: NONE

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
35 362,666 4,544,336 $0
(RETURN TO AGENCY LIST)

National Transportation Safety Board
OMB NO: 3147-0001    EXPIRATION DATE: 08/31/2004
RESPS:2,100          HOURS:2,100          COSTS(000):$0
  Pilot/Operator Aircraft Accident/Incident Report
FORMS: FORM-6120.1

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
1 2,100 2,100 $0
(RETURN TO AGENCY LIST)

Office of Government Ethics
OMB NO: 3209-0001    EXPIRATION DATE: 06/30/2003
RESPS:260            HOURS:780            COSTS(000):$0
  Executive Branch Personnel Public Financial Disclosure Report
FORMS: 278

OMB NO: 3209-0002    EXPIRATION DATE: 12/31/2005
RESPS:222            HOURS:37             COSTS(000):$0
  Request to Inspect or Receive Copies of SF 278 Executive Branch
  Personnel Public Financial Disclosure Reports or Other Covered
  Records
FORMS: OGE-201

OMB NO: 3209-0006    EXPIRATION DATE: 09/30/2005
RESPS:10             HOURS:15             COSTS(000):$0
  Executive Branch Confidential Financial Disclosure Report
FORMS: 450

OMB NO: 3209-0007    EXPIRATION DATE: 03/31/2005
RESPS:294            HOURS:3,785          COSTS(000):$0
  Executive Branch Qualified Trust Documents (see item #'s 1.-2.
  of the Supporting Statement for precise title of all documents)
FORMS: NONE

OMB NO: 3209-0009    EXPIRATION DATE: 03/31/2005
RESPS:50             HOURS:3              COSTS(000):$0
  Public Financial Disclosure Access Customer Service Survey
FORMS: NONE

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
5 836 4,620 $0
(RETURN TO AGENCY LIST)

Office of Management and Budget
OMB NO: 0348-0002    EXPIRATION DATE: 07/31/2003
RESPS:1              HOURS:1              COSTS(000):$0
  SF-271: Outlay Report and Request for Reimbursement for
  Construction Programs
FORMS: SF-271

OMB NO: 0348-0003    EXPIRATION DATE: 07/31/2003
RESPS:1              HOURS:1              COSTS(000):$0
  SF-272 & 272A: Federal Cash Transactions Report
FORMS: SF-272 SF-272A

OMB NO: 0348-0004    EXPIRATION DATE: 07/31/2003
RESPS:1              HOURS:1              COSTS(000):$0
  SF-270: Request for Advance or Reimbursement
FORMS: SF-270

OMB NO: 0348-0038    EXPIRATION DATE: 07/31/2003
RESPS:1              HOURS:1              COSTS(000):$0
  SF-269A: Financial Status Report (Short Form)
FORMS: SF-269A

OMB NO: 0348-0039    EXPIRATION DATE: 07/31/2003
RESPS:1              HOURS:1              COSTS(000):$0
  SF-269: Financial Status Report (Long Form)
FORMS: SF-269

OMB NO: 0348-0040    EXPIRATION DATE: 07/31/2003
RESPS:1              HOURS:1              COSTS(000):$0
  SF-424B: Assurances - Nonconstruction Programs
FORMS: SF-424B

OMB NO: 0348-0041    EXPIRATION DATE: 07/31/2003
RESPS:1              HOURS:1              COSTS(000):$0
  SF-424C: Budget Information - Construction Programs
FORMS: SF-424C

OMB NO: 0348-0042    EXPIRATION DATE: 07/31/2003
RESPS:1              HOURS:1              COSTS(000):$0
  SF-424D: Assurances - Construction Programs
FORMS: SF-424D

OMB NO: 0348-0043    EXPIRATION DATE: 07/31/2003
RESPS:1              HOURS:1              COSTS(000):$0
  SF-424: Application for Federal Assistance
FORMS: SF-424

OMB NO: 0348-0044    EXPIRATION DATE: 07/31/2003
RESPS:1              HOURS:1              COSTS(000):$0
  SF-424A: Budget Information - Nonconstruction Programs
FORMS: SF-424A

OMB NO: 0348-0046    EXPIRATION DATE: 07/31/2003
RESPS:300            HOURS:50             COSTS(000):$0
  Disclosure of Lobbying Activities
FORMS: SF-LL

OMB NO: 0348-0057    EXPIRATION DATE: 12/31/2003
RESPS:60,000         HOURS:1,036,800      COSTS(000):$0
  Data Collection Form for Reporting on Audits of States, Local
  Governments, and Non-Profit Organizations
FORMS: SF-SAC

OMB NO: 0348-0058    EXPIRATION DATE: 06/30/2003
RESPS:141            HOURS:514            COSTS(000):$0
  A-21 Facilities and Administrative Proposal
FORMS: NONE

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
13 60,451 1,037,374 $0
(RETURN TO AGENCY LIST)

Office of National Drug Control Policy
OMB NO: 3201-0007    EXPIRATION DATE: 12/31/2004
RESPS:1,000          HOURS:250            COSTS(000):$0
  Community Drug Prevention Campaign Tracking Study
FORMS: NONE

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
1 1,000 250 $0
(RETURN TO AGENCY LIST)

Office of Personnel Management
OMB NO: 3206-0001    EXPIRATION DATE: 12/31/2003
RESPS:4,500          HOURS:750            COSTS(000):$0
  Application for 10 point Veteran Preference
FORMS: SF-15

OMB NO: 3206-0005    EXPIRATION DATE: 12/31/2004
RESPS:252,310        HOURS:314,555        COSTS(000):$0
  SF 85, Questionnaire for Non-Sensitive Positions; SF 85P,
  Questionnaire for Public Trust Positions; SF 85PS, Supplemental
  Questionnaire for Selected Positions, SF 86, Questionnaire for...
FORMS: SF-85 SF-85P SF-85PS SF-86 SF-86A SF-86C

OMB NO: 3206-0006    EXPIRATION DATE: 05/31/2003
RESPS:1,560          HOURS:3,120          COSTS(000):$2
  Monthly Report of Federal Civilian Employment
FORMS: 113-A

OMB NO: 3206-0017    EXPIRATION DATE: 07/31/2005
RESPS:100            HOURS:17             COSTS(000):$0
  Medicare Part B Certification
FORMS: RI-78-11

OMB NO: 3206-0032    EXPIRATION DATE: 11/30/2004
RESPS:14,000         HOURS:2,800          COSTS(000):$0
  Self-Certification of Full-Time School Attendance
FORMS: RI-25-14

OMB NO: 3206-0033    EXPIRATION DATE: 04/30/2003
RESPS:1,000          HOURS:250            COSTS(000):$0
  Marital Status Certification
FORMS: RI-25-7

OMB NO: 3206-0034    EXPIRATION DATE: 09/30/2003
RESPS:21,000         HOURS:12,250         COSTS(000):$0
  Annuitant's Report of Earned Income
FORMS: 30-2

OMB NO: 3206-0036    EXPIRATION DATE: 10/31/2005
RESPS:21,200         HOURS:75,800         COSTS(000):$0
  Federal Wage System Data Collection forms
FORMS: DD-1918 DD-1919 DD-1919C

OMB NO: 3206-0040    EXPIRATION DATE: 08/31/2005
RESPS:500,000        HOURS:195,000        COSTS(000):$0
  Occupational Questionnaire
FORMS: 1203-AW 1203-FX 1203-EZ

OMB NO: 3206-0042    EXPIRATION DATE: 04/30/2003
RESPS:1              HOURS:1,250          COSTS(000):$0
  Notice of Change in Student's Status
FORMS: RI-25-15

OMB NO: 3206-0061    EXPIRATION DATE: 11/30/2004
RESPS:50             HOURS:13             COSTS(000):$0
  Application for Minimum Annuity
FORMS: RI-20-1

OMB NO: 3206-0076    EXPIRATION DATE: 02/29/2004
RESPS:10             HOURS:4              COSTS(000):$0
  Application to be Listed Under the Voting Rights of 1965
FORMS: OPMFORM805 SERIES

OMB NO: 3206-0082    EXPIRATION DATE: 12/31/2003
RESPS:2,000          HOURS:4,000          COSTS(000):$0
  Presidential Management Intern (PMI) Application
FORMS: OPM-1300

OMB NO: 3206-0095    EXPIRATION DATE: 10/31/2005
RESPS:100,000        HOURS:8,333          COSTS(000):$0
  Applicnt Race and National Origin Questionnaire
FORMS: OPM-1386B

OMB NO: 3206-0099    EXPIRATION DATE: 08/31/2003
RESPS:1,200          HOURS:1,800          COSTS(000):$0
  Initial Certification of Full-time School Attendance
FORMS: RI-25-41

OMB NO: 3206-0106    EXPIRATION DATE: 07/31/2004
RESPS:5,700          HOURS:570            COSTS(000):$0
  Mail Reinterview Form
FORMS: IS-10

OMB NO: 3206-0121    EXPIRATION DATE: 09/30/2004
RESPS:3,000          HOURS:3,000          COSTS(000):$0
  Application for Deferred Retirement (Separations before October
  1, 1956) -- Application for Deferred Retirement (Separations on
  or after October 1, 1956)
FORMS: OPM-1496 OPM-1496A

OMB NO: 3206-0128    EXPIRATION DATE: 07/31/2004
RESPS:60,990         HOURS:31,298         COSTS(000):$0
  Application for Refund of Retirement Deductions (CSRS)
FORMS: SF-2802 SF-2802B

OMB NO: 3206-0134    EXPIRATION DATE: 05/31/2003
RESPS:150            HOURS:75             COSTS(000):$0
  Application to Make Deposit or Redeposit (CSRS) Application to
  Make Service Credit Payment for Civilian Service (FERS)
FORMS: SF-2803 SF-3108

OMB NO: 3206-0136    EXPIRATION DATE: 12/31/2003
RESPS:41,000         HOURS:10,250         COSTS(000):$0
  Designation of Beneficiary: Federal Employees' Group Life
  Insurance Program
FORMS: SF-2823

OMB NO: 3206-0138    EXPIRATION DATE: 09/30/2003
RESPS:200            HOURS:200            COSTS(000):$0
  Reinstatement of Disability Annuity Previously Terminated
  Because of Restoration to Earning Capacity
FORMS: RI-30-9

OMB NO: 3206-0140    EXPIRATION DATE: 03/31/2004
RESPS:12,730         HOURS:6,490          COSTS(000):$0
  RI 20-7 - Representative Payee Application RI 30-3 - Information
  Necessary for a Competency Determination
FORMS: RI-20-7 RI-30-3

OMB NO: 3206-0141    EXPIRATION DATE: 06/30/2005
RESPS:30,000         HOURS:16,667         COSTS(000):$0
  Health Benefits Registration Form
FORMS: OPM-2809

OMB NO: 3206-0142    EXPIRATION DATE: 09/30/2004
RESPS:2,000          HOURS:500            COSTS(000):$0
  Designation of Beneficiary (CSRS)
FORMS: SF-2808

OMB NO: 3206-0143    EXPIRATION DATE: 05/31/2004
RESPS:8,000          HOURS:8,000          COSTS(000):$0
  Request to Disability Annuitant for Information on Physical
  Condition and Employment
FORMS: RI-30-1

OMB NO: 3206-0144    EXPIRATION DATE: 06/30/2005
RESPS:3,000          HOURS:250            COSTS(000):$0
  We Need the Social Security Number of the Person Named Below
FORMS: RI-38-45

OMB NO: 3206-0150    EXPIRATION DATE: 09/30/2004
RESPS:225,000        HOURS:18,750         COSTS(000):$0
  Fingerprint Charts
FORMS: SF-87 SF-87A

OMB NO: 3206-0156    EXPIRATION DATE: 05/31/2005
RESPS:74,800         HOURS:56,100         COSTS(000):$0
  Application for Death Benefits Under the Civil Service
  Retirement System Documentation and Elections in Support of
  Application for Death Benefits When the Deceased Was an Employee
  at the Time of..
FORMS: SF-2800 SF-2800A

OMB NO: 3206-0160    EXPIRATION DATE: 09/30/2004
RESPS:9,000          HOURS:4,500          COSTS(000):$0
  Employee Health Benefits Election Form
FORMS: SF-2809

OMB NO: 3206-0162    EXPIRATION DATE: 10/31/2004
RESPS:500            HOURS:750            COSTS(000):$0
  Report of Medical Examination of Person Electing Survivor
  Benefits Under the Civil Service Retirement System
FORMS: OPM-1530

OMB NO: 3206-0165    EXPIRATION DATE: 03/31/2005
RESPS:1,962,947      HOURS:162,924        COSTS(000):$0
  Investigative Request for Employment Data & Supervisory
  Information; Investigation Request for Personal Information;
  Investigative Request for Educational Registrar and Dean of.....
FORMS: INV-41 INV-42 INV-43 INV-44

OMB NO: 3206-0167    EXPIRATION DATE: 08/31/2005
RESPS:2,081          HOURS:2,081          COSTS(000):$0
  Financial Resources Questionnaire Notice of Amount Due Because
  of Annuity Overpayment
FORMS: RI-34-1 RI-34-3

OMB NO: 3206-0168    EXPIRATION DATE: 06/30/2005
RESPS:200            HOURS:67             COSTS(000):$0
  Alternative Annuity Election
FORMS: RI-20-80

OMB NO: 3206-0170    EXPIRATION DATE: 05/31/2005
RESPS:30,600         HOURS:9,633          COSTS(000):$0
  Application for Refund of REtirement Deductions/Federal
  Employees Retirement System (SF 3106) Current/Former Spouse's
  Notification of Application for Refund of Retirement Deductions
  Under the....
FORMS: SF-3106 SF-3106A

OMB NO: 3206-0172    EXPIRATION DATE: 12/31/2003
RESPS:8,061          HOURS:8,061          COSTS(000):$0
  Application for Death Benefits/Federal Employees' Retirement
  System Documentation and Elections in Support of Application for
  Death Benefits when Deceased was an Employee at the Time of Death
FORMS: SF-3104 SF-3104B

OMB NO: 3206-0173    EXPIRATION DATE: 08/31/2005
RESPS:2,037          HOURS:509            COSTS(000):$0
  Designation of Beneficiary (FERS)
FORMS: 3102

OMB NO: 3206-0174    EXPIRATION DATE: 06/30/2003
RESPS:2,400          HOURS:1,834          COSTS(000):$0
  Survivor Annuity Election for a Spouse/Cover Letter for RI 20-63
  Giving Information About the Cost to elect Less Than the Maximum
  Survivor Annuity/Cover Letter for RI 20-63 Giving Information....
FORMS: RI-20-63 RI-20-116 RI-20-117

OMB NO: 3206-0179    EXPIRATION DATE: 07/31/2004
RESPS:2,500          HOURS:2,500          COSTS(000):$0
  Disabled Dependent Questionnaire
FORMS: RI-30-10

OMB NO: 3206-0182    EXPIRATION DATE: 09/30/2003
RESPS:435,000        HOURS:108,750        COSTS(000):$0
  Declaration for Federal Employment, Optional Form 306
FORMS: NONE

OMB NO: 3206-0187    EXPIRATION DATE: 02/28/2005
RESPS:8,000          HOURS:1,333          COSTS(000):$0
  We Need More Information About Your Missing Payment
FORMS: RI-38-31

OMB NO: 3206-0190    EXPIRATION DATE: 08/31/2003
RESPS:1,272          HOURS:1,272          COSTS(000):$0
  Application for Deferred or Postponed Retirement (FERS)
FORMS: RI-92-19 RI-92-19A

OMB NO: 3206-0193    EXPIRATION DATE: 02/28/2005
RESPS:360            HOURS:180            COSTS(000):$0
  Campaign Results Report
FORMS: OPM-ONLINE-1417

OMB NO: 3206-0194    EXPIRATION DATE: 09/30/2003
RESPS:180            HOURS:45             COSTS(000):$0
  Annuity Supplement Earnings Report
FORMS: RI-92-22

OMB NO: 3206-0197    EXPIRATION DATE: 05/31/2003
RESPS:25,400         HOURS:4,234          COSTS(000):$0
  Verification of Who Is Getting Payments
FORMS: 38-107

OMB NO: 3206-0199    EXPIRATION DATE: 05/31/2005
RESPS:2,230          HOURS:262            COSTS(000):$0
  Nonforeign Area COLA Price and Background Surveys
FORMS: NONE

OMB NO: 3206-0201    EXPIRATION DATE: 01/31/2004
RESPS:112,000        HOURS:18,666         COSTS(000):$0
  Federal Employees Health Benefits (FEHB) Open Season Express
  Interactive Voice Response (IVR) System
FORMS: NONE

OMB NO: 3206-0202    EXPIRATION DATE: 08/31/2004
RESPS:27,000         HOURS:20,250         COSTS(000):$0
  Request to Change FEHB Enrollment or to receive Plan brochures
  for Spouse Equity and Temporary Continuation of Coverage
  Enrollees
FORMS: DPRS-2809

OMB NO: 3206-0204    EXPIRATION DATE: 03/31/2005
RESPS:19,000         HOURS:9,500          COSTS(000):$0
  Court Orders Affecting Retirement Benefits - 5 CFR Sections
  838.221, 838.421, and 838.721
FORMS: NONE

OMB NO: 3206-0206    EXPIRATION DATE: 06/30/2005
RESPS:250            HOURS:250            COSTS(000):$0
  Evidence to Prove Dependency of a Child
FORMS: RI-25-37

OMB NO: 3206-0208    EXPIRATION DATE: 10/31/2003
RESPS:4,067          HOURS:1,356          COSTS(000):$0
  Representative Payee Survey
FORMS: RI-38-115

OMB NO: 3206-0211    EXPIRATION DATE: 12/31/2003
RESPS:3,000          HOURS:350            COSTS(000):$0
  Reemployment of Annuitants - 5 CFR Section 837.103
FORMS: NONE

OMB NO: 3206-0212    EXPIRATION DATE: 10/31/2004
RESPS:1,000          HOURS:500            COSTS(000):$0
  Rollover Election
FORMS: RI-38-117 38-118 37-22

OMB NO: 3206-0213    EXPIRATION DATE: 07/31/2004
RESPS:2,600          HOURS:1,300          COSTS(000):$0
  Marital Information Required of Refund Applicants
FORMS: RI-95-4

OMB NO: 3206-0215    EXPIRATION DATE: 12/31/2005
RESPS:10,000         HOURS:10,000         COSTS(000):$0
  Verification of Full-Time School Attendance
FORMS: RS-25-49

OMB NO: 3206-0216    EXPIRATION DATE: 08/31/2004
RESPS:3,000          HOURS:250            COSTS(000):$0
  We Need Important Information About Your Eligibility for Social
  Security Disability Benefits, Our Records Show That You Have Not
  Received a Decision From the Social Security Administration (SSA)
FORMS: RI-98-7

OMB NO: 3206-0218    EXPIRATION DATE: 10/31/2004
RESPS:1,850          HOURS:1,850          COSTS(000):$0
  Death Benefit Payment Rollover Election Form
FORMS: RI-94-7

OMB NO: 3206-0219    EXPIRATION DATE: 08/31/2004
RESPS:431,600        HOURS:237,900        COSTS(000):$0
  Applying for a Federal Job (OF 510) and Optional Application for
  Federal Employment (OF 612)
FORMS: OF-510 OF-612

OMB NO: 3206-0226    EXPIRATION DATE: 12/31/2003
RESPS:45,500         HOURS:22,750         COSTS(000):$0
  It's Time to Sign Up for Direct Deposit
FORMS: RI-38-128

OMB NO: 3206-0228    EXPIRATION DATE: 12/31/2003
RESPS:12,775         HOURS:12,775         COSTS(000):$0
  CSRS/FERS Documentation in Support of Disability Retirement
  Application
FORMS: SF-3112

OMB NO: 3206-0229    EXPIRATION DATE: 05/31/2005
RESPS:100            HOURS:17             COSTS(000):$0
  Application for Federal Employee Commercial Garnishment
FORMS: OF-311

OMB NO: 3206-0230    EXPIRATION DATE: 05/31/2003
RESPS:100            HOURS:25             COSTS(000):$0
  Life Insurance Election
FORMS: SF-2817

OMB NO: 3206-0232    EXPIRATION DATE: 06/30/2004
RESPS:100            HOURS:100            COSTS(000):$0
  Procedures for Submitting Compensation and Leave Claims
FORMS: NONE

OMB NO: 3206-0233    EXPIRATION DATE: 10/31/2004
RESPS:34,800         HOURS:17,400         COSTS(000):$0
  Civil Service Retirement System Survivor Annuitant Express Pay
  Apkication for Death Benefits
FORMS: RI-25-51

OMB NO: 3206-0234    EXPIRATION DATE: 12/31/2004
RESPS:3,000          HOURS:750            COSTS(000):$0
  Claim for Unpaid Compensation of Decreased Civilian Employee
FORMS: SF-1153

OMB NO: 3206-0235    EXPIRATION DATE: 03/31/2005
RESPS:30             HOURS:23             COSTS(000):$0
  Survivor Annuity Election for a Former Spouse
FORMS: RI-20-64

OMB NO: 3206-0236    EXPIRATION DATE: 01/31/2006
RESPS:4,958,223      HOURS:704,794        COSTS(000):$0
  Agency Generic Survey Plan
FORMS: NONE

OMB NO: 3206-0237    EXPIRATION DATE: 03/31/2005
RESPS:3,100          HOURS:2,325          COSTS(000):$0
  Information and Instructions on Your Reconsideration Rights
FORMS: RI-38-47

OMB NO: 3206-0239    EXPIRATION DATE: 09/30/2004
RESPS:9,000          HOURS:4,500          COSTS(000):$0
  Annuitant/OWCP Health Benefits Election Form
FORMS: SF-2809-1

OMB NO: 3206-0240    EXPIRATION DATE: 08/31/2004
RESPS:5,000          HOURS:833            COSTS(000):$0
  Child Care Tuition Assistance Program-Provider Information
FORMS: OPM-1644

OMB NO: 3206-0245    EXPIRATION DATE: 04/30/2006
RESPS:5,000          HOURS:2,500          COSTS(000):$0
  Request for Change to Unreduced Annuity
FORMS: RI-20-120

OMB NO: 3206-0246    EXPIRATION DATE: 08/31/2003
RESPS:200            HOURS:200            COSTS(000):$0
  Scholarship For Service (SFP) Program Internet Website
FORMS: NONE

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
71 9,570,564 2,152,191 $2
(RETURN TO AGENCY LIST)

Office of Special Counsel
OMB NO: 3255-0002    EXPIRATION DATE: 08/31/2003
RESPS:2,246          HOURS:2,689          COSTS(000):$0
  (a) Complaint of Possible Prohibited Personnel Practice or Other
  Prohibited Activity; (b) Disclosure of Information
FORMS: OSC-11 OSC-12

OMB NO: 3255-0003    EXPIRATION DATE: 07/31/2005
RESPS:840            HOURS:323            COSTS(000):$0
  3 OSC Surveys: 48a - Prohibited Personnel Practice or other
  Prohibited activity; 48b - Hatch Act Advisory Opinion; 48c -
  Whistleblower Disclosure
FORMS: 48A 48B 48C

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
2 3,086 3,012 $0
(RETURN TO AGENCY LIST)

Office of the United States Trade Representative
OMB NO: 0350-0009    EXPIRATION DATE: 04/30/2003
RESPS:68             HOURS:136            COSTS(000):$0
  Applications of inclusion on NAFTA Chapter 19 roster
FORMS: NONE

OMB NO: 0350-0011    EXPIRATION DATE: 11/30/2005
RESPS:500            HOURS:4,100          COSTS(000):$57,505
  Questionnaire for Exclusion Requesters (Anniversary) under
  Section 203 of the Trade Act
FORMS: NONE

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
2 568 4,236 $57,505
(RETURN TO AGENCY LIST)

Overseas Private Investment Corporation
OMB NO: 3420-0001    EXPIRATION DATE: 08/31/2004
RESPS:850            HOURS:425            COSTS(000):$0
  Request for registration for political risk investment insurance
FORMS: OPIC-50

OMB NO: 3420-0004    EXPIRATION DATE: 10/31/2004
RESPS:25             HOURS:175            COSTS(000):$0
  Project Information Report
FORMS: OPIC-71

OMB NO: 3420-0011    EXPIRATION DATE: 06/30/2003
RESPS:150            HOURS:975            COSTS(000):$0
  Application for Political Risk Investment Insurance
FORMS: OPIC-52

OMB NO: 3420-0015    EXPIRATION DATE: 07/31/2004
RESPS:300            HOURS:900            COSTS(000):$0
  Finance Application
FORMS: OPIC-115

OMB NO: 3420-0018    EXPIRATION DATE: 06/30/2003
RESPS:123            HOURS:735            COSTS(000):$0
  Sponsor Disclosure Report in Support of an Application for
  Financing
FORMS: OPIC-129

OMB NO: 3420-0019    EXPIRATION DATE: 07/31/2003
RESPS:200            HOURS:600            COSTS(000):$0
  Self-Monitoring Questionnaire for Insurance and Finance Projects
FORMS: OPIC162

OMB NO: 3420-0020    EXPIRATION DATE: 08/31/2003
RESPS:30             HOURS:30             COSTS(000):$0
  Expedited Screening Questionnaire -- Downstream Investments
FORMS: OPIC-168

OMB NO: 3420-0022    EXPIRATION DATE: 08/31/2003
RESPS:50             HOURS:200            COSTS(000):$0
  Small Business Application for Political Risk Investment
  Insurance
FORMS: OPIC-223

OMB NO: 3420-0023    EXPIRATION DATE: 07/31/2003
RESPS:190            HOURS:570            COSTS(000):$0
  Self Monitoring Questionnaire for Investment Funds Projects
FORMS: OPIC-217

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
9 1,918 4,610 $0
(RETURN TO AGENCY LIST)

Peace Corps
OMB NO: 0420-0001    EXPIRATION DATE: 08/31/2003
RESPS:1              HOURS:2,500          COSTS(000):$27,062
  National Agency Check Questionnaire for Peace Corps Volunteer
  Background Investigation
FORMS: PC-5

OMB NO: 0420-0005    EXPIRATION DATE: 04/30/2005
RESPS:30,000         HOURS:240,000        COSTS(000):$104,954
  Peace Corps Volunteer Application Form
FORMS: PC-1502

OMB NO: 0420-0006    EXPIRATION DATE: 07/31/2005
RESPS:1              HOURS:13,692         COSTS(000):$151
  Peace Corps Reference Form
FORMS: PC-1532

OMB NO: 0420-0007    EXPIRATION DATE: 04/30/2005
RESPS:35,000         HOURS:1,021          COSTS(000):$0
  Request for Information Card
FORMS: PC-1741

OMB NO: 0420-0510    EXPIRATION DATE: 02/29/2004
RESPS:12,500         HOURS:4,625          COSTS(000):$16
  Health Status Review/Report of Medical Exam
FORMS: PC-1789 PC-1790

OMB NO: 0420-0513    EXPIRATION DATE: 07/31/2005
RESPS:16,000         HOURS:1,833          COSTS(000):$9,000
  Teacher Enrollment Form; Volunteer Enrollment Form; Teacher
  Survey
FORMS: WWS-PCV-2000 WWS/ED-2000 WWS-TEACHER

OMB NO: 0420-0525    EXPIRATION DATE: 07/31/2005
RESPS:1              HOURS:250            COSTS(000):$1,984
  Peace Corps Fellows/ USA Program Alumni Questionnaire
FORMS: NONE

OMB NO: 0420-0529    EXPIRATION DATE: 10/31/2004
RESPS:1              HOURS:8,100          COSTS(000):$55
  Peace Corps Day Brochure
FORMS: NONE

OMB NO: 0420-0531    EXPIRATION DATE: 04/30/2005
RESPS:5,000          HOURS:150            COSTS(000):$8,900
  Peace Corps Career Information Consultants (CIC) Waiver Form
FORMS: CIC-11/00-RVS15

OMB NO: 0420-0533    EXPIRATION DATE: 08/31/2003
RESPS:1,000          HOURS:83             COSTS(000):$0
  Peace Corps - Crisis Corps Application
FORMS: NONE

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
10 99,504 272,254 $152,122
(RETURN TO AGENCY LIST)

Pension Benefit Guaranty Corporation
OMB NO: 1212-0009    EXPIRATION DATE: 01/31/2005
RESPS:45,900         HOURS:2,540          COSTS(000):$9,657
  Payment of Premiums (29 CFR Part 4007), Disclosure to
  Participants (29 CFR Part 4011)
FORMS: FORM-1 FORM-1-EZ FORM-1-ES

OMB NO: 1212-0013    EXPIRATION DATE: 04/30/2003
RESPS:305            HOURS:1,249          COSTS(000):$187
  Reportable Events
FORMS: 10 10-ADVANCE

OMB NO: 1212-0017    EXPIRATION DATE: 10/31/2004
RESPS:6              HOURS:72             COSTS(000):$72
  Liability for Termination of Single-Employer Plans
FORMS: NONE

OMB NO: 1212-0020    EXPIRATION DATE: 11/30/2004
RESPS:1,411          HOURS:23             COSTS(000):$9
  Termination of Multiemployer Plans (29 CFR Part 4041A)
FORMS: NONE

OMB NO: 1212-0021    EXPIRATION DATE: 11/30/2004
RESPS:24             HOURS:1              COSTS(000):$3
  Variances for Sale of Assets (29 CFR Part 4204)
FORMS: NONE

OMB NO: 1212-0022    EXPIRATION DATE: 11/30/2004
RESPS:35             HOURS:8              COSTS(000):$5
  Mergers and Transfers Between Multiemployer Plans (29 CFR Part
  4231)
FORMS: NONE

OMB NO: 1212-0023    EXPIRATION DATE: 11/30/2004
RESPS:1              HOURS:1              COSTS(000):$3
  Extension of Special Withdrawal Liability Rules (29 CFR Part
  4203)
FORMS: NONE

OMB NO: 1212-0030    EXPIRATION DATE: 01/31/2006
RESPS:44             HOURS:41             COSTS(000):$0
  Survey of Nonparticipating Single-Premium Group Annuity Rates
FORMS: NONE

OMB NO: 1212-0031    EXPIRATION DATE: 11/30/2004
RESPS:3              HOURS:1              COSTS(000):$0
  Procedures for PBGC Approval of Plan Amendments (29 CFR Part
  4220)
FORMS: NONE

OMB NO: 1212-0032    EXPIRATION DATE: 11/30/2004
RESPS:23,357         HOURS:1              COSTS(000):$115
  Duties of Plan Sponsor Following Mass Withdrawal (29 CFR Part
  4281)
FORMS: NONE

OMB NO: 1212-0033    EXPIRATION DATE: 11/30/2004
RESPS:838            HOURS:1              COSTS(000):$1
  Notice of Insolvency (29 CFR Part 4245)
FORMS: NONE

OMB NO: 1212-0034    EXPIRATION DATE: 11/30/2004
RESPS:179            HOURS:4              COSTS(000):$5
  Notice, Collection, and Redetermination of Withdrawal Liability
  (29 CFR Part 4219)
FORMS: NONE

OMB NO: 1212-0035    EXPIRATION DATE: 11/30/2004
RESPS:5              HOURS:10             COSTS(000):$0
  Allocating Unfunded Vested Benefits (29 CFR Part 4211)
FORMS: NONE

OMB NO: 1212-0036    EXPIRATION DATE: 05/31/2004
RESPS:1,564          HOURS:2,246          COSTS(000):$1,865
  Termination of Single Employer Plans
FORMS: 500 501 600 601 602 SCHEDULES-EA-S REP-S EA-D MP

OMB NO: 1212-0039    EXPIRATION DATE: 11/30/2004
RESPS:2,001          HOURS:250            COSTS(000):$200
  Reduction or Waiver of Partial Withdrawal Liability (29 CFR Part
  4208)
FORMS: NONE

OMB NO: 1212-0041    EXPIRATION DATE: 01/31/2006
RESPS:30             HOURS:64             COSTS(000):$12
  Notice of Failure to Make Required Contributions
FORMS: 200

OMB NO: 1212-0044    EXPIRATION DATE: 11/30/2004
RESPS:201            HOURS:25             COSTS(000):$20
  Reduction or Waiver of Complete Withdrawal Liability (29 CFR
  Part 4207)
FORMS: NONE

OMB NO: 1212-0049    EXPIRATION DATE: 03/31/2005
RESPS:70             HOURS:552            COSTS(000):$700
  Annual Financial and Actuarial Information Reporting (29 CFR
  Part 4010)
FORMS: NONE

OMB NO: 1212-0050    EXPIRATION DATE: 11/30/2004
RESPS:3,331          HOURS:8,878          COSTS(000):$355
  Disclosure to Participants
FORMS: NONE

OMB NO: 1212-0053    EXPIRATION DATE: 06/30/2003
RESPS:9,500          HOURS:2,500          COSTS(000):$0
  Customer Service Focus Groups and Surveys
FORMS: NONE

OMB NO: 1212-0054    EXPIRATION DATE: 08/31/2003
RESPS:300            HOURS:104            COSTS(000):$119
  Qualified Domestic Relations Orders Submitted to the PBGC
FORMS: NONE

OMB NO: 1212-0055    EXPIRATION DATE: 04/30/2003
RESPS:133,750        HOURS:71,000         COSTS(000):$45
  Locating and Paying Participants
FORMS: NONE

OMB NO: 1212-0057    EXPIRATION DATE: 12/31/2004
RESPS:37,700         HOURS:3,859          COSTS(000):$2,553
  Annual Information Return/Report
FORMS: 5500-SERIES

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
23 260,555 93,430 $15,926
(RETURN TO AGENCY LIST)

Railroad Retirement Board
OMB NO: 3220-0002    EXPIRATION DATE: 07/31/2003
RESPS:19,100         HOURS:11,634         COSTS(000):$0
  Application for Employee Annuity Under the Railroad Retirement
  Act
FORMS: AA-1 AA-1CERT AA-1D G-204

OMB NO: 3220-0005    EXPIRATION DATE: 08/31/2004
RESPS:2,968          HOURS:474            COSTS(000):$0
  Employer Reporting
FORMS: AA-12 G-88A.1 G.88A.2 BA-6A

OMB NO: 3220-0007    EXPIRATION DATE: 08/31/2004
RESPS:1,150          HOURS:382            COSTS(000):$0
  Appeal Under the Railroad Retirement and Railroad Unemployment
  Insurance Act
FORMS: HA-1

OMB NO: 3220-0008    EXPIRATION DATE: 02/28/2005
RESPS:1,028          HOURS:37,980         COSTS(000):$0
  Railroad Service and Compensation Reports
FORMS: BA-3A BA-4

OMB NO: 3220-0012    EXPIRATION DATE: 03/31/2006
RESPS:2,200          HOURS:917            COSTS(000):$0
  Employer's Quarterly Report of Contributions Under the RUIA
FORMS: DC-1

OMB NO: 3220-0014    EXPIRATION DATE: 07/31/2003
RESPS:65             HOURS:33             COSTS(000):$0
  Employee Representatives' Status and Compensation Reports
FORMS: DC-2A DC-2

OMB NO: 3220-0016    EXPIRATION DATE: 05/31/2005
RESPS:3,600          HOURS:360            COSTS(000):$0
  Certification of Relinquishment of Rights
FORMS: G-88

OMB NO: 3220-0021    EXPIRATION DATE: 01/31/2006
RESPS:1,100          HOURS:196            COSTS(000):$0
  Evidence of Marital Relationship - Living with Requirements
FORMS: G-124 G-124A G-237 G-238 G-238A

OMB NO: 3220-0022    EXPIRATION DATE: 06/30/2003
RESPS:78,700         HOURS:8,617          COSTS(000):$0
  Application and Claim for Unemployment Benefits and Employment
  Service
FORMS: UI-1 UI-3

OMB NO: 3220-0025    EXPIRATION DATE: 11/30/2003
RESPS:7,905          HOURS:1,622          COSTS(000):$0
  RUIA Investigations and Continuing Entitlement
FORMS: UI-9 UI-23 ID-4F ID-4U ID-4X ID-4Y ID-20-1 ID-20-2 ID-20-4
ID-5I.........

OMB NO: 3220-0030    EXPIRATION DATE: 03/31/2004
RESPS:4,137          HOURS:1,718          COSTS(000):$0
  Application for Survivor Insurance Annuities
FORMS: AA-17 AA-17B AA-17CERT AA-18 AA-19 AA-19A AA-20

OMB NO: 3220-0031    EXPIRATION DATE: 03/31/2006
RESPS:20,600         HOURS:5,150          COSTS(000):$0
  Application for Survivor Death Benefits
FORMS: AA-21 AA-21-CERT G-273A AA-11A G-131

OMB NO: 3220-0032    EXPIRATION DATE: 06/30/2003
RESPS:8,000          HOURS:1,391          COSTS(000):$0
  Survivor Questionnaire
FORMS: RL-94-F

OMB NO: 3220-0034    EXPIRATION DATE: 08/31/2005
RESPS:400            HOURS:40             COSTS(000):$0
  Statement of Authority to Act for Employee
FORMS: SI-10

OMB NO: 3220-0036    EXPIRATION DATE: 02/28/2005
RESPS:28,500         HOURS:1,691          COSTS(000):$0
  Supplemental Information on Accident and Insurance
FORMS: SI-1C SI-5 ID-3S ID-3S-1 ID-3U ID-30K ID-30K-1

OMB NO: 3220-0038    EXPIRATION DATE: 11/30/2005
RESPS:29,950         HOURS:12,417         COSTS(000):$0
  Medical Reports
FORMS: G-3EMP G-250 G-250A G-260 RL-11B RL-11D

OMB NO: 3220-0039    EXPIRATION DATE: 02/29/2004
RESPS:271,900        HOURS:27,971         COSTS(000):$0
  Railroad Unemployment Insurance Act Applications
FORMS: SI-1A SI-1B SI-3 SI-7 SI-8 ID-7H ID-11A ID-11B

OMB NO: 3220-0042    EXPIRATION DATE: 07/31/2003
RESPS:8,500          HOURS:4,714          COSTS(000):$0
  Application for Spouse Annuity Under the Railroad Retirement Act
FORMS: AA-3 AA-3CERT

OMB NO: 3220-0052    EXPIRATION DATE: 03/31/2004
RESPS:20,300         HOURS:16,350         COSTS(000):$0
  Railroad Retirement Act Continuing Entitlement
FORMS: AA-5 G-478 RB-5

OMB NO: 3220-0055    EXPIRATION DATE: 12/31/2005
RESPS:200            HOURS:23             COSTS(000):$0
  Application and Claim for RUIA Benefits Due at Death
FORMS: UI-63

OMB NO: 3220-0057    EXPIRATION DATE: 07/31/2004
RESPS:27,000         HOURS:1,494          COSTS(000):$0
  Placement Service
FORMS: ES-2 ES-20A ES-20B ES-21 ES-21C UI-35

OMB NO: 3220-0070    EXPIRATION DATE: 10/31/2004
RESPS:3,000          HOURS:400            COSTS(000):$0
  Employer Service and Compensation Reports
FORMS: UI-41 UI-41A

OMB NO: 3220-0079    EXPIRATION DATE: 08/31/2004
RESPS:2,900          HOURS:487            COSTS(000):$0
  Certification Regarding Rights to Unemployment Benefits
FORMS: UI-45

OMB NO: 3220-0082    EXPIRATION DATE: 12/31/2005
RESPS:1,040          HOURS:165            COSTS(000):$0
  Medicare
FORMS: AA-6 AA-7 AA-8 RL-311-F

OMB NO: 3220-0083    EXPIRATION DATE: 11/30/2003
RESPS:290            HOURS:121            COSTS(000):$0
  Evidence for Application of Overall Minimum
FORMS: G-319 G-320

OMB NO: 3220-0086    EXPIRATION DATE: 07/31/2005
RESPS:50             HOURS:8              COSTS(000):$0
  Application for Reimbursement for Hospital Services in Canada
FORMS: AA-104

OMB NO: 3220-0089    EXPIRATION DATE: 02/28/2006
RESPS:1,515          HOURS:203            COSTS(000):$0
  Pension Plan Reports
FORMS: G-88P G-88R G-88R.1

OMB NO: 3220-0097    EXPIRATION DATE: 10/31/2004
RESPS:750            HOURS:63             COSTS(000):$0
  Pay Rate Report
FORMS: UI-LE

OMB NO: 3220-0099    EXPIRATION DATE: 06/30/2005
RESPS:100            HOURS:259            COSTS(000):$0
  Statement Regarding contributions and Support
FORMS: G-134

OMB NO: 3220-0100    EXPIRATION DATE: 01/31/2006
RESPS:4,100          HOURS:1,025          COSTS(000):$0
  Request for Review of Part B Medicare Claim
FORMS: G-790 G-791

OMB NO: 3220-0107    EXPIRATION DATE: 02/28/2006
RESPS:300            HOURS:150            COSTS(000):$0
  Request to Non-Railroad Employer for Information About
  Annuitant's Work and Earnings
FORMS: RL-231-F

OMB NO: 3220-0123    EXPIRATION DATE: 11/30/2003
RESPS:1,230          HOURS:121            COSTS(000):$0
  Student Beneficiary Monitoring
FORMS: G-315 G-315A G-315A.1

OMB NO: 3220-0127    EXPIRATION DATE: 05/31/2005
RESPS:1,200          HOURS:1,700          COSTS(000):$0
  Financial Disclosure Statement
FORMS: G-423

OMB NO: 3220-0131    EXPIRATION DATE: 10/31/2003
RESPS:1              HOURS:1              COSTS(000):$0
  Request for Medicare Payment
FORMS: G-740S CMS-1500

OMB NO: 3220-0132    EXPIRATION DATE: 04/30/2003
RESPS:556            HOURS:345            COSTS(000):$0
  Gross Earnings Report
FORMS: BA-11

OMB NO: 3220-0136    EXPIRATION DATE: 03/31/2004
RESPS:2,700          HOURS:475            COSTS(000):$0
  Public Service Pension Questionnaires
FORMS: G-208 G-212

OMB NO: 3220-0138    EXPIRATION DATE: 04/30/2004
RESPS:600            HOURS:415            COSTS(000):$0
  Self-Employment Questionnaire
FORMS: AA-4

OMB NO: 3220-0140    EXPIRATION DATE: 11/30/2005
RESPS:5,400          HOURS:450            COSTS(000):$0
  Employee's Certification
FORMS: G-346

OMB NO: 3220-0141    EXPIRATION DATE: 11/30/2003
RESPS:6,000          HOURS:3,045          COSTS(000):$0
  Vocational Report
FORMS: G-251

OMB NO: 3220-0145    EXPIRATION DATE: 06/30/2003
RESPS:1,500          HOURS:750            COSTS(000):$0
  Nonresident Questionnaire
FORMS: RRB-1001

OMB NO: 3220-0149    EXPIRATION DATE: 07/31/2004
RESPS:25,000         HOURS:1              COSTS(000):$0
  Withholding Certificate for Railroad Retirement Monthly Annuity
  Payments
FORMS: RRBW-4P

OMB NO: 3220-0151    EXPIRATION DATE: 10/31/2004
RESPS:6,535          HOURS:2,032          COSTS(000):$0
  Representative Payee Monitoring
FORMS: G-99A G-99C

OMB NO: 3220-0154    EXPIRATION DATE: 07/31/2005
RESPS:500            HOURS:55             COSTS(000):$0
  Employee Noncovered Service Pension Questionnaire
FORMS: G-209

OMB NO: 3220-0155    EXPIRATION DATE: 07/31/2004
RESPS:100            HOURS:17             COSTS(000):$0
  Supplement to Claim of Person Outside the United States
FORMS: G-45

OMB NO: 3220-0156    EXPIRATION DATE: 06/30/2003
RESPS:4,000          HOURS:133            COSTS(000):$0
  Employer's Deemed Service Month Questionnaire
FORMS: GL-99

OMB NO: 3220-0164    EXPIRATION DATE: 06/30/2005
RESPS:7,600          HOURS:1,085          COSTS(000):$0
  Availability for Work
FORMS: UI-38 UI-38S ID-8K

OMB NO: 3220-0169    EXPIRATION DATE: 06/30/2003
RESPS:300            HOURS:25             COSTS(000):$0
  Repayment of Debt
FORMS: G-421F

OMB NO: 3220-0171    EXPIRATION DATE: 06/30/2005
RESPS:18,600         HOURS:460            COSTS(000):$0
  RUIA Claims Notification System
FORMS: ID-4K

OMB NO: 3220-0173    EXPIRATION DATE: 05/31/2005
RESPS:1,009          HOURS:1,262          COSTS(000):$0
  Railroad Separation Allowance or Severance Pay Report
FORMS: BA-9

OMB NO: 3220-0175    EXPIRATION DATE: 02/28/2005
RESPS:239            HOURS:219            COSTS(000):$0
  Sick Pay and Miscellaneous Payments Report
FORMS: BA-10

OMB NO: 3220-0176    EXPIRATION DATE: 05/31/2005
RESPS:1,850          HOURS:154            COSTS(000):$0
  Representative Payee Parental Custody Monitoring
FORMS: G-99D

OMB NO: 3220-0179    EXPIRATION DATE: 11/30/2005
RESPS:1,000          HOURS:250            COSTS(000):$0
  Annual Earnings Questionnaire for Annuitants in Last Pre-Retire-
  ment Non-Railroad Employment
FORMS: G-19L

OMB NO: 3220-0183    EXPIRATION DATE: 10/31/2003
RESPS:900            HOURS:225            COSTS(000):$0
  Statement of Claimant or Other Person
FORMS: G-93

OMB NO: 3220-0184    EXPIRATION DATE: 10/31/2004
RESPS:1,500          HOURS:200            COSTS(000):$0
  Earnings Information Request
FORMS: G-19-F

OMB NO: 3220-0185    EXPIRATION DATE: 11/30/2004
RESPS:600            HOURS:100            COSTS(000):$0
  Report of Medicaid State Office on Beneficiary's Buy-In Status
FORMS: RL-380-F

OMB NO: 3220-0187    EXPIRATION DATE: 10/31/2005
RESPS:3,000          HOURS:748            COSTS(000):$0
  Continuing Disability Report
FORMS: G-254 G-254A

OMB NO: 3220-0192    EXPIRATION DATE: 09/30/2003
RESPS:3,330          HOURS:945            COSTS(000):$0
  Voluntary Customer Surveys in Accordance with E.O. 12862
FORMS: G-201 T-15 T-16

OMB NO: 3220-0193    EXPIRATION DATE: 11/30/2003
RESPS:430            HOURS:144            COSTS(000):$0
  Job Information Report
FORMS: G-251A G-251B

OMB NO: 3220-0195    EXPIRATION DATE: 05/31/2005
RESPS:500            HOURS:500            COSTS(000):$0
  Statement Regarding Contributions and Support of Children
FORMS: G-139

OMB NO: 3220-0196    EXPIRATION DATE: 08/31/2004
RESPS:80             HOURS:13             COSTS(000):$0
  Investigation of Claim for Possible Days of Employment
FORMS: ID-5S(SUP)

OMB NO: 3220-0197    EXPIRATION DATE: 11/30/2004
RESPS:90             HOURS:180            COSTS(000):$0
  Verification of Supplement Annuity
FORMS: G-88P.1 G-88P.2

OMB NO: 3220-0198    EXPIRATION DATE: 02/29/2004
RESPS:10,000         HOURS:541            COSTS(000):$0
  Request for Internet Services
FORMS: NONE

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
62 657,698 154,646 $0
(RETURN TO AGENCY LIST)

Selective Service System
OMB NO: 3240-0002    EXPIRATION DATE: 07/31/2005
RESPS:601,418        HOURS:20,047         COSTS(000):$0
  Selective Service Registration Form
FORMS: SSS-1 SSS-1M

OMB NO: 3240-0003    EXPIRATION DATE: 08/31/2005
RESPS:729,878        HOURS:24,305         COSTS(000):$0
  SSS Change of Information, SSS Registration Status Form, SSS
  Acknowledgement and Correction/Change Form
FORMS: SSS-2 SSS-3A SSS-3B SSS-3C

OMB NO: 3240-0005    EXPIRATION DATE: 11/30/2004
RESPS:900            HOURS:225            COSTS(000):$0
  Potential Board Member Information
FORMS: SSS-404

OMB NO: 3240-0006    EXPIRATION DATE: 08/31/2005
RESPS:1              HOURS:1              COSTS(000):$0
  Registrant Claim Form
FORMS: SSS-9

OMB NO: 3240-0010    EXPIRATION DATE: 08/31/2005
RESPS:2,705          HOURS:89             COSTS(000):$0
  Uncompensated Registrar Appointment
FORMS: SSS-402

OMB NO: 3240-0014    EXPIRATION DATE: 05/31/2004
RESPS:1              HOURS:1              COSTS(000):$0
  Registrant Travel Reimbursement Request
FORMS: SSS-350

OMB NO: 3240-0015    EXPIRATION DATE: 05/31/2004
RESPS:1              HOURS:1              COSTS(000):$0
  Application for Voluntary Induction
FORMS: SSS-254

OMB NO: 3240-0017    EXPIRATION DATE: 08/31/2005
RESPS:1              HOURS:1              COSTS(000):$0
  Application by Alien for Relief from Training and Service in the
  Armed Forces of the United States
FORMS: SSS-130

OMB NO: 3240-0018    EXPIRATION DATE: 08/31/2005
RESPS:1              HOURS:1              COSTS(000):$0
  Student Certificate
FORMS: SSS-109

OMB NO: 3240-0022    EXPIRATION DATE: 08/31/2005
RESPS:1              HOURS:1              COSTS(000):$0
  Claim Documentation Form Alien or Dual National
FORMS: SSS=26

OMB NO: 3240-0023    EXPIRATION DATE: 08/31/2005
RESPS:1              HOURS:1              COSTS(000):$0
  Claim Documentation Form Minister of Religion
FORMS: SSS-25

OMB NO: 3240-0024    EXPIRATION DATE: 08/31/2005
RESPS:1              HOURS:1              COSTS(000):$0
  Claim Documentation Form Hardship to Dependents
FORMS: SSS-24

OMB NO: 3240-0025    EXPIRATION DATE: 08/31/2005
RESPS:1              HOURS:1              COSTS(000):$0
  Claim Documentation Form Administrative
FORMS: SSS-21

OMB NO: 3240-0026    EXPIRATION DATE: 08/31/2005
RESPS:1              HOURS:1              COSTS(000):$0
  Claim Documentation Form - Divinity Student
FORMS: SSS-23

OMB NO: 3240-0027    EXPIRATION DATE: 08/31/2005
RESPS:1              HOURS:1              COSTS(000):$0
  Claim Documentation Form Postponement of Induction
FORMS: SSS-27

OMB NO: 3240-0028    EXPIRATION DATE: 05/31/2003
RESPS:1              HOURS:1              COSTS(000):$0
  Claim Documentation Form-Conscientious Objector
FORMS: SSS-FORM-22

OMB NO: 3240-0029    EXPIRATION DATE: 07/31/2005
RESPS:1              HOURS:1              COSTS(000):$0
  Alternative Service Worker Travel Reimubursement Request
FORMS: SSS-164

OMB NO: 3240-0030    EXPIRATION DATE: 07/31/2005
RESPS:1              HOURS:1              COSTS(000):$0
  Claim for Reimbursement for Emergency Medical Care
FORMS: SSS-166

OMB NO: 3240-0031    EXPIRATION DATE: 07/31/2005
RESPS:1              HOURS:1              COSTS(000):$0
  employer data sheet
FORMS: SSS-153

OMB NO: 3240-0032    EXPIRATION DATE: 07/31/2005
RESPS:1              HOURS:1              COSTS(000):$0
  Skills Questionnaire
FORMS: SSS-156

OMB NO: 3240-0033    EXPIRATION DATE: 07/31/2005
RESPS:1              HOURS:1              COSTS(000):$0
  Alternative Service Job Data Form
FORMS: SSS-157

OMB NO: 3240-0034    EXPIRATION DATE: 07/31/2005
RESPS:1              HOURS:1              COSTS(000):$0
  Request for Overseas Job Assignment
FORMS: SSS-160

OMB NO: 3240-0035    EXPIRATION DATE: 07/31/2005
RESPS:1              HOURS:1              COSTS(000):$0
  employment verification form
FORMS: SSS-163

OMB NO: 3240-0036    EXPIRATION DATE: 07/31/2005
RESPS:1              HOURS:1              COSTS(000):$0
  alternative service employement agreement
FORMS: SSS-152

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
24 1,334,921 44,686 $0
(RETURN TO AGENCY LIST)

Small Business Administration
OMB NO: 3245-0007    EXPIRATION DATE: 08/31/2003
RESPS:195,930        HOURS:53,375         COSTS(000):$0
  Surety Bond Guarantee Assistance
FORMS: SBA-FORMS-990 991 994 994B 994C 994F 994H

OMB NO: 3245-0009    EXPIRATION DATE: 06/30/2004
RESPS:4,200          HOURS:700            COSTS(000):$0
  Size Status Declaration
FORMS: SBA-FORM-480

OMB NO: 3245-0012    EXPIRATION DATE: 05/31/2005
RESPS:5,000          HOURS:5,000          COSTS(000):$0
  Requests from borrowers (Financial Statements)
FORMS: 770

OMB NO: 3245-0016    EXPIRATION DATE: 11/30/2004
RESPS:60,000         HOURS:1,200,000      COSTS(000):$0
  Applications for Business Loans
FORMS: FORM-4 SCH.-A FORM-4-1 FORM-4-L

OMB NO: 3245-0017    EXPIRATION DATE: 05/31/2004
RESPS:11,540         HOURS:28,821         COSTS(000):$111
  Disaster Business Loan Application
FORMS: FORM-5 FORM-739A FORM-1368

OMB NO: 3245-0018    EXPIRATION DATE: 09/30/2003
RESPS:53,975         HOURS:80,963         COSTS(000):$0
  Disaster Home Loan Application
FORMS: SBA-FORM-5C SBA-FORM-739

OMB NO: 3245-0063    EXPIRATION DATE: 07/31/2004
RESPS:1,040          HOURS:16,480         COSTS(000):$0
  SBIC Financial Reports
FORMS: FORM-468

OMB NO: 3245-0071    EXPIRATION DATE: 04/30/2005
RESPS:5,200          HOURS:11,700         COSTS(000):$0
  U.S. Small Business Administration Application for Section 504
  Loan
FORMS: FORM-1244

OMB NO: 3245-0074    EXPIRATION DATE: 12/31/2003
RESPS:270            HOURS:7,560          COSTS(000):$108
  CDC Annual Report Guide
FORMS: 1253 1253A

OMB NO: 3245-0076    EXPIRATION DATE: 05/31/2005
RESPS:486,000        HOURS:487,600        COSTS(000):$0
  Notice to New SBA Borrowers
FORMS: 793

OMB NO: 3245-0078    EXPIRATION DATE: 07/31/2004
RESPS:2,100          HOURS:420            COSTS(000):$0
  Portfolio Financing Report
FORMS: FORM-1031

OMB NO: 3245-0081    EXPIRATION DATE: 07/31/2005
RESPS:125            HOURS:110            COSTS(000):$0
  25-Model Corp. Resol. or GP Certif., 33-Model Letter to Selling
  Agent 34-Bank ID, 1065 Appl. Lic. Assure. of Compliance
FORMS: 25 33 34 1065

OMB NO: 3245-0084    EXPIRATION DATE: 06/30/2003
RESPS:53,478         HOURS:13,370         COSTS(000):$0
  Disaster Home/Business Loan Inquiry Record
FORMS: SBA-FORM-700

OMB NO: 3245-0096    EXPIRATION DATE: 12/31/2005
RESPS:469            HOURS:1,876          COSTS(000):$0
  Nomination for the Small Business Prime Contractor & Nomination
  of the Small Business Subcontractor of the Year Award
FORMS: 1375 883

OMB NO: 3245-0108    EXPIRATION DATE: 04/30/2004
RESPS:264,000        HOURS:132,000        COSTS(000):$0
  SBDC Counseling Record
FORMS: FORM-1062

OMB NO: 3245-0109    EXPIRATION DATE: 05/31/2004
RESPS:2,160          HOURS:2,160          COSTS(000):$0
  Request for Information Concerning Portfolio Financing
FORMS: 857

OMB NO: 3245-0116    EXPIRATION DATE: 05/31/2004
RESPS:1,500          HOURS:750            COSTS(000):$0
  Financial Institution Confirmation Form
FORMS: 860

OMB NO: 3245-0118    EXPIRATION DATE: 11/30/2005
RESPS:400            HOURS:187            COSTS(000):$0
  Disclosure Statement, Leveraged Licenses and Disclosure
  Statement Non-Leveaged Licensees
FORMS: SBA-856 SBA-856A

OMB NO: 3245-0121    EXPIRATION DATE: 06/30/2003
RESPS:57             HOURS:1,140          COSTS(000):$0
  Governor's Request for Disaster Declaration
FORMS: NONE

OMB NO: 3245-0124    EXPIRATION DATE: 03/31/2004
RESPS:500            HOURS:83             COSTS(000):$0
  U.S. Small Business Administration Advisory Committee
  Membership- Nominee Information
FORMS: SBAFORM898

OMB NO: 3245-0132    EXPIRATION DATE: 03/31/2005
RESPS:5,000          HOURS:5,000          COSTS(000):$0
  Lender Transcript of Account
FORMS: FORM-1149

OMB NO: 3245-0136    EXPIRATION DATE: 05/31/2004
RESPS:4,000          HOURS:332            COSTS(000):$0
  Disaster Survey Worksheet
FORMS: SBA-FORM-987

OMB NO: 3245-0140    EXPIRATION DATE: 08/31/2004
RESPS:477            HOURS:34,191         COSTS(000):$0
  SBA Form 1222-Notice of Award SBA Form 1224 Grant/Cooperative
  Agreement Cost Sharing Proposal
FORMS: FORM-1222 FORM-1224

OMB NO: 3245-0141    EXPIRATION DATE: 10/31/2003
RESPS:63             HOURS:1,020          COSTS(000):$0
  Prime Contracts Program Quarterly Report Part A and Part B
FORMS: 843A 843B

OMB NO: 3245-0169    EXPIRATION DATE: 09/30/2003
RESPS:114            HOURS:7,524          COSTS(000):$0
  SBDC Program & Financial Reports
FORMS: SF-269 SF-272

OMB NO: 3245-0172    EXPIRATION DATE: 06/30/2004
RESPS:600            HOURS:600            COSTS(000):$0
  Stockholder's Confirmation (Corporation); Ownership Confirmation
  (Partnership)
FORMS: SBA-FORM-1405

OMB NO: 3245-0178    EXPIRATION DATE: 09/30/2003
RESPS:55,000         HOURS:13,750         COSTS(000):$0
  Statement of Personal History
FORMS: SBA-FORM-912

OMB NO: 3245-0185    EXPIRATION DATE: 03/31/2004
RESPS:12,500         HOURS:46,875         COSTS(000):$0
  Secondary Participation Guaranty Agreement
FORMS: SBA-FORM-1086

OMB NO: 3245-0188    EXPIRATION DATE: 11/30/2004
RESPS:187,027        HOURS:280,608        COSTS(000):$0
  Personal Financial Statement
FORMS: SBA-FORM-413

OMB NO: 3245-0193    EXPIRATION DATE: 05/31/2005
RESPS:4,200          HOURS:4,200          COSTS(000):$0
  Servicing Agent Agreement
FORMS: 1506

OMB NO: 3245-0200    EXPIRATION DATE: 03/31/2005
RESPS:39,988         HOURS:29,991         COSTS(000):$0
  Settlement Sheet
FORMS: FORM-1050

OMB NO: 3245-0201    EXPIRATION DATE: 05/31/2005
RESPS:115,000        HOURS:9,584          COSTS(000):$0
  7(a) Loan Closing Forms
FORMS: 159 160 160A

OMB NO: 3245-0212    EXPIRATION DATE: 12/31/2005
RESPS:5,000          HOURS:7,500          COSTS(000):$0
  Secondary Market Assignment and Disclosure Form
FORMS: 1088

OMB NO: 3245-0213    EXPIRATION DATE: 08/31/2004
RESPS:475            HOURS:1,425          COSTS(000):$63
  Application For Pool of Guaranteed Interest Certificates
FORMS: FORM-1454

OMB NO: 3245-0225    EXPIRATION DATE: 12/31/2003
RESPS:300            HOURS:2,400          COSTS(000):$0
  Small Business Administration Application for Certificate of
  Competency
FORMS: 1531

OMB NO: 3245-0270    EXPIRATION DATE: 12/31/2005
RESPS:13,884         HOURS:13,884         COSTS(000):$0
  Representatives Used and Compensation Paid for Services in
  Connection with Obtaining Federal Contracts
FORMS: 1790

OMB NO: 3245-0298    EXPIRATION DATE: 08/31/2003
RESPS:1,806          HOURS:68             COSTS(000):$0
  Business Information Center Customer Satisfaction Survey
FORMS: FORM-1916(9-94)

OMB NO: 3245-0301    EXPIRATION DATE: 07/31/2004
RESPS:293            HOURS:586            COSTS(000):$0
  Financing Eligibility statement - social disadvantaged -
  Economic Disadvantaged
FORMS: FORM-1941A FORM-1941B FORM-1941C

OMB NO: 3245-0312    EXPIRATION DATE: 01/31/2004
RESPS:33             HOURS:8              COSTS(000):$0
  Survey of Job Creation and Retention in the DELTA Program
FORMS: SEB-1989

OMB NO: 3245-0313    EXPIRATION DATE: 12/31/2003
RESPS:200            HOURS:183            COSTS(000):$0
  Federal Agency Appraisal Form
FORMS: 1993

OMB NO: 3245-0314    EXPIRATION DATE: 06/30/2005
RESPS:11,038         HOURS:2,760          COSTS(000):$0
  Voluntary Customer Surveys in accordance with E.O. 12862
FORMS: NONE

OMB NO: 3245-0320    EXPIRATION DATE: 02/28/2006
RESPS:10,000         HOURS:10,000         COSTS(000):$0
  HUBZone Internet Application Form
FORMS: 2103

OMB NO: 3245-0324    EXPIRATION DATE: 04/30/2003
RESPS:1              HOURS:60,000         COSTS(000):$0
  Entrepreneurial Development Management Information System (EDMIS)
FORMS: SBA-641 SBA-641A

OMB NO: 3245-0326    EXPIRATION DATE: 12/31/2003
RESPS:2,500          HOURS:5,000          COSTS(000):$0
  Pre-Disaster Mitigation Small Business Loan Application
FORMS: SBA-FORM-5M

OMB NO: 3245-0327    EXPIRATION DATE: 12/31/2003
RESPS:1              HOURS:1,244          COSTS(000):$0
  Value of Worker Training Programs to Small Business
FORMS: NONE

OMB NO: 3245-0328    EXPIRATION DATE: 12/31/2003
RESPS:500            HOURS:250            COSTS(000):$0
  7(j) Management and Technical Assistance Program Sponsored
  Training Impact and Longitudinal Studies
FORMS: 2167 2168 2169 2170 2171

OMB NO: 3245-0329    EXPIRATION DATE: 05/31/2004
RESPS:500            HOURS:40,000         COSTS(000):$0
  PRIME (Program for Investment in Microentrepreneurs)
FORMS: NONE

OMB NO: 3245-0330    EXPIRATION DATE: 01/31/2004
RESPS:2,500          HOURS:5,000          COSTS(000):$0
  Military Reservist Economic Injury Disaster Loan Application
FORMS: SBA-FORM-5R

OMB NO: 3245-0331    EXPIRATION DATE: 07/31/2004
RESPS:6,103          HOURS:21,460         COSTS(000):$0
  8(a)/SDB Paper and Electronic Application
FORMS: 1010 1010B 2065 1010C

OMB NO: 3245-0332    EXPIRATION DATE: 09/30/2005
RESPS:1,131          HOURS:13,925         COSTS(000):$2,699
  New Markets Venture Capital (NMVC) Program Application, Funding
  and Reporting
FORMS: SFS-269/270 272/424 SBA-34/159/468 480/1031/2184 2185/2207-2211
2219

OMB NO: 3245-0333    EXPIRATION DATE: 09/30/2004
RESPS:81             HOURS:4,200          COSTS(000):$0
  BusinessLINC Program
FORMS: 01-1

OMB NO: 3245-0334    EXPIRATION DATE: 08/31/2004
RESPS:58             HOURS:29             COSTS(000):$0
  Other Funding Under the SBDC Umbrella
FORMS: FORM-2186

OMB NO: 3245-0336    EXPIRATION DATE: 10/31/2004
RESPS:130            HOURS:120            COSTS(000):$0
  Evaluation of State Efforts to Review and Alleviate State
  Regulatory Burdens on Small Businesses
FORMS: NONE

OMB NO: 3245-0338    EXPIRATION DATE: 07/31/2005
RESPS:38             HOURS:91             COSTS(000):$37
  NMVC Program Applicant Interview Questions: SSBIC Applicant
  Tech, Proposal: Request for Approval of Management Services Fees
FORMS: 2215 2216 2217

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
54 1,628,485 2,668,103 $3,018
(RETURN TO AGENCY LIST)

Social Security Administration
OMB NO: 0960-0001    EXPIRATION DATE: 04/30/2004
RESPS:18,000         HOURS:4,500          COSTS(000):$0
  Certification of Support
FORMS: SSA-760-F4

OMB NO: 0960-0002    EXPIRATION DATE: 06/30/2005
RESPS:3,000          HOURS:1,500          COSTS(000):$0
  Statement Regarding the Inferred Death of an Individual by
  Reason of Continued and Unexplained Absence
FORMS: SSA-723

OMB NO: 0960-0003    EXPIRATION DATE: 11/30/2005
RESPS:5,000          HOURS:12,500         COSTS(000):$0
  Application for Mother's or Father's Insurance Benefits - 20 CFR
  404 Subparts D and G
FORMS: SSA-5-F6

OMB NO: 0960-0004    EXPIRATION DATE: 10/31/2003
RESPS:288,580        HOURS:72,145         COSTS(000):$0
  Application for Widow(er)'s Benefits, 20 CFR 404.335 - 404.338,
  404.603
FORMS: SSA-10-BK

OMB NO: 0960-0007    EXPIRATION DATE: 04/30/2004
RESPS:1,460,692      HOURS:255,621        COSTS(000):$0
  Application for Retirement Insurance Benefits
FORMS: SSA-1-F6

OMB NO: 0960-0008    EXPIRATION DATE: 02/28/2006
RESPS:700,000        HOURS:175,000        COSTS(000):$0
  Application for Wife's or Husband's Insurance Benefits - 20 CFR,
  Subpart D, 404.330-.333; Subpart G, 404.603
FORMS: SSA-2-F6

OMB NO: 0960-0009    EXPIRATION DATE: 11/30/2005
RESPS:180,000        HOURS:15,000         COSTS(000):$0
  Marriage Certification - 20 CFR 404 Subpart H
FORMS: SSA-3-F6

OMB NO: 0960-0010    EXPIRATION DATE: 04/30/2004
RESPS:1,740,000      HOURS:372,417        COSTS(000):$0
  Application for Child's Insurance Benefits
FORMS: SSA-4-BK

OMB NO: 0960-0012    EXPIRATION DATE: 02/28/2006
RESPS:1,400          HOURS:350            COSTS(000):$0
  Application for Parent's Insurance Benefits,, 20 CFR 404.370 -
  .374, .601 - .603
FORMS: SSA-7-F6

OMB NO: 0960-0013    EXPIRATION DATE: 01/31/2004
RESPS:877,000        HOURS:146,167        COSTS(000):$0
  Application for Lump Sum Death Payment
FORMS: SSA-8

OMB NO: 0960-0014    EXPIRATION DATE: 06/30/2003
RESPS:2,121,686      HOURS:371,295        COSTS(000):$0
  Request to be Selected as Payee
FORMS: SSA-11-BK

OMB NO: 0960-0015    EXPIRATION DATE: 09/30/2003
RESPS:100,000        HOURS:8,333          COSTS(000):$0
  Request for Withdrawal of Application
FORMS: SSA-521

OMB NO: 0960-0016    EXPIRATION DATE: 08/31/2005
RESPS:1,200          HOURS:200            COSTS(000):$0
  Statement Regarding Date of Birth and Citizenship
FORMS: SSA-702

OMB NO: 0960-0017    EXPIRATION DATE: 05/31/2005
RESPS:40,000         HOURS:6,000          COSTS(000):$0
  Statement Regarding Marriage
FORMS: SSA-753

OMB NO: 0960-0019    EXPIRATION DATE: 04/30/2004
RESPS:14,000         HOURS:2,333          COSTS(000):$0
  Certificate of Responsibility for Welfare and Care of Child Not
  in Applicant's Custody
FORMS: SSA-781

OMB NO: 0960-0020    EXPIRATION DATE: 06/30/2005
RESPS:30,000         HOURS:8,500          COSTS(000):$0
  Statement Regarding Contributions
FORMS: SSA-783

OMB NO: 0960-0024    EXPIRATION DATE: 03/31/2004
RESPS:120,000        HOURS:20,000         COSTS(000):$0
  Physician's/Medical Officer's Statement of Patient's Capability
  to Manage Benefits
FORMS: SSA-787

OMB NO: 0960-0025    EXPIRATION DATE: 03/31/2006
RESPS:12,350         HOURS:6,175          COSTS(000):$0
  Partnership Questionnaire - 20 CFR, Subpart K, 404.1080-.1082
FORMS: SSA-7104

OMB NO: 0960-0029    EXPIRATION DATE: 10/31/2004
RESPS:375,000        HOURS:62,500         COSTS(000):$0
  Request for Correction of Earnings Record
FORMS: SSA-7008

OMB NO: 0960-0030    EXPIRATION DATE: 05/31/2003
RESPS:925,000        HOURS:308,333        COSTS(000):$0
  Statement of Employer
FORMS: SSA-7011

OMB NO: 0960-0034    EXPIRATION DATE: 03/31/2006
RESPS:150,000        HOURS:100,000        COSTS(000):$0
  Letter to Employer Requesting Information About Wages Earned by
  Beneficiary, 20 CFR 404703 and .801
FORMS: SSA-L725

OMB NO: 0960-0036    EXPIRATION DATE: 10/31/2004
RESPS:125,000        HOURS:37,500         COSTS(000):$0
  Statement of Agricultural Employer (Year Prior to 1988);
  Statement of Agricultural Employer (1988 & Later)
FORMS: SSA-1002 SSA-1003

OMB NO: 0960-0037    EXPIRATION DATE: 05/31/2004
RESPS:500,000        HOURS:1,000,000      COSTS(000):$0
  Request for Waiver of Overpayment Recovery or Change in
  Repayment Notice
FORMS: SSA-632-BK

OMB NO: 0960-0038    EXPIRATION DATE: 02/28/2006
RESPS:30,000         HOURS:15,000         COSTS(000):$0
  Statement of Marital Relationship (By One of the Parties) 20
  CFR, 404.726
FORMS: SSA-754

OMB NO: 0960-0040    EXPIRATION DATE: 01/31/2004
RESPS:47,500         HOURS:19,792         COSTS(000):$0
  Employment Relationship Questionnaire
FORMS: SSA-7160

OMB NO: 0960-0041    EXPIRATION DATE: 01/31/2006
RESPS:10             HOURS:1              COSTS(000):$0
  Wage and Contributions Paid Prior to 1987 - 20 CFR, Subpart M,
  404.1237 and .1249
FORMS: NONE

OMB NO: 0960-0045    EXPIRATION DATE: 08/31/2003
RESPS:305,500        HOURS:76,375         COSTS(000):$0
  Statement of Claimant or Other Person
FORMS: SSA-795

OMB NO: 0960-0046    EXPIRATION DATE: 11/30/2003
RESPS:5,000          HOURS:417            COSTS(000):$0
  Statement of Self-Employment Income
FORMS: SSA-766

OMB NO: 0960-0049    EXPIRATION DATE: 04/30/2003
RESPS:230,000        HOURS:24,167         COSTS(000):$0
  Report to U.S. SSA by Person Receiving Benefits for a Child or
  Adult Unable to Handle Funds; & Report to U.S. SSA
FORMS: SSA-7161-OCR-SM SSA-7162-OCR-SM

OMB NO: 0960-0050    EXPIRATION DATE: 02/29/2004
RESPS:20,000         HOURS:4,000          COSTS(000):$0
  Questionnaire About Employment of Self-Employment Outside the
  United States
FORMS: SSA-7163

OMB NO: 0960-0051    EXPIRATION DATE: 09/30/2003
RESPS:35,000         HOURS:2,917          COSTS(000):$0
  Supplement to claim of Person Outside the United States
FORMS: SSA-221

OMB NO: 0960-0052    EXPIRATION DATE: 10/31/2004
RESPS:750,000        HOURS:375,000        COSTS(000):$0
  Medical Report (General)
FORMS: SSA-3826-F4

OMB NO: 0960-0058    EXPIRATION DATE: 12/31/2005
RESPS:50,000         HOURS:30,000         COSTS(000):$0
  Report on Individual with Mental Impairment - 20 CFR, Subparts O
  & I
FORMS: SSA-824

OMB NO: 0960-0059    EXPIRATION DATE: 04/30/2003
RESPS:300,000        HOURS:225,000        COSTS(000):$0
  Work Activity Report--Employee
FORMS: SSA-821-BK

OMB NO: 0960-0060    EXPIRATION DATE: 01/31/2006
RESPS:1,513,677      HOURS:504,559        COSTS(000):$0
  Application for Disability Insurance Benefits - 20 CFR, Subpart
  P, 404.1501-.1512 and Subpart D, 404.315-.322
FORMS: SSA-16-F6

OMB NO: 0960-0061    EXPIRATION DATE: 06/30/2004
RESPS:47,500         HOURS:7,917          COSTS(000):$0
  Farm Self-Employment Questionnaire
FORMS: SSA-7156

OMB NO: 0960-0062    EXPIRATION DATE: 05/31/2005
RESPS:3,200          HOURS:800            COSTS(000):$0
  Application for Survivors Benefits
FORMS: SSA-24

OMB NO: 0960-0064    EXPIRATION DATE: 08/31/2005
RESPS:38,000         HOURS:19,000         COSTS(000):$0
  Farm Arrangement Questionnaire--20 CFR 404.1082(c)
FORMS: SSA-7157-F4

OMB NO: 0960-0066    EXPIRATION DATE: 03/31/2004
RESPS:18,026,800     HOURS:1,991,667      COSTS(000):$7,376,339
  Application for a Social Security Card/Enumeration At Birth
FORMS: SS-5

OMB NO: 0960-0068    EXPIRATION DATE: 02/28/2005
RESPS:5,527,755      HOURS:1,381,939      COSTS(000):$0
  Representative Payee Report
FORMS: SSA-623 SSA-6230

OMB NO: 0960-0069    EXPIRATION DATE: 10/31/2004
RESPS:252,000        HOURS:126,000        COSTS(000):$0
  Representative Payee Evaluation Report
FORMS: SSA-624

OMB NO: 0960-0071    EXPIRATION DATE: 04/30/2003
RESPS:27,000         HOURS:2,250          COSTS(000):$0
  Report of New Information in Disability Cases
FORMS: SSA-612

OMB NO: 0960-0072    EXPIRATION DATE: 03/31/2005
RESPS:852,000        HOURS:426,000        COSTS(000):$0
  Report of Continuing Disability Interview
FORMS: SSA-454-BK

OMB NO: 0960-0073    EXPIRATION DATE: 03/31/2006
RESPS:70,000         HOURS:5,833          COSTS(000):$0
  Reporting Changes That Affect Your Social Security Benefit, 20
  CFR 404 Subpart D
FORMS: SSA-1425

OMB NO: 0960-0078    EXPIRATION DATE: 06/30/2005
RESPS:125,000        HOURS:10,417         COSTS(000):$0
  Railroad Employment Questionnaire
FORMS: SSA-671

OMB NO: 0960-0086    EXPIRATION DATE: 08/31/2004
RESPS:20             HOURS:5              COSTS(000):$0
  Chinese Custom Marriage Statement; Statement Regarding Chinese
  Custom Marriage
FORMS: SSA-1344 SSA-1345

OMB NO: 0960-0088    EXPIRATION DATE: 02/28/2006
RESPS:75,000         HOURS:7,500          COSTS(000):$0
  Student Reporting Form - 20 CFR, 404, Subparts D & E and 20 CFR,
  422, Subpart B
FORMS: SSA-1383

OMB NO: 0960-0090    EXPIRATION DATE: 02/28/2005
RESPS:5,000          HOURS:833            COSTS(000):$0
  SSA-1371, Statement by School Official About Student's
  Attendance, and SSA-1371-FC, Statement to U.S. Social Security
  Administration (SSA) By School Outside the United States......
FORMS: SSA-1371-BK SSA-1731-FC

OMB NO: 0960-0093    EXPIRATION DATE: 09/30/2003
RESPS:180            HOURS:45             COSTS(000):$0
  Certification by Religious Group
FORMS: SSA-1458

OMB NO: 0960-0096    EXPIRATION DATE: 11/30/2003
RESPS:10             HOURS:3              COSTS(000):$0
  Application for Special Age-72-or-Over
FORMS: SSA-19-F6

OMB NO: 0960-0097    EXPIRATION DATE: 11/30/2003
RESPS:18,000         HOURS:3,600          COSTS(000):$0
  Application for Search of Census Record for Proof of Age
FORMS: SSA-1535

OMB NO: 0960-0098    EXPIRATION DATE: 07/31/2003
RESPS:140,000        HOURS:35,000         COSTS(000):$0
  Request for Workers' Compensation/Public Disability Information
FORMS: SSA-1709

OMB NO: 0960-0101    EXPIRATION DATE: 06/30/2003
RESPS:300,000        HOURS:50,000         COSTS(000):$0
  Claim for Amounts Due in the Case of a Deceased Beneficiary
FORMS: SSA-1724

OMB NO: 0960-0102    EXPIRATION DATE: 01/31/2005
RESPS:12,000         HOURS:6,000          COSTS(000):$0
  Medical Report (Individual with Childhood Impairment)
FORMS: SSA-3827

OMB NO: 0960-0103    EXPIRATION DATE: 07/31/2004
RESPS:1,000          HOURS:1,000          COSTS(000):$0
  Supplemental Statement Regarding Farming Activities of Persons
  Living Outside the U.S.A.
FORMS: SSA-7163A-F4

OMB NO: 0960-0104    EXPIRATION DATE: 09/30/2003
RESPS:34,624         HOURS:17,312         COSTS(000):$0
  Petition to Obtain Approval of a Fee for Representing a Claimant
  Before the Social Security Administration
FORMS: SSA-1560-U4

OMB NO: 0960-0105    EXPIRATION DATE: 01/31/2004
RESPS:200,000        HOURS:33,333         COSTS(000):$0
  Advance Notice of Termination of Child's Benefits, and Student's
  Statement Regarding School Attendance
FORMS: SSA-1372

OMB NO: 0960-0109    EXPIRATION DATE: 09/30/2003
RESPS:130,000        HOURS:21,667         COSTS(000):$0
  Statement of Care and Responsibility for Beneficiary
FORMS: SSA-788

OMB NO: 0960-0110    EXPIRATION DATE: 07/31/2003
RESPS:125            HOURS:125            COSTS(000):$0
  State Mental Institution Policy Review--20 CFR 404 Subpart U and
  416 Subpart F, Representative Payment
FORMS: SSA-9584-BK

OMB NO: 0960-0112    EXPIRATION DATE: 04/30/2004
RESPS:8,000          HOURS:2,000          COSTS(000):$0
  Report by Former Representative Payee
FORMS: SSA-625

OMB NO: 0960-0113    EXPIRATION DATE: 03/31/2005
RESPS:50             HOURS:8              COSTS(000):$0
  Statement Regarding Students' School Attendance
FORMS: SSA-2434

OMB NO: 0960-0116    EXPIRATION DATE: 02/29/2004
RESPS:50,000         HOURS:12,500         COSTS(000):$0
  Child Relationship Statement
FORMS: SSA-519

OMB NO: 0960-0118    EXPIRATION DATE: 04/30/2004
RESPS:300            HOURS:165            COSTS(000):$0
  Application for Benefits Under The Federal Mine Safety and and
  Dependent's Claim
FORMS: SSA-47-F4 SSA-48-F4 SSA-49-F3

OMB NO: 0960-0120    EXPIRATION DATE: 04/30/2004
RESPS:12,000         HOURS:2,000          COSTS(000):$0
  Pre-1957 Military Service Federal Benefit Questionnaire
FORMS: SSA-2512

OMB NO: 0960-0124    EXPIRATION DATE: 04/30/2003
RESPS:355,000        HOURS:147,917        COSTS(000):$0
  Statement of Income and Resources
FORMS: SSA-8010-BK

OMB NO: 0960-0127    EXPIRATION DATE: 02/28/2005
RESPS:20,000         HOURS:3,333          COSTS(000):$0
  Agreement to Sell Property
FORMS: SSA-8060-U3

OMB NO: 0960-0128    EXPIRATION DATE: 03/31/2005
RESPS:33,200         HOURS:2,767          COSTS(000):$0
  Reporting Events - SSI
FORMS: SSA-8150-EV

OMB NO: 0960-0130    EXPIRATION DATE: 05/31/2005
RESPS:120            HOURS:120            COSTS(000):$0
  Quarterly Statistical Report on Recipients and Payments Under
  State-Administered Assistance Programs for Aged, Blind, and
  Disabled (Individuals and Couples) Recipient
FORMS: SSA-9741

OMB NO: 0960-0133    EXPIRATION DATE: 04/30/2003
RESPS:15,000         HOURS:15,000         COSTS(000):$0
  Supplemental Security Income (SSI) - Quality Review Case Analysis
FORMS: SSA-8508-BK

OMB NO: 0960-0138    EXPIRATION DATE: 05/31/2003
RESPS:133,000        HOURS:66,500         COSTS(000):$0
  Letter to Employer Requesting Wage Information
FORMS: SSA-L4201

OMB NO: 0960-0140    EXPIRATION DATE: 09/30/2005
RESPS:2,134,100      HOURS:177,842        COSTS(000):$0
  Record of Supplemental Security Income Inquiry - 20 CFR 416.345
FORMS: SSA-3462

OMB NO: 0960-0142    EXPIRATION DATE: 05/31/2005
RESPS:1,059,400      HOURS:61,798         COSTS(000):$0
  Statement of Death by Funeral Director
FORMS: SSA-721

OMB NO: 0960-0143    EXPIRATION DATE: 07/31/2004
RESPS:133,000        HOURS:13,300         COSTS(000):$0
  Student's Statement Regarding Resumption of School Attendance
FORMS: SSA-1386

OMB NO: 0960-0144    EXPIRATION DATE: 02/28/2005
RESPS:400,000        HOURS:200,000        COSTS(000):$0
  Reconsideration Disability Report
FORMS: SSA-3441

OMB NO: 0960-0145    EXPIRATION DATE: 10/31/2003
RESPS:1,720,000      HOURS:411,333        COSTS(000):$0
  Statement for Determining Continuing Eligibility Supplemental
  Security Income Payment(s)
FORMS: SSA-8202-BK SSA-8202-OCR-SM

OMB NO: 0960-0160    EXPIRATION DATE: 07/31/2005
RESPS:30,000         HOURS:15,833         COSTS(000):$0
  Government Pension Questionnaire
FORMS: SSA-3885

OMB NO: 0960-0174    EXPIRATION DATE: 04/30/2003
RESPS:438,400        HOURS:51,147         COSTS(000):$0
  Statement of Living Arrangement, In-Kind Support and Maintenance
FORMS: SSA-8006-F4

OMB NO: 0960-0184    EXPIRATION DATE: 05/31/2003
RESPS:189            HOURS:2,646          COSTS(000):$0
  Instructions for Completion of Federal Assistance Application
FORMS: SSA-96

OMB NO: 0960-0189    EXPIRATION DATE: 10/31/2004
RESPS:5,475          HOURS:2,521          COSTS(000):$0
  RSI/DI Quality Review Case Analysis-Sampled Number Holder,
  Auxiliaries/Survivors, Parent, Stewardship AET Workbook
FORMS: SSA-2930 2931 2932 4659

OMB NO: 0960-0229    EXPIRATION DATE: 03/31/2004
RESPS:1,249,933      HOURS:732,252        COSTS(000):$0
  Application for Supplemental Security Income
FORMS: 8000-BK-20CFR SUBPARTC 416.305-.335

OMB NO: 0960-0240    EXPIRATION DATE: 11/30/2003
RESPS:71             HOURS:71             COSTS(000):$0
  Subpart T--State Supplementation Provisions; Agreement;
  Payments, 20 CFR 416.2099
FORMS: NONE

OMB NO: 0960-0247    EXPIRATION DATE: 01/31/2006
RESPS:100,000        HOURS:25,000         COSTS(000):$0
  Worker's Compensation/Public Disability Benefit Questionnaire -
  20 CFR 404.408, Subpart E
FORMS: SSA-546

OMB NO: 0960-0267    EXPIRATION DATE: 03/31/2006
RESPS:60,000         HOURS:3,000          COSTS(000):$0
  Medicaid Use Report, 20 CFR 216.628
FORMS: NONE

OMB NO: 0960-0269    EXPIRATION DATE: 11/30/2004
RESPS:556,000        HOURS:92,666         COSTS(000):$0
  Request for Hearing by Administrative Law Judge
FORMS: HA-501

OMB NO: 0960-0274    EXPIRATION DATE: 10/31/2004
RESPS:50,000         HOURS:4,167          COSTS(000):$0
  Report of Student Beneficiary About to Attain Age 19
FORMS: SSA-1390

OMB NO: 0960-0277    EXPIRATION DATE: 02/28/2005
RESPS:80,000         HOURS:13,333         COSTS(000):$0
  Request for Review of Hearing Decision/Order
FORMS: HA-520

OMB NO: 0960-0282    EXPIRATION DATE: 03/31/2006
RESPS:8,000          HOURS:2,000          COSTS(000):$0
  Vocational Rehabilitation "301" Program Development - 20 CFR,
  Subpart D, Subpart P, Subpart M, and Subpart N
FORMS: SSA-4290

OMB NO: 0960-0284    EXPIRATION DATE: 08/31/2004
RESPS:12,000         HOURS:400            COSTS(000):$0
  Waiver of Your Right to Personal Appearance before an
  Administrative Law Judge
FORMS: HA-4608

OMB NO: 0960-0288    EXPIRATION DATE: 04/30/2004
RESPS:10,548         HOURS:879            COSTS(000):$0
  Notice Regarding Substitution of Party Upon Death of Claimant
FORMS: HA-539

OMB NO: 0960-0289    EXPIRATION DATE: 05/31/2003
RESPS:171,939        HOURS:42,985         COSTS(000):$0
  Claimant's Medications
FORMS: HA-4632

OMB NO: 0960-0292    EXPIRATION DATE: 04/30/2003
RESPS:309,490        HOURS:51,582         COSTS(000):$0
  Claimant's Recent Medical Treatment
FORMS: HA-4631

OMB NO: 0960-0293    EXPIRATION DATE: 10/31/2004
RESPS:500,000        HOURS:50,000         COSTS(000):$0
  Authorization for SSA to Obtain Account Records from a Financial
  Institution and Request for Records
FORMS: SSA-4641-U2

OMB NO: 0960-0300    EXPIRATION DATE: 11/30/2005
RESPS:120,000        HOURS:30,000         COSTS(000):$0
  Claimnet's Work Background - 20 CFR 404 Subpart O and 20 CFR 416
  Subpart I
FORMS: HA-4633

OMB NO: 0960-0310    EXPIRATION DATE: 11/30/2003
RESPS:90             HOURS:9,048          COSTS(000):$0
  Vocational Rehabilitation Provider Claim
FORMS: SSA-199-U2

OMB NO: 0960-0316    EXPIRATION DATE: 03/31/2004
RESPS:442,720        HOURS:110,680        COSTS(000):$0
  Claimant's Statement When Request for Hearing is Filed and the
  Issue is Disability
FORMS: HA-4486

OMB NO: 0960-0323    EXPIRATION DATE: 06/30/2003
RESPS:90,500         HOURS:7,542          COSTS(000):$0
  Third Party Liability Information Statement
FORMS: SSA-8019-U2

OMB NO: 0960-0324    EXPIRATION DATE: 03/31/2006
RESPS:7,500          HOURS:1,250          COSTS(000):$0
  Supplemental Security Income Claim Information Notice - 20 CFR,
  Subpart B, 416.210
FORMS: L8050

OMB NO: 0960-0341    EXPIRATION DATE: 03/31/2005
RESPS:2,400          HOURS:80             COSTS(000):$0
  Request for Address Information from Motor Vehicles Records;
  Request for Address Information from Employment Commissions
  Records
FORMS: SSA-L711 SSA-L712

OMB NO: 0960-0347    EXPIRATION DATE: 07/31/2004
RESPS:1,925          HOURS:963            COSTS(000):$0
  Response to Notice of Revised Determination
FORMS: SSSA-765

OMB NO: 0960-0348    EXPIRATION DATE: 10/31/2004
RESPS:7,483          HOURS:998            COSTS(000):$0
  Request for Change in Time/Place of Disability Hearing
FORMS: SSA-769

OMB NO: 0960-0349    EXPIRATION DATE: 09/30/2003
RESPS:49,000         HOURS:10,045         COSTS(000):$0
  Request for Reconsideration -- Disability Cessation
FORMS: SSA-789

OMB NO: 0960-0350    EXPIRATION DATE: 05/31/2004
RESPS:100,000        HOURS:50,000         COSTS(000):$0
  Reconsideration Report for Disability Cessation
FORMS: SSA-782-BK

OMB NO: 0960-0351    EXPIRATION DATE: 08/31/2004
RESPS:1,200          HOURS:100            COSTS(000):$0
  Notice Regarding Substitution of Party Upon Death of Claimant
  Reconsideration of Disability Cessation
FORMS: SSA-770

OMB NO: 0960-0369    EXPIRATION DATE: 12/31/2003
RESPS:225,000        HOURS:37,500         COSTS(000):$0
  Annual Earnings Test--Direct Mail Follow-Up Program Notices
FORMS: SSA-L9778 SSA-L9779 SSA-L9781 SSA-L9784 SSA-L9785

OMB NO: 0960-0371    EXPIRATION DATE: 03/31/2005
RESPS:1,000          HOURS:250            COSTS(000):$0
  Application for U.S. Benefits Under the Canada-U.S.
  International Social Security Agreement
FORMS: SSA-1294

OMB NO: 0960-0384    EXPIRATION DATE: 09/30/2003
RESPS:208            HOURS:1,248          COSTS(000):$0
  SSA/DDS Cost-Effectiveness Measurement System (CEMS) Data
  Reporting form
FORMS: SSA-1461

OMB NO: 0960-0395    EXPIRATION DATE: 01/31/2005
RESPS:90,000         HOURS:12,000         COSTS(000):$0
  Modified Benefit Formula Questionnaire
FORMS: SSA-150

OMB NO: 0960-0398    EXPIRATION DATE: 04/30/2003
RESPS:30,000         HOURS:1,000          COSTS(000):$0
  Certificate of Election for Reduced Spouse's Benefits
FORMS: 25

OMB NO: 0960-0413    EXPIRATION DATE: 09/30/2003
RESPS:1,005,804      HOURS:251,451        COSTS(000):$0
  Psychiatric Review Technique
FORMS: SSA-2506

OMB NO: 0960-0416    EXPIRATION DATE: 10/31/2003
RESPS:920,000        HOURS:291,333        COSTS(000):$0
  Statement for Determining Continuing Eligibiity for Supplemental
  Security Income Payments
FORMS: SSA-8203-BK

OMB NO: 0960-0421    EXPIRATION DATE: 06/30/2004
RESPS:648            HOURS:756            COSTS(000):$0
  State Agency Report of Obligations for SSA Disability Programs
  and Addendum; Time Report of Personnel Services for Disability
  Determination Services & State Agency Schedule of Equipment.....
FORMS: SSA-4514 SSA-871 SSA-4513

OMB NO: 0960-0425    EXPIRATION DATE: 12/31/2005
RESPS:484            HOURS:434            COSTS(000):$0
  Coverage of Employees of State and Local Governments - 20 CFR,
  Subpart M
FORMS: NONE

OMB NO: 0960-0428    EXPIRATION DATE: 07/31/2004
RESPS:36             HOURS:18             COSTS(000):$0
  Subpoena--Disability Hearing
FORMS: SSA-1272-U4

OMB NO: 0960-0430    EXPIRATION DATE: 08/31/2004
RESPS:49,000         HOURS:12,250         COSTS(000):$0
  Summary of Evidence
FORMS: SSA-887

OMB NO: 0960-0431    EXPIRATION DATE: 05/31/2004
RESPS:1,130,772      HOURS:376,924        COSTS(000):$0
  Physical Residual Functional Capacity Assessment; Mental
  Residual Functional Capacity Assessment
FORMS: SSA-4734-BK SSA-4734-F4-SUP

OMB NO: 0960-0432    EXPIRATION DATE: 12/31/2005
RESPS:1              HOURS:180,000        COSTS(000):$0
  Missing and Discrepant Wage Reports Letter and Questionnaire
FORMS: SSA-L93 SSA-95 SSA-97

OMB NO: 0960-0434    EXPIRATION DATE: 10/31/2004
RESPS:50,000         HOURS:8,333          COSTS(000):$0
  Travel Expense Reimbursement
FORMS: NONE

OMB NO: 0960-0437    EXPIRATION DATE: 01/31/2005
RESPS:2,860,859      HOURS:715,215        COSTS(000):$0
  Disability Determination and Transmittal
FORMS: SSA-831-C3-U3

OMB NO: 0960-0440    EXPIRATION DATE: 10/31/2004
RESPS:100,000        HOURS:100,000        COSTS(000):$0
  Disability Hearing Officer's Report of Disability Hearing
FORMS: SSA-1205-BK

OMB NO: 0960-0441    EXPIRATION DATE: 08/31/2004
RESPS:65,000         HOURS:48,750         COSTS(000):$0
  Disability Hearing Officer's Decision
FORMS: SSA-1207 SSA-1207-SUP1 SUP3 SUP4 SUP5

OMB NO: 0960-0442    EXPIRATION DATE: 04/30/2005
RESPS:544,844        HOURS:272,422        COSTS(000):$0
  Cessation or Continuance of Disability or Blindness
  Determination and Transmittal
FORMS: SSA-833-C3/U3

OMB NO: 0960-0443    EXPIRATION DATE: 01/31/2005
RESPS:600,758        HOURS:300,379        COSTS(000):$0
  Cessation or Continuance of Disability or Blindness
  Determination and Transmittal
FORMS: SSA-832-C3-U3

OMB NO: 0960-0444    EXPIRATION DATE: 02/28/2006
RESPS:872,956        HOURS:219,547        COSTS(000):$0
  Application for Supplemental Security Income - 20 CFR, Subpart
  D, 416.305-.335
FORMS: SSA-8001

OMB NO: 0960-0445    EXPIRATION DATE: 09/30/2004
RESPS:200            HOURS:67             COSTS(000):$0
  Application for Benefits under the Italy-US International Social
  Security Agreement
FORMS: SSA-2528

OMB NO: 0960-0448    EXPIRATION DATE: 07/31/2005
RESPS:22,000         HOURS:11,000         COSTS(000):$0
  Application for Benefits Under a U.S. International Social
  Security Agreement
FORMS: SSA-2490

OMB NO: 0960-0451    EXPIRATION DATE: 03/31/2006
RESPS:9,000          HOURS:750            COSTS(000):$0
  Permanent Residence Under Color of Law - 20 CFR, Subpart P,
  416.1615 and .1618
FORMS: NONE

OMB NO: 0960-0454    EXPIRATION DATE: 10/31/2005
RESPS:49,000         HOURS:8,167          COSTS(000):$0
  Letter to Landlord Requesting Rental Information
FORMS: SSA-L5061

OMB NO: 0960-0456    EXPIRATION DATE: 02/29/2004
RESPS:400,000        HOURS:100,000        COSTS(000):$0
  Statement of Household Expenses and Contributions
FORMS: SSA-8011-F3

OMB NO: 0960-0460    EXPIRATION DATE: 02/28/2006
RESPS:5,100          HOURS:425            COSTS(000):$0
  Marital Relationship Questionnaire, 20 CFR 416.1826
FORMS: SSA-4178

OMB NO: 0960-0461    EXPIRATION DATE: 07/31/2004
RESPS:200,000        HOURS:23,333         COSTS(000):$0
  Information about Joint Checking/Savings account
FORMS: SSA-2574

OMB NO: 0960-0462    EXPIRATION DATE: 11/30/2003
RESPS:19,000         HOURS:1,583          COSTS(000):$0
  You Can Make Your Payment by Credit Card
FORMS: SSA-4588 SSA-4589

OMB NO: 0960-0466    EXPIRATION DATE: 05/31/2004
RESPS:1,100,000      HOURS:91,667         COSTS(000):$0
  Request for Social Security Statement
FORMS: SSA-7004

OMB NO: 0960-0470    EXPIRATION DATE: 10/31/2004
RESPS:1,000          HOURS:50             COSTS(000):$0
  Agency/Employer Government Pension Offset Questionnaire
FORMS: SSA-L4163

OMB NO: 0960-0471    EXPIRATION DATE: 07/31/2004
RESPS:5,438          HOURS:1,813          COSTS(000):$0
  Real Property Current Market Value Estimate
FORMS: SSA-L2794

OMB NO: 0960-0472    EXPIRATION DATE: 06/30/2004
RESPS:50,000         HOURS:8,333          COSTS(000):$0
  Employer Verification of Earnings After Death
FORMS: SSA-4112

OMB NO: 0960-0473    EXPIRATION DATE: 10/31/2004
RESPS:4,750          HOURS:792            COSTS(000):$1
  Employee Identification Statement
FORMS: SSA-4156

OMB NO: 0960-0474    EXPIRATION DATE: 10/31/2004
RESPS:2,000          HOURS:167            COSTS(000):$0
  Child-Care Dropout Questionnaire
FORMS: SSA-4162

OMB NO: 0960-0477    EXPIRATION DATE: 01/31/2005
RESPS:30,000         HOURS:10,000         COSTS(000):$0
  Modified Benefits Formula Questionnaire, Employer
FORMS: SSA-58

OMB NO: 0960-0481    EXPIRATION DATE: 04/30/2003
RESPS:40,000         HOURS:6,667          COSTS(000):$0
  Statement of Funds You Provided to Another, Statement of Funds
  You Received
FORMS: 2854 2855

OMB NO: 0960-0483    EXPIRATION DATE: 08/31/2003
RESPS:12,500         HOURS:3,125          COSTS(000):$0
  Employee Work Activity Questionnaire
FORMS: SSA-3033

OMB NO: 0960-0487    EXPIRATION DATE: 07/31/2003
RESPS:50,000         HOURS:16,667         COSTS(000):$0
  Self-Employment/Corporate Officer Questionnaire
FORMS: SSA-4184

OMB NO: 0960-0492    EXPIRATION DATE: 06/30/2004
RESPS:50,000         HOURS:4,167          COSTS(000):$0
  Request for Supplemental Security Income Benefit Estimate
FORMS: SSA-3716

OMB NO: 0960-0499    EXPIRATION DATE: 04/30/2004
RESPS:272,000        HOURS:136,000        COSTS(000):$0
  Questionnaire for Children Claiming SSI Benefits
FORMS: SSA-3881

OMB NO: 0960-0500    EXPIRATION DATE: 01/31/2006
RESPS:59,100         HOURS:9,850          COSTS(000):$0
  Medical Report on Adult with Allegation of HIV Infection;
  Medical Report on Child with Allegation of HIV Infection
FORMS: SSA-4814-F5 SSA-4815-F6

OMB NO: 0960-0501    EXPIRATION DATE: 02/29/2004
RESPS:50             HOURS:13             COSTS(000):$0
  Blood Donor Locator Service--Regulation 20 CFR 401.200
FORMS: NONE

OMB NO: 0960-0502    EXPIRATION DATE: 08/31/2004
RESPS:133,400        HOURS:11,117         COSTS(000):$0
  Beneficiary Recontact Report
FORMS: SSA-1588-OCR-SM

OMB NO: 0960-0505    EXPIRATION DATE: 06/30/2004
RESPS:20,000         HOURS:3,333          COSTS(000):$0
  Earning Record Information
FORMS: SSA-L3231-C1

OMB NO: 0960-0507    EXPIRATION DATE: 01/31/2005
RESPS:100,000        HOURS:100,000        COSTS(000):$0
  Disability Hearing Officer's Report of Disability Hearing (DC)
FORMS: SSA-1204-BK

OMB NO: 0960-0508    EXPIRATION DATE: 10/31/2003
RESPS:3,000,000      HOURS:500,000        COSTS(000):$0
  Requests for Self-Employment Information, Employee Information,
  Employer Information
FORMS: SSA-L2765 SSA-L3365 SSA-L4002

OMB NO: 0960-0511    EXPIRATION DATE: 09/30/2005
RESPS:702,000        HOURS:175,500        COSTS(000):$0
  Disability Report Update--20 CFR 404.1589-.1595 and 416.988-.996
FORMS: SSA-455 SSA-455-OCR-SM

OMB NO: 0960-0516    EXPIRATION DATE: 10/31/2003
RESPS:60,000         HOURS:5,000          COSTS(000):$0
  Continuation of Full Benefit Standard for Persons
  Institutionalized - 20 CFR Subpart B 416.212
FORMS: NONE

OMB NO: 0960-0525    EXPIRATION DATE: 11/30/2004
RESPS:61,494         HOURS:11,274         COSTS(000):$0
  Request for Social Security Earnings Information
FORMS: SSA-7050-F4

OMB NO: 0960-0526    EXPIRATION DATE: 04/30/2003
RESPS:31,514         HOURS:113,775        COSTS(000):$0
  Voluntary Customer Surveys in Accordance with E.O. 12862
FORMS: NONE

OMB NO: 0960-0527    EXPIRATION DATE: 06/30/2003
RESPS:412,653        HOURS:68,776         COSTS(000):$0
  Appointment of Representative
FORMS: SSA-1696-U4

OMB NO: 0960-0529    EXPIRATION DATE: 11/30/2003
RESPS:131,080        HOURS:21,847         COSTS(000):$0
  Claimant's Statement About Loan of Food or Shelter & Statement
  About Food or Shelter Provided to Another
FORMS: SSA-5062 SSA-L5063

OMB NO: 0960-0534    EXPIRATION DATE: 12/31/2003
RESPS:194            HOURS:49             COSTS(000):$0
  Waiver of Right to Appear, Disability Hearing
FORMS: SSA-773-U4

OMB NO: 0960-0536    EXPIRATION DATE: 02/29/2004
RESPS:982,357        HOURS:49,118         COSTS(000):$0
  Beneficiary Recontact Report
FORMS: SSA-1587-OCR-SM

OMB NO: 0960-0540    EXPIRATION DATE: 05/31/2004
RESPS:250,000        HOURS:62,500         COSTS(000):$0
  Pain Report-Child
FORMS: SSA-3371-BK

OMB NO: 0960-0542    EXPIRATION DATE: 08/31/2004
RESPS:750,000        HOURS:250,000        COSTS(000):$0
  Function Report, Child (Birth to 1st, Age 1 to 3rd, Age 3 to
  6th, Age 6 to 12th, Age 12 to 18th Birthday)
FORMS: SSA-3375 3376 3377 3378 3379

OMB NO: 0960-0544    EXPIRATION DATE: 10/31/2005
RESPS:24,000         HOURS:400            COSTS(000):$0
  Public Information Campaign Collection
FORMS: NONE

OMB NO: 0960-0546    EXPIRATION DATE: 11/30/2005
RESPS:100,000        HOURS:16,666         COSTS(000):$0
  Supplemental Security Income Notice of Interim Assistance
  Reimbursement
FORMS: SSA-8125 SSA-L8125-F4

OMB NO: 0960-0547    EXPIRATION DATE: 08/31/2004
RESPS:600            HOURS:300            COSTS(000):$0
  Wage Reports and Pension Information (20 CFR 422.122(b))
FORMS: NONE

OMB NO: 0960-0554    EXPIRATION DATE: 10/31/2004
RESPS:40,000         HOURS:20,000         COSTS(000):$0
  Certificate of Coverage Request
FORMS: NONE

OMB NO: 0960-0555    EXPIRATION DATE: 08/31/2003
RESPS:13,156,166     HOURS:3,289,293      COSTS(000):$0
  Generic Clearance of Information Collections Conducted by State
  Disability Determinations Services on Behalf of SSA
FORMS: NONE

OMB NO: 0960-0557    EXPIRATION DATE: 12/31/2005
RESPS:2,100          HOURS:105            COSTS(000):$0
  Inquiry to File an SSI Child's Application; 20 CFR 416.345
FORMS: SSRO-3-293

OMB NO: 0960-0559    EXPIRATION DATE: 10/31/2004
RESPS:7,000          HOURS:14,000         COSTS(000):$0
  Plan for Achieving Self-Support
FORMS: SSA-545

OMB NO: 0960-0561    EXPIRATION DATE: 05/31/2004
RESPS:50,000         HOURS:8,333          COSTS(000):$0
  Modified Benefit Formula Questionnaire-Foreign Pension
FORMS: SSA-308

OMB NO: 0960-0564    EXPIRATION DATE: 05/31/2003
RESPS:3,950,000      HOURS:197,500        COSTS(000):$0
  QuickStart Enrollment Form
FORMS: NONE

OMB NO: 0960-0565    EXPIRATION DATE: 02/28/2005
RESPS:30,000         HOURS:10,010         COSTS(000):$0
  Employer Report of Special Wage Payments
FORMS: SSA-131

OMB NO: 0960-0566    EXPIRATION DATE: 08/31/2003
RESPS:2,228,500      HOURS:119,133        COSTS(000):$0
  Privacy and Disclosure of Official Records and Information;
  Availability of Information and Records to the Public; 20-CFR
  401 & 402
FORMS: SSA-3288

OMB NO: 0960-0568    EXPIRATION DATE: 11/30/2003
RESPS:750,000        HOURS:312,500        COSTS(000):$0
  Childhood Disability Evaluation Form
FORMS: SSA-538

OMB NO: 0960-0575    EXPIRATION DATE: 03/31/2004
RESPS:550,000        HOURS:18,334         COSTS(000):$0
  Request to Resolve Questionable Quarters of Coverage (QC);
  Request for QC History Based on Relationship
FORMS: SSA-512 SSA-513

OMB NO: 0960-0576    EXPIRATION DATE: 03/31/2004
RESPS:30,000         HOURS:10,000         COSTS(000):$0
  Representative Payee Report of Benefits and Dedicated Account
FORMS: SSA-6233

OMB NO: 0960-0577    EXPIRATION DATE: 07/31/2004
RESPS:523,000        HOURS:523,000        COSTS(000):$0
  Disability Report - Child
FORMS: SSA-3820-BK

OMB NO: 0960-0578    EXPIRATION DATE: 08/31/2004
RESPS:1,000,000      HOURS:500,000        COSTS(000):$0
  Work History Report
FORMS: SSA-3369-BK

OMB NO: 0960-0579    EXPIRATION DATE: 12/31/2003
RESPS:2,050,667      HOURS:2,050,667      COSTS(000):$0
  Disability Report, Adult - 20 CFR 404.1512, Subpart O and
  416.912, Subpart I
FORMS: SSA-3368-BK

OMB NO: 0960-0581    EXPIRATION DATE: 12/31/2003
RESPS:100,000        HOURS:28,333         COSTS(000):$0
  Application of Circuit Court Law
FORMS: 20CFR404.985(B) 20CFR416.1485B

OMB NO: 0960-0583    EXPIRATION DATE: 02/29/2004
RESPS:21,000         HOURS:525            COSTS(000):$0
  Internet Request for Replacement SSA-1099/1042S
FORMS: NONE

OMB NO: 0960-0585    EXPIRATION DATE: 03/31/2004
RESPS:100            HOURS:100            COSTS(000):$0
  Discrimination Complaint Form
FORMS: SSA-437

OMB NO: 0960-0595    EXPIRATION DATE: 04/30/2005
RESPS:133,920        HOURS:1,116          COSTS(000):$0
  Electronic Benefit Verification Information (BEVE)
FORMS: NONE

OMB NO: 0960-0596    EXPIRATION DATE: 06/30/2003
RESPS:21,000         HOURS:525            COSTS(000):$0
  Request for Internet Services - Authentication (RISA)
FORMS: NONE

OMB NO: 0960-0598    EXPIRATION DATE: 03/31/2005
RESPS:100,000        HOURS:50,000         COSTS(000):$0
  Work Activity Report (Self-Employed)
FORMS: SSA-820-F4

OMB NO: 0960-0602    EXPIRATION DATE: 06/30/2005
RESPS:60,000         HOURS:2,000          COSTS(000):$0
  Authorization To Obtain Earnings Data for The Social Security
  Administration
FORMS: SSA-581

OMB NO: 0960-0606    EXPIRATION DATE: 06/30/2003
RESPS:88,000         HOURS:220,074        COSTS(000):$12,194
  Annual Registration Statement Identifying Separated Participants
  with Deferred Vested Benefits
FORMS: 1999-EDITION

OMB NO: 0960-0608    EXPIRATION DATE: 07/31/2003
RESPS:210,000        HOURS:10,525         COSTS(000):$0
  Request for Claimant Conference
FORMS: SSA-378

OMB NO: 0960-0610    EXPIRATION DATE: 04/30/2003
RESPS:12,042         HOURS:2,225          COSTS(000):$0
  State Partnership Initiative Demonstration Project
FORMS: NONE

OMB NO: 0960-0615    EXPIRATION DATE: 06/30/2003
RESPS:12,000         HOURS:4,000          COSTS(000):$0
  Application for Special Benefits for World War II Veterans
FORMS: SSA-2000

OMB NO: 0960-0616    EXPIRATION DATE: 08/31/2003
RESPS:189            HOURS:1,137          COSTS(000):$0
  Notice of Proposed Rulemaking, 20 CFR Part 435, Uniform
FORMS: NONE

OMB NO: 0960-0617    EXPIRATION DATE: 06/30/2003
RESPS:1,000          HOURS:17             COSTS(000):$0
  Denial of Supplemental Security Income Benefits for Fugitive
  Felons and Probation and Parole Violators
FORMS: NONE

OMB NO: 0960-0618    EXPIRATION DATE: 08/31/2003
RESPS:169,000        HOURS:60,277         COSTS(000):$0
  Internet Social Security Benefits (ISBA) Application - 20 CFR
  404.310-404.311, 20 CFR 404.330-404.333 & 20 CFR 404
FORMS: NONE

OMB NO: 0960-0619    EXPIRATION DATE: 09/30/2003
RESPS:40             HOURS:40             COSTS(000):$0
  Testimony by Employees and the Production of Records and
FORMS: NONE

OMB NO: 0960-0621    EXPIRATION DATE: 12/31/2003
RESPS:200            HOURS:33             COSTS(000):$0
  Representative Payee Report-Special Veterans
FORMS: SSA-2001

OMB NO: 0960-0622    EXPIRATION DATE: 09/30/2003
RESPS:1,455,000      HOURS:194,000        COSTS(000):$0
  Request for Reconsideration
FORMS: SSA-561

OMB NO: 0960-0623    EXPIRATION DATE: 02/29/2004
RESPS:15,415,712     HOURS:2,569,285      COSTS(000):$0
  Authorization to Source to Release Information to the Social
  Security Administration
FORMS: SSA-827

OMB NO: 0960-0624    EXPIRATION DATE: 03/31/2004
RESPS:144            HOURS:144            COSTS(000):$0
  Medical Parking Application
FORMS: SSA-3192

OMB NO: 0960-0625    EXPIRATION DATE: 02/28/2005
RESPS:55             HOURS:28             COSTS(000):$0
  Electronic Death Registration Survey
FORMS: NONE

OMB NO: 0960-0626    EXPIRATION DATE: 11/30/2003
RESPS:250,040        HOURS:8,335          COSTS(000):$0
  Integrated Registration for Employers and Submitters (IRES)
FORMS: NONE

OMB NO: 0960-0627    EXPIRATION DATE: 09/30/2003
RESPS:2,226          HOURS:446            COSTS(000):$0
  Employment Support Representative Position (ESR): Survey of
  Beneficiaries and Community Organizations
FORMS: NONE

OMB NO: 0960-0628    EXPIRATION DATE: 01/31/2004
RESPS:9,857          HOURS:9,519          COSTS(000):$0
  Survey of Low-Income and Disabled Kids (SOLID KIDS)
FORMS: NONE

OMB NO: 0960-0629    EXPIRATION DATE: 01/31/2004
RESPS:500,000        HOURS:125,000        COSTS(000):$0
  Benefits Planning, Assistance and Outreach (BPAO) Program,
  Cooperative Agreement Announcement No. SSA-OESP-00-1
FORMS: NONE

OMB NO: 0960-0630    EXPIRATION DATE: 05/31/2004
RESPS:200            HOURS:50             COSTS(000):$0
  Beneficiary Interview and Auditor's Observations
FORMS: SSA-322

OMB NO: 0960-0632    EXPIRATION DATE: 09/30/2003
RESPS:391,267        HOURS:65,211         COSTS(000):$0
  Request for Internet/Electronic Services--Password Authentication
FORMS: NONE

OMB NO: 0960-0633    EXPIRATION DATE: 05/31/2004
RESPS:2,720          HOURS:1,020          COSTS(000):$0
  Site Review Questionnaire for Volume Payees; Site Review
  Questionnaire for Fee-For-Service Payees; Site Review -
  Beneficiary Interview Form
FORMS: SSA-637 SSA-638 SSA-639

OMB NO: 0960-0634    EXPIRATION DATE: 07/31/2004
RESPS:3,485          HOURS:581            COSTS(000):$0
  Internet Direct Deposit Application
FORMS: NONE

OMB NO: 0960-0635    EXPIRATION DATE: 07/31/2004
RESPS:1,000,000      HOURS:500,000        COSTS(000):$0
  Function Report - Adult Third Party
FORMS: SSA-3380

OMB NO: 0960-0637    EXPIRATION DATE: 08/31/2004
RESPS:12,000         HOURS:1              COSTS(000):$0
  Quiz Show-Internet Edition
FORMS: NONE

OMB NO: 0960-0639    EXPIRATION DATE: 10/31/2004
RESPS:200            HOURS:50             COSTS(000):$0
  Contact with Rep Payee, Contact with Beneficiary
FORMS: SSA-L4945U2 SSA-L4947U2

OMB NO: 0960-0641    EXPIRATION DATE: 06/30/2005
RESPS:31,492         HOURS:5,915          COSTS(000):$0
  1. State Agency Ticket Assignment Form. 2. State Vocational
  Rehabilitation Ticket to Work Information Sheet and 3.
  Individual Work Plans (IWP) Information Sheet
FORMS: SSA-1365 SSA-1366 SSA-1367

OMB NO: 0960-0642    EXPIRATION DATE: 12/31/2004
RESPS:1              HOURS:1              COSTS(000):$0
  Listing of Impairments, Part 404, Subpart P, Appendix 1
FORMS: NONE

OMB NO: 0960-0643    EXPIRATION DATE: 10/31/2004
RESPS:55,000         HOURS:18,333         COSTS(000):$0
  Statement for Determining Continuing Eligibility for
  Supplemental Security Income (SSI) Payments-Adult Statement for
  Determining Continuing Eligiblity for SSI payments - Child
FORMS: SSA-3988(TEST) SSA-3989(TEST)

OMB NO: 0960-0644    EXPIRATION DATE: 12/31/2004
RESPS:172,202        HOURS:201,680        COSTS(000):$0
  The Ticket to Work and Self-Sufficiency Program
FORMS: NONE

OMB NO: 0960-0646    EXPIRATION DATE: 02/28/2005
RESPS:952,000        HOURS:277,416        COSTS(000):$0
  National Teacher Questionnaire; Request for Administrative
  Information
FORMS: SSA-5665-BK SSA-5666

OMB NO: 0960-0648    EXPIRATION DATE: 06/30/2005
RESPS:150            HOURS:13             COSTS(000):$0
  Credit Card Payment Form
FORMS: SSA-1414

OMB NO: 0960-0650    EXPIRATION DATE: 04/30/2003
RESPS:66,000         HOURS:132,000        COSTS(000):$0
  Internet Social Security Disability Report (ISSDR)
FORMS: NONE

OMB NO: 0960-0651    EXPIRATION DATE: 07/31/2003
RESPS:161            HOURS:13             COSTS(000):$0
  SSA/Pay.Gov Data Collection--TEST/(Online Authetication Form)
FORMS: NONE

OMB NO: 0960-0653    EXPIRATION DATE: 09/30/2003
RESPS:1              HOURS:1              COSTS(000):$0
  20 CFR 416.570 and 416.572, Collection of SSI Overpayments from
  Special Benefits for Certain WWII Vets
FORMS: NONE

OMB NO: 0960-0656    EXPIRATION DATE: 08/31/2003
RESPS:2,100          HOURS:1,575          COSTS(000):$0
  Survey of Income and Program Participation (SIPP) for SSA
  Beneficiaries
FORMS: NONE

OMB NO: 0960-0657    EXPIRATION DATE: 10/31/2003
RESPS:35,000         HOURS:43,750         COSTS(000):$0
  Disability Hearing Officer's Decision - Title XVI Disabled Child
  Continuing Disability Review
FORMS: SSA-1209

OMB NO: 0960-0658    EXPIRATION DATE: 11/30/2005
RESPS:1,487          HOURS:478            COSTS(000):$0
  Benefits for Certain World War II Veterans, 20 CFR 408 Subparts
  B, C an D
FORMS: NONE

OMB NO: 0960-0660    EXPIRATION DATE: 12/31/2004
RESPS:1,000          HOURS:83             COSTS(000):$0
  Social Security Number Verification Service (SSNVS)
FORMS: NONE

OMB NO: 0960-0661    EXPIRATION DATE: 06/30/2003
RESPS:1,000          HOURS:83             COSTS(000):$0
  Voice Print Proof Concept Study
FORMS: NONE

OMB NO: 0960-0662    EXPIRATION DATE: 12/31/2005
RESPS:20             HOURS:50,000         COSTS(000):$0
  Medical Source Statement of Ability To Do Work-Related
  Activities (Physical & Mental)
FORMS: HA-1151 HA-1152

OMB NO: 0960-0663    EXPIRATION DATE: 12/31/2005
RESPS:4              HOURS:1              COSTS(000):$0
  Private Printing and Modification of Prescribed Applications and
  Other Forms; 20 CFR 422.527
FORMS: NONE

OMB NO: 0960-0666    EXPIRATION DATE: 02/28/2006
RESPS:5,538          HOURS:4,735          COSTS(000):$0
  National Employment Activity and Disability Survey
FORMS: NONE

OMB NO: 0960-0667    EXPIRATION DATE: 02/28/2006
RESPS:68             HOURS:7              COSTS(000):$0
  20 CFR 429 Subpart 100, Filing Claims Under the Federal Tort
  Claims Act
FORMS: NONE

OMB NO: 0960-0668    EXPIRATION DATE: 08/31/2003
RESPS:4,700          HOURS:1,175          COSTS(000):$0
  Request for Internet Services Representatives Payee Report
FORMS: NONE

OMB NO: 0960-0669    EXPIRATION DATE: 03/31/2006
RESPS:500,000        HOURS:83,333         COSTS(000):$0
  Employee Verification Service
FORMS: NONE

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
227 113,292,396 27,241,779 $7,388,534
(RETURN TO AGENCY LIST)

Tennessee Valley Authority
OMB NO: 3316-0002    EXPIRATION DATE: 11/30/2004
RESPS:2,054          HOURS:3,792          COSTS(000):$0
  Power Distributors Monthly and Annual Reports to TVA
FORMS: 3957 4171

OMB NO: 3316-0008    EXPIRATION DATE: 08/31/2003
RESPS:100            HOURS:1,000          COSTS(000):$0
  Foreign Line Crossing Data
FORMS: TVA-6573 TVA-6593

OMB NO: 3316-0009    EXPIRATION DATE: 02/29/2004
RESPS:175            HOURS:2,450          COSTS(000):$0
  Salary Surveys for Salary Policy Bargaining Unit Employees
FORMS: NONE

OMB NO: 3316-0016    EXPIRATION DATE: 08/31/2003
RESPS:150            HOURS:40             COSTS(000):$0
  Farmer Questionnaire - Vicinity of Nuclear Power Plants
FORMS: 9476

OMB NO: 3316-0019    EXPIRATION DATE: 02/29/2004
RESPS:20,000         HOURS:6,000          COSTS(000):$0
  Energy Right Residential Program
FORMS: 6254B-1 6254B-3 6254D-4 6254E-1 6254F-1 6254F-2 6254G 6254S-1
6254T-1 6254T-S1

OMB NO: 3316-0062    EXPIRATION DATE: 02/29/2004
RESPS:24,252         HOURS:49,019         COSTS(000):$0
  TVA Procurement Documents, Including Request for Offer; Solici-
  tation, Offer and Acceptance; and other related procurement or
  sales documents.
FORMS: 97 916 5050 9640 9650-1 9903 9903A 9903C 9903D 9910

OMB NO: 3316-0063    EXPIRATION DATE: 08/31/2003
RESPS:17,583         HOURS:15,913         COSTS(000):$0
  Employment Application
FORMS: 1 9871 13045 13045A 17353

OMB NO: 3316-0096    EXPIRATION DATE: 11/30/2004
RESPS:1,700          HOURS:85             COSTS(000):$0
  Customer Input Card for TVA Recreation Areas
FORMS: 17429

OMB NO: 3316-0099    EXPIRATION DATE: 04/30/2005
RESPS:800            HOURS:160            COSTS(000):$0
  TVA Aquatic Plant Management
FORMS: NONE

OMB NO: 3316-0104    EXPIRATION DATE: 10/31/2005
RESPS:567            HOURS:567            COSTS(000):$0
  Economic Assessment of Waterway Docks and Terminals
FORMS: NONE

OMB NO: 3316-0105    EXPIRATION DATE: 08/31/2004
RESPS:2,000          HOURS:167            COSTS(000):$0
  TVA Police Customer Satisfaction Survey
FORMS: NONE

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
11 69,381 79,193 $0
(RETURN TO AGENCY LIST)

FEDERAL ACQUISITION REGULATIONS
OMB NO: 9000-0001    EXPIRATION DATE: 10/31/2004
RESPS:715            HOURS:286            COSTS(000):$0
  Standard Form 28, Affidavit of Individual Surety-FAR Sections
  Affected: 28.106(e); 28.203(b); 53.228(e)
FORMS: 28

OMB NO: 9000-0004    EXPIRATION DATE: 10/31/2003
RESPS:35,000         HOURS:35,000         COSTS(000):$2,450,000
  Architect-Engineer and Related Services Questionnaire, SF 254 -
  FAR Sections Affected: Subpart 36.6 and 36.7; 53.236-2
FORMS: NONE

OMB NO: 9000-0005    EXPIRATION DATE: 10/31/2003
RESPS:20,000         HOURS:24,000         COSTS(000):$1,680,000
  Architect-Engineer and Related Services Questionnaire for
  Specific Project, SF 255 - 36.702(b)(2) and 53.236-2
FORMS: SF-255

OMB NO: 9000-0006    EXPIRATION DATE: 06/30/2004
RESPS:14,631         HOURS:739,225        COSTS(000):$0
  Subcontracting Plans/Subcontracting Report for Individual
  Contracts (SF 294) Section Affected: Subpart 19.7; 52.219-9
FORMS: SF-294

OMB NO: 9000-0007    EXPIRATION DATE: 09/30/2003
RESPS:7,098          HOURS:112,864        COSTS(000):$0
  Summary Subcontract Report FAR Sections Affected: Subpart
FORMS: SF-295 OF-312

OMB NO: 9000-0010    EXPIRATION DATE: 09/30/2005
RESPS:864,000        HOURS:475,000        COSTS(000):$0
  Progress Payments, SF 1443 FAR Sections Affected: Subpart 32.5;
  52.232-13 thru 52.232-16
FORMS: NONE

OMB NO: 9000-0011    EXPIRATION DATE: 10/31/2003
RESPS:6,000          HOURS:144,000        COSTS(000):$0
  Preaward Survey forms (SFs 1403, 1404, 1405, 1406, 1407, and
  1408) FAR Sections Affected: 9.106-2 thru -4
FORMS: SFS-1403 1404 1405 1406 1407 1408

OMB NO: 9000-0012    EXPIRATION DATE: 06/30/2004
RESPS:2,074          HOURS:5,185          COSTS(000):$0
  Termination Settlement Proposal Forms (SF's 1435 through 1440)
  FAR Sections Affected: Subpart 49.6
FORMS: SF-1435 SF-1436 SF-1437 SF-1438 SF-1439 SF-1440

OMB NO: 9000-0013    EXPIRATION DATE: 12/31/2004
RESPS:199,992        HOURS:10,101,684     COSTS(000):$0
  Cost or Pricing Data Exemption--FAR: Subparts 15.4; 42.7;
  52.214-28; 52.215-12; 52.215-13; 52.215-20; 52.215-21
FORMS: NONE

OMB NO: 9000-0014    EXPIRATION DATE: 10/31/2004
RESPS:63,000         HOURS:3,150          COSTS(000):$0
  Statement and Acknowledgment (SF 1413); FAR sections affected;
  22.406-5, 22.407(a), 52.222-11(b), 53.222(e), 53.301-SF 1413
FORMS: NONE

OMB NO: 9000-0018    EXPIRATION DATE: 11/30/2004
RESPS:1,285,000      HOURS:12,850         COSTS(000):$0
  Certification of Independent Price Determination and Parent
  Company and Identifying Data - Sections Affected 3.103; 3.302
FORMS: NONE

OMB NO: 9000-0022    EXPIRATION DATE: 10/31/2004
RESPS:13,300         HOURS:6,650          COSTS(000):$0
  Customs and Duties - FAR Sections Affected: 52.225-8
FORMS: NONE

OMB NO: 9000-0024    EXPIRATION DATE: 10/31/2004
RESPS:58,590         HOURS:9,785          COSTS(000):$0
  Buy American Act-Balance of Payment Program Certificate -- FAR
  Sections Affected: 52.225-2
FORMS: NONE

OMB NO: 9000-0025    EXPIRATION DATE: 10/31/2004
RESPS:11,400         HOURS:1,904          COSTS(000):$0
  Buy American Act, Trade Agreements Act, Balance of Payments
  Program - - FAR Sections Affected: 52.225-6
FORMS: NONE

OMB NO: 9000-0026    EXPIRATION DATE: 04/30/2003
RESPS:157,500        HOURS:26,355         COSTS(000):$555,660
  Change Order Accounting - FAR Sections Affected: 43.205(f),
FORMS: NONE

OMB NO: 9000-0027    EXPIRATION DATE: 10/31/2004
RESPS:1,600          HOURS:48,000         COSTS(000):$0
  Value Engineering Requirements FAR Sections Affected: Subparts
  48.1 and 48.2; 2.248-1; 52.248-2; 52.248-3
FORMS: NONE

OMB NO: 9000-0028    EXPIRATION DATE: 11/30/2004
RESPS:2,920          HOURS:11,680         COSTS(000):$0
  Termination Requirements - FAR Sections Affected: Subparts 49.1
  thru 49.6
FORMS: NONE

OMB NO: 9000-0029    EXPIRATION DATE: 10/31/2004
RESPS:100            HOURS:1,600          COSTS(000):$0
  Extraordinary Contractual Action Requests - FAR Sections
  Affected: 50.403-3; 52.250-1
FORMS: NONE

OMB NO: 9000-0031    EXPIRATION DATE: 05/31/2005
RESPS:2,100          HOURS:525            COSTS(000):$22,050
  Contractor Use of Government Supply Sources - FAR Sections
  Affected: (Subpart 51.1 and 52.251-1)
FORMS: NONE

OMB NO: 9000-0032    EXPIRATION DATE: 05/31/2005
RESPS:140            HOURS:70             COSTS(000):$2,940
  Contractor Use of Interagency Motor Pool Vehicles - FAR Sections
  Affected: (Subpart 51.2 and 52.251-2)
FORMS: NONE

OMB NO: 9000-0033    EXPIRATION DATE: 10/31/2004
RESPS:1              HOURS:82             COSTS(000):$0
  Contractor's Signature Authority--FAR Sections Affected: 4.102
FORMS: NONE

OMB NO: 9000-0034    EXPIRATION DATE: 11/30/2003
RESPS:382,840        HOURS:63,934         COSTS(000):$0
  Examination of Records by Comptroller General and Contract
  Audit; 52.215-2; 52.212-5; 52.214-26
FORMS: NONE

OMB NO: 9000-0035    EXPIRATION DATE: 04/30/2005
RESPS:13,500         HOURS:13,500         COSTS(000):$567,000
  Claims and Appeals - FAR Sections Affected: Parts 32 and 33 and
  52.233-1
FORMS: NONE

OMB NO: 9000-0037    EXPIRATION DATE: 10/31/2004
RESPS:42,480         HOURS:7,094          COSTS(000):$0
  Presolicitation Notice and Response, Standard form 1417: FAR
  Sections Affected: 14.205-4(c); 15.201-c; 36.301; 36.701(a); and
  53.236-1(a)
FORMS: NONE

OMB NO: 9000-0038    EXPIRATION DATE: 04/30/2005
RESPS:4,673          HOURS:2,337          COSTS(000):$98,154
  Mistakes in Bids - FAR Section Affected: 14.407 through 14.407-4
FORMS: NONE

OMB NO: 9000-0039    EXPIRATION DATE: 04/30/2005
RESPS:7,509          HOURS:1,254          COSTS(000):$56,028
  Description Literature - FAR Section Affected: 14.202-5
FORMS: NONE

OMB NO: 9000-0043    EXPIRATION DATE: 03/31/2005
RESPS:17,200         HOURS:2,872          COSTS(000):$120,624
  Delivery Schedules - FAR Sections Affected: 52.211-8 and 52.211-9
FORMS: NONE

OMB NO: 9000-0044    EXPIRATION DATE: 05/31/2005
RESPS:12,320         HOURS:209            COSTS(000):$8,778
  Bid/Offer Acceptance Period - Sections Affected: 52.214-15;
  52.214-16; 52.215-1
FORMS: NONE

OMB NO: 9000-0045    EXPIRATION DATE: 10/31/2004
RESPS:56,520         HOURS:23,738         COSTS(000):$0
  Bid, Performance, and Payments Bonds - FAR Sections Affected;
  Subparts 28.1 and 28.2; 52-228-1; 53.228
FORMS: SF-24 SF-25 SF-25-A SF-25-B SF-34 SF-35 SF-273 SF-274/SF-275
SF-1416 SF-1418

OMB NO: 9000-0047    EXPIRATION DATE: 10/31/2003
RESPS:1,111,558      HOURS:77,810         COSTS(000):$3,268,020
  Place of Performance - FAR Sections Affected: (14.201-6(b),
  15.209(f), 52.214-14, and 52.215-6)
FORMS: NONE

OMB NO: 9000-0048    EXPIRATION DATE: 10/31/2003
RESPS:95,000         HOURS:8,415          COSTS(000):$353,430
  Authorized Negotiators - FAR Sections Affected: 52.215-1(c)(2)
  (iv)
FORMS: NONE

OMB NO: 9000-0053    EXPIRATION DATE: 07/31/2005
RESPS:3,318          HOURS:312            COSTS(000):$13,104
  Permits, Authorities, or Franchises Certification--FAR Sections
  Affected: 47.207-1(a) and 52.247-2
FORMS: NONE

OMB NO: 9000-0054    EXPIRATION DATE: 08/31/2005
RESPS:300            HOURS:75             COSTS(000):$3
  U.S. Flag Air Carriers Certification - FAR Sections Affected:
  47.405 and 52.247-63
FORMS: NONE

OMB NO: 9000-0055    EXPIRATION DATE: 07/31/2005
RESPS:7,920          HOURS:1,323          COSTS(000):$55,566
  Freight Classification Description--FAR Sections Affected:
  47.305-9(b) and 52.247-53
FORMS: NONE

OMB NO: 9000-0056    EXPIRATION DATE: 05/31/2005
RESPS:1,000          HOURS:167            COSTS(000):$7,014
  Report of Shipment - FAR Sections Affected: (42.1406-1,
  42-1406-2, and 52.242-12)
FORMS: NONE

OMB NO: 9000-0057    EXPIRATION DATE: 08/31/2005
RESPS:400            HOURS:100            COSTS(000):$4
  Evaluation of Export Offers - FAR Sections Affected: 47.305-6(e)
  and 52.247-51
FORMS: NONE

OMB NO: 9000-0058    EXPIRATION DATE: 05/31/2005
RESPS:5,200          HOURS:5,200          COSTS(000):$218,400
  Schedules for Construction Contracts - FAR Section Affected:
  52.236-15
FORMS: NONE

OMB NO: 9000-0059    EXPIRATION DATE: 05/31/2005
RESPS:424            HOURS:72             COSTS(000):$3,024
  North Carolina Sales Tax Certification - FAR Sections Affected
  29.304(d); 29.401-2; and 52.229-2
FORMS: NONE

OMB NO: 9000-0060    EXPIRATION DATE: 05/31/2005
RESPS:4,212          HOURS:8,424          COSTS(000):$410,670
  Accident Prevention Plans and Recordkeeping - FAR Section
  Affected: 52.236-13
FORMS: NONE

OMB NO: 9000-0061    EXPIRATION DATE: 07/31/2005
RESPS:1,385,990      HOURS:65,870         COSTS(000):$2,737,644
  Transportation Requirements - FAR Sections Affected: 47.207-1;
  47.303-1 thru 47.303-16; 47.305-2, -3, -6, and 13; 47-507(e)
FORMS: NONE

OMB NO: 9000-0062    EXPIRATION DATE: 05/31/2005
RESPS:4,740          HOURS:1,185          COSTS(000):$41,475
  Material and Workmanship - FAR Section Affected: 53.236-5
FORMS: NONE

OMB NO: 9000-0064    EXPIRATION DATE: 05/31/2005
RESPS:50             HOURS:38             COSTS(000):$1,330
  Organization and Direction of Work - - Sections Affected:
  36.519, 52.236.19
FORMS: NONE

OMB NO: 9000-0065    EXPIRATION DATE: 04/30/2005
RESPS:1,270          HOURS:318            COSTS(000):$13,356
  Overtime - FAR Sections Affected: (22.103 and 52.222-2
FORMS: NONE

OMB NO: 9000-0066    EXPIRATION DATE: 05/31/2004
RESPS:6,193          HOURS:3,097          COSTS(000):$0
  Professional Employee Compensation Plan; Subpart 22.11, 52.222-46
FORMS: NONE

OMB NO: 9000-0067    EXPIRATION DATE: 06/30/2005
RESPS:3,000          HOURS:3,000          COSTS(000):$131,250
  Incentive Contracts - FAR Sections Affected: Subpart 16.4;
  52.216-16; 52.216-17
FORMS: NONE

OMB NO: 9000-0068    EXPIRATION DATE: 08/31/2005
RESPS:5,346          HOURS:1,337          COSTS(000):$0
  Economic Price Adjustment - FAR Sections Affected: 16.203;
  15.216-2; 52.216-3; and 52.216-4
FORMS: NONE

OMB NO: 9000-0069    EXPIRATION DATE: 12/31/2005
RESPS:3,000          HOURS:6,564,000      COSTS(000):$0
  Indirect Cost Rates - FAR Secions Affected: Subpart 42.7;
  52.216-7; 52.216-13; and 52.216-15
FORMS: NONE

OMB NO: 9000-0070    EXPIRATION DATE: 07/31/2005
RESPS:9,600,000      HOURS:240,000        COSTS(000):$8,400,000
  Payments - FAR Sections Affected: 52.232-1 thru 52.232-11
FORMS: NONE

OMB NO: 9000-0071    EXPIRATION DATE: 09/30/2005
RESPS:7,000          HOURS:7,000          COSTS(000):$0
  Price redetermination - FAR Sections Affected: 16.205, 16.206;
  52.216-5; and 52.216-6
FORMS: NONE

OMB NO: 9000-0073    EXPIRATION DATE: 07/31/2005
RESPS:500            HOURS:500            COSTS(000):$17,500
  Advance Payments - FAR Sections Affected: Subpart 32.4 and
  52.232-12
FORMS: NONE

OMB NO: 9000-0074    EXPIRATION DATE: 08/31/2005
RESPS:53,456         HOURS:26,728         COSTS(000):$0
  Contract Funding - Limitation of Costs/Funds -- FAR Sections
  Affected: Subpart 32.7 and 52.232-20 thru 52.232-22
FORMS: NONE

OMB NO: 9000-0075    EXPIRATION DATE: 09/30/2003
RESPS:13,624,122     HOURS:6,575,309      COSTS(000):$0
  Government Property - Part 45, Clauses 52.245-2; -4; -5; -7 thru
  -11; -17 thru 19
FORMS: 1426-THRU-1434

OMB NO: 9000-0076    EXPIRATION DATE: 05/31/2003
RESPS:1,000          HOURS:458            COSTS(000):$0
  Novation/Change of Name Requirements FAR Section Affected:
  Subpart 42.12
FORMS: NONE

OMB NO: 9000-0077    EXPIRATION DATE: 09/30/2004
RESPS:950            HOURS:39,719         COSTS(000):$0
  Quality Assurance Requirements --FAR Sections Affected: Supbarts
  46.1 thru 46.3; 52.246-2 thru 52.246-8; 52.246-10; 52.246-12;
  52.246-15
FORMS: NONE

OMB NO: 9000-0078    EXPIRATION DATE: 10/31/2004
RESPS:450            HOURS:3,600          COSTS(000):$0
  Make-or-Buy Program - FAR Sections Affected: 15-407-2; 52.215-9
FORMS: NONE

OMB NO: 9000-0079    EXPIRATION DATE: 06/30/2003
RESPS:3,000          HOURS:18,000         COSTS(000):$0
  Corporate Aircraft Costs FAR Sections Affected: 31.205-46
FORMS: NONE

OMB NO: 9000-0080    EXPIRATION DATE: 09/30/2005
RESPS:10,000         HOURS:10,000         COSTS(000):$0
  Integrity of Unit Prices - Sections Affected: 15.408(f) and
  52.215-14
FORMS: NONE

OMB NO: 9000-0082    EXPIRATION DATE: 09/30/2005
RESPS:38,100         HOURS:31,623         COSTS(000):$0
  Economic Purchase Quantities - Supplies FAR Sections Affected:
  7.203 and 52.207-4
FORMS: NONE

OMB NO: 9000-0083    EXPIRATION DATE: 09/30/2005
RESPS:220,700        HOURS:55,175         COSTS(000):$0
  Qualification Requirements - FAR Sections Affected: Subpart 9.2
  and 52.209-1
FORMS: NONE

OMB NO: 9000-0088    EXPIRATION DATE: 09/30/2004
RESPS:10             HOURS:14,500         COSTS(000):$0
  Travel Costs--FAR Sections Affected: 31.205-46
FORMS: NONE

OMB NO: 9000-0090    EXPIRATION DATE: 05/31/2004
RESPS:1,100          HOURS:29,970         COSTS(000):$0
  Rights in Data and Copyrights; Subpart 27.4; 52.227-14 thru
  52.227-21
FORMS: NONE

OMB NO: 9000-0091    EXPIRATION DATE: 06/30/2005
RESPS:100            HOURS:100            COSTS(000):$4,200
  Abti-Kickback Procedures - FAR Sections Affected: 3.502; 52.203-7
FORMS: NONE

OMB NO: 9000-0094    EXPIRATION DATE: 01/31/2004
RESPS:1,150,000      HOURS:596,667        COSTS(000):$0
  Debarment and Suspension. FAR Sections Affected: 9.103, 9.104,
  9.404, 52.209-6, 52.212-3(h)
FORMS: NONE

OMB NO: 9000-0095    EXPIRATION DATE: 10/31/2004
RESPS:11,700         HOURS:45,630         COSTS(000):$0
  Commerce Patent Regulations - FAR Sections Affected: 27.3;
  52.227-11 thru -13; Pub. L. 98-620
FORMS: NONE

OMB NO: 9000-0096    EXPIRATION DATE: 09/30/2003
RESPS:30             HOURS:15             COSTS(000):$0
  Patents FAR Sections Affected: 27.2; 52.227-2
FORMS: NONE

OMB NO: 9000-0097    EXPIRATION DATE: 10/31/2004
RESPS:3,000,000      HOURS:300,000        COSTS(000):$0
  Information Reporting to the Internal Revenue Service (Taxpayer
  Identification Number)-Secs. Affected: Subpart 4.9;52.204-3
FORMS: NONE

OMB NO: 9000-0101    EXPIRATION DATE: 05/31/2005
RESPS:600            HOURS:102            COSTS(000):$8,400
  Drug-Free Workplace - FAR Section Affected: 52.223-6(b)(5)
FORMS: NONE

OMB NO: 9000-0102    EXPIRATION DATE: 09/30/2004
RESPS:420,134        HOURS:671,211        COSTS(000):$0
  Prompt Payment--FAR Sections Affected: Subparts 32.9; 52.232-5;
  52.232-26; 52.232-27; 52.212-4
FORMS: NONE

OMB NO: 9000-0107    EXPIRATION DATE: 09/30/2005
RESPS:2,500          HOURS:2,500          COSTS(000):$0
  Notice of Radioactive Materials - FAR Section Affected: 23.602
  and 52.223-7
FORMS: NONE

OMB NO: 9000-0108    EXPIRATION DATE: 06/30/2005
RESPS:1,000          HOURS:1,250          COSTS(000):$52,500
  Bankruptcy--FAR Section Affected: 52.242-13
FORMS: NONE

OMB NO: 9000-0113    EXPIRATION DATE: 10/31/2004
RESPS:20             HOURS:20             COSTS(000):$0
  Acquisition of Helium --FAR Section Affected 8.5
FORMS: NONE

OMB NO: 9000-0114    EXPIRATION DATE: 09/30/2003
RESPS:130            HOURS:440            COSTS(000):$30
  Right of First Refusal of Employment FAR Sections Affected:
FORMS: NONE

OMB NO: 9000-0115    EXPIRATION DATE: 11/30/2003
RESPS:100            HOURS:125            COSTS(000):$0
  Notification of Ownership Changes FAR Section Affected:
  15.408(k); 52.215-19
FORMS: NONE

OMB NO: 9000-0122    EXPIRATION DATE: 05/31/2004
RESPS:5,140          HOURS:2,285          COSTS(000):$0
  Scope and Duration of Contract -- FAR Sections Affected: 52.241-3
FORMS: NONE

OMB NO: 9000-0123    EXPIRATION DATE: 06/30/2004
RESPS:5,140          HOURS:2,285          COSTS(000):$0
  Change in Rates or Terms and Condiitons of Service for Regulated
  Services -- FAR Sections Affected: 52.241-7
FORMS: NONE

OMB NO: 9000-0124    EXPIRATION DATE: 06/30/2004
RESPS:450            HOURS:900            COSTS(000):$0
  Capital Credits - FAR Clause 52.241-13 FAR Sections Affected:
  52.241-13
FORMS: NONE

OMB NO: 9000-0125    EXPIRATION DATE: 06/30/2004
RESPS:50             HOURS:25             COSTS(000):$0
  Written Refusal of a Utility Supplier to Execute a Utility
  Contract FAR Sections Affected: 41.202(c)
FORMS: NONE

OMB NO: 9000-0126    EXPIRATION DATE: 06/30/2004
RESPS:500            HOURS:225            COSTS(000):$0
  Electric Service Territory Compliance Representation -- FAR
  Sections affected: 52.241
FORMS: NONE

OMB NO: 9000-0129    EXPIRATION DATE: 09/30/2003
RESPS:1,462          HOURS:293,650        COSTS(000):$0
  Cost Accounting Standards Administration FAR Sections Affected:
  Subpart 30.6; 52.230-5
FORMS: NONE

OMB NO: 9000-0130    EXPIRATION DATE: 04/30/2003
RESPS:5,700          HOURS:952            COSTS(000):$39,318
  Buy American Act-north American Free Trade Agreement FAR
  Sections Affected: 52.225-4
FORMS: NONE

OMB NO: 9000-0132    EXPIRATION DATE: 09/30/2003
RESPS:1,580          HOURS:26,860         COSTS(000):$0
  Contractors' Purchasing systems Reviews FAR Sections Affected:
  44-305-2(c); 44.305-3; 2.244-2(j)
FORMS: NONE

OMB NO: 9000-0133    EXPIRATION DATE: 11/30/2003
RESPS:18             HOURS:1,800          COSTS(000):$0
  Defense Production Act Amendments FAR Sections Affected: 34.1
  and 52.234-1
FORMS: NONE

OMB NO: 9000-0134    EXPIRATION DATE: 10/31/2004
RESPS:64,350         HOURS:32,175         COSTS(000):$0
  Environmentally Sound Products - FAR Sections Affected: 23.405;
  52.223-4
FORMS: NONE

OMB NO: 9000-0135    EXPIRATION DATE: 05/31/2004
RESPS:60,000         HOURS:30,000         COSTS(000):$0
  Subcontractor Requests for Bonds; FAR 28.106-4; 52.228-12
FORMS: NONE

OMB NO: 9000-0136    EXPIRATION DATE: 10/31/2003
RESPS:1,427,800      HOURS:445,450        COSTS(000):$0
  Commercial item Acquisitions-FAR Sections Affected: Part
FORMS: NONE

OMB NO: 9000-0138    EXPIRATION DATE: 09/30/2004
RESPS:11,000         HOURS:22,000         COSTS(000):$0
  Contract Financing--FAR Sections Affected Subparts 32.0; 32.1,
  32.2; 32.5, 32.10; 52.232-29 thru 32
FORMS: NONE

OMB NO: 9000-0139    EXPIRATION DATE: 12/31/2005
RESPS:167,487        HOURS:83,744         COSTS(000):$0
  Federal Acquisition and Commuinity Right-to-Know-FAR Sections
  Affected Subpart 23.9; 52.223-13; and 52.223-14
FORMS: NONE

OMB NO: 9000-0141    EXPIRATION DATE: 06/30/2005
RESPS:1,000          HOURS:2,500          COSTS(000):$69,125
  Buy American Act - Construction - FAR Sections Affected: Subpart
  25.2; 52.225-9; and 52.25-11
FORMS: NONE

OMB NO: 9000-0142    EXPIRATION DATE: 11/30/2005
RESPS:600,000        HOURS:1,200,000      COSTS(000):$0
  Past Performance Information (FAR Sections 9.104-1; 9.105-1;
  15.406; 15.604; 15.608; 42.302; Subpart 42.15
FORMS: NONE

OMB NO: 9000-0144    EXPIRATION DATE: 09/30/2005
RESPS:140,000        HOURS:70,000         COSTS(000):$0
  Payment by Electronic Fund Transfer
FORMS: NONE

OMB NO: 9000-0145    EXPIRATION DATE: 04/30/2003
RESPS:201,600        HOURS:4,147          COSTS(000):$106,494
  use of data universal numbering system (DuNS) as Primary
  52.204-6, 52.212-1)j)
FORMS: SF-294 SF-295

OMB NO: 9000-0147    EXPIRATION DATE: 07/31/2003
RESPS:19,500         HOURS:14,500         COSTS(000):$0
  Pollution Prevention and Right-to-Know Information FAR Sections
  Affected: Subpart 23.10 and 52.223-5
FORMS: NONE

OMB NO: 9000-0149    EXPIRATION DATE: 07/31/2003
RESPS:15,349         HOURS:13,384         COSTS(000):$0
  Subcontract Consent FAR Sections Affected: 44.201, 52.244-2
FORMS: NONE

OMB NO: 9000-0150    EXPIRATION DATE: 06/30/2003
RESPS:183,257        HOURS:381,305        COSTS(000):$0
  Small Disadvantaged Business Procurement Credit Programs FAR
  Sections Affected: 19.11 Subpart 19,12, 52.219-22, -23,
  52.219-24, 52.219-25, 52.219-26
FORMS: OF-312

OMB NO: 9000-0152    EXPIRATION DATE: 05/31/2003
RESPS:19,906         HOURS:9,953          COSTS(000):$0
  Service Contracting - FAR Sections Affected: 52.237-10; 37.115-3
FORMS: NONE

OMB NO: 9000-0153    EXPIRATION DATE: 03/31/2005
RESPS:100            HOURS:100            COSTS(000):$0
  OMB Circular A-119 FAR Parts Affected: Subparts 11.1; 11.2;
  52.211-7
FORMS: NONE

OMB NO: 9000-0154    EXPIRATION DATE: 03/31/2006
RESPS:1              HOURS:81,000         COSTS(000):$0
  Davis-Bacon Act--Price Adjustment (Actual Method) FAR Section
  Affected: 52.222-32
FORMS: NONE

OMB NO: 9000-0155    EXPIRATION DATE: 10/31/2004
RESPS:1              HOURS:250            COSTS(000):$6,750
  Prohibition on Acquisition of Products Produced by Forced or
  Indentured Child Labor (FAR 22.15)
FORMS: NONE

OMB NO: 9000-0156    EXPIRATION DATE: 10/31/2004
RESPS:75             HOURS:18             COSTS(000):$0
  Trademarks for Government Products and Services - FAR Sections
  Affected: Subpart 27.X; 52.227-XX
FORMS: NONE

OMB NO: 9000-0157    EXPIRATION DATE: 10/31/2003
RESPS:20,000         HOURS:580,000        COSTS(000):$0
  Consolidated Form for Selection of Architect-Engineer Contracts
FORMS: SF-330

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
100 37,019,292 30,585,726 $21,519,841
(RETURN TO AGENCY LIST)

Interagency Council on the Homeless
OMB NO: 3114-0001    EXPIRATION DATE: 09/30/2003
RESPS:300            HOURS:28,800         COSTS(000):$0
  Collaborative Initiative to Help End Chronic Homelessness
FORMS: NONE

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
1 300 28,800 $0
(RETURN TO AGENCY LIST)

National Institute for Literacy
OMB NO: 3430-0003    EXPIRATION DATE: 06/30/2004
RESPS:50             HOURS:1,000          COSTS(000):$0
  Literacy Leader Fellowship Program
FORMS: NONE

OMB NO: 3430-0006    EXPIRATION DATE: 06/30/2003
RESPS:25             HOURS:108            COSTS(000):$0
  Application for Cooperative Agreement for Content Development
  Partners (Special Collections)
FORMS: NONE

OMB NO: 3430-0007    EXPIRATION DATE: 06/30/2003
RESPS:15             HOURS:120            COSTS(000):$0
  Application for Cooperative Agreement for LINCS Regional
  Technology Centers
FORMS: NONE

AGENCY TOTALS:


ACTIVE ANNUAL ANNUAL ANNUAL REPORTS RESPONSES HOURS COSTS($000)
3 90 1,228 $0
(RETURN TO AGENCY LIST)