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OMB NO: 0503-0003 EXPIRATION DATE: 03/31/2002 RESPS:210 HOURS:52 COSTS(000):$0 National Appeals Division Customer Service Survey FORMS: NONE Office of Chief Financial Officer OMB NO: 0505-0001 EXPIRATION DATE: 07/31/2002 RESPS:1,631 HOURS:815 COSTS(000):$0 Advisory Committee Membership Background Information FORMS: AD-755 OMB NO: 0505-0007 EXPIRATION DATE: 03/31/2002 RESPS:4,146 HOURS:4,146 COSTS(000):$0 Debt Collection FORMS: NONE OMB NO: 0505-0011 EXPIRATION DATE: 07/31/2003 RESPS:600 HOURS:150 COSTS(000):$0 Maximum Workweek - Construction Schedule FORMS: NONE OMB NO: 0505-0013 EXPIRATION DATE: 07/31/2003 RESPS:3,200 HOURS:112,000 COSTS(000):$0 Instructions for the Preparation of Technical and Business Proposals FORMS: NONE OMB NO: 0505-0014 EXPIRATION DATE: 07/31/2003 RESPS:45,170 HOURS:4,517 COSTS(000):$0 Brand Name or Equal Provision and Clause FORMS: NONE OMB NO: 0505-0015 EXPIRATION DATE: 07/31/2003 RESPS:200 HOURS:200 COSTS(000):$0 Procurement: Key Personnel Clause FORMS: NONE OMB NO: 0505-0016 EXPIRATION DATE: 07/31/2003 RESPS:2,400 HOURS:3,600 COSTS(000):$0 Progress Reporting Clause FORMS: NONE Office of Communications No active collections for this subagency Office of Civil Rights OMB NO: 0508-0004 EXPIRATION DATE: 05/31/2003 RESPS:40,000 HOURS:3,334 COSTS(000):$0 USDA Minority Farm Register FORMS: NONE Agricultural Research Service OMB NO: 0518-0003 EXPIRATION DATE: 11/30/2001 RESPS:75 HOURS:225 COSTS(000):$0 Patent License Application FORMS: 761 OMB NO: 0518-0013 EXPIRATION DATE: 08/31/2002 RESPS:300 HOURS:25 COSTS(000):$0 USDA Biological Shipment Record, Beneficial Organisms FORMS: AD-941 AD-942 AD-943 OMB NO: 0518-0023 EXPIRATION DATE: 06/30/2001 RESPS:5,066 HOURS:7,800 COSTS(000):$0 Continuing Survey of Food Intakes by Individuals (CSFII) 1999-2002 FORMS: NONE OMB NO: 0518-0026 EXPIRATION DATE: 12/31/2001 RESPS:900 HOURS:450 COSTS(000):$0 Food and Nutrition Information Center Customer Satisfaction Survey for Food and Nutrition Service Audiences FORMS: NONE OMB NO: 0518-0027 EXPIRATION DATE: 09/30/2002 RESPS:80,000 HOURS:1,300 COSTS(000):$0 Information Collection for Document Delivery Services FORMS: NONE OMB NO: 0518-0028 EXPIRATION DATE: 09/30/2003 RESPS:4,360 HOURS:4,601 COSTS(000):$0 Peer Review-Related Forms for the Office of Scientific Quality Review FORMS: ARS-199A ARS-200-PA ARS-202PA ARS-203PA ARS-209P ARS-211P ARS-223P ARS-225P ARS-227P Cooperative State Research, Education, and Extension Service OMB NO: 0524-0022 EXPIRATION DATE: 07/31/2001 RESPS:35,300 HOURS:136,450 COSTS(000):$0 Application Kit FORMS: CSREES-55 CSREES-661 CSREES-662 CSREES-663 OMB NO: 0524-0024 EXPIRATION DATE: 03/31/2002 RESPS:1,600 HOURS:9,458 COSTS(000):$0 Food and Agricultural Sciences National Needs Graduate Fellowships Grants Program Application Guidelines FORMS: 701 702 703 706 707 708 709 OMB NO: 0524-0025 EXPIRATION DATE: 07/31/2001 RESPS:480 HOURS:1,920 COSTS(000):$0 Grant Application Forms for the Small Business Innovation Research Grants Program FORMS: CSREES-667 CSREES-668 OMB NO: 0524-0026 EXPIRATION DATE: 08/31/2003 RESPS:150 HOURS:600 COSTS(000):$0 Assurance of Compliance with the Department of Agriculture Regulations Assuring Civil Rights Compliance "Organizational Information" FORMS: CSREES-665 CSREES-666 OMB NO: 0524-0030 EXPIRATION DATE: 01/31/2001 RESPS:3,200 HOURS:22,400 COSTS(000):$0 Grant Application Forms for Higher Education Programs FORMS: CSREES-662 CSREES-663 CSREES-708 CSREES-710 CSREES-711 CSREES-712 CSREES-713 OMB NO: 0524-0033 EXPIRATION DATE: 01/31/2001 RESPS:11,200 HOURS:4,400 COSTS(000):$0 National Research Initiative Competitive Grants Program Application Kit FORMS: CSREES-1232 CSREES-1233 CSREES-1234 OMB NO: 0524-0034 EXPIRATION DATE: 07/31/2002 RESPS:40 HOURS:20 COSTS(000):$0 Application for Authorization to Use the 4-H Name and/or Emblem FORMS: CSREES-01 OMB NO: 0524-0035 EXPIRATION DATE: 07/31/2002 RESPS:311 HOURS:17,827 COSTS(000):$0 Stakeholder Input Requirements for Recipients of Agricultural Research, Education, and Extension Formula Funds FORMS: NONE OMB NO: 0524-0036 EXPIRATION DATE: 05/31/2002 RESPS:148 HOURS:202,017 COSTS(000):$0 Reporting Requirements for State Plans of Work for Agricultural Research and Extension Formula Funds FORMS: NONE OMB NO: 0524-0038 EXPIRATION DATE: 04/30/2003 RESPS:117 HOURS:457 COSTS(000):$0 Section 1449 Matching Funds Requirement for Research and Extension Activities at Eligible Institutions FORMS: CSREES-2103 National Agricultural Statistical Service OMB NO: 0535-0001 EXPIRATION DATE: 09/30/2001 RESPS:11,300 HOURS:4,505 COSTS(000):$0 Cold Storage FORMS: NONE OMB NO: 0535-0002 EXPIRATION DATE: 09/30/2001 RESPS:501,844 HOURS:119,350 COSTS(000):$0 Field Crops Production FORMS: NONE OMB NO: 0535-0003 EXPIRATION DATE: 09/30/2001 RESPS:70,733 HOURS:14,484 COSTS(000):$0 Agricultural Prices FORMS: NONE OMB NO: 0535-0004 EXPIRATION DATE: 08/31/2002 RESPS:27,336 HOURS:5,421 COSTS(000):$0 Egg, Chicken, and Turkey Surveys FORMS: NONE OMB NO: 0535-0005 EXPIRATION DATE: 12/31/2001 RESPS:117,568 HOURS:21,659 COSTS(000):$0 Livestock Survey FORMS: NONE OMB NO: 0535-0007 EXPIRATION DATE: 08/31/2002 RESPS:48,167 HOURS:14,683 COSTS(000):$0 Stocks Report FORMS: NONE OMB NO: 0535-0020 EXPIRATION DATE: 03/31/2001 RESPS:177,688 HOURS:24,223 COSTS(000):$0 Milk an Milk Products FORMS: NONE OMB NO: 0535-0037 EXPIRATION DATE: 03/31/2003 RESPS:17,896 HOURS:3,071 COSTS(000):$0 Vegetables FORMS: NONE OMB NO: 0535-0039 EXPIRATION DATE: 09/30/2001 RESPS:49,719 HOURS:14,137 COSTS(000):$0 Fruits, Nuts, and Specialty Crops FORMS: NONE OMB NO: 0535-0088 EXPIRATION DATE: 08/31/2002 RESPS:12,950 HOURS:4,013 COSTS(000):$0 Field Crops Objective Yield FORMS: NONE OMB NO: 0535-0093 EXPIRATION DATE: 04/30/2003 RESPS:14,600 HOURS:6,532 COSTS(000):$0 Floriculture Survey FORMS: NONE OMB NO: 0535-0109 EXPIRATION DATE: 09/30/2002 RESPS:43,070 HOURS:10,608 COSTS(000):$0 Agricultural Labor Survey FORMS: NONE OMB NO: 0535-0140 EXPIRATION DATE: 10/31/2003 RESPS:325,000 HOURS:22,500 COSTS(000):$0 List Sampling Frame Survey FORMS: NONE OMB NO: 0535-0150 EXPIRATION DATE: 03/31/2003 RESPS:3,300 HOURS:861 COSTS(000):$0 Acquaculture Survey FORMS: NONE OMB NO: 0535-0153 EXPIRATION DATE: 09/30/2003 RESPS:7,278 HOURS:2,492 COSTS(000):$0 Honey Survey FORMS: NONE OMB NO: 0535-0209 EXPIRATION DATE: 01/31/2001 RESPS:175 HOURS:525 COSTS(000):$0 Supplemental Qualifications Statement FORMS: NONE OMB NO: 0535-0212 EXPIRATION DATE: 12/31/2001 RESPS:425 HOURS:71 COSTS(000):$0 Mink Survey FORMS: NONE OMB NO: 0535-0213 EXPIRATION DATE: 01/31/2001 RESPS:546,600 HOURS:139,260 COSTS(000):$0 Agricultural Surveys Program FORMS: NONE OMB NO: 0535-0217 EXPIRATION DATE: 04/30/2002 RESPS:10,400 HOURS:2,253 COSTS(000):$0 Wildlife Damage FORMS: NONE OMB NO: 0535-0218 EXPIRATION DATE: 12/31/2003 RESPS:111,818 HOURS:41,017 COSTS(000):$0 Agricultural Resource Management, Chemical Use, and Post-harvest Chemical Use Surveys FORMS: NONE OMB NO: 0535-0220 EXPIRATION DATE: 01/31/2001 RESPS:11,610 HOURS:1,168 COSTS(000):$0 Cotton Ginnings FORMS: NONE OMB NO: 0535-0227 EXPIRATION DATE: 12/31/2001 RESPS:43,800 HOURS:21,900 COSTS(000):$0 Equine Survey FORMS: NONE OMB NO: 0535-0231 EXPIRATION DATE: 09/30/2001 RESPS:11,717 HOURS:572 COSTS(000):$0 Respondent Information Evaluation FORMS: NONE OMB NO: 0535-0236 EXPIRATION DATE: 10/31/2001 RESPS:44,650 HOURS:48,371 COSTS(000):$0 1998 Census of Horticultural Specialties FORMS: NONE OMB NO: 0535-0241 EXPIRATION DATE: 10/31/2003 RESPS:21,720 HOURS:3,658 COSTS(000):$0 Monthly Hog Survey FORMS: NONE OMB NO: 0535-0243 EXPIRATION DATE: 12/31/2001 RESPS:16,950 HOURS:8,355 COSTS(000):$0 Census of Agriculture Content Test FORMS: NONE Economic Research Service OMB NO: 0536-0041 EXPIRATION DATE: 06/30/2001 RESPS:3,000 HOURS:990 COSTS(000):$0 Characteristics of Participants in USDA's Single-Family Direct Loan Housing Program FORMS: NONE OMB NO: 0536-0043 EXPIRATION DATE: 04/30/2002 RESPS:50,000 HOURS:6,882 COSTS(000):$0 Food Security Supplement to the Current Population Survey FORMS: NONE OMB NO: 0536-0045 EXPIRATION DATE: 09/30/2001 RESPS:3,676 HOURS:4,521 COSTS(000):$0 Family Child Care Homes Legislative Changes Study FORMS: NONE OMB NO: 0536-0046 EXPIRATION DATE: 01/31/2002 RESPS:1,750 HOURS:875 COSTS(000):$0 Survey of Multifamily Rental Housing Funded Through USDA's Rural Rental Housing Program FORMS: NONE OMB NO: 0536-0048 EXPIRATION DATE: 06/30/2001 RESPS:9,046 HOURS:4,941 COSTS(000):$0 Emergency Food Assistance System Study FORMS: NONE OMB NO: 0536-0051 EXPIRATION DATE: 09/30/2001 RESPS:1,400 HOURS:467 COSTS(000):$0 Evaluation of the Impact of EBT Customer Waivers on Recipients: New EBT User Survey FORMS: NONE OMB NO: 0536-0053 EXPIRATION DATE: 11/30/2003 RESPS:37,278 HOURS:5,110 COSTS(000):$0 Study of Program Access and Declining Food Stamp Participation FORMS: NONE Foreign Agricultural Service OMB NO: 0551-0001 EXPIRATION DATE: 12/31/2003 RESPS:440 HOURS:270 COSTS(000):$0 Title Dairy Tariff-Rate Import Quota Licensing Regulation FORMS: 923 923A 923B 924A 924B OMB NO: 0551-0004 EXPIRATION DATE: 11/30/2002 RESPS:23,397 HOURS:5,440 COSTS(000):$0 CCC/Export Credit Guarantee Program -- GSM-102 and Intermediate Export Credit Guarantee Program -- GSM-103 FORMS: NONE OMB NO: 0551-0005 EXPIRATION DATE: 08/31/2003 RESPS:205 HOURS:423 COSTS(000):$0 Regulations - Financing Commercial Sales of Agricultural Commodities Under Title I, P.L. 480 - Recordkeeping and Reporting Requirements FORMS: NONE OMB NO: 0551-0007 EXPIRATION DATE: 09/30/2001 RESPS:55,728 HOURS:30,686 COSTS(000):$0 Export Sales of U.S. Agricultural Commodities FORMS: FAS-97 FAS-98 FAS-99 FAS-100 OMB NO: 0551-0008 EXPIRATION DATE: 04/30/2002 RESPS:50 HOURS:25 COSTS(000):$0 Request for Vessel Approval FORMS: CCC-105 OMB NO: 0551-0009 EXPIRATION DATE: 08/31/2003 RESPS:89 HOURS:23 COSTS(000):$0 Declaration of Sale FORMS: FAS-359 OMB NO: 0551-0014 EXPIRATION DATE: 01/31/2001 RESPS:2,000 HOURS:333 COSTS(000):$0 Certificate of Quota Eligibility FORMS: FAS-961 OMB NO: 0551-0015 EXPIRATION DATE: 08/31/2001 RESPS:983 HOURS:4,590 COSTS(000):$0 Sugar Imported To Be Reexported in Refined Form, in Sugar-Containing Products, or Used in Production of Certain Alcohols FORMS: NONE OMB NO: 0551-0024 EXPIRATION DATE: 03/31/2003 RESPS:1,800 HOURS:1,010 COSTS(000):$0 Buyer Alert FORMS: FAS-964 OMB NO: 0551-0025 EXPIRATION DATE: 09/30/2001 RESPS:30 HOURS:60 COSTS(000):$0 No Form Required, Specialty Sugar; Importer Applies to USDA/ Import Licensing and a Letter (Specialty Certificate) Is Provided FORMS: NONE OMB NO: 0551-0026 EXPIRATION DATE: 03/31/2003 RESPS:2,134 HOURS:43,748 COSTS(000):$0 FAS/Cooperator Foreign Market Development Program FORMS: NONE OMB NO: 0551-0027 EXPIRATION DATE: 06/30/2003 RESPS:2,670 HOURS:62,830 COSTS(000):$0 Market Access Program FORMS: NONE OMB NO: 0551-0028 EXPIRATION DATE: 09/30/2003 RESPS:3,063 HOURS:1,803 COSTS(000):$0 CCC's Export Enhancement Program (EEP) and CCC's Export Incentive Program (DEIP) FORMS: NONE OMB NO: 0551-0031 EXPIRATION DATE: 05/31/2002 RESPS:27,000 HOURS:2,375 COSTS(000):$0 List of Commodities by Firm Available for Exporting FORMS: FAS-1009 OMB NO: 0551-0032 EXPIRATION DATE: 02/28/2001 RESPS:441 HOURS:909 COSTS(000):$0 Regulations Covering CCC's Facility Guarantee Program (FGP) FORMS: NONE OMB NO: 0551-0033 EXPIRATION DATE: 08/31/2002 RESPS:2 HOURS:46 COSTS(000):$0 Emergency Relief from Duty-Free Imports of Perishable Products under the Andean Trade Preference Act (ATPA) FORMS: NONE OMB NO: 0551-0035 EXPIRATION DATE: 01/31/2001 RESPS:66 HOURS:21,417 COSTS(000):$0 Foreign Donation of Agricultural Commodities FORMS: NONE OMB NO: 0551-0037 EXPIRATION DATE: 01/31/2001 RESPS:1,643 HOURS:399 COSTS(000):$0 CCC/Supplier Credit Guarantee Program -- 7 CFR 1493, Subpart D FORMS: NONE Farm Service Agency OMB NO: 0560-0006 EXPIRATION DATE: 01/31/2003 RESPS:1,242,104 HOURS:492,476 COSTS(000):$0 Peanut Poundage Quota, Marketing Regulations, Peanut Warehouse Loan, and Handler Operations, 1996-2002 Crops -- 7 CFR 729 and 1446 FORMS: CCC-1042 CCC-1047 FSA-101 FSA-278 FSA-375 FSA-377 FSA-379 FSA-1002 FSA-1002-1 FSA-1003 OMB NO: 0560-0014 EXPIRATION DATE: 10/31/2001 RESPS:154,800 HOURS:29,145 COSTS(000):$0 General Regulations Governing the Peanut Warehouse Storage Loan and Handler Operations -- 7 CFR 1446 FORMS: CCC-1004 1005 1023 1025 1027 1028 1028-A 1029 1032 1032-1 OMB NO: 0560-0025 EXPIRATION DATE: 03/31/2003 RESPS:112,820 HOURS:197,435 COSTS(000):$0 Farm Reconstitution -- 7 CFR Part 718 FORMS: FSA-155 OMB NO: 0560-0052 EXPIRATION DATE: 10/31/2001 RESPS:5,840 HOURS:423,864 COSTS(000):$0 Standards for Approval of Warehouses - 7 CFR 1421, 1423 and 1427 FORMS: CCC-25 25(ADDENDUM-1) 25-1/29-1/25-2 29-2/823-1A 823-IT/KC-140 25-2(SUPPL-1) 29-3/20/24/560 49/24-1/29/823 33/33A/34/34-1 KC-269A(REVERSE OMB NO: 0560-0074 EXPIRATION DATE: 10/31/2002 RESPS:306,282 HOURS:11,002 COSTS(000):$0 CCC Cotton Loan Program Regulations -- 7 CFR Part 1427 FORMS: CCC-COTTON-A COTTON-A-1 COTTON-AA COTTON-A-5 605-1 605-2 679 686 809 810 OMB NO: 0560-0082 EXPIRATION DATE: 03/31/2002 RESPS:860,000 HOURS:217,500 COSTS(000):$0 Conservation and Environmental Programs -- 7 CFR 701 FORMS: AD-245 ACP-311 FSA-18 OMB NO: 0560-0093 EXPIRATION DATE: 03/31/2002 RESPS:86 HOURS:15 COSTS(000):$0 General Regulations Governing Sugar Loans for 1996 and Subsequent Crops -- 7 CFR Part 1435 FORMS: SU-2 OMB NO: 0560-0096 EXPIRATION DATE: 03/31/2003 RESPS:351,960 HOURS:656,996 COSTS(000):$0 Payment Limitation and Determination of Eligibility of Foreign Individuals or Entities to Receive Program Benefits FORMS: CCC-501A CCC-501B CCC-502A CCC-502B CCC-502C CCC-502D CCC-502EZ CCC-502CONTINUA TION OMB NO: 0560-0097 EXPIRATION DATE: 10/31/2003 RESPS:4,375 HOURS:1,108 COSTS(000):$0 Agricultural Foreign Investment Disclosure Act Report FORMS: FSA-153 OMB NO: 0560-0116 EXPIRATION DATE: 12/31/2001 RESPS:480 HOURS:140 COSTS(000):$0 Dairy Indemnity Payment Program -- 7 CFR Part 760 FORMS: FSA-373 CCC-314 OMB NO: 0560-0120 EXPIRATION DATE: 03/31/2003 RESPS:23,077 HOURS:15,151 COSTS(000):$0 Warehouse Regulations Under USWA and Standards for Approval of Warehouses FORMS: WA-50/51/51-2 53/55/56/57/59 60/61/70/80/81 82/83/84/85/86 87/88/125/137 139/140/141/220 221/222/302/303 308/372/560/561 562/570 OMB NO: 0560-0125 EXPIRATION DATE: 01/31/2001 RESPS:278,000 HOURS:41,277 COSTS(000):$0 Conservation Reserve Program -- 7 CFR Parts 704 and 1410 FORMS: CRP-1-CONT. CRP-1D-ADDEN. CRP-2/15/15-1 CRP-APPEND CRP-1E/1G/41/37 CCC-111/113 113A/114/817U AD-893 OMB NO: 0560-0129 EXPIRATION DATE: 01/31/2001 RESPS:6,205,000 HOURS:4,218,750 COSTS(000):$0 Loan Deficiency Payments FORMS: CCC-633-LDP CCC-COTTON-AA CCC-709 OMB NO: 0560-0136 EXPIRATION DATE: 02/28/2002 RESPS:16,350 HOURS:3,145 COSTS(000):$0 Upland Cotton Domestic User/Exporter Agreement and Payment Program FORMS: CCC-1045 CCC-1045-2 OMB NO: 0560-0146 EXPIRATION DATE: 03/31/2002 RESPS:750 HOURS:125 COSTS(000):$0 Debt Settlement Policies and Procedures -- 7 CFR 792 and 1403 FORMS: CCC-279 OMB NO: 0560-0148 EXPIRATION DATE: 12/31/2001 RESPS:720 HOURS:540 COSTS(000):$0 Importer Assessments -- 7 CFR 1464 Subpart B FORMS: CCC-100 OMB NO: 0560-0151 EXPIRATION DATE: 06/30/2003 RESPS:25,927 HOURS:4,520 COSTS(000):$0 End-Use Certificate Program FORMS: FSA-750 FSA-751 OMB NO: 0560-0155 EXPIRATION DATE: 01/31/2001 RESPS:284,388 HOURS:197,752 COSTS(000):$0 Implementation of Preferred Lender Program and Streamlining of Guaranteed Regulations FORMS: FSA-1980-25 1980-28 1980-64 1980-24 1980-15 1980-22 1980-38 1980-44 1980-41 1980-89 OMB NO: 0560-0158 EXPIRATION DATE: 01/31/2002 RESPS:15,226 HOURS:6,421 COSTS(000):$0 Servicing of Real Estate Security and Certain Note Only Cases -- 7 CFR Part 1965A FORMS: FMHA-440-26 465-1 1965-11 440-9 1965-13 465-5 OMB NO: 0560-0159 EXPIRATION DATE: 03/31/2001 RESPS:12,710 HOURS:4,960 COSTS(000):$0 Emergency Loan Policies, Procedures, and Authorizations -- 7 CFR Part 1945-D FORMS: FMHA-1945-22 1945-29 1940-38 OMB NO: 0560-0160 EXPIRATION DATE: 12/31/2001 RESPS:105 HOURS:420 COSTS(000):$0 Servicing Cases Where Unauthorized Loan or Other Financial Assistance Was Received -- 7 CFR Part 1951 FORMS: NONE OMB NO: 0560-0161 EXPIRATION DATE: 01/31/2001 RESPS:20,702 HOURS:16,243 COSTS(000):$0 Farm Loan Programs Account Servicing Policies-Servicing Shared Appreciation Agreements FORMS: NONE OMB NO: 0560-0163 EXPIRATION DATE: 09/30/2002 RESPS:1,450 HOURS:5,888 COSTS(000):$0 Small Farmer Outreach, Training, and Technical Assistance -- 7 CFR 1943-C FORMS: SF-269A SF-270 SF-424 AD-1049 OMB NO: 0560-0164 EXPIRATION DATE: 01/31/2003 RESPS:21,629 HOURS:12,233 COSTS(000):$0 Disaster Set-Aside Program -- 7 CFR 1951 Subpart T FORMS: NONE OMB NO: 0560-0166 EXPIRATION DATE: 02/28/2002 RESPS:91,290 HOURS:11,411 COSTS(000):$0 Verification of Debts and Assets FORMS: 440-32 OMB NO: 0560-0167 EXPIRATION DATE: 12/31/2002 RESPS:49,670 HOURS:99,340 COSTS(000):$0 Request for Direct Loan Assistance FORMS: FSA-410-1 OMB NO: 0560-0170 EXPIRATION DATE: 06/30/2003 RESPS:2,236 HOURS:988 COSTS(000):$0 Disaster Assistance - General (7 CFR Part 1945-A) FORMS: NONE OMB NO: 0560-0171 EXPIRATION DATE: 09/30/2001 RESPS:56,075 HOURS:18,505 COSTS(000):$0 Agreement for the Use of Proceeds/Release of Chattel Security FORMS: FMHA-1962-1 OMB NO: 0560-0174 EXPIRATION DATE: 01/31/2001 RESPS:234,500 HOURS:370,830 COSTS(000):$0 CCC Conservation Contract FORMS: CCC-1200 CCC-1201 CCC-1245 OMB NO: 0560-0175 EXPIRATION DATE: 09/30/2003 RESPS:3,564,000 HOURS:4,661,088 COSTS(000):$0 Noninsured Crop Disaster Assistance Program FORMS: CCC-451 CCC-576 CCC-441 CCC-576-1 CCC-452 OMB NO: 0560-0176 EXPIRATION DATE: 03/31/2002 RESPS:24,000 HOURS:8,000 COSTS(000):$0 Request for Aerial Photograph FORMS: FSA-441 OMB NO: 0560-0177 EXPIRATION DATE: 01/31/2001 RESPS:14,770 HOURS:4,700 COSTS(000):$0 Offer Forms and Shipment Information Log FORMS: KC-327/KC-324 KC-366/KC-332 KC-331/KC-334 KC-337/KC-333 KC-340/KC-58 OMB NO: 0560-0178 EXPIRATION DATE: 05/31/2001 RESPS:73,708 HOURS:119,412 COSTS(000):$0 7 CFR 1910-A, Receiving and Processing Applications FORMS: NONE OMB NO: 0560-0182 EXPIRATION DATE: 09/30/2002 RESPS:51,666 HOURS:4,300 COSTS(000):$0 Tobacco Marketing Quota Referenda Ballot -- 7 CFR 717 FORMS: MQ-5 OMB NO: 0560-0183 EXPIRATION DATE: 02/28/2001 RESPS:50,900 HOURS:8,445 COSTS(000):$0 Assignments of Payments and Joint Payment Authorizations FORMS: CCC-36 CCC-251 CCC-252 CCC-37 OMB NO: 0560-0187 EXPIRATION DATE: 03/31/2002 RESPS:45,050 HOURS:22,563 COSTS(000):$0 American Indian Livestock Feed Program FORMS: CCC-648 CCC-644 CCC-453 OMB NO: 0560-0190 EXPIRATION DATE: 03/31/2002 RESPS:600,000 HOURS:150,000 COSTS(000):$0 Power of Attorney FORMS: FSA-211 FSA-211-1 OMB NO: 0560-0192 EXPIRATION DATE: 03/31/2002 RESPS:56,970 HOURS:11,180 COSTS(000):$0 Customer Service Information Collections for USDA Service Centers FORMS: NONE OMB NO: 0560-0194 EXPIRATION DATE: 07/31/2002 RESPS:23 HOURS:23 COSTS(000):$0 Standard Operating Agreement Governing Intermodal Transportation FORMS: NONE OMB NO: 0560-0195 EXPIRATION DATE: 07/31/2002 RESPS:141 HOURS:141 COSTS(000):$0 Standard Rules Tender Governing Motor Carrier Transportation FORMS: NONE OMB NO: 0560-0198 EXPIRATION DATE: 01/31/2003 RESPS:12 HOURS:83 COSTS(000):$0 Indian Tribal Land Acquisition Program FORMS: FSA-770-01 OMB NO: 0560-0201 EXPIRATION DATE: 01/31/2001 RESPS:1,560 HOURS:780 COSTS(000):$0 ELS Cotton Competitiveness Payment Program FORMS: CCC-1045A CCC-1045-2 OMB NO: 0560-0203 EXPIRATION DATE: 01/31/2001 RESPS:866,089 HOURS:14,429 COSTS(000):$0 FAX Signature Card FORMS: 237 OMB NO: 0560-0204 EXPIRATION DATE: 01/31/2001 RESPS:139,000 HOURS:47,250 COSTS(000):$0 Farm Storage Facility Loan Program FORMS: CCC-185 CCC-186 CCC-186-1 CCC-400 CCC-297 CCC-299 CCC-298 OMB NO: 0560-0206 EXPIRATION DATE: 02/28/2001 RESPS:6,654 HOURS:3,327 COSTS(000):$0 Sugar Payment-In-Kind (PIK) Program FORMS: FSA-744 OMB NO: 0560-0207 EXPIRATION DATE: 11/30/2003 RESPS:1,100 HOURS:1,286 COSTS(000):$0 Bioenergy Program (7 CFR Part 1424) FORMS: CCC-850-A SF-LLL SF-3881 ATF-F-5110.74 ATF-F-5110.75 ATF-F-5110.41 Federal Crop Insurance Corporation OMB NO: 0563-0053 EXPIRATION DATE: 04/30/2001 RESPS:3,591,861 HOURS:1,168,858 COSTS(000):$0 Mulltiple Peril Crop Insurance (Millet) FORMS: NONE OMB NO: 0563-0055 EXPIRATION DATE: 08/31/2002 RESPS:156 HOURS:78 COSTS(000):$0 General Administrative Regulations; Interpretations of Statutory and Regulatory Provisions FORMS: NONE OMB NO: 0563-0057 EXPIRATION DATE: 04/30/2003 RESPS:223,861 HOURS:73,228 COSTS(000):$0 New-Crop Insurance Programs (Pilot and Private Crop Insurance Policies) FORMS: NONE OMB NO: 0563-0058 EXPIRATION DATE: 01/31/2001 RESPS:42,825 HOURS:31,701 COSTS(000):$0 Dairy Options Pilot Program (DOPP), Round 2 FORMS: CCC-320 CCC-320-1 CCC-321 CCC-322 CCC-323 Rural Business-Cooperative Service OMB NO: 0570-0006 EXPIRATION DATE: 11/30/2003 RESPS:775 HOURS:1,848 COSTS(000):$0 7 CFR 4284-F, Rural Cooperative Development Grant FORMS: NONE OMB NO: 0570-0007 EXPIRATION DATE: 01/31/2001 RESPS:3,082 HOURS:2,641 COSTS(000):$0 Annual Survey of Farmer Cooperatives and Questionnaire to Identify Farmer Cooperatives FORMS: CS-A-B-C-D-F-G H-L-R-S-T-W CS-ID OMB NO: 0570-0008 EXPIRATION DATE: 03/31/2002 RESPS:245 HOURS:245 COSTS(000):$0 Agricultural Cooperative Service Questionnaire: New Cooperative Volume and Structure Producer Survey FORMS: NONE OMB NO: 0570-0009 EXPIRATION DATE: 01/31/2001 RESPS:105 HOURS:53 COSTS(000):$0 Cooperative Services Questionnaire: Market Potential for New Cooperatives, Buyer Survey for New Cooperative Activity FORMS: NONE OMB NO: 0570-0012 EXPIRATION DATE: 06/30/2003 RESPS:2,276 HOURS:7,742 COSTS(000):$0 Rural Economic Development Loan and Grant Program FORMS: RD-1703-1 OMB NO: 0570-0014 EXPIRATION DATE: 03/31/2002 RESPS:586 HOURS:4,545 COSTS(000):$0 Business and Industry Loan Program -- 7 CFR Part 1980-E FORMS: RD-449-1 449-2 OMB NO: 0570-0015 EXPIRATION DATE: 03/31/2002 RESPS:4,185 HOURS:12,675 COSTS(000):$0 Rural Development Loan Servicing -- 7 CFR 1951-R FORMS: FORM-RD-1951-4 OMB NO: 0570-0016 EXPIRATION DATE: 04/30/2003 RESPS:19,548 HOURS:10,019 COSTS(000):$0 Servicing Business and Industry Guaranteed Loans -- 7 CFR 4287-B FORMS: RD-1980-41 RD-1980-44 OMB NO: 0570-0017 EXPIRATION DATE: 04/30/2003 RESPS:8,875 HOURS:20,813 COSTS(000):$0 Guaranteed Loanmaking; Business and Industry Loans -- 7 CFR 4279-B FORMS: RD-4279-1 RD-4279-2 RD-4279-3 RD-4279-4 RD-4279-6 OMB NO: 0570-0018 EXPIRATION DATE: 04/30/2003 RESPS:1,147 HOURS:1,749 COSTS(000):$0 Business and Industry Guaranteed Loanmaking (General) -- 7 CFR 4279-A FORMS: RD-4279-8 OMB NO: 0570-0020 EXPIRATION DATE: 12/31/2001 RESPS:170 HOURS:170 COSTS(000):$0 Annual Survey of Cooperative Involvement in International Markets FORMS: NONE OMB NO: 0570-0021 EXPIRATION DATE: 09/30/2003 RESPS:3,802 HOURS:16,930 COSTS(000):$0 Intermediary Relending Program FORMS: RD-4274-1 4274-3 4274-4 4274-5 OMB NO: 0570-0022 EXPIRATION DATE: 10/31/2003 RESPS:21,558 HOURS:40,650 COSTS(000):$0 7 CFR 1942-G "Rural Business Enterprise Grants and Television Demonstration Grants" FORMS: NONE OMB NO: 0570-0024 EXPIRATION DATE: 03/31/2001 RESPS:1,523 HOURS:8,704 COSTS(000):$0 Rural Business Opportunity Grants -- 7 CFR Part 4284 FORMS: NONE OMB NO: 0570-0026 EXPIRATION DATE: 03/31/2003 RESPS:1 HOURS:1 COSTS(000):$0 Rural Empowerment Zones and Enterprise Communities FORMS: RD-25-1 OMB NO: 0570-0027 EXPIRATION DATE: 03/31/2003 RESPS:9 HOURS:1,342 COSTS(000):$0 Rural Empowerment Zone and Enterprise Communities FORMS: NONE OMB NO: 0570-0028 EXPIRATION DATE: 01/31/2001 RESPS:240 HOURS:1,140 COSTS(000):$0 Research on Rural Cooperative Opportunities and Problems FORMS: NONE OMB NO: 0570-0032 EXPIRATION DATE: 11/30/2002 RESPS:699 HOURS:699 COSTS(000):$0 Survey for Local Cooperatives' Role in the Emerging Grain and Feed Industries FORMS: NONE OMB NO: 0570-0035 EXPIRATION DATE: 11/30/2002 RESPS:1 HOURS:1 COSTS(000):$0 Rural Economic Development Loan and Grant Program FORMS: FORM-RD-4280-1 OMB NO: 0570-0036 EXPIRATION DATE: 05/31/2003 RESPS:19,410 HOURS:4,308 COSTS(000):$0 Invitation for Applications of Interest to Sell Intermediary Relending Program (IRP) Loans under an Expanded Pilot FORMS: NONE OMB NO: 0570-0037 EXPIRATION DATE: 12/31/2002 RESPS:300 HOURS:300 COSTS(000):$0 Mid- to Upper-Level Management and Sales/Field Representative Compensation FORMS: NONE Rural Utilities Service OMB NO: 0572-0001 EXPIRATION DATE: 03/31/2003 RESPS:5 HOURS:22 COSTS(000):$0 Prospective Large Power Service FORMS: RUS-FORM-170 OMB NO: 0572-0003 EXPIRATION DATE: 03/31/2003 RESPS:56 HOURS:45,520 COSTS(000):$0 Accounting Requirements for RUS Electric and Telecommunications Borrowers FORMS: NONE OMB NO: 0572-0015 EXPIRATION DATE: 09/30/2002 RESPS:2,394 HOURS:26,334 COSTS(000):$0 Financial Requirement and Expenditure Statement FORMS: RUS-FORM-595 OMB NO: 0572-0019 EXPIRATION DATE: 06/30/2003 RESPS:6,750 HOURS:10,125 COSTS(000):$0 Inventory of Work Orders FORMS: RUS-FORM-219 OMB NO: 0572-0020 EXPIRATION DATE: 04/30/2003 RESPS:5 HOURS:15 COSTS(000):$0 Request for Approval to Sell Capital Assets FORMS: 369 OMB NO: 0572-0023 EXPIRATION DATE: 05/31/2003 RESPS:2,910 HOURS:2,893 COSTS(000):$0 7 CFR 1744-C, Advance and Disbursement of Funds - Telecommunications FORMS: RUS-FORM-481 OMB NO: 0572-0025 EXPIRATION DATE: 04/30/2003 RESPS:253 HOURS:1,012 COSTS(000):$0 Review Rating Summary FORMS: 300 OMB NO: 0572-0031 EXPIRATION DATE: 04/30/2003 RESPS:1 HOURS:3,200 COSTS(000):$0 Financial and Statistical Report for Telecommunications Borrowers FORMS: RUS-FORM-479 OMB NO: 0572-0032 EXPIRATION DATE: 12/31/2001 RESPS:2,895 HOURS:16,834 COSTS(000):$0 RUS Electric Loan Application and Related Reporting Burdens FORMS: RUS-FORMS-7 7A 12A-I 325A-K 341 345 726 740C 740G OMB NO: 0572-0041 EXPIRATION DATE: 08/31/2003 RESPS:75 HOURS:206 COSTS(000):$0 Request for Release of Lien and/or Approval of Sale FORMS: RUS-FORM-793 OMB NO: 0572-0047 EXPIRATION DATE: 12/31/2001 RESPS:3,680 HOURS:1,233 COSTS(000):$0 Report of Compliance and Participation FORMS: RUS-FORM-268 OMB NO: 0572-0051 EXPIRATION DATE: 07/31/2002 RESPS:1 HOURS:226 COSTS(000):$0 Request for Mail List Data FORMS: RUS-FORM-87 OMB NO: 0572-0074 EXPIRATION DATE: 06/30/2003 RESPS:450 HOURS:45 COSTS(000):$0 Certification of Authority FORMS: RUS-FORM-675 OMB NO: 0572-0079 EXPIRATION DATE: 09/30/2003 RESPS:406 HOURS:3,621 COSTS(000):$0 Preloan Procedures and Requirements for Telecommunications Program FORMS: FORM-490 494 495 507 567 569 OMB NO: 0572-0088 EXPIRATION DATE: 08/31/2003 RESPS:30 HOURS:62 COSTS(000):$0 7 CFR Part 1786, "Prepayment of RUS Guaranteed and Insured Loans to Electric and Telephone Borrowers" FORMS: NONE OMB NO: 0572-0095 EXPIRATION DATE: 04/30/2003 RESPS:3,872 HOURS:20,374 COSTS(000):$0 7 CFR 1773, Policy on Audits of RUS Borrowers FORMS: NONE OMB NO: 0572-0096 EXPIRATION DATE: 08/31/2003 RESPS:6,900 HOURS:17,741 COSTS(000):$0 Distance Learning and Telemedicine Loan and Grant Program (7 CFR 1703, Subpart D, E, F and G) FORMS: NONE OMB NO: 0572-0097 EXPIRATION DATE: 05/31/2003 RESPS:40 HOURS:140 COSTS(000):$0 7 CFR Part 1703-H, Deferments of RUS Loan Payments for Rural Development Projects FORMS: NONE OMB NO: 0572-0098 EXPIRATION DATE: 04/30/2003 RESPS:25 HOURS:238 COSTS(000):$0 7 CFR 1744-E, Borrower Investments-Telecommunications Loan Program FORMS: NONE OMB NO: 0572-0099 EXPIRATION DATE: 10/31/2003 RESPS:1,000 HOURS:750 COSTS(000):$0 7 CFR 1792, Subpart C - Seismic Safety of New Building Construction FORMS: NONE OMB NO: 0572-0100 EXPIRATION DATE: 04/30/2003 RESPS:42 HOURS:69 COSTS(000):$0 Lien Accommodations and Subordinations 7 CFR Part 1717, Subparts R and S FORMS: NONE OMB NO: 0572-0104 EXPIRATION DATE: 08/31/2003 RESPS:1 HOURS:350 COSTS(000):$0 State Telecommunications Modernization Plan FORMS: NONE OMB NO: 0572-0105 EXPIRATION DATE: 07/31/2002 RESPS:1 HOURS:24 COSTS(000):$0 Demand Side Management and Integrated Resource Plan FORMS: NONE OMB NO: 0572-0107 EXPIRATION DATE: 04/30/2003 RESPS:6,021 HOURS:629 COSTS(000):$0 7 CFR 1726, Electric System Construction Policies and Procedures- Electric FORMS: RUS-FORMS-168B 168C/180/181 187/198/200/201 203/213/224/231 238/251/254/257 307/764/786/790 792/792B/792C 830/831 OMB NO: 0572-0112 EXPIRATION DATE: 05/31/2003 RESPS:1,375 HOURS:4,168 COSTS(000):$0 7 CFR 1775, Technical Assistance Program FORMS: NONE OMB NO: 0572-0114 EXPIRATION DATE: 04/30/2003 RESPS:142 HOURS:184 COSTS(000):$0 Mergers and Consolidations of Electric Borrowers -- 7 CFR 1717 Subpart D FORMS: NONE OMB NO: 0572-0115 EXPIRATION DATE: 12/31/2002 RESPS:6 HOURS:12 COSTS(000):$0 Use of Consultants Funded by Borrowers -- 7 CFR Part 1789 FORMS: NONE OMB NO: 0572-0116 EXPIRATION DATE: 06/30/2003 RESPS:1 HOURS:3,000 COSTS(000):$0 7 CFR 1717 Subpart Y, Settlement of Debt Owed by Electric Borrowers FORMS: NONE OMB NO: 0572-0117 EXPIRATION DATE: 01/31/2001 RESPS:1,816 HOURS:415,000 COSTS(000):$0 Environmental Policies and Procedures -- 7 CFR 1794 FORMS: NONE OMB NO: 0572-0118 EXPIRATION DATE: 09/30/2002 RESPS:153 HOURS:153 COSTS(000):$0 Electric Engineering, Architectural Services, and Design Policies -- 7 CFR Part 1724 FORMS: RUS-FORMS-211 220 236 OMB NO: 0572-0119 EXPIRATION DATE: 08/31/2001 RESPS:22,250 HOURS:62,501 COSTS(000):$0 Guaranteed Loans, General -- 7 CFR 1980-A FORMS: 449-30 449-36 1980-19 1980-22 1980-43 OMB NO: 0572-0120 EXPIRATION DATE: 05/31/2003 RESPS:95 HOURS:1,352 COSTS(000):$0 7 CFR 1980-I, Community Programs Guaranteed Loans FORMS: NONE OMB NO: 0572-0121 EXPIRATION DATE: 06/30/2003 RESPS:50,650 HOURS:134,240 COSTS(000):$0 7 CFR 1780, Water and Waste Disposal Loan and Grant Program FORMS: NONE Rural Housing Service OMB NO: 0575-0015 EXPIRATION DATE: 06/30/2003 RESPS:33,230 HOURS:61,076 COSTS(000):$0 7 CFR 1942-A, Community Facility Loans FORMS: 442-7 442-3 1942-19 1942-8 1942-46 1942-47 1942-9 442-20 442-21 442-22 OMB NO: 0575-0018 EXPIRATION DATE: 02/28/2002 RESPS:105,665 HOURS:533,017 COSTS(000):$0 Civil Rights Compliance Requirements -- 7 CFR 1901-E FORMS: RD-400-1/4/6/7 8 HUD-935.2 CC-257 OMB NO: 0575-0033 EXPIRATION DATE: 08/31/2001 RESPS:2,482,265 HOURS:2,218,740 COSTS(000):$0 Management and Supervision of Multiple Family Housing Borrowers FORMS: FORMS-RD-1930-5 1930-7 1930-8 444-27A 1944-8 1944-25 1944-27 1944-29 1951-29 OMB NO: 0575-0042 EXPIRATION DATE: 10/31/2003 RESPS:291,631 HOURS:94,924 COSTS(000):$0 7 CFR 1924-A, "Planning and Performing Construction and Other Development" FORMS: 1924-1 2 3 4 5 6 7 9 10 11 OMB NO: 0575-0043 EXPIRATION DATE: 04/30/2003 RESPS:3,043 HOURS:3,095 COSTS(000):$0 "Self-Help Technical Assistance Grants" -- 7 CFR 1944-I FORMS: NONE OMB NO: 0575-0045 EXPIRATION DATE: 01/31/2001 RESPS:750 HOURS:8,610 COSTS(000):$0 Farm Labor Housing Loan and Grant Policies, Procedures, and Authorizations -- 7 CFR 1944-D FORMS: NONE OMB NO: 0575-0046 EXPIRATION DATE: 08/31/2001 RESPS:200 HOURS:83 COSTS(000):$0 Tenant Grievance and Appeals Procedure -- 7 CFR 1944-L FORMS: NONE OMB NO: 0575-0047 EXPIRATION DATE: 06/30/2003 RESPS:5,102 HOURS:28,246 COSTS(000):$0 7 CFR 1944-E, Rural Rental and Cooperative Housing Loan Policies, Procedures, and Authorizations FORMS: RD-1944-7 RD-1944-30 RD-1944-31 RD-1944-33 RD-1944-34 RD-1944-35 RD-1944-38 OMB NO: 0575-0064 EXPIRATION DATE: 04/30/2002 RESPS:98 HOURS:62 COSTS(000):$0 "Certificates of Beneficial Ownership and Insured Notices" -- 7 CFR 1901-K FORMS: RD-471-7 OMB NO: 0575-0066 EXPIRATION DATE: 04/30/2003 RESPS:158 HOURS:118 COSTS(000):$0 7 CFR 1951-E, "Servicing of Community and Direct Business Programs Loans and Grants" FORMS: 1951-15 1951-33 OMB NO: 0575-0071 EXPIRATION DATE: 08/31/2001 RESPS:6 HOURS:36 COSTS(000):$0 Rural Housing Loans: Policies, Procedures, and Authorizations -- 7 CFR 1822-G FORMS: NONE OMB NO: 0575-0075 EXPIRATION DATE: 06/30/2003 RESPS:110 HOURS:28 COSTS(000):$0 7 CFR 1951-A, "Account Servicing Policies" FORMS: NONE OMB NO: 0575-0078 EXPIRATION DATE: 09/30/2003 RESPS:411,004 HOURS:154,250 COSTS(000):$0 7 CFR 1980-D, Rural Housing Loans FORMS: RD-1980-11 1980-12 1980-13 1980-16 1980-17 1980-18 1980-20 1980-21 1980-80 1980-81 OMB NO: 0575-0082 EXPIRATION DATE: 07/31/2003 RESPS:5,250 HOURS:1,350 COSTS(000):$0 7 CFR 1924-F, Complaints and Compensation for Construction FORMS: RD-FORM-1924-4 OMB NO: 0575-0087 EXPIRATION DATE: 08/31/2001 RESPS:20,386 HOURS:12,562 COSTS(000):$0 "Real Property Insurance" -- 7 CFR 1806-A FORMS: 426-2 OMB NO: 0575-0088 EXPIRATION DATE: 07/31/2001 RESPS:41,000 HOURS:20,500 COSTS(000):$0 Settlement Statement -- Form RD-1940-59 FORMS: FORM-RD-1940-59 OMB NO: 0575-0091 EXPIRATION DATE: 04/30/2003 RESPS:85,569 HOURS:28,238 COSTS(000):$0 "Applicant Reference Letter (A Request for Credit Reference)" -- Form RD 410-8 FORMS: RD-410-8 OMB NO: 0575-0093 EXPIRATION DATE: 08/31/2003 RESPS:25,047 HOURS:75,361 COSTS(000):$0 7 CFR 1951-F, Analyzing Credit Needs and Graduation of Borrower FORMS: NONE OMB NO: 0575-0094 EXPIRATION DATE: 08/31/2003 RESPS:5,220 HOURS:15,320 COSTS(000):$0 7 CFR 1940 Subpart G Environmental Program FORMS: RD-1940-G OMB NO: 0575-0100 EXPIRATION DATE: 10/31/2003 RESPS:945 HOURS:1,587 COSTS(000):$0 7 CFR 1965-B Security Servicing for Multiple Family Housing Loans. FORMS: 1944-33A 1944-34A 1944-35A 1965-16 OMB NO: 0575-0104 EXPIRATION DATE: 07/31/2001 RESPS:700 HOURS:800 COSTS(000):$0 Servicing Cases Where Unauthorized Loan or Other Financial Assistance Was Received, Multiple-Family Housing -- 7 CFR 1951-N FORMS: NONE OMB NO: 0575-0110 EXPIRATION DATE: 09/30/2001 RESPS:1,637 HOURS:1,245 COSTS(000):$0 Management of Property -- 7 CFR 1955-B FORMS: RD-1955-20 OMB NO: 0575-0114 EXPIRATION DATE: 07/31/2001 RESPS:15 HOURS:1,200 COSTS(000):$0 Rural Housing Demonstration Program -- Section 502 FORMS: NONE OMB NO: 0575-0115 EXPIRATION DATE: 04/30/2003 RESPS:10,555 HOURS:10,814 COSTS(000):$0 "Housing Preservation Grant Program" -- 7 CFR 1944-N FORMS: NONE OMB NO: 0575-0118 EXPIRATION DATE: 01/31/2001 RESPS:8,960 HOURS:4,017 COSTS(000):$0 Debt Settlement, Farm Programs, and Multifamily Housing -- 7 CFR 1956-B FORMS: RD-1956-1 OMB NO: 0575-0119 EXPIRATION DATE: 02/28/2001 RESPS:9,325 HOURS:5,488 COSTS(000):$0 "Offset of Federal Payments to USDA Borrowers" -- 7 CFR 1951-C FORMS: NONE OMB NO: 0575-0120 EXPIRATION DATE: 07/31/2001 RESPS:3,046 HOURS:6,595 COSTS(000):$0 Fire and Rescue Loan -- 7 CFR 1942-C FORMS: RD-1942-52 1942-53 1942-54 OMB NO: 0575-0124 EXPIRATION DATE: 10/31/2003 RESPS:92 HOURS:880 COSTS(000):$0 7 CFR 1956-C, Debt Settlement - Community and Business Programs FORMS: NONE OMB NO: 0575-0127 EXPIRATION DATE: 03/31/2002 RESPS:1,565 HOURS:392 COSTS(000):$0 Application Certification, Federal Collection Policies for Consumer or Commerical Debts -- Form RD 1910-11 FORMS: FORM-RD-1910-11 OMB NO: 0575-0137 EXPIRATION DATE: 09/30/2002 RESPS:58,815 HOURS:75,977 COSTS(000):$0 "Community Programs Guaranteed Loans" -- 7 CFR 3575-A FORMS: RD-449-14 449-30 449-35 449-36 RD-3575-1 1980-19 1980-43 OMB NO: 0575-0147 EXPIRATION DATE: 01/31/2001 RESPS:231,000 HOURS:54,816 COSTS(000):$0 "Real Estate Title Clearance and Loan Closing" -- 7 CFR 1927-B FORMS: RD-1927-5/8/9 10/11/12/15/16 19/20 1927-B-1 RD-1927-19-REV. 11-99 OMB NO: 0575-0155 EXPIRATION DATE: 10/31/2003 RESPS:920 HOURS:687 COSTS(000):$0 "Prepayment and Displacement Prevention of Multiple Family Housing Loans" -- 7 CFR 1965-E FORMS: NONE OMB NO: 0575-0157 EXPIRATION DATE: 04/30/2003 RESPS:800 HOURS:900 COSTS(000):$0 Housing Application Packaging Grants -- 7 CFR 1944-B FORMS: NONE OMB NO: 0575-0172 EXPIRATION DATE: 11/30/2002 RESPS:3,061,784 HOURS:923,053 COSTS(000):$0 Direct Single-Family Housing Loan and Grant Programs -- 7 CFR Part 3550, HB-1-3550, and HB-2-3550 FORMS: RD-1940-43 RD-3550-1 RD-3550-2 RD-3550-4 RD-3550-6 RD-3550-7 RD-3550-9 RD-3550-10 RD-3550-11 RD-3550-12 OMB NO: 0575-0173 EXPIRATION DATE: 01/31/2001 RESPS:472 HOURS:438 COSTS(000):$0 "Community Facilities Grant Program" -- 7 CFR 3570-B FORMS: FORM-RD-3570-3 OMB NO: 0575-0174 EXPIRATION DATE: 07/31/2002 RESPS:3,006 HOURS:1,581 COSTS(000):$0 "Guaranteed Rural Rental Housing Program" and Supporting Handbook -- 7 CFR Part 3565 FORMS: FORMS-RD-3565-1 3565-2 3565-3 1980-24 OMB NO: 0575-0176 EXPIRATION DATE: 04/30/2002 RESPS:6,000 HOURS:1,500 COSTS(000):$0 Annual Survey of Housing Conditions for Migrant and Seasonal Farmworkers FORMS: NONE OMB NO: 0575-0179 EXPIRATION DATE: 04/30/2003 RESPS:1 HOURS:1 COSTS(000):$0 Guaranteed Rural Housing Loan Program -- 7 CFR Part 3555 FORMS: 1980-11 1980-13 1980-16 1980-20 1980-21 OMB NO: 0575-0180 EXPIRATION DATE: 01/31/2001 RESPS:1,463 HOURS:2,012 COSTS(000):$0 Notice of Funds Availability (NOFA) Inviting Applications for the Rural Community Development Initiative (RCDI) FORMS: NONE OMB NO: 0575-0181 EXPIRATION DATE: 01/31/2001 RESPS:147 HOURS:7,878 COSTS(000):$0 Farm Labor Housing Technical Assistance Grants FORMS: NONE Natural Resources Conservation Service OMB NO: 0578-0007 EXPIRATION DATE: 05/31/2003 RESPS:768 HOURS:936 COSTS(000):$0 Agriculture and Urban Flood Damage Surveys FORMS: NRCS-ECN-001 ECN-002 ECN-003 ECN-004 ECN-005 ECN-006 OMB NO: 0578-0013 EXPIRATION DATE: 06/30/2003 RESPS:234,878 HOURS:162,388 COSTS(000):$0 Long Term Contracting FORMS: CCC-1250 1251 1252 1252A 1252B 1253 1255 1255A 1256 1257 OMB NO: 0578-0018 EXPIRATION DATE: 04/30/2001 RESPS:35,540 HOURS:20,731 COSTS(000):$0 Application for payment FORMS: CCC-1202 NRCS-FNM-141 OMB NO: 0578-0027 EXPIRATION DATE: 01/31/2003 RESPS:240 HOURS:240 COSTS(000):$0 Request for State Technical Committee Membership FORMS: NONE Animal and Plant Health Inspection Service OMB NO: 0579-0007 EXPIRATION DATE: 01/31/2003 RESPS:48,135 HOURS:7,451 COSTS(000):$0 National Poultry Improvement Plan (NPIP) FORMS: VS-9-2 VS-9-3 VS-9-5 OMB NO: 0579-0008 EXPIRATION DATE: 06/30/2002 RESPS:20 HOURS:10 COSTS(000):$0 Application for Inspection and Certification of Animal Byproducts FORMS: VS-16-24 OMB NO: 0579-0013 EXPIRATION DATE: 09/30/2001 RESPS:31,767 HOURS:71,547 COSTS(000):$0 Virus-Serum-Toxin Act and Regulations in 9 CFR Subchapter E, Parts 101-124 FORMS: 2001 2003 2005 2007 2008 2008A 2015 2020 OMB NO: 0579-0015 EXPIRATION DATE: 04/30/2001 RESPS:104,705 HOURS:31,256 COSTS(000):$0 Prohibited and Restricted Importation of Meats, Animal Byproducts, Poultry, Organisms, and Vectors into the U.S. FORMS: VS-16-3 VS-16-25 VS-16-26 OMB NO: 0579-0020 EXPIRATION DATE: 01/31/2001 RESPS:42,067 HOURS:21,009 COSTS(000):$0 U.S. Origin Health Certificate FORMS: VS-17-140 OMB NO: 0579-0032 EXPIRATION DATE: 01/31/2003 RESPS:171,024 HOURS:52,190 COSTS(000):$0 Veterinary Accreditation Program -- 9 CFR 160-162 FORMS: VS-1-36A 4-24 4-26 4-33 4-54 17-145 OMB NO: 0579-0036 EXPIRATION DATE: 04/30/2003 RESPS:119,426 HOURS:95,720 COSTS(000):$0 Animal Welfare FORMS: APHIS-7001 7001A 7003 7003A 7005 7006 7006A 7009 7011 7019 OMB NO: 0579-0040 EXPIRATION DATE: 04/30/2003 RESPS:2,537,098 HOURS:64,200 COSTS(000):$0 Importation of Animal & Poultry, Animal/Poultry Products, Certain Animal Embryos, Semen, and Zoological Animals FORMS: VS17-8 VS17-23 VS-17-135A VS-17-128 VS-17-29 VS-17-129 VS-10-4 VS-17-65C VS-17-65A VS-17-65B OMB NO: 0579-0047 EXPIRATION DATE: 09/30/2001 RESPS:6,248,250 HOURS:52,019 COSTS(000):$0 Brucellosis Program Cooperative Agreements -- Title 9 CFR Parts 50, 51, 53, 54, 71, 76, and 78 FORMS: VS-1-23 VS-4-1 VS-4-1D VS-4-6 VS-4-59 VS-108 VS-108A VS-108B VS-108C OMB NO: 0579-0048 EXPIRATION DATE: 09/30/2001 RESPS:21,000 HOURS:10,500 COSTS(000):$0 Certificate for Poultry and Hatching Eggs for Export FORMS: VS-17-6 OMB NO: 0579-0049 EXPIRATION DATE: 09/30/2001 RESPS:279,240 HOURS:88,232 COSTS(000):$0 Foreign Quarantine Notices -- 7 CFR 319, 321, 352 FORMS: PPQ-368 PPQ-546 PPQ-564 PPQ-587 PPQ-588 OMB NO: 0579-0051 EXPIRATION DATE: 08/31/2003 RESPS:9,717 HOURS:740 COSTS(000):$0 Permit for Movement of Restricted Animals FORMS: VS-1-27 OMB NO: 0579-0052 EXPIRATION DATE: 08/31/2001 RESPS:115,729 HOURS:116,181 COSTS(000):$0 Phytosanitary Export Certification FORMS: PPQ-572/577 578/579 OMB NO: 0579-0054 EXPIRATION DATE: 06/30/2003 RESPS:46,974 HOURS:38,133 COSTS(000):$0 Federal Plant Pest and Noxious Weeds Regulations FORMS: PPQ-FORMS-525A 526 526-1 519 OMB NO: 0579-0055 EXPIRATION DATE: 01/31/2001 RESPS:480 HOURS:120 COSTS(000):$0 Request for Credit Account Approval for Reimbursable Services FORMS: APHIS-192 OMB NO: 0579-0056 EXPIRATION DATE: 01/31/2003 RESPS:41,151 HOURS:7,208 COSTS(000):$0 Horse Protection Regulations -- 9 CFR 11 FORMS: APHIS-7077 OMB NO: 0579-0065 EXPIRATION DATE: 03/31/2002 RESPS:656 HOURS:584 COSTS(000):$0 Swine Health Protection FORMS: VS-FORMS-13-2 13-15 13-16 13-17 OMB NO: 0579-0070 EXPIRATION DATE: 07/31/2001 RESPS:80,250 HOURS:5,092 COSTS(000):$0 Psuedorabies -- 9 CFR 85 FORMS: VS7-1(APR.90) OMB NO: 0579-0071 EXPIRATION DATE: 09/30/2001 RESPS:240 HOURS:210 COSTS(000):$0 Field Epidemiology Data System FORMS: VS12-27 OMB NO: 0579-0072 EXPIRATION DATE: 09/30/2001 RESPS:115 HOURS:31 COSTS(000):$0 Exotic Bee Diseases and Parasites -- 7 CFR 319.76 Honeybees and Honeybee Semen -- 7 CFR 322 FORMS: NONE OMB NO: 0579-0076 EXPIRATION DATE: 03/31/2002 RESPS:16,115 HOURS:3,186 COSTS(000):$0 Endangered Species Regulations and Forfeiture Procedures FORMS: PPQ-FORMS-368 621 623 625 626 OMB NO: 0579-0079 EXPIRATION DATE: 04/30/2001 RESPS:16,330 HOURS:10,454 COSTS(000):$0 National Animal Health Monitoring System (NAHMS) FORMS: NAHMS-57 58 68A 69 70 71 72 73 74 75 OMB NO: 0579-0084 EXPIRATION DATE: 07/31/2002 RESPS:53,539 HOURS:17,372 COSTS(000):$0 Tuberculosis -- 9 CFR 50 and 77 FORMS: VS-1-24 1-68 6-22 6-22A 6-22B 6-22C 6-22D 6-35 6-38 OMB NO: 0579-0085 EXPIRATION DATE: 12/31/2001 RESPS:4,950 HOURS:4,176 COSTS(000):$0 Introduction of Organisms and Products Altered or Produced Through Genetic Engineering Which Are Plant Pest or Which There Is Reason to Believe Are Plant Pests -- 7 CFR 340 FORMS: APHIS-2000 2050 2051 2052 2053 2054 OMB NO: 0579-0090 EXPIRATION DATE: 09/30/2003 RESPS:30,290 HOURS:15,149 COSTS(000):$0 Specimen Submission FORMS: VS-10-4 OMB NO: 0579-0092 EXPIRATION DATE: 12/31/2002 RESPS:2,250 HOURS:260 COSTS(000):$0 Animal Welfare; Guinea Pigs, Hamsters, and Rabbits -- Part 3, Subparts B and C FORMS: NONE OMB NO: 0579-0093 EXPIRATION DATE: 06/30/2003 RESPS:72,585 HOURS:44,313 COSTS(000):$0 Animal Welfare Act, Part 3, Subparts A and D, Dogs, cats, Pri- mates FORMS: NONE OMB NO: 0579-0094 EXPIRATION DATE: 03/31/2002 RESPS:209,177 HOURS:7,663 COSTS(000):$0 User Fee Regulations -- 7 CFR 354 and 9 CFR 130 FORMS: VS-FORM-16-7 PPQ-FORM-250 OMB NO: 0579-0101 EXPIRATION DATE: 06/30/2003 RESPS:6,326 HOURS:15,846 COSTS(000):$0 Scrapie Flock Certification, Animal Identification, and Indemnification Procedures FORMS: VS-5-18 5-21 5-22 5-23 OMB NO: 0579-0102 EXPIRATION DATE: 08/31/2001 RESPS:9,404 HOURS:3,278 COSTS(000):$0 Imported Fire Ant FORMS: PPQ-523 OMB NO: 0579-0104 EXPIRATION DATE: 03/31/2002 RESPS:214 HOURS:18 COSTS(000):$0 Gypsy Moth Identification Worksheet FORMS: PPQ-FORM-305 OMB NO: 0579-0115 EXPIRATION DATE: 10/31/2001 RESPS:148,143 HOURS:24,872 COSTS(000):$0 Animal Welfare, Marine Mammals -- 9 CFR Part 3 FORMS: APHIS-7002 OMB NO: 0579-0116 EXPIRATION DATE: 08/31/2001 RESPS:45 HOURS:21 COSTS(000):$0 Exotic Newcastle Disease in Birds and Poultry Chlamydiosis in Poultry FORMS: NONE OMB NO: 0579-0117 EXPIRATION DATE: 12/31/2001 RESPS:300 HOURS:150 COSTS(000):$0 Environmental Monitoring Form FORMS: 2060 OMB NO: 0579-0119 EXPIRATION DATE: 09/30/2001 RESPS:2,002,615 HOURS:301,371 COSTS(000):$0 Foreign Quarantine Notices, Logs and Lumber FORMS: PPQ-585 588 OMB NO: 0579-0122 EXPIRATION DATE: 01/31/2001 RESPS:315 HOURS:132 COSTS(000):$0 Asian Long-Horned Beetle FORMS: PPQ-527 PPQ-537 PPQ-530 PPQ-540 OMB NO: 0579-0123 EXPIRATION DATE: 02/28/2001 RESPS:5,278 HOURS:997 COSTS(000):$0 Papaya, Carambola, and Litchi from Hawaii FORMS: PPQ-519 PPQ-530 PPQ-540 OMB NO: 0579-0124 EXPIRATION DATE: 02/28/2001 RESPS:31,605 HOURS:11,564 COSTS(000):$0 Imported Seed and Screening FORMS: PPQ-925 PPQ-519 OMB NO: 0579-0125 EXPIRATION DATE: 08/31/2001 RESPS:415 HOURS:449 COSTS(000):$0 Porcine Reproductive and Respiratory Syndrome (PRRS) FORMS: PRRS-01A PRRS-01B PRRS-02 PRRS-03 OMB NO: 0579-0127 EXPIRATION DATE: 01/31/2001 RESPS:1,020,059 HOURS:91,925 COSTS(000):$0 Communicable Diseases in Horses -- 9 CFR 75 FORMS: VS-FORMS-10-11 10-12 OMB NO: 0579-0128 EXPIRATION DATE: 01/31/2001 RESPS:501 HOURS:656 COSTS(000):$0 Importation of Fruits and Vegetables FORMS: NONE OMB NO: 0579-0129 EXPIRATION DATE: 01/31/2001 RESPS:19,172,592 HOURS:3,098 COSTS(000):$0 Importation of Fresh Hass Avocado Fruit FORMS: PPQ-587(MD) OMB NO: 0579-0130 EXPIRATION DATE: 01/31/2001 RESPS:82 HOURS:300 COSTS(000):$0 Export Certification, Accreditation of Non-Government Facilities FORMS: NONE OMB NO: 0579-0131 EXPIRATION DATE: 01/31/2001 RESPS:328 HOURS:220 COSTS(000):$0 Importation of Tomatoes from France, Morocco and Western Sahara, Chile, and Spain FORMS: NONE OMB NO: 0579-0132 EXPIRATION DATE: 04/30/2001 RESPS:100 HOURS:120 COSTS(000):$0 Mexicali Valley, Karnal Bunt FORMS: NONE OMB NO: 0579-0134 EXPIRATION DATE: 10/31/2001 RESPS:1,020 HOURS:715 COSTS(000):$0 Importation of Grapefruit, Lemons, and Oranges from Argentina -- Docket No. 97-110-1 FORMS: PPQ-587 OMB NO: 0579-0135 EXPIRATION DATE: 07/31/2002 RESPS:850,000 HOURS:73,950 COSTS(000):$0 Wood Packing Material from China FORMS: NONE OMB NO: 0579-0136 EXPIRATION DATE: 12/31/2001 RESPS:1,044 HOURS:1,209 COSTS(000):$0 Importation of Fruits and Vegetables -- 7 CFR Part 319, Docket No. 97-107-1 FORMS: PPQ-587(MD) OMB NO: 0579-0137 EXPIRATION DATE: 01/31/2003 RESPS:5,200 HOURS:1,387 COSTS(000):$0 Pseudorabies in Swine; Payment of Indemnity FORMS: VS1-23 VS7-1 VS7-3 VS7-4 OMB NO: 0579-0138 EXPIRATION DATE: 03/31/2002 RESPS:40 HOURS:23 COSTS(000):$0 Importation of Pork from Yucatan and Sonora, Mexico -- Docket 97-079-1 FORMS: NONE OMB NO: 0579-0140 EXPIRATION DATE: 04/30/2002 RESPS:73 HOURS:37 COSTS(000):$0 Karnal Bunt FORMS: PPQ-523 PPQ-926 PPQ-927 PPQ-519 PPQ-527 PPQ-530 PPQ-537 PPQ-540 OMB NO: 0579-0141 EXPIRATION DATE: 08/31/2003 RESPS:204 HOURS:30 COSTS(000):$0 Poultry Imports and Export FORMS: NONE OMB NO: 0579-0142 EXPIRATION DATE: 12/31/2002 RESPS:4,340 HOURS:183 COSTS(000):$0 Importation of Gypsy Moth Host Materials from Canada FORMS: NONE OMB NO: 0579-0144 EXPIRATION DATE: 07/31/2002 RESPS:60 HOURS:8 COSTS(000):$0 Importation of Poultry Meat and Other Poultry Products from Sinaloa and Sonora, Mexico -- 98-034-1 FORMS: NONE OMB NO: 0579-0145 EXPIRATION DATE: 09/30/2002 RESPS:805 HOURS:576 COSTS(000):$0 Poultry and Pork Products from Mexico Transiting the United States FORMS: NONE OMB NO: 0579-0146 EXPIRATION DATE: 08/31/2003 RESPS:2,216 HOURS:766 COSTS(000):$0 Tuberculosis (Docket 99-038-1, TB in Cattle, Bison, and Goats) Addendum 1 FORMS: VS-6-38 VS-6-22 VS-6-22C VS-6-22D OMB NO: 0579-0147 EXPIRATION DATE: 06/30/2003 RESPS:162,500 HOURS:2,808 COSTS(000):$0 Conifer Solid Wood Packing Material to China, Export Certification FORMS: PPQ-553 OMB NO: 0579-0148 EXPIRATION DATE: 04/30/2003 RESPS:325 HOURS:13 COSTS(000):$0 Johne's Disease in Domestic Animals, Interstate Movement, 9 CFR 80 FORMS: VS-1-27 OMB NO: 0579-0151 EXPIRATION DATE: 01/31/2001 RESPS:7,000 HOURS:998 COSTS(000):$0 Pseudorabies in Swine; Payment of Indemnity (docket 98-123-6) FORMS: NONE OMB NO: 0579-0152 EXPIRATION DATE: 07/31/2003 RESPS:95 HOURS:75 COSTS(000):$0 Spanish Pure Breed Horses From Spain FORMS: NONE OMB NO: 0579-0153 EXPIRATION DATE: 05/31/2003 RESPS:256 HOURS:192 COSTS(000):$0 Fuji Apples FORMS: NONE OMB NO: 0579-0155 EXPIRATION DATE: 07/31/2003 RESPS:1,214,885 HOURS:10,305 COSTS(000):$0 Iradiation Phytosanitary Treatment of Fresh Fruits and Vegetables FORMS: NONE OMB NO: 0579-0156 EXPIRATION DATE: 01/31/2001 RESPS:900 HOURS:75 COSTS(000):$0 Interstate Movement of Certain Tortoises FORMS: APHIS-FORM-7001 OMB NO: 0579-0159 EXPIRATION DATE: 02/28/2001 RESPS:12 HOURS:2 COSTS(000):$0 Plum Pox Compensation FORMS: PPQ-651 OMB NO: 0579-0162 EXPIRATION DATE: 03/31/2001 RESPS:140 HOURS:280 COSTS(000):$0 West Nile Virus Surveillance Project FORMS: VS-22-32 OMB NO: 0579-0163 EXPIRATION DATE: 04/30/2001 RESPS:65 HOURS:15 COSTS(000):$0 Citrus Canker: Commercial Citrus Tree Replacement Program FORMS: PPQ-652 OMB NO: 0579-0164 EXPIRATION DATE: 04/30/2001 RESPS:100 HOURS:25 COSTS(000):$0 Importation of Artificially Dwarfed Plants FORMS: NONE OMB NO: 0579-0165 EXPIRATION DATE: 04/30/2001 RESPS:136 HOURS:34 COSTS(000):$0 Importation of Horses, Ruminants, Swine, and Dogs; Inspection and Treatment for Screwworm FORMS: NONE OMB NO: 0579-0166 EXPIRATION DATE: 04/30/2001 RESPS:200 HOURS:40 COSTS(000):$0 District of Columbia Plant Health Certificate FORMS: PPQ-571 Grain Inspection, Packers and Stockyards Administration OMB NO: 0580-0013 EXPIRATION DATE: 09/30/2001 RESPS:2,946,569 HOURS:467,964 COSTS(000):$0 Reporting and Recordkeeping Requirements (U.S. Grain Standards FORMS: NONE OMB NO: 0580-0014 EXPIRATION DATE: 12/31/2001 RESPS:3 HOURS:60 COSTS(000):$0 Guidelines for Preparation of Research Proposal FORMS: NONE OMB NO: 0580-0015 EXPIRATION DATE: 04/30/2003 RESPS:24,315 HOURS:304,106 COSTS(000):$0 Regulations and Related Reporting and Recordkeeping Requirements- Packers and Stockyards Programs-ADDENDUM #1 FORMS: P-SP216 OMB NO: 0580-0016 EXPIRATION DATE: 07/31/2001 RESPS:1 HOURS:12 COSTS(000):$0 "Clear Title" Regulations to Implement Section 1324 of the Food Security Act of 1985 FORMS: NONE OMB NO: 0580-0018 EXPIRATION DATE: 05/31/2003 RESPS:1,874 HOURS:313 COSTS(000):$0 Survey of Customers of the Official Grain Inspection and Weighing System FORMS: NONE Agricultural Marketing Service OMB NO: 0581-0004 EXPIRATION DATE: 08/31/2002 RESPS:324 HOURS:298 COSTS(000):$0 Tobacco Report FORMS: TB-26 TB-39 OMB NO: 0581-0005 EXPIRATION DATE: 07/31/2002 RESPS:20,880 HOURS:368 COSTS(000):$0 Grain Market News Reports and Molasses Market News FORMS: NONE OMB NO: 0581-0006 EXPIRATION DATE: 04/30/2003 RESPS:3,663,308 HOURS:121,010 COSTS(000):$0 Fruit and Vegetable Market News Reports FORMS: FV-29 FV-498-1 FV-498-2 OMB NO: 0581-0008 EXPIRATION DATE: 07/31/2001 RESPS:1,207 HOURS:100 COSTS(000):$0 Cotton Classing, Testing, and Standards FORMS: CN-246 CN-357 CN-383 OMB NO: 0581-0009 EXPIRATION DATE: 07/31/2001 RESPS:2,417 HOURS:218 COSTS(000):$0 Cotton Classification and Market News Service FORMS: CN-59 OMB NO: 0581-0026 EXPIRATION DATE: 07/31/2001 RESPS:17,838 HOURS:37,078 COSTS(000):$0 Federal Seed Act Program FORMS: NONE OMB NO: 0581-0031 EXPIRATION DATE: 04/30/2003 RESPS:30,719 HOURS:118,371 COSTS(000):$0 Reporting and Record keeping Requirements under Regulations (Other than Rules of Practice) under the Perishable Agricultural Commodities Act, 1930 FORMS: FV-211-SERIES FV-211-1(CG) FV-231-SERIES OMB NO: 0581-0032 EXPIRATION DATE: 09/30/2001 RESPS:27,009 HOURS:23,858 COSTS(000):$0 Report Forms under Milk Marketing Order Programs (From Milk Handlers and Milk Marketing Cooperatives) FORMS: DA-24 DA-25 OMB NO: 0581-0033 EXPIRATION DATE: 07/31/2001 RESPS:212,740 HOURS:17,657 COSTS(000):$0 Poultry Market News Report FORMS: PY-90 OMB NO: 0581-0050 EXPIRATION DATE: 07/31/2002 RESPS:67,240 HOURS:740 COSTS(000):$0 Plan for Estimating Daily Livestock Slaughter under Federal Inspection FORMS: NONE OMB NO: 0581-0055 EXPIRATION DATE: 04/30/2003 RESPS:1,760 HOURS:1,691 COSTS(000):$0 Application for Plant Variety Protection Certificate and Objective Description of Variety FORMS: ST-470 ST-470-E OMB NO: 0581-0056 EXPIRATION DATE: 07/31/2001 RESPS:13,504 HOURS:5,569 COSTS(000):$0 Reporting and Recordkeeping Requirements -- 7 CFR Part 29 FORMS: TB-87 TB-92 OMB NO: 0581-0065 EXPIRATION DATE: 04/30/2001 RESPS:1,628 HOURS:195 COSTS(000):$0 Marketing Order Regulating the Handling of Spearmint Oil Produced in the Far West, M.O. 985 FORMS: FV-57 FV-58 FV-60 FV-63 FV-63A OMB NO: 0581-0067 EXPIRATION DATE: 07/31/2001 RESPS:296 HOURS:126 COSTS(000):$0 Regulating the Quality of Domestically Produced Peanuts -- 7 CFR Part 998 FORMS: FV-121 FV-123 FV-123A OMB NO: 0581-0071 EXPIRATION DATE: 07/31/2002 RESPS:6,597 HOURS:2,638 COSTS(000):$0 Almonds Grown in California -- Marketing Order 981 FORMS: FV-176 FV-177 FV-178 FV-179 FV-180 OMB NO: 0581-0080 EXPIRATION DATE: 07/31/2003 RESPS:2,287 HOURS:1,411 COSTS(000):$0 Peaches Grown in California - Marketing Order No. 917 FORMS: FV-75 FV-76 FV-91 FV-92 FV-93 FV-103 OMB NO: 0581-0089 EXPIRATION DATE: 06/30/2003 RESPS:4,761 HOURS:3,567 COSTS(000):$0 Winter Pears Grown in Oregon, Washington, and California, Marketing Order No. 927 FORMS: FV-22 FV-119 FV-119A FV-120 OMB NO: 0581-0092 EXPIRATION DATE: 04/30/2001 RESPS:2,120 HOURS:1,176 COSTS(000):$0 Fresh Bartlett Pears Grown in Oregon and Washington -- M.O. 931 FORMS: FV-128 FV-129 FV-130 FV-130A OMB NO: 0581-0093 EXPIRATION DATE: 01/31/2001 RESPS:4,454,673 HOURS:369,750 COSTS(000):$0 National Research, Promotion, and Consumer Information Programs FORMS: NONE OMB NO: 0581-0094 EXPIRATION DATE: 09/30/2002 RESPS:3,772 HOURS:334 COSTS(000):$0 Handling of Oranges, Grapefruit, Tangerines, and Tangelos Grown in Florida FORMS: FV-160 FV-161 FV-162 FV-162A FV-163 FV-164 OMB NO: 0581-0095 EXPIRATION DATE: 04/30/2001 RESPS:131 HOURS:39 COSTS(000):$0 Apricots Grown in Designated Counties in Washington -- M.O. No. 922 FORMS: FV-150 FV-151 FV-151A FV-152 OMB NO: 0581-0102 EXPIRATION DATE: 01/31/2001 RESPS:1,383 HOURS:1,050 COSTS(000):$0 Revision - Papayas Grown in Hawaii, Marketing Order No. 928 FORMS: FV-86 FV-86-1 FV-87 FV-88 OMB NO: 0581-0103 EXPIRATION DATE: 01/31/2001 RESPS:5,702 HOURS:1,750 COSTS(000):$0 Cranberries Grown in the States of Massachusetts, Rhode Island, Connecticut, New Jersey, Wisconsin, Michigan, Minnesota, Oregon, Washington, and Long Island in the State of New Yor, Marketing FORMS: NONE OMB NO: 0581-0110 EXPIRATION DATE: 04/30/2003 RESPS:508 HOURS:1,525 COSTS(000):$0 Regulations Governing the Inspection and Grading of Manufactured or Processed Dairy Products; Recordkeeping FORMS: NONE OMB NO: 0581-0113 EXPIRATION DATE: 04/30/2003 RESPS:6,688 HOURS:1,922 COSTS(000):$0 Regulations for Inspection of Eggs FORMS: PY-76 PY-155 PY-156 PY-222 PY-518-1 OMB NO: 0581-0123 EXPIRATION DATE: 12/31/2001 RESPS:20,990 HOURS:1,126 COSTS(000):$0 Reporting Requirements under the Regulations Governing Inspection and Certification of Processed Fruits and Vegetables and Related Products FORMS: FV-159 FV-356 FV-468 OMB NO: 0581-0124 EXPIRATION DATE: 09/30/2003 RESPS:24,000 HOURS:406 COSTS(000):$0 7 CFR Part 54 - Meats, Prepared Meats, and Meat Products (Grading, Certification, and Standards) FORMS: LS-313 LS-315 OMB NO: 0581-0125 EXPIRATION DATE: 01/31/2001 RESPS:212,306 HOURS:6,416 COSTS(000):$0 Regulations Governing Inspection, Certification, and Standards for Fresh Fruits, Vegetables, and other Products -- 7 CFR 51 FORMS: FV-24 FV-202 FV-237 FV-292 OMB NO: 0581-0126 EXPIRATION DATE: 08/31/2003 RESPS:11,991 HOURS:551 COSTS(000):$0 Reporting Requirement Under Regs. Concerning The Inspection And Grading Service of Manufactured Or Processsed Dairy Products FORMS: DA-132 DA-155 DA-156 DA-162 DA-201B OMB NO: 0581-0127 EXPIRATION DATE: 07/31/2001 RESPS:23,958 HOURS:1,889 COSTS(000):$0 Regulations for Voluntary Grading of Poultry Products and Rabbit FORMS: PY-32 OMB NO: 0581-0128 EXPIRATION DATE: 06/30/2002 RESPS:23,883 HOURS:5,602 COSTS(000):$0 Regulations Governing the Voluntary Grading of Shell Eggs FORMS: PY-100 PY-157 PY-240 OMB NO: 0581-0140 EXPIRATION DATE: 07/31/2001 RESPS:1,555 HOURS:389 COSTS(000):$0 Seed Service Testing Program FORMS: LS-375 OMB NO: 0581-0142 EXPIRATION DATE: 09/30/2003 RESPS:10,434 HOURS:2,947 COSTS(000):$0 Olives Grown in California FORMS: FV-235 FV-235A FV-236 FV-269 FV-273 FV-274 FV-275 OMB NO: 0581-0143 EXPIRATION DATE: 07/31/2001 RESPS:445 HOURS:2,204 COSTS(000):$0 Export Fruit Acts FORMS: NONE OMB NO: 0581-0154 EXPIRATION DATE: 09/30/2002 RESPS:234,000 HOURS:7,020 COSTS(000):$0 Livestock and Meat Market News FORMS: NONE OMB NO: 0581-0163 EXPIRATION DATE: 09/30/2002 RESPS:792 HOURS:264 COSTS(000):$0 Provisions Regulating the Quality of Domestically Produced Peanuts Handled by Persons Not Subject to the Peanut Marketing Agreement FORMS: FV-117 FV-117-1 OMB NO: 0581-0164 EXPIRATION DATE: 06/30/2002 RESPS:190,802,858 HOURS:1,828,452 COSTS(000):$0 Recordkeeping Requirements for Certified Application of Federally Restricted Use Pesticides -- 7 CFR Part 110 FORMS: STD-8 OMB NO: 0581-0167 EXPIRATION DATE: 05/31/2003 RESPS:9,600 HOURS:1,632 COSTS(000):$0 Specified Commodities Imported into the United States Exempt from Import Requirements, 7 CFR Parts 944, 980, and 999 FORMS: FV-6 FV-7 OMB NO: 0581-0176 EXPIRATION DATE: 07/31/2002 RESPS:1,590 HOURS:257 COSTS(000):$0 Reporting and Recordkeeping Requirements for Imported Peanuts FORMS: NONE OMB NO: 0581-0177 EXPIRATION DATE: 01/31/2001 RESPS:5,772 HOURS:1,034 COSTS(000):$0 Tart Cherries Grown in the States of Michigan, New York, Pennsylvania, Oregon, Utah, Washington, and Wisconsin FORMS: FV-43 FV-43A FV-44 FV-45 FV-45A FV-46 FV-47 FV-48 FV-49 OMB NO: 0581-0178 EXPIRATION DATE: 01/31/2001 RESPS:112,410 HOURS:8,528 COSTS(000):$0 Vegetable and Speciality Crop Marketing Orders, Revision FORMS: NONE OMB NO: 0581-0180 EXPIRATION DATE: 04/30/2001 RESPS:2 HOURS:4 COSTS(000):$0 Regulations for the Donation of Foods for Use in the United Jurisdiction -- 7 CFR Part 250 FORMS: NONE OMB NO: 0581-0182 EXPIRATION DATE: 12/31/2001 RESPS:8,400 HOURS:700 COSTS(000):$0 Customer Service Survey for USDA Donated Food Products FORMS: AMS-11 OMB NO: 0581-0183 EXPIRATION DATE: 04/30/2003 RESPS:132 HOURS:3,531 COSTS(000):$0 7 CFR Part 37 - Program to Accredit Organic Certifying Agencies FORMS: LS-314 OMB NO: 0581-0186 EXPIRATION DATE: 01/31/2001 RESPS:140,452 HOURS:24,514 COSTS(000):$0 Livestock Mandatory Reporting Act of 1999 FORMS: LS-113-126 LS-128-129 OMB NO: 0581-0189 EXPIRATION DATE: 04/30/2003 RESPS:10,338 HOURS:2,978 COSTS(000):$0 Generic OMB Fruit Crops, Marketing Order Administration Branch FORMS: NONE OMB NO: 0581-0190 EXPIRATION DATE: 01/31/2001 RESPS:8,000 HOURS:2,000 COSTS(000):$0 Pricing Pilot Program FORMS: NONE OMB NO: 0581-0192 EXPIRATION DATE: 07/31/2003 RESPS:18,000 HOURS:3,000 COSTS(000):$0 Federal-State Shipping Point Inspection Program Customer Service Survey FORMS: FV-600 OMB NO: 0581-0193 EXPIRATION DATE: 06/30/2003 RESPS:428 HOURS:36 COSTS(000):$0 Customer Service Survey (Meat Grading and Certification Services). FORMS: NONE OMB NO: 0581-0194 EXPIRATION DATE: 06/30/2003 RESPS:109,500 HOURS:11,120 COSTS(000):$0 Pork Promotion, Research, and Consumer Information Program: Procedures for the Conduct of Referendum FORMS: NONE OMB NO: 0581-0195 EXPIRATION DATE: 02/28/2001 RESPS:50 HOURS:50 COSTS(000):$0 Marketing Order Committee/Boarad Interview FORMS: NONE Food Safety and Inspection Service OMB NO: 0583-0082 EXPIRATION DATE: 01/31/2001 RESPS:38,182 HOURS:18,510 COSTS(000):$0 Application for Inspection, Sanitation, Accredited FORMS: 5200-2 10-110-2 10-110-4 10-600-1 6200-18 OMB NO: 0583-0089 EXPIRATION DATE: 01/31/2001 RESPS:145,179 HOURS:743,906 COSTS(000):$0 Processing Procedures and Quality Control Systems FORMS: 8820-1/5400.5-4 OMB NO: 0583-0090 EXPIRATION DATE: 03/31/2003 RESPS:910,231 HOURS:19,716 COSTS(000):$0 Ante-Mortem and Post-Mortem Inspection FORMS: 6700-2 6500-1 6500-2 6500-3 6300-15 OMB NO: 0583-0094 EXPIRATION DATE: 01/31/2003 RESPS:2,201,058 HOURS:168,711 COSTS(000):$0 Exportation, Transportation, and Importation of Meat and Poultry Products FORMS: 9060-1 7350-1 9540-1 9510-1 OMB NO: 0583-0115 EXPIRATION DATE: 12/31/2002 RESPS:40,140 HOURS:2,601 COSTS(000):$0 Irradiation of Meat and Poultry Products FORMS: NONE OMB NO: 0583-0119 EXPIRATION DATE: 06/30/2001 RESPS:10,040 HOURS:344 COSTS(000):$0 Labeling of Natural or Regenerated Collagen Sausage Casings FORMS: NONE Food and Nutrition Service OMB NO: 0584-0002 EXPIRATION DATE: 01/31/2003 RESPS:2,976 HOURS:95,232 COSTS(000):$0 Report of School Program Operations FORMS: FNS-10 OMB NO: 0584-0005 EXPIRATION DATE: 08/31/2002 RESPS:740,270 HOURS:836,847 COSTS(000):$0 Special Milk Program for Children -- 7 CFR Part 215 SMP FORMS: NONE OMB NO: 0584-0006 EXPIRATION DATE: 02/28/2001 RESPS:2,210,854 HOURS:9,462,622 COSTS(000):$0 7 CFR Part 210 National School Lunch Program FORMS: FNS-66 FNS-640 FNS-67 OMB NO: 0584-0008 EXPIRATION DATE: 06/30/2002 RESPS:62,621 HOURS:14,812 COSTS(000):$0 Food Stamp Program - Store Applications FORMS: FNS-252 FNS-252-2 FNS-252R OMB NO: 0584-0009 EXPIRATION DATE: 06/30/2001 RESPS:19,044 HOURS:57,132 COSTS(000):$0 Food Stamp Accountability Report -- FCS-250 FORMS: FCS-250 OMB NO: 0584-0012 EXPIRATION DATE: 02/28/2001 RESPS:1,283,639 HOURS:4,895,796 COSTS(000):$0 7 CFR Part 220 School Breakfast Program FORMS: NONE OMB NO: 0584-0015 EXPIRATION DATE: 06/30/2002 RESPS:4,104 HOURS:342 COSTS(000):$0 Food Stamp Mail Issuance Report FORMS: FNS-259 OMB NO: 0584-0022 EXPIRATION DATE: 09/30/2001 RESPS:6,000 HOURS:3,000 COSTS(000):$0 Requisition for Food Coupon Books FORMS: FNS-260 OMB NO: 0584-0025 EXPIRATION DATE: 12/31/2002 RESPS:2,939 HOURS:6,595 COSTS(000):$0 Civil Rights Title VI-Collection Reports-FNS-191 and FNS-101 FORMS: FNS-191 FNS-101 OMB NO: 0584-0026 EXPIRATION DATE: 09/30/2001 RESPS:7,162,826 HOURS:1,028,149 COSTS(000):$0 Determining Eligibility for Free and Reduced Price Meals and Free Milk -- 7 CFR Part 245 FORMS: NONE OMB NO: 0584-0034 EXPIRATION DATE: 02/28/2003 RESPS:33,178 HOURS:101,049 COSTS(000):$0 Negative Quality Control Review Schedule; Status of Sample Selection and Completion; Statistical Summary of Sample Disposition FORMS: FNS-245 FNS-247 FNS-248 OMB NO: 0584-0037 EXPIRATION DATE: 12/31/2001 RESPS:100 HOURS:97 COSTS(000):$0 Report of Coupon Issuance and Commodity Distribution for Disaster Relief -- FNS-292 FORMS: FNS-292 OMB NO: 0584-0041 EXPIRATION DATE: 03/31/2003 RESPS:1,590 HOURS:1,193 COSTS(000):$0 Summer Food Service Program Claim for Reimbursement FORMS: FNS-143 OMB NO: 0584-0043 EXPIRATION DATE: 11/30/2003 RESPS:26,122,891 HOURS:2,653,481 COSTS(000):$0 WIC Program Regulations - Reporting and Recordkeeping Burden FORMS: NONE OMB NO: 0584-0045 EXPIRATION DATE: 05/31/2003 RESPS:1,496 HOURS:4,638 COSTS(000):$0 WIC Financial Management and Participation Report with Addendum FORMS: FNS-798 FNS-798A OMB NO: 0584-0052 EXPIRATION DATE: 11/30/2001 RESPS:65,273 HOURS:17,859 COSTS(000):$0 Affidavit of Return or Exchange of Food Coupons -- FCS-135 FORMS: FCS-135 OMB NO: 0584-0053 EXPIRATION DATE: 03/31/2003 RESPS:111,312 HOURS:12,127 COSTS(000):$0 Coupon Account and Destruction Report FORMS: FNS-471 OMB NO: 0584-0055 EXPIRATION DATE: 12/31/2003 RESPS:4,802,804 HOURS:5,076,428 COSTS(000):$0 7 CFR sPart 226 Child and Adult Care Food Program FORMS: FNS-82 341 342 344 430 431 433 343 345 345-1 OMB NO: 0584-0064 EXPIRATION DATE: 06/30/2001 RESPS:105,612,885 HOURS:27,694,052 COSTS(000):$0 Food Stamp Forms: Applications, Periodic Reporting, Notices FORMS: NONE OMB NO: 0584-0067 EXPIRATION DATE: 09/30/2002 RESPS:18,551 HOURS:20,912 COSTS(000):$0 State Administrative Expense Funds -- 7 CFR Part 235 FORMS: FCS-74 FNS-525 OMB NO: 0584-0069 EXPIRATION DATE: 05/31/2003 RESPS:212 HOURS:742 COSTS(000):$0 Status of Claims Against Households FORMS: FNS-209 OMB NO: 0584-0074 EXPIRATION DATE: 11/30/2003 RESPS:54,663 HOURS:491,967 COSTS(000):$0 Worksheet for Food Stamp Program Quality Control Reveiws, FNS-380 FORMS: FNS-380 OMB NO: 0584-0075 EXPIRATION DATE: 08/31/2001 RESPS:57 HOURS:4,560 COSTS(000):$0 Annual Report of State Revenue Matching -- FNS-13 FORMS: FNS-13 OMB NO: 0584-0078 EXPIRATION DATE: 12/31/2002 RESPS:1,908 HOURS:5,724 COSTS(000):$0 Report of the Child and Adult Care Food Program FORMS: FNS-44 OMB NO: 0584-0080 EXPIRATION DATE: 07/31/2001 RESPS:12 HOURS:37,248 COSTS(000):$0 Issuance Reconciliation Report -- FNS-46 FORMS: FNS-46 OMB NO: 0584-0081 EXPIRATION DATE: 11/30/2003 RESPS:636 HOURS:4,542 COSTS(000):$0 Form FNS-388, State Issuance and Participation Estimates FORMS: FNS-388 OMB NO: 0584-0083 EXPIRATION DATE: 05/31/2003 RESPS:417 HOURS:3,768 COSTS(000):$0 Operating Guidelines, Forms and Waivers FORMS: FNS-366A FNS-366B OMB NO: 0584-0085 EXPIRATION DATE: 11/30/2001 RESPS:16,274,225 HOURS:325,483 COSTS(000):$0 FS Redemption Certificate FORMS: FORM-FCS-278B FORM-FCS-278-4 OMB NO: 0584-0124 EXPIRATION DATE: 11/30/2003 RESPS:3,951,516 HOURS:21,250 COSTS(000):$0 Food Stamp Program Identification Cards FORMS: NONE OMB NO: 0584-0280 EXPIRATION DATE: 02/28/2003 RESPS:347,641 HOURS:316,005 COSTS(000):$0 Summer Food Service Program -- 7 CFR Part 225 FORMS: FNS-19-1 FNS-19-2 FNS-80 FNS-81 FNS-81-1 FNS-418 FNS-688 OMB NO: 0584-0284 EXPIRATION DATE: 10/31/2002 RESPS:5,200 HOURS:7,540 COSTS(000):$0 Monthly claim for Reimbursement FORMS: FNS-806 OMB NO: 0584-0293 EXPIRATION DATE: 06/30/2003 RESPS:918,593 HOURS:1,154,581 COSTS(000):$0 Food Distribution Forms FORMS: FNS-7 52 53 57 152 153 155 586A 586B 663 OMB NO: 0584-0299 EXPIRATION DATE: 01/31/2001 RESPS:57,236 HOURS:61,499 COSTS(000):$0 Quality Control Review Schedule FORMS: FCS-380-1 OMB NO: 0584-0303 EXPIRATION DATE: 06/30/2001 RESPS:4,326 HOURS:3,830 COSTS(000):$0 Food Stamp Program Regulations, Quality Control -- Part 275 FORMS: NONE OMB NO: 0584-0314 EXPIRATION DATE: 01/31/2001 RESPS:378,000 HOURS:3,675 COSTS(000):$0 Food Coupon Deposit Document FORMS: FORM-FCS-521 OMB NO: 0584-0320 EXPIRATION DATE: 02/28/2003 RESPS:4,163 HOURS:3,122 COSTS(000):$0 Child Nutrition Labeling Program FORMS: NONE OMB NO: 0584-0332 EXPIRATION DATE: 05/31/2003 RESPS:100 HOURS:25 COSTS(000):$0 WIC Federal and State Agreement FORMS: FNS-339 OMB NO: 0584-0339 EXPIRATION DATE: 09/30/2001 RESPS:4,870,701 HOURS:195,363 COSTS(000):$0 Employment and Training (E&T) Program Report FORMS: FNS-583 OMB NO: 0584-0385 EXPIRATION DATE: 04/30/2003 RESPS:275 HOURS:963 COSTS(000):$0 Report of the Emergency Food Assistance Program (TEFAP) Administrative FORMS: FNS-667 OMB NO: 0584-0401 EXPIRATION DATE: 06/30/2001 RESPS:1 HOURS:1,836 COSTS(000):$0 The Integrity Profile FORMS: FORM-FCS-698 FORM-FNS-699 FORM-FNS-700 OMB NO: 0584-0427 EXPIRATION DATE: 11/30/2001 RESPS:1 HOURS:502 COSTS(000):$0 WIC Annual Closeout Report with Addendum FORMS: FNS-227 FNS-227A OMB NO: 0584-0431 EXPIRATION DATE: 11/30/2001 RESPS:1 HOURS:15 COSTS(000):$0 WIC Local Agency Directory Report FORMS: FNS-648 OMB NO: 0584-0446 EXPIRATION DATE: 04/30/2003 RESPS:843,623 HOURS:71,803 COSTS(000):$0 Federal Collection; Methods for Food Stamp Program Recipient Claims FORMS: N/A OMB NO: 0584-0447 EXPIRATION DATE: 07/31/2001 RESPS:1,283 HOURS:4,086 COSTS(000):$0 WIC Farmers' Market Nutrition Program (FMNP) Annual Financial Report, FMNP Recipient Report, and FMNP Regulation FORMS: FNS-683 FNS-203 OMB NO: 0584-0474 EXPIRATION DATE: 02/28/2003 RESPS:1,850 HOURS:148 COSTS(000):$0 A National Hunger Clearinghouse Data Base Form FORMS: NONE OMB NO: 0584-0479 EXPIRATION DATE: 02/28/2002 RESPS:100 HOURS:2,000 COSTS(000):$0 Waiver Guidance for Food Stamp Time Limits FORMS: NONE OMB NO: 0584-0485 EXPIRATION DATE: 03/31/2002 RESPS:2,039 HOURS:2,039 COSTS(000):$0 SMI Implementation Study: Year 3 Data Collection FORMS: NONE OMB NO: 0584-0489 EXPIRATION DATE: 07/31/2001 RESPS:447 HOURS:105 COSTS(000):$0 Study of WIC Participants and Program Characteristics: 1998 and 2000 FORMS: NONE OMB NO: 0584-0490 EXPIRATION DATE: 08/31/2001 RESPS:285 HOURS:350 COSTS(000):$0 Case Study Data Collection for "Tracking State Food Stamp Choices and Implementation Strategies under Welfare Reform" FORMS: NONE OMB NO: 0584-0491 EXPIRATION DATE: 08/31/2001 RESPS:270 HOURS:195 COSTS(000):$0 Coordination Best Practices Handbook Project FORMS: NONE OMB NO: 0584-0492 EXPIRATION DATE: 08/31/2001 RESPS:1,915,715 HOURS:185,474 COSTS(000):$0 Repayment Demand and Program Disqualification FORMS: NONE OMB NO: 0584-0494 EXPIRATION DATE: 02/28/2002 RESPS:30 HOURS:6,000 COSTS(000):$0 Child Nutrition Data Base FORMS: NONE OMB NO: 0584-0496 EXPIRATION DATE: 01/31/2001 RESPS:139 HOURS:256 COSTS(000):$0 FSP State Agency Options FORMS: NONE OMB NO: 0584-0497 EXPIRATION DATE: 06/30/2001 RESPS:8,055 HOURS:3,233 COSTS(000):$0 Survey of State Public Health and Community Nutrition Workforce FORMS: NONE OMB NO: 0584-0499 EXPIRATION DATE: 05/31/2001 RESPS:1,032 HOURS:2,133 COSTS(000):$0 The Impacts of Food Stamp Program Time Limits on Able-Bodied Adults Without Depedents FORMS: NONE OMB NO: 0584-0500 EXPIRATION DATE: 02/28/2003 RESPS:72 HOURS:10,999 COSTS(000):$0 Electronic Benefit Transfer (EBT) SAS No. 70 Examinations FORMS: NONE OMB NO: 0584-0501 EXPIRATION DATE: 05/31/2003 RESPS:800 HOURS:66 COSTS(000):$0 Supplemental Form for Collecting Taxpayer Identifying Numbers FORMS: FNS-711 OMB NO: 0584-0502 EXPIRATION DATE: 06/30/2001 RESPS:288 HOURS:293 COSTS(000):$0 FNS Nutrition Education and Promotion Campaign FORMS: NONE OMB NO: 0584-0503 EXPIRATION DATE: 03/31/2001 RESPS:51 HOURS:38 COSTS(000):$0 Interoperability Funding Agreement FORMS: NONE OMB NO: 0584-0504 EXPIRATION DATE: 03/31/2002 RESPS:106 HOURS:212 COSTS(000):$0 Assessment of Computer Matching in the Food Stamp Program FORMS: NONE Forest Service OMB NO: 0596-0003 EXPIRATION DATE: 12/31/2002 RESPS:7,200 HOURS:2,950 COSTS(000):$0 Grazing Permit Administration Forms FORMS: R1-FS-2200-5 R2-2200-6 R#-FS-2200-1 R8-2200-23 FS-220-1/2/12 13/15/16/17 OMB NO: 0596-0010 EXPIRATION DATE: 06/30/2003 RESPS:2,909 HOURS:2,369 COSTS(000):$0 Forest Industries Data Collection System FORMS: NONE OMB NO: 0596-0015 EXPIRATION DATE: 05/31/2003 RESPS:988 HOURS:248 COSTS(000):$0 Airplane Pilot Qualifications and Approval Record, Helicopter Pilot Qualifications and Approval Record, Airplane Data Record, and Helicopter Data Record. FORMS: FS-5700-20 FS-5700-20A FS-5700-21 FS-5700-21A OMB NO: 0596-0016 EXPIRATION DATE: 07/31/2003 RESPS:2,000 HOURS:500 COSTS(000):$0 Use of Roads by Order FORMS: FS-7700-40 OMB NO: 0596-0019 EXPIRATION DATE: 11/30/2003 RESPS:320,000 HOURS:16,000 COSTS(000):$0 Recreation Fee Permit and Visitor Registration Card FORMS: FS-2300-30 FS-2300-32 OMB NO: 0596-0022 EXPIRATION DATE: 01/31/2002 RESPS:5,924 HOURS:4,462 COSTS(000):$0 Locatable Minerals -- 36 CFR Part 228, Subpart A FORMS: FS-2800-5 OMB NO: 0596-0066 EXPIRATION DATE: 05/31/2003 RESPS:1,600 HOURS:38,672 COSTS(000):$0 Bid for Advertised Timber FORMS: FS-2400-42A FS-2400-14 OMB NO: 0596-0082 EXPIRATION DATE: 11/30/2002 RESPS:56,940 HOURS:75,875 COSTS(000):$0 Special Use Administration FORMS: NONE OMB NO: 0596-0084 EXPIRATION DATE: 09/30/2003 RESPS:18,000 HOURS:6,000 COSTS(000):$0 Youth Conservation Corps Application & Medical History Forms. FORMS: FS-1800-3 FS-1800-18 OMB NO: 0596-0085 EXPIRATION DATE: 01/31/2002 RESPS:873,750 HOURS:41,366 COSTS(000):$0 Forest Products Free Use Permit, Forest Products Removal Permit and Cash Receipt, and Forest Products Sale Permit and Cash Receipt FORMS: FS-2400-8 FS-2400-1 FS-2400-4 OMB NO: 0596-0089 EXPIRATION DATE: 11/30/2003 RESPS:25 HOURS:6 COSTS(000):$0 Application for Prospecting Permit FORMS: FS-2800-14 OMB NO: 0596-0097 EXPIRATION DATE: 08/31/2002 RESPS:52 HOURS:52 COSTS(000):$0 Interpretive Association Annual Report FORMS: FS-2300-5 OMB NO: 0596-0099 EXPIRATION DATE: 12/31/2003 RESPS:6,500 HOURS:1,083 COSTS(000):$0 Application for the Senior Communitry Service Employment Program FORMS: FS-1800-21B OMB NO: 0596-0105 EXPIRATION DATE: 06/30/2003 RESPS:200 HOURS:200 COSTS(000):$0 Agreement to Initiate (ATI) and Exchange Agreement (EA) FORMS: NONE OMB NO: 0596-0106 EXPIRATION DATE: 04/30/2003 RESPS:400,000 HOURS:20,000 COSTS(000):$0 Recreation Fee Permit Envelope FORMS: FS-2300-26 OMB NO: 0596-0108 EXPIRATION DATE: 01/31/2003 RESPS:1,000 HOURS:416 COSTS(000):$0 Baseline and Trend Information on Wilderness Use and Users FORMS: NONE OMB NO: 0596-0110 EXPIRATION DATE: 02/28/2003 RESPS:57,000 HOURS:9,917 COSTS(000):$0 Customer and Use Survey Techniques for Operations, Management, Evaluation, and Research FORMS: NONE OMB NO: 0596-0120 EXPIRATION DATE: 07/31/2002 RESPS:32,500 HOURS:74,250 COSTS(000):$0 Stewardship Incentive Program FORMS: SIP-36 SIP-211 SIP-211-1 SIP-502 OMB NO: 0596-0127 EXPIRATION DATE: 10/31/2003 RESPS:40,000 HOURS:13,333 COSTS(000):$0 National Survey on Recreation and the Environment FORMS: NONE OMB NO: 0596-0128 EXPIRATION DATE: 10/31/2002 RESPS:500 HOURS:125 COSTS(000):$0 Recreational Participation and Environmental Activity Survey FORMS: NONE OMB NO: 0596-0129 EXPIRATION DATE: 10/31/2002 RESPS:600 HOURS:150 COSTS(000):$0 The Day Use Study FORMS: NONE OMB NO: 0596-0138 EXPIRATION DATE: 05/31/2002 RESPS:2 HOURS:40 COSTS(000):$0 Smith River National Recreation Area FORMS: NONE OMB NO: 0596-0144 EXPIRATION DATE: 02/28/2002 RESPS:112 HOURS:364 COSTS(000):$0 Economic, Social, and Cultural Contributions of Livestock Ownership FORMS: NONE OMB NO: 0596-0146 EXPIRATION DATE: 04/30/2002 RESPS:1 HOURS:1,708 COSTS(000):$0 "Your Comments" Customer Service Comment Card FORMS: FS-1300-5 FS-1300-5-R OMB NO: 0596-0150 EXPIRATION DATE: 10/31/2002 RESPS:515 HOURS:145 COSTS(000):$0 Communication and Interpretation for Urban Proximate Forest FORMS: NONE OMB NO: 0596-0151 EXPIRATION DATE: 10/31/2002 RESPS:400 HOURS:100 COSTS(000):$0 Recreation on the San Gabriel Canyon Study FORMS: NONE OMB NO: 0596-0152 EXPIRATION DATE: 10/31/2002 RESPS:365 HOURS:103 COSTS(000):$0 Meeting National Forest Recreationists' Needs through a Customer Service Paradigm FORMS: NONE OMB NO: 0596-0153 EXPIRATION DATE: 10/31/2002 RESPS:1,000 HOURS:250 COSTS(000):$0 Recreational and Management Preferences Survey FORMS: NONE OMB NO: 0596-0155 EXPIRATION DATE: 02/28/2003 RESPS:4,148 HOURS:1,549 COSTS(000):$0 Urban Connections FORMS: NONE OMB NO: 0596-0158 EXPIRATION DATE: 10/31/2003 RESPS:1,210 HOURS:12,100 COSTS(000):$0 National Forest System Land and Resource Management Planning FORMS: NONE Office of Procurement and Property Management No active collections for this subagency
(RETURN TO AGENCY LIST)OMB NO: 0605-0001 EXPIRATION DATE: 03/31/2003 RESPS:2,710 HOURS:678 COSTS(000):$0 Applicant for Funding Assistance FORMS: CD-346-LF Bureau of the Census OMB NO: 0607-0008 EXPIRATION DATE: 07/31/2003 RESPS:72,000 HOURS:24,000 COSTS(000):$0 Manufacturers' Shipments, Inventories, and Orders Survey FORMS: M-3(SD) M3-SD(I) M3-1-L1 OMB NO: 0607-0013 EXPIRATION DATE: 11/30/2002 RESPS:23,337 HOURS:9,437 COSTS(000):$0 Annual Retail Trade Survey FORMS: SA-44 SA-44A SA-45 SA-44C SA-45C SA-721 SA-44N OMB NO: 0607-0049 EXPIRATION DATE: 06/30/2002 RESPS:576,000 HOURS:15,168 COSTS(000):$0 Current Population Survey (CPS) Basic Demographics FORMS: CPS-263 CPS-264 BC-1428 BC-1433 OMB NO: 0607-0094 EXPIRATION DATE: 02/28/2001 RESPS:114,820 HOURS:30,716 COSTS(000):$0 Report of Privately-Owned Building or Zoning Permits Issued FORMS: C-404 C-404(I) C-404(B) OMB NO: 0607-0104 EXPIRATION DATE: 12/31/2003 RESPS:54,000 HOURS:4,500 COSTS(000):$0 Advance Monthly Retail Sales Survey FORMS: SM-44(00)A SM-44(00)AS SM-44(00)AE SM-72(00)A OMB NO: 0607-0110 EXPIRATION DATE: 07/31/2003 RESPS:112,736 HOURS:9,395 COSTS(000):$0 Survey of Housing Starts, Sales, and Completion FORMS: SOC-QI/SF.1 SOC-QI/MF.1 OMB NO: 0607-0112 EXPIRATION DATE: 09/30/2003 RESPS:23,616 HOURS:5,957 COSTS(000):$0 Quarterly Survey of State and Local Tax Revenues FORMS: F-71 F-72 F-73 OMB NO: 0607-0117 EXPIRATION DATE: 07/31/2001 RESPS:11,899 HOURS:1,629 COSTS(000):$0 U.S. Census, Age Search FORMS: BC-600 BC-649(L) BC-658(L) OMB NO: 0607-0125 EXPIRATION DATE: 05/31/2003 RESPS:900 HOURS:225 COSTS(000):$0 Questionnaire for Building Permit Officials FORMS: SOC-QBPO OMB NO: 0607-0130 EXPIRATION DATE: 12/31/2002 RESPS:9,600 HOURS:2,400 COSTS(000):$0 Quarterly Survey of Residential Alterations and Repairs FORMS: SORAR-705 OMB NO: 0607-0139 EXPIRATION DATE: 09/30/2002 RESPS:3,050,000 HOURS:762,500 COSTS(000):$0 Census Employment Inquiry FORMS: BC-170 OMB NO: 0607-0143 EXPIRATION DATE: 01/31/2003 RESPS:408 HOURS:408 COSTS(000):$0 Quarterly Survey of Public Employee Retirement Systems FORMS: F-10 OMB NO: 0607-0151 EXPIRATION DATE: 11/30/2001 RESPS:39,347 HOURS:118,041 COSTS(000):$0 The Boundary and Annexation Survey (BAS) FORMS: BAS-1 BAS-1A BAS-2 BAS-2A BAS-3 BAS-3A BAS-4 BAS-5 BAS-5A OMB NO: 0607-0152 EXPIRATION DATE: 09/30/2003 RESPS:13,449,996 HOURS:1,284,949 COSTS(000):$1,000 Shipper's Export Declaration (SED)/Automated Export System (AES) Program FORMS: 7525(SED) (AES) OMB NO: 0607-0153 EXPIRATION DATE: 04/30/2001 RESPS:72,000 HOURS:18,000 COSTS(000):$0 Construction Project Report (Private Construction Projects) FORMS: C-700 OMB NO: 0607-0163 EXPIRATION DATE: 04/30/2001 RESPS:17,280 HOURS:4,320 COSTS(000):$0 Construction Project Report (Multifamily Residential) FORMS: C-700(R) OMB NO: 0607-0171 EXPIRATION DATE: 04/30/2001 RESPS:72,000 HOURS:18,000 COSTS(000):$0 Construction Project Report (State and Local Governments) FORMS: C-700(SL) OMB NO: 0607-0175 EXPIRATION DATE: 11/30/2001 RESPS:17,000 HOURS:38,250 COSTS(000):$0 Survey of Plant Capacity Utilization FORMS: MQ-C1 OMB NO: 0607-0176 EXPIRATION DATE: 08/31/2001 RESPS:20,000 HOURS:90,125 COSTS(000):$0 Survey of Pollution Abatement Costs and Expenditures FORMS: MA-200 OMB NO: 0607-0179 EXPIRATION DATE: 08/31/2002 RESPS:57,600 HOURS:2,880 COSTS(000):$0 Housing Vacancy Survey (HVS) FORMS: NONE OMB NO: 0607-0189 EXPIRATION DATE: 12/31/2002 RESPS:43,600 HOURS:9,448 COSTS(000):$0 Business and Professional Classification Report FORMS: SQ-CLASS OMB NO: 0607-0190 EXPIRATION DATE: 08/31/2002 RESPS:45,600 HOURS:5,320 COSTS(000):$0 Monthly Wholesale Trade Survey FORMS: SM-42(00) OMB NO: 0607-0195 EXPIRATION DATE: 08/31/2001 RESPS:5,570 HOURS:2,269 COSTS(000):$0 Annual Trade Survey FORMS: B-450 B-451 OMB NO: 0607-0206 EXPIRATION DATE: 10/31/2001 RESPS:6,148 HOURS:4,809 COSTS(000):$0 Current Industrial Reports Program (WAVE-II-Voluntary) FORMS: M32G M33J MQ20A MQ28A MQ28C MQ28F MQ31A MQ36C MA20D MA35N/MA36L OMB NO: 0607-0350 EXPIRATION DATE: 02/28/2001 RESPS:2,000 HOURS:500 COSTS(000):$0 Survey of Building and Zoning Permit Systems FORMS: C-411 OMB NO: 0607-0354 EXPIRATION DATE: 10/31/2003 RESPS:80,550 HOURS:33,563 COSTS(000):$0 Annual Demographic Survey -- 2001 FORMS: CPS-580 CPS-580(SP) CPS-676 CPS-676(SP) OMB NO: 0607-0392 EXPIRATION DATE: 08/31/2003 RESPS:13,661 HOURS:12,825 COSTS(000):$0 Current Industrial Reports Program (WAVE-I Mandatory) FORMS: M311H M311M M311N MA325F MA327C MA331A MA331B MA331E MA333A MA333M OMB NO: 0607-0393 EXPIRATION DATE: 08/31/2003 RESPS:3,322 HOURS:2,092 COSTS(000):$0 Current Industrial Reports (CIR) Program (WAVE I - Voluntary) FORMS: M336L MQ325B MQ327D MQ332E OMB NO: 0607-0395 EXPIRATION DATE: 09/30/2001 RESPS:25,931 HOURS:26,721 COSTS(000):$0 Current Industrial Reports Programs (WAVE II-Mandatory) FORMS: M20J M20L M22N M22P MQ23A MQ23X MQ35W MA22F MA22K MA22Q OMB NO: 0607-0404 EXPIRATION DATE: 10/31/2001 RESPS:2,660 HOURS:5,013 COSTS(000):$0 Field Representative Exit Questionnaire FORMS: 1294 1294(D) OMB NO: 0607-0422 EXPIRATION DATE: 11/30/2002 RESPS:50,000 HOURS:38,232 COSTS(000):$0 Service Annual Surveys FORMS: SA-484 SA-492 SA-493 SA-511 SA-512 SA-513 SA-514 SA-523 SA-524 SA-532 OMB NO: 0607-0432 EXPIRATION DATE: 12/31/2001 RESPS:38,044 HOURS:77,616 COSTS(000):$0 Quarterly Financial Report (QFR) FORMS: QFR-103(NB) 101(MG) 102(TR) 101A(MG) OMB NO: 0607-0444 EXPIRATION DATE: 11/30/2002 RESPS:90,000 HOURS:140,000 COSTS(000):$0 1999-2001 Company Organization Survey FORMS: NC-9901 OMB NO: 0607-0449 EXPIRATION DATE: 11/30/2001 RESPS:55,000 HOURS:185,500 COSTS(000):$0 Annual Survey of Manufactures FORMS: MA-1000(L) MA-1000(S) OMB NO: 0607-0452 EXPIRATION DATE: 12/31/2001 RESPS:20,244 HOURS:21,437 COSTS(000):$0 Annual Survey of Government Employment and Payroll FORMS: E-1 E-2 E-3 E-4 E-6 E-7 E-9 OMB NO: 0607-0459 EXPIRATION DATE: 08/31/2001 RESPS:40 HOURS:20 COSTS(000):$0 School Enrollment Report FORMS: P-4 OMB NO: 0607-0464 EXPIRATION DATE: 09/30/2002 RESPS:48,000 HOURS:6,400 COSTS(000):$0 October 1999 School Enrollment Supplement to the Current Population Survey FORMS: NONE OMB NO: 0607-0466 EXPIRATION DATE: 09/30/2003 RESPS:48,000 HOURS:1,200 COSTS(000):$0 Current Population Survey (CPS) - November Voting and Registration Supplement FORMS: NONE OMB NO: 0607-0476 EXPIRATION DATE: 07/31/2002 RESPS:3,668 HOURS:2,544 COSTS(000):$0 Current Industrial Reports (CIR) Program (Wave-III Mandatory) FORMS: MQ313T MA315D MA327E MA333D MA333F MA333J MA334P OMB NO: 0607-0494 EXPIRATION DATE: 09/30/2001 RESPS:3,200,000 HOURS:133,333 COSTS(000):$0 Applicant Background Questionnaire FORMS: BC-1431 OMB NO: 0607-0585 EXPIRATION DATE: 09/30/2002 RESPS:7,459 HOURS:22,798 COSTS(000):$0 Annual Survey of State and Local Government Finance FORMS: F-5 F-5A F-11 F-12 F-13 F-21 F-22 F-25 F-28 F-29 OMB NO: 0607-0700 EXPIRATION DATE: 08/31/2003 RESPS:3,500 HOURS:3,737 COSTS(000):$0 Annual Survey of Local Government Finances, School Systems FORMS: F-33 F-33-1 F-33-L1 F-33-L2 F-33-L3 OMB NO: 0607-0717 EXPIRATION DATE: 08/31/2002 RESPS:105,684 HOURS:13,875 COSTS(000):$0 Current Retail Sales and Inventory Survey FORMS: B-101(97)S B-101(97)B B-111(97)S B-111(97)B B-111(97)L B-113(97)L B-113(97)I B-114(97) OMB NO: 0607-0725 EXPIRATION DATE: 09/30/2001 RESPS:5,500 HOURS:5,500 COSTS(000):$0 Questionnaire Pretesting Research FORMS: NONE OMB NO: 0607-0760 EXPIRATION DATE: 09/30/2001 RESPS:7,500 HOURS:3,750 COSTS(000):$0 Data User Evaluation Surveys FORMS: NONE OMB NO: 0607-0776 EXPIRATION DATE: 07/31/2002 RESPS:1,364 HOURS:699 COSTS(000):$0 Current Industrial Reports (CIR) Program (Wave-III Voluntary) FORMS: M3336G MQ313D MA333U OMB NO: 0607-0782 EXPIRATION DATE: 01/31/2003 RESPS:59,000 HOURS:139,000 COSTS(000):$0 Annual Capital Expenditures Survey FORMS: ACE-1(I) ACE-1(L) ACE-1(M) ACE-1(S) ACE-2 ACE-2(I) OMB NO: 0607-0787 EXPIRATION DATE: 03/31/2001 RESPS:11,000 HOURS:4,500 COSTS(000):$0 National Employers Survey (NES 2000) FORMS: NONE OMB NO: 0607-0809 EXPIRATION DATE: 05/31/2001 RESPS:5,357,993 HOURS:238,234 COSTS(000):$0 MAF and TIGER Update Activities FORMS: NONE OMB NO: 0607-0810 EXPIRATION DATE: 10/31/2002 RESPS:981,800 HOURS:607,800 COSTS(000):$0 The American Community Survey FORMS: ACS-1 ACS-1(GQ) ACS-3(GQ) ACS-290 ACS-4(GQ) OMB NO: 0607-0838 EXPIRATION DATE: 01/31/2001 RESPS:42,000 HOURS:27,250 COSTS(000):$0 2000 Survey of Program Dynamics (SPD) FORMS: SPD-RHC1 SPD-20105A(L) SPD-20105(L) SPD-20103(L) SPD-20113(L) OMB NO: 0607-0862 EXPIRATION DATE: 07/31/2002 RESPS:207,556 HOURS:10,106 COSTS(000):$0 Census 2000 Test Program Supplement FORMS: NONE OMB NO: 0607-0866 EXPIRATION DATE: 12/31/2001 RESPS:904,415 HOURS:103,162 COSTS(000):$0 Census 2000: Accuracy and Coverage Evaluation Housing Unit and Person Interview Acitivities FORMS: D-1301 D-1301(S) D-1301(PR) D-1303 D-1303(PR) D-1340 D-1340(PR) D-1360 D-1360(PR) D-1309(L) OMB NO: 0607-0871 EXPIRATION DATE: 03/31/2001 RESPS:16,000 HOURS:5,333 COSTS(000):$0 Census 2000 Evaluation: Survey of Partners FORMS: D-1401 D-1401A(L) D-1401.F1(L) D-1401.F2(L) D-1401A(E) D-1401.1(E) D-1401(E) OMB NO: 0607-0872 EXPIRATION DATE: 12/31/2002 RESPS:330,000 HOURS:77,500 COSTS(000):$0 2001 Residential Finance Survey (RFS) FORMS: D-2900 D-2900(L) D-2901 D-2901(L) D-2901(FE)(L) D-2902 D-2902(L) D-2904 D-2905(L) OMB NO: 0607-0873 EXPIRATION DATE: 04/30/2001 RESPS:7,500 HOURS:1,500 COSTS(000):$0 Census 2000 Multiple Response Follow-up FORMS: NONE OMB NO: 0607-0874 EXPIRATION DATE: 06/30/2001 RESPS:40,000 HOURS:8,000 COSTS(000):$0 Census 2000 Evaluation Followup Interview FORMS: D-1301(EFU) D-1301(EFU)S D-1379 OMB NO: 0607-0875 EXPIRATION DATE: 11/30/2003 RESPS:162,500 HOURS:80,635 COSTS(000):$0 2001 Panel of the Survey of Income and Program Participation, Core and Wave 1 Topical Modules FORMS: SIPP-21105(L) SIPP/CAPI Economic and Statistical Analysis OMB NO: 0608-0002 EXPIRATION DATE: 12/31/2002 RESPS:480 HOURS:1,521 COSTS(000):$0 Institutional Remittances to Foreign Countries -- Form BE-40 FORMS: BE-40 OMB NO: 0608-0004 EXPIRATION DATE: 11/30/2003 RESPS:50,000 HOURS:62,500 COSTS(000):$0 Direct Transactions of U.S. Reporter with Foreign Affiliate FORMS: BE-577 OMB NO: 0608-0009 EXPIRATION DATE: 12/31/2003 RESPS:15,800 HOURS:19,750 COSTS(000):$0 Transactions of U.S. Affiliate, Except a U.S. Banking Affiliate, with Foreign Parent (BE-605); and Transactions of U.S. Banking Affiliate with Foreign Parent (BE-605 Bank) FORMS: BE-605 BE-605(BANK) OMB NO: 0608-0011 EXPIRATION DATE: 01/31/2001 RESPS:240 HOURS:1,120 COSTS(000):$0 Ocean Freight Revenues and Expenses of United States Carriers (BE-30); U.S. Airline Operators' Foreign Revenues and Expenses (BE-37) FORMS: BE-30 BE-37 OMB NO: 0608-0012 EXPIRATION DATE: 01/31/2001 RESPS:155 HOURS:620 COSTS(000):$0 Foreign Ocean Carriers' Expenses in the United States (BE-29) FORMS: BE-29 OMB NO: 0608-0013 EXPIRATION DATE: 01/31/2001 RESPS:70 HOURS:350 COSTS(000):$0 Foreign Airline Operators' Revenues and Expenses in the United States (BE-36) FORMS: BE-36 OMB NO: 0608-0015 EXPIRATION DATE: 12/31/2001 RESPS:155 HOURS:700 COSTS(000):$0 Annual Survey of Construction, Engineering, Architechtural, and Mining Services FORMS: BE-47 OMB NO: 0608-0016 EXPIRATION DATE: 12/31/2001 RESPS:400 HOURS:1,600 COSTS(000):$0 Annual Survey of Reinsurance and Other Insurance Transactions by U.S. Insurance Companies with Foreign Persons FORMS: BE-48 OMB NO: 0608-0017 EXPIRATION DATE: 11/30/2003 RESPS:350 HOURS:1,400 COSTS(000):$0 Annual Survey of Royalties, License Fees, and Other Receipts and Payments for Intangible Rights Between U.S. FORMS: BE-98 OMB NO: 0608-0034 EXPIRATION DATE: 02/28/2002 RESPS:4,975 HOURS:128,000 COSTS(000):$0 Annual Survey of Foreign Direct Investment in the United States FORMS: BE-15(LF) BE-15(SF) BE-15SUPP.C OMB NO: 0608-0035 EXPIRATION DATE: 12/31/2003 RESPS:1,200 HOURS:1,800 COSTS(000):$0 Initial Report on a Foreign Person's Direct or Indirect Acquisition, Establishment, or Purchase of the Operating Assets, of a U.S. Business Enterprise, Including Real Estate (BE-13); and FORMS: BE-13 BE-14 OMB NO: 0608-0049 EXPIRATION DATE: 11/30/2002 RESPS:3,500 HOURS:458,000 COSTS(000):$0 Benchmark Survey of U.S. Direct Investment Abroad FORMS: BE-10A BE-10A(BANK) BE-10B(LF) BE-10B(SF) BE-10B(BANK) OMB NO: 0608-0053 EXPIRATION DATE: 11/30/2003 RESPS:1,500 HOURS:102,600 COSTS(000):$0 Annual Survey of U.S. Direct Investment Abroad (BE-11) FORMS: BE-11A BE-11B(LF) BE-11B(SF) BE-11C OMB NO: 0608-0060 EXPIRATION DATE: 12/31/2003 RESPS:1,500 HOURS:17,250 COSTS(000):$0 Annual Survey of Selected Services Transactions with Unaffiliated Foreign Persons FORMS: BE-22 OMB NO: 0608-0062 EXPIRATION DATE: 09/30/2002 RESPS:500 HOURS:3,500 COSTS(000):$0 Benchmark Survey of Financial Services Transactions Between U.S. Financial Services Providers and Unaffiliated Foreign Persons FORMS: BE-80 OMB NO: 0608-0063 EXPIRATION DATE: 09/30/2003 RESPS:375 HOURS:2,600 COSTS(000):$0 Annual Survey of Financial Services Transactions Between U.S. Financial Services Providers and Unaffiliated Foreign Persons FORMS: BE-82 Economic Development Administration OMB NO: 0610-0091 EXPIRATION DATE: 12/31/2001 RESPS:162 HOURS:1,296 COSTS(000):$0 Petition by a Firm for Certification of Eligibility to Apply for Trade Adjustment Assistance FORMS: ED-840P OMB NO: 0610-0093 EXPIRATION DATE: 11/30/2002 RESPS:640 HOURS:33,150 COSTS(000):$77 Guidelines for Comprehensive Economic Development Strategy FORMS: NONE OMB NO: 0610-0094 EXPIRATION DATE: 11/30/2002 RESPS:1,850 HOURS:47,350 COSTS(000):$102 Proposal for Federal Assistance and Application for Federal Assistance FORMS: ED-900P ED-900A OMB NO: 0610-0095 EXPIRATION DATE: 08/31/2002 RESPS:1,080 HOURS:14,080 COSTS(000):$0 Guidelines for Revolving Loan Fund Grants FORMS: NONE OMB NO: 0610-0096 EXPIRATION DATE: 11/30/2002 RESPS:1,160 HOURS:23,200 COSTS(000):$0 Requirements for Approved Construction Projects; Interim Ninth Edition, October 1998 FORMS: NONE International Trade Administration OMB NO: 0625-0034 EXPIRATION DATE: 01/31/2002 RESPS:2,000 HOURS:167 COSTS(000):$0 Mission Exhibition Evaluation FORMS: ITA-4075P OMB NO: 0625-0035 EXPIRATION DATE: 01/31/2002 RESPS:2,000 HOURS:1,000 COSTS(000):$0 Product Characteristics-Design Check-Off Lists FORMS: ITA-426P OMB NO: 0625-0037 EXPIRATION DATE: 05/31/2001 RESPS:200 HOURS:400 COSTS(000):$0 Request for Duty-Free Entry of Scientific Instrument or Apparatus FORMS: ITA-338P OMB NO: 0625-0039 EXPIRATION DATE: 12/31/2001 RESPS:1,000 HOURS:490 COSTS(000):$0 Overseas Business Interest Questionnaire FORMS: ITA-471P OMB NO: 0625-0040 EXPIRATION DATE: 11/30/2002 RESPS:20 HOURS:20 COSTS(000):$0 Application of License to Enter Watches and Watch Movements into FORMS: ITA-334P OMB NO: 0625-0047 EXPIRATION DATE: 01/31/2002 RESPS:4,000 HOURS:3,000 COSTS(000):$0 Marketing Data Form FORMS: ITA-466P OMB NO: 0625-0055 EXPIRATION DATE: 06/30/2001 RESPS:60 HOURS:60 COSTS(000):$0 NATO ICB Bidders List Application FORMS: ITA-4023P OMB NO: 0625-0061 EXPIRATION DATE: 05/31/2002 RESPS:2,200 HOURS:733 COSTS(000):$0 Commercial News USA FORMS: ITA-4063P OMB NO: 0625-0065 EXPIRATION DATE: 06/30/2001 RESPS:60 HOURS:1,644 COSTS(000):$0 Application for the President's "E" and "E Star" Awards for Export Expansion FORMS: ITS-725P OMB NO: 0625-0105 EXPIRATION DATE: 05/31/2002 RESPS:38 HOURS:1,520 COSTS(000):$0 Petition Format for Requesting Relief under U.S. Antidumping Duty Law FORMS: ITA-357P OMB NO: 0625-0109 EXPIRATION DATE: 10/31/2001 RESPS:150 HOURS:11,881 COSTS(000):$0 Annual Report for Foreign Trade Zones FORMS: ITA-359P OMB NO: 0625-0118 EXPIRATION DATE: 10/31/2001 RESPS:4,560 HOURS:304 COSTS(000):$0 Information on Articles for Physically or Mentally Handicapped Persons Imported Free of Duty FORMS: ITA-362P OMB NO: 0625-0120 EXPIRATION DATE: 03/31/2002 RESPS:9,500 HOURS:4,750 COSTS(000):$0 Export Trading Companies Contact Facilitation Service FORMS: ITA-4094P OMB NO: 0625-0125 EXPIRATION DATE: 01/31/2002 RESPS:30 HOURS:960 COSTS(000):$0 Application for an Export Trade Certificate of Review FORMS: ITA-4093P OMB NO: 0625-0130 EXPIRATION DATE: 01/31/2002 RESPS:70 HOURS:700 COSTS(000):$0 Trade Fair Certification Program: Application FORMS: ITA-4100P OMB NO: 0625-0134 EXPIRATION DATE: 11/30/2002 RESPS:24 HOURS:86 COSTS(000):$0 Watch Duty-Exemption and 7114 Jewelry Duty-Refund Program Forms FORMS: ITA-340P 360P 361P OMB NO: 0625-0139 EXPIRATION DATE: 10/31/2001 RESPS:100 HOURS:9,314 COSTS(000):$0 Foreign Trade Zone Application FORMS: NONE OMB NO: 0625-0143 EXPIRATION DATE: 05/31/2002 RESPS:2,675 HOURS:483 COSTS(000):$0 Information Services Order Form FORMS: ITA-4096P OMB NO: 0625-0147 EXPIRATION DATE: 03/31/2003 RESPS:7,500 HOURS:2,792 COSTS(000):$0 Participation Agreement and Trade Mission Application FORMS: ITA-4008P ITA-4008P-1 ITA-4008P-A OMB NO: 0625-0148 EXPIRATION DATE: 12/31/2003 RESPS:5 HOURS:200 COSTS(000):$0 Format for Petition Requesting Relief Under U.S. Countervailing Duty Law FORMS: ITA-366P OMB NO: 0625-0151 EXPIRATION DATE: 12/31/2003 RESPS:5,510 HOURS:1,060 COSTS(000):$0 International Buyer Program: Application and Exhibitor Data FORMS: 4014P 4102P OMB NO: 0625-0200 EXPIRATION DATE: 11/30/2002 RESPS:1 HOURS:15 COSTS(000):$0 Antidumping and Countervailing Duties, Procedures for Initiation of Downstream Product Monitoring FORMS: ITA-4119P OMB NO: 0625-0211 EXPIRATION DATE: 05/31/2002 RESPS:384 HOURS:1,152 COSTS(000):$0 U.S.-Japan Semiconductor Agreement Data Collection Program Report FORMS: ITA-4115P OMB NO: 0625-0215 EXPIRATION DATE: 01/31/2002 RESPS:60 HOURS:60 COSTS(000):$0 Certified Trade Mission: Application for Status FORMS: ITA-4127P OMB NO: 0625-0217 EXPIRATION DATE: 05/31/2002 RESPS:22,356 HOURS:3,560 COSTS(000):$0 User Satisfaction Surveys FORMS: ITA-4107P ITA-4110P OMB NO: 0625-0220 EXPIRATION DATE: 01/31/2002 RESPS:430 HOURS:205 COSTS(000):$0 Advocacy Questionnaire FORMS: ITA-4133P OMB NO: 0625-0224 EXPIRATION DATE: 09/30/2001 RESPS:450 HOURS:1,050 COSTS(000):$0 American Management and Business Internship Training (AMBIT) Program: Applications FORMS: NONE OMB NO: 0625-0225 EXPIRATION DATE: 09/30/2001 RESPS:1,300 HOURS:2,137 COSTS(000):$0 SABIT: Applications and Questionnaires FORMS: NONE OMB NO: 0625-0227 EXPIRATION DATE: 03/31/2002 RESPS:1 HOURS:24,840 COSTS(000):$0 Survey of International Air Travelers FORMS: NONE OMB NO: 0625-0228 EXPIRATION DATE: 12/31/2003 RESPS:200 HOURS:100 COSTS(000):$0 Application for Designation of a Fair FORMS: 4135P OMB NO: 0625-0231 EXPIRATION DATE: 06/30/2001 RESPS:200 HOURS:33 COSTS(000):$0 BISNIS FinanceLink FORMS: NONE OMB NO: 0625-0232 EXPIRATION DATE: 09/30/2003 RESPS:2,000 HOURS:350 COSTS(000):$0 Internet Export Finance Matchmaker FORMS: NONE OMB NO: 0625-0236 EXPIRATION DATE: 11/30/2002 RESPS:2,040 HOURS:170 COSTS(000):$0 BISNIS Publication Subscription Form FORMS: N/A OMB NO: 0625-0237 EXPIRATION DATE: 11/30/2002 RESPS:5,750 HOURS:667 COSTS(000):$0 Export Assistance Center Internet Website Form FORMS: N/A OMB NO: 0625-0238 EXPIRATION DATE: 08/31/2003 RESPS:50 HOURS:100 COSTS(000):$0 U.S. Government Trade Information Request FORMS: ITA-4136P OMB NO: 0625-0239 EXPIRATION DATE: 02/28/2001 RESPS:1,500 HOURS:550 COSTS(000):$0 Information for Certification Under FAQ 6 of the Safe Harbor Privacy Principles FORMS: NONE Minority Business Development Agency OMB NO: 0640-0002 EXPIRATION DATE: 08/31/2002 RESPS:40,046 HOURS:10,046 COSTS(000):$0 Online Performance (Formerly On Line Business Development Report (OLBDR), the On Line Phoenix (Formerly Automated Business Enterprise Locator System (ABELS), and the On Line Opportunity FORMS: NONE United States Travel and Tourism Administration No active collections for this subagency National Oceanic and Atmospheric Administration OMB NO: 0648-0007 EXPIRATION DATE: 05/31/2001 RESPS:100 HOURS:50 COSTS(000):$0 Coast Pilot Report Form FORMS: NOAA-77-6 OMB NO: 0648-0009 EXPIRATION DATE: 08/31/2001 RESPS:1,250 HOURS:104 COSTS(000):$0 Billfish Tagging Report FORMS: NOAA-88-162 OMB NO: 0648-0012 EXPIRATION DATE: 01/31/2002 RESPS:1,080 HOURS:8,920 COSTS(000):$1 Fisheries Finance Program Requirements FORMS: NOAA-FORM-88-1 OMB NO: 0648-0013 EXPIRATION DATE: 08/31/2001 RESPS:24,607 HOURS:4,537 COSTS(000):$2 Southeast Region Dealer and Interview Family of Forms FORMS: NONE OMB NO: 0648-0015 EXPIRATION DATE: 10/31/2001 RESPS:1,320 HOURS:176 COSTS(000):$0 Monthly Cold Storage Report FORMS: 88-16 OMB NO: 0648-0016 EXPIRATION DATE: 12/31/2003 RESPS:54,776 HOURS:10,639 COSTS(000):$0 Southeast Region Logbook Family of Forms FORMS: NONE OMB NO: 0648-0018 EXPIRATION DATE: 10/31/2001 RESPS:1,340 HOURS:650 COSTS(000):$0 Processed Products Family of Forms FORMS: 88-13 88-13C OMB NO: 0648-0020 EXPIRATION DATE: 08/31/2001 RESPS:750 HOURS:63 COSTS(000):$0 Pacific Billfish Angler Survey FORMS: NOAA-88-10 OMB NO: 0648-0021 EXPIRATION DATE: 05/31/2001 RESPS:1,600 HOURS:213 COSTS(000):$0 Small-Craft Facility Questionnaire FORMS: NOAA-FORM-77-1 OMB NO: 0648-0022 EXPIRATION DATE: 10/31/2001 RESPS:15,000 HOURS:45,000 COSTS(000):$0 Cooperative Charting Program FORMS: 77-4 77-5 OMB NO: 0648-0025 EXPIRATION DATE: 10/31/2001 RESPS:80 HOURS:240 COSTS(000):$0 Weather Modification Activities Reports FORMS: 17-4 17-4A 17-4B OMB NO: 0648-0040 EXPIRATION DATE: 01/31/2001 RESPS:935 HOURS:315 COSTS(000):$0 Bluefin Tuna Statistical Document FORMS: NONE OMB NO: 0648-0041 EXPIRATION DATE: 05/31/2003 RESPS:5,000 HOURS:1,650 COSTS(000):$27 Capital Construction Fund - Deposit/Withdrawal Report FORMS: 38-42 OMB NO: 0648-0052 EXPIRATION DATE: 10/31/2001 RESPS:626,996 HOURS:27,207 COSTS(000):$0 Marine Recreational Fishery Statistics Survey FORMS: NONE OMB NO: 0648-0078 EXPIRATION DATE: 08/31/2001 RESPS:42 HOURS:41 COSTS(000):$0 Certificate of Exemption Renewal FORMS: NONE OMB NO: 0648-0079 EXPIRATION DATE: 08/31/2001 RESPS:300 HOURS:150 COSTS(000):$0 Subsequent Purchaser Reports FORMS: NONE OMB NO: 0648-0082 EXPIRATION DATE: 10/31/2001 RESPS:400 HOURS:2,017 COSTS(000):$0 Fishermen's Contingency Fund FORMS: 88-164 88-166 OMB NO: 0648-0083 EXPIRATION DATE: 03/31/2001 RESPS:25 HOURS:6 COSTS(000):$0 Marine Mammal Certificate of Inclusion FORMS: NONE OMB NO: 0648-0084 EXPIRATION DATE: 07/31/2003 RESPS:591 HOURS:6,165 COSTS(000):$1 Scientific Research, Public Display, and Enhancement Permits Under the Marine Mammal Protection Act, the Fur Seal Act, and the Endangered species Act FORMS: NONE OMB NO: 0648-0089 EXPIRATION DATE: 10/31/2001 RESPS:50 HOURS:50 COSTS(000):$0 Foreign Fishing Vessel Permit Applications FORMS: NONE OMB NO: 0648-0090 EXPIRATION DATE: 03/31/2001 RESPS:1,000 HOURS:2,250 COSTS(000):$0 Interim Capital Construction Fund Agreement and Certificate (Family of Forms) FORMS: NOAA-88-14 OMB NO: 0648-0119 EXPIRATION DATE: 08/31/2001 RESPS:238 HOURS:6,598 COSTS(000):$0 Coastal Zone Management Program Administration FORMS: NONE OMB NO: 0648-0121 EXPIRATION DATE: 01/31/2001 RESPS:43 HOURS:14,345 COSTS(000):$0 Management and Oversight of the National Estuarine Research Reserve System FORMS: NONE OMB NO: 0648-0135 EXPIRATION DATE: 09/30/2001 RESPS:310 HOURS:985 COSTS(000):$0 Saltonstall-Kennedy Grant Program (S-K Program) Application and Reports FORMS: NONE OMB NO: 0648-0141 EXPIRATION DATE: 10/31/2001 RESPS:1,113 HOURS:877 COSTS(000):$0 National Marine Sanctuary Permits FORMS: NONE OMB NO: 0648-0145 EXPIRATION DATE: 05/31/2002 RESPS:2 HOURS:40 COSTS(000):$0 Deep Seabed Mining Regulations for Exploration Licenses FORMS: NONE OMB NO: 0648-0148 EXPIRATION DATE: 09/30/2001 RESPS:1,380 HOURS:138 COSTS(000):$0 Pacific Tuna Fisheries FORMS: NONE OMB NO: 0648-0157 EXPIRATION DATE: 01/31/2001 RESPS:99 HOURS:72 COSTS(000):$0 NOAA Space-Based Data Collection System (DCS) Agreements FORMS: NONE OMB NO: 0648-0174 EXPIRATION DATE: 01/31/2001 RESPS:67 HOURS:314 COSTS(000):$1 Licensing of Private Land Remote-Sensing Space Systems FORMS: NONE OMB NO: 0648-0175 EXPIRATION DATE: 09/30/2001 RESPS:105 HOURS:285 COSTS(000):$0 Marine Fisheries Initiative (MARFIN) FORMS: NONE OMB NO: 0648-0179 EXPIRATION DATE: 09/30/2001 RESPS:77 HOURS:154 COSTS(000):$0 Applications and Reports for Registration as a Tanner or Agent FORMS: NONE OMB NO: 0648-0192 EXPIRATION DATE: 10/31/2001 RESPS:203 HOURS:118 COSTS(000):$0 Statement of Financial Interests, Regional Fishery Management Councils FORMS: NOAA-FORM88-195 OMB NO: 0648-0194 EXPIRATION DATE: 01/31/2001 RESPS:491 HOURS:100 COSTS(000):$1 Antarctic Marine Living Resources Conservation and Management Measures FORMS: NONE OMB NO: 0648-0203 EXPIRATION DATE: 06/30/2003 RESPS:2,610 HOURS:605 COSTS(000):$26 Northwest Region Federal Fisheries Permits FORMS: NONE OMB NO: 0648-0204 EXPIRATION DATE: 09/30/2003 RESPS:433 HOURS:245 COSTS(000):$0 Southwest Region Permit Family of Forms FORMS: NONE OMB NO: 0648-0205 EXPIRATION DATE: 12/31/2003 RESPS:8,626 HOURS:1,583 COSTS(000):$385 Southeast Region Federal Fisheries Permit Family of Forms FORMS: NONE OMB NO: 0648-0206 EXPIRATION DATE: 09/30/2003 RESPS:941 HOURS:483 COSTS(000):$1 Alaska Region Permit Family of Forms FORMS: NONE OMB NO: 0648-0212 EXPIRATION DATE: 08/31/2001 RESPS:80,288 HOURS:6,451 COSTS(000):$30 Northeast Region Logbook Family of Forms FORMS: NONE OMB NO: 0648-0213 EXPIRATION DATE: 05/31/2002 RESPS:115,852 HOURS:48,507 COSTS(000):$224 Alaska Region Logbook Family of Forms FORMS: NONE OMB NO: 0648-0214 EXPIRATION DATE: 09/30/2003 RESPS:1,030,592 HOURS:2,314 COSTS(000):$3 Southwest Region Logbook Family of Forms FORMS: NONE OMB NO: 0648-0216 EXPIRATION DATE: 08/31/2001 RESPS:400 HOURS:43 COSTS(000):$0 Billfish Certificate of Eligibility FORMS: NONE OMB NO: 0648-0218 EXPIRATION DATE: 05/31/2001 RESPS:384 HOURS:248 COSTS(000):$0 South Pacific Tuna Act FORMS: NONE OMB NO: 0648-0223 EXPIRATION DATE: 08/31/2001 RESPS:200 HOURS:200 COSTS(000):$0 Pacific Albacor Logbook FORMS: NONE OMB NO: 0648-0227 EXPIRATION DATE: 10/31/2001 RESPS:300 HOURS:50 COSTS(000):$0 NOAA Satellite Ground Station Customer Questionnaire FORMS: NONE OMB NO: 0648-0228 EXPIRATION DATE: 08/31/2001 RESPS:150 HOURS:75 COSTS(000):$0 U.S. Fishermen Fishing in Russian Waters FORMS: NONE OMB NO: 0648-0229 EXPIRATION DATE: 10/31/2001 RESPS:67,110 HOURS:3,520 COSTS(000):$0 Northeast Region Dealer Purchase Reports FORMS: NONE OMB NO: 0648-0230 EXPIRATION DATE: 10/31/2001 RESPS:26 HOURS:1,068 COSTS(000):$0 Permits for Incidental Taking of Endangered or Threatened Species FORMS: NONE OMB NO: 0648-0235 EXPIRATION DATE: 10/31/2001 RESPS:54 HOURS:10 COSTS(000):$0 Survey of Intent and Capacity to Process Fish and Shellfish FORMS: NONE OMB NO: 0648-0238 EXPIRATION DATE: 10/31/2001 RESPS:618 HOURS:52 COSTS(000):$0 Surf Clam/Ocean Quahog Transfer Log FORMS: NONE OMB NO: 0648-0239 EXPIRATION DATE: 11/30/2002 RESPS:12,150 HOURS:433 COSTS(000):$1 Bluefin Tuna Dealer Reporting Package FORMS: FORM-88-144 OMB NO: 0648-0240 EXPIRATION DATE: 10/31/2001 RESPS:24 HOURS:2 COSTS(000):$0 Application to Shuck Surf Clams/Ocean Quahogs at Sea FORMS: NONE OMB NO: 0648-0242 EXPIRATION DATE: 09/30/2001 RESPS:5 HOURS:5 COSTS(000):$0 Involuntary Child and Spousal Support Allotments of NOAA Corps Officers FORMS: NONE OMB NO: 0648-0243 EXPIRATION DATE: 10/31/2001 RESPS:120 HOURS:10 COSTS(000):$0 Survey of Intent and Capacity to Harvest and Process Fish and Shellfish (Northwest Region) FORMS: NONE OMB NO: 0648-0247 EXPIRATION DATE: 10/31/2001 RESPS:12,000 HOURS:360 COSTS(000):$0 Cooperative Game Fish Tagging Report FORMS: FORM-88-162 OMB NO: 0648-0259 EXPIRATION DATE: 05/31/2001 RESPS:240 HOURS:8 COSTS(000):$0 Tag Recapture Card FORMS: NONE OMB NO: 0648-0262 EXPIRATION DATE: 12/31/2003 RESPS:4 HOURS:1 COSTS(000):$0 Informaiton for Share Transfer in Wreckfish Fishery FORMS: NONE OMB NO: 0648-0266 EXPIRATION DATE: 01/31/2002 RESPS:7,082 HOURS:13,065 COSTS(000):$0 Seafood Inspection and Certification Requirements FORMS: FORMS-89-800 89-814 89-819 OMB NO: 0648-0269 EXPIRATION DATE: 09/30/2001 RESPS:8,636 HOURS:3,526 COSTS(000):$1 Western Alaska Community Development Quota (CDQ) Program FORMS: NONE OMB NO: 0648-0271 EXPIRATION DATE: 08/31/2003 RESPS:6,836 HOURS:1,705 COSTS(000):$10 Northwest Region Logbook Family of Forms FORMS: NONE OMB NO: 0648-0272 EXPIRATION DATE: 10/31/2001 RESPS:81,010 HOURS:22,775 COSTS(000):$126 Individual Fishing Quotas for Pacific Halibut and Sablefish in the Alaska Fisheries FORMS: NONE OMB NO: 0648-0276 EXPIRATION DATE: 06/30/2003 RESPS:4,320 HOURS:346 COSTS(000):$0 Groundfish Tagging Program FORMS: NONE OMB NO: 0648-0283 EXPIRATION DATE: 02/28/2001 RESPS:420 HOURS:309 COSTS(000):$0 NOAA's Teacher At Sea Program FORMS: NONE OMB NO: 0648-0292 EXPIRATION DATE: 08/31/2003 RESPS:10,000 HOURS:1,500 COSTS(000):$0 Reporting Requirements for Commercial Fisheries Authorization under Section 118 of the Marine Mammal Protection Act FORMS: NONE OMB NO: 0648-0293 EXPIRATION DATE: 08/31/2003 RESPS:4,000 HOURS:620 COSTS(000):$101 Application for Commercial Fisheries Authorization under Section 118 of the Marine Mammal Protection Act FORMS: NONE OMB NO: 0648-0295 EXPIRATION DATE: 10/31/2001 RESPS:10,000 HOURS:2,500 COSTS(000):$3 Emergency Beacon Registrations FORMS: NONE OMB NO: 0648-0302 EXPIRATION DATE: 10/31/2001 RESPS:100 HOURS:100 COSTS(000):$0 Request for Restoration Idea, New Bedford Harbor FORMS: NONE OMB NO: 0648-0304 EXPIRATION DATE: 10/31/2001 RESPS:200 HOURS:100 COSTS(000):$10 High Seas Fishing Permit Application Information FORMS: NONE OMB NO: 0648-0307 EXPIRATION DATE: 05/31/2001 RESPS:826 HOURS:9,488 COSTS(000):$1,409 Vessel Monitoring and Communications Requirements FORMS: NONE OMB NO: 0648-0308 EXPIRATION DATE: 05/31/2002 RESPS:53 HOURS:27 COSTS(000):$0 Coastal Services Center Coastal Resource Management Customer Survey FORMS: NONE OMB NO: 0648-0309 EXPIRATION DATE: 03/31/2002 RESPS:1,449 HOURS:435 COSTS(000):$5 Scientific Research, Exempted Fishing, and Exempted Activity Submissions FORMS: NONE OMB NO: 0648-0310 EXPIRATION DATE: 03/31/2003 RESPS:1,062 HOURS:770 COSTS(000):$0 The GLOBE Program FORMS: NONE OMB NO: 0648-0311 EXPIRATION DATE: 11/30/2002 RESPS:80 HOURS:49 COSTS(000):$0 Report of Whaling Operations FORMS: NONE OMB NO: 0648-0314 EXPIRATION DATE: 05/31/2003 RESPS:54 HOURS:4,695 COSTS(000):$0 Designation of Fishery Management Council Members and Application for Reinstatement of State Authority FORMS: NONE OMB NO: 0648-0316 EXPIRATION DATE: 05/31/2001 RESPS:105 HOURS:895 COSTS(000):$0 Prohibited Species Donation Program (PSD Program) FORMS: NONE OMB NO: 0648-0318 EXPIRATION DATE: 01/31/2003 RESPS:7,309 HOURS:2,106 COSTS(000):$63 Requirements for Certified Observer Contractors of the North Pacific FORMS: NONE OMB NO: 0648-0323 EXPIRATION DATE: 05/31/2003 RESPS:600 HOURS:110 COSTS(000):$0 Highly Migratory Species Tournament Reporting FORMS: NONE OMB NO: 0648-0327 EXPIRATION DATE: 08/31/2003 RESPS:25,000 HOURS:4,700 COSTS(000):$628 Atlantic Highly Migratory Species Vessel Permits FORMS: NONE OMB NO: 0648-0328 EXPIRATION DATE: 08/31/2003 RESPS:8,697 HOURS:955 COSTS(000):$0 Atlantic Bluefin Tuna Mandatory Catch Reporting FORMS: NONE OMB NO: 0648-0334 EXPIRATION DATE: 07/31/2002 RESPS:1,553 HOURS:3,451 COSTS(000):$3 Alaska License Limitation Application and Transfer Forms FORMS: NONE OMB NO: 0648-0338 EXPIRATION DATE: 08/31/2001 RESPS:23 HOURS:14 COSTS(000):$0 Recovery and Implantation of Archival Tags FORMS: NONE OMB NO: 0648-0342 EXPIRATION DATE: 06/30/2001 RESPS:13,939 HOURS:905 COSTS(000):$0 NOAA Customer Surveys FORMS: NONE OMB NO: 0648-0345 EXPIRATION DATE: 08/31/2001 RESPS:4,581 HOURS:5,679 COSTS(000):$338 Southeast Region Bycatch Reduction Device Certification Family of Forms FORMS: NONE OMB NO: 0648-0346 EXPIRATION DATE: 08/31/2001 RESPS:20 HOURS:20 COSTS(000):$0 List of Gear by Fisheries and Fishery Management Councils FORMS: NONE OMB NO: 0648-0348 EXPIRATION DATE: 09/30/2001 RESPS:50 HOURS:37 COSTS(000):$1 High Seas Fishing Vessel Identification Requirements FORMS: NONE OMB NO: 0648-0349 EXPIRATION DATE: 09/30/2001 RESPS:6,600 HOURS:725 COSTS(000):$1 High Seas Fishing Vessel Reporting Requirements FORMS: NONE OMB NO: 0648-0350 EXPIRATION DATE: 10/31/2001 RESPS:5,732 HOURS:4,299 COSTS(000):$57 Northeast Region Vessel Identification FORMS: NONE OMB NO: 0648-0351 EXPIRATION DATE: 10/31/2001 RESPS:1,950,283 HOURS:32,664 COSTS(000):$32 Northeast Region Gear Identification Requirements FORMS: NONE OMB NO: 0648-0352 EXPIRATION DATE: 10/31/2001 RESPS:20,552 HOURS:5,138 COSTS(000):$5 Northwest Regional Gear Identification Requirements FORMS: NONE OMB NO: 0648-0353 EXPIRATION DATE: 10/31/2001 RESPS:13,800 HOURS:3,450 COSTS(000):$4 Alaska Region Gear Identification Requirements FORMS: NONE OMB NO: 0648-0354 EXPIRATION DATE: 10/31/2001 RESPS:1 HOURS:1 COSTS(000):$0 Foreign Fishing Gear Identification Requirements FORMS: NONE OMB NO: 0648-0355 EXPIRATION DATE: 10/31/2001 RESPS:1,835 HOURS:1,376 COSTS(000):$18 Northwest Region Vessel Identification Requirements FORMS: NONE OMB NO: 0648-0356 EXPIRATION DATE: 10/31/2001 RESPS:20 HOURS:15 COSTS(000):$4 Foreign Fishing Vessel Identification Requirements FORMS: NONE OMB NO: 0648-0357 EXPIRATION DATE: 10/31/2001 RESPS:1,267 HOURS:22 COSTS(000):$1 Gear-Marking Requirements for the Harbor Porpoise Take Reduction FORMS: NONE OMB NO: 0648-0358 EXPIRATION DATE: 10/31/2001 RESPS:7,000 HOURS:5,250 COSTS(000):$210 Southeast Region Vessel Identification Requirements FORMS: NONE OMB NO: 0648-0359 EXPIRATION DATE: 10/31/2001 RESPS:112,700 HOURS:2,192 COSTS(000):$15 Southeast Region Gear Identification Requirements FORMS: NONE OMB NO: 0648-0360 EXPIRATION DATE: 10/31/2001 RESPS:42,600 HOURS:1,420 COSTS(000):$23 Southwest Region Gear Identification Requirements FORMS: NONE OMB NO: 0648-0361 EXPIRATION DATE: 10/31/2001 RESPS:436 HOURS:286 COSTS(000):$7 Southwest Region Vessel Identification Requirements FORMS: NONE OMB NO: 0648-0362 EXPIRATION DATE: 10/31/2001 RESPS:1,611 HOURS:580 COSTS(000):$0 Sea Grant Program Applications Requirements for Grants, for John A. Knauss Marine Policy Fellowships and for Designatio as a Sea Grant College or Regional Consortia FORMS: NOAA-90-4 NOAA-90-1 OMB NO: 0648-0363 EXPIRATION DATE: 12/31/2001 RESPS:6,500 HOURS:6,500 COSTS(000):$0 Swordfish Import Certificate of Eligibility FORMS: NONE OMB NO: 0648-0364 EXPIRATION DATE: 01/31/2002 RESPS:5,040 HOURS:4,206 COSTS(000):$25 Gear-Marking Requirement for Atlantic Large Whale Take Reduction Plan FORMS: NONE OMB NO: 0648-0365 EXPIRATION DATE: 01/31/2002 RESPS:100 HOURS:50 COSTS(000):$0 Documentation of Fish Harvest FORMS: NONE OMB NO: 0648-0367 EXPIRATION DATE: 01/31/2002 RESPS:1 HOURS:10 COSTS(000):$3 Gear-Marking Requirements in Antarctic Fisheries FORMS: NONE OMB NO: 0648-0368 EXPIRATION DATE: 02/28/2002 RESPS:1 HOURS:1 COSTS(000):$0 Vessel-Marking Requirements in Antarctic Fisheries FORMS: NONE OMB NO: 0648-0369 EXPIRATION DATE: 04/30/2002 RESPS:1,471 HOURS:2,675 COSTS(000):$0 Economic Performance Data for the West Coast (California-Alaska) Commercial Fisheries FORMS: NONE OMB NO: 0648-0371 EXPIRATION DATE: 03/31/2002 RESPS:58,585 HOURS:9,481 COSTS(000):$29 Highly Migratory Species Logbooks FORMS: NONE OMB NO: 0648-0372 EXPIRATION DATE: 03/31/2002 RESPS:113,836 HOURS:1,043 COSTS(000):$2,368 Vessel Monitoring System for Atlantic Highly Migratory Species FORMS: NONE OMB NO: 0648-0373 EXPIRATION DATE: 03/31/2002 RESPS:12,521 HOURS:6,828 COSTS(000):$148 Highly Migratory Species Vessel and Gear Marking FORMS: NONE OMB NO: 0648-0374 EXPIRATION DATE: 03/31/2002 RESPS:9,050 HOURS:299 COSTS(000):$5 Highly Migratory Species Observer Notification Requirements FORMS: NONE OMB NO: 0648-0375 EXPIRATION DATE: 05/31/2002 RESPS:23,811 HOURS:1,541 COSTS(000):$5 Northeast Region Monkfish Reporting Requirements FORMS: NONE OMB NO: 0648-0376 EXPIRATION DATE: 05/31/2002 RESPS:8,505 HOURS:37,110 COSTS(000):$6 Fisheries Capacity Reduction Program Buyback Requests FORMS: NONE OMB NO: 0648-0378 EXPIRATION DATE: 07/31/2002 RESPS:14 HOURS:14 COSTS(000):$0 Operator Permits in the Surf Clam and Ocean Quahog Fishery FORMS: NONE OMB NO: 0648-0380 EXPIRATION DATE: 03/31/2003 RESPS:64,900 HOURS:5,032 COSTS(000):$0 Large Pelagic Fishing Survey FORMS: NONE OMB NO: 0648-0381 EXPIRATION DATE: 06/30/2002 RESPS:200 HOURS:67 COSTS(000):$0 Effectiveness Review of the Coastal Services Center's Coastal Change Analysis Program FORMS: NONE OMB NO: 0648-0382 EXPIRATION DATE: 10/31/2002 RESPS:20 HOURS:5 COSTS(000):$0 Beluga Whale Harvest Report FORMS: NONE OMB NO: 0648-0384 EXPIRATION DATE: 08/31/2002 RESPS:1,000 HOURS:1,100 COSTS(000):$0 NOAA Coastal Ocean Program Grants Proposal Application Package FORMS: NONE OMB NO: 0648-0387 EXPIRATION DATE: 08/31/2002 RESPS:1,049 HOURS:264 COSTS(000):$5 International Dolphin Conservation Program FORMS: NONE OMB NO: 0648-0388 EXPIRATION DATE: 10/31/2002 RESPS:1,442 HOURS:740 COSTS(000):$3 Bluefish-Permit Family of Forms, Processed Products Report, Vessel Identification FORMS: NONE OMB NO: 0648-0389 EXPIRATION DATE: 10/31/2002 RESPS:2,988 HOURS:249 COSTS(000):$1 Bluefish Logbooks FORMS: NONE OMB NO: 0648-0390 EXPIRATION DATE: 10/31/2002 RESPS:10,088 HOURS:504 COSTS(000):$2 Bluefish Dealer Reporting FORMS: NONE OMB NO: 0648-0391 EXPIRATION DATE: 11/30/2002 RESPS:2,072 HOURS:46 COSTS(000):$0 Northeast Small Mesh Multispecies Requirements FORMS: NONE OMB NO: 0648-0392 EXPIRATION DATE: 11/30/2002 RESPS:3,010 HOURS:251 COSTS(000):$0 Monitoring of Fish Trap Fishing in the Gulf of Mexico FORMS: NONE OMB NO: 0648-0393 EXPIRATION DATE: 09/30/2003 RESPS:141 HOURS:83 COSTS(000):$1 American Fisheries Act: Vessel and Processor Permit Applications FORMS: NONE OMB NO: 0648-0397 EXPIRATION DATE: 03/31/2003 RESPS:75 HOURS:75 COSTS(000):$0 Application Form for Membership on a National Marine Sanctuary Advisory Council FORMS: NONE OMB NO: 0648-0398 EXPIRATION DATE: 03/31/2003 RESPS:4,425 HOURS:8,400 COSTS(000):$17 Alaska Individual Fishing Quota Cost Recovery Program Requirements FORMS: NONE OMB NO: 0648-0399 EXPIRATION DATE: 03/31/2003 RESPS:184 HOURS:2,180 COSTS(000):$3 Limits on Application of Take Prohibitions - Threatened Salmonids FORMS: NONE OMB NO: 0648-0400 EXPIRATION DATE: 06/30/2003 RESPS:2,847 HOURS:793 COSTS(000):$0 Commercial Harvesters and Recreational Party and Charter Boat Socio-cultural and Economic Data Collection Pilot Study FORMS: NONE OMB NO: 0648-0401 EXPIRATION DATE: 12/31/2003 RESPS:1,365 HOURS:888 COSTS(000):$0 American Fisheries Act: Recordkeeping and Reporting Requirements FORMS: NONE OMB NO: 0648-0402 EXPIRATION DATE: 06/30/2002 RESPS:240 HOURS:4,400 COSTS(000):$0 Application Instruction for a Permit for Scientific Purposes or to Enhance the Propagation or Survival of Threatened or Endangered Species FORMS: NONE OMB NO: 0648-0403 EXPIRATION DATE: 06/30/2003 RESPS:180 HOURS:68 COSTS(000):$1 Northeast Region Herring Permits FORMS: NONE OMB NO: 0648-0404 EXPIRATION DATE: 06/30/2003 RESPS:114,060 HOURS:185 COSTS(000):$67 Northeast Region Vessel Monitoring and Communications FORMS: NONE OMB NO: 0648-0405 EXPIRATION DATE: 06/30/2003 RESPS:50 HOURS:25 COSTS(000):$1 Atlantic Herring Processed Products Report FORMS: NONE OMB NO: 0648-0406 EXPIRATION DATE: 06/30/2003 RESPS:2,600 HOURS:87 COSTS(000):$3 Northeast Region Herring Dealer Landing Reports FORMS: NONE OMB NO: 0648-0407 EXPIRATION DATE: 06/30/2003 RESPS:2,653 HOURS:176 COSTS(000):$1 Atlantic Herring Vessel Trip Reports FORMS: NONE OMB NO: 0648-0408 EXPIRATION DATE: 06/30/2003 RESPS:665 HOURS:1,330 COSTS(000):$0 National Marine Sanctuaries - Socioeconomic Impacts of Marine Reserves FORMS: NONE OMB NO: 0648-0409 EXPIRATION DATE: 07/31/2003 RESPS:988 HOURS:725 COSTS(000):$0 Socioeconomic Monitoring Program for the Florida Keys National Marine Sanctuary FORMS: NONE OMB NO: 0648-0410 EXPIRATION DATE: 07/31/2003 RESPS:10,600 HOURS:2,733 COSTS(000):$0 South Florida Artificial and Natural Reefs - Economic Valuation Study FORMS: NONE OMB NO: 0648-0411 EXPIRATION DATE: 07/31/2003 RESPS:4,111 HOURS:20,331 COSTS(000):$8,000 Paperwork Submissions Under the Coastal Zone Management Act Federal Consistency Requirements FORMS: NONE OMB NO: 0648-0412 EXPIRATION DATE: 06/30/2003 RESPS:528 HOURS:18 COSTS(000):$0 Multispecies Pary/Charterboat Closed Area Exemption Certificate FORMS: NONE OMB NO: 0648-0413 EXPIRATION DATE: 01/31/2001 RESPS:800 HOURS:3,200 COSTS(000):$0 Fisheries Capacity Reduction Program Advanced Referenda and Other Requirements FORMS: NONE OMB NO: 0648-0416 EXPIRATION DATE: 12/31/2003 RESPS:272,100 HOURS:2,950 COSTS(000):$195 Northeast Region Sea Scallop Exemption Requirements FORMS: NONE OMB NO: 0648-0417 EXPIRATION DATE: 08/31/2003 RESPS:18,144 HOURS:145 COSTS(000):$13 Atka Mackerel Fishery Vessel Monitoring System (VMS) Report FORMS: NONE OMB NO: 0648-0418 EXPIRATION DATE: 08/31/2003 RESPS:302 HOURS:24 COSTS(000):$0 Tortugas Access Permits FORMS: NONE OMB NO: 0648-0419 EXPIRATION DATE: 01/31/2001 RESPS:40 HOURS:40 COSTS(000):$0 StormReady Application Form FORMS: NONE OMB NO: 0648-0420 EXPIRATION DATE: 07/31/2003 RESPS:14 HOURS:31 COSTS(000):$0 Alaska Scallop License Limitation Program Application and Transfer Forms FORMS: NONE OMB NO: 0648-0422 EXPIRATION DATE: 01/31/2001 RESPS:6,912 HOURS:230 COSTS(000):$0 Northeast Region Raised Footrope Trawl Exempted Fishery FORMS: NONE OMB NO: 0648-0423 EXPIRATION DATE: 12/31/2003 RESPS:41,410 HOURS:3,451 COSTS(000):$0 An Observer Program for Catcher Vessels in the Pacific Coast Groundfish Fishery FORMS: NONE OMB NO: 0648-0426 EXPIRATION DATE: 06/30/2001 RESPS:1,520 HOURS:887 COSTS(000):$0 Shoreside Processor Electronic Logbook Reports for the Alaska Bering Sea/Aleutian Islands Pollock and Pacific Cod Fisheries FORMS: NONE Patent and Trademark Office OMB NO: 0651-0009 EXPIRATION DATE: 08/31/2001 RESPS:520,271 HOURS:113,345 COSTS(000):$35,443 Trademark Processing FORMS: PTO-1478 PTO-1478(A) PTO-4.8 PTO-4.9 PTO-1553 PTO-1581 PTO-205/209 PTO-4.13A PTO-205/4.13A PTO-205/209 OMB NO: 0651-0012 EXPIRATION DATE: 12/31/2002 RESPS:8,100 HOURS:3,557 COSTS(000):$0 Admittance To Practice and Roster of Registered Patent Attorneys and Agents Admitted To Practice Before the Patent and Trademark Office FORMS: PTO-158 PTO-158A PTO-275 PTO-107A OMB NO: 0651-0016 EXPIRATION DATE: 12/31/2002 RESPS:326,101 HOURS:26,099 COSTS(000):$0 Rules for Patent Maintenance Fees FORMS: PTO/SB/45/47/ 65/66 OMB NO: 0651-0017 EXPIRATION DATE: 07/31/2003 RESPS:330 HOURS:2,270 COSTS(000):$0 Practitioner records maintenance and disclosure before the patent and trademark office FORMS: NONE OMB NO: 0651-0020 EXPIRATION DATE: 09/30/2001 RESPS:26,857 HOURS:30,902 COSTS(000):$0 Patent Term Extension FORMS: NONE OMB NO: 0651-0021 EXPIRATION DATE: 12/31/2003 RESPS:439,554 HOURS:595,060 COSTS(000):$0 Patent Cooperation Treaty FORMS: RO/101/134/144 PTO/1382 PCT/IPEA/401 PCT/IB/328 OMB NO: 0651-0022 EXPIRATION DATE: 01/31/2001 RESPS:3,300 HOURS:3,301 COSTS(000):$1 Deposit of Biological Materials FORMS: NONE OMB NO: 0651-0024 EXPIRATION DATE: 08/31/2003 RESPS:5,601 HOURS:5,283 COSTS(000):$0 Requirements for Patent Applications Containing Nucelotide Sequence and/or Amino Acid Sequence Disclosures FORMS: NONE OMB NO: 0651-0027 EXPIRATION DATE: 05/31/2002 RESPS:501,052 HOURS:250,526 COSTS(000):$0 Recording Assignments (Formerly Changes in Patent and Trademark FORMS: PTO-1594 PTO-1595 OMB NO: 0651-0028 EXPIRATION DATE: 02/28/2003 RESPS:400 HOURS:68 COSTS(000):$0 Fastener Quality Act Insignia Recordal Process FORMS: PTO-1611 OMB NO: 0651-0030 EXPIRATION DATE: 05/31/2002 RESPS:27,000 HOURS:5,400 COSTS(000):$0 Disclosure Document Program FORMS: PTO/SB/95 OMB NO: 0651-0031 EXPIRATION DATE: 10/31/2002 RESPS:2,231,365 HOURS:1,018,736 COSTS(000):$0 Proposed Additions to Patent Processing (Updating) FORMS: PTO\SB\08A\08B 21\22\23\24\25 26\27\31\42\43 61\61PCT\62\63 64\64PCT\67\68 91\92\96\97 PTO\SB\24\35\36 OMB NO: 0651-0032 EXPIRATION DATE: 10/31/2002 RESPS:344,100 HOURS:2,990,360 COSTS(000):$7,095 Initial/Patent Application FORMS: PTO/SB/01/01A/ 02A/02B/02C/ 03/03A/04/05/06 07/13 PCT/17/18/19/29 29A/101/102/103 /104/105/106/ 107/108/109/110 OMB NO: 0651-0033 EXPIRATION DATE: 01/31/2001 RESPS:135,600 HOURS:43,903 COSTS(000):$0 Post Allowance FORMS: PTO/SB/51S OMB NO: 0651-0034 EXPIRATION DATE: 01/31/2001 RESPS:2,187 HOURS:1,476 COSTS(000):$0 Secrecy, License to Export FORMS: NONE OMB NO: 0651-0035 EXPIRATION DATE: 10/31/2002 RESPS:263,520 HOURS:13,386 COSTS(000):$0 Representative and Address Provisions FORMS: PTO/SB/81/82/ 83/84/121/122/ 123/124/125 OMB NO: 0651-0036 EXPIRATION DATE: 03/31/2003 RESPS:83 HOURS:33 COSTS(000):$0 Statutory Invention Registration FORMS: PTO-SB-94 OMB NO: 0651-0038 EXPIRATION DATE: 08/31/2002 RESPS:7,200 HOURS:2,349 COSTS(000):$0 Customer Input; Patent and Trademark Customer Surveys FORMS: NONE OMB NO: 0651-0040 EXPIRATION DATE: 01/31/2001 RESPS:33,834 HOURS:8,940 COSTS(000):$0 Petition to Cancel a Trademark Registration FORMS: NONE OMB NO: 0651-0041 EXPIRATION DATE: 05/31/2002 RESPS:6,709 HOURS:1,073 COSTS(000):$0 Public Search Room Badging FORMS: PTO-### OMB NO: 0651-0042 EXPIRATION DATE: 10/31/2002 RESPS:3,700 HOURS:1,850 COSTS(000):$0 Electronic Application for Patent Examiners - Job Application Rating System (JARS) FORMS: PTO-2041 OMB NO: 0651-0043 EXPIRATION DATE: 01/31/2003 RESPS:100,000 HOURS:20,000 COSTS(000):$0 Payment of Patent and Trademark Office Fees by Credit Card FORMS: PTO-2038 OMB NO: 0651-0044 EXPIRATION DATE: 09/30/2003 RESPS:200 HOURS:50 COSTS(000):$0 Invention Promoters/Promotion Firms Complaints FORMS: PTO/SB/2048 OMB NO: 0651-0045 EXPIRATION DATE: 03/31/2003 RESPS:10,000 HOURS:5,000 COSTS(000):$0 Public Key Infrastructure (PK) Certificate Action Form FORMS: PTO-2042 Science and Technical Research No active collections for this subagency National Telecommunications and Information Administration OMB NO: 0660-0001 EXPIRATION DATE: 05/31/2003 RESPS:1,966 HOURS:7,836 COSTS(000):$0 Public Telecommunications Facilities Program Grant Monitoring FORMS: NONE OMB NO: 0660-0003 EXPIRATION DATE: 10/31/2003 RESPS:450 HOURS:40,250 COSTS(000):$0 Public Telecommunications Facilities Program (PTFP) Application Form FORMS: NONE OMB NO: 0660-0010 EXPIRATION DATE: 02/28/2002 RESPS:130 HOURS:50 COSTS(000):$0 TIIAP Reviewer Information Form FORMS: NONE OMB NO: 0660-0013 EXPIRATION DATE: 05/31/2001 RESPS:206 HOURS:178 COSTS(000):$0 Grant Recipient Survey for the Telecommunications and Information Infrastructure Assistance Program (TIIAP) FORMS: NONE OMB NO: 0660-0014 EXPIRATION DATE: 10/31/2001 RESPS:48,000 HOURS:6,400 COSTS(000):$0 Current Population Survey FORMS: NONE OMB NO: 0660-0015 EXPIRATION DATE: 12/31/2001 RESPS:45 HOURS:7,498 COSTS(000):$0 Telecommunications and Information Infrastructure Assistance (TIIAP) Program Structured Reporting System FORMS: NONE OMB NO: 0660-0016 EXPIRATION DATE: 01/31/2001 RESPS:400 HOURS:400 COSTS(000):$0 Survey Instrument - 2000 Minority Broadcast Ownership Report FORMS: NONE Office of the Secretary OMB NO: 0690-0008 EXPIRATION DATE: 03/31/2003 RESPS:200 HOURS:1,200 COSTS(000):$0 Department of Commerce: Use of DOC-Specific Ship Repair Clauses and Other Provision in the Acquisition Process FORMS: NONE OMB NO: 0690-0010 EXPIRATION DATE: 01/31/2002 RESPS:30 HOURS:30 COSTS(000):$0 Revision to the Commerce Acquisition Regulation (CAR) Clause at 1352.217-109 Entitled "Insurance Requirements" FORMS: 1352.217-109 OMB NO: 0690-0015 EXPIRATION DATE: 10/31/2001 RESPS:700 HOURS:350 COSTS(000):$0 Complaint of Employment Discrimination for the Decennial Census and Complaint of Employment Discrimination Used by Permanent Employees and Applicants for Employment at DOC FORMS: 498 498A OMB NO: 0690-0017 EXPIRATION DATE: 10/31/2002 RESPS:100 HOURS:5 COSTS(000):$0 Survey of Business Leaders Accompanying Secretary Daley on Trade Missions FORMS: NONE OMB NO: 0690-0019 EXPIRATION DATE: 05/31/2001 RESPS:32,832 HOURS:32,832 COSTS(000):$0 Commerce Opportunities On-Line FORMS: NONE Bureau of Economic Analysis OMB NO: 0691-0001 EXPIRATION DATE: 07/31/2003 RESPS:7,500 HOURS:1,875 COSTS(000):$0 BEA Customer Satisfaction Survey FORMS: NONE Technology Administration OMB NO: 0692-0001 EXPIRATION DATE: 08/31/2003 RESPS:102 HOURS:2,550 COSTS(000):$0 National Medal of Technology Nomination Applications FORMS: NONE OMB NO: 0692-0006 EXPIRATION DATE: 06/30/2003 RESPS:1,900 HOURS:1,200 COSTS(000):$0 Licensing of Government-owned Inventions FORMS: NONE OMB NO: 0692-0007 EXPIRATION DATE: 04/30/2001 RESPS:100 HOURS:50 COSTS(000):$0 Technology Demonstration Center FORMS: NONE National Institute of Standards & Technology OMB NO: 0693-0003 EXPIRATION DATE: 12/31/2003 RESPS:800 HOURS:2,200 COSTS(000):$0 National Voluntary Laboratory Accreditation Program (NVLAP), NVLAP Information Collection System FORMS: NONE OMB NO: 0693-0006 EXPIRATION DATE: 10/31/2002 RESPS:100 HOURS:10,000 COSTS(000):$0 Malcolm Baldrige National Quality Award Application FORMS: NONE OMB NO: 0693-0009 EXPIRATION DATE: 12/31/2003 RESPS:1,000 HOURS:14,875 COSTS(000):$60 Advanced Technology Program FORMS: NIST-1262 NIST-1263 OMB NO: 0693-0015 EXPIRATION DATE: 02/28/2003 RESPS:22 HOURS:70 COSTS(000):$0 Fastener Quality Act FORMS: NONE OMB NO: 0693-0019 EXPIRATION DATE: 10/31/2001 RESPS:10 HOURS:30 COSTS(000):$0 NvCase FORMS: NONE OMB NO: 0693-0028 EXPIRATION DATE: 05/31/2002 RESPS:200 HOURS:567 COSTS(000):$0 NIST/OLES Survey of Reference Materials for Forensic Science FORMS: NONE OMB NO: 0693-0029 EXPIRATION DATE: 08/31/2002 RESPS:8,000 HOURS:934 COSTS(000):$0 National Institute of Standards and Technology Pilot Survey FORMS: NONE OMB NO: 0693-0031 EXPIRATION DATE: 10/31/2002 RESPS:50,000 HOURS:18,800 COSTS(000):$380,311 National Institute of Standards and Technology 3-Year Generic Request for Customer Service-Related Data Collection FORMS: NONE OMB NO: 0693-0032 EXPIRATION DATE: 01/31/2003 RESPS:74 HOURS:4,994 COSTS(000):$249,700 NIST MEP Management Information Reporting FORMS: NONE OMB NO: 0693-0033 EXPIRATION DATE: 02/28/2003 RESPS:925 HOURS:944 COSTS(000):$0 National Institue of Standards and Technology Re-submission Program Evaluation Data Collections FORMS: NONE OMB NO: 0693-0034 EXPIRATION DATE: 05/31/2003 RESPS:30 HOURS:120 COSTS(000):$0 Evaluation of the Common Industry Format (CIF) for Reporting the Results of Usability Tests FORMS: NONE OMB NO: 0693-0035 EXPIRATION DATE: 05/31/2003 RESPS:1,440 HOURS:120 COSTS(000):$0 User Evaluation of DARPA Communicator systems FORMS: NONE Bureau of Export Administration OMB NO: 0694-0001 EXPIRATION DATE: 12/31/2003 RESPS:21 HOURS:11 COSTS(000):$0 Exception to Reporting Requirements under the IC/DV Procedures FORMS: NONE OMB NO: 0694-0004 EXPIRATION DATE: 08/31/2001 RESPS:2 HOURS:510 COSTS(000):$0 Foreign Availability Procedures and Criteria FORMS: NONE OMB NO: 0694-0009 EXPIRATION DATE: 10/31/2001 RESPS:1 HOURS:1 COSTS(000):$0 Approval of Triangular Transactions Involving Commodities Covered by a U.S. Import Certificate FORMS: NONE OMB NO: 0694-0012 EXPIRATION DATE: 06/30/2001 RESPS:1,574 HOURS:3,307 COSTS(000):$0 Report of Requests for Restrictive Trade Practice or Boycott, Single or Multiple Transactions FORMS: BXA-621P BXA-6051P OMB NO: 0694-0013 EXPIRATION DATE: 12/31/2001 RESPS:160 HOURS:86 COSTS(000):$0 Computer and Related Equipment FORMS: NONE OMB NO: 0694-0016 EXPIRATION DATE: 08/31/2001 RESPS:100 HOURS:31 COSTS(000):$0 Delivery Verification Procedure FORMS: BXA-647P OMB NO: 0694-0017 EXPIRATION DATE: 05/31/2001 RESPS:1,008 HOURS:270 COSTS(000):$0 International Import Certificate FORMS: BXA-645P OMB NO: 0694-0021 EXPIRATION DATE: 11/30/2002 RESPS:4,535 HOURS:1,210 COSTS(000):$0 Statement by Ultimate Consignee and Purchaser FORMS: BXA-711 OMB NO: 0694-0023 EXPIRATION DATE: 08/31/2001 RESPS:200 HOURS:104 COSTS(000):$0 Written Assurances for Exports of Technical Data under License Exception TSR FORMS: NONE OMB NO: 0694-0025 EXPIRATION DATE: 01/31/2001 RESPS:35 HOURS:36 COSTS(000):$0 Short Supply Regulations, Unprocessed Western Red Cedar FORMS: NONE OMB NO: 0694-0026 EXPIRATION DATE: 04/30/2002 RESPS:1 HOURS:1 COSTS(000):$0 Short Supply Regulations, Petroleum Products FORMS: NONE OMB NO: 0694-0027 EXPIRATION DATE: 05/31/2001 RESPS:24 HOURS:196 COSTS(000):$0 Short Supply Regulations, Petroleum (Crude Oil) FORMS: NONE OMB NO: 0694-0029 EXPIRATION DATE: 12/31/2003 RESPS:3 HOURS:1 COSTS(000):$0 License Exception TMP: Special Requirements FORMS: NONE OMB NO: 0694-0031 EXPIRATION DATE: 12/31/2003 RESPS:100 HOURS:27 COSTS(000):$0 Application for a Duplicate License FORMS: NONE OMB NO: 0694-0033 EXPIRATION DATE: 05/31/2001 RESPS:10 HOURS:10 COSTS(000):$0 License Exception, Humanitarian Donations FORMS: NONE OMB NO: 0694-0047 EXPIRATION DATE: 12/31/2001 RESPS:461 HOURS:722 COSTS(000):$0 Technical Data Letter of Explanation FORMS: BXA-748P OMB NO: 0694-0051 EXPIRATION DATE: 05/31/2001 RESPS:10 HOURS:11 COSTS(000):$0 Application for Transfer of License to Another Party FORMS: NONE OMB NO: 0694-0053 EXPIRATION DATE: 12/31/2003 RESPS:707,000 HOURS:14,477 COSTS(000):$2,810 Defense Priorities and Allocations System FORMS: NONE OMB NO: 0694-0057 EXPIRATION DATE: 01/31/2001 RESPS:1,200 HOURS:600 COSTS(000):$0 Request for Special Priorities Assistance FORMS: BXA-999 OMB NO: 0694-0058 EXPIRATION DATE: 08/31/2001 RESPS:80 HOURS:800 COSTS(000):$0 Procedure for Voluntary Self-Disclosure of Violations of the Export Administration Regulations FORMS: NONE OMB NO: 0694-0064 EXPIRATION DATE: 01/31/2002 RESPS:5,924 HOURS:352 COSTS(000):$0 Procedures for Support Documentation FORMS: NONE OMB NO: 0694-0073 EXPIRATION DATE: 03/31/2002 RESPS:33 HOURS:14 COSTS(000):$0 Export Controls of High Performance Computers FORMS: NONE OMB NO: 0694-0083 EXPIRATION DATE: 06/30/2002 RESPS:3,000 HOURS:1,500 COSTS(000):$0 Competitive Enhancement Needs Assessment Survey Program FORMS: NONE OMB NO: 0694-0084 EXPIRATION DATE: 11/30/2002 RESPS:1,000 HOURS:270 COSTS(000):$0 Offsets in Military Exports FORMS: NONE OMB NO: 0694-0086 EXPIRATION DATE: 06/30/2003 RESPS:160 HOURS:23 COSTS(000):$0 Report of Sample Shipments of Chemical Weapon Recursors FORMS: NONE OMB NO: 0694-0088 EXPIRATION DATE: 02/28/2002 RESPS:8,703 HOURS:8,053 COSTS(000):$105 Multipurpose Application FORMS: BXA-748P OMB NO: 0694-0089 EXPIRATION DATE: 06/30/2001 RESPS:210 HOURS:1,046 COSTS(000):$0 Special Comprehensive FORMS: BXA-748P BXA-752P OMB NO: 0694-0091 EXPIRATION DATE: 12/31/2002 RESPS:2,241 HOURS:34,709 COSTS(000):$115,552 Chemical Weapons Convention Declaration Forms, Inspections and Inspection Reports FORMS: FORM1-1 FORM1-2 FORM1-2A FORM1-2B FORM1-4 FORM-A FORM-B FORM2-1 FORM2-2 OMB NO: 0694-0092 EXPIRATION DATE: 10/31/2001 RESPS:700,000 HOURS:21,963 COSTS(000):$0 Procedures for Acceptance or Rejection of Rated Order FORMS: NONE OMB NO: 0694-0093 EXPIRATION DATE: 01/31/2002 RESPS:5,775 HOURS:1,444 COSTS(000):$0 Import Certificates and End-User Certificates FORMS: NONE OMB NO: 0694-0096 EXPIRATION DATE: 10/31/2001 RESPS:200,000 HOURS:229 COSTS(000):$0 5-Year Records Retention Period FORMS: NONE OMB NO: 0694-0100 EXPIRATION DATE: 08/31/2002 RESPS:1 HOURS:5 COSTS(000):$0 Requests for the Appointment of a Technical Advisory Committee FORMS: NONE OMB NO: 0694-0101 EXPIRATION DATE: 04/30/2001 RESPS:7 HOURS:175 COSTS(000):$0 One-Time Report for Foreign Software or Technology Eligible for De Minimis Exclusion FORMS: NONE OMB NO: 0694-0102 EXPIRATION DATE: 08/31/2002 RESPS:2 HOURS:10 COSTS(000):$0 Miscellaneous Activities FORMS: NONE OMB NO: 0694-0104 EXPIRATION DATE: 01/31/2003 RESPS:234 HOURS:692 COSTS(000):$0 Commercial Encryption Items under the Jurisdiction of the Department of Commerce FORMS: BXA-748P OMB NO: 0694-0106 EXPIRATION DATE: 05/31/2001 RESPS:4,000 HOURS:734 COSTS(000):$0 Reporting and Recordkeeping Requirements under the Wassenaar FORMS: NONE OMB NO: 0694-0107 EXPIRATION DATE: 10/31/2001 RESPS:150 HOURS:7 COSTS(000):$0 National Defense Authorization Act FORMS: 742R 742S OMB NO: 0694-0110 EXPIRATION DATE: 12/31/2001 RESPS:2,000 HOURS:1,000 COSTS(000):$0 Survey of U.S. Assistive Technology Industry FORMS: NONE OMB NO: 0694-0111 EXPIRATION DATE: 06/30/2002 RESPS:557 HOURS:463 COSTS(000):$0 India and Pakistan Sanctions FORMS: BXA-748P OMB NO: 0694-0112 EXPIRATION DATE: 08/31/2002 RESPS:300 HOURS:75 COSTS(000):$0 End-User Certificates for High Performance Computers to the People's Republic of China FORMS: NONE OMB NO: 0694-0113 EXPIRATION DATE: 05/31/2002 RESPS:2,000 HOURS:8,000 COSTS(000):$0 National Security Assessment of U.S. Maritime Industry FORMS: NONE OMB NO: 0694-0114 EXPIRATION DATE: 11/30/2002 RESPS:971 HOURS:176 COSTS(000):$0 Firearms Convention FORMS: BXA-748P OMB NO: 0694-0115 EXPIRATION DATE: 05/31/2002 RESPS:100 HOURS:50 COSTS(000):$0 Survey of U.S. Chemical Industry to Assist in Compliance Activities Regarding Provisions of the Chemical Weapons Convention FORMS: NONE OMB NO: 0694-0117 EXPIRATION DATE: 01/31/2003 RESPS:356 HOURS:176 COSTS(000):$0 Chemical Weapons Convention, Amendment to the Export Administration Regulation (End-Use Certificates and Advance Notifications and Annual Reports) FORMS: NONE OMB NO: 0694-0118 EXPIRATION DATE: 08/31/2002 RESPS:100 HOURS:100 COSTS(000):$0 Survey of U.S. Chemical Industry Regarding Activities Involving Chemicals Identified in Schedule 2 of the Chemical Weapons Convention's Annex on Chemicals FORMS: NONE OMB NO: 0694-0119 EXPIRATION DATE: 10/31/2002 RESPS:6,000 HOURS:24,000 COSTS(000):$0 National Security and Critical Technology Assessments of the U.S. Industrial Base FORMS: NONE OMB NO: 0694-0120 EXPIRATION DATE: 11/30/2002 RESPS:1 HOURS:3,000 COSTS(000):$60 Procedure to Initiate an Investigation under the Trade Expansion Act of 1962 FORMS: NONE OMB NO: 0694-0122 EXPIRATION DATE: 11/30/2002 RESPS:1,427,450 HOURS:70,104 COSTS(000):$0 Licensing Responsibilities and Enforcement FORMS: NONE
(RETURN TO AGENCY LIST)OMB NO: 0701-0001 EXPIRATION DATE: 03/31/2002 RESPS:2,900 HOURS:927 COSTS(000):$0 Application for Training Leading to a Commission in the United States Air Force FORMS: AF-56 OMB NO: 0701-0026 EXPIRATION DATE: 10/31/2001 RESPS:15,425 HOURS:7,713 COSTS(000):$0 Nomination for Appointment to the United States Military Academy, Naval Academy, and Air Force Academy FORMS: DD-1870 OMB NO: 0701-0063 EXPIRATION DATE: 01/31/2001 RESPS:4,004 HOURS:3,003 COSTS(000):$0 Air Force Academy Candidate Activities Record FORMS: USAFA-147 OMB NO: 0701-0064 EXPIRATION DATE: 01/31/2001 RESPS:4,176 HOURS:2,088 COSTS(000):$0 Air Force Academy Candidate Personal Data Record FORMS: USAFA-146 OMB NO: 0701-0078 EXPIRATION DATE: 02/28/2001 RESPS:3,600 HOURS:3,600 COSTS(000):$0 Health Professions Accession Forms FORMS: AETC-1402 AETC-1437 OMB NO: 0701-0079 EXPIRATION DATE: 02/28/2001 RESPS:108,500 HOURS:88,165 COSTS(000):$0 Nonprior Service and Prior Service Accessions FORMS: AETC-1319 AETC-1325 AETC-1419 OMB NO: 0701-0080 EXPIRATION DATE: 02/28/2001 RESPS:2,000 HOURS:2,500 COSTS(000):$0 Air Force Officer Training School (OTS) Accession Forms FORMS: AETC-1413 AETC-1422 OMB NO: 0701-0087 EXPIRATION DATE: 12/31/2001 RESPS:11,000 HOURS:4,400 COSTS(000):$0 United States Air Force Academy Application, Precandidate Questionnaire (PCQ) FORMS: USAFA-149 OMB NO: 0701-0096 EXPIRATION DATE: 09/30/2001 RESPS:3,350 HOURS:1,116 COSTS(000):$0 Application for Appointment as Reserves of the Air Force or USAF Without Component FORMS: AF-FORM-24 OMB NO: 0701-0101 EXPIRATION DATE: 04/30/2001 RESPS:11,000 HOURS:7,700 COSTS(000):$0 Air Force ROTC College Scholarship Application FORMS: AF-113 OMB NO: 0701-0103 EXPIRATION DATE: 06/30/2001 RESPS:500 HOURS:350 COSTS(000):$0 Air Force ROTC Scholarship Nomination FORMS: AFROTC-36 OMB NO: 0701-0105 EXPIRATION DATE: 06/30/2001 RESPS:12,000 HOURS:4,000 COSTS(000):$0 Application for AFROTC Membership FORMS: AFROTC-20 OMB NO: 0701-0114 EXPIRATION DATE: 06/30/2001 RESPS:40 HOURS:20 COSTS(000):$0 Application for Establishment of Air Force Junior ROTC Unit FORMS: AFROTC-59 OMB NO: 0701-0125 EXPIRATION DATE: 06/30/2002 RESPS:35,000 HOURS:2,900 COSTS(000):$0 Nutritional Medicine Service Patient Evaluation FORMS: 2503 2504 OMB NO: 0701-0126 EXPIRATION DATE: 06/30/2002 RESPS:3,000 HOURS:750 COSTS(000):$0 Food/Exercise Diary FORMS: 3529 OMB NO: 0701-0127 EXPIRATION DATE: 08/31/2003 RESPS:255 HOURS:64 COSTS(000):$0 USAF Museum System Volunteer Application/Registration FORMS: AF-3569 OMB NO: 0701-0130 EXPIRATION DATE: 06/30/2002 RESPS:12,000 HOURS:3,000 COSTS(000):$0 Nutritional Assessment and Dietary Intake FORMS: AF-2572 OMB NO: 0701-0133 EXPIRATION DATE: 03/31/2002 RESPS:20,000 HOURS:5,000 COSTS(000):$0 Motor Vehicle Traffic Accident Report FORMS: AF-FORM-1315 OMB NO: 0701-0134 EXPIRATION DATE: 06/30/2001 RESPS:148 HOURS:148 COSTS(000):$0 Request for Approval of Foreign Government Employment of Air Force Members FORMS: NONE OMB NO: 0701-0135 EXPIRATION DATE: 06/30/2002 RESPS:13,200 HOURS:1,056 COSTS(000):$0 Medical Treatment Facility Incident Statement FORMS: 765 OMB NO: 0701-0136 EXPIRATION DATE: 08/31/2002 RESPS:500 HOURS:167 COSTS(000):$0 CCAF Alumni Survey FORMS: NONE OMB NO: 0701-0141 EXPIRATION DATE: 06/30/2001 RESPS:4,000 HOURS:1,000 COSTS(000):$0 Intercontinental Ballistic Missile Hardened Intersite Cable System Right-of-Way Landower/Tenant Questionnaire FORMS: AF-3951 OMB NO: 0701-0146 EXPIRATION DATE: 04/30/2001 RESPS:200 HOURS:17 COSTS(000):$0 Customer Comments -- AF Form 3211 FORMS: AF-3211 OMB NO: 0701-0147 EXPIRATION DATE: 05/31/2003 RESPS:4,100 HOURS:4,100 COSTS(000):$0 USAF Academy Candidate Writing Sample FORMS: USAFA-0878 OMB NO: 0701-0148 EXPIRATION DATE: 01/31/2001 RESPS:4,500 HOURS:1,000 COSTS(000):$0 The Public and the USAF: Recruiting and Retention Challenges FORMS: NONE Department of the Army OMB NO: 0702-0018 EXPIRATION DATE: 10/31/2001 RESPS:5,402 HOURS:2,701 COSTS(000):$0 Uniform Tender of Rates and/or Charges for Domestic Transportation Services (DOD/USCG-Sponsored HHG) FORMS: MT-HQ-43-R OMB NO: 0702-0021 EXPIRATION DATE: 08/31/2002 RESPS:70 HOURS:70 COSTS(000):$0 Application and Contract for Establishment of a Junior Reserve Oficers' Training Corps Unit FORMS: DA-3126 OMB NO: 0702-0022 EXPIRATION DATE: 10/31/2001 RESPS:859,472 HOURS:62,878 COSTS(000):$125 Tender of Service and Letter of Intent for Personal Property Household Goods and Unaccompanied Baggage Shipments FORMS: 619 OMB NO: 0702-0027 EXPIRATION DATE: 10/31/2001 RESPS:100,000 HOURS:5,000 COSTS(000):$0 Signature and Tally Record FORMS: DD-1907 OMB NO: 0702-0060 EXPIRATION DATE: 06/30/2002 RESPS:65,100 HOURS:8,258 COSTS(000):$0 Pre-Candidate Procedures FORMS: USMA-375 USMA-723 USMA-450 USMA-21-12 USMA-21-27 USMA-381 OMB NO: 0702-0061 EXPIRATION DATE: 08/31/2002 RESPS:85,225 HOURS:17,603 COSTS(000):$0 Candidate Procedures FORMS: USMA21-16/21-23 USMA21-23/21-25 USMA21-26/5-520 USMA5-518 FL-481 FL-546 FL-5-2/5-497 FL-5-26/21-8 FL-480-1/520 FL-261/21-14 OMB NO: 0702-0062 EXPIRATION DATE: 06/30/2002 RESPS:13,200 HOURS:1,100 COSTS(000):$0 Offered Candidate Procedures FORMS: USMA-5-499 USMA-534 USMA-5-490 USMA-2-66 USMA-847/5-516 USMA-5-489 USMA-5-519 USMA-8-2 USMA-6-154 USMA-5-515 OMB NO: 0702-0064 EXPIRATION DATE: 12/31/2002 RESPS:3,000 HOURS:750 COSTS(000):$0 International Military Student Information FORMS: DD-2339 OMB NO: 0702-0073 EXPIRATION DATE: 12/31/2002 RESPS:7,500 HOURS:5,625 COSTS(000):$0 Army ROTC 4-Year Scholarship Application FORMS: ROTC-114 OMB NO: 0702-0083 EXPIRATION DATE: 09/30/2002 RESPS:3,870 HOURS:1,935 COSTS(000):$0 Application for the U.S. Army 2-Year and 3-Year Scholarship FORMS: CC-FORM-166-R OMB NO: 0702-0088 EXPIRATION DATE: 10/31/2001 RESPS:1,000 HOURS:8,500 COSTS(000):$0 Freight Carrier Qualification Statement/Required Documents FORMS: MT-377-R MT-280-R MT-381-R OMB NO: 0702-0107 EXPIRATION DATE: 05/31/2001 RESPS:4,000 HOURS:2,000 COSTS(000):$0 Modeling the Individual Enlistment Decision FORMS: NONE OMB NO: 0702-0108 EXPIRATION DATE: 06/30/2001 RESPS:6,000 HOURS:1,500 COSTS(000):$0 Army National Guard Member Survey FORMS: NONE OMB NO: 0702-0109 EXPIRATION DATE: 09/30/2001 RESPS:235 HOURS:470 COSTS(000):$0 Letter Permit for Non-Army Agency Radiation Sources on Army Land FORMS: NONE OMB NO: 0702-0110 EXPIRATION DATE: 02/28/2003 RESPS:35 HOURS:35 COSTS(000):$0 Application and Agreement for Establishment of a National Defense Cadet Corps Unit FORMS: DA-3126-1 OMB NO: 0702-0111 EXPIRATION DATE: 02/28/2003 RESPS:16,300 HOURS:4,075 COSTS(000):$0 Army ROTC Referral Information FORMS: ROTC-155-R OMB NO: 0702-0112 EXPIRATION DATE: 08/31/2003 RESPS:408,768 HOURS:33,928 COSTS(000):$0 Report on the Use of Employees of Non-Federal Entities to Provide Services to the Department of Defense (32 CFR Part 657) FORMS: NONE Department of the Navy OMB NO: 0703-0006 EXPIRATION DATE: 09/30/2002 RESPS:151 HOURS:680 COSTS(000):$0 Facilities Available for the Construction or Repair of Ships FORMS: FORM-17 OMB NO: 0703-0011 EXPIRATION DATE: 07/31/2001 RESPS:3,500 HOURS:875 COSTS(000):$0 Academic Certification for Marine Corps Officer Candidate Program FORMS: NAVMC-10469 OMB NO: 0703-0012 EXPIRATION DATE: 02/28/2003 RESPS:16,700 HOURS:8,350 COSTS(000):$0 Personal Information Questionnaire FORMS: NAVMC11064 OMB NO: 0703-0014 EXPIRATION DATE: 08/31/2002 RESPS:11,700 HOURS:23,400 COSTS(000):$0 Application for MSC Afloat Employment FORMS: MSC-1231-/1 OMB NO: 0703-0016 EXPIRATION DATE: 07/31/2001 RESPS:348 HOURS:174 COSTS(000):$0 Individual MCJROTC Instructor Evaluation Summary FORMS: NAVMC-10942 OMB NO: 0703-0026 EXPIRATION DATE: 02/28/2003 RESPS:14,000 HOURS:56,000 COSTS(000):$0 Application Forms Booklet, Naval Reserve Officers Training Corps Scholarship Program FORMS: CNET-1533/74 1533/91 1533/87 1533/92 1533/88 1533/93 1533/89 OMB NO: 0703-0028 EXPIRATION DATE: 09/30/2001 RESPS:40,000 HOURS:10,000 COSTS(000):$0 NROTC Applicant Questionnaire FORMS: NAVCRUIT-1131-6 OMB NO: 0703-0029 EXPIRATION DATE: 12/31/2002 RESPS:20,000 HOURS:10,000 COSTS(000):$0 Application for Commission or Warrant Rank, USN or USNR FORMS: NAVCRUIT-1100/1 OMB NO: 0703-0036 EXPIRATION DATE: 02/28/2003 RESPS:10,000 HOURS:40,000 COSTS(000):$0 Candidate Application Procedures for the United States Naval Academy FORMS: USNA-GE-1531/34 USNA-GRB1110/11 USNA-GRBLLL0/12 USNA-GRB1110/14 USNA-GRB1110/15 USNA-GRB1110/17 USNA-GRB1110/18 USNA-GRB1110/22 FORM-T325 Departmental and Others OMB NO: 0704-0003 EXPIRATION DATE: 09/30/2003 RESPS:28,000 HOURS:14,000 COSTS(000):$0 Application for Correction of Military Records Under the Provisions of Title 10, U.S. Code, Section 1552 FORMS: DD-149 OMB NO: 0704-0004 EXPIRATION DATE: 11/30/2003 RESPS:8,000 HOURS:6,000 COSTS(000):$0 Application for the Review of Discharge or Dismissal from the Armed Forces of the United States FORMS: DD-293 OMB NO: 0704-0006 EXPIRATION DATE: 12/31/2001 RESPS:100,000 HOURS:8,300 COSTS(000):$0 Request for Verification of Birth FORMS: DD-372 OMB NO: 0704-0007 EXPIRATION DATE: 01/31/2001 RESPS:125,000 HOURS:56,250 COSTS(000):$5 Police Record Check FORMS: 369 OMB NO: 0704-0020 EXPIRATION DATE: 07/31/2002 RESPS:1,683,183 HOURS:280,531 COSTS(000):$0 Application for Uniformed Services Identification Card, DEERS Enrollment FORMS: DD-1172 OMB NO: 0704-0030 EXPIRATION DATE: 12/31/2002 RESPS:2,450 HOURS:425 COSTS(000):$0 Disposition of Remains; Reimbursable Basis Request for Payment of Funeral and/or Interment Expenses FORMS: DD-2065 DD-1375 OMB NO: 0704-0055 EXPIRATION DATE: 07/31/2001 RESPS:610 HOURS:610 COSTS(000):$0 Department of Defense Application for Priority Rating for Production or Construction Equipment FORMS: DD-FORM-691 OMB NO: 0704-0056 EXPIRATION DATE: 11/30/2001 RESPS:125 HOURS:444 COSTS(000):$0 Tender of Service, Mobile Homes/Boats FORMS: NONE OMB NO: 0704-0069 EXPIRATION DATE: 08/31/2002 RESPS:13,050 HOURS:5,618 COSTS(000):$0 Youth Attitude Tracking Study (YATS) FORMS: NONE OMB NO: 0704-0100 EXPIRATION DATE: 09/30/2001 RESPS:3,000 HOURS:1,500 COSTS(000):$2 Application for Discharge of Member or Survivor of Member of Group Certified to Have Performed Active Duty with the Armed Forces of the United States FORMS: DD-2168 OMB NO: 0704-0125 EXPIRATION DATE: 09/30/2001 RESPS:2,851 HOURS:475 COSTS(000):$0 Survey of Local Registrars and Election Officials (NVRA), Post-Election Survey of Local Election Officials, and Post-Election Survey of Overseas Citizens (UOCAVA) FORMS: NONE OMB NO: 0704-0152 EXPIRATION DATE: 05/31/2003 RESPS:27,000 HOURS:4,500 COSTS(000):$0 DOD Educational Loan Repayment Program (LRP) FORMS: DD-2475 OMB NO: 0704-0155 EXPIRATION DATE: 08/31/2003 RESPS:3,200 HOURS:1,120 COSTS(000):$0 Marine Corps Advertising Awareness and Attitude Tracking Study FORMS: NONE OMB NO: 0704-0167 EXPIRATION DATE: 10/31/2001 RESPS:43,000 HOURS:7,167 COSTS(000):$0 Request for Reference FORMS: DD-370 OMB NO: 0704-0173 EXPIRATION DATE: 09/30/2003 RESPS:510,000 HOURS:170,000 COSTS(000):$0 Record of Military Processing - Armed Forces of the United States FORMS: 1966 OMB NO: 0704-0187 EXPIRATION DATE: 12/31/2002 RESPS:2,338,668 HOURS:23,986,320 COSTS(000):$0 Information Collection in Support of the DoD Acquisition Process (Solicitation Phase) FORMS: NONE OMB NO: 0704-0188 EXPIRATION DATE: 08/31/2002 RESPS:478,440 HOURS:52,628,400 COSTS(000):$0 Acquisition Management Systems and Data Requirements Control List (AMSDL) FORMS: NUMEROUS-FORMS OMB NO: 0704-0190 EXPIRATION DATE: 02/28/2003 RESPS:797 HOURS:614 COSTS(000):$0 Appointment of Chaplains for the Military Services FORMS: DD-2088 DD-2741 OMB NO: 0704-0207 EXPIRATION DATE: 06/30/2001 RESPS:6,000 HOURS:2,000 COSTS(000):$0 Export-Controlled DoD Technical Data Agreement FORMS: DD-2345 OMB NO: 0704-0214 EXPIRATION DATE: 12/31/2002 RESPS:95,520 HOURS:1,372,401 COSTS(000):$0 Special Contracting Methods -- Defense Federal Acquisition Regulation Supplement Part 217 and Related Provisions and Clauses in DFARS 252.217 FORMS: NONE OMB NO: 0704-0216 EXPIRATION DATE: 08/31/2003 RESPS:49 HOURS:859 COSTS(000):$0 Defense Federal Acquisition Regulation Supplement (DFARS) Part 228, Bonds and Insurance, and related clauses at 252.228 FORMS: NONE OMB NO: 0704-0221 EXPIRATION DATE: 05/31/2002 RESPS:40,832 HOURS:6,805 COSTS(000):$32 Request for Visit Authorization FORMS: DD-1823 DD-1823-C OMB NO: 0704-0225 EXPIRATION DATE: 08/31/2001 RESPS:108,261 HOURS:65,898 COSTS(000):$0 Administrative Matters -- Defense Federal Acquisition Regulation Supplement (DFARS) Part 204 and related clauses at 252.204 FORMS: DD-2051 DD-2051-1 OMB NO: 0704-0229 EXPIRATION DATE: 04/30/2001 RESPS:224,262 HOURS:374,428 COSTS(000):$0 Foreign Acquisition -- Defense Federal Acquisition Regulation Supplement Part 225 and Related Clauses at Part 252.225 FORMS: 2139 OMB NO: 0704-0231 EXPIRATION DATE: 07/31/2001 RESPS:800 HOURS:400 COSTS(000):$0 Mortuary Services -- Defense Federal Acquisition Regulation Supplement (DFARS) Subpart 237.70 and DFARS clause FORMS: NONE OMB NO: 0704-0232 EXPIRATION DATE: 09/30/2001 RESPS:141 HOURS:5,350 COSTS(000):$0 Price Negotiation -- Defense Federal Acquisition Regulation Supplement (DFARS) Subpart 215.8 and Related Clauses at 252.215 FORMS: NONE OMB NO: 0704-0245 EXPIRATION DATE: 07/31/2001 RESPS:302,625 HOURS:152,320 COSTS(000):$0 Transportation -- Defense Federal Acquisition Regulation Supplement (DFARS) Part 247 and Related Clauses at 252.247 FORMS: NONE OMB NO: 0704-0246 EXPIRATION DATE: 01/31/2003 RESPS:42,497 HOURS:50,170 COSTS(000):$0 Government Property -- Defense Federal Acquisition Regulation Supplement (DFARS) Part 245 and Related Clauses in DFARS 252 and Related Forms in DFARS 253 FORMS: DD-1149 DD-1149C DD-1342 DD-1419 DD-1637 DD-1639 DD-1640 DD-1662 OMB NO: 0704-0248 EXPIRATION DATE: 08/31/2001 RESPS:7,800,000 HOURS:988,000 COSTS(000):$0 Defense Federal Acquisition Regulation Supplement, Appendix F, Material Inspection and Receiving Report FORMS: DD-FORM-250 DD-FORM-250C DD-FORM-250-1 OMB NO: 0704-0250 EXPIRATION DATE: 01/31/2003 RESPS:86,215 HOURS:268,795 COSTS(000):$0 Contract Administration -- Defense Federal Acquisition Regulation Supplement (DFARS) Part 242 and Related Clauses in DFARS 252 and Related Forms in DFARS 253 FORMS: 375 375C 1659 OMB NO: 0704-0252 EXPIRATION DATE: 09/30/2001 RESPS:10,500 HOURS:5,250 COSTS(000):$0 Use of Government Sources by Contractors -- Defense Federal Acquisition Regulation Supplement and Related Clauses in Part 252 FORMS: NONE OMB NO: 0704-0253 EXPIRATION DATE: 07/31/2001 RESPS:90 HOURS:1,440 COSTS(000):$0 Subcontracting Policies and Procedures -- DoD FAR Supplement Part 244 FORMS: NONE OMB NO: 0704-0255 EXPIRATION DATE: 08/31/2001 RESPS:2,740 HOURS:276,625 COSTS(000):$0 Construction and Architect-Engineer Contracts -- Defense Federal Acquisition Regulation Supplement Part 236 and Related Clauses at 252.236 FORMS: NONE OMB NO: 0704-0259 EXPIRATION DATE: 09/30/2002 RESPS:302 HOURS:1,212 COSTS(000):$0 Types of Contracts -- Defense Federal Acquisition Supplement Part 216 and Related Clauses in Part 252.216 FORMS: NONE OMB NO: 0704-0261 EXPIRATION DATE: 07/31/2001 RESPS:13,500 HOURS:10,125 COSTS(000):$10 Department of Defense Standard Tender of Freight Services FORMS: MT-FORM-364-R OMB NO: 0704-0264 EXPIRATION DATE: 06/30/2001 RESPS:500 HOURS:208 COSTS(000):$0 Registration for Scientific and Technical Information Services FORMS: DD-1540 OMB NO: 0704-0267 EXPIRATION DATE: 03/31/2001 RESPS:42,058 HOURS:420,580 COSTS(000):$0 Contract Facilities Capital Cost of Money -- Defense Federal Acquisition Regulation Supplement (DFARS) Part 230, Cost Accounting Standards, and DD Form 1861 FORMS: DD-FORM-1861 OMB NO: 0704-0272 EXPIRATION DATE: 08/31/2001 RESPS:35,873 HOURS:28,964 COSTS(000):$0 Environment, Conservation, and Occupational Safety -- Defense Federal Acquisition Regulation Supplement (DFARS) Part 223 and related clauses at DFARS Part 252 FORMS: NONE OMB NO: 0704-0286 EXPIRATION DATE: 08/31/2001 RESPS:6,862 HOURS:7,548 COSTS(000):$0 Publicizing Contract Actions and Provision of Information to Cooperative Agreement Holders -- Defense FAR Supplement (DFARS) Part 205 and DFARS 252.205-7000 FORMS: NONE OMB NO: 0704-0290 EXPIRATION DATE: 06/30/2003 RESPS:43,000 HOURS:5,547 COSTS(000):$0 Armed Forces Participation in Public Events FORMS: DD-2535 DD-2536 OMB NO: 0704-0295 EXPIRATION DATE: 10/31/2001 RESPS:20 HOURS:240 COSTS(000):$0 Reimbursement Information, Psychiatric Residential Treatment Centers Serving Children and Adolescents FORMS: TMA-771 OMB NO: 0704-0305 EXPIRATION DATE: 09/30/2003 RESPS:3,940 HOURS:4,815 COSTS(000):$0 Telecommunications Service Priority System FORMS: SF-314 SF-315 SF-317 SF-318 SF-319 OMB NO: 0704-0320 EXPIRATION DATE: 04/30/2002 RESPS:168 HOURS:1,344 COSTS(000):$0 Procurement Technical Assistance Cooperative Agreement Performance Report FORMS: DLA-1806 OMB NO: 0704-0321 EXPIRATION DATE: 05/31/2003 RESPS:5,160 HOURS:7,740 COSTS(000):$0 Defense Federal Acquisition Regulation Supplement (DFARS) Part 232, contract Financing, and the clause at DFARS 252.232-7002 Progress Payments for Foreign Military Sales Acquisition FORMS: NONE OMB NO: 0704-0323 EXPIRATION DATE: 07/31/2003 RESPS:293,401 HOURS:12,030 COSTS(000):$0 Third Party Collection Program (Record of Other Health Insurance) FORMS: DD-2569 OMB NO: 0704-0328 EXPIRATION DATE: 10/31/2001 RESPS:10,200 HOURS:10,200 COSTS(000):$0 DoD Buidling Pass Application FORMS: DD-2249 OMB NO: 0704-0332 EXPIRATION DATE: 06/30/2001 RESPS:248 HOURS:496 COSTS(000):$0 Policy and Procedures for the DoD Pilot Mentor-Protege Program -- Defense Federal Acquisition Regulation Supplement (DFARS) Appendix I FORMS: NONE OMB NO: 0704-0334 EXPIRATION DATE: 09/30/2001 RESPS:5,000 HOURS:1,667 COSTS(000):$0 Repatriation Automated Tracking System FORMS: DD-2585 OMB NO: 0704-0336 EXPIRATION DATE: 09/30/2001 RESPS:13,964 HOURS:924,032 COSTS(000):$0 Drug-Free Work Force -- Defense Federal Acquisition Regulation Supplement (DFARS) Section 223.570 and DFARS Clause 252.223-7004 FORMS: NONE OMB NO: 0704-0341 EXPIRATION DATE: 09/30/2001 RESPS:1,871 HOURS:2,110 COSTS(000):$0 Acquisition of Information Technology -- Defense Federal Acquisition Regulation Supplement (DFARS) Part 239and Associated Clauses at DFARS 252.239-7000 and 252.239-7006 FORMS: NONE OMB NO: 0704-0347 EXPIRATION DATE: 06/30/2003 RESPS:81 HOURS:7 COSTS(000):$0 Request for Approval for Qualification Training and Approval of Contractor Flight Crewmember FORMS: DD-2627 DD-2628 OMB NO: 0704-0351 EXPIRATION DATE: 05/31/2003 RESPS:141,497 HOURS:13,239 COSTS(000):$0 Joint Recruiting Advertising Program (JRAP) FORMS: NONE OMB NO: 0704-0357 EXPIRATION DATE: 12/31/2002 RESPS:1,775 HOURS:296 COSTS(000):$0 Validation of Public or Community Service Employment Performed by Retired Personnel Retired under the Temporary Early Retirement Authority (TERA) for Increased Retirement Compensation FORMS: DD-2676 OMB NO: 0704-0359 EXPIRATION DATE: 08/31/2001 RESPS:800 HOURS:800 COSTS(000):$0 Contract Financing and Limitation of Government's Obligation -- Defense Federal Acquisition Regulation Supplement (DFARS) Part 232 and related clause at DFARS 252.232-7007 FORMS: NONE OMB NO: 0704-0363 EXPIRATION DATE: 06/30/2001 RESPS:11,250 HOURS:56,250 COSTS(000):$0 Reporting, Redistribution, and Disposal of Contractor Inventory -- Defense Federal Acquisition Regulation Supplement Subpart 245.73 Sale of Surplus Contractor Inventory and.... FORMS: NONE OMB NO: 0704-0364 EXPIRATION DATE: 06/30/2002 RESPS:600 HOURS:150 COSTS(000):$0 Continued Health Care Benefit Program (CHCBP) Application FORMS: DD-X384 OMB NO: 0704-0366 EXPIRATION DATE: 02/28/2001 RESPS:185 HOURS:1,619 COSTS(000):$0 National Security Education Program (NSEP Grants to Institutions of Higher Education) FORMS: DD-2729 DD-2730 OMB NO: 0704-0367 EXPIRATION DATE: 06/30/2001 RESPS:8,400 HOURS:4,200 COSTS(000):$15 Indebtedness of Military Personnel, Involuntary Allotments FORMS: 2653 OMB NO: 0704-0368 EXPIRATION DATE: 02/28/2001 RESPS:600 HOURS:100 COSTS(000):$0 National Security Education Program (Service Agreement Report for Scholarship and Fellowship Awards) FORMS: DD-2752 DD-2753 OMB NO: 0704-0369 EXPIRATION DATE: 11/30/2003 RESPS:1,185,005 HOURS:4,320,447 COSTS(000):$0 Defense Federal Acquisition Regulation Supplement Subparts 227.72, Rights in Computer Software and Computer Software Documentation; and related clauses and provisions at 252.227 FORMS: NONE OMB NO: 0704-0370 EXPIRATION DATE: 06/30/2001 RESPS:24,000 HOURS:4,700 COSTS(000):$290 Department of Defense Dependents Schools Overseas Employment Opportunities for Educators FORMS: DS-5010 DS-5011 DS-5012 DS-5013 OMB NO: 0704-0377 EXPIRATION DATE: 04/30/2002 RESPS:12,800 HOURS:153,600 COSTS(000):$0 Industrial Capabilities Questionnaire FORMS: 2737 OMB NO: 0704-0380 EXPIRATION DATE: 09/30/2001 RESPS:42,175 HOURS:2,811 COSTS(000):$0 Customer Service Evaluation Survey FORMS: 60-28 OMB NO: 0704-0382 EXPIRATION DATE: 09/30/2001 RESPS:40,000 HOURS:13,200 COSTS(000):$0 End-Use Certificate FORMS: DLA-FORM-1822 OMB NO: 0704-0384 EXPIRATION DATE: 08/31/2002 RESPS:32,164 HOURS:8,041 COSTS(000):$0 DoD Request for Personnel Security Investigation FORMS: DD-1879 OMB NO: 0704-0386 EXPIRATION DATE: 12/31/2001 RESPS:41 HOURS:41 COSTS(000):$0 Small Business Programs -- Defense Federal Acquistion Regulation Supplement (DFARS) Part 219 and Associated Clauses in Part 252.219 FORMS: NONE OMB NO: 0704-0390 EXPIRATION DATE: 04/30/2002 RESPS:17 HOURS:68 COSTS(000):$0 Taxes -- Defense Federal Acquisition Regulation Supplement (DFARS) Part 229 and Related Clauses at 252.229 FORMS: NONE OMB NO: 0704-0391 EXPIRATION DATE: 08/31/2003 RESPS:20 HOURS:20 COSTS(000):$0 Defense Export Loan Guarantee (DELG) Application FORMS: DD-2747 OMB NO: 0704-0392 EXPIRATION DATE: 02/28/2003 RESPS:265 HOURS:1,060 COSTS(000):$0 Technical Assistance for Public Participation (TAPP) Application FORMS: DD-2749 OMB NO: 0704-0394 EXPIRATION DATE: 06/30/2003 RESPS:800 HOURS:200 COSTS(000):$0 Defense Reutilization and Marketing Service Customer Comment Card FORMS: NONE OMB NO: 0704-0395 EXPIRATION DATE: 07/31/2003 RESPS:10,000 HOURS:833 COSTS(000):$0 Pentagon Reservation Parking Permit Application FORMS: DD-1199 OMB NO: 0704-0396 EXPIRATION DATE: 08/31/2003 RESPS:19,000 HOURS:19,000 COSTS(000):$0 Department of Defense Medical Examiniation Review Board Medical Information Collection Forms FORMS: DD-2351/-2369 DD-2370/-2372 DD-2374/-2375 DD-2378/-2379 DD-2380/-2381 DD-2382/-2383 DD-2480/-2489 DD-2492/-2632 OMB NO: 0704-0397 EXPIRATION DATE: 03/31/2003 RESPS:440 HOURS:2,120 COSTS(000):$0 Contract Modifications - Defense Federal Acquisition Regulation Supplement (DFARS) Part 243 and Associated Clauses at 252.243 FORMS: NONE OMB NO: 0704-0398 EXPIRATION DATE: 01/31/2001 RESPS:771 HOURS:771 COSTS(000):$0 Substitutions for Military and Federal Specifications and Standards -- Defense Federal Acquisition Regulation Supplement (DFARS) Section 211.273 and related clause in DFARS.... FORMS: NONE OMB NO: 0704-0400 EXPIRATION DATE: 12/31/2003 RESPS:300,000 HOURS:150,000 COSTS(000):$0 Central Contractor Registration (CCR) FORMS: NONE OMB NO: 0704-0402 EXPIRATION DATE: 10/31/2001 RESPS:400 HOURS:400 COSTS(000):$2 Application for Annuity-Certain Military Surviving Spouses FORMS: DD-2769 OMB NO: 0704-0403 EXPIRATION DATE: 06/30/2001 RESPS:2,690 HOURS:506 COSTS(000):$0 Customer Satisfaction Survey, Generic Clearance FORMS: NONE OMB NO: 0704-0404 EXPIRATION DATE: 09/30/2001 RESPS:140 HOURS:280 COSTS(000):$0 Technology Reinvestment Project (TRP) Review Project FORMS: NONE OMB NO: 0704-0407 EXPIRATION DATE: 06/30/2002 RESPS:50,000 HOURS:5,000 COSTS(000):$0 Commissary Evaluation and Utility Surveys, Generic FORMS: NONE OMB NO: 0704-0409 EXPIRATION DATE: 08/31/2001 RESPS:1 HOURS:50 COSTS(000):$0 Survey of Home School Associations FORMS: NONE OMB NO: 0704-0411 EXPIRATION DATE: 02/28/2003 RESPS:16,470 HOURS:7,400 COSTS(000):$2 Exceptional Family Member Program FORMS: DD-2792 OMB NO: 0704-0412 EXPIRATION DATE: 07/31/2003 RESPS:145 HOURS:435 COSTS(000):$0 Defense Federal Acquisition Regulation Supplement (DFARS) Appendix I, DOD Pilot Mentor Protege Program Improvements FORMS: NONE OMB NO: 0704-0413 EXPIRATION DATE: 08/31/2003 RESPS:850,000 HOURS:135,833 COSTS(000):$0 Medical Screening of Military Personnel FORMS: DD-2807-1 DD-2807-2 OMB NO: 0704-0415 EXPIRATION DATE: 04/30/2001 RESPS:300,000 HOURS:100,000 COSTS(000):$0 Application for Department of Defense Common Access Card--DEERS Enrollment FORMS: DD1172-2 OMB NO: 0704-0416 EXPIRATION DATE: 12/31/2003 RESPS:1,000 HOURS:2,500 COSTS(000):$0 Defense Systems Management College (DSMC) Information Technology Study FORMS: NONE OMB NO: 0704-0417 EXPIRATION DATE: 06/30/2001 RESPS:242 HOURS:303 COSTS(000):$0 Personnel Security Investigation Projection for Industry Survey FORMS: NONE U.S. Army Corps of Engineers OMB NO: 0710-0001 EXPIRATION DATE: 03/31/2002 RESPS:112,400 HOURS:15,923 COSTS(000):$0 Corps of Engineers Civil Works Questionnaires, Generic Clearance FORMS: NONE OMB NO: 0710-0005 EXPIRATION DATE: 09/30/2003 RESPS:5,400 HOURS:2,500 COSTS(000):$0 Record of Arrivals and Departures of Vessels at Marine Terminals. FORMS: 3926 OMB NO: 0710-0006 EXPIRATION DATE: 09/30/2003 RESPS:228,752 HOURS:44,479 COSTS(000):$0 Vessel Operation Report FORMS: 3925 3925B 3925P 3925C OMB NO: 0710-0007 EXPIRATION DATE: 11/30/2001 RESPS:1,489 HOURS:372 COSTS(000):$0 Terminal and Transfer Facilities Descriptions FORMS: 1 2 3 4 5 6 7 8 9 OMB NO: 0710-0008 EXPIRATION DATE: 12/31/2001 RESPS:695,304 HOURS:28,507 COSTS(000):$0 Lock Performance Monitoring System (PMS) Waterway Traffic Report FORMS: 3102C 3102D OMB NO: 0710-0009 EXPIRATION DATE: 01/31/2001 RESPS:2,500 HOURS:2,000 COSTS(000):$0 Description of Vessels, Description of Operations FORMS: 3931 3932 OMB NO: 0710-0012 EXPIRATION DATE: 09/30/2001 RESPS:60,000 HOURS:15,000 COSTS(000):$0 Customer Service Survey, Regulatory Program U.S. Army Corps of Engineers FORMS: 5065 Office of Assistant Secretary for Health Affairs OMB NO: 0720-0001 EXPIRATION DATE: 08/31/2003 RESPS:14,500,000 HOURS:3,625,000 COSTS(000):$0 Health Insurance Claim Form FORMS: HCFA-1500 OMB NO: 0720-0003 EXPIRATION DATE: 06/30/2002 RESPS:29,500 HOURS:9,833 COSTS(000):$0 Statement of Personal Injury; Possible Third-Party Liability Liability, CHAMPUS FORMS: 2527 OMB NO: 0720-0005 EXPIRATION DATE: 08/31/2003 RESPS:60 HOURS:30 COSTS(000):$0 Professional Qualifications, Medical and Peer Reviewers FORMS: CHAMPUS-780 OMB NO: 0720-0006 EXPIRATION DATE: 09/30/2002 RESPS:956,000 HOURS:239,000 COSTS(000):$0 CHAMPUS Claims Patient's Request for Medical Payment FORMS: 2642 OMB NO: 0720-0008 EXPIRATION DATE: 11/30/2002 RESPS:575,210 HOURS:143,802 COSTS(000):$0 TRICARE Enrollment Application Form FORMS: DD-X404 OMB NO: 0720-0015 EXPIRATION DATE: 12/31/2003 RESPS:50,000 HOURS:12,500 COSTS(000):$0 TRICARE Retiree Dental Program Enrollment Application FORMS: NONE OMB NO: 0720-0017 EXPIRATION DATE: 01/31/2001 RESPS:5,400 HOURS:5,532 COSTS(000):$0 Diagnosis Related Group (DRG) Reimbursement (2 Parts) 1. Capital and Direct Medical Education Costs (Hospitals) 2. Physician Acknowledgement FORMS: NONE OMB NO: 0720-0018 EXPIRATION DATE: 08/31/2002 RESPS:12,000 HOURS:4,000 COSTS(000):$0 TRICARE Senior Prime Enrollment Application Form FORMS: DD-2797 OMB NO: 0720-0020 EXPIRATION DATE: 05/31/2002 RESPS:1,000 HOURS:333 COSTS(000):$0 Application for CHAMPUS-Provider Status: Corporate Services Provider FORMS: NONE OMB NO: 0720-0021 EXPIRATION DATE: 09/30/2002 RESPS:100 HOURS:50 COSTS(000):$0 Armed Forces Health Professions Loan Repayment Program Loan Information and Verification Form FORMS: 2801 OMB NO: 0720-0022 EXPIRATION DATE: 12/31/2002 RESPS:825,000 HOURS:41,250 COSTS(000):$0 Department of Defense Reserve Forces Dental Examination FORMS: X403 OMB NO: 0720-0023 EXPIRATION DATE: 07/31/2003 RESPS:2,000 HOURS:333 COSTS(000):$0 Pharmacy Redesign Pilot Program FORMS: DD-2814 Defense Finance and Accounting Service OMB NO: 0730-0001 EXPIRATION DATE: 03/31/2002 RESPS:3,600 HOURS:720 COSTS(000):$0 Child Annuitant's School Certification FORMS: DD-2788 OMB NO: 0730-0002 EXPIRATION DATE: 02/28/2001 RESPS:315,000 HOURS:26,250 COSTS(000):$0 Statement of Claimant Requesting Recertified Check FORMS: DDD-2660 OMB NO: 0730-0003 EXPIRATION DATE: 05/31/2001 RESPS:20,150 HOURS:2,958 COSTS(000):$0 Customer Satisfaction Surveys, Generic Clearance FORMS: NONE OMB NO: 0730-0005 EXPIRATION DATE: 01/31/2001 RESPS:450,000 HOURS:225,000 COSTS(000):$0 Personal Check Cashing Agreement FORMS: DDX312 OMB NO: 0730-0007 EXPIRATION DATE: 02/28/2001 RESPS:4,200 HOURS:8,400 COSTS(000):$0 Dependency Statements FORMS: DFAS-DE1865 DFAS-DE1866 DFAS-DE1867 DFAS-DE1868 OMB NO: 0730-0008 EXPIRATION DATE: 09/30/2001 RESPS:20,520 HOURS:5,130 COSTS(000):$17 Application for Former Spouse Payments from Retired Pay FORMS: DD-2293 OMB NO: 0730-0009 EXPIRATION DATE: 03/31/2002 RESPS:11,500 HOURS:23,000 COSTS(000):$0 Waiver/Remission of Indebtedness Application FORMS: DD-2789 OMB NO: 0730-0010 EXPIRATION DATE: 05/31/2002 RESPS:300 HOURS:60 COSTS(000):$0 Custodianship Certificate to Support Claim on Behalf of Minor Children of Deceased Members of the Armed Forces FORMS: DD-2790 OMB NO: 0730-0011 EXPIRATION DATE: 08/31/2003 RESPS:120 HOURS:24 COSTS(000):$0 Physician Certificate for Child Annuitant FORMS: DD-X405 OMB NO: 0730-0012 EXPIRATION DATE: 09/30/2003 RESPS:300 HOURS:150 COSTS(000):$0 Trustee Report FORMS: DD-2826 OMB NO: 0730-0013 EXPIRATION DATE: 09/30/2003 RESPS:50 HOURS:13 COSTS(000):$0 Application for Trusteeship FORMS: DD-2827 Defense Acquisition Regulations Council No active collections for this subagency Office of the Secretary OMB NO: 0790-0003 EXPIRATION DATE: 09/30/2001 RESPS:150 HOURS:150 COSTS(000):$0 Base Realignment and Closure (BRAC) Military Base Reutilization Status FORMS: DD-2740
(RETURN TO AGENCY LIST)OMB NO: 1800-0006 EXPIRATION DATE: 09/30/2001 RESPS:12,475 HOURS:2,782 COSTS(000):$0 Study of the Outcomes of Diversity in Higher Education FORMS: NONE Office of the General Counsel OMB NO: 1801-0004 EXPIRATION DATE: 08/31/2001 RESPS:5,125 HOURS:7,688 COSTS(000):$0 Guidance for All Grant Applications -- GEPA Section 427 FORMS: NONE Office of Elementary and Secondary Education OMB NO: 1810-0021 EXPIRATION DATE: 04/30/2003 RESPS:1,270 HOURS:22,766 COSTS(000):$0 Indian Education Formula Grant Program Application (KA) FORMS: NONE OMB NO: 1810-0031 EXPIRATION DATE: 10/31/2001 RESPS:11,200 HOURS:3,100 COSTS(000):$0 Indian Student Eligibility Certification Form for Formula Grants to Local Educational Agencies FORMS: 506 OMB NO: 1810-0036 EXPIRATION DATE: 11/30/2002 RESPS:1,202,907 HOURS:631,534 COSTS(000):$0 Applications for Assistance under the Impact Aid Program FORMS: ED-4019 OMB NO: 1810-0054 EXPIRATION DATE: 10/31/2001 RESPS:90 HOURS:2,160 COSTS(000):$0 Application for the High School Equivalency Program (HEP) and the College Assistance Migrant Program (CAMP) FORMS: NONE OMB NO: 1810-0060 EXPIRATION DATE: 03/31/2001 RESPS:3,052 HOURS:4,224 COSTS(000):$0 Annual Report of Children in State Agency and Locally Operated Institutions for Neglected or Delinquent Children FORMS: 4376 OMB NO: 1810-0062 EXPIRATION DATE: 12/31/2001 RESPS:200 HOURS:3,200 COSTS(000):$0 Women's Educational Equity Act Program FORMS: NONE OMB NO: 1810-0503 EXPIRATION DATE: 10/31/2002 RESPS:1,272 HOURS:17,808 COSTS(000):$0 Annual Performance Reporting Format for OIE Formula Grants to LEAs FORMS: NONE OMB NO: 1810-0540 EXPIRATION DATE: 05/31/2003 RESPS:30 HOURS:450 COSTS(000):$0 Application for the Even Start Family Literacy Program - Indian Tribes and Tribal Organizations FORMS: CFDA#84.258 OMB NO: 1810-0541 EXPIRATION DATE: 04/30/2003 RESPS:60 HOURS:2,700 COSTS(000):$0 Migrant Education Even Start Family Literacy FORMS: NONE OMB NO: 1810-0551 EXPIRATION DATE: 11/30/2003 RESPS:400 HOURS:9,500 COSTS(000):$0 Safe and Drug-Free Schools and Communities National Programs--Federal Activities Discretionary Grant Program FORMS: CFDA#84.184K 84.184M OMB NO: 1810-0570 EXPIRATION DATE: 07/31/2001 RESPS:30 HOURS:720 COSTS(000):$0 Application for Grants, Public Charter Schools Program FORMS: NONE OMB NO: 1810-0578 EXPIRATION DATE: 03/31/2002 RESPS:200 HOURS:8,000 COSTS(000):$0 Parental Assistance Program Grant Application FORMS: NONE OMB NO: 1810-0580 EXPIRATION DATE: 06/30/2002 RESPS:100 HOURS:5,840 COSTS(000):$0 Discretionary Grant Application under Indian Education FORMS: NONE OMB NO: 1810-0585 EXPIRATION DATE: 08/31/2002 RESPS:500 HOURS:20,000 COSTS(000):$0 LEAs' Collection of Data and Submission of Comprehensive Plan for Coordinating Social and Educational Services under Title XI, Section 11004, of the ESEA as Amended by the Improving America's FORMS: NONE OMB NO: 1810-0589 EXPIRATION DATE: 12/31/2001 RESPS:20 HOURS:650 COSTS(000):$0 Equity Assistance Centers (Formerly Called Desegregation Assistance Centers) under Civil Rights Technical Assistance and Training FORMS: NONE OMB NO: 1810-0590 EXPIRATION DATE: 04/30/2002 RESPS:52 HOURS:624 COSTS(000):$0 Even Start Statewide Family Literacy Initiative Grants -- 84.314B FORMS: NONE OMB NO: 1810-0594 EXPIRATION DATE: 02/28/2003 RESPS:400 HOURS:12,000 COSTS(000):$0 Goals 2000 Comprehensive Local Reform Assistance FORMS: NONE OMB NO: 1810-0597 EXPIRATION DATE: 08/31/2003 RESPS:58 HOURS:226 COSTS(000):$0 Goals 2000, Parental Information and Resource Center's Annual/ Final Performance Report (JM) FORMS: NONE OMB NO: 1810-0602 EXPIRATION DATE: 08/31/2003 RESPS:12,672 HOURS:27,042 COSTS(000):$0 Gun-Free Schools Act Report (KA) FORMS: NONE OMB NO: 1810-0603 EXPIRATION DATE: 01/31/2002 RESPS:200 HOURS:3,200 COSTS(000):$0 Alaska Native Educational Equity Programs FORMS: NONE OMB NO: 1810-0604 EXPIRATION DATE: 07/31/2003 RESPS:75 HOURS:1,650 COSTS(000):$0 Safe and Drug-Free Schools and Communities National Programs-- Federal Activities--Grant Competition to Prevent High-Risk Drinking and Violent Behavior Among College Students FORMS: 84.184H OMB NO: 1810-0605 EXPIRATION DATE: 05/31/2001 RESPS:56 HOURS:2,240 COSTS(000):$0 Comprehensive School Reform Demonstration Program FORMS: NONE OMB NO: 1810-0606 EXPIRATION DATE: 03/31/2002 RESPS:4,057 HOURS:48,684 COSTS(000):$0 Advanced Placement Incentive Program FORMS: NONE OMB NO: 1810-0607 EXPIRATION DATE: 05/31/2001 RESPS:360 HOURS:90 COSTS(000):$0 Alcohol, Other Drug, and Violence Prevention Survey of American College Campuses FORMS: NONE OMB NO: 1810-0609 EXPIRATION DATE: 12/31/2001 RESPS:130 HOURS:2,760 COSTS(000):$0 Safe and Drug-Free Schools Recognition Program FORMS: NONE OMB NO: 1810-0611 EXPIRATION DATE: 09/30/2001 RESPS:52 HOURS:416 COSTS(000):$0 Annual Report of Title I Allocations to Local Educational Agencies FORMS: 4377 OMB NO: 1810-0612 EXPIRATION DATE: 12/31/2001 RESPS:52 HOURS:1,300 COSTS(000):$0 Dwight D. Eisenhower Professional Development Program Triennial Report FORMS: NONE OMB NO: 1810-0614 EXPIRATION DATE: 05/31/2001 RESPS:53 HOURS:137,086 COSTS(000):$0 Consolidated State Performance Report and State Self-Review FORMS: NONE OMB NO: 1810-0615 EXPIRATION DATE: 03/31/2002 RESPS:12 HOURS:240 COSTS(000):$0 Reporting Requirements for the Education Flexibility Partnership Demonstration Program FORMS: NONE OMB NO: 1810-0616 EXPIRATION DATE: 03/31/2003 RESPS:39 HOURS:1,872 COSTS(000):$0 Applications for Grants Under the Reading Excellence Program FORMS: NONE OMB NO: 1810-0618 EXPIRATION DATE: 03/31/2003 RESPS:57 HOURS:14 COSTS(000):$0 Applications for Grants Under the Class Size Reduction Program FORMS: NONE OMB NO: 1810-0619 EXPIRATION DATE: 05/31/2002 RESPS:130 HOURS:2,760 COSTS(000):$0 Safe and Drug-Free Schools Recognition Program Site Visits FORMS: NONE OMB NO: 1810-0620 EXPIRATION DATE: 10/31/2002 RESPS:25 HOURS:200 COSTS(000):$0 Guidance to SEAs Seeking To Use an Alternative Method to Distribute Title I Funds to LEAs with Fewer Than 20,000 Total Residents FORMS: PD-FM-27 OMB NO: 1810-0622 EXPIRATION DATE: 10/31/2002 RESPS:52 HOURS:2,080 COSTS(000):$0 Guidance to SEAs on Procedures for Adjusting ED-Determined Title I Allocations to Local Educational Agencies (LEAs) FORMS: NONE OMB NO: 1810-0623 EXPIRATION DATE: 07/31/2002 RESPS:1,639 HOURS:4,020 COSTS(000):$39 Federal Formula Allocations to Charter Schools (Proposed Rule) FORMS: NONE OMB NO: 1810-0624 EXPIRATION DATE: 03/31/2003 RESPS:50 HOURS:1,600 COSTS(000):$0 Safe and Drug-free Schools and Communities--Alcohol and Other Drug Prevention Models on College Campuses Grant Competition FORMS: NONE OMB NO: 1810-0625 EXPIRATION DATE: 04/30/2003 RESPS:45 HOURS:1,800 COSTS(000):$0 Ed-Flex State Application Guidance FORMS: NONE OMB NO: 1810-0626 EXPIRATION DATE: 01/31/2003 RESPS:650,250 HOURS:433,500 COSTS(000):$0 Core Alcohol and Other Drug Survey FORMS: NONE OMB NO: 1810-0627 EXPIRATION DATE: 03/31/2003 RESPS:20 HOURS:400 COSTS(000):$0 Safe and Drug-Free Schools and Communities National Programs - Federal Activities Grants Program - The Challenge FORMS: NONE OMB NO: 1810-0628 EXPIRATION DATE: 10/31/2001 RESPS:52 HOURS:1,248 COSTS(000):$0 Criteria for Distribution of the $134 Million FY 2000 Appropriation for School Improvement FORMS: NONE OMB NO: 1810-0629 EXPIRATION DATE: 04/30/2003 RESPS:400 HOURS:11,200 COSTS(000):$0 Elementary School Counseling Demonstration Program FORMS: NONE OMB NO: 1810-0630 EXPIRATION DATE: 05/31/2003 RESPS:200 HOURS:3,200 COSTS(000):$0 Arts in Education Competitive Grants Program FORMS: CFDA-84.926B OMB NO: 1810-0632 EXPIRATION DATE: 10/31/2003 RESPS:161 HOURS:1,288 COSTS(000):$0 Annual Performance Report for the Smaller Learning Communities Grant Program FORMS: CFDA#:84.215L Office of Special Education and Rehabilitative Services OMB NO: 1820-0009 EXPIRATION DATE: 09/30/2002 RESPS:51 HOURS:720 COSTS(000):$0 Report of Randolph-Sheppard Vending Facility Program FORMS: RSA-15 OMB NO: 1820-0013 EXPIRATION DATE: 10/31/2002 RESPS:328 HOURS:328 COSTS(000):$0 Quarterly Cummulative Caseload Report FORMS: RSA-113 OMB NO: 1820-0017 EXPIRATION DATE: 04/30/2003 RESPS:82 HOURS:385 COSTS(000):$0 Annual Program Cost Report FORMS: RSA-2 OMB NO: 1820-0018 EXPIRATION DATE: 08/31/2001 RESPS:1,800 HOURS:72,000 COSTS(000):$0 Grant Application for RSA Discretionary Program FORMS: SF-424 ED-80-0013 OMB NO: 1820-0027 EXPIRATION DATE: 02/28/2003 RESPS:805 HOURS:16,100 COSTS(000):$0 Application for Grants under Disability and Rehabilitation Research (1890-0001) (SC) FORMS: NONE OMB NO: 1820-0028 EXPIRATION DATE: 05/31/2003 RESPS:1,200 HOURS:30,000 COSTS(000):$0 Discretionary Grant Application -- Individuals with Disabilities Education Act FORMS: NONE OMB NO: 1820-0030 EXPIRATION DATE: 05/31/2002 RESPS:58 HOURS:1,740 COSTS(000):$0 State Plan under Part B of the Individuals with Disabilities FORMS: 9055 OMB NO: 1820-0043 EXPIRATION DATE: 08/31/2001 RESPS:58 HOURS:30,682 COSTS(000):$0 Report of Children with Disabilities Receiving Special Education under Part B of the Individuals with Disabilities Education Act FORMS: 869-5 OMB NO: 1820-0500 EXPIRATION DATE: 07/31/2002 RESPS:82 HOURS:1,002,050 COSTS(000):$0 Title I State Plan for Vocational Rehabilitation Services and Title VI-Part B Supplement for Supported Employment Services FORMS: ED(RSA)-SPVR OMB NO: 1820-0508 EXPIRATION DATE: 05/31/2003 RESPS:80 HOURS:4,240 COSTS(000):$0 Final Regulations to Amend CFR, Title 34, Chapter III, Part 361, by adding a new subpart E, entitled "Evaluation Standards and Performance Indicators" FORMS: RSA-911 OMB NO: 1820-0509 EXPIRATION DATE: 05/31/2002 RESPS:75,560 HOURS:15,292 COSTS(000):$0 Lists of Hearing Officers and Mediators FORMS: NONE OMB NO: 1820-0514 EXPIRATION DATE: 12/31/2003 RESPS:1,170,000 HOURS:40,667 COSTS(000):$105,000 Application for Free Loan Service of Captioned Media Program (English and Spanish Version) and Media Response Card (English and Spanish Version) FORMS: NONE OMB NO: 1820-0517 EXPIRATION DATE: 08/31/2001 RESPS:1 HOURS:272,890 COSTS(000):$0 Part B, Individuals with Disabilities Education Act Implementation of FAPE Reguirements 2000-01 School year FORMS: 869-4 OMB NO: 1820-0518 EXPIRATION DATE: 08/31/2001 RESPS:58 HOURS:7,685 COSTS(000):$0 Personnel (In Full-Time Equivalency of Assignment) Employed to Provide Special Education and Related Services for Children with Disabilities FORMS: NONE OMB NO: 1820-0520 EXPIRATION DATE: 08/31/2003 RESPS:1 HOURS:9 COSTS(000):$0 Written Application for the Client Assistance Program FORMS: NONE OMB NO: 1820-0521 EXPIRATION DATE: 08/31/2001 RESPS:58 HOURS:53,244 COSTS(000):$0 Report of Children with Disabilities Exiting Special Education During the 1998-99 School Year FORMS: 869-3 OMB NO: 1820-0527 EXPIRATION DATE: 02/28/2001 RESPS:56 HOURS:4,480 COSTS(000):$0 State Plan for Independent Living, Rehabilitation Act of 1973, as amended (Act), Title VII, Chapter 1 FORMS: ED(RSA)-SPIL OMB NO: 1820-0528 EXPIRATION DATE: 01/31/2001 RESPS:56 HOURS:350 COSTS(000):$7 Annual Client Assistance Program (CAP) Report FORMS: RSA-227 OMB NO: 1820-0550 EXPIRATION DATE: 05/31/2002 RESPS:56 HOURS:168 COSTS(000):$0 Infants and Toddlers with Disabilities Program (Part C) of the Individuals with Disabilities Education Act (IDEA) FORMS: 1-B20--26P OMB NO: 1820-0551 EXPIRATION DATE: 10/31/2002 RESPS:81 HOURS:162 COSTS(000):$3 Annual Supported Employment Caseload Report FORMS: RSA-636 OMB NO: 1820-0556 EXPIRATION DATE: 08/31/2001 RESPS:57 HOURS:5,187 COSTS(000):$0 Report of Early Intervention Services on IFSPs Provided to Infants, Toddlers, and Their Families in Accordance with Part C and Report of Number and Types of Personnel Employed FORMS: NONE OMB NO: 1820-0557 EXPIRATION DATE: 08/31/2001 RESPS:57 HOURS:5,472 COSTS(000):$0 Report of Infants and Toddlers Receiving Early Intervention Services and of Program Settings Where Services Are Provided in Accordance with Part C and Report on Infants and Toddlers.... FORMS: NONE OMB NO: 1820-0563 EXPIRATION DATE: 10/31/2002 RESPS:81 HOURS:162 COSTS(000):$3 Annual Report on Appeals Process FORMS: RSA-722 OMB NO: 1820-0578 EXPIRATION DATE: 05/31/2001 RESPS:57 HOURS:855 COSTS(000):$0 Annual Performance Report and Report to the Secretary under the Infants and Toddlers with Disabilities Program -- Part H, IDEA FORMS: NONE OMB NO: 1820-0583 EXPIRATION DATE: 10/31/2002 RESPS:2,500 HOURS:1,250 COSTS(000):$0 OSERS Peer Reviewer Qualifications Statement FORMS: NONE OMB NO: 1820-0599 EXPIRATION DATE: 05/31/2002 RESPS:1,079 HOURS:10,790 COSTS(000):$0 Part B Complaint Procedures FORMS: NONE OMB NO: 1820-0600 EXPIRATION DATE: 05/31/2002 RESPS:14,422 HOURS:28,844 COSTS(000):$0 Local Educational Agency Application under Part B of the Individuals with Disabilities Education Act FORMS: NONE OMB NO: 1820-0606 EXPIRATION DATE: 11/30/2003 RESPS:336 HOURS:11,760 COSTS(000):$0 Section 704 Annual Performance Report (Parts I and II) FORMS: ED(RSA)-704-I ED(RSA)-704-II OMB NO: 1820-0608 EXPIRATION DATE: 01/31/2001 RESPS:1,055 HOURS:605 COSTS(000):$0 Annual Report of Independent Living Services for Older Individuals Who Are Blind FORMS: ED(RSA)-70B OMB NO: 1820-0613 EXPIRATION DATE: 04/30/2002 RESPS:8,000 HOURS:2,752 COSTS(000):$0 A Longitudinal Study of the Vocational Rehabilitation (VR) Service Program FORMS: NONE OMB NO: 1820-0616 EXPIRATION DATE: 12/31/2003 RESPS:6,689 HOURS:5,072 COSTS(000):$0 National Early Intervention Longitudinal Study FORMS: NONE OMB NO: 1820-0617 EXPIRATION DATE: 04/30/2001 RESPS:1 HOURS:165 COSTS(000):$0 Grantee Reporting Form FORMS: NONE OMB NO: 1820-0619 EXPIRATION DATE: 02/28/2001 RESPS:2,246 HOURS:271 COSTS(000):$0 Uniform Data System for Assistive Technology Devices and Services FORMS: NONE OMB NO: 1820-0620 EXPIRATION DATE: 07/31/2001 RESPS:30 HOURS:2,700 COSTS(000):$0 Application for New Grants, State Program Improvement Grants for Children with Disabilities FORMS: NONE OMB NO: 1820-0621 EXPIRATION DATE: 08/31/2001 RESPS:58 HOURS:149,350 COSTS(000):$0 Report of Children with Disabilities Subject to Unilateral Changes in Placement, Change in Placement Based on a Hearing Officer Determination, or Long-Term Suspension/Expulsion FORMS: NONE OMB NO: 1820-0622 EXPIRATION DATE: 08/31/2001 RESPS:285 HOURS:142,500 COSTS(000):$0 Special Education Personnel Preparation to Improve Services and Results for Children with Disabilities FORMS: NONE OMB NO: 1820-0624 EXPIRATION DATE: 05/31/2002 RESPS:58 HOURS:1,160 COSTS(000):$0 Biennial Performance Report for Part B of the Individuals with Disabilities Education Act FORMS: NONE OMB NO: 1820-0625 EXPIRATION DATE: 06/30/2002 RESPS:57 HOURS:9 COSTS(000):$0 Protection and Advocacy of Individual Rights (PAIR) Program Assurances FORMS: NONE OMB NO: 1820-0627 EXPIRATION DATE: 01/31/2003 RESPS:1 HOURS:342 COSTS(000):$6 Annual Protection and Advocacy of Individual Rights (PAIR) Program Performance Report FORMS: RSA-509 OMB NO: 1820-0628 EXPIRATION DATE: 02/28/2003 RESPS:8,100 HOURS:5,608 COSTS(000):$0 The Study of Personnel Needs in Special Education (SPeNSE) FORMS: NONE OMB NO: 1820-0629 EXPIRATION DATE: 02/28/2003 RESPS:24,474 HOURS:12,391 COSTS(000):$0 Special Education Expenditure Project FORMS: NONE OMB NO: 1820-0631 EXPIRATION DATE: 03/31/2003 RESPS:350 HOURS:13,500 COSTS(000):$0 Projects with Industry Compliance Indicator Form and Annual FORMS: NONE OMB NO: 1820-0632 EXPIRATION DATE: 03/31/2003 RESPS:32,138 HOURS:17,049 COSTS(000):$0 Special Education Elementary Longitudinal Study (Seels) FORMS: NONE OMB NO: 1820-0633 EXPIRATION DATE: 04/30/2003 RESPS:7,305 HOURS:15,384 COSTS(000):$0 State and Local Implementation of IDEA '97 FORMS: NONE OMB NO: 1820-0634 EXPIRATION DATE: 10/31/2003 RESPS:57 HOURS:1,680 COSTS(000):$39,200 Alternative Financing Program and the Alternate Financing Technical Assistance Program (CFDA No 84.224C) FORMS: NONE OMB NO: 1820-0635 EXPIRATION DATE: 02/28/2001 RESPS:432 HOURS:354 COSTS(000):$0 National Longitudinal Transaction Study - 2 (SC) FORMS: NONE OMB NO: 1820-0636 EXPIRATION DATE: 12/31/2003 RESPS:464 HOURS:684 COSTS(000):$0 Evaluation of the American Indian Vocational Rehabilitation Services (AIVRS) Program (SC) FORMS: NONE OMB NO: 1820-0637 EXPIRATION DATE: 12/31/2003 RESPS:300 HOURS:100 COSTS(000):$0 NIDRR Quality of Research Rating Scale FORMS: NONE Office of Vocational and Adult Education OMB NO: 1830-0013 EXPIRATION DATE: 03/31/2001 RESPS:1 HOURS:69,210 COSTS(000):$0 Application for Vocational Education Direct Grants FORMS: NONE OMB NO: 1830-0026 EXPIRATION DATE: 08/31/2002 RESPS:59 HOURS:7,375 COSTS(000):$0 Adult Education and Family Literacy Act State Plan -- Public Law 105-220 FORMS: NONE OMB NO: 1830-0027 EXPIRATION DATE: 01/31/2003 RESPS:59 HOURS:6,490 COSTS(000):$826 Adult Education Annual Performance and Financial Reports FORMS: NONE OMB NO: 1830-0029 EXPIRATION DATE: 04/30/2003 RESPS:56 HOURS:9,408 COSTS(000):$0 Carl D. Perkins Vocational and Technical Education Act (PL 105-332)--State Plan FORMS: NONE OMB NO: 1830-0503 EXPIRATION DATE: 01/31/2002 RESPS:54 HOURS:7,020 COSTS(000):$828 Vocational Technical Education Annual Performance and Financial Reports FORMS: NONE OMB NO: 1830-0519 EXPIRATION DATE: 03/31/2001 RESPS:53 HOURS:2,199 COSTS(000):$0 Carl D. Perkins Vocational and Applied Technology Education Act (Pub. L. 101-392) Financial Status Report -- SF-269 FORMS: NONE OMB NO: 1830-0533 EXPIRATION DATE: 08/31/2001 RESPS:1,300 HOURS:6,850 COSTS(000):$0 Progress Measures FORMS: NONE OMB NO: 1830-0534 EXPIRATION DATE: 02/28/2001 RESPS:688 HOURS:1,002 COSTS(000):$0 Case Studies of the Implementation of the Crossroads Cafe Project FORMS: NONE OMB NO: 1830-0535 EXPIRATION DATE: 01/31/2003 RESPS:56 HOURS:6,160 COSTS(000):$0 Grants to States for Training Incarcerated Youth Offenders; State Plan, Data Collection FORMS: NONE OMB NO: 1830-0536 EXPIRATION DATE: 10/31/2001 RESPS:40 HOURS:1,660 COSTS(000):$52 Secretary's Awards for Outstanding Adult Education and Literacy Programs FORMS: NONE OMB NO: 1830-0537 EXPIRATION DATE: 04/30/2003 RESPS:689 HOURS:669 COSTS(000):$0 National Survey to Determine the Need for Special Education Services (JM) FORMS: NONE OMB NO: 1830-0538 EXPIRATION DATE: 04/30/2002 RESPS:15 HOURS:1,350 COSTS(000):$0 Vocational and Technical Education National Centers FORMS: NONE OMB NO: 1830-0539 EXPIRATION DATE: 04/30/2002 RESPS:800 HOURS:32,000 COSTS(000):$0 Application for Grants under the Community Technology Centers Program FORMS: NONE OMB NO: 1830-0541 EXPIRATION DATE: 05/31/2003 RESPS:59 HOURS:2,124 COSTS(000):$0 Carl D. Perkins Vocational and Technical Education Act--Occupational and Employment Information State Grants (Section 118, PL 105-332) (1890-0001) (SC) FORMS: CFDA#84.346 OMB NO: 1830-0542 EXPIRATION DATE: 09/30/2003 RESPS:639 HOURS:75,632 COSTS(000):$0 Application for Vocational and Technical Education Direct Grants (1890-0001) (SC) FORMS: NONE OMB NO: 1830-0543 EXPIRATION DATE: 12/31/2001 RESPS:732 HOURS:3,499 COSTS(000):$0 Mapping Federal Funding to High Schools (SC) FORMS: NONE OMB NO: 1830-0544 EXPIRATION DATE: 11/30/2003 RESPS:38 HOURS:95 COSTS(000):$0 Indian Vocational Education Program Technology Survey FORMS: NONE OMB NO: 1830-0546 EXPIRATION DATE: 11/30/2003 RESPS:11 HOURS:440 COSTS(000):$0 Career Cluster Cooperative Agreements with States FORMS: NONE Office of Postsecondary Education OMB NO: 1840-0005 EXPIRATION DATE: 06/30/2001 RESPS:800 HOURS:20,510 COSTS(000):$0 Fulbright-Hays Training Grants: Faculty Research Abroad Program -- CFDA 84.019, Doctoral Dissertation Research Abroad Program -- CFDA 84.022 FORMS: NONE OMB NO: 1840-0007 EXPIRATION DATE: 03/31/2003 RESPS:370 HOURS:30,200 COSTS(000):$0 Grant Application under the Teacher Quality Enhancement Grants, for the preparation of applications for: Partnership Grants..... FORMS: NONE OMB NO: 1840-0017 EXPIRATION DATE: 06/30/2003 RESPS:1,200 HOURS:40,800 COSTS(000):$0 Application for Grants under Student Support Services Program FORMS: NONE OMB NO: 1840-0068 EXPIRATION DATE: 08/31/2001 RESPS:469 HOURS:40,646 COSTS(000):$0 Application for Seven Foreign Language and Area Studies Programs FORMS: NONE OMB NO: 1840-0091 EXPIRATION DATE: 08/31/2001 RESPS:30,500 HOURS:15,250 COSTS(000):$0 Federal Perkins Loan Program (Formerly National Direct/Defense Student Loan Program) Assignment Form FORMS: ED-553 OMB NO: 1840-0103 EXPIRATION DATE: 10/31/2001 RESPS:1,200 HOURS:9,600 COSTS(000):$0 Application for Designation as an Eligible Institution FORMS: 1049 OMB NO: 1840-0109 EXPIRATION DATE: 10/31/2001 RESPS:200 HOURS:8,000 COSTS(000):$0 Guide for the Preparation of Application for Minority Science Improvement Program; Application for Grants under the Minority Science Improvement Program FORMS: NONE OMB NO: 1840-0113 EXPIRATION DATE: 02/28/2001 RESPS:115 HOURS:2,070 COSTS(000):$0 Application for Strengthening Historically Black Colleges and Universities Programs FORMS: ED-852 OMB NO: 1840-0114 EXPIRATION DATE: 12/31/2002 RESPS:1 HOURS:12,485 COSTS(000):$0 Application for Grants under the Strengthening Institutions Program, American Indian Tribally Controlled Colleges and Universities Program, and Alaska Native and Native Hawaiian FORMS: ED-851A ED-524 OMB NO: 1840-0125 EXPIRATION DATE: 10/31/2002 RESPS:60 HOURS:2,040 COSTS(000):$0 Application for Grants under the Training Program for Federal TRIO Programs FORMS: NONE OMB NO: 1840-0500 EXPIRATION DATE: 12/31/2002 RESPS:25 HOURS:500 COSTS(000):$0 Application for Waiver of the 2-Year Foreign Residence Requirement of the Exchange Visitor Program FORMS: ED-L60-2P OMB NO: 1840-0501 EXPIRATION DATE: 07/31/2003 RESPS:500 HOURS:2,000 COSTS(000):$0 Fulbright-Hays Seminars Abroad Program FORMS: CFDA#84.018 OMB NO: 1840-0507 EXPIRATION DATE: 04/30/2001 RESPS:16 HOURS:64 COSTS(000):$0 Performance Report for the Training Program for Federal TRIO Programs FORMS: ED-524 OMB NO: 1840-0514 EXPIRATION DATE: 10/31/2003 RESPS:2,180 HOURS:26,500 COSTS(000):$0 Grant Application for the FIPSE Comprehensive Program FORMS: ED-40-514 OMB NO: 1840-0525 EXPIRATION DATE: 03/31/2002 RESPS:800 HOURS:3,600 COSTS(000):$88 Annual Performance Report for the Student Support Services (SSS) Program FORMS: NONE OMB NO: 1840-0550 EXPIRATION DATE: 03/31/2001 RESPS:1,500 HOURS:51,000 COSTS(000):$0 Application for the Upward Bound and Upward Bound Math and Science Centers Program FORMS: 872 40-65 OMB NO: 1840-0561 EXPIRATION DATE: 10/31/2001 RESPS:500 HOURS:3,000 COSTS(000):$0 Talent Search and Education Opportunity Centers Programs Annual Performance Report FORMS: NONE OMB NO: 1840-0562 EXPIRATION DATE: 04/30/2003 RESPS:2,000 HOURS:10,000 COSTS(000):$0 Application Package for the Jacob K. Javits Fellowship Program FORMS: NONE OMB NO: 1840-0564 EXPIRATION DATE: 07/31/2003 RESPS:300 HOURS:900 COSTS(000):$0 Financial Report for the Endowment Challenge Grant Program FORMS: NONE OMB NO: 1840-0595 EXPIRATION DATE: 08/31/2003 RESPS:57 HOURS:456 COSTS(000):$0 Paul Douglas Teacher Scholarship Program Performance Report FORMS: 40-31P CFDA#84.176 OMB NO: 1840-0598 EXPIRATION DATE: 02/28/2003 RESPS:1 HOURS:148 COSTS(000):$0 Robert C. Bryd Honors Scholarship Program Performance Report FORMS: E40-33P OMB NO: 1840-0604 EXPIRATION DATE: 08/31/2003 RESPS:325 HOURS:13,432 COSTS(000):$0 Application Package for the Graduate Assistance in Areas of National Need (GAANN) Fellowship Program FORMS: CFDA=84.200 OMB NO: 1840-0616 EXPIRATION DATE: 04/30/2001 RESPS:30 HOURS:560 COSTS(000):$0 Application for Centers for International Business Education Program FORMS: CFDA#84.220 OMB NO: 1840-0617 EXPIRATION DATE: 09/30/2003 RESPS:57 HOURS:4,580 COSTS(000):$0 Targeted Teacher Deferment (Teacher Shortage Area) FORMS: NONE OMB NO: 1840-0619 EXPIRATION DATE: 05/31/2001 RESPS:300 HOURS:6,000 COSTS(000):$0 Application Package of the Ronald E. McNair Postbaccalaureate Achievement Program FORMS: NONE OMB NO: 1840-0627 EXPIRATION DATE: 07/31/2001 RESPS:150,090 HOURS:77,040 COSTS(000):$0 Application for Ability to Benefit Testing Approval FORMS: NONE OMB NO: 1840-0630 EXPIRATION DATE: 02/28/2001 RESPS:100 HOURS:400 COSTS(000):$8,000 Report of Financial Need and Certification Report for the Jacob K. Javits Fellowship Program FORMS: NONE OMB NO: 1840-0634 EXPIRATION DATE: 07/31/2001 RESPS:125 HOURS:125 COSTS(000):$0 Applications for the Participation in the Quality Assurance (QA) Program FORMS: NONE OMB NO: 1840-0636 EXPIRATION DATE: 01/31/2002 RESPS:80 HOURS:2,400 COSTS(000):$0 European Community/United States of America Joint Consortia for Cooperation in Higher Education and Vocational Educational FORMS: ED-40-514 OMB NO: 1840-0640 EXPIRATION DATE: 07/31/2003 RESPS:1 HOURS:702 COSTS(000):$17,160 Performance Report for the Ronald E. McNair Postbaccalaureate Achievement Program FORMS: CFDA-84.217 OMB NO: 1840-0650 EXPIRATION DATE: 01/31/2002 RESPS:87,720 HOURS:23,026 COSTS(000):$420 Student Assistance General Provisions, Immigration Status Confirmation -- Subpart I FORMS: NONE OMB NO: 1840-0666 EXPIRATION DATE: 12/31/2001 RESPS:176,640 HOURS:88,320 COSTS(000):$56 Federal Direct PLUS Loan Application and Promissory Note FORMS: NONE OMB NO: 1840-0674 EXPIRATION DATE: 05/31/2001 RESPS:4,800 HOURS:5,200 COSTS(000):$0 Consolidation Loan Rebate Fee Report FORMS: ED-4-619 OMB NO: 1840-0679 EXPIRATION DATE: 12/31/2001 RESPS:44,160 HOURS:22,080 COSTS(000):$14 Addendum to Federal Direct PLUS Loan Promissory Note, Endorser FORMS: NONE OMB NO: 1840-0693 EXPIRATION DATE: 01/31/2002 RESPS:1,078,000 HOURS:528,250 COSTS(000):$355 Federal Direct Consolidation Loan Program Application Documents FORMS: NONE OMB NO: 1840-0701 EXPIRATION DATE: 03/31/2001 RESPS:100 HOURS:2,000 COSTS(000):$0 Application for New Grants for the Disseminating Proven Reforms Program (A Special Focus Competition of the Fund for the Improvement of Postsecondary Education) FORMS: NONE OMB NO: 1840-0702 EXPIRATION DATE: 08/31/2002 RESPS:80 HOURS:2,400 COSTS(000):$0 The Program for North American Mobility in Higher Education (A Special Focus Competition of FIPSE) FORMS: NONE OMB NO: 1840-0706 EXPIRATION DATE: 05/31/2001 RESPS:300,000 HOURS:75,000 COSTS(000):$0 Income Contingent Repayment Plan, Consent to Disclosure of Tax Information FORMS: NONE OMB NO: 1840-0708 EXPIRATION DATE: 06/30/2001 RESPS:50 HOURS:250 COSTS(000):$0 Notice Inviting Proposals for Experimental Sites FORMS: NONE OMB NO: 1840-0729 EXPIRATION DATE: 08/31/2003 RESPS:30 HOURS:150 COSTS(000):$0 Final Performance Report for the Business in International Education Program FORMS: NONE OMB NO: 1840-0731 EXPIRATION DATE: 12/31/2001 RESPS:1,400,000 HOURS:1,400,000 COSTS(000):$0 Federal Stafford Loan (Subsidized and Unsubsidized) Program Master Promissory Note FORMS: NONE OMB NO: 1840-0732 EXPIRATION DATE: 12/31/2001 RESPS:2,031,360 HOURS:2,031,360 COSTS(000):$0 Federal Direct Stafford/Ford Loan and Federal Direct Unsubsidized Stafford/Ford Loan Master Promissory Note FORMS: NONE OMB NO: 1840-0734 EXPIRATION DATE: 01/31/2002 RESPS:50 HOURS:775 COSTS(000):$0 Application for Technological Innovation and Cooperation for Foreign Information Access Program FORMS: NONE OMB NO: 1840-0735 EXPIRATION DATE: 01/31/2002 RESPS:215 HOURS:5,400 COSTS(000):$0 Distance Education Demonstration Program Application and Annual Evaluation FORMS: NONE OMB NO: 1840-0736 EXPIRATION DATE: 05/31/2002 RESPS:500 HOURS:9,000 COSTS(000):$0 Application for the Learning Anytime Anywhere Partnership (New Grant) FORMS: NONE OMB NO: 1840-0737 EXPIRATION DATE: 03/31/2002 RESPS:2,000 HOURS:120,000 COSTS(000):$0 Application for Child Care Access Means Parents in School Program FORMS: NONE OMB NO: 1840-0738 EXPIRATION DATE: 03/31/2002 RESPS:30 HOURS:3,000 COSTS(000):$0 Application Demonstration Projects for Faculty Training in Disability Issues FORMS: NONE OMB NO: 1840-0739 EXPIRATION DATE: 05/31/2002 RESPS:500 HOURS:10,120 COSTS(000):$0 Congressional Priorities for Postsecondary Education FORMS: NONE OMB NO: 1840-0740 EXPIRATION DATE: 04/30/2003 RESPS:1,000 HOURS:60,000 COSTS(000):$0 Application Package for Gaining Early Awareness and Readiness for Undergraduate Programs (Gear UP) FORMS: NONE OMB NO: 1840-0741 EXPIRATION DATE: 12/31/2002 RESPS:500 HOURS:10,000 COSTS(000):$0 Application for the Preparing Tomorrow's Teachers to Use FORMS: NONE OMB NO: 1840-0744 EXPIRATION DATE: 04/30/2003 RESPS:1,250 HOURS:127,624 COSTS(000):$3,757 Reference and Reporting Guide for Preparing State and Institutional Reports on Teacher Quality and Preparation FORMS: NONE OMB NO: 1840-0745 EXPIRATION DATE: 10/31/2002 RESPS:100 HOURS:850 COSTS(000):$0 Application for Grants under the Developing Hispanic-Serving Institutions Program FORMS: ED-851S OMB NO: 1840-0746 EXPIRATION DATE: 05/31/2002 RESPS:50 HOURS:2,250 COSTS(000):$0 TRIO Dissemination Program FORMS: NONE OMB NO: 1840-0748 EXPIRATION DATE: 07/31/2002 RESPS:225 HOURS:2,250 COSTS(000):$0 GAANN Program Assessment Instrument FORMS: NONE OMB NO: 1840-0750 EXPIRATION DATE: 10/31/2002 RESPS:13,515 HOURS:1,485 COSTS(000):$0 Distance Education Demonstration Program Annual Evaluation FORMS: NONE OMB NO: 1840-0751 EXPIRATION DATE: 10/31/2002 RESPS:680 HOURS:422 COSTS(000):$0 Program Evaluation of the European Community/United States of America Joint Consortia for Cooperation in Higher Education and Vocational Education FORMS: ED-514 OMB NO: 1840-0752 EXPIRATION DATE: 02/28/2003 RESPS:115 HOURS:690 COSTS(000):$0 Performance Report for the Jacob K. Javits Fellowship Program FORMS: NONE OMB NO: 1840-0753 EXPIRATION DATE: 01/31/2003 RESPS:5,450 HOURS:5,659 COSTS(000):$0 Teach or Pay Rule (Proposed Rule) FORMS: NONE OMB NO: 1840-0755 EXPIRATION DATE: 05/31/2003 RESPS:100 HOURS:6,000 COSTS(000):$0 Application for Grants Under the Community Scholarship Mobilization Program FORMS: CFDA#84.347 OMB NO: 1840-0756 EXPIRATION DATE: 05/31/2003 RESPS:20 HOURS:400 COSTS(000):$0 First and Second Year Annual Progress Reports for the European Community/US Joint Consortia Program FORMS: ED-514 OMB NO: 1840-0757 EXPIRATION DATE: 05/31/2003 RESPS:29 HOURS:580 COSTS(000):$0 Learning Anytime Anywhere Partnerships Annual Progress Report Guidelines FORMS: NONE OMB NO: 1840-0758 EXPIRATION DATE: 07/31/2003 RESPS:140 HOURS:2,800 COSTS(000):$0 Comprehensive Program Annual Performance Report FORMS: ED524-B OMB NO: 1840-0759 EXPIRATION DATE: 08/31/2003 RESPS:1,246 HOURS:9,932 COSTS(000):$0 The Evaluation of Exchange, Language, International and Area Studies (EELIAS), NRC, FLAS and IIPP FORMS: NONE OMB NO: 1840-0760 EXPIRATION DATE: 07/31/2003 RESPS:20 HOURS:400 COSTS(000):$0 Annual Reporting Forms for the Program for North American Mobility in Higher Education FORMS: NONE OMB NO: 1840-0761 EXPIRATION DATE: 10/31/2003 RESPS:80 HOURS:2,400 COSTS(000):$0 The US-Brazil Higher Education Consortia Program Application for the US-Brazil Higher Education Consortia Program FORMS: CFDA-84.116 OMB NO: 1840-0762 EXPIRATION DATE: 10/31/2003 RESPS:1 HOURS:13,500 COSTS(000):$554 Annual Performance Report for the Upward Bound, Upward Bound Math/Science, and Veterans Upward Bound Programs FORMS: NONE Office of Student Financial Assistance OMB NO: 1845-0001 EXPIRATION DATE: 06/30/2002 RESPS:11,134,376 HOURS:7,073,050 COSTS(000):$0 Free Application for Federal Student Aid (FAFSA) FORMS: ED-255 OMB NO: 1845-0002 EXPIRATION DATE: 08/31/2003 RESPS:4,660 HOURS:2,151 COSTS(000):$35 Student Aid Internet Gateway (SAIG) Enrollment form FORMS: NONE OMB NO: 1845-0003 EXPIRATION DATE: 08/31/2002 RESPS:75 HOURS:1,036 COSTS(000):$0 The Secretary's Recognition of Accrediting Agencies -- 34 CFR Part 602 FORMS: NONE OMB NO: 1845-0004 EXPIRATION DATE: 12/31/2003 RESPS:10,300 HOURS:228,150 COSTS(000):$0 Student Right-to-Know Act (SRK) FORMS: NONE OMB NO: 1845-0005 EXPIRATION DATE: 06/30/2002 RESPS:1,148,818 HOURS:183,811 COSTS(000):$368 Federal Family Education Loan Program Loan Deferment Applications FORMS: NONE OMB NO: 1845-0006 EXPIRATION DATE: 08/31/2002 RESPS:1,400,000 HOURS:1,400,000 COSTS(000):$0 Federal Stafford Loan (Subsidized and Unsubsidized) Program Master Promissory Note FORMS: NONE OMB NO: 1845-0007 EXPIRATION DATE: 08/31/2002 RESPS:1,828,224 HOURS:1,828,224 COSTS(000):$9,415 Federal Direct Stafford/Ford Loan and/or Federal Direct Unsubsidized Stafford/Ford Loan Master Promissory Note FORMS: NONE OMB NO: 1845-0008 EXPIRATION DATE: 12/31/2002 RESPS:17,234,692 HOURS:4,386,515 COSTS(000):$1,185 Student Aid Report (SAR) FORMS: ED-255-1 OMB NO: 1845-0009 EXPIRATION DATE: 07/31/2001 RESPS:100,000 HOURS:50,000 COSTS(000):$32 Federal PLUS Loan Program Application Documents FORMS: NONE OMB NO: 1845-0010 EXPIRATION DATE: 06/30/2002 RESPS:1,800 HOURS:9,900 COSTS(000):$0 Equity in Athletics Disclosure Act FORMS: NONE OMB NO: 1845-0011 EXPIRATION DATE: 07/31/2001 RESPS:239,000 HOURS:47,800 COSTS(000):$76 William D. Ford Federal Direct Loan Program: Loan Deferment and Permanent Total Disability Cancellation Request Documents FORMS: 40-700 40-700(SCH) 40-701 40-701(SCH) 40-702 40-702(SCH) 40-703 40-703(SCH) 40-704 40-705 OMB NO: 1845-0012 EXPIRATION DATE: 09/30/2002 RESPS:2,915 HOURS:20,245 COSTS(000):$637 Application for Approval to Participate in Federal Student Financial Aid Programs FORMS: E40-34P OMB NO: 1845-0013 EXPIRATION DATE: 09/30/2001 RESPS:19,200 HOURS:46,800 COSTS(000):$0 Lender's Request for Payment of Interest and Special Allowance FORMS: ED-799 OMB NO: 1845-0014 EXPIRATION DATE: 10/31/2002 RESPS:2,650,000 HOURS:874,500 COSTS(000):$875 William D. Ford Federal Direct Loan Program: Repayment Plan Selection FORMS: NONE OMB NO: 1845-0015 EXPIRATION DATE: 01/31/2002 RESPS:70,000 HOURS:35,000 COSTS(000):$11 Federal Family Education Loan Program and William D. Ford Federal Direct Loan Program, Loan Discharge Applications FORMS: NONE OMB NO: 1845-0016 EXPIRATION DATE: 12/31/2002 RESPS:25,000 HOURS:8,250 COSTS(000):$8 Income Contingent Repayment Plan Alternative Documentation of Income FORMS: NONE OMB NO: 1845-0017 EXPIRATION DATE: 12/31/2002 RESPS:114,000 HOURS:22,800 COSTS(000):$38 Income Contingent Repayment Plan Consent to Disclosure of Tax Information FORMS: NONE OMB NO: 1845-0018 EXPIRATION DATE: 12/31/2002 RESPS:2,400 HOURS:480 COSTS(000):$1 William D. Ford Federal Direct Loan Progam Statutory Forbearance Forms FORMS: NONE OMB NO: 1845-0019 EXPIRATION DATE: 10/31/2002 RESPS:95,262 HOURS:25,859 COSTS(000):$174 Federal Perkins Loan, Federal Work-Study, Federal Supplemental Educational Opportunity Grant Programs FORMS: NONE OMB NO: 1845-0020 EXPIRATION DATE: 12/31/2003 RESPS:858,981 HOURS:10,128,562 COSTS(000):$1,253 Federal Family Education Loan Program FORMS: NONE OMB NO: 1845-0021 EXPIRATION DATE: 10/31/2002 RESPS:846,034 HOURS:211,521 COSTS(000):$2,115 Reporting and Recordkeeping Requirements for the William D. Ford Federal Direct Loan Program FORMS: NONE OMB NO: 1845-0022 EXPIRATION DATE: 12/31/2003 RESPS:93,877 HOURS:1,209,890 COSTS(000):$5,040 Cohort Default Rates for Institutions Participating in the FFEL or Direct Loan Programs FORMS: NONE OMB NO: 1845-0023 EXPIRATION DATE: 12/31/2003 RESPS:8,200,642 HOURS:80,368 COSTS(000):$0 Federal Perkins Loan Program Regulations FORMS: NONE OMB NO: 1845-0025 EXPIRATION DATE: 02/28/2003 RESPS:108,541 HOURS:3,618 COSTS(000):$0 Electronic Debit Payment Option for Student Loans FORMS: NONE OMB NO: 1845-0026 EXPIRATION DATE: 02/28/2003 RESPS:612 HOURS:33,660 COSTS(000):$0 Guaranty Agency Financial Report (JS) FORMS: ED-2000 OMB NO: 1845-0028 EXPIRATION DATE: 02/28/2003 RESPS:56 HOURS:224 COSTS(000):$0 The Leveraging Educational Assistance Partnership (LEAP) Program FORMS: 1288 OMB NO: 1845-0030 EXPIRATION DATE: 03/31/2001 RESPS:1 HOURS:25,748 COSTS(000):$0 Fiscal Operations Report and Application to Participate (FISAP) in the Federal Perkins Loan, Federal Supplemental Educational Opportunity Grant, and Federal Work-Study Programs FORMS: ED-FORM-646-1 OMB NO: 1845-0031 EXPIRATION DATE: 04/30/2003 RESPS:660,000 HOURS:132,000 COSTS(000):$0 William D. Ford Federal Direct Loan Program General Forberance Request Form FORMS: NONE OMB NO: 1845-0032 EXPIRATION DATE: 09/30/2002 RESPS:121 HOURS:20 COSTS(000):$0 Lender's Participation Questionnaire (LPQ) for New Lenders FORMS: NONE OMB NO: 1845-0035 EXPIRATION DATE: 05/31/2003 RESPS:29,952 HOURS:179,712 COSTS(000):$72 National Student Loan Data System (NSLDS) FORMS: NONE OMB NO: 1845-0036 EXPIRATION DATE: 06/30/2003 RESPS:263,000 HOURS:263,000 COSTS(000):$0 Federal Family Education Loan Program Federal Consolidation Loan Application and Promissory Note FORMS: NONE OMB NO: 1845-0038 EXPIRATION DATE: 05/31/2003 RESPS:6,576 HOURS:1,214,240 COSTS(000):$101 Student Assistance General Provisions - Subpart K - Cash Management FORMS: NONE OMB NO: 1845-0039 EXPIRATION DATE: 06/30/2003 RESPS:3,950,083 HOURS:396,200 COSTS(000):$5,918 Federal Pell Grant Program Recipient Financial Management System (RFMS) FORMS: CFDA#84.063 OMB NO: 1845-0040 EXPIRATION DATE: 11/30/2001 RESPS:102,000 HOURS:3,400 COSTS(000):$0 William D. Ford Federal Direct Loan Program Electronic Debit Account Brochure and Authorization Form FORMS: NONE OMB NO: 1845-0042 EXPIRATION DATE: 12/31/2001 RESPS:2,588 HOURS:699 COSTS(000):$0 Lender's Application for Payment of Insurance Claim FORMS: ED-1207 OMB NO: 1845-0043 EXPIRATION DATE: 03/31/2002 RESPS:3,000 HOURS:500 COSTS(000):$0 Campus-Based Reallocation -- Form E40-4P FORMS: E40-4P OMB NO: 1845-0044 EXPIRATION DATE: 11/30/2003 RESPS:56 HOURS:560 COSTS(000):$28,960 The Leveraging Educational Assistance and Partnership (LEAP) Program FORMS: ED-1288-1 Office of Educational Research and Improvement OMB NO: 1850-0067 EXPIRATION DATE: 10/31/2001 RESPS:284 HOURS:10,901 COSTS(000):$0 Common Core of Data Surveys FORMS: NONE OMB NO: 1850-0582 EXPIRATION DATE: 04/30/2003 RESPS:60,282 HOURS:202,636 COSTS(000):$0 Integrated Postsecondary Education Data System (IPEDS), Introduction of the Web-Based Collection on Institutional Price & Student Financial Aid and modifications to the 2000-2002 data.... FORMS: NONE OMB NO: 1850-0598 EXPIRATION DATE: 09/30/2001 RESPS:114,097 HOURS:112,177 COSTS(000):$0 1998-1999 Field Test Schools and Staffing Survey (SASS): LEA, 1999-2000 Teacher Listing Form; 1999-2000 Full Scale SASS: LEA.. FORMS: NONE OMB NO: 1850-0601 EXPIRATION DATE: 05/31/2003 RESPS:750 HOURS:11,250 COSTS(000):$0 Application for the Field-Initiated Studies Educational Research Grant Program FORMS: NONE OMB NO: 1850-0608 EXPIRATION DATE: 01/31/2001 RESPS:30,000 HOURS:19,125 COSTS(000):$0 1999 National Study of Postsecondary Faculty (NSOPF--99): FORMS: NONE OMB NO: 1850-0617 EXPIRATION DATE: 05/31/2003 RESPS:18,279 HOURS:4,616 COSTS(000):$0 2000-01 Teacher Follow-up Survey FORMS: NONE OMB NO: 1850-0623 EXPIRATION DATE: 11/30/2001 RESPS:75 HOURS:3,000 COSTS(000):$0 Star Schools Program FORMS: NONE OMB NO: 1850-0628 EXPIRATION DATE: 10/31/2003 RESPS:3,660 HOURS:921 COSTS(000):$0 National Assessment of Educational Progress (NAEP) Year 2001 Field Test and the Year 2002 Main Assessment of Reading and Writing FORMS: NONE OMB NO: 1850-0631 EXPIRATION DATE: 04/30/2003 RESPS:569 HOURS:224 COSTS(000):$0 Beginning Postsecondary Students Longitudinal Study 1996-2001 (BPS: 1996/2001) FORMS: NONE OMB NO: 1850-0635 EXPIRATION DATE: 02/28/2003 RESPS:150 HOURS:6,000 COSTS(000):$0 Applications for Grants under the Javits Gifted and Talented Students Education Program FORMS: NONE OMB NO: 1850-0637 EXPIRATION DATE: 11/30/2001 RESPS:35 HOURS:840 COSTS(000):$0 Application for Grants under the Fund for the Improvement of Educational Program FORMS: ED-424 OMB NO: 1850-0641 EXPIRATION DATE: 07/31/2002 RESPS:45,000 HOURS:16,667 COSTS(000):$0 1999-2000 Private School Survey FORMS: NONE OMB NO: 1850-0652 EXPIRATION DATE: 03/31/2002 RESPS:457 HOURS:214 COSTS(000):$0 National Education Longitudinal Study: 1998-2000 FORMS: NONE OMB NO: 1850-0662 EXPIRATION DATE: 10/31/2002 RESPS:15 HOURS:360 COSTS(000):$0 National Assessment of Educational Progress (NAEP) Secondary Analysis Grant Program FORMS: NONE OMB NO: 1850-0666 EXPIRATION DATE: 03/31/2002 RESPS:1,964 HOURS:1,898 COSTS(000):$0 National Postsecondary Student Aid Study: 2000 (NPSAS: 2000) (Field Test, Full Scale, and Field Test and Full Scale for First Followup of Baccalaureate and Beyond) FORMS: NONE OMB NO: 1850-0682 EXPIRATION DATE: 02/28/2003 RESPS:30 HOURS:1,200 COSTS(000):$0 Applications for Grants under the Eisenhower Regional Mathematics and Science Education Consortia Program FORMS: SF-424 ED-524 OMB NO: 1850-0689 EXPIRATION DATE: 12/31/2003 RESPS:56 HOURS:1,680 COSTS(000):$0 Public Libraries Survey FORMS: NONE OMB NO: 1850-0705 EXPIRATION DATE: 10/31/2003 RESPS:51 HOURS:561 COSTS(000):$0 State Library Agencies Survey FORMS: NONE OMB NO: 1850-0711 EXPIRATION DATE: 11/30/2001 RESPS:2,000 HOURS:48,000 COSTS(000):$0 21st Century Community Learning Centers Program: Application for Grants FORMS: CFDA-84.287 OMB NO: 1850-0713 EXPIRATION DATE: 09/30/2001 RESPS:107,155 HOURS:15,826 COSTS(000):$0 1999 National Household Education Survey (NHES:99) FORMS: NONE OMB NO: 1850-0716 EXPIRATION DATE: 02/28/2003 RESPS:50 HOURS:8,000 COSTS(000):$0 Regional Technology in Education Consortia; Notice of Solicitation of Grant Applications and Guidelines for Preparing Applications FORMS: NONE OMB NO: 1850-0723 EXPIRATION DATE: 11/30/2001 RESPS:1 HOURS:1 COSTS(000):$0 Standards for the Conduct and Evaluation of Activities Carried Out by the Office of Educational Research and Improvement (OERI)--Phase I FORMS: NONE OMB NO: 1850-0733 EXPIRATION DATE: 07/31/2002 RESPS:10,161 HOURS:7,621 COSTS(000):$0 NCES Quick Response Information System FORMS: NONE OMB NO: 1850-0734 EXPIRATION DATE: 12/31/2002 RESPS:200 HOURS:1,200 COSTS(000):$0 Designation of Exemplary and Promising Programs FORMS: NONE OMB NO: 1850-0742 EXPIRATION DATE: 03/31/2001 RESPS:6,200 HOURS:2,200 COSTS(000):$0 1998 National Assessment of Educational Progress, Writing Special Study FORMS: NONE OMB NO: 1850-0743 EXPIRATION DATE: 06/30/2001 RESPS:350 HOURS:8,750 COSTS(000):$0 Technology Innovation Challenge Grant Program: Professional Development (Application Package) FORMS: NONE OMB NO: 1850-0744 EXPIRATION DATE: 04/30/2001 RESPS:832 HOURS:1,568 COSTS(000):$0 Research on Charter Schools and Students with Disabilities FORMS: NONE OMB NO: 1850-0745 EXPIRATION DATE: 10/31/2003 RESPS:515 HOURS:25,750 COSTS(000):$0 The Blue Ribbon Schools Program FORMS: NONE OMB NO: 1850-0746 EXPIRATION DATE: 04/30/2001 RESPS:1 HOURS:1 COSTS(000):$0 Standards for Evaluation of the Performance of Recipients of OERI Grants, Cooperative Agreements, and Contracts FORMS: NONE OMB NO: 1850-0747 EXPIRATION DATE: 11/30/2001 RESPS:500 HOURS:20,000 COSTS(000):$0 Technology Innovation Challenge Grant Program: General Competition FORMS: 424 524 80-0013 OMB NO: 1850-0749 EXPIRATION DATE: 09/30/2001 RESPS:3,900 HOURS:3,150 COSTS(000):$0 IEA Civics Education Project, Pilot Test and Full Scale FORMS: NONE OMB NO: 1850-0750 EXPIRATION DATE: 11/30/2001 RESPS:600 HOURS:313 COSTS(000):$0 Early Childhood Longitudinal Study (ECLS) First Grade Fall 98 Pilot Study, Fall 99 and Spring 2000 Fullscale FORMS: NONE OMB NO: 1850-0751 EXPIRATION DATE: 11/30/2001 RESPS:6,200 HOURS:1,400 COSTS(000):$0 Third International Mathematics and Science Study-Repeat (TIMSS-R Video) FORMS: NONE OMB NO: 1850-0754 EXPIRATION DATE: 04/30/2002 RESPS:693 HOURS:671 COSTS(000):$0 Research on Charter School Finances FORMS: NONE OMB NO: 1850-0755 EXPIRATION DATE: 04/30/2002 RESPS:1,860 HOURS:1,200 COSTS(000):$0 Data Collection for Program for International Student Assessment (PISA) FORMS: NONE OMB NO: 1850-0756 EXPIRATION DATE: 08/31/2002 RESPS:2,280 HOURS:3,082 COSTS(000):$0 Early Childhood Longitudinal Study-Birth Cohort 2000, Field Test and Full Scale Data Collection FORMS: NONE OMB NO: 1850-0758 EXPIRATION DATE: 10/31/2002 RESPS:9,600 HOURS:9,870 COSTS(000):$0 National Assessment of Educational Progress (NAEP) Year 2000 Field Test and Year 2001 Main Assessment of World Geography and U.S. History FORMS: NONE OMB NO: 1850-0759 EXPIRATION DATE: 10/31/2002 RESPS:45 HOURS:630 COSTS(000):$0 Combined Application and Combined Announcement for the OERI Visiting Scholars Fellowship Program FORMS: NONE OMB NO: 1850-0760 EXPIRATION DATE: 01/31/2003 RESPS:10 HOURS:400 COSTS(000):$0 Telecommunications Demonstration Project for Mathematics FORMS: NONE OMB NO: 1850-0762 EXPIRATION DATE: 03/31/2003 RESPS:50 HOURS:2,700 COSTS(000):$0 National Awards Program for Effective Teacher Preparation FORMS: NONE OMB NO: 1850-0763 EXPIRATION DATE: 04/30/2003 RESPS:80 HOURS:9,600 COSTS(000):$0 Application for a Comprehensive School Reform Educational Research Grant FORMS: NONE OMB NO: 1850-0764 EXPIRATION DATE: 05/31/2003 RESPS:23 HOURS:3,260 COSTS(000):$0 Star Schools Program Online Annual Performance Reporting System FORMS: NONE OMB NO: 1850-0767 EXPIRATION DATE: 05/31/2003 RESPS:96 HOURS:3,840 COSTS(000):$0 Technology Innovation Challenge Grant Program Online Annual Performance Reporting System FORMS: CFDA-84.303A OMB NO: 1850-0768 EXPIRATION DATE: 05/31/2003 RESPS:3,100 HOURS:465 COSTS(000):$0 National Household Education Survey of 2001 (NHES: 2001) FORMS: NONE OMB NO: 1850-0769 EXPIRATION DATE: 09/30/2003 RESPS:36,253 HOURS:15,721 COSTS(000):$0 The Impact of ICT on Learning: Quasi-Experimental Study FORMS: NONE OMB NO: 1850-0770 EXPIRATION DATE: 09/30/2002 RESPS:80 HOURS:3,200 COSTS(000):$0 National Awards Program for Model Professional Development FORMS: NONE OMB NO: 1850-0771 EXPIRATION DATE: 12/31/2003 RESPS:5,750 HOURS:1,438 COSTS(000):$0 NAEP Technology Based Assessment Project, Pretest and Field Test FORMS: NONE Office of Intergovernmental and Interagency Affairs OMB NO: 1860-0504 EXPIRATION DATE: 03/31/2001 RESPS:2,600 HOURS:41,600 COSTS(000):$0 Applications for the U.S. Presidential Scholars Program FORMS: NONE OMB NO: 1860-0505 EXPIRATION DATE: 10/31/2001 RESPS:720 HOURS:420 COSTS(000):$0 Sign-On Forms for Partnership for Family Involvement in Education FORMS: NONE Office for Civil Rights OMB NO: 1870-0500 EXPIRATION DATE: 12/31/2001 RESPS:52,500 HOURS:506,250 COSTS(000):$0 2000 Elementary and Secondary School Civil Rights Compliance report FORMS: NONE Office of the Under Secretary OMB NO: 1875-0106 EXPIRATION DATE: 06/30/2001 RESPS:15,550 HOURS:4,404 COSTS(000):$0 Application for Federal Education Assistance (AFEA) FORMS: NONE OMB NO: 1875-0127 EXPIRATION DATE: 03/31/2001 RESPS:3,264 HOURS:4,197 COSTS(000):$0 Longitudinal Evaluation of School Change and Performance FORMS: NONE OMB NO: 1875-0134 EXPIRATION DATE: 11/30/2001 RESPS:109 HOURS:4,360 COSTS(000):$0 Safe and Drug-Free Schools and Communties Act: Request for Clearance of the State Education Agency and Governor's Reporting Forms FORMS: NONE OMB NO: 1875-0137 EXPIRATION DATE: 05/31/2002 RESPS:1,350 HOURS:61,770 COSTS(000):$0 Third National Even Start Evaluation: Performance Information Reporting System and Experimental Study FORMS: NONE OMB NO: 1875-0139 EXPIRATION DATE: 09/30/2002 RESPS:900 HOURS:1,675 COSTS(000):$0 Evaluation of the Eisenhower Professional Development Program: State and Local Activities FORMS: NONE OMB NO: 1875-0141 EXPIRATION DATE: 01/31/2001 RESPS:525 HOURS:510 COSTS(000):$0 Observational Study of Even Start Family Literacy Projects FORMS: NONE OMB NO: 1875-0142 EXPIRATION DATE: 01/31/2001 RESPS:70 HOURS:250 COSTS(000):$0 Guidance for Reporting on Waivers Granted by the U.S. Department of Education FORMS: NONE OMB NO: 1875-0143 EXPIRATION DATE: 02/28/2001 RESPS:74,760 HOURS:49,430 COSTS(000):$0 Study of School Violence and Prevention FORMS: NONE OMB NO: 1875-0145 EXPIRATION DATE: 05/31/2001 RESPS:1,142 HOURS:2,284 COSTS(000):$0 America Reads Pilot Sites Letter and Request for Information from America Reads Federal Work Study and President's Coalition Members FORMS: NONE OMB NO: 1875-0146 EXPIRATION DATE: 03/31/2001 RESPS:5,527 HOURS:4,856 COSTS(000):$0 Study of Education Resources and Federal Funding (Formerly FORMS: NONE OMB NO: 1875-0149 EXPIRATION DATE: 05/31/2001 RESPS:193 HOURS:209 COSTS(000):$0 Follow-Up Study to the 1995 National Evaluation of Homeless Children and Youth Program FORMS: NONE OMB NO: 1875-0150 EXPIRATION DATE: 08/31/2001 RESPS:459 HOURS:459 COSTS(000):$0 Follow-Up Study of State Implementation of Federal Elementary and Secondary Education Programs FORMS: NONE OMB NO: 1875-0153 EXPIRATION DATE: 09/30/2001 RESPS:18,800 HOURS:10,760 COSTS(000):$0 National Longitudinal Survey of Schools (NLSS) FORMS: NONE OMB NO: 1875-0154 EXPIRATION DATE: 09/30/2001 RESPS:8,289 HOURS:6,825 COSTS(000):$0 Evaluation of Upward Bound FORMS: NONE OMB NO: 1875-0155 EXPIRATION DATE: 11/30/2001 RESPS:100 HOURS:200 COSTS(000):$0 Federal Interagency Coordinating Council: Family Member Suggested Application/Nomination Form FORMS: NONE OMB NO: 1875-0157 EXPIRATION DATE: 10/31/2001 RESPS:2,620 HOURS:1,140 COSTS(000):$0 An Evaluation of the Comprehensive Regional Assistance Centers FORMS: NONE OMB NO: 1875-0158 EXPIRATION DATE: 11/30/2001 RESPS:561 HOURS:1,671 COSTS(000):$0 National Study of Local Education Agency Activities under the Safe and Drug-Free Schools and Communities Act FORMS: NONE OMB NO: 1875-0159 EXPIRATION DATE: 09/30/2001 RESPS:849 HOURS:872 COSTS(000):$0 Local Implementation of Federal Programs FORMS: NONE OMB NO: 1875-0160 EXPIRATION DATE: 04/30/2002 RESPS:575 HOURS:793 COSTS(000):$0 Evaluation of the Eisenhower Professional Development Program: State and Local Activities FORMS: NONE OMB NO: 1875-0161 EXPIRATION DATE: 07/31/2002 RESPS:100 HOURS:100 COSTS(000):$0 Study of State Agency Activities under Title I, Part D, of ESEA, as amended FORMS: NONE OMB NO: 1875-0162 EXPIRATION DATE: 07/31/2002 RESPS:3,590 HOURS:2,390 COSTS(000):$0 Evaluation of the Public Charter Schools Program, Data Collection FORMS: NONE OMB NO: 1875-0165 EXPIRATION DATE: 08/31/2002 RESPS:1,950 HOURS:2,104 COSTS(000):$0 "What Works" Study for Adult ESL Literacy Students FORMS: NONE OMB NO: 1875-0166 EXPIRATION DATE: 10/31/2002 RESPS:1 HOURS:250 COSTS(000):$0 Local Education Agency Component of Study of School Violence and Prevention FORMS: NONE OMB NO: 1875-0169 EXPIRATION DATE: 01/31/2003 RESPS:2 HOURS:30,123 COSTS(000):$0 Evaluation of the Compact for Reading FORMS: NONE OMB NO: 1875-0172 EXPIRATION DATE: 09/30/2002 RESPS:401 HOURS:300 COSTS(000):$0 Phase I of the National Evaluation of Talent Search FORMS: NONE OMB NO: 1875-0174 EXPIRATION DATE: 02/28/2002 RESPS:1,529 HOURS:1,529 COSTS(000):$0 Evaluation of the Magnet Schools Assistance Program FORMS: NONE OMB NO: 1875-0176 EXPIRATION DATE: 02/28/2002 RESPS:1,529 HOURS:1,529 COSTS(000):$0 Evaluation of the Magnet Schools Assistance Program FORMS: NONE OMB NO: 1875-0177 EXPIRATION DATE: 02/28/2003 RESPS:350,427 HOURS:56,423 COSTS(000):$16 21st Century Community Learning Centers Annual Performance Report FORMS: NONE OMB NO: 1875-0178 EXPIRATION DATE: 02/28/2003 RESPS:1,385 HOURS:3,923 COSTS(000):$0 Evaluation of Effective Adult Basic Education Programs and Practices FORMS: NONE OMB NO: 1875-0179 EXPIRATION DATE: 03/31/2001 RESPS:636 HOURS:970 COSTS(000):$0 Supplemental Study of the Technology Literacy Challenge Fund FORMS: NONE OMB NO: 1875-0180 EXPIRATION DATE: 07/31/2003 RESPS:185 HOURS:7,585 COSTS(000):$0 Annual Performance Reporting for the Gaining Early Awareness FORMS: CFDA#:84.334 OMB NO: 1875-0182 EXPIRATION DATE: 08/31/2003 RESPS:800 HOURS:800 COSTS(000):$0 Class-Size Reduction Program FORMS: NONE OMB NO: 1875-0183 EXPIRATION DATE: 08/31/2003 RESPS:26,325 HOURS:42,090 COSTS(000):$0 Evaluation of the 21st Century Community Learning Centers Program FORMS: NONE OMB NO: 1875-0185 EXPIRATION DATE: 09/30/2003 RESPS:225 HOURS:2,250 COSTS(000):$56,036 Annual Performance Report for the Preparing Tomorrow's Teachers to Use Technology Grant Program FORMS: NONE OMB NO: 1875-0186 EXPIRATION DATE: 10/31/2003 RESPS:1 HOURS:7,916 COSTS(000):$0 Moving Standards to the Classroom: A Study of Standard-Based Mathematics Instruction in Six States FORMS: NONE OMB NO: 1875-0188 EXPIRATION DATE: 09/30/2002 RESPS:2 HOURS:324 COSTS(000):$0 Comprehensive School Reform Demonstration Field Focused Studies FORMS: NONE OMB NO: 1875-0189 EXPIRATION DATE: 09/30/2001 RESPS:2,000 HOURS:3,000 COSTS(000):$0 The Integrated Studies of Educational Technology (ISET): Evaluation of Educational Technology Policy and Practice-School and Teacher Surveys Data Collection Clearance Package FORMS: NONE OMB NO: 1875-0190 EXPIRATION DATE: 10/31/2003 RESPS:77 HOURS:3,161 COSTS(000):$90,370 Teacher Quality Enhancement Grants Program Annual Performance Reports FORMS: NONE OMB NO: 1875-0191 EXPIRATION DATE: 10/31/2003 RESPS:11,565 HOURS:5,210 COSTS(000):$0 The National Evaluation of GEAR UP FORMS: NONE OMB NO: 1875-0194 EXPIRATION DATE: 11/30/2003 RESPS:873 HOURS:2,055 COSTS(000):$99 Assessing Literacy Models in the Boston Public Schools (JM) FORMS: NONE Departmental Management OMB NO: 1880-0529 EXPIRATION DATE: 11/30/2003 RESPS:10,000 HOURS:25,120 COSTS(000):$0 Master Plan for Customer Satisfaction Surveys and Focus Groups FORMS: NONE OMB NO: 1880-0531 EXPIRATION DATE: 10/31/2001 RESPS:100 HOURS:2,000 COSTS(000):$0 Waiver Guidance for Waivers Available under Goals 2000, ESEA, and School-to-Work FORMS: NONE OMB NO: 1880-0539 EXPIRATION DATE: 06/30/2001 RESPS:1 HOURS:1 COSTS(000):$0 Streamlined Process for Education Department General Administrative Regulations (EDGAR) Approved Grant Applications FORMS: NONE Office of Bilingual Education and Minority Languages Affairs OMB NO: 1885-0001 EXPIRATION DATE: 03/31/2002 RESPS:45 HOURS:1,500 COSTS(000):$0 Application for Participation in the Bilingual Education Graduate Fellowship Program FORMS: ED-4561-1 2A 2B 2C 2D OMB NO: 1885-0005 EXPIRATION DATE: 03/31/2002 RESPS:700 HOURS:366 COSTS(000):$0 Demonstration of Compliance with Terms and Conditions of the Bilingual Education Graduate Fellowship Program Contract FORMS: ED-4561-3 OMB NO: 1885-0507 EXPIRATION DATE: 06/30/2002 RESPS:57 HOURS:9,177 COSTS(000):$0 Application for Grants under Emergency Immigrant Education Program FORMS: T85-1P OMB NO: 1885-0535 EXPIRATION DATE: 12/31/2001 RESPS:400 HOURS:48,000 COSTS(000):$0 Application for Grants under Bilingual Education: Comprehensive School Grants Program FORMS: NONE OMB NO: 1885-0536 EXPIRATION DATE: 12/31/2001 RESPS:200 HOURS:24,000 COSTS(000):$0 Application for Grants under Bilingual Education: Teachers and Personnel Grants Program FORMS: NONE OMB NO: 1885-0537 EXPIRATION DATE: 12/31/2001 RESPS:200 HOURS:24,000 COSTS(000):$0 Application for Grants under Bilingual Education: Systemwide Improvement Grants Program FORMS: NONE OMB NO: 1885-0538 EXPIRATION DATE: 12/31/2001 RESPS:300 HOURS:24,000 COSTS(000):$0 Application for New Grants under Bilingual Education: Program Development and Implementation Grants Program FORMS: NONE OMB NO: 1885-0539 EXPIRATION DATE: 12/31/2001 RESPS:300 HOURS:24,000 COSTS(000):$0 Application for Grants under Bilingual Education Program Enhancement Grants FORMS: NONE OMB NO: 1885-0540 EXPIRATION DATE: 12/31/2001 RESPS:150 HOURS:12,000 COSTS(000):$0 Application for New Grants under Foreign Language Assistance Program for Local Education Agencies FORMS: NONE OMB NO: 1885-0541 EXPIRATION DATE: 12/31/2001 RESPS:59 HOURS:1,770 COSTS(000):$0 Application for Grants under Bilingual Education: State Grant Program FORMS: NONE OMB NO: 1885-0542 EXPIRATION DATE: 12/31/2001 RESPS:200 HOURS:24,000 COSTS(000):$0 Application for Grants under Bilingual Education: Career Ladder Program FORMS: NONE OMB NO: 1885-0543 EXPIRATION DATE: 01/31/2002 RESPS:59 HOURS:2,655 COSTS(000):$0 Annual Survey of Bilingual Education: State Grant Program FORMS: NONE OMB NO: 1885-0544 EXPIRATION DATE: 12/31/2001 RESPS:50 HOURS:4,000 COSTS(000):$0 Application for Grants under Foreign Language Assistance Program for State Education Agencies FORMS: NONE OMB NO: 1885-0545 EXPIRATION DATE: 03/31/2002 RESPS:50 HOURS:7,080 COSTS(000):$0 Application for Grants under Bilingual Education: Training for All Teachers FORMS: NONE OMB NO: 1885-0546 EXPIRATION DATE: 10/31/2001 RESPS:4,026 HOURS:584 COSTS(000):$0 Transfer of Reading Skills from Spanish to English: A Study of Young Learners FORMS: NONE OMB NO: 1885-0547 EXPIRATION DATE: 04/30/2002 RESPS:20 HOURS:2,900 COSTS(000):$0 Application for Bilingual Education: Field-Initiated Research Program FORMS: NONE Office of the Chief Financial Officer OMB NO: 1890-0001 EXPIRATION DATE: 01/31/2001 RESPS:1 HOURS:1 COSTS(000):$0 Streamlined Clearance Process for Discretionary Grant Information Collections FORMS: NONE OMB NO: 1890-0004 EXPIRATION DATE: 02/28/2003 RESPS:23,248 HOURS:500,055 COSTS(000):$2 Grant Performance Report (JM) FORMS: 524 524-B Office of Inspector General No active collections for this subagency
(RETURN TO AGENCY LIST)OMB NO: 1901-0260 EXPIRATION DATE: 07/31/2003 RESPS:468 HOURS:2,574 COSTS(000):$0 Standard Contract for Disposal of Spent Nuclear and/or High-Level Radioactive Waste FORMS: 830G OMB NO: 1901-0287 EXPIRATION DATE: 12/31/2001 RESPS:127 HOURS:5,074 COSTS(000):$0 Nuclear Fuel Data Form FORMS: 859 OMB NO: 1901-0294 EXPIRATION DATE: 04/30/2002 RESPS:1,350 HOURS:4,080 COSTS(000):$0 Import and Export of Natural Gas FORMS: 746R OMB NO: 1901-0296 EXPIRATION DATE: 01/31/2001 RESPS:37 HOURS:370 COSTS(000):$0 Annual Report of International Electrical Export/Import Data FORMS: FE-781R OMB NO: 1901-0297 EXPIRATION DATE: 09/30/2001 RESPS:30 HOURS:240 COSTS(000):$0 Power Plant and Industrial Fuel Use Act of 1978 (Final Rule) FORMS: 329R OMB NO: 1901-0302 EXPIRATION DATE: 09/30/2003 RESPS:50,000 HOURS:12,500 COSTS(000):$0 DOE Customer Surveys FORMS: 887 OMB NO: 1901-0303 EXPIRATION DATE: 07/31/2003 RESPS:40 HOURS:160 COSTS(000):$0 Annual Geothermal Heat Pump Manufacturers Survey FORMS: 902 Economic Regulatory Administration OMB NO: 1903-0073 EXPIRATION DATE: 12/31/2002 RESPS:100 HOURS:400 COSTS(000):$0 Recordkeeping Requirements of DOE's General Allocation and Price FORMS: 766R Energy Efficiency and Renewable Energy OMB NO: 1904-0050 EXPIRATION DATE: 11/30/2002 RESPS:250 HOURS:500 COSTS(000):$0 Study of Central Air Conditioner Life Cycle Costs FORMS: NONE Energy Information Administration OMB NO: 1905-0057 EXPIRATION DATE: 12/31/2003 RESPS:4,505 HOURS:74,236 COSTS(000):$0 Oil and Gas Reserves System Surveys FORMS: 23 23P 64A OMB NO: 1905-0129 EXPIRATION DATE: 12/31/2001 RESPS:18,946 HOURS:81,505 COSTS(000):$0 Electric Power Surveys FORMS: 411 412 417R 759 826 860A 860B 861 900 OMB NO: 1905-0145 EXPIRATION DATE: 11/30/2002 RESPS:2,067 HOURS:2,666 COSTS(000):$0 Commercial Building Energy Consumption Survey (CBECS) FORMS: 871A/F OMB NO: 1905-0149 EXPIRATION DATE: 11/30/2002 RESPS:33 HOURS:16,005 COSTS(000):$0 Financial Reporting System FORMS: EIA-28 OMB NO: 1905-0160 EXPIRATION DATE: 11/30/2003 RESPS:132 HOURS:2,424 COSTS(000):$0 Uranium Data Program FORMS: 851 858 OMB NO: 1905-0165 EXPIRATION DATE: 11/30/2003 RESPS:45,103 HOURS:53,970 COSTS(000):$0 Petroleum Supply Reporting System FORMS: 800-804 807 810-814 816 817 819M 820 OMB NO: 1905-0167 EXPIRATION DATE: 03/31/2002 RESPS:11,707 HOURS:10,137 COSTS(000):$0 Coal Program Package FORMS: 1 3 3A 4 5 5A 6A 6Q 7A 20 OMB NO: 1905-0169 EXPIRATION DATE: 02/28/2002 RESPS:6,000 HOURS:49,447 COSTS(000):$0 Manufacturing Energy Consumption Survey FORMS: 846(A) 846(B) 846(C) OMB NO: 1905-0174 EXPIRATION DATE: 11/30/2003 RESPS:134,594 HOURS:125,513 COSTS(000):$0 Petroleum Marketing Program FORMS: 14 182 782A/B/C 821 856 863 877 878 888 OMB NO: 1905-0175 EXPIRATION DATE: 12/31/2002 RESPS:8,166 HOURS:43,675 COSTS(000):$0 Natural Gas Program Package FORMS: EIA-176 191 191S 857 857S 895 OMB NO: 1905-0186 EXPIRATION DATE: 07/31/2002 RESPS:4,000 HOURS:1,000 COSTS(000):$0 Generic Clearance of Questionnaire Testing, Evaluation, and Research FORMS: 882T OMB NO: 1905-0191 EXPIRATION DATE: 04/30/2001 RESPS:2,500 HOURS:11,223 COSTS(000):$412 Alternative Transportation Fuels and Alternative Fueled Vehicles FORMS: 886 OMB NO: 1905-0194 EXPIRATION DATE: 05/31/2001 RESPS:210 HOURS:6,240 COSTS(000):$0 Voluntary Reporting of Greenhouse Gases FORMS: 1605 1605EZ OMB NO: 1905-0196 EXPIRATION DATE: 09/30/2001 RESPS:65 HOURS:195 COSTS(000):$0 Annual Solar Thermal Collector Manufacturers Survey and Annual FORMS: EIA-63A EIA-63B OMB NO: 1905-0197 EXPIRATION DATE: 12/31/2001 RESPS:848 HOURS:20,781 COSTS(000):$0 Steam-Electric Plant Operation and Design Report FORMS: 767 Office of Administration OMB NO: 1910-0068 EXPIRATION DATE: 08/31/2001 RESPS:18 HOURS:205 COSTS(000):$0 Renewable Energy Production Incentives FORMS: NONE OMB NO: 1910-0100 EXPIRATION DATE: 11/30/2001 RESPS:22,295 HOURS:22,190 COSTS(000):$0 Information Management FORMS: NONE OMB NO: 1910-0400 EXPIRATION DATE: 01/31/2001 RESPS:66,705 HOURS:664,673 COSTS(000):$0 Financial Assistance FORMS: NONE OMB NO: 1910-0600 EXPIRATION DATE: 09/30/2001 RESPS:693 HOURS:27,277 COSTS(000):$0 Industrial Relations FORMS: NONE OMB NO: 1910-0800 EXPIRATION DATE: 12/31/2001 RESPS:1 HOURS:21,052 COSTS(000):$0 Legal Collections Package FORMS: NONE OMB NO: 1910-1000 EXPIRATION DATE: 01/31/2001 RESPS:3,857 HOURS:247,374 COSTS(000):$0 Personal Property FORMS: NONE OMB NO: 1910-4100 EXPIRATION DATE: 11/30/2001 RESPS:4,331 HOURS:1,234,692 COSTS(000):$0 Procurement FORMS: NONE OMB NO: 1910-5101 EXPIRATION DATE: 02/28/2003 RESPS:1,000 HOURS:12,000 COSTS(000):$0 Recordkeeping and Reporting Requirements of the Alternative Fuel Transportation Program FORMS: DOE/OTT/101 OMB NO: 1910-5104 EXPIRATION DATE: 02/28/2001 RESPS:41 HOURS:12,300 COSTS(000):$574 Energy Efficiency Program for Certain Commercial and Industrial Equipment: Test Procedures, Labeling, and Certification Requirements for Electric Motors -- 10 CFR Part 431 (Proposed) FORMS: NONE OMB NO: 1910-5105 EXPIRATION DATE: 07/31/2001 RESPS:50 HOURS:50,000 COSTS(000):$0 Occupational Radiation Protection Program FORMS: NONE OMB NO: 1910-5107 EXPIRATION DATE: 12/31/2001 RESPS:1 HOURS:1,200 COSTS(000):$0 Proposed Clothes Washer Consumer Impact Analysis FORMS: NONE OMB NO: 1910-5108 EXPIRATION DATE: 01/31/2002 RESPS:1 HOURS:500 COSTS(000):$30 Department of Energy Million Solar Roofs Initiative Registry FORMS: NONE OMB NO: 1910-5111 EXPIRATION DATE: 02/28/2003 RESPS:20 HOURS:100 COSTS(000):$0 Disclosure of Relevant Interests by Firms That Are Members of Apparent Successful Offeror Joint Venture of Other Formal Teaming Arrangement FORMS: NONE OMB NO: 1910-5112 EXPIRATION DATE: 04/30/2003 RESPS:30,861 HOURS:54,762 COSTS(000):$2,088 Chronic Beryllium Disease Prevention Program FORMS: NONE Office of General Counsel No active collections for this subagency Office of Procurement and Assistance Management No active collections for this subagency Defense and Security Affairs No active collections for this subagency Policy, Safety, and Environment No active collections for this subagency
(RETURN TO AGENCY LIST)No active collections for this subagency Health Resources and Services Administration No active collections for this subagency Food and Drug Administration OMB NO: 0910-0001 EXPIRATION DATE: 11/30/2001 RESPS:21,200 HOURS:2,121,270 COSTS(000):$0 Application for FDA Approval to Market a New Drug FORMS: NONE OMB NO: 0910-0012 EXPIRATION DATE: 12/31/2001 RESPS:6,750 HOURS:45,137 COSTS(000):$0 Veterinary Adverse Drug Reaction, Lack of Effectiveness, Product Defect Report, and Transmittal of Periodic Reports and Promotional Material for New Animal Drugs -- 21 CFR Part 510 FORMS: FDA-1932 FDA-1932A FDA-2301 OMB NO: 0910-0014 EXPIRATION DATE: 09/30/2002 RESPS:372,620 HOURS:17,240,565 COSTS(000):$0 Investigational New Drug (IND) Regulations FORMS: FDA-1571 FDA-1572 OMB NO: 0910-0016 EXPIRATION DATE: 10/31/2003 RESPS:13 HOURS:69,320 COSTS(000):$0 Food Additive Petitions FORMS: NONE OMB NO: 0910-0021 EXPIRATION DATE: 07/31/2003 RESPS:58 HOURS:204 COSTS(000):$0 Interstate Shellfish Dealer's Certificate FORMS: FDA-3038 OMB NO: 0910-0025 EXPIRATION DATE: 11/30/2003 RESPS:47,343 HOURS:324,957 COSTS(000):$0 Reporting and Recordkeeping Requirements and Availability of Sample Electronic Products for Manufacturers and Distributors of Electronic FORMS: FDA-2579 FDA-2767 FDA-2877 FDA-3147 OMB NO: 0910-0027 EXPIRATION DATE: 10/31/2001 RESPS:1 HOURS:20 COSTS(000):$0 Registration of Cosmetics Product Establishment FORMS: FDA-2511 OMB NO: 0910-0030 EXPIRATION DATE: 12/31/2002 RESPS:5,582 HOURS:1,662 COSTS(000):$0 Cosmetic Product Voluntary Reporting Program -- 21 CFR Part 720 FORMS: 2512 2512A 2514 OMB NO: 0910-0032 EXPIRATION DATE: 07/31/2001 RESPS:1,824 HOURS:282,038 COSTS(000):$0 New Animal Drug Application (NADA) -- 21 CFR Part 514 FORMS: FDA-356V OMB NO: 0910-0037 EXPIRATION DATE: 09/30/2002 RESPS:12 HOURS:1,466,250 COSTS(000):$0 Food Canning Establishment Registration, Process Filing and Recordkeeping for Acidified Foods and Thermally Processed Low-Acid Foods in Hermetically Sealed Containers FORMS: 2541 2541A 2541C OMB NO: 0910-0045 EXPIRATION DATE: 04/30/2001 RESPS:62,700 HOURS:40,383 COSTS(000):$0 Registration of Producers of Drugs and Listing of Drugs in Commercial Distribution FORMS: 2656 2656(E) 2657 2658 OMB NO: 0910-0046 EXPIRATION DATE: 08/31/2003 RESPS:2,533,355 HOURS:354,714 COSTS(000):$0 Electronic Importer's Entry Notice FORMS: NONE OMB NO: 0910-0052 EXPIRATION DATE: 02/28/2003 RESPS:3,600 HOURS:1,969 COSTS(000):$0 Blood Establishment Registration and Product Listing -- Form FDA 2830 FORMS: 2830 OMB NO: 0910-0053 EXPIRATION DATE: 05/31/2001 RESPS:317 HOURS:1,936 COSTS(000):$0 Radioactive Drug Research Committee (RDRC) Report on Research Research Use of Radioactive Drug Study Summary FORMS: FDA-2914 FDA-2915 OMB NO: 0910-0073 EXPIRATION DATE: 07/31/2001 RESPS:7,237 HOURS:3,903,169 COSTS(000):$28,262 Current Good Manufacturing Practice (CGMP), Quality System (QS) FORMS: NONE OMB NO: 0910-0078 EXPIRATION DATE: 08/31/2003 RESPS:4,527 HOURS:61,021 COSTS(000):$0 Investigational Device Exemptions Reports and Records - 21 CFR 812 FORMS: NONE OMB NO: 0910-0114 EXPIRATION DATE: 08/31/2003 RESPS:26 HOURS:461 COSTS(000):$0 Administrative Detention and Banned Medical Devices FORMS: NONE OMB NO: 0910-0116 EXPIRATION DATE: 11/30/2003 RESPS:397 HOURS:332,403 COSTS(000):$0 Current Good Manufacturing Practices and Related Regulations for Blood and Blood Components FORMS: NONE OMB NO: 0910-0117 EXPIRATION DATE: 01/31/2002 RESPS:21,510 HOURS:71,376 COSTS(000):$0 New Animals Drugs for Investigational Use -- 21 CFR Part 511 FORMS: NONE OMB NO: 0910-0119 EXPIRATION DATE: 10/31/2001 RESPS:240,000 HOURS:1,739,000 COSTS(000):$0 Good Laboratory Practices (GLP) Regulations for Nonclinical Laboratory Studies -- 21 CFR Part 58 FORMS: NONE OMB NO: 0910-0120 EXPIRATION DATE: 10/31/2001 RESPS:5,000 HOURS:410,000 COSTS(000):$0 Premarket Notification Submission -- 510(k), Subpart E FORMS: NONE OMB NO: 0910-0129 EXPIRATION DATE: 05/31/2003 RESPS:3 HOURS:330 COSTS(000):$0 Applications for Exemption From Federal Preemption of State and Local Medical Device Requirements-21 CFR Part 808 FORMS: NONE OMB NO: 0910-0130 EXPIRATION DATE: 10/31/2001 RESPS:29,200 HOURS:131,400 COSTS(000):$0 Protection of Human Subjects; Recordkeeping Requirements for Institutional Review Boards (IRBs) FORMS: NONE OMB NO: 0910-0131 EXPIRATION DATE: 11/30/2003 RESPS:1,800 HOURS:7,200 COSTS(000):$0 Agreement for Shipments of Devices for Sterilization FORMS: NONE OMB NO: 0910-0132 EXPIRATION DATE: 11/30/2003 RESPS:1 HOURS:2,614 COSTS(000):$0 Affirmation of Generally Recognized as Safe GRAS Status FORMS: NONE OMB NO: 0910-0133 EXPIRATION DATE: 10/31/2002 RESPS:11 HOURS:91 COSTS(000):$0 Temporary Marketing Permit Applications FORMS: NONE OMB NO: 0910-0138 EXPIRATION DATE: 01/31/2003 RESPS:11 HOURS:5,500 COSTS(000):$0 Reclassification Petitions for Medical Devices FORMS: 3427 3428 3429 OMB NO: 0910-0139 EXPIRATION DATE: 06/30/2002 RESPS:4,184 HOURS:848,625 COSTS(000):$0 Current Good Manufacturing Practice; Proposed Amendment of Certain Requirements for Finished Pharmaceuticals FORMS: NONE OMB NO: 0910-0140 EXPIRATION DATE: 04/30/2001 RESPS:3,335 HOURS:1,487 COSTS(000):$0 Conditions for the Use of Narcotic Drugs for Treatment of Narcotic Addiction, Reporting and Recordkeeping Requirements FORMS: FDA-2632 FDA-2633 FDA-2635 FDA-2636 OMB NO: 0910-0152 EXPIRATION DATE: 08/31/2001 RESPS:2,040,000 HOURS:953,100 COSTS(000):$0 Current Good Manufacturing Practice for Medicated Feeds -- 21 CFR Part 225 FORMS: NONE OMB NO: 0910-0154 EXPIRATION DATE: 08/31/2001 RESPS:144,000 HOURS:150,000 COSTS(000):$0 Current Good Manufacturing Practice for Type A Medicated Articles -- 21 CFR Part 226 FORMS: NONE OMB NO: 0910-0167 EXPIRATION DATE: 07/31/2001 RESPS:620 HOURS:20,964 COSTS(000):$0 Orphan Drug Act Regulations -- 21 CFR Part 316 FORMS: NONE OMB NO: 0910-0168 EXPIRATION DATE: 04/30/2001 RESPS:52 HOURS:26 COSTS(000):$0 Shipment of a Blood Product Prior to Completion of Testing for Hepatitis B Surface Antigen (HBsAg) and Shipment of Blood Products Known Reactive for HBsAg FORMS: NONE OMB NO: 0910-0171 EXPIRATION DATE: 01/31/2003 RESPS:1,600,000 HOURS:986,369 COSTS(000):$0 Hearing Aid Devices: Professional and Patient Labeling and Conditions for Sale FORMS: NONE OMB NO: 0910-0182 EXPIRATION DATE: 03/31/2001 RESPS:30 HOURS:14,760 COSTS(000):$0 Use of Impact-Resistant Lenses in Eyeglasses and Sunglasses FORMS: NONE OMB NO: 0910-0183 EXPIRATION DATE: 02/28/2003 RESPS:120 HOURS:1,440 COSTS(000):$0 Citizen Petition FORMS: NONE OMB NO: 0910-0184 EXPIRATION DATE: 03/31/2003 RESPS:60 HOURS:1,200 COSTS(000):$0 Filing Objections and Requests for a Hearing on a Regulation or Order FORMS: NONE OMB NO: 0910-0185 EXPIRATION DATE: 09/30/2002 RESPS:5 HOURS:9,330 COSTS(000):$14 Labeling Requirements for Color Additives (Other Than Hair Dyes) and Petitions (Formerly Color Additive Petitions) FORMS: NONE OMB NO: 0910-0186 EXPIRATION DATE: 04/30/2003 RESPS:360 HOURS:360 COSTS(000):$0 Irradiation in the Production, Processing and Handling of Food FORMS: NONE OMB NO: 0910-0188 EXPIRATION DATE: 07/31/2002 RESPS:3 HOURS:18,956 COSTS(000):$0 Infant Formula Recall Regulations -- 21 CFR Part 107 FORMS: NONE OMB NO: 0910-0191 EXPIRATION DATE: 03/31/2003 RESPS:1 HOURS:90 COSTS(000):$0 Notice of Participation - 21 CFR 12.45 FORMS: NONE OMB NO: 0910-0192 EXPIRATION DATE: 05/31/2001 RESPS:7 HOURS:70 COSTS(000):$0 (Petition for) Administrative Reconsideration of Action -- 21 CFR 10.33 FORMS: NONE OMB NO: 0910-0193 EXPIRATION DATE: 03/31/2003 RESPS:1 HOURS:48 COSTS(000):$0 Advisory Opinions FORMS: NONE OMB NO: 0910-0194 EXPIRATION DATE: 04/30/2001 RESPS:7 HOURS:70 COSTS(000):$0 Petition for Administrative Stay of Action -- 21 CFR 10.35 FORMS: NONE OMB NO: 0910-0206 EXPIRATION DATE: 08/31/2003 RESPS:7,221 HOURS:21,878 COSTS(000):$0 Request for Samples and Protocols FORMS: NONE OMB NO: 0910-0212 EXPIRATION DATE: 09/30/2002 RESPS:812 HOURS:1,212 COSTS(000):$0 Regulations under the Federal Import Milk Act -- 21 CFR Part 1210 FORMS: 1815 1993 1994 1995 1996 1997 OMB NO: 0910-0216 EXPIRATION DATE: 10/31/2001 RESPS:4,091 HOURS:2,046 COSTS(000):$0 Color Additive Certification -- 21 CFR Part 80, Subpart B FORMS: NONE OMB NO: 0910-0230 EXPIRATION DATE: 05/31/2002 RESPS:18 HOURS:345,114 COSTS(000):$0 Adverse Drug Experience Reporting FORMS: NONE OMB NO: 0910-0231 EXPIRATION DATE: 07/31/2001 RESPS:1 HOURS:67,766 COSTS(000):$0 Premarket Approval of Medical Devices -- 21 CFR 814 FORMS: NONE OMB NO: 0910-0233 EXPIRATION DATE: 10/31/2001 RESPS:1 HOURS:100 COSTS(000):$0 Patent Term Restoration -- 21 CFR Part 60 FORMS: NONE OMB NO: 0910-0249 EXPIRATION DATE: 10/31/2001 RESPS:1,712 HOURS:74,986 COSTS(000):$0 FDA Recall Regulations -- 21 CFR 7(c) FORMS: NONE OMB NO: 0910-0256 EXPIRATION DATE: 02/28/2001 RESPS:40 HOURS:16,272 COSTS(000):$0 Infant Formula Requirements FORMS: NONE OMB NO: 0910-0264 EXPIRATION DATE: 11/30/2003 RESPS:20 HOURS:50 COSTS(000):$0 Export of Medical Devices - Foreign Letters of Approval FORMS: NONE OMB NO: 0910-0275 EXPIRATION DATE: 10/31/2002 RESPS:1 HOURS:10 COSTS(000):$0 State Enforcement Notification -- 21 CFR 100.2(d) FORMS: NONE OMB NO: 0910-0277 EXPIRATION DATE: 10/31/2002 RESPS:1 HOURS:40 COSTS(000):$0 State Petitions for Exemption from Preemption FORMS: NONE OMB NO: 0910-0291 EXPIRATION DATE: 01/31/2001 RESPS:328,361 HOURS:320,081 COSTS(000):$0 MedWatch: The FDA Medical Products Reporting Program FORMS: FDA-3500 FDA-3500A OMB NO: 0910-0297 EXPIRATION DATE: 04/30/2001 RESPS:1,888 HOURS:283 COSTS(000):$0 User Fee Cover Sheet FORMS: FDA-3397 OMB NO: 0910-0298 EXPIRATION DATE: 03/31/2001 RESPS:60 HOURS:3,200 COSTS(000):$0 Food Additivies: Threshold of Regulation for Substances Used in Food-Contact Articles FORMS: NONE OMB NO: 0910-0302 EXPIRATION DATE: 02/28/2001 RESPS:11 HOURS:56,287 COSTS(000):$0 Human Tissue Intended for Transplantation FORMS: NONE OMB NO: 0910-0303 EXPIRATION DATE: 05/31/2003 RESPS:4,500 HOURS:270,000 COSTS(000):$0 Electronic Records: Electronic Signatures FORMS: NONE OMB NO: 0910-0305 EXPIRATION DATE: 05/31/2001 RESPS:772 HOURS:1,731 COSTS(000):$0 Abbreviated New Drug Application Regulations, Patent and Exclusivity Provision FORMS: NONE OMB NO: 0910-0308 EXPIRATION DATE: 05/31/2001 RESPS:3,212 HOURS:342,132 COSTS(000):$0 Adverse Experience Reporting for Licensed Biological Products and General Records -- 21 CFR 600 FORMS: NONE OMB NO: 0910-0309 EXPIRATION DATE: 01/31/2001 RESPS:12,821 HOURS:184,510 COSTS(000):$21 Information Collection for Mammography Facilities FORMS: FDA-3422 OMB NO: 0910-0315 EXPIRATION DATE: 08/31/2003 RESPS:3,768 HOURS:112,360 COSTS(000):$655 General Licensing Provisions: Changes to an Approved Application; Labeling; and Revocation and Suspension FORMS: FDA-2567 OMB NO: 0910-0320 EXPIRATION DATE: 07/31/2001 RESPS:219 HOURS:550 COSTS(000):$0 Establishment List of U.S. Firms/Processors Exporting Shell Eggs, Dairy Products, Game Meat, Game Meat Products, and Casings to the European Community FORMS: NONE OMB NO: 0910-0322 EXPIRATION DATE: 08/31/2003 RESPS:10,941 HOURS:230,040 COSTS(000):$0 21 CFR 25 - Environmental Impact Considerations FORMS: NONE OMB NO: 0910-0325 EXPIRATION DATE: 09/30/2002 RESPS:2 HOURS:8,320 COSTS(000):$0 Extralabel Drug Use in Animals FORMS: NONE OMB NO: 0910-0330 EXPIRATION DATE: 07/31/2002 RESPS:1 HOURS:220 COSTS(000):$0 Premarket Notification for a New Dietary Ingredient FORMS: NONE OMB NO: 0910-0331 EXPIRATION DATE: 07/31/2002 RESPS:1 HOURS:700 COSTS(000):$0 Food Labeling: Notification Procedures for Statements on Dietary Supplements FORMS: NONE OMB NO: 0910-0332 EXPIRATION DATE: 12/31/2002 RESPS:129 HOURS:11,398 COSTS(000):$0 Medical Devices; Humanitarian Use Devices -- 21 CFR Part 814, Subpart H FORMS: NONE OMB NO: 0910-0336 EXPIRATION DATE: 01/31/2003 RESPS:375,076 HOURS:80,926 COSTS(000):$0 Current Good Manufacturing Practices for Blood and Blood Components; Notification of Consignees Receiving Blood and Blood Components at Increased Risk for Transmitting HIV FORMS: NONE OMB NO: 0910-0337 EXPIRATION DATE: 11/30/2003 RESPS:175 HOURS:72 COSTS(000):$0 Medicated Feed Mill License Application FORMS: FDA-3448 OMB NO: 0910-0338 EXPIRATION DATE: 03/31/2003 RESPS:21,252 HOURS:602,856 COSTS(000):$0 Application to Market a New Drug, Biologic, or Antibiotic Drug for Human Use - Form FDA 356h FORMS: NONE OMB NO: 0910-0340 EXPIRATION DATE: 05/31/2002 RESPS:39,932 HOURS:120,578 COSTS(000):$0 Over-The-Counter Human Drugs; Labeling Requirements FORMS: NONE OMB NO: 0910-0341 EXPIRATION DATE: 05/31/2003 RESPS:924 HOURS:157 COSTS(000):$0 FDA Safety Alert/Public Health Advisory Readership Survey FORMS: NONE OMB NO: 0910-0342 EXPIRATION DATE: 05/31/2003 RESPS:60 HOURS:9,900 COSTS(000):$0 Notice of a Claim for GRAS exemption based on a GRAS Determination FORMS: NONE OMB NO: 0910-0352 EXPIRATION DATE: 11/30/2003 RESPS:45 HOURS:4,320 COSTS(000):$0 Latex Condoms; User Labeling - Expiration Dating (21 CFR 801.435) FORMS: NONE OMB NO: 0910-0353 EXPIRATION DATE: 02/28/2001 RESPS:7 HOURS:854 COSTS(000):$0 Sterility Requirements for Inhalation Solution Products FORMS: NONE OMB NO: 0910-0354 EXPIRATION DATE: 01/31/2001 RESPS:3,146,660 HOURS:615,991 COSTS(000):$0 Procedures for the Safe Processing and Importing of Fish and Fishery Products -- 21 CFR Part 123 (Final Rule) FORMS: NONE OMB NO: 0910-0356 EXPIRATION DATE: 01/31/2001 RESPS:860 HOURS:544,036 COSTS(000):$0 Substantial Evidence of Effectiveness of New Animal Drugs FORMS: NONE OMB NO: 0910-0357 EXPIRATION DATE: 01/31/2001 RESPS:66 HOURS:66 COSTS(000):$40 Serving Sizes: Reference Amount for Baking Powder, Baking Soda, and Pectin FORMS: NONE OMB NO: 0910-0359 EXPIRATION DATE: 01/31/2002 RESPS:880 HOURS:13,200 COSTS(000):$0 Medical Devices: Reports of Corrections and Removals FORMS: NONE OMB NO: 0910-0360 EXPIRATION DATE: 03/31/2002 RESPS:20,000 HOURS:6,000 COSTS(000):$0 Customer/Partner Service Surveys FORMS: NONE OMB NO: 0910-0361 EXPIRATION DATE: 01/31/2001 RESPS:300 HOURS:15,000 COSTS(000):$0 Medical Devices; Classification/Reclassification; Restricted Devices; Analyte Specific Reagents FORMS: NONE OMB NO: 0910-0363 EXPIRATION DATE: 10/31/2002 RESPS:1,885,101 HOURS:121,329 COSTS(000):$0 Veterinary Feed Directive (Proposed Rule) FORMS: NONE OMB NO: 0910-0364 EXPIRATION DATE: 03/31/2001 RESPS:30 HOURS:30 COSTS(000):$15 Nutrition Labeling: Declaration of Caloric Amounts and Serving FORMS: NONE OMB NO: 0910-0368 EXPIRATION DATE: 04/30/2001 RESPS:20 HOURS:2,000 COSTS(000):$0 OTC Test Sample Collection Systems for Drugs of Abuse Testing FORMS: NONE OMB NO: 0910-0370 EXPIRATION DATE: 05/31/2001 RESPS:290 HOURS:34,800 COSTS(000):$0 Specific Requirements on Content and Format of Labeling for Human Prescription Drugs, Addition of "Geriatric Use" Subsection in the Labeling FORMS: NONE OMB NO: 0910-0372 EXPIRATION DATE: 07/31/2001 RESPS:1,492 HOURS:1,119 COSTS(000):$0 Manufacturers of Human Cellular and Tissue-Based Products FORMS: FDA-3356 OMB NO: 0910-0374 EXPIRATION DATE: 07/31/2002 RESPS:60 HOURS:60 COSTS(000):$0 Guidance for Industry: Notification of a Health Claim or Nutrient Content Claim Based on an Authoritative Statement of a Scientific Body FORMS: NONE OMB NO: 0910-0375 EXPIRATION DATE: 12/31/2001 RESPS:180 HOURS:7,960 COSTS(000):$0 Medical Devices: Third-Party Review Program under FDAMA FORMS: NONE OMB NO: 0910-0376 EXPIRATION DATE: 08/31/2001 RESPS:10,879 HOURS:21,758 COSTS(000):$0 Transmittal of Advertising and Promotional Labeling for Drugs and Biologics for Human Use FORMS: FDA-2253 OMB NO: 0910-0378 EXPIRATION DATE: 02/28/2002 RESPS:212 HOURS:9,488 COSTS(000):$0 Medical Devices: Third-Party Review Program under the U.S./E.C. MRA FORMS: NONE OMB NO: 0910-0381 EXPIRATION DATE: 09/30/2001 RESPS:509,513 HOURS:1,583,003 COSTS(000):$16,800 Food Labeling Regulations FORMS: NONE OMB NO: 0910-0385 EXPIRATION DATE: 10/31/2001 RESPS:493 HOURS:32,612 COSTS(000):$0 Supplements to Premarket Approval Applications for Medical Devices FORMS: NONE OMB NO: 0910-0387 EXPIRATION DATE: 12/31/2001 RESPS:29,302 HOURS:48,286 COSTS(000):$0 Medical Devices Registration and Listing FORMS: 2891 2891A 2982 OMB NO: 0910-0389 EXPIRATION DATE: 06/30/2002 RESPS:114 HOURS:9,000 COSTS(000):$0 Guidance for Industry: Fast Track Drug Development Programs Designation, Development, and Application Review FORMS: NONE OMB NO: 0910-0390 EXPIRATION DATE: 09/30/2002 RESPS:4,492 HOURS:52,208 COSTS(000):$0 Dissemination of Information on Unapproved/New Uses for Marketed Drugs, Biologics, and Devices FORMS: NONE OMB NO: 0910-0392 EXPIRATION DATE: 01/31/2002 RESPS:2,663 HOURS:40,571 COSTS(000):$0 Regulations Requiring Manufacturers to Assess the Safety and Effectiveness of New Drugs and Biological Products in Pediatric Patients FORMS: NONE OMB NO: 0910-0393 EXPIRATION DATE: 01/31/2002 RESPS:150,011 HOURS:2,200 COSTS(000):$0 Prescription Drug Product Labeling, Medication Guide Requirements FORMS: NONE OMB NO: 0910-0395 EXPIRATION DATE: 03/31/2002 RESPS:850 HOURS:213 COSTS(000):$0 Food Labeling: Nutrition Labeling of Dietary Supplements on a "Per Day" Basis FORMS: NONE OMB NO: 0910-0396 EXPIRATION DATE: 03/31/2002 RESPS:1 HOURS:6,250 COSTS(000):$0 Financial Disclosure by Clinical Investigators -- 21 CFR Part 54 (Final Rule) FORMS: 3454 OMB NO: 0910-0398 EXPIRATION DATE: 03/31/2002 RESPS:1 HOURS:80 COSTS(000):$3 Labeling for Menstrual Tampons; Absorbency Range of 15-18 Grams FORMS: NONE OMB NO: 0910-0409 EXPIRATION DATE: 07/31/2002 RESPS:8 HOURS:16,000 COSTS(000):$0 Regulation for In Vivo Radiopharmaceuticals Used for Diagnosis and Monitoring FORMS: NONE OMB NO: 0910-0416 EXPIRATION DATE: 10/31/2002 RESPS:2,028 HOURS:8,128 COSTS(000):$0 Investigational New Drug Applications and New Drug Applications FORMS: NONE OMB NO: 0910-0423 EXPIRATION DATE: 12/31/2002 RESPS:2 HOURS:247 COSTS(000):$0 New Drug and Biological Drug Products; Evidence Needed to Demonstrate Efficacy of New Drugs for Use Against Lethal or Permanently Disabling Toxic Substances When Efficacy Studies... FORMS: NONE OMB NO: 0910-0426 EXPIRATION DATE: 12/31/2002 RESPS:39,984,000 HOURS:3,332,000 COSTS(000):$0 Quality Mammography Standards: Lay Summaries for Patients FORMS: NONE OMB NO: 0910-0427 EXPIRATION DATE: 12/31/2002 RESPS:136 HOURS:96,608 COSTS(000):$0 Biological Product Regulated under Section 351 of the Public Health Service Act; Implementation of Biologics License; Elimination of Establishment License and Product License FORMS: NONE OMB NO: 0910-0428 EXPIRATION DATE: 12/31/2002 RESPS:25 HOURS:30 COSTS(000):$0 Record Retention Requirements for the Soy Protein/CHD Health Claim FORMS: NONE OMB NO: 0910-0429 EXPIRATION DATE: 12/31/2002 RESPS:1,985 HOURS:24,986 COSTS(000):$0 Guidance for Industry on Formal Meetings with Sponsors and Applicants for PDUFA Products FORMS: 1571 356H OMB NO: 0910-0430 EXPIRATION DATE: 12/31/2002 RESPS:64 HOURS:512 COSTS(000):$0 Guidance for Industry on Formal Dispute Resolutions; Appeal Above the Division Level FORMS: 1571 356H OMB NO: 0910-0431 EXPIRATION DATE: 02/28/2001 RESPS:11,913 HOURS:641,705 COSTS(000):$0 Changes to an Approved NDA or ANDA FORMS: NONE OMB NO: 0910-0432 EXPIRATION DATE: 12/31/2002 RESPS:2 HOURS:1,082 COSTS(000):$0 Medical Device Recall Authority FORMS: NONE OMB NO: 0910-0435 EXPIRATION DATE: 02/28/2003 RESPS:96,935,065 HOURS:3,361,996 COSTS(000):$0 Prescription Drug Marketing Act of 1987; Policies, Requirements, and Administrative Procedures FORMS: NONE OMB NO: 0910-0437 EXPIRATION DATE: 03/31/2003 RESPS:39,764 HOURS:91,306 COSTS(000):$0 Medical Devices; Medical Device Reporting;manufacturer reportiing importer reporting, user facility reporting, distributor reporting FORMS: FDA-3419 FDA-3417 OMB NO: 0910-0439 EXPIRATION DATE: 04/30/2003 RESPS:265 HOURS:3,710 COSTS(000):$0 Aluminum in Large and Small Volume Parenterals Used in Total Parenteral Nutrition FORMS: NONE OMB NO: 0910-0442 EXPIRATION DATE: 05/31/2003 RESPS:10,175,490 HOURS:2,790,693 COSTS(000):$0 Medical Devices; Device Tracking (Amended) FORMS: NONE OMB NO: 0910-0443 EXPIRATION DATE: 06/30/2003 RESPS:1 HOURS:250 COSTS(000):$0 Survey of Incidence of Gastroenterolocial Parasitic Infections in the United States as a Result of Consumption of Raw Fish FORMS: NONE OMB NO: 0910-0444 EXPIRATION DATE: 08/31/2003 RESPS:416 HOURS:34,100 COSTS(000):$0 Food additives; Food Contact Substances Notification System FORMS: FDA-3480 OMB NO: 0910-0445 EXPIRATION DATE: 09/30/2003 RESPS:182 HOURS:51,688 COSTS(000):$0 Submitting and Reviewing Complete Responses to Clinical Holds; Guidance for Industry FORMS: NONE OMB NO: 0910-0448 EXPIRATION DATE: 11/30/2003 RESPS:1,000 HOURS:1,000 COSTS(000):$0 Adoption of FDA Food Code by Local, State, and Tribal Governments FORMS: NONE OMB NO: 0910-0449 EXPIRATION DATE: 11/30/2003 RESPS:502 HOURS:23,328 COSTS(000):$0 Postmarket Surveillance FORMS: NONE OMB NO: 0910-0450 EXPIRATION DATE: 11/30/2003 RESPS:66 HOURS:27 COSTS(000):$0 Guidance for Industry on How to Use E-Mail to Submit a Notice of Intent to Slaughter for Human Food Purposes FORMS: 3487 OMB NO: 0910-0452 EXPIRATION DATE: 11/30/2003 RESPS:168 HOURS:116 COSTS(000):$0 Guidance for Industry on How to Use E-Mail to Submit a Request for a Meeting or Teleconference to the Office of New Animal Drug Evaluation FORMS: FDA-3488 OMB NO: 0910-0453 EXPIRATION DATE: 11/30/2003 RESPS:324 HOURS:262 COSTS(000):$0 Guidance for Industry on How to Use E-Mail to Submit a Notice of Final Disposition of Animals Not Inded for Immediate Slaughter FORMS: FDA-3486 OMB NO: 0910-0454 EXPIRATION DATE: 11/30/2003 RESPS:140 HOURS:140 COSTS(000):$0 Guidance: How to Use E-Mail to Submit Information to the Center for Veterinary Medicine FORMS: NONE OMB NO: 0910-0455 EXPIRATION DATE: 11/30/2003 RESPS:83 HOURS:1,529 COSTS(000):$0 Documentation for demonstrating compliance with the Channels FORMS: NONE Health Services Administration OMB NO: 0915-0034 EXPIRATION DATE: 07/31/2003 RESPS:227,552 HOURS:13,703 COSTS(000):$0 Health Education Assistance Loan (HEAL) Program: Forms FORMS: HRSA-504 HRSA-508 OMB NO: 0915-0036 EXPIRATION DATE: 07/31/2002 RESPS:26,700 HOURS:4,958 COSTS(000):$11 Health Education Assistance Loan (HEAL) Program: Lender's Application for Insurance Claim Form and Request for Collection Assistance Form FORMS: HRSA-510 HRSA-513 OMB NO: 0915-0043 EXPIRATION DATE: 10/31/2003 RESPS:12,088 HOURS:6,066 COSTS(000):$0 Health Education Assistance Loan (HEAL) Program Information Collection Requirements - Forms FORMS: HRSA-502-1 HRSA-502-2 HRSA-512 OMB NO: 0915-0044 EXPIRATION DATE: 12/31/2002 RESPS:11,660 HOURS:6,934 COSTS(000):$0 Health Professions Student Loan (HPSL) and Nursing Student Loan (NSL) Programs, Forms FORMS: HRSA-519 HRSA-501 OMB NO: 0915-0047 EXPIRATION DATE: 07/31/2002 RESPS:121,502 HOURS:47,633 COSTS(000):$0 Health Professions Students Loan (HPSL) Program and Nursing Student Loan (NSL) Program: Administrative Requirements (Regulations and Policy) FORMS: NONE OMB NO: 0915-0060 EXPIRATION DATE: 06/30/2003 RESPS:12,540 HOURS:70,313 COSTS(000):$27 HRSA Competing Training Grant Application FORMS: PHS-6025-1 OMB NO: 0915-0061 EXPIRATION DATE: 04/30/2003 RESPS:626 HOURS:6,260 COSTS(000):$0 The Uniform Progress Reports (UPR) for HRSA Continuation Training Grants FORMS: NONE OMB NO: 0915-0077 EXPIRATION DATE: 01/31/2003 RESPS:155,080 HOURS:152,498 COSTS(000):$0 Uncompensated Services Assurance Report FORMS: HRSA-710 OMB NO: 0915-0081 EXPIRATION DATE: 07/31/2003 RESPS:14 HOURS:1 COSTS(000):$0 Black Lung Clinics Program (42 CFR 55a and Program Guidelines) FORMS: NONE OMB NO: 0915-0099 EXPIRATION DATE: 11/30/2003 RESPS:20 HOURS:60 COSTS(000):$0 Grants for Hospital Construction and Modernization - Federal Rights of Recovery and Waiver of Recovery (42 CFR 124, Subpart H) FORMS: NONE OMB NO: 0915-0108 EXPIRATION DATE: 12/31/2003 RESPS:504,661 HOURS:95,290 COSTS(000):$0 Health Education Assistance Loan (HEAL) Program Regulation - 42 CFR Part 60 FORMS: NONE OMB NO: 0915-0126 EXPIRATION DATE: 04/30/2002 RESPS:3,542,355 HOURS:336,757 COSTS(000):$14,707 The National Practitioner Data Bank for Adverse Information on Physicians and Other Health Care Practitioners: Regulations and Forms FORMS: NONE OMB NO: 0915-0127 EXPIRATION DATE: 12/31/2001 RESPS:845 HOURS:1,211 COSTS(000):$0 The National Health Service Corps (NHSC) Loan Repayment Program FORMS: NONE OMB NO: 0915-0140 EXPIRATION DATE: 03/31/2001 RESPS:2,250 HOURS:2,213 COSTS(000):$5 Nursing Education Loan Repayment Program -- 42 CFR 57.312(a) FORMS: NONE OMB NO: 0915-0142 EXPIRATION DATE: 08/31/2002 RESPS:174 HOURS:5,560 COSTS(000):$1 Application for Certification as a Federally Qualified Health Center Look-Alike FORMS: NONE OMB NO: 0915-0146 EXPIRATION DATE: 07/31/2003 RESPS:3,100 HOURS:3,100 COSTS(000):$8 The Application for Participation in the National Health Service Corps Scholarship Program FORMS: HRSA-856 OMB NO: 0915-0149 EXPIRATION DATE: 11/30/2003 RESPS:450 HOURS:12,600 COSTS(000):$0 Scholarships for Disadvantaged Students Applications FORMS: NONE OMB NO: 0915-0150 EXPIRATION DATE: 12/31/2002 RESPS:160 HOURS:110 COSTS(000):$0 Faculty Loan Repayment Program (FLRP) Application FORMS: HRSA-535 OMB NO: 0915-0151 EXPIRATION DATE: 01/31/2002 RESPS:105 HOURS:1,838 COSTS(000):$0 Ryan White CARE Act Dental Reimbursement Program FORMS: NONE OMB NO: 0915-0157 EXPIRATION DATE: 12/31/2002 RESPS:376,520 HOURS:80,362 COSTS(000):$0 Organ Procurement and Transplantation Network and Scientific Registry of Transplant Recipients Data System FORMS: NONE OMB NO: 0915-0158 EXPIRATION DATE: 12/31/2003 RESPS:278 HOURS:22,240 COSTS(000):$0 Grantee Reporting Requirements for the Ryan White Comprehensive AIDS Resources Emergency Act of 1990 - Title III FORMS: NONE OMB NO: 0915-0166 EXPIRATION DATE: 01/31/2003 RESPS:2,882 HOURS:68,241 COSTS(000):$72 Annual Administrative Reporting System for Ryan White Comprehensive AIDS Resources Emergency (CARE) Act of 1990, Titles I and II FORMS: NONE OMB NO: 0915-0172 EXPIRATION DATE: 04/30/2003 RESPS:59 HOURS:19,858 COSTS(000):$0 Maternal and Child Health Services Block Grant Annual Report, Needs Assessment and Application Guidance FORMS: NONE OMB NO: 0915-0174 EXPIRATION DATE: 06/30/2003 RESPS:150 HOURS:150 COSTS(000):$0 Loan Information System Records for the DHHS and DHUD Hospital Mortgage Insurance, Guarantee, and Direct Loan Programs FORMS: HRSA-906 OMB NO: 0915-0176 EXPIRATION DATE: 10/31/2003 RESPS:9 HOURS:94 COSTS(000):$0 Drug Pricing Program Reporting Requirements FORMS: NONE OMB NO: 0915-0179 EXPIRATION DATE: 01/31/2001 RESPS:700 HOURS:400 COSTS(000):$0 Deferment Request Form for the National Health Service Corps and Native Hawaiian Health Scholarship Programs FORMS: NONE OMB NO: 0915-0184 EXPIRATION DATE: 05/31/2001 RESPS:36,460 HOURS:4,842 COSTS(000):$0 Organ Procurement and Transplantation Network -- 42 CFR Part 121 FORMS: NONE OMB NO: 0915-0188 EXPIRATION DATE: 07/31/2001 RESPS:600 HOURS:3,630 COSTS(000):$23 Data Collection and Reporting Requirements for Healthy Schools, FORMS: NONE OMB NO: 0915-0192 EXPIRATION DATE: 07/31/2002 RESPS:39,360 HOURS:13,120 COSTS(000):$0 The National Survey of Registerd Nurses 2000 FORMS: NONE OMB NO: 0915-0193 EXPIRATION DATE: 05/31/2001 RESPS:685 HOURS:17,944 COSTS(000):$75 Uniform Data System FORMS: NONE OMB NO: 0915-0204 EXPIRATION DATE: 04/30/2001 RESPS:300 HOURS:175 COSTS(000):$1 Health Education Assistance Loan (HEAL) Program: Physician's Certification of Borrower's Total and Permanent Disability FORMS: HRSA-539 OMB NO: 0915-0206 EXPIRATION DATE: 12/31/2003 RESPS:178 HOURS:9,714 COSTS(000):$403 Ryan White Comprehensive AIDS Resources Emergency Act of 1990, Amended 1996 - Title IV FORMS: NONE OMB NO: 0915-0208 EXPIRATION DATE: 09/30/2002 RESPS:339 HOURS:68 COSTS(000):$0 Professional Training and Information Questionnaire FORMS: NONE OMB NO: 0915-0212 EXPIRATION DATE: 03/31/2003 RESPS:52,050 HOURS:5,075 COSTS(000):$0 Voluntary Partnership Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration FORMS: NONE OMB NO: 0915-0218 EXPIRATION DATE: 04/30/2002 RESPS:66 HOURS:82 COSTS(000):$0 Grantee Reporting Requirements for the Rural Health Network Grant Program FORMS: NONE OMB NO: 0915-0219 EXPIRATION DATE: 11/30/2003 RESPS:864 HOURS:648 COSTS(000):$0 AIDS Drug Assistance Program Monthly Report for Ryan White Comprehensive AIDS Resources Emergency Act Amendments of 1996, Titles I and II FORMS: NONE OMB NO: 0915-0226 EXPIRATION DATE: 10/31/2001 RESPS:1 HOURS:300 COSTS(000):$0 NHSC and Native Hawaiian Health Scholarship Programs Data Collection Worksheet FORMS: NONE OMB NO: 0915-0227 EXPIRATION DATE: 11/30/2001 RESPS:5,600 HOURS:1,960 COSTS(000):$0 Health Education Assistance Loan (HEAL) Program: Refinancing Application/Promissory Note FORMS: HRSA-550 OMB NO: 0915-0230 EXPIRATION DATE: 12/31/2001 RESPS:1,000 HOURS:750 COSTS(000):$0 NHSC Recruitment and Retention Assistance Application FORMS: NONE OMB NO: 0915-0232 EXPIRATION DATE: 02/28/2002 RESPS:620 HOURS:8,060 COSTS(000):$0 National Health Service Corps Uniform Data System FORMS: NONE OMB NO: 0915-0233 EXPIRATION DATE: 03/31/2002 RESPS:1 HOURS:200 COSTS(000):$0 Disadvantaged Assistance Tracking and Outcome Report (DATOR) for Health Careers Opportunity Program and Centers of Excellence Program FORMS: NONE OMB NO: 0915-0234 EXPIRATION DATE: 05/31/2002 RESPS:1,200 HOURS:638 COSTS(000):$0 NHSC Waiver Request Worksheets FORMS: NONE OMB NO: 0915-0236 EXPIRATION DATE: 08/31/2002 RESPS:320 HOURS:1,000 COSTS(000):$0 Assessment of Factors Influencing the Adequacy of Health Care Services to Children in Foster Care and Other Out-of-Home Placements FORMS: NONE OMB NO: 0915-0239 EXPIRATION DATE: 01/31/2001 RESPS:1,282,004 HOURS:187,169 COSTS(000):$2,107 Healthcare Integrity and Protection Data Bank for Final Adverse Information on Health Care Providers, Suppliers, and Practitioners -- 45 CFR 61 FORMS: NONE OMB NO: 0915-0241 EXPIRATION DATE: 06/30/2001 RESPS:4,037 HOURS:1,324 COSTS(000):$0 Employment Sites of Nursing Graduates FORMS: NONE OMB NO: 0915-0242 EXPIRATION DATE: 09/30/2001 RESPS:7,324 HOURS:2,248 COSTS(000):$0 Assessment of the Impact of the National Practitioner Data Bank FORMS: NONE OMB NO: 0915-0243 EXPIRATION DATE: 03/31/2001 RESPS:240 HOURS:120 COSTS(000):$0 Pilot Study of African American Women on Health Care Attitudes and Behaviors FORMS: NONE OMB NO: 0915-0244 EXPIRATION DATE: 12/31/2003 RESPS:2,025 HOURS:4,725 COSTS(000):$0 Ricky Ray Hemophilia Relief Fund Program FORMS: NONE OMB NO: 0915-0245 EXPIRATION DATE: 07/31/2003 RESPS:52,298 HOURS:26,149 COSTS(000):$0 They Ryan White CARE Act Client Demonstration Project Reporting System FORMS: NONE OMB NO: 0915-0247 EXPIRATION DATE: 01/31/2001 RESPS:54 HOURS:7,454 COSTS(000):$0 Children's Hospital Graduate Medical Education Program FORMS: NONE OMB NO: 0915-0248 EXPIRATION DATE: 08/31/2003 RESPS:420 HOURS:139 COSTS(000):$0 The Impact of the State Child Health Insurance Program on Selected Community Health Centers and Maternal and Child Health Programs FORMS: NONE OMB NO: 0915-0249 EXPIRATION DATE: 12/31/2001 RESPS:6,800 HOURS:1,156 COSTS(000):$0 Increasing Donor Awareness on College Campuses FORMS: NONE Indian Health Service OMB NO: 0917-0002 EXPIRATION DATE: 04/30/2001 RESPS:415,213 HOURS:20,778 COSTS(000):$0 IHS Contract Health Service Report FORMS: IHS-843-1A OMB NO: 0917-0006 EXPIRATION DATE: 04/30/2001 RESPS:11,730 HOURS:5,390 COSTS(000):$0 Application for Participation in the IHS Scholarship Program FORMS: IHS-856 856-2-856-8 IHS-818 D-02 F-02 F-04 G-02 G-04 H-07-H-08 J-04-J-05 OMB NO: 0917-0007 EXPIRATION DATE: 12/31/2003 RESPS:261 HOURS:313 COSTS(000):$0 IHS Urban Indian Health Program Common Reporting Requirements FORMS: NONE OMB NO: 0917-0009 EXPIRATION DATE: 08/31/2002 RESPS:3,709 HOURS:2,221 COSTS(000):$0 Indian Health Service Medical Staff Credentials and Privileges Files FORMS: NONE OMB NO: 0917-0010 EXPIRATION DATE: 01/31/2001 RESPS:4 HOURS:6,600 COSTS(000):$0 IHS Community Health Representative Activity Reporting Sample FORMS: IHS-826 OMB NO: 0917-0014 EXPIRATION DATE: 12/31/2002 RESPS:1,750 HOURS:1,137 COSTS(000):$0 Indian Health Service Loan Repayment Program FORMS: NONE OMB NO: 0917-0020 EXPIRATION DATE: 08/31/2002 RESPS:600 HOURS:600 COSTS(000):$0 IHS Registered Nurses Recruitment and Retention Survey FORMS: NONE OMB NO: 0917-0022 EXPIRATION DATE: 07/31/2003 RESPS:475 HOURS:236 COSTS(000):$0 Evaluation of the Indian Health Service/Bureau of Indian Affairs Training Practitioners Project FORMS: NONE Agency for Health Care Policy and Research No active collections for this subagency Centers for Disease Control and Prevention OMB NO: 0920-0004 EXPIRATION DATE: 03/31/2003 RESPS:326 HOURS:2,647 COSTS(000):$0 National Disease Surveillance Program II; Disease Summaries FORMS: CDC52.12 52.13 52.19 52.20 52.28 55.41 55.3 55.9/55.20 55.31/55.31A 55.83A-C OMB NO: 0920-0006 EXPIRATION DATE: 12/31/2001 RESPS:200 HOURS:33 COSTS(000):$0 Application for Waiver of Inadmissability Under Immigration and Nationality Act FORMS: CDC-4.422-1 OMB NO: 0920-0007 EXPIRATION DATE: 08/31/2001 RESPS:9,365 HOURS:4,927 COSTS(000):$0 Weekly and Annual Morbidity and Mortality Reports FORMS: CDC-43.5A OMB NO: 0920-0008 EXPIRATION DATE: 06/30/2003 RESPS:12,000 HOURS:3,000 COSTS(000):$0 Emergency Epidemic Investigations FORMS: NONE OMB NO: 0920-0009 EXPIRATION DATE: 04/30/2001 RESPS:89,229 HOURS:27,110 COSTS(000):$0 Natinal Disease Surveillance Program - 1. Case Reports FORMS: CDC-50.42A-B CDC-52.3 CDC-52.5 CDC-52.15N CDC-52.18 CDC-52.56 CDC-52.60 CDC-53.1 CDC-54.1-2 CDC-54.7 OMB NO: 0920-0010 EXPIRATION DATE: 11/30/2002 RESPS:1,600 HOURS:600 COSTS(000):$0 The National Birth Defects Prevention Study (Formerly Called Metro Atlanta Birth Defects and Factor Surveillance Program) FORMS: NONE OMB NO: 0920-0011 EXPIRATION DATE: 01/31/2001 RESPS:792 HOURS:828 COSTS(000):$0 National Sexually Transmitted Diseases (STD) Morbidity FORMS: CDC73.688 CDC73.998 CDC73.2638 OMB NO: 0920-0012 EXPIRATION DATE: 09/30/2003 RESPS:92,542 HOURS:71,259 COSTS(000):$100 National Nosocomial Infections Surveillance (NNIS) System FORMS: 57.65 57.66 57.58D 57.58B 57.58H 57.58G 57.58C 57.64A 57.68 57.69/57.70 OMB NO: 0920-0017 EXPIRATION DATE: 04/30/2003 RESPS:55,000 HOURS:4,584 COSTS(000):$0 Application for Training FORMS: 32.1 36.5 OMB NO: 0920-0020 EXPIRATION DATE: 04/30/2001 RESPS:31,150 HOURS:4,791 COSTS(000):$0 X-Ray Examination Program FORMS: NONE OMB NO: 0920-0021 EXPIRATION DATE: 03/31/2003 RESPS:150 HOURS:62 COSTS(000):$0 Regulation 42 CFR 37.204 -- National Coal Workers' Autopsy Study FORMS: NONE OMB NO: 0920-0026 EXPIRATION DATE: 12/31/2001 RESPS:1,600 HOURS:400 COSTS(000):$0 National Tuberculosis Surveillance FORMS: NONE OMB NO: 0920-0033 EXPIRATION DATE: 09/30/2002 RESPS:3,200 HOURS:3,200 COSTS(000):$0 National Surveillance of Dialysis-Associated Diseases in FORMS: NONE OMB NO: 0920-0035 EXPIRATION DATE: 01/31/2001 RESPS:252 HOURS:42 COSTS(000):$0 Employee Vital Status Letter FORMS: NONE OMB NO: 0920-0102 EXPIRATION DATE: 10/31/2001 RESPS:400 HOURS:80 COSTS(000):$0 Contents of a Request for Health Hazard Evaluation -- 42 CFR 85.3-1 FORMS: NONE OMB NO: 0920-0106 EXPIRATION DATE: 11/30/2001 RESPS:122 HOURS:5,490 COSTS(000):$0 Preventive Health and Health Services Block Grant FORMS: NONE OMB NO: 0920-0109 EXPIRATION DATE: 08/31/2001 RESPS:784 HOURS:177,968 COSTS(000):$0 Information Collection Provisions in 42 CFR 84 Tests and Requirements for Certification and Approval of Respiratory Protective Devices FORMS: NONE OMB NO: 0920-0128 EXPIRATION DATE: 07/31/2003 RESPS:1,000 HOURS:260 COSTS(000):$0 Congenital Syphilis (CS) Case Investigation and Report Form FORMS: CDC-73.126 OMB NO: 0920-0134 EXPIRATION DATE: 05/31/2001 RESPS:1,961 HOURS:122 COSTS(000):$0 Foreign Quarantine -- 42 CFR Part 71 FORMS: CDC-75.37 CDC-75.10A OMB NO: 0920-0138 EXPIRATION DATE: 10/31/2001 RESPS:66 HOURS:48 COSTS(000):$0 Pulmonary Function Testing Course FORMS: NONE OMB NO: 0920-0148 EXPIRATION DATE: 03/31/2003 RESPS:1 HOURS:44 COSTS(000):$0 Specifications and Test for Approval of Coal Mine Dust Personal Sampler Units FORMS: NONE OMB NO: 0920-0199 EXPIRATION DATE: 06/30/2003 RESPS:5,370 HOURS:1,925 COSTS(000):$0 Importation of etiological agents and packaging and handling of infectious substances and select agents FORMS: CDC-0.753 CDC-0.1241 APPLICATION OMB NO: 0920-0208 EXPIRATION DATE: 07/31/2003 RESPS:260 HOURS:184 COSTS(000):$0 HIV Prevention and Surveillance Project Reports FORMS: NONE OMB NO: 0920-0210 EXPIRATION DATE: 10/31/2003 RESPS:38 HOURS:1,418 COSTS(000):$0 List of Ingredients Added to Tobacco in the Manufacture of Cigarette Products FORMS: NONE OMB NO: 0920-0212 EXPIRATION DATE: 10/31/2002 RESPS:68,309 HOURS:2,484 COSTS(000):$0 National Hospital Discharge Survey FORMS: NONE OMB NO: 0920-0213 EXPIRATION DATE: 03/31/2003 RESPS:1,880 HOURS:418 COSTS(000):$0 National Vital Statistics Report Forms FORMS: CDC-64.146 CDC-64.147 OMB NO: 0920-0214 EXPIRATION DATE: 04/30/2002 RESPS:42,000 HOURS:48,600 COSTS(000):$0 National Health Interview Survey: 2001: Basic Module with Topical Modules FORMS: NONE OMB NO: 0920-0215 EXPIRATION DATE: 10/31/2001 RESPS:780 HOURS:227 COSTS(000):$0 Application Form and Related Forms for the Operation of the National Death Index FORMS: CDC/NCHS-6205-1 CDC-6424 CDC-6425 CDC-6426 PHS-6205-3 OMB NO: 0920-0222 EXPIRATION DATE: 01/31/2001 RESPS:500 HOURS:500 COSTS(000):$0 NCHS Laboratory-Based Questionnaire Research FORMS: NONE OMB NO: 0920-0234 EXPIRATION DATE: 08/31/2003 RESPS:141,000 HOURS:11,225 COSTS(000):$0 National Ambulatory Medical Care Survey, 2001-2002 FORMS: CDC-64.148 CDC-64.149 OMB NO: 0920-0237 EXPIRATION DATE: 08/31/2002 RESPS:23,051 HOURS:51,414 COSTS(000):$0 National Health and Nutrition Examination Survey (NHANES) FORMS: NONE OMB NO: 0920-0260 EXPIRATION DATE: 01/31/2001 RESPS:4,095 HOURS:4,095 COSTS(000):$0 Health Hazard Evaluation, Technical Assitance, and Emerging Problems FORMS: NONE OMB NO: 0920-0261 EXPIRATION DATE: 01/31/2001 RESPS:54 HOURS:4,635 COSTS(000):$0 Training Grants, Application and Regulations -- 42 CFR Part 86 FORMS: NONE OMB NO: 0920-0262 EXPIRATION DATE: 03/31/2003 RESPS:3,500 HOURS:3,500 COSTS(000):$0 Supplement to HIV/AIDS Surveillance (SHAS) Project FORMS: NONE OMB NO: 0920-0263 EXPIRATION DATE: 02/28/2002 RESPS:100 HOURS:14 COSTS(000):$0 Requirements for a Special Permit to Import Cynomolgus, African Green, or Rhesus Monkeys into the United States FORMS: NONE OMB NO: 0920-0274 EXPIRATION DATE: 06/30/2001 RESPS:1,425 HOURS:668 COSTS(000):$0 CDC Model Performance Evaluation Program (MPEP) for Retroviral and AIDS-Related Testing FORMS: NONE OMB NO: 0920-0278 EXPIRATION DATE: 07/31/2003 RESPS:135,785 HOURS:13,450 COSTS(000):$0 National Hospital Ambulatory Medical Care Surey FORMS: 101 101/U OMB NO: 0920-0282 EXPIRATION DATE: 01/31/2002 RESPS:176 HOURS:352 COSTS(000):$0 Childhood Lead Poisoning Prevention Program Quarterly Report FORMS: NONE OMB NO: 0920-0295 EXPIRATION DATE: 03/31/2002 RESPS:35,380 HOURS:754 COSTS(000):$0 National AIDS and STD Hotline Survey of Callers FORMS: NONE OMB NO: 0920-0298 EXPIRATION DATE: 03/31/2001 RESPS:20,250 HOURS:5,625 COSTS(000):$0 National Home and Hospice Care Survey FORMS: NONE OMB NO: 0920-0307 EXPIRATION DATE: 12/31/2001 RESPS:1,548 HOURS:6,212 COSTS(000):$0 Gonococcal Isolate Surveillance Project FORMS: 73.60A 73.60B 73.60C OMB NO: 0920-0314 EXPIRATION DATE: 04/30/2002 RESPS:3,500 HOURS:1,684 COSTS(000):$0 National Survey of Family Growth, Cycle 6 Pretest FORMS: NONE OMB NO: 0920-0322 EXPIRATION DATE: 12/31/2002 RESPS:150 HOURS:50 COSTS(000):$0 Chloera and Other Vibrio Illness Surveillance Report FORMS: CDC-52.79 OMB NO: 0920-0337 EXPIRATION DATE: 03/31/2001 RESPS:148 HOURS:456 COSTS(000):$0 Childhood Blood Lead Surveillance System FORMS: NONE OMB NO: 0920-0338 EXPIRATION DATE: 10/31/2003 RESPS:6 HOURS:254 COSTS(000):$0 List of Ingredients Added to Tobacco in the Manufacture of Smokeless Tobacco Products FORMS: NONE OMB NO: 0920-0350 EXPIRATION DATE: 02/28/2001 RESPS:2,251 HOURS:2,251 COSTS(000):$0 Occupational Asthma Identification Methods FORMS: NONE OMB NO: 0920-0353 EXPIRATION DATE: 04/30/2002 RESPS:22,500 HOURS:4,500 COSTS(000):$0 National Nursing Home Survey FORMS: NONE OMB NO: 0920-0356 EXPIRATION DATE: 10/31/2002 RESPS:2,191 HOURS:983 COSTS(000):$0 Measurement of Stress and Stressful Life Events in Black Women of Reproductive Age FORMS: NONE OMB NO: 0920-0366 EXPIRATION DATE: 08/31/2001 RESPS:12,500 HOURS:4,167 COSTS(000):$0 Breast Cancer Incidence in Occupational Cohorts Exposed to Ethylene Oxide and Polychlorinated Biphenyls FORMS: NONE OMB NO: 0920-0367 EXPIRATION DATE: 04/30/2002 RESPS:6,200 HOURS:6,200 COSTS(000):$0 Studies of Adverse Reproductive Outcomes in Female Occupational Groups FORMS: NONE OMB NO: 0920-0387 EXPIRATION DATE: 08/31/2001 RESPS:8,000 HOURS:6,160 COSTS(000):$0 Intensive Care Antimicrobial Resistance Epidemiology (Project ICARE), Phase 3 FORMS: NONE OMB NO: 0920-0401 EXPIRATION DATE: 06/30/2003 RESPS:4,500 HOURS:2,066 COSTS(000):$0 Longitudinal Studies of Chronic Fatigue Syndrome: Sedgwick County Study 36-Month Follow-up FORMS: NONE OMB NO: 0920-0406 EXPIRATION DATE: 03/31/2002 RESPS:215,384 HOURS:89,743 COSTS(000):$0 State and Local Area Integrated Telephone Survey (SLAITS) FORMS: NONE OMB NO: 0920-0417 EXPIRATION DATE: 11/30/2003 RESPS:180,510 HOURS:37,397 COSTS(000):$10 National Surveillance System for Health Care Workers FORMS: NONE OMB NO: 0920-0425 EXPIRATION DATE: 08/31/2002 RESPS:1,914 HOURS:1,394 COSTS(000):$0 Health Assessment of Persian Gulf War Veterans from Iowa: Follow-Up Study on Asthma FORMS: NONE OMB NO: 0920-0427 EXPIRATION DATE: 06/30/2001 RESPS:300 HOURS:150 COSTS(000):$0 Sentinel Surveillance for Chronic Liver Disease FORMS: NONE OMB NO: 0920-0428 EXPIRATION DATE: 06/30/2003 RESPS:16,571 HOURS:31,204 COSTS(000):$0 PHS Supplements to Application for Federal Assistance (SF 424) FORMS: PHS-51610-1 CDC-0.1246(E) CDC-0.1113 OMB NO: 0920-0430 EXPIRATION DATE: 06/30/2001 RESPS:550 HOURS:275 COSTS(000):$0 Supporting Statement on Evaluation of Educational Brochures on Opportunitistic Infections Affecting People with HIV/AIDS FORMS: NONE OMB NO: 0920-0434 EXPIRATION DATE: 08/31/2001 RESPS:1,017 HOURS:170 COSTS(000):$0 A Survey of Influenza A Outbreak Control Measured in U.S. Nursing Homes FORMS: NONE OMB NO: 0920-0436 EXPIRATION DATE: 02/28/2001 RESPS:2,044 HOURS:1,089 COSTS(000):$0 A Follow-Up Study of Children With Developmental Disabilities FORMS: NONE OMB NO: 0920-0441 EXPIRATION DATE: 03/31/2002 RESPS:3,920 HOURS:1,704 COSTS(000):$0 Survey Component of the CDC's Prevention of HIV Infection in FORMS: NONE OMB NO: 0920-0442 EXPIRATION DATE: 03/31/2002 RESPS:22,300 HOURS:5,200 COSTS(000):$0 Surveillance for Bloodstream and Vascular Access Infections in Outpatient Hemodialysis Centers FORMS: NONE OMB NO: 0920-0444 EXPIRATION DATE: 01/31/2002 RESPS:11 HOURS:1,870 COSTS(000):$0 Annual Submission of the Quantity of Nicotine Contained in Smokeless Tobacco Products Manufactured, Imported, or Packaged in the United States FORMS: NONE OMB NO: 0920-0445 EXPIRATION DATE: 10/31/2002 RESPS:23,632 HOURS:16,581 COSTS(000):$0 School Health Policies and Program Study 2000 (SHPPS 2000) FORMS: NONE OMB NO: 0920-0446 EXPIRATION DATE: 05/31/2001 RESPS:2,293 HOURS:573 COSTS(000):$0 Validity of Recall of Prostate and Colorectal Cancer Screening Tests FORMS: NONE OMB NO: 0920-0448 EXPIRATION DATE: 06/30/2001 RESPS:12,092 HOURS:2,223 COSTS(000):$0 Mammography Rescreening Rates and Risk Factor Assessment FORMS: NONE OMB NO: 0920-0449 EXPIRATION DATE: 07/31/2002 RESPS:184,000 HOURS:30,667 COSTS(000):$0 Evaluation of Customer Satisfaction with the Centers for Disease Control and Prevention Internet Home Page and Links FORMS: NONE OMB NO: 0920-0450 EXPIRATION DATE: 09/30/2002 RESPS:1,925 HOURS:1,141 COSTS(000):$0 Children's Longitudinal Development Study FORMS: NONE OMB NO: 0920-0451 EXPIRATION DATE: 12/31/2001 RESPS:5,361 HOURS:4,761 COSTS(000):$0 Defining Gulf War Illness FORMS: NONE OMB NO: 0920-0452 EXPIRATION DATE: 09/30/2002 RESPS:7,680 HOURS:7,680 COSTS(000):$0 Young People in Alternative Education Settings: Preventing HIV and Other STDs FORMS: NONE OMB NO: 0920-0453 EXPIRATION DATE: 06/30/2001 RESPS:121 HOURS:121 COSTS(000):$0 Use of Laboratory Information Systems (LIS) to Transmit Infectious Diseases Test Results (HL7) Messages to Public Health Agencies FORMS: NONE OMB NO: 0920-0454 EXPIRATION DATE: 08/31/2001 RESPS:900 HOURS:300 COSTS(000):$0 An Evaluation of the NIOSH Alert: Preventing Needle-Stick Injuries in the Health Care Setting FORMS: NONE OMB NO: 0920-0457 EXPIRATION DATE: 11/30/2002 RESPS:136 HOURS:340 COSTS(000):$0 Aggregate Reports for Tuberculosis Program Evaluation FORMS: NONE OMB NO: 0920-0458 EXPIRATION DATE: 11/30/2002 RESPS:1,500 HOURS:249 COSTS(000):$0 Evaluating the Effectiveness of Tailored Occupational Safety and Health Information on the World Wide Web FORMS: NONE OMB NO: 0920-0459 EXPIRATION DATE: 11/30/2002 RESPS:480 HOURS:160 COSTS(000):$7 The Development and Implementation of a Theory-Based Health Among Masonry Workers FORMS: NONE OMB NO: 0920-0460 EXPIRATION DATE: 11/30/2002 RESPS:8,208 HOURS:2,964 COSTS(000):$0 Evaluation of Training Intervention Effectiveness of NIOSH Electrical Safety Curriculum FORMS: NIOS-99-EID-01 OMB NO: 0920-0461 EXPIRATION DATE: 11/30/2002 RESPS:3,130 HOURS:534 COSTS(000):$0 An Evaluation of Targeted Health Communication Messages: Folic Acid and Neural Tube Defects FORMS: NONE OMB NO: 0920-0462 EXPIRATION DATE: 11/30/2002 RESPS:3,440 HOURS:8,600 COSTS(000):$0 Evaluation of the Effectiveness of Targeted Lookback for Identifying Transfusion Recipients Who Receive Blood That May Have Contained Hepatitis C Virus FORMS: NONE OMB NO: 0920-0463 EXPIRATION DATE: 11/30/2002 RESPS:250 HOURS:250 COSTS(000):$0 Gene: Environmental Interactions in Beryllium Sensitization and Disease Among Current and Former Industry Workers FORMS: NONE OMB NO: 0920-0465 EXPIRATION DATE: 12/31/2002 RESPS:1,282 HOURS:561 COSTS(000):$0 Case-Control Study of Lifetime Exposure to Drinking Water Disinfection By-Products and Bladder Cancer in Pet Dogs FORMS: NONE OMB NO: 0920-0466 EXPIRATION DATE: 01/31/2003 RESPS:3,600 HOURS:900 COSTS(000):$0 Management of Occupational Blood Exposures and Antibiotic FORMS: NONE OMB NO: 0920-0467 EXPIRATION DATE: 03/31/2003 RESPS:300 HOURS:99 COSTS(000):$0 Studies of Safety for Worker's Eyes FORMS: N/A OMB NO: 0920-0468 EXPIRATION DATE: 10/31/2001 RESPS:1,000 HOURS:334 COSTS(000):$0 A Pilot Study to Evaluate CDC's 1998 Guidelines for the Treatment of Sexually Transmitted Diseases Among Clinicians in Two Managed Care Organizations FORMS: NONE OMB NO: 0920-0469 EXPIRATION DATE: 03/31/2003 RESPS:1 HOURS:126 COSTS(000):$0 National Program of Cancer Registries - Cancer Surveillance System FORMS: NONE OMB NO: 0920-0470 EXPIRATION DATE: 07/31/2003 RESPS:880 HOURS:98 COSTS(000):$0 Possible Estuary Associated Syndrome (PEAS) Surveillance FORMS: NONE OMB NO: 0920-0471 EXPIRATION DATE: 04/30/2001 RESPS:1,000 HOURS:250 COSTS(000):$0 Evaluation of a NIOSH Alert to Reduce the Risks to Fire Fighters from Structural Collapse FORMS: NONE OMB NO: 0920-0472 EXPIRATION DATE: 06/30/2003 RESPS:2,360 HOURS:510 COSTS(000):$0 Assessment of Exposure to Arsenic through Household Water FORMS: NONE OMB NO: 0920-0473 EXPIRATION DATE: 06/30/2003 RESPS:880 HOURS:218 COSTS(000):$0 Surveillance and Evaluation of Plasma Donors for the Human Immunodeficiency Virus (HIV) and Hepatitis C Virus (HCV) FORMS: NONE OMB NO: 0920-0474 EXPIRATION DATE: 06/30/2001 RESPS:150 HOURS:63 COSTS(000):$0 Telephone Survey Measuring HIV/STD Risk Behavior Using Standard Methodology FORMS: NONE OMB NO: 0920-0475 EXPIRATION DATE: 06/30/2003 RESPS:190 HOURS:55 COSTS(000):$0 Evaluation of the Public Health Prevention Service (PHPS) Program FORMS: NONE OMB NO: 0920-0476 EXPIRATION DATE: 06/30/2003 RESPS:14,420 HOURS:2,403 COSTS(000):$0 Evaluation of Viral Hepatitis Education Materials FORMS: NONE OMB NO: 0920-0477 EXPIRATION DATE: 07/31/2001 RESPS:320 HOURS:1,920 COSTS(000):$0 Public Health Infrastructure Surveillance and Performance Monitoring Network FORMS: NONE OMB NO: 0920-0478 EXPIRATION DATE: 07/31/2003 RESPS:290 HOURS:83 COSTS(000):$0 Routine Evaluation of Ongoing NIOSH Worker Notifications FORMS: NONE OMB NO: 0920-0479 EXPIRATION DATE: 07/31/2003 RESPS:118 HOURS:236 COSTS(000):$1 Implementation of an Automated Management Information System FORMS: NONE OMB NO: 0920-0480 EXPIRATION DATE: 07/31/2003 RESPS:138 HOURS:138 COSTS(000):$0 An evaluation study of Tuberculosis Control and Prevention measures in Large City and County Jails FORMS: NONE OMB NO: 0920-0481 EXPIRATION DATE: 01/31/2002 RESPS:200 HOURS:150 COSTS(000):$0 Survey of Laboratory Practices for Mycobacterium Tuberculosis Drug Suscetibility Testing in the U.S. FORMS: NONE OMB NO: 0920-0482 EXPIRATION DATE: 08/31/2003 RESPS:600 HOURS:200 COSTS(000):$0 Silicosis No Mas!: Evaluation of Materials Used for Outreach to Hispanic Construction Workers FORMS: NONE OMB NO: 0920-0483 EXPIRATION DATE: 01/31/2002 RESPS:110 HOURS:55 COSTS(000):$0 Survey of Laboratory Practices for Nucleic Acid Amplification for Mycobacterium tuberculosis, 2000 FORMS: NONE OMB NO: 0920-0485 EXPIRATION DATE: 08/31/2003 RESPS:1,824 HOURS:1,425 COSTS(000):$0 Evaluating National Dissemination Strategies for Effective HIV Prevention Programs for Youth FORMS: NONE OMB NO: 0920-0486 EXPIRATION DATE: 10/31/2002 RESPS:2,518 HOURS:295 COSTS(000):$0 Evaluation of Stop It Now! Public Awareness Campaign in Philadelphia FORMS: NONE OMB NO: 0920-0487 EXPIRATION DATE: 11/30/2002 RESPS:203 HOURS:55 COSTS(000):$0 Microbial Contamination of Produce: A Field Study in the Lower Rio Grande Valley, Texas FORMS: NONE OMB NO: 0920-0488 EXPIRATION DATE: 09/30/2003 RESPS:16,500 HOURS:3,600 COSTS(000):$0 Restrictions on Interstate Travel of Persons FORMS: NONE OMB NO: 0920-0489 EXPIRATION DATE: 10/31/2002 RESPS:9,179 HOURS:2,835 COSTS(000):$0 US-Mexico Border Region Diabetes Prevention and Control Project FORMS: NONE OMB NO: 0920-0491 EXPIRATION DATE: 09/30/2002 RESPS:1,140 HOURS:285 COSTS(000):$0 An Evaluation of Screening Practices for Intimate Partner Violence in Publicly Funded Family Planning Clinics FORMS: NONE OMB NO: 0920-0493 EXPIRATION DATE: 11/30/2003 RESPS:12,345 HOURS:9,173 COSTS(000):$0 2001 and 2003 Youth Risk Behavior Surveys FORMS: NONE OMB NO: 0920-0494 EXPIRATION DATE: 11/30/2002 RESPS:2,100 HOURS:1,035 COSTS(000):$0 Exposure to Aerosolized Brevetoxins During Red Tide Events FORMS: NONE OMB NO: 0920-0495 EXPIRATION DATE: 12/31/2003 RESPS:3,300 HOURS:1,084 COSTS(000):$0 Workplace Exacerbation of Asthma FORMS: NONE OMB NO: 0920-0496 EXPIRATION DATE: 12/31/2003 RESPS:3,800 HOURS:1,555 COSTS(000):$0 A Message-Based Intervention for Technology Transfer FORMS: NONE Agency for Toxic Substances and Disease Registry OMB NO: 0923-0002 EXPIRATION DATE: 08/31/2003 RESPS:36 HOURS:18 COSTS(000):$0 Information Collection Procedures for Requesting Public Health Assessments FORMS: NONE OMB NO: 0923-0006 EXPIRATION DATE: 06/30/2001 RESPS:11,667 HOURS:5,833 COSTS(000):$0 National Exposure Registry FORMS: NONE OMB NO: 0923-0007 EXPIRATION DATE: 03/31/2001 RESPS:1,200 HOURS:200 COSTS(000):$0 Information Collection to Establish Community Assistance Panels FORMS: NONE OMB NO: 0923-0008 EXPIRATION DATE: 08/31/2001 RESPS:4,316 HOURS:4,316 COSTS(000):$0 Hazardous Substances Emergency Events Surveillance FORMS: NONE OMB NO: 0923-0015 EXPIRATION DATE: 03/31/2002 RESPS:2,118 HOURS:838 COSTS(000):$0 Lead Exposure and Blood Pressure During Pregnancy Study, Charles Drew Medical School FORMS: NONE OMB NO: 0923-0020 EXPIRATION DATE: 01/31/2001 RESPS:6,000 HOURS:750 COSTS(000):$0 Information Collection Procedures for Evaluating Toxicological Profiles FORMS: NONE OMB NO: 0923-0022 EXPIRATION DATE: 07/31/2001 RESPS:1,074 HOURS:1,208 COSTS(000):$0 Long-Term Health Effects of Methyl Parathion in Children, A Follow-Up Study FORMS: NONE OMB NO: 0923-0023 EXPIRATION DATE: 04/30/2003 RESPS:4,334 HOURS:1,083 COSTS(000):$0 Exposure to Volatile Organic Compounds and Childhood Leukemia Incidence at United States Marine Corps Base Camp Lejeune, North Carolina FORMS: NONE OMB NO: 0923-0025 EXPIRATION DATE: 06/30/2002 RESPS:2,249 HOURS:882 COSTS(000):$0 Substance-Specific Applied Research Program, Epidemiologic Studies on Lead (Morehouse School of Medicine) FORMS: NONE OMB NO: 0923-0026 EXPIRATION DATE: 06/30/2002 RESPS:5,767 HOURS:603 COSTS(000):$0 Multistate Case-Control Study of Childhood Brain Cancers FORMS: NONE OMB NO: 0923-0028 EXPIRATION DATE: 09/30/2002 RESPS:12,000 HOURS:2,000 COSTS(000):$0 Evaluation of Customer Satisfaction with the Agency for Toxic Substances and Disease Registry (ATSDR) Internet Home Page and Links FORMS: NONE OMB NO: 0923-0029 EXPIRATION DATE: 07/31/2001 RESPS:700 HOURS:125 COSTS(000):$0 Lead Exposure and Immunotoxic Effects Study in the Tri-State Mining District FORMS: NONE OMB NO: 0923-0030 EXPIRATION DATE: 12/31/2003 RESPS:6,667 HOURS:2,222 COSTS(000):$0 ATSDR Market Survey of Priority Populations FORMS: NONE National Institutes of Health OMB NO: 0925-0001 EXPIRATION DATE: 02/28/2001 RESPS:117,156 HOURS:1,913,466 COSTS(000):$0 Research and Research Training Grant Applications and Related Forms FORMS: PHS-398 2590 2271 3734 HHS-568 OMB NO: 0925-0002 EXPIRATION DATE: 08/31/2001 RESPS:32,228 HOURS:85,679 COSTS(000):$0 Individual National Research Service Award Application and Related Forms FORMS: PHS-416-1 416-9 416-5 416-7 6031 6031-1 OMB NO: 0925-0046 EXPIRATION DATE: 08/31/2003 RESPS:13,780 HOURS:2,010 COSTS(000):$0 Pretesting of Office of Cancer Communications Messages FORMS: NONE OMB NO: 0925-0177 EXPIRATION DATE: 07/31/2002 RESPS:1,630 HOURS:163 COSTS(000):$0 Special Volunteer and Guest Researcher Assignment FORMS: NIH-590 OMB NO: 0925-0195 EXPIRATION DATE: 08/31/2001 RESPS:3,400 HOURS:108,000 COSTS(000):$0 Small Business Innovation Research Grant Applications Phase I and Phase II; Small Business Technology Transfer Grant Applications Phase I and Phase II FORMS: PHS-6246-1 PHS-6246-2 PHS-6246-3 PHS-6246-4 OMB NO: 0925-0208 EXPIRATION DATE: 10/31/2003 RESPS:1 HOURS:2,783 COSTS(000):$0 NCI Cancer Information Service Demographic/Customer Service Data Collection FORMS: NONE OMB NO: 0925-0216 EXPIRATION DATE: 10/31/2001 RESPS:9,735 HOURS:6,154 COSTS(000):$0 The Framingham Study FORMS: NONE OMB NO: 0925-0240 EXPIRATION DATE: 03/31/2001 RESPS:5,760 HOURS:2,510 COSTS(000):$0 Drug Accountability Record FORMS: NIH-2564 NIH-2564-1 OMB NO: 0925-0281 EXPIRATION DATE: 01/31/2001 RESPS:34,017 HOURS:17,726 COSTS(000):$0 Atherosclerosis Risk in Communities Study (ARIC) FORMS: NONE OMB NO: 0925-0299 EXPIRATION DATE: 03/31/2003 RESPS:15,779 HOURS:8,422 COSTS(000):$0 NIH Intramural Research Training Award, Program Application FORMS: NONE OMB NO: 0925-0334 EXPIRATION DATE: 04/30/2001 RESPS:10,349 HOURS:8,098 COSTS(000):$0 The Cardiovascular Health Study FORMS: 310 OMB NO: 0925-0348 EXPIRATION DATE: 10/31/2001 RESPS:2 HOURS:320 COSTS(000):$0 Hazardous Waste Worker Training -- 42 CFR Part 65 FORMS: NONE OMB NO: 0925-0358 EXPIRATION DATE: 11/30/2002 RESPS:9,741 HOURS:2,998 COSTS(000):$0 The NIH Consultant Information File System FORMS: NIH-2668-1 NIH-2668-3 OMB NO: 0925-0361 EXPIRATION DATE: 11/30/2001 RESPS:990 HOURS:1,424 COSTS(000):$0 National Institutes of Health Loan Repayment Programs FORMS: NIH-2674-1 NIH-2674-2 NIH-2674-3 OMB NO: 0925-0368 EXPIRATION DATE: 01/31/2003 RESPS:170,000 HOURS:21,794 COSTS(000):$0 American Stop Smoking Intervention Study for Cancer Prevention (ASSIST) Final Evaluation: "Tobacco Use Supplement to the 1998-2000 Current Population Survey" FORMS: NONE OMB NO: 0925-0378 EXPIRATION DATE: 07/31/2001 RESPS:200 HOURS:125 COSTS(000):$0 Application for the Pharmacology Research Associate Program FORMS: NIH-2721-1 NIH-2721-2 OMB NO: 0925-0383 EXPIRATION DATE: 01/31/2001 RESPS:78,000 HOURS:25,997 COSTS(000):$0 National Donor Research and Education Study II FORMS: NONE OMB NO: 0925-0401 EXPIRATION DATE: 05/31/2001 RESPS:1,867 HOURS:1,867 COSTS(000):$0 Leukemia and Other Cancers Among Chernobyl Cleanup Workers in Lithuania FORMS: NONE OMB NO: 0925-0406 EXPIRATION DATE: 11/30/2001 RESPS:1.66 HOURS:33,947 COSTS(000):$0 Agricultural Health Study (A Prospective Cohort Study of Cancer and Other Diseases Among Men and Women in Agriculture) FORMS: NONE OMB NO: 0925-0407 EXPIRATION DATE: 10/31/2002 RESPS:1 HOURS:94,809 COSTS(000):$0 Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening Trial FORMS: NONE OMB NO: 0925-0414 EXPIRATION DATE: 05/31/2003 RESPS:85,011 HOURS:36,467 COSTS(000):$0 Women's Health Initiative Observational Study FORMS: NONE OMB NO: 0925-0417 EXPIRATION DATE: 10/31/2001 RESPS:57,235 HOURS:171,110 COSTS(000):$0 Responsibility of Applicants for Promoting Objectivity in Research for which Public Health Service Funding Is Sought and Responsbile Prospective Contractors -- 42 CFR Part 50, Subpart F FORMS: NONE OMB NO: 0925-0418 EXPIRATION DATE: 04/30/2001 RESPS:217,634 HOURS:164,428 COSTS(000):$0 Protection of Human Subjects: Assurance Identification/ Certification/Declaration FORMS: 310 OMB NO: 0925-0424 EXPIRATION DATE: 11/30/2001 RESPS:275 HOURS:8,276 COSTS(000):$0 National Institutes of Health Construction Grants -- 42 CFR Part 52b (Final Rule) FORMS: NONE OMB NO: 0925-0432 EXPIRATION DATE: 09/30/2002 RESPS:780 HOURS:96 COSTS(000):$0 The Impact and Costs of Sealants in Young Child Populations FORMS: NONE OMB NO: 0925-0436 EXPIRATION DATE: 09/30/2002 RESPS:1,450 HOURS:988 COSTS(000):$0 Preventing Problem Behavior Among Middle School Students FORMS: NONE OMB NO: 0925-0438 EXPIRATION DATE: 03/31/2003 RESPS:1,250 HOURS:1,667 COSTS(000):$0 NATIONAL Institutes of Health Undergraduate Scholarship Program for Individuals from disadvantaged Backgrounds FORMS: NIH-2762-1 NIH-2762-2 NIH-2762-3 NIH-2762-4 OMB NO: 0925-0440 EXPIRATION DATE: 12/31/2002 RESPS:408 HOURS:370 COSTS(000):$0 Contraception and Infertility Research Loan Repayment Program FORMS: NIH-2756-1 2756-2 2756-3 OMB NO: 0925-0449 EXPIRATION DATE: 10/31/2003 RESPS:600 HOURS:2,250 COSTS(000):$0 Alcoholism Prevalence and Gene/Environment Interactions in American Indian Tribes, 10 Tribe Study FORMS: NONE OMB NO: 0925-0454 EXPIRATION DATE: 03/31/2001 RESPS:515 HOURS:219 COSTS(000):$0 Case-Control Study of Cancer and Related Disorders Among Benzene-Exposed Workers in China FORMS: NONE OMB NO: 0925-0455 EXPIRATION DATE: 04/30/2001 RESPS:500 HOURS:1,000 COSTS(000):$0 Test-Retest Reliability Study of the Alcohol Use Disorder and Associated Disabilities Interview Schedule-IV (AUDADIS-IV) FORMS: NONE OMB NO: 0925-0456 EXPIRATION DATE: 04/30/2001 RESPS:6,469 HOURS:1,467 COSTS(000):$0 The Johnston County ADHD Study: Environmental, Reproductive, and Familial Risk Factors for Attention-Deficit/Hyperactivity Disorder FORMS: NONE OMB NO: 0925-0458 EXPIRATION DATE: 04/30/2001 RESPS:5,604 HOURS:1,776 COSTS(000):$0 Generic Clearance for Satisfaction Surveys of Customers and Other Partners FORMS: NONE OMB NO: 0925-0461 EXPIRATION DATE: 07/31/2001 RESPS:400 HOURS:1,300 COSTS(000):$0 Transmission and Linkage Analysis of Alcoholism in a Plains American Indian Tribe: Collection of EEG Phenotypes Associated With Alcoholism FORMS: NONE OMB NO: 0925-0463 EXPIRATION DATE: 05/31/2002 RESPS:62 HOURS:31 COSTS(000):$0 Organ Procurement Survey FORMS: NONE OMB NO: 0925-0464 EXPIRATION DATE: 04/30/2002 RESPS:1 HOURS:249 COSTS(000):$0 Jackson Heart Study Participant Recruitment Survey FORMS: NONE OMB NO: 0925-0465 EXPIRATION DATE: 07/31/2002 RESPS:400 HOURS:4,105 COSTS(000):$0 Biologic Specimen-Based Study of Dietary Measurement Error for Nutritional Epidemiology and Surveillance: The Observing Protein and Energy Nutrition (OPEN) Study FORMS: NONE OMB NO: 0925-0466 EXPIRATION DATE: 07/31/2002 RESPS:107,418 HOURS:23,289 COSTS(000):$0 Evaluation of the National Youth Anti-Drug Media Campaign (NYAMC) FORMS: NONE OMB NO: 0925-0467 EXPIRATION DATE: 08/31/2002 RESPS:18,798 HOURS:9,399 COSTS(000):$0 Young Drivers Intervention Study FORMS: NONE OMB NO: 0925-0468 EXPIRATION DATE: 08/31/2002 RESPS:1 HOURS:918 COSTS(000):$0 Survey of Colorectal Cancer Screening Practices in Health Care Organizations FORMS: NONE OMB NO: 0925-0469 EXPIRATION DATE: 08/31/2002 RESPS:1,350 HOURS:337 COSTS(000):$0 Physician Survey on Cancer Susceptibility Testing FORMS: NONE OMB NO: 0925-0470 EXPIRATION DATE: 08/31/2002 RESPS:450 HOURS:225 COSTS(000):$0 Physician's Resolution of Ethics Problems FORMS: NONE OMB NO: 0925-0471 EXPIRATION DATE: 08/31/2002 RESPS:1,428 HOURS:774 COSTS(000):$0 American Stop Smoking Intervention Study for Cancer Prevention (ASSIST) Final Evaluation: Strength of Tobacco Control Survey FORMS: NONE OMB NO: 0925-0472 EXPIRATION DATE: 09/30/2002 RESPS:786 HOURS:449 COSTS(000):$0 Attitudes of U.S. and Developing Country Researchers Regarding U.S. Human Subjects Regulations FORMS: NONE OMB NO: 0925-0473 EXPIRATION DATE: 09/30/2002 RESPS:1 HOURS:23 COSTS(000):$0 An Evaluation of the NCI Science Enrichment Program (SEP); Parent Survey FORMS: NONE OMB NO: 0925-0474 EXPIRATION DATE: 09/30/2002 RESPS:5,855 HOURS:1,932 COSTS(000):$0 Generic Clearance for Satisfaction Surveys of Partners and Customers FORMS: NONE OMB NO: 0925-0475 EXPIRATION DATE: 01/31/2003 RESPS:4,000 HOURS:1,955 COSTS(000):$0 Training Tomorrow's Scientists: Linking Minorities and Mentors Through the Web FORMS: NONE OMB NO: 0925-0476 EXPIRATION DATE: 03/31/2003 RESPS:18,400 HOURS:2,263 COSTS(000):$0 Request for Generic Clearance to Conduct Voluntary Customer/Partner Surveys FORMS: NONE OMB NO: 0925-0478 EXPIRATION DATE: 06/30/2003 RESPS:55,000 HOURS:11,962 COSTS(000):$0 2000 California Health Interview Survey, Cancer Control Tropical Module (CHIS, CCTM) FORMS: NONE OMB NO: 0925-0479 EXPIRATION DATE: 06/30/2003 RESPS:62 HOURS:16 COSTS(000):$0 Request for Clearance to Conduct Voluntary Customer Satisfaction Surveys FORMS: NONE OMB NO: 0925-0480 EXPIRATION DATE: 07/31/2003 RESPS:12,000 HOURS:2,000 COSTS(000):$0 NIDDK Information Clearinghouses Customer Satisfaction Survey FORMS: NONE Substance Abuse and Mental Health Services Administration OMB NO: 0930-0074 EXPIRATION DATE: 03/31/2001 RESPS:550 HOURS:108 COSTS(000):$0 Obligated Service for Mental Health Traineeships: Regulations and Forms FORMS: SMA-111 111-2 OMB NO: 0930-0078 EXPIRATION DATE: 11/30/2002 RESPS:220,340 HOURS:15,284 COSTS(000):$0 Drug Abuse Warning Network (DAWN) FORMS: SMA-100-1 SMA-100-2 SMA-100-3 SMA-100-4 OMB NO: 0930-0080 EXPIRATION DATE: 08/31/2002 RESPS:60 HOURS:36,707 COSTS(000):$0 Substance Abuse Prevention and Treatment Block Grant Application FORMS: NONE OMB NO: 0930-0092 EXPIRATION DATE: 06/30/2001 RESPS:1,520,000 HOURS:380,000 COSTS(000):$0 Confidentiality of Alcohol and Drug Abuse Patient Records FORMS: NONE OMB NO: 0930-0093 EXPIRATION DATE: 10/31/2003 RESPS:52 HOURS:104 COSTS(000):$0 Annual Census of Patient Characteristics in State and County Mental Hospital Inpatient Services FORMS: SMA-102 OMB NO: 0930-0104 EXPIRATION DATE: 07/31/2001 RESPS:68 HOURS:22 COSTS(000):$0 Community Mental Health Center (CMHC) Grantee Checklist FORMS: SMA-101 OMB NO: 0930-0106 EXPIRATION DATE: 07/31/2003 RESPS:23,561 HOURS:13,413 COSTS(000):$0 Drug and Alcohol Services Information System (DASIS) FORMS: NONE OMB NO: 0930-0110 EXPIRATION DATE: 01/31/2002 RESPS:210,000 HOURS:88,563 COSTS(000):$0 2001 National Household Survey on Drug Abuse (NHSDA) FORMS: NONE OMB NO: 0930-0119 EXPIRATION DATE: 04/30/2001 RESPS:5,249 HOURS:3,509 COSTS(000):$0 1997 Survey of Mental Health Organizations and General Hospital Mental Health Services (SMHO) FORMS: NONE OMB NO: 0930-0158 EXPIRATION DATE: 06/30/2003 RESPS:7,093,210 HOURS:1,790,664 COSTS(000):$2,016 Mandatory guidelines for Federal Workplace Drug Testing Program FORMS: NONE OMB NO: 0930-0163 EXPIRATION DATE: 02/28/2001 RESPS:60 HOURS:960 COSTS(000):$0 Substance Abuse Prevention and Treatment Block Grant FORMS: NONE OMB NO: 0930-0165 EXPIRATION DATE: 03/31/2001 RESPS:59 HOURS:1 COSTS(000):$0 Tobacco Regulation for Substance Abuse Prevention and Treatment -- 45 CFR Part 96 FORMS: NONE OMB NO: 0930-0168 EXPIRATION DATE: 06/30/2001 RESPS:59 HOURS:11,500 COSTS(000):$0 FY 1999-2001 Community Mental Health Services Block Grant Application: Voluntary Format and Content (Performance Partnership Block Grant) FORMS: NONE OMB NO: 0930-0169 EXPIRATION DATE: 11/30/2002 RESPS:112 HOURS:2,016 COSTS(000):$0 Protection and Advocacy of Individuals with Mental Illness (PAIMI) Annual Program Performance Report FORMS: NONE OMB NO: 0930-0172 EXPIRATION DATE: 02/28/2001 RESPS:168 HOURS:168 COSTS(000):$0 Protection and Advocacy Programs for Individuals with Mental Illness -- 45 CFR Part 51 (Final Rule) FORMS: NONE OMB NO: 0930-0183 EXPIRATION DATE: 02/28/2001 RESPS:2,635 HOURS:2,429 COSTS(000):$0 1998 Inventory of Mental Health Services in Juvenile Justice Facilities FORMS: NONE OMB NO: 0930-0185 EXPIRATION DATE: 06/30/2001 RESPS:35,641 HOURS:25,026 COSTS(000):$0 State Prevention Needs Assessment: Alcohol and Other Drugs FORMS: NONE OMB NO: 0930-0186 EXPIRATION DATE: 03/31/2002 RESPS:84,992 HOURS:46,857 COSTS(000):$0 State Treatment and Needs Assessment Program (STNAP) Studies FORMS: NONE OMB NO: 0930-0190 EXPIRATION DATE: 08/31/2001 RESPS:7,185 HOURS:3,032 COSTS(000):$0 Evaluation of the Methadone/LAAM Treatment Program Accreditation Project FORMS: NONE OMB NO: 0930-0192 EXPIRATION DATE: 07/31/2002 RESPS:96,337 HOURS:20,013 COSTS(000):$0 National Evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program: Phase Two FORMS: NONE OMB NO: 0930-0194 EXPIRATION DATE: 11/30/2001 RESPS:769,095 HOURS:20,784 COSTS(000):$599 Development and Implementation of Methadone/LAAM Treatment Program Accreditation FORMS: NONE OMB NO: 0930-0195 EXPIRATION DATE: 12/31/2001 RESPS:9,569 HOURS:1,733 COSTS(000):$0 Evaluation of the Cooperative Agreement for Mental Health Care Provider Education in HIV/AIDS Program II FORMS: NONE OMB NO: 0930-0196 EXPIRATION DATE: 12/31/2001 RESPS:11,400 HOURS:9,140 COSTS(000):$0 Pretesting of Substance Abuse Prevention and Treatment and Mental Health Services Communications Messages FORMS: NONE OMB NO: 0930-0197 EXPIRATION DATE: 12/31/2001 RESPS:10,150 HOURS:3,675 COSTS(000):$0 Voluntary Customer Satisfaction Surveys to Implement Executive Order 12862 in the Substance Abuse and Mental Health Services Administration (SAMHSA) FORMS: NONE OMB NO: 0930-0200 EXPIRATION DATE: 04/30/2002 RESPS:1,767 HOURS:2,281 COSTS(000):$0 Validity of Self-Reported Drug Use in Population Surveys FORMS: NONE OMB NO: 0930-0202 EXPIRATION DATE: 07/31/2002 RESPS:2,663 HOURS:3,931 COSTS(000):$0 Persistent Effects of Treatment in Cuyahoga County, Ohio FORMS: NONE OMB NO: 0930-0203 EXPIRATION DATE: 07/31/2002 RESPS:2,038 HOURS:384 COSTS(000):$0 Assessment of the National Leadership Institute (NLI) Program and Services FORMS: NONE OMB NO: 0930-0205 EXPIRATION DATE: 09/30/2002 RESPS:411 HOURS:11,511 COSTS(000):$0 Annual Reports for Projects for Assistance in Transition from Homelessness (PATH) FORMS: NONE OMB NO: 0930-0206 EXPIRATION DATE: 09/30/2002 RESPS:4,108 HOURS:2,411 COSTS(000):$1,796 Narcotic Drugs in Maintenance and Detoxification Treatment of Narcotic Dependence (Proposed Rule) FORMS: SMA-162 SMA-163 OMB NO: 0930-0207 EXPIRATION DATE: 10/31/2002 RESPS:21,135 HOURS:2,336 COSTS(000):$0 State Treatment Outcomes and Performance Pilot Studies Enhancement (TOPPS II) Inter-State Study FORMS: NONE OMB NO: 0930-0208 EXPIRATION DATE: 10/31/2002 RESPS:89,211 HOURS:13,738 COSTS(000):$0 SAMHSA Government Performance and Results Act (GPRA) Client Outcome Measures for Discretionary Programs FORMS: NONE OMB NO: 0930-0209 EXPIRATION DATE: 05/31/2003 RESPS:93,826 HOURS:20,046 COSTS(000):$0 National Evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program: Phase Three FORMS: NONE OMB NO: 0930-0210 EXPIRATION DATE: 05/31/2003 RESPS:260 HOURS:315 COSTS(000):$0 Registration Form for the National Registry of Effective Prevention Programs FORMS: NONE OMB NO: 0930-0211 EXPIRATION DATE: 05/31/2001 RESPS:1,311 HOURS:347 COSTS(000):$0 Survey of Vermont Employers to Assess the Impact of the Vermont Parity Act FORMS: NONE OMB NO: 0930-0212 EXPIRATION DATE: 03/31/2001 RESPS:96 HOURS:206 COSTS(000):$0 Treatment Improvement Protocol Evaluation -- Addiction Technology Transfer Center Study FORMS: NONE OMB NO: 0930-0213 EXPIRATION DATE: 06/30/2003 RESPS:41,553 HOURS:31,181 COSTS(000):$0 State Prevention Needs Assessment Surveys: Alcohol and FORMS: NONE OMB NO: 0930-0214 EXPIRATION DATE: 09/30/2001 RESPS:6,669 HOURS:2,785 COSTS(000):$0 2000 Survey of Consumer Self-Help Entities FORMS: NONE OMB NO: 0930-0216 EXPIRATION DATE: 09/30/2003 RESPS:48,247 HOURS:6,393 COSTS(000):$0 National Cross-Site Assessment of Addiction Technology Transfer Centers (ATTC) Network FORMS: NONE Agency for Health Care Policy and Research OMB NO: 0935-0106 EXPIRATION DATE: 12/31/2001 RESPS:23,172 HOURS:5,919 COSTS(000):$0 "Voluntary Customer Satisfaction Survey Generic Clearance for the Agency for Health Care Policy and Research" FORMS: NONE OMB NO: 0935-0107 EXPIRATION DATE: 02/28/2002 RESPS:3,000 HOURS:1,300 COSTS(000):$0 Voluntary Customer Surveys of "Partners" of the Agency for Health Care Policy and Research FORMS: NONE OMB NO: 0935-0108 EXPIRATION DATE: 05/31/2002 RESPS:21,200 HOURS:11,759 COSTS(000):$0 Medical Expenditure Panel Survey-Medical Provider Component (MEPS-MPC) for 1998, 1999, and 2000 FORMS: NONE OMB NO: 0935-0110 EXPIRATION DATE: 02/28/2002 RESPS:33,839 HOURS:19,639 COSTS(000):$0 Medical Expenditure Panel Survey Insurance Component (MEPS-IC) for 1999 FORMS: NONE Office of Assistant Secretary for Health OMB NO: 0937-0025 EXPIRATION DATE: 07/31/2003 RESPS:10,000 HOURS:4,000 COSTS(000):$0 Application for Appointment as a Commissioned Officer in U.S. Public Health Service Commissioned Corps (and) Reference Request for Applicants to the USPHS Commissioned Corps FORMS: PHS-50 PHS-1813 OMB NO: 0937-0095 EXPIRATION DATE: 09/30/2002 RESPS:10 HOURS:40 COSTS(000):$0 Application to the Board for Correction of Public Health Service Commissioned Corps Records FORMS: PSC-54 OMB NO: 0937-0166 EXPIRATION DATE: 05/31/2002 RESPS:50,000 HOURS:50,000 COSTS(000):$0 Sterilization of Persons in Federally Assisted Family Planning Projects -- 42 CFR Subpart B FORMS: NONE OMB NO: 0937-0191 EXPIRATION DATE: 05/31/2001 RESPS:55 HOURS:11,000 COSTS(000):$389 Application Packets for Real Property for Public Health Purposes FORMS: NONE OMB NO: 0937-0198 EXPIRATION DATE: 11/30/2002 RESPS:7,443 HOURS:4,615 COSTS(000):$0 Responsibilities of Awardees and Applicant Institutions for Reporting Possible Misconduct in Science -- 42 CFR Part 50 FORMS: PHS-6349 OMB NO: 0937-0200 EXPIRATION DATE: 02/28/2003 RESPS:67,200 HOURS:268,830 COSTS(000):$0 HHS Payment Management System Forms FORMS: PSC-270 PSC-272 OMB NO: 0937-0201 EXPIRATION DATE: 02/28/2001 RESPS:36,628 HOURS:4,805 COSTS(000):$0 Voluntary Customer Surveys to Implement E.O. 12862 in the Public Health Service FORMS: NONE Health Care Financing Administration OMB NO: 0938-0008 EXPIRATION DATE: 05/31/2001 RESPS:717,876,097 HOURS:44,460,460 COSTS(000):$0 Health Insurance Common Claims Forms and Supportiing Regulations in 42 CFR 414.40, 424.32, and 424.44 FORMS: HCFA-1500 HCFA-1490U HCFA-1490S OMB NO: 0938-0022 EXPIRATION DATE: 12/31/2003 RESPS:8,950 HOURS:1,599,700 COSTS(000):$0 Home Health Agency Cost Report and Supporting Regulations in 42 CFR 413.20, 413.24, and 413.106 FORMS: HCFA-1728-94 OMB NO: 0938-0023 EXPIRATION DATE: 07/31/2002 RESPS:2,000 HOURS:500 COSTS(000):$0 Attending Physicians Statement and Documentation of Medicare Emergency and Supporting Regulations in 42 CFR Section 424.103 FORMS: HCFA-1771 OMB NO: 0938-0025 EXPIRATION DATE: 10/31/2003 RESPS:14,000 HOURS:5,833 COSTS(000):$0 Request for Termination of Premium-Hospital and/or Supplementary Medical Insurance and Supporting Regulations in 42 CFR 406.28 and 407.27 FORMS: HCFA-1763 OMB NO: 0938-0027 EXPIRATION DATE: 08/31/2002 RESPS:98 HOURS:172 COSTS(000):$0 Request for Certification as a Supplier of Portable X-Ray and Portable X-Ray Survey Report Form under the Medicare/Medicaid Program; Portable X-Ray Survey Report and Supporting.... FORMS: HCFA-1880 HCFA-1882 OMB NO: 0938-0033 EXPIRATION DATE: 01/31/2003 RESPS:5,600,000 HOURS:1,400,000 COSTS(000):$0 Request for Review of Part B Medicare Claims and Supporting Regulations in 42 CFR 405.807 FORMS: HCFA-1964 OMB NO: 0938-0034 EXPIRATION DATE: 10/31/2003 RESPS:55,000 HOURS:9,167 COSTS(000):$0 Request for Hearing for Part B Medicare Claim and Supporting Regulations in 42 CFR, 405.821 FORMS: HCFA-1965 OMB NO: 0938-0035 EXPIRATION DATE: 06/30/2003 RESPS:2,000 HOURS:716 COSTS(000):$0 SSO Report of State Buy-in Problems, 42 CFR 407.40 FORMS: HCFA-1957 OMB NO: 0938-0037 EXPIRATION DATE: 01/31/2002 RESPS:4,298 HOURS:429,800 COSTS(000):$0 Outpatient Rehabilitation Cost Report and Supporting Regulations in 42 CFR 413.20 and 413.24 FORMS: HCFA-2088-92 OMB NO: 0938-0041 EXPIRATION DATE: 10/31/2003 RESPS:15,000 HOURS:6,250 COSTS(000):$0 Third Party Premium Billing Request and Supporting Regulations in 42 CFR 408.6 FORMS: HCFA-2384 OMB NO: 0938-0045 EXPIRATION DATE: 10/31/2003 RESPS:62,000 HOURS:15,500 COSTS(000):$0 Request for Reconsideration of Part A Medicare Claim and Supporting Regulations in 42 CFR, 405.711 FORMS: HCFA-2649 OMB NO: 0938-0046 EXPIRATION DATE: 06/30/2001 RESPS:60,000 HOURS:25,000 COSTS(000):$0 End Stage Renal Disease Medical Evidence Report Medicare Entitlement and/or Patient Registration and Supporting Regulations 42 CFR 405.2133 FORMS: HCFA-2728 OMB NO: 0938-0050 EXPIRATION DATE: 11/30/2003 RESPS:7,000 HOURS:4,629,000 COSTS(000):$0 Hospital and Health Care Complex Cost Report and Supporting Regulations in 42 CFr 413.20 and 413.24 FORMS: HCFA-2552-96 OMB NO: 0938-0062 EXPIRATION DATE: 11/30/2003 RESPS:6,763 HOURS:20,289 COSTS(000):$0 Intermediate Care Facility for the Mentally Retarded or Persons with Related Conditions ICF/MR Survey Report Form (3070G-1) and Suppporting Regulations at 42CFR 431.52, 431.151, 435.1009,.... FORMS: HCFA-3070-G-1 OMB NO: 0938-0065 EXPIRATION DATE: 08/31/2002 RESPS:255 HOURS:446 COSTS(000):$0 Request for Certification in the Medicare and/or Medicaid Program to Provide Outpatient Physical Therapy and/or Speech Pathology Services, Outpatient Physicial Therapy/Speech.... FORMS: HCFA-1856 HCFAA-1893 OMB NO: 0938-0067 EXPIRATION DATE: 01/31/2002 RESPS:224 HOURS:16,464 COSTS(000):$0 Quarterly Medicaid Statement of Expenditures for the Medical Assistance Program FORMS: HCFA-64 OMB NO: 0938-0074 EXPIRATION DATE: 11/30/2002 RESPS:470 HOURS:822 COSTS(000):$0 Request for Certification as Rural Health Clinic and Rural Health Clinic Survey Report Form and Supporting Regulations in 42 CFR 491.1-491.11 FORMS: HCFA-0029/0030 OMB NO: 0938-0080 EXPIRATION DATE: 04/30/2003 RESPS:90,000 HOURS:26,000 COSTS(000):$0 Application for Health Insurance Benefits Under Medicare for Individual with Chronic Renal Disease and Supporting Regulations in 42 CFR 406.13 FORMS: HCFA-43 OMB NO: 0938-0086 EXPIRATION DATE: 07/31/2002 RESPS:125,000 HOURS:62,500 COSTS(000):$0 Disclosure of Ownership and Financial Control Interest Statement and Supporting Regulations Contained in 42 CFR 420.200-.206 and 455.100-.106 FORMS: HCFA-1513 OMB NO: 0938-0094 EXPIRATION DATE: 06/30/2001 RESPS:21 HOURS:1 COSTS(000):$0 Medicaid-Integrated Quality Control Review Manual Instructions and Supporting Regulations -- 42 CFR 431.800, .865 FORMS: HCFA-316 OMB NO: 0938-0101 EXPIRATION DATE: 04/30/2002 RESPS:228 HOURS:7,980 COSTS(000):$0 Medicaid Program Budget Report -- 42 CFR Section 430.30 FORMS: HCFA-37 OMB NO: 0938-0102 EXPIRATION DATE: 10/31/2003 RESPS:108 HOURS:4,860 COSTS(000):$0 Organ Procurement Organization/Histcompatibility Laboratory Statement of Reimbursable Costs, Manual Instructions and Supporting Regulations Contained in 42 CFR 413.20 and 413.24 FORMS: HCFA-216 OMB NO: 0938-0107 EXPIRATION DATE: 11/30/2002 RESPS:3,000 HOURS:150,000 COSTS(000):$0 Independent Rural Health Center/Freestanding Federally Qualified Health Center Cost Report and Supporting Regulations in 42 CFR Sections 413.20 and 413.24 FORMS: HCFA-222 OMB NO: 0938-0144 EXPIRATION DATE: 08/31/2001 RESPS:21 HOURS:8,400 COSTS(000):$0 Corrective Action Plan, Medicaid Eligibility Quality Control -- 42 CFR 431.800-820 FORMS: HCFA-320 OMB NO: 0938-0146 EXPIRATION DATE: 05/31/2002 RESPS:110 HOURS:2,640 COSTS(000):$0 State Medicaid Eligibility Quality Control Sampling Plan and Supporting Regulations in 42 CFR 431.800-431.865 FORMS: HCFA-317 OMB NO: 0938-0147 EXPIRATION DATE: 07/31/2002 RESPS:660 HOURS:5,280 COSTS(000):$0 State Medicaid Eligibility Quality Control (MEQC) Sample Selection Lists and Supporting Regulations at 42 CFR 431.800-431.865 FORMS: HCFA-319 OMB NO: 0938-0151 EXPIRATION DATE: 02/28/2003 RESPS:13,250 HOURS:6,625 COSTS(000):$0 Laboratory Personnel Report (CLIA) and Supporting Regulations in 42 CFR 493.1-493.2001 FORMS: HCFA-0209 OMB NO: 0938-0155 EXPIRATION DATE: 12/31/2003 RESPS:14 HOURS:476 COSTS(000):$0 Municipal Health Services Cost Report Form and Supporting Regulations 42 CFR 405.2470 FORMS: HCFA-255 OMB NO: 0938-0165 EXPIRATION DATE: 12/31/2002 RESPS:327 HOURS:11,600 COSTS(000):$0 Prepaid Health Plan Cost Report FORMS: HCFA-276 OMB NO: 0938-0170 EXPIRATION DATE: 09/30/2002 RESPS:1,250 HOURS:625 COSTS(000):$0 Blood Bank Inspection Checklist and Report and Supporting Regulations in 42 CFR 493.1269-493.1285 FORMS: HCFA-282 OMB NO: 0938-0193 EXPIRATION DATE: 04/30/2001 RESPS:56 HOURS:560 COSTS(000):$0 Transmittal and Notice of Approval of State Plan Material and Supporting Regualtions -- 42 CFR 430.10-430.20 and 440.167, HCFA-179 FORMS: HCFA-179 OMB NO: 0938-0202 EXPIRATION DATE: 05/31/2002 RESPS:1,231 HOURS:573,646 COSTS(000):$0 Home Office Cost Statement and Supporting Statement in Regulation in 42 CFR 413.17 and 413.20 FORMS: HCFA-287 OMB NO: 0938-0214 EXPIRATION DATE: 01/31/2002 RESPS:14,204,000 HOURS:773,240 COSTS(000):$0 Medicare Secondary Payer Information Collection and Supporting Regulations in 42 CFR 489.20 FORMS: HCFA-250-254 OMB NO: 0938-0236 EXPIRATION DATE: 05/31/2001 RESPS:2,472 HOURS:484,512 COSTS(000):$0 Independent Renal Dialysis Facility Cost Report and Supporting Regulations 42 CFR 413.198 and 42 CFR 413.20 FORMS: HCFA-265 OMB NO: 0938-0242 EXPIRATION DATE: 06/30/2002 RESPS:30,000 HOURS:25,000 COSTS(000):$0 Fire Safety Survey Report Forms and Supporting Regulations in 42 CFR 416.44, 418.100, 482.41, 483.270, and 483.470 FORMS: HCFA-2786(A-D) 2786(F-H) 2786(J-M) 2786(P) 2786(Q) OMB NO: 0938-0245 EXPIRATION DATE: 04/30/2003 RESPS:10,000 HOURS:2,500 COSTS(000):$0 Request for Enrollment in Supplementary Medical Insurance and Supporting Regulations in 42 CFR 407.10 & 407.11 FORMS: HCFA-4040 OMB NO: 0938-0246 EXPIRATION DATE: 09/30/2002 RESPS:102 HOURS:22,515 COSTS(000):$0 Certification of Medicaid Eligibility Quality Control (MEQC) Payment Error Rates and Supporting Regulations at 42 CFR 431.800 through 431.865 FORMS: HCFA-301 OMB NO: 0938-0251 EXPIRATION DATE: 09/30/2001 RESPS:50,000 HOURS:12,500 COSTS(000):$0 Application for Hospital Insurance -- 42 CFR 406.7 FORMS: HCFA-18F5 5P OMB NO: 0938-0266 EXPIRATION DATE: 01/31/2003 RESPS:2,931 HOURS:1,434 COSTS(000):$0 Ambulatory Surgical Center Request for Certification and Survey Report and Supporting Regulations in 42 CFR 416.1-416.150 FORMS: HCFA-377 HCFA-378 HCFA-R-54 OMB NO: 0938-0267 EXPIRATION DATE: 01/31/2003 RESPS:540 HOURS:260,848 COSTS(000):$0 Comprehensive Outpatient Rehabilitation Facility (CORF) Eligibility and Survey Forms and Information Collection Requirements at 42 CFR 485.56, 485.58, 485.60, 485.64.... FORMS: HCFA-359 360 R-55 OMB NO: 0938-0269 EXPIRATION DATE: 11/30/2002 RESPS:890 HOURS:445 COSTS(000):$0 Request for Accelerated Payments and Supporting Regulations in 42 CFR Section 412.116 and 413.64 FORMS: HCFA-9042 OMB NO: 0938-0270 EXPIRATION DATE: 09/30/2001 RESPS:500 HOURS:1,000 COSTS(000):$0 The Financial Statement of Debtor and Supporting -- 42 CFR Section 405.376 FORMS: HCFA-379 OMB NO: 0938-0272 EXPIRATION DATE: 07/31/2001 RESPS:223 HOURS:16,725 COSTS(000):$0 Annual Report on Home and Community-Based Services Waivers -- State Medicaid Manual Section 2700.6 and Supporting Regulations in 42 CFR 440.181 and 441.300-305, Forms HCFA-372 and HCFA-372(S) FORMS: HCFA-372 HCFA-372(S) OMB NO: 0938-0273 EXPIRATION DATE: 07/31/2002 RESPS:2,964 HOURS:741 COSTS(000):$0 Identification of Extension Units of Outpatient Physical Therapy/Outpatient Speech Pathology (OPT/OSP) Providers and Supporting Regulations in 42 CFR Sections 485.701 to 485.729 FORMS: HCFA-381 OMB NO: 0938-0279 EXPIRATION DATE: 05/31/2001 RESPS:149,609,549 HOURS:1,960,991 COSTS(000):$0 Medicare Uniform Institutional Provider Bill and Supporting Regulations in 42 CFR 424.5 FORMS: HCFA-1450 OMB NO: 0938-0287 EXPIRATION DATE: 11/30/2002 RESPS:27 HOURS:81 COSTS(000):$0 Withhholding Medicare Payments to Recover Medicaid Overpayments and Supporting Regulations in 42 CFR 447.31 FORMS: HCFA-R-0021 OMB NO: 0938-0296 EXPIRATION DATE: 03/31/2001 RESPS:275 HOURS:13,200 COSTS(000):$0 Provider Reimbursement Manual, Part 1, Chapter 27, Sections 2721, 2722, and 2725; Request for Exception to ESRD Composite Rates and Supporting Regulations Contained in 42 CFR 413.170 FORMS: HCFA-9044 OMB NO: 0938-0300 EXPIRATION DATE: 02/28/2001 RESPS:51 HOURS:6,700 COSTS(000):$0 Negative Case Action Review Process/Annual Report and Supporting Regulations -- 42 CFR 431.800 FORMS: HCFA-6401 OMB NO: 0938-0301 EXPIRATION DATE: 08/31/2001 RESPS:30,607 HOURS:1,239,584 COSTS(000):$0 Medicare Provider Cost Report Reimbursement Questionnaire and Supporting Regulations -- 42 CFR 405.465, 405.481, 413.20, and 413.24 FORMS: HCFA-339 OMB NO: 0938-0302 EXPIRATION DATE: 01/31/2003 RESPS:2,275 HOURS:6,042,834 COSTS(000):$0 Information Collection Requirements in the Hospice Care Regulation -- 42 CFR 418.22, 418.24, 418.28, 418.56, 418.58, 418.70, 418.74, 418.83, 418.96, and 418.100 FORMS: HCFA-R-30 OMB NO: 0938-0313 EXPIRATION DATE: 08/31/2001 RESPS:2,286 HOURS:572 COSTS(000):$0 Hospice Request for Certification in the Medicare Program and Supporting Regulations Contained in 42 CFR Part 418.1-418.405 FORMS: HCFA-417 OMB NO: 0938-0328 EXPIRATION DATE: 04/30/2003 RESPS:1,500 HOURS:53,163 COSTS(000):$0 Hospital COP-42 CFR 482, 482.12, 482.22, 482.27, 482.30, 482.62, 482.66 FORMS: HCFA-R-48 OMB NO: 0938-0334 EXPIRATION DATE: 04/30/2003 RESPS:3,528 HOURS:9,744 COSTS(000):$0 Conditions of Participation for Rural Health Clinics and Supporting Regulations in 42 CFR, Section 491.9, Subpart A FORMS: HCFA-R-38 OMB NO: 0938-0338 EXPIRATION DATE: 08/31/2002 RESPS:670 HOURS:1,675 COSTS(000):$0 Conditions of Participation for Portable X-ray Suppliers and Supporting Regulations in 42 CFR Sections 486.104, 486.106, and 486.110 FORMS: HCFA-R-43 OMB NO: 0938-0345 EXPIRATION DATE: 09/30/2002 RESPS:212 HOURS:2,120 COSTS(000):$45 Medicaid Statistical Information System FORMS: HCFA-R-0284 OMB NO: 0938-0354 EXPIRATION DATE: 06/30/2002 RESPS:56 HOURS:1,568 COSTS(000):$15 Annual Early and Periodic Screening Diagnostic and Treatment Services (EPSDT) Participation Report -- CFR:441.60 FORMS: HCFA-416 OMB NO: 0938-0355 EXPIRATION DATE: 01/31/2002 RESPS:19,884 HOURS:19,884 COSTS(000):$0 Home Health Agency Survey and Deficiencies Report, Home Health Functional Assessment Instrument and Supporting Regulations in 42 CFR Part 484.10 and 42 CFR Part 484.52 FORMS: HCFA-1572 HCFA-1515 OMB NO: 0938-0358 EXPIRATION DATE: 12/31/2003 RESPS:2,580 HOURS:645 COSTS(000):$0 Psychiatric Unit Criteria Work Sheet, Rehabilitation Unit Criteria Work Sheet and Rehabilitation Hospital Criteria Work Sheet, and Supporting Regulations at 42 CFR 412.20 - 412.30 FORMS: HCFA-437 437A 437B OMB NO: 0938-0359 EXPIRATION DATE: 02/28/2002 RESPS:895,419 HOURS:26,865 COSTS(000):$0 Medical Records Review under PPS and Supporting Regulations at 42 CFR 412.40-412.52 FORMS: HCFA-R-50 OMB NO: 0938-0360 EXPIRATION DATE: 11/30/2003 RESPS:675 HOURS:1,626 COSTS(000):$0 End Stage Renal Disease Application and Survey and Certification Report Form and Supporting Regulations 42 CFR 405.2100 - 405.2184 FORMS: HCFA-3427 OMB NO: 0938-0365 EXPIRATION DATE: 02/28/2001 RESPS:10,203 HOURS:86,008 COSTS(000):$0 Home Health Medicare Conditions of Participation (COP) Information Collection Requirements (CR's) as Outlined in Regulation 42 CFR 484 FORMS: GCFA-R-39 OMB NO: 0938-0373 EXPIRATION DATE: 10/31/2002 RESPS:45,000 HOURS:11,250 COSTS(000):$0 Medicare Participating Physician or Supplier Agreement -- HCFA-460 FORMS: HCFA-460 OMB NO: 0938-0378 EXPIRATION DATE: 08/31/2001 RESPS:350 HOURS:175 COSTS(000):$0 Medicare/Medicaid Psychiatric Hospital Survey Data Contained in 42 CFR and Supporting Regulations in 42 CFR 482.60, 482.61, and 482.62 FORMS: HCFA-724 OMB NO: 0938-0379 EXPIRATION DATE: 08/31/2003 RESPS:2,293 HOURS:5,733 COSTS(000):$0 Hospice Survey and Deficiencies Report Form and Supporting Regulations at 42 CFr Part 418.1 - 418.405 FORMS: 643 OMB NO: 0938-0380 EXPIRATION DATE: 08/31/2003 RESPS:2,000 HOURS:500 COSTS(000):$0 Hospital Request for Certification in the Medicare/Medicaid Program FORMS: HCFA-1514 OMB NO: 0938-0382 EXPIRATION DATE: 02/28/2002 RESPS:1,123 HOURS:3,650 COSTS(000):$0 Medicare/Medicaid Hospital Survey Report Form Supporting Regulations in 42 CFR 482.2 through 482.57 FORMS: HCFA-1537 OMB NO: 0938-0386 EXPIRATION DATE: 01/31/2001 RESPS:2,976 HOURS:100,937 COSTS(000):$0 Conditions for Coverage of Suppliers of End Stage Renal Disease (ESRD) Services and Supporting Regulations Contained in 42 CFR 405.2100-.2171 FORMS: HCFA-R-52 OMB NO: 0938-0391 EXPIRATION DATE: 11/30/2002 RESPS:60,000 HOURS:120,000 COSTS(000):$0 Statement of Deficiencies and Plan of Correction and Supporting Regulations Contained in 42 CFR 488.18, 488.26, and 488.28 FORMS: HCFA-2567 OMB NO: 0938-0408 EXPIRATION DATE: 07/31/2003 RESPS:25 HOURS:2,000 COSTS(000):$0 Methodology for Estimating Waiver Costs of HCFA Demonstration Projects FORMS: HCFA-482 OMB NO: 0938-0426 EXPIRATION DATE: 09/30/2002 RESPS:53 HOURS:30,683 COSTS(000):$0 Information Collection Requirements in HSQ-110 Acquisition, Protection and Disclosure of Peer Review Organization Information and Supporting Regulations in 42 CFR Sections 476.104, 476.105... FORMS: HCFA-R-70 OMB NO: 0938-0429 EXPIRATION DATE: 04/30/2001 RESPS:54 HOURS:2,700 COSTS(000):$0 Information Collection Requirement in 42 CFR 447.53, Imposition of Cost Sharing Charges under Medicaid -- BERC 509 FORMS: HCFA-R-53 OMB NO: 0938-0443 EXPIRATION DATE: 12/31/2002 RESPS:15,670 HOURS:3,578 COSTS(000):$0 Information Collection Requirements in 42 CFR 473.18, 473.34, 473.36, and 473.42, PRO Reconsideration and Appeals FORMS: HCFA-R-72 OMB NO: 0938-0444 EXPIRATION DATE: 07/31/2002 RESPS:1,060 HOURS:22,684 COSTS(000):$0 Information Collection Requirements in Final Peer Review Organization Sanction Regulations -- 42 CFR Sections 1004.40, 1004.50, 1004.60, and 1004.70 FORMS: HCFA-R-65 OMB NO: 0938-0445 EXPIRATION DATE: 03/31/2002 RESPS:6,417 HOURS:46,834 COSTS(000):$0 Information Collection Requirements in HSQ-108F Assumption of Responsibilities and Supporting Regulations in 42 CFR Sections 412.44, 412.46, 431.630, 456.654, 466.71, 466.73, 466.74, 466.78 FORMS: HCFA-R-71 OMB NO: 0938-0447 EXPIRATION DATE: 04/30/2003 RESPS:3,761 HOURS:30,088 COSTS(000):$0 End Stage Renal Disease Medical Information System ESRD Facility Survey FORMS: HCFA-2744 OMB NO: 0938-0448 EXPIRATION DATE: 10/31/2001 RESPS:52,654 HOURS:8,951 COSTS(000):$0 End Stage Renal Disease Death Notification FORMS: HCFA-2746 OMB NO: 0938-0449 EXPIRATION DATE: 03/31/2002 RESPS:128 HOURS:7,860 COSTS(000):$0 Home and Community-Based Waiver Requests and Supporting Regulation -- 42 CFR 440.180, 441.300-.310 FORMS: HCFA-8003 OMB NO: 0938-0454 EXPIRATION DATE: 03/31/2003 RESPS:947,816 HOURS:417,239 COSTS(000):$0 Physician Certifications/Recertifications in Skilled Nursing Facilities (SNFs) Manual Instructions and Supporting Regulations 42 CFR 424.20 FORMS: HCFA-R-5 OMB NO: 0938-0456 EXPIRATION DATE: 10/31/2003 RESPS:1,350 HOURS:2,700 COSTS(000):$0 Indirect Medical Education (IME) And Supporting Regulations 42 CFR 412.105 FORMS: HCFA-R-64 OMB NO: 0938-0463 EXPIRATION DATE: 11/30/2003 RESPS:15,706 HOURS:2,943,200 COSTS(000):$0 Skilled Nursing Facility and Skilled Nursing Facility Health Care Complex Cost Report and Supporting Regulations in 42 CFR 413.20 and 413.24 FORMS: HCFA-2540-96 OMB NO: 0938-0465 EXPIRATION DATE: 11/30/2003 RESPS:3,563,304 HOURS:296,942 COSTS(000):$0 Limitation on Liability and Information Collection Requirements Referenced in 42 CFR 411.404, 411.406, and 411.408 FORMS: HCFA-R-77 OMB NO: 0938-0467 EXPIRATION DATE: 05/31/2002 RESPS:54 HOURS:101,414 COSTS(000):$0 Income and Eligibility Verification System Reporting and 435.920, 435.940-435.960 FORMS: HCFA-R-0074 OMB NO: 0938-0469 EXPIRATION DATE: 05/31/2001 RESPS:953 HOURS:3,130 COSTS(000):$0 Health Maintenance Organizations and Competitive Medical Plans and Supporting Regulations 42 CFR 417., .126, .478, .162 FORMS: HCFA-906 OMB NO: 0938-0470 EXPIRATION DATE: 11/30/2003 RESPS:35 HOURS:3,500 COSTS(000):$471 Qualification Application and Supporting Regulations in 42 CFR, Section 417.408 and 417.143 FORMS: HCFA-901-1 OMB NO: 0938-0477 EXPIRATION DATE: 06/30/2002 RESPS:40 HOURS:160 COSTS(000):$0 Payment Adjustment for Sole Community Hospitals and Supporting Regulations in 42 CFR Section 412.92 FORMS: HCFA-R-79 OMB NO: 0938-0481 EXPIRATION DATE: 01/31/2001 RESPS:112,526 HOURS:140,658 COSTS(000):$0 Medicaid Sterilization Regulations and Consent Form and Supporting Regulations -- 45 CFR 96.73, 42 CFR 441, Subpart F FORMS: HCFA-R-94 OMB NO: 0938-0484 EXPIRATION DATE: 03/31/2003 RESPS:1,100 HOURS:275 COSTS(000):$0 Emergency and Foreign Hospital Services -- Beneficiary Statement in Canadian Travel Claims and Supporting Regulations in 42 CFR, Section 424.123 FORMS: HCFA-R-96 OMB NO: 0938-0486 EXPIRATION DATE: 10/31/2003 RESPS:10,000 HOURS:2,500 COSTS(000):$0 Regulations for Hearing for Part A Medicare by an Administrative Law Judge and Supporting Regulations in 42 CFR, 498 Subpart D and E FORMS: HCFA-5011A-U6 OMB NO: 0938-0489 EXPIRATION DATE: 04/30/2002 RESPS:20 HOURS:40 COSTS(000):$0 Information Collection Requirements for Sole Community Home Health Agencies -- 42 CFR 424.22 FORMS: HCFA-R-85 OMB NO: 0938-0490 EXPIRATION DATE: 09/30/2002 RESPS:5 HOURS:500 COSTS(000):$0 Criteria for Medicare Coverage of Heart Transplants FORMS: HCFA-R-0106 OMB NO: 0938-0501 EXPIRATION DATE: 01/31/2001 RESPS:4,300 HOURS:717 COSTS(000):$0 Medicare Qualification Statement for Federal Employees and Supporting Regulations at 42 CFR 406.15 FORMS: HCFA-565 OMB NO: 0938-0502 EXPIRATION DATE: 09/30/2002 RESPS:1,900,000 HOURS:329,965 COSTS(000):$0 Medicaid: Determining Third-Party Liability (TPL) State Plan Preprint and Supporting Regulations in 42 CFR 433.138 FORMS: HCFA-R-0107 OMB NO: 0938-0507 EXPIRATION DATE: 06/30/2003 RESPS:85,000 HOURS:2,805 COSTS(000):$0 Medicare Managed Care Disenrollment Form FORMS: HCFA-566 OMB NO: 0938-0511 EXPIRATION DATE: 01/31/2001 RESPS:1,441 HOURS:139,410 COSTS(000):$0 Skilled Nursing Facility Prospective Payment System Cost Report and Supporting Regulations in 42 CFR 413.20 and 413.24 FORMS: HCFA-2540S OMB NO: 0938-0512 EXPIRATION DATE: 09/30/2001 RESPS:69 HOURS:138 COSTS(000):$0 Organ Procurement Organization's Request for Designation -- 42 CFR 486.301-486.325 FORMS: HCFA-576 OMB NO: 0938-0519 EXPIRATION DATE: 09/30/2001 RESPS:99,825 HOURS:7,697 COSTS(000):$0 Medicare Home Health Quality Assurance Demonstration -- 42 CFR 484 FORMS: HCFA-P-11 OMB NO: 0938-0526 EXPIRATION DATE: 06/30/2001 RESPS:53 HOURS:1 COSTS(000):$0 Peer Review Contracts: Solicitation of Interest from In-State Organizations, General Notice and Supporting Regulations -- 42 CFR 462.102, .103, .104 FORMS: HCFA-R-118 OMB NO: 0938-0534 EXPIRATION DATE: 09/30/2002 RESPS:500,000 HOURS:50,000 COSTS(000):$0 Attending Physician's Certification of Medical Necessity for Home Oxygen Therapy and Supporting Regulations 42 CFR 410.38 and 42 CFR 424.5; Form Number HCFA-484 FORMS: HCFA-484 OMB NO: 0938-0544 EXPIRATION DATE: 01/31/2003 RESPS:15,526 HOURS:7,628 COSTS(000):$0 Survey Report Form Clinical Laboratory Improvement Amendments (CLIA) and Supporting Regulations in 42 CFR 493.1-493-2001 FORMS: HCFA-1557 OMB NO: 0938-0565 EXPIRATION DATE: 09/30/2002 RESPS:327,947 HOURS:1,096,466 COSTS(000):$0 Internal Revenue Service/Social Security Administration/Health Care Financing Administration Data Match and Supporting Regulations in 42 CFR Sections 411.20-411.206 FORMS: HCFA-R-137 OMB NO: 0938-0566 EXPIRATION DATE: 08/31/2002 RESPS:925,904 HOURS:115,738 COSTS(000):$0 Information Collection Requirements in 42 CFR Section 411.408 FORMS: HCFA-R-131 OMB NO: 0938-0567 EXPIRATION DATE: 10/31/2003 RESPS:1,000 HOURS:2,500 COSTS(000):$0 Request for Hearing for Part B Medicare by an Administrative Law Judge and Supporting Regulations in 42 CFR, 498 Subpart D and E FORMS: HCFA-5011B-U6 OMB NO: 0938-0568 EXPIRATION DATE: 01/31/2001 RESPS:49,500 HOURS:50,490 COSTS(000):$0 Medicare Current Beneficiary Survey (MCBS): Rounds 20-28 FORMS: HCFA-P-15A OMB NO: 0938-0573 EXPIRATION DATE: 09/30/2002 RESPS:1,000 HOURS:1,000 COSTS(000):$0 Medicare Geographic Classification Review Board (MGCRB) Procedures and Criteria and Supporting Regulations in 42 CFR Section 412.256 FORMS: HCFA-R-0138 OMB NO: 0938-0575 EXPIRATION DATE: 04/30/2003 RESPS:50 HOURS:150 COSTS(000):$0 Analysis of Malpractice Premium Data FORMS: HCFA-R-143 OMB NO: 0938-0578 EXPIRATION DATE: 07/31/2003 RESPS:2,204 HOURS:54,660 COSTS(000):$948 Medicaid Drug Rebate Program - Manufacturers FORMS: HCFA-367 HCFA-367A HCFA-367B HCFA-367C OMB NO: 0938-0579 EXPIRATION DATE: 12/31/2002 RESPS:20 HOURS:535 COSTS(000):$0 Business Proposal Formats for Utilization and Quality Control Peer Review Organizations (PROs) FORMS: 718-BP 719-BP 720-BP 721-BP SUM-PS IS CA SS SC-1 SC-2 OMB NO: 0938-0580 EXPIRATION DATE: 04/30/2001 RESPS:12 HOURS:1,880 COSTS(000):$0 Criteria for Medicare Coverage of Liver Transplants FORMS: HCFA-R-108 OMB NO: 0938-0581 EXPIRATION DATE: 09/30/2001 RESPS:16,000 HOURS:20,000 COSTS(000):$0 Clinical Laboratory Improvement Amendments Application Form -- 42 CFR 493.1-.2001 FORMS: HCFA-116 OMB NO: 0938-0582 EXPIRATION DATE: 09/30/2003 RESPS:204 HOURS:6,125 COSTS(000):$139 State Drug Rebate (Medicaid) FORMS: HCFA-368 R-144 OMB NO: 0938-0599 EXPIRATION DATE: 08/31/2001 RESPS:331 HOURS:4,500 COSTS(000):$0 CLIA Budget Workload Reports and Supporting Regulations Contained in 42 CFR 493.1-.2001 FORMS: HCFA-102 HCFA-105 OMB NO: 0938-0600 EXPIRATION DATE: 09/30/2002 RESPS:190,400 HOURS:1,142,400 COSTS(000):$0 Medicare Credit Balance Reporting Requirements and Supporting Regulations in 42 CFR 405.371, 405.378, and 413.20 FORMS: HCFA-838 OMB NO: 0938-0610 EXPIRATION DATE: 05/31/2002 RESPS:35,905 HOURS:908,250 COSTS(000):$0 Information Collection Requirements Contained in BDP-718; Advanced Directives (Medicare and Medicaid) and Supporting in 42 CFR Sections 417.436, 417.801, 422.128, 430.12, 431.20.... FORMS: HCFA-R-10 OMB NO: 0938-0612 EXPIRATION DATE: 04/30/2001 RESPS:631,459 HOURS:17,888,923 COSTS(000):$0 Clinical Laboratory Improvement Amendments (CLIA) and the ICRs Contained in the Supporting Regulations in 42 CFR 493.1-.2001 FORMS: HCFA-R-26 OMB NO: 0938-0618 EXPIRATION DATE: 09/30/2001 RESPS:40 HOURS:2,880 COSTS(000):$0 Limitations on Provider-Related Donations and Health Care-Related Taxes; Limitation on Payments to Disproportionate Share Hospitals; Medicaid and Supporting Regulations.... FORMS: HCFA-R-148 OMB NO: 0938-0624 EXPIRATION DATE: 04/30/2003 RESPS:50 HOURS:12 COSTS(000):$0 Hospital Provider of Extended Care Services (Swing-Beds) in the Medicare and Medicaid Programs, 42 CFR 447.280 and 482.66 FORMS: HCFA-605 OMB NO: 0938-0626 EXPIRATION DATE: 04/30/2003 RESPS:10,000 HOURS:1,250 COSTS(000):$0 Authorization Agreement for Electronic Funds Transfer FORMS: HCFAA-588 OMB NO: 0938-0650 EXPIRATION DATE: 05/31/2001 RESPS:4,000 HOURS:10,000 COSTS(000):$0 Alternate Quality Assessment Survey and Supporting Regulations in 42 CFR 493.1-.2001 FORMS: HCFA-667 OMB NO: 0938-0653 EXPIRATION DATE: 08/31/2003 RESPS:12,500 HOURS:3,125 COSTS(000):$0 Post Laboratory Survey Questionnaire--Laboratory, and Supporting Regulations in 42 CFR 493 FORMS: 668B OMB NO: 0938-0655 EXPIRATION DATE: 10/31/2003 RESPS:1,573 HOURS:786 COSTS(000):$0 Clinical Laboratory Improvement Amendments (CLIA) Adverse Action Extract and Supporting Regulations at 42 CFr 493.1840 FORMS: HCFA-462A/B OMB NO: 0938-0657 EXPIRATION DATE: 12/31/2003 RESPS:36 HOURS:108 COSTS(000):$0 End-Stage Renal Disease (ESRD) Network Semi-Annual Cost Report Forms and Supporting Regulations in 42 CFR 405.2110 and 42 CFR 405.2112 FORMS: HCFA-685 OMB NO: 0938-0658 EXPIRATION DATE: 12/31/2003 RESPS:36 HOURS:1,080 COSTS(000):$0 End-Stage Renal Disease (ESRD) Network Business Proposal Forms and Supporting Regulations in 432 CFR 405.2110 and 42 CFR 405.2112 FORMS: HCFA-684A-684I OMB NO: 0938-0659 EXPIRATION DATE: 12/31/2001 RESPS:50 HOURS:655,067 COSTS(000):$0 Drug Utilization Review (Medicaid) and Supporting Regulation in 42 CFR 456.700, 456.705, 456.709, 456.711, 456.712 FORMS: HCFA-R-153 HCFA-R-153A OMB NO: 0938-0667 EXPIRATION DATE: 09/30/2001 RESPS:7,000 HOURS:1 COSTS(000):$0 ICRs Contained in BPD-393, Examination and Treatment for Emergency Medical Contitions and Women in Labor -- 42 CFR 488.18, 489.20, and 489.24 FORMS: HCFA-142 OMB NO: 0938-0670 EXPIRATION DATE: 04/30/2001 RESPS:16 HOURS:1,910 COSTS(000):$0 Criteria for Medicare Coverage of Lung Transplants FORMS: HCFA-R-170 OMB NO: 0938-0673 EXPIRATION DATE: 07/31/2001 RESPS:56 HOURS:280 COSTS(000):$0 Medicaid Post-Eligibility Preprint and Supporting Regulations at 42 CFR 430.10 FORMS: SP0001 OMB NO: 0938-0676 EXPIRATION DATE: 03/31/2001 RESPS:1,460 HOURS:132,120 COSTS(000):$998 Reconciliation of State Invoice and Prior Quarter Adjustment 447.550 FORMS: HCFA-304 304A OMB NO: 0938-0680 EXPIRATION DATE: 07/31/2002 RESPS:720 HOURS:847 COSTS(000):$0 Field Testing of the Uniform Needs Assessment Instrument (UNAI): Small-Scale Trial Phase 2 FORMS: HCFA-R-180 OMB NO: 0938-0685 EXPIRATION DATE: 09/30/2001 RESPS:225,000 HOURS:435,000 COSTS(000):$0 Medicare and Other Federal Health Care Programs Provider/Supplier Enrollment Application -- 42 CFR 410.32, 410.71, 413.17, 424.57, 424.73, 424.80, and 484.12 FORMS: HCFA-855 HCFA-855C HCFA-855R HCFA-855S OMB NO: 0938-0686 EXPIRATION DATE: 02/28/2002 RESPS:11 HOURS:2,112 COSTS(000):$0 Granting and Withdrawal of Deeming Authority to Private Nonprofit Accreditation Organizations and of State Exemption under State Laboratory Programs and Supporting Regulations in 42 CFR 493.551 FORMS: HCFA-R-185 OMB NO: 0938-0688 EXPIRATION DATE: 11/30/2001 RESPS:62 HOURS:1 COSTS(000):$0 Conditions of Coverage for Organ Procurement Organizations (OPOs) and Supporting Regulations in 42 CFR Section 486.301-.325 FORMS: HCFA-R-13 OMB NO: 0938-0690 EXPIRATION DATE: 06/30/2002 RESPS:28 HOURS:451 COSTS(000):$0 Granting and Withdrawal of Deeming Authority to National Accreditation -- 42 CFR 488.4-9 and 488.201 FORMS: HCFA-R-191 OMB NO: 0938-0691 EXPIRATION DATE: 09/30/2002 RESPS:100 HOURS:100 COSTS(000):$0 Medicare Disproportionate Share Adjustment Procedures and Criteria and Supporting Regulations in 42 CFR 412.106 FORMS: HCFA-R-194 OMB NO: 0938-0697 EXPIRATION DATE: 12/31/2003 RESPS:57 HOURS:342 COSTS(000):$0 Medicaid Report on Payables and Receivables FORMS: HCFA-R-199 OMB NO: 0938-0702 EXPIRATION DATE: 12/31/2002 RESPS:43,000,000 HOURS:2,700,000 COSTS(000):$0 Information Collection Requirements Referenced in HIPAA for the Group Market -- Supporting Regulations 45 CFR 146 and Forms/Instructions FORMS: HCFA-R-206 OMB NO: 0938-0703 EXPIRATION DATE: 12/31/2002 RESPS:3,230,000 HOURS:923,000 COSTS(000):$0 Information Collection Requirements Referenced in HIPAA for the Form/Instructions FORMS: HCFA-R-205 OMB NO: 0938-0705 EXPIRATION DATE: 07/31/2001 RESPS:84,235 HOURS:1,073 COSTS(000):$0 Maximizing the Effective Use of Telemedicine: A Study of the Effects, Cost Effectiveness and Utilization Patterns of Consultations via Telemedicine FORMS: HCFA-R-197 OMB NO: 0938-0707 EXPIRATION DATE: 07/31/2003 RESPS:37 HOURS:2,960 COSTS(000):$0 Model Application Template for State Child Health Plan Under Title XXI of the Social Security Act, State Children's Health Insurance Program, and Model Application Template FORMS: HCFA-R-211 OMB NO: 0938-0709 EXPIRATION DATE: 03/31/2001 RESPS:137,271 HOURS:133,652 COSTS(000):$0 Data Collection for the Second Generation Social Health Maintenance Organization Demonstration FORMS: HCFA-R-204 OMB NO: 0938-0711 EXPIRATION DATE: 11/30/2001 RESPS:1 HOURS:6,547 COSTS(000):$0 Managed Care Data Using the Uniform Institutional Providers Form FORMS: HCFA-R-224 OMB NO: 0938-0712 EXPIRATION DATE: 03/31/2001 RESPS:2,831 HOURS:2,124 COSTS(000):$0 Survey of Primary Caregivers for the District of Columbia's Managed Care Demonstration for Disabled and Special Needs Children FORMS: HCFA-R-212 OMB NO: 0938-0714 EXPIRATION DATE: 08/31/2001 RESPS:200 HOURS:2,000 COSTS(000):$0 Procedures for Advisory Opinions Concerning Physicians Referrals and Supporting Regulations -- Sections 411.370 Through 411.389 FORMS: HCFA-R-216 OMB NO: 0938-0715 EXPIRATION DATE: 05/31/2001 RESPS:5,365 HOURS:4,540 COSTS(000):$0 End-Stage Renal Disease Managed Care Demonstration Evaluation FORMS: HCFA-R-219 OMB NO: 0938-0717 EXPIRATION DATE: 04/30/2001 RESPS:22,667 HOURS:283,711 COSTS(000):$0 Information Collection Requirements Referenced in 42 CFR Section 424.57, Additional DMEPOS Supplier Standards FORMS: HCFA-R-215 OMB NO: 0938-0718 EXPIRATION DATE: 09/30/2001 RESPS:6,670 HOURS:2,223 COSTS(000):$0 Research and Analytic Support for Implementing Performance Measurement in Medicare Fee for Service FORMS: HCFA-R227 OMB NO: 0938-0719 EXPIRATION DATE: 05/31/2001 RESPS:243,500 HOURS:6,054 COSTS(000):$0 Mental Health Parity Act of 1996: Information Collection Requirements Contained in HCFA-2891-IFC -- 45 CFR 146.136 FORMS: HCFA-R=223 OMB NO: 0938-0720 EXPIRATION DATE: 10/31/2001 RESPS:10,465 HOURS:23,301 COSTS(000):$0 Development of an Assessment System for Post Acute Care FORMS: HCFA-R-229 OMB NO: 0938-0721 EXPIRATION DATE: 05/31/2001 RESPS:500 HOURS:42 COSTS(000):$0 Independent Diagnostic Testing Facility and Supporting Regulations Contained in 42 CFR 410.33 FORMS: HCFA-R-214 OMB NO: 0938-0722 EXPIRATION DATE: 09/30/2001 RESPS:30 HOURS:300 COSTS(000):$0 Medicare + Choice Provider-Sponsored Organization Waiver Request Form -- 42 CFR 422.370 through 422.378 FORMS: HCFA-R-231 OMB NO: 0938-0723 EXPIRATION DATE: 02/28/2001 RESPS:10 HOURS:2,400 COSTS(000):$0 Medicare Integrity Program Organizational Conflict of Interest Disclosure Certificate and Supporting Regulations at 42 CFR 421.310 and 421.312 FORMS: HCFA-R-232 OMB NO: 0938-0727 EXPIRATION DATE: 06/30/2001 RESPS:4,150 HOURS:1,730 COSTS(000):$0 Evaluation of the Oregon Medicaid Reform Demonstration: Phase II Adult Interview, Phase II Child Interview, Survey of Agency Providers FORMS: HCFA-R-221 OMB NO: 0938-0730 EXPIRATION DATE: 08/31/2001 RESPS:25,000 HOURS:5,932 COSTS(000):$0 Revisions to Payment Policies under the Physician Fee Schedule for Calendar Year 1999 and Supporting Regulations in 42 CFR 405.410, 405.430, 405.435, 405.440, 405.445, 405.455, 410.61.... FORMS: R-234 OMB NO: 0938-0731 EXPIRATION DATE: 01/31/2002 RESPS:448 HOURS:7,840 COSTS(000):$0 Quarterly Children's Health Insurance Program Statement of Expenditures for Title XXI FORMS: HCFA-21 OMB NO: 0938-0732 EXPIRATION DATE: 01/31/2001 RESPS:204,000 HOURS:67,320 COSTS(000):$0 The Medicare Managed Care CAHPS Survey and Supporting Regulations in 42 CFR 417.126 and 417.470 FORMS: HCFA-R-246 OMB NO: 0938-0734 EXPIRATION DATE: 09/30/2001 RESPS:1,500 HOURS:750 COSTS(000):$0 Data Use Agreement Information Collection Requirements, Model Language -- 45 CFR Section 5b FORMS: HCFA-R-235 OMB NO: 0938-0736 EXPIRATION DATE: 10/31/2001 RESPS:7,840 HOURS:5,840 COSTS(000):$0 Multi-State Evaluation of the Dual Eligible Demonstration FORMS: HCFA-R-237 OMB NO: 0938-0737 EXPIRATION DATE: 03/31/2002 RESPS:1,050 HOURS:175 COSTS(000):$0 Call-Back Survey of Callers to the Medicare+Choice Toll-Free Hotline FORMS: HCFA-R-253 OMB NO: 0938-0738 EXPIRATION DATE: 09/30/2002 RESPS:2,400 HOURS:600 COSTS(000):$0 National Medicare Education Program (NMEP) Community Survey of Medicare FORMS: HCFA-R-0254 OMB NO: 0938-0739 EXPIRATION DATE: 04/30/2003 RESPS:204,000 HOURS:5,696,218 COSTS(000):$0 SNF Resident Assessment MDS Data and Supporting Regulation 42 CFR 413.343 and 424.32 FORMS: HCFA-R-250 OMB NO: 0938-0740 EXPIRATION DATE: 03/31/2002 RESPS:9,855 HOURS:986 COSTS(000):$0 Bounceback Form for Medicare and You on WWW.Medicare.Gov FORMS: HCFA-R-251 OMB NO: 0938-0741 EXPIRATION DATE: 03/31/2002 RESPS:60,000 HOURS:3,960 COSTS(000):$0 Medicare+Choice Disenrollment Form to Original Medicare FORMS: HCFA-R-257 OMB NO: 0938-0742 EXPIRATION DATE: 01/31/2001 RESPS:1,200 HOURS:50,000 COSTS(000):$0 Adjusted Community Rate (ACR) and Supporting Requirements in 42 CFR Sections 422.300-422.312 FORMS: HCFA-R-228 OMB NO: 0938-0745 EXPIRATION DATE: 03/31/2001 RESPS:263 HOURS:1 COSTS(000):$0 Quality Improvement System for Managed Care (QISMC) Standards and Guidelines FORMS: HCFA-R-260 OMB NO: 0938-0746 EXPIRATION DATE: 06/30/2002 RESPS:54 HOURS:2,160 COSTS(000):$0 Medicaid Disproportionate Share Hospitals/Institutions for Mental Disease FORMS: HCFA-R-266 OMB NO: 0938-0748 EXPIRATION DATE: 12/31/2003 RESPS:1,700 HOURS:12,420 COSTS(000):$0 Medicare DMEPOS Competitive Bidding Demonstration FORMS: HCFA-R-0264A-H OMB NO: 0938-0749 EXPIRATION DATE: 07/31/2002 RESPS:40,000 HOURS:20,000 COSTS(000):$0 On-Site Inspection for Durable Medical Equipment (DME) Supplier Location and Supporting Regulations in 42 CFR Section 424.57 FORMS: HCFA-R-263 OMB NO: 0938-0751 EXPIRATION DATE: 12/31/2001 RESPS:16,000 HOURS:2,667 COSTS(000):$0 Medicare Current Beneficiary Survey: National Baseline Medicare Beneficiary Knowledge Supplement FORMS: HCFA-P-0015S OMB NO: 0938-0754 EXPIRATION DATE: 02/28/2002 RESPS:80,000 HOURS:1 COSTS(000):$0 Inpatient Psychiatric Services for Individuals under Age 21 and Supporting Regulations in 42 CFR 441.152 FORMS: HCFA-R-238 OMB NO: 0938-0755 EXPIRATION DATE: 07/31/2002 RESPS:2,560 HOURS:724 COSTS(000):$0 Oxygen Consumer Survey: Medical Equipment and Supplies Consumer Survey FORMS: HCFA-R-269 OMB NO: 0938-0756 EXPIRATION DATE: 06/30/2002 RESPS:212,185 HOURS:21,221 COSTS(000):$0 Bounceback Forms for www.Medicare.gov, www.4woman.gov, and www.healthfinder.gov FORMS: HCFA-R-268 OMB NO: 0938-0757 EXPIRATION DATE: 06/30/2002 RESPS:4,200 HOURS:44,450 COSTS(000):$0 Managed Care Organization Year 2000 Continuity and Contingency Planning FORMS: HCFA-R-0270 OMB NO: 0938-0758 EXPIRATION DATE: 03/31/2002 RESPS:1,720 HOURS:302,720 COSTS(000):$0 Hospice Cost Report and Supporting Regulations in 42 CFR 413.20 and 413.24 FORMS: HCFA-R-249 OMB NO: 0938-0759 EXPIRATION DATE: 04/30/2002 RESPS:12,000 HOURS:3,000 COSTS(000):$0 Medicare Beneficiary Information Needs: Supplement to the Medicare Current Beneficiary Survey (MCBS) FORMS: HCFA-P-15A OMB NO: 0938-0760 EXPIRATION DATE: 03/31/2001 RESPS:8,200 HOURS:967,600 COSTS(000):$25,780 Collection of OASIS Data for Prospective Payment System Purposes and for Masking Data FORMS: HCFA-R-245 OMB NO: 0938-0761 EXPIRATION DATE: 03/31/2001 RESPS:8,200 HOURS:996,368 COSTS(000):$29,000 Medicare and Medicaid Programs Reporting OASIS Data as Part of the CoPs for HHAs and Supporting Regulations in 42 CFR 484.11 and 484.20 FORMS: HCFA-R-209 OMB NO: 0938-0763 EXPIRATION DATE: 03/31/2003 RESPS:300 HOURS:900 COSTS(000):$0 The Adjusted Community Rate Proposal (ACRP) M+C Plan Benefit Package & Supporting Regulations in 42 CFR 417.401, 422.1-422.10, 422.50-422.80,422.100-422.132,422.300-422.312,422.400-422.404.... FORMS: HCFA-R-262 OMB NO: 0938-0764 EXPIRATION DATE: 06/30/2002 RESPS:2,000 HOURS:500 COSTS(000):$0 Publication Information Sheet Reorder Form Feedback Questionnaire FORMS: HCFA-R-271 OMB NO: 0938-0765 EXPIRATION DATE: 06/30/2002 RESPS:350 HOURS:155 COSTS(000):$0 Evaluation of Medicare+Choice Medical Savings Account Demonstration; Insurer Survey Component FORMS: HCFA-R-274 OMB NO: 0938-0766 EXPIRATION DATE: 12/31/2002 RESPS:510,000 HOURS:25,500 COSTS(000):$0 Feedback Postcard FORMS: HCFA-R-276 OMB NO: 0938-0767 EXPIRATION DATE: 06/30/2001 RESPS:450 HOURS:75 COSTS(000):$0 Medigap Compare FORMS: HCFA-R-0280 OMB NO: 0938-0768 EXPIRATION DATE: 07/31/2002 RESPS:15 HOURS:1,125 COSTS(000):$0 Medicare Agreement Application, Health Care Prepayment Plan, and Supporting Regulations in 42 CFR Section 417.800-.840 FORMS: HCFA-R-243 OMB NO: 0938-0769 EXPIRATION DATE: 01/31/2003 RESPS:1,500 HOURS:375 COSTS(000):$0 Request for Retirement Benefit Information FORMS: HCFA-R285 OMB NO: 0938-0770 EXPIRATION DATE: 01/31/2003 RESPS:850 HOURS:3,400 COSTS(000):$0 Community Mental Health Center Site Visit Assessment Tool and Supporting Regulations in 42 CFR 410.2 FORMS: HCFA-R-273 OMB NO: 0938-0771 EXPIRATION DATE: 10/31/2002 RESPS:4,250 HOURS:3,019 COSTS(000):$0 Survey of Medicare Beneficiaries for the National Medicare and You Handbook: 2000 Evaluation FORMS: HCFA-R-281 OMB NO: 0938-0772 EXPIRATION DATE: 08/31/2002 RESPS:2,500 HOURS:787 COSTS(000):$0 Peer Review Evaluation of Access to and Quality of Home Oxygen Equipment FORMS: HCFA-R-0275 OMB NO: 0938-0773 EXPIRATION DATE: 01/31/2003 RESPS:49,300 HOURS:5,752 COSTS(000):$0 Bounceback Forms for www.Medicare.gov/nmep FORMS: R-0286 OMB NO: 0938-0775 EXPIRATION DATE: 09/30/2002 RESPS:600 HOURS:300 COSTS(000):$0 National Hospital Malpractice Insurance Survey (NHMIS) FORMS: HCFA-R-278 OMB NO: 0938-0776 EXPIRATION DATE: 09/30/2002 RESPS:200 HOURS:8,000 COSTS(000):$0 Medicare Program: Procedures for Making National Coverage Decisions FORMS: NONE OMB NO: 0938-0777 EXPIRATION DATE: 04/30/2003 RESPS:9,000 HOURS:1,500 COSTS(000):$0 Medicare Lifestyle Modification Program Demonstration FORMS: HCFA-R-289 OMB NO: 0938-0778 EXPIRATION DATE: 12/31/2003 RESPS:536 HOURS:1,608 COSTS(000):$0 Medicare + Choice (M + C) Organization Appeals and Grievance Data Disclosure Requirements and Supporting Regulations in 42 CFR 42 CFR 422.64, 422.11, and 422.560 - 422.622 FORMS: HCFA-R-0282 OMB NO: 0938-0779 EXPIRATION DATE: 09/30/2003 RESPS:90,240 HOURS:39,744 COSTS(000):$0 Medicare CAHPS Disenrollment Survey FORMS: HCFA-R-295 OMB NO: 0938-0780 EXPIRATION DATE: 11/30/2002 RESPS:120,000 HOURS:10,000 COSTS(000):$0 Medicare Telephone Customer Satisfaction Study FORMS: HCFA-R-0293 OMB NO: 0938-0781 EXPIRATION DATE: 05/31/2001 RESPS:108,000 HOURS:30,000 COSTS(000):$0 Home Health Advance Beneficiary Notices of Liability and Supporting Regulations in 42 CFR 4984.10(a) FORMS: HCFA-R-296 OMB NO: 0938-0782 EXPIRATION DATE: 12/31/2002 RESPS:5,945 HOURS:3,830 COSTS(000):$0 Multi-State Evaluation of Dual Eligibles Demonstrations: Wisconsin Partnership Program FORMS: HCFA-R-291 OMB NO: 0938-0783 EXPIRATION DATE: 02/28/2002 RESPS:450 HOURS:1,350 COSTS(000):$0 Market Survey of Fraud, Waste, and Abuse Detection Software FORMS: HCFA-R-0283 OMB NO: 0938-0784 EXPIRATION DATE: 01/31/2003 RESPS:108 HOURS:27 COSTS(000):$0 Flexibility in Payment Methods for Hospitals, Nursing Facilities, Supporting Regualtions in 42 CFR 447.254 FORMS: HCFA-R-0252 OMB NO: 0938-0786 EXPIRATION DATE: 02/28/2003 RESPS:11,609 HOURS:135,110 COSTS(000):$0 External Quality Review of Medicaid MCOs and Supporting Regulations in 42 CFR 438.360, 438.362, and 438.364 FORMS: HCFA-R-0305 OMB NO: 0938-0787 EXPIRATION DATE: 04/30/2001 RESPS:5,000 HOURS:750 COSTS(000):$0 Request for Employment Information FORMS: HCFA-R-297 OMB NO: 0938-0789 EXPIRATION DATE: 03/31/2002 RESPS:3,000 HOURS:1,212 COSTS(000):$0 Survey and Evaluation of New Members of Medicare+Choice Plans FORMS: HCFA-R-0298 OMB NO: 0938-0790 EXPIRATION DATE: 04/30/2003 RESPS:54 HOURS:23,073 COSTS(000):$0 Medicare and Medicaid; programs for all-inclusive care for the elderly (PACE) contained in 42 CFR 460.12 - 460.210 FORMS: HCFA-R-244 OMB NO: 0938-0791 EXPIRATION DATE: 06/30/2001 RESPS:26,402 HOURS:7,203 COSTS(000):$0 A Project to Develop an Outcome-Based Continuous Quality Improvement System for PACE FORMS: HCFA-R-0299 OMB NO: 0938-0792 EXPIRATION DATE: 04/30/2003 RESPS:3,573 HOURS:3,663 COSTS(000):$0 Rural Health Clinics: Amendments to Participation Requirements & Payment Provisions; & Establishments of a Quality Assessment & Performance Improvement Program & Supporting Regulations..... FORMS: HCFA-R-0242 OMB NO: 0938-0794 EXPIRATION DATE: 04/30/2001 RESPS:100 HOURS:17 COSTS(000):$0 Health Care Services for Deaf and Hard of Hearing Adults - Case Story Forms FORMS: HCFA-R-310 OMB NO: 0938-0795 EXPIRATION DATE: 07/31/2001 RESPS:42 HOURS:126 COSTS(000):$0 Conflict of Interest and Ownership and Control Information FORMS: HCFA-R-312 OMB NO: 0938-0796 EXPIRATION DATE: 01/31/2001 RESPS:134,400 HOURS:44,800 COSTS(000):$0 Medicare Consumer Assessment of Health Plan Survey - Fee for Service (CAHPS-FFS) FORMS: HCFA-10000 OMB NO: 0938-0797 EXPIRATION DATE: 07/31/2003 RESPS:150 HOURS:566 COSTS(000):$0 Individual Market-Guarantee Issue Election Packet, Supporting Regulations 45 CFR 148, and forms/instruction FORMS: HCFA-R-205 OMB NO: 0938-0798 EXPIRATION DATE: 08/31/2003 RESPS:2,752 HOURS:41,063 COSTS(000):$0 Prospective Payments for Hospital Outpatient Services and Supporting Regulations in 42 CFR 143.65, and 419.42 FORMS: HCFA-R-240 OMB NO: 0938-0799 EXPIRATION DATE: 03/31/2001 RESPS:56 HOURS:5,600 COSTS(000):$0 TWWIIA Demonstration to Maintain Independence and Employment Grants FORMS: HCFA-10006 OMB NO: 0938-0801 EXPIRATION DATE: 08/31/2003 RESPS:51 HOURS:102 COSTS(000):$0 Evaluation of QMB and SLMB Outreach Activities FORMS: HCFA-R-317 OMB NO: 0938-0802 EXPIRATION DATE: 02/28/2001 RESPS:500 HOURS:1,500 COSTS(000):$0 Recognition of new technology/passthrough items under the Prospective Payment System for Hospital Outpatient Services FORMS: HCFA-10008 OMB NO: 0938-0804 EXPIRATION DATE: 09/30/2001 RESPS:21,238 HOURS:637 COSTS(000):$0 Medicare DMEPOS Competitive Bidding Demonstration: Follow-up to Original Survey FORMS: HCFA-R-313 OMB NO: 0938-0805 EXPIRATION DATE: 02/28/2001 RESPS:756,000,000 HOURS:938,700 COSTS(000):$0 Collection of Data on Physician Encounters from Medicare + Choice Organizations FORMS: HCFA-R-0315 OMB NO: 0938-0806 EXPIRATION DATE: 05/31/2001 RESPS:10,043 HOURS:19,999 COSTS(000):$0 Informatics, Telemedicine, and Education Demonstration Project FORMS: HCFA-10014 OMB NO: 0938-0807 EXPIRATION DATE: 02/28/2001 RESPS:2,500 HOURS:725 COSTS(000):$0 Oxygen Consumer Survey: Medical Equipment and Supplies Consumer Survey FORMS: HCFA-10016 OMB NO: 0938-0808 EXPIRATION DATE: 10/31/2003 RESPS:2,174 HOURS:4,735 COSTS(000):$0 Study to Support Development and Refinement of a Classification System and Prospective Payment System for Patients in Inpatient Rehabilitation Hospitals and Exempt Rehabilitation Units FORMS: HCFA-R-311 OMB NO: 0938-0810 EXPIRATION DATE: 11/30/2003 RESPS:1,491,700 HOURS:146,070 COSTS(000):$0 Hospital Condition of Participation; Identification of Potential Organ, Tissue, & Eye Donors & Transplant Hospitals' Provision of Transplant-Related Data & Supporting Regulation at 42 CFR 482.45 FORMS: HCFA-R-0294 OMB NO: 0938-0811 EXPIRATION DATE: 11/30/2003 RESPS:56 HOURS:5,600 COSTS(000):$0 Ticket to Work and Work Incentives: Medicaid Infrastructure Grants FORMS: HCFA-10005 OMB NO: 0938-0812 EXPIRATION DATE: 11/30/2003 RESPS:150 HOURS:37 COSTS(000):$0 Employee Building Pass Application and File FORMS: HCFA-730 HCFA-182 OMB NO: 0938-0813 EXPIRATION DATE: 12/31/2003 RESPS:1,500 HOURS:500 COSTS(000):$0 Evaluation of the OMB and SLMB Programs -- Beneficiary Survey FORMS: HCFA-10015 Office of Public Health and Science No active collections for this subagency Administration for Children and Families OMB NO: 0970-0004 EXPIRATION DATE: 01/31/2002 RESPS:1 HOURS:312 COSTS(000):$0 Annual Statistical Report on Children in Foster Homes and Children in Families Receiving Payments in Excess of the Poverty Income Level from a State Program Funded under Part A of.... FORMS: ACF-4124 OMB NO: 0970-0014 EXPIRATION DATE: 04/30/2001 RESPS:324 HOURS:1,134 COSTS(000):$1 Child Support Enforcement Program Financial Report FORMS: OCSE-396 OMB NO: 0970-0017 EXPIRATION DATE: 09/30/2002 RESPS:54 HOURS:51 COSTS(000):$0 State Plan for Child Support Collection and Establishment of Paternity under Title IV-D of the Social Security Act -- Revised Form OCSE-100 (Interim Final Rule) FORMS: OCSE-100 OMB NO: 0970-0030 EXPIRATION DATE: 04/30/2001 RESPS:48 HOURS:24 COSTS(000):$0 Refugee Resettlement Program Estimates: CMA FORMS: ORR-1 OMB NO: 0970-0033 EXPIRATION DATE: 12/31/2003 RESPS:2,000 HOURS:1,350 COSTS(000):$0 Annual Survey of Refugees FORMS: ORR-9 OMB NO: 0970-0034 EXPIRATION DATE: 11/30/2002 RESPS:400 HOURS:126 COSTS(000):$0 Refugee and Entrant Unaccompanied Minor Placement Report -- ORR-3 Refugee and Entrant Unaccompanied Minor Progree Report -- ORR-4 FORMS: ORR-3 ORR-4 OMB NO: 0970-0036 EXPIRATION DATE: 06/30/2003 RESPS:81,130 HOURS:3,011 COSTS(000):$0 Regulation -- Refugee Resettlement Program: Requirements for Refugee Cash Assistance; and Refugee Medical Assistance (45 CFR Part 400) FORMS: NONE OMB NO: 0970-0037 EXPIRATION DATE: 11/30/2001 RESPS:51 HOURS:13 COSTS(000):$0 Low-Income Home Energy Assistance Program Quarterly Allocation Estimates FORMS: ACF-535 OMB NO: 0970-0043 EXPIRATION DATE: 02/28/2003 RESPS:50 HOURS:217 COSTS(000):$0 Refugee State of Origin Report FORMS: ORR-11 OMB NO: 0970-0057 EXPIRATION DATE: 02/28/2001 RESPS:54 HOURS:216 COSTS(000):$0 The Office of Child Support Enforcement Child Support Enforcement Program Quarterly Data Report and Child Support Enforcement Annual Data Summary Report -- OCSE-156 and OCSE-158 FORMS: NONE OMB NO: 0970-0060 EXPIRATION DATE: 10/31/2003 RESPS:236 HOURS:2,108 COSTS(000):$0 Low Income Home Energy Assistance Program (LIHEAP) Household Report FORMS: NONE OMB NO: 0970-0062 EXPIRATION DATE: 10/31/2001 RESPS:735 HOURS:20,340 COSTS(000):$0 Information Collection from Applicants Who Will Respond to Request for Applications for Funding of 6 OCS Competitive Grants FORMS: NONE OMB NO: 0970-0075 EXPIRATION DATE: 12/31/2001 RESPS:180 HOURS:103 COSTS(000):$0 Application Requirements for the Low-Income Home Energy Assistance Program (LIHEAP) and Detailed Model Plan (To Be Submitted Every 3 Years), Abbreviated Application To Be.... FORMS: NONE OMB NO: 0970-0076 EXPIRATION DATE: 06/30/2001 RESPS:51 HOURS:191 COSTS(000):$0 ACF Grantee Survey of the Low-Income Home Energy Assistance Program (LIHEAP) FORMS: ACF-284 OMB NO: 0970-0085 EXPIRATION DATE: 12/31/2003 RESPS:44,471 HOURS:593,226 COSTS(000):$0 Provision of Services in Interstate Child Support Enforcement: Standard Forms FORMS: NONE OMB NO: 0970-0106 EXPIRATION DATE: 09/30/2001 RESPS:177 HOURS:531 COSTS(000):$0 Low-Income Home Energy Assistance Program (LIHEAP) Carryover and Reallotment Report FORMS: NONE OMB NO: 0970-0114 EXPIRATION DATE: 10/31/2001 RESPS:28 HOURS:4,552 COSTS(000):$0 Child Care and Development Fund Plan for States/Territories FORMS: ACF-118 OMB NO: 0970-0121 EXPIRATION DATE: 07/31/2003 RESPS:70 HOURS:2,660 COSTS(000):$0 Low Income Home Energy Assistance Program (LIHEAP) Leveraging Report FORMS: ACF-119 OMB NO: 0970-0123 EXPIRATION DATE: 10/31/2002 RESPS:158,000 HOURS:70,760 COSTS(000):$330 Runaway and Homeless Youth Management Information System (RHYMIS) FORMS: NONE OMB NO: 0970-0137 EXPIRATION DATE: 06/30/2002 RESPS:150 HOURS:127 COSTS(000):$0 Family Preservation and Family Support (FP/FS) Services Implementation Study, State Level Data Collection FORMS: NONE OMB NO: 0970-0139 EXPIRATION DATE: 12/31/2003 RESPS:2,838 HOURS:22,704 COSTS(000):$0 ACF Uniform Project Description (UPD) FORMS: NONE OMB NO: 0970-0140 EXPIRATION DATE: 10/31/2002 RESPS:200 HOURS:4,800 COSTS(000):$0 Head Start Fellows Program FORMS: NONE OMB NO: 0970-0142 EXPIRATION DATE: 02/28/2003 RESPS:4,800 HOURS:4,800 COSTS(000):$10 Federal Parent Locator Service FORMS: NONE OMB NO: 0970-0143 EXPIRATION DATE: 10/31/2001 RESPS:9,585 HOURS:12,361 COSTS(000):$0 Early Head Start Evaluation Data Collection Instruments, Phase III FORMS: NONE OMB NO: 0970-0148 EXPIRATION DATE: 08/31/2003 RESPS:2,472 HOURS:1,468,626 COSTS(000):$0 Head Start Program Performance Standards-Final Rule FORMS: NONE OMB NO: 0970-0150 EXPIRATION DATE: 06/30/2003 RESPS:56 HOURS:2,800 COSTS(000):$224 Child Care and Development Fund Annual Report FORMS: ACF-800 OMB NO: 0970-0151 EXPIRATION DATE: 03/31/2001 RESPS:5,104 HOURS:6,342 COSTS(000):$0 Head Start Family and Child Experiences Survey FORMS: NONE OMB NO: 0970-0152 EXPIRATION DATE: 01/31/2001 RESPS:15,391 HOURS:7,696 COSTS(000):$0 Administrative Subpoena FORMS: NONE OMB NO: 0970-0153 EXPIRATION DATE: 01/31/2001 RESPS:53,254 HOURS:13,313 COSTS(000):$0 Notice of Lien FORMS: NONE OMB NO: 0970-0154 EXPIRATION DATE: 01/31/2001 RESPS:1,573,326 HOURS:88,141 COSTS(000):$22 Order/Notice to Withhold Income for Child Support FORMS: NONE OMB NO: 0970-0155 EXPIRATION DATE: 05/31/2001 RESPS:57 HOURS:3,648 COSTS(000):$0 Community-Based Family Resource and Support Grants FORMS: NONE OMB NO: 0970-0157 EXPIRATION DATE: 02/28/2001 RESPS:18 HOURS:1,080 COSTS(000):$0 Temporary Assistance for Needy Families (TANF) Tribal Plan FORMS: NONE OMB NO: 0970-0159 EXPIRATION DATE: 02/28/2001 RESPS:10 HOURS:600 COSTS(000):$0 Statewide Automated Child Welfare Information System (SACWIS) Assessment Review Guide FORMS: NONE OMB NO: 0970-0160 EXPIRATION DATE: 11/30/2003 RESPS:25 HOURS:500 COSTS(000):$0 Procedures for Requests to Use Child Care and Development Fund for Construction or Major Renovation of Child Care Facilities FORMS: NONE OMB NO: 0970-0161 EXPIRATION DATE: 01/31/2001 RESPS:31,816.3 HOURS:31,816.3 COSTS(000):$0 Federal Tax Refund Offset and Federal Administrative Offset Program (TROP) and Federal Passport Denial FORMS: NONE OMB NO: 0970-0163 EXPIRATION DATE: 09/30/2002 RESPS:216 HOURS:1,728 COSTS(000):$0 Child Care and Development Fund Quarterly Financial Report FORMS: ACF-696 OMB NO: 0970-0166 EXPIRATION DATE: 01/31/2001 RESPS:60,000,000 HOURS:1,981,049 COSTS(000):$121,720 National Directory of New Hires FORMS: NONE OMB NO: 0970-0167 EXPIRATION DATE: 01/31/2001 RESPS:224 HOURS:4,360 COSTS(000):$150 Child Care Quarterly Case Record Report FORMS: ACF-801 OMB NO: 0970-0169 EXPIRATION DATE: 01/31/2002 RESPS:193 HOURS:217 COSTS(000):$0 Early Head Start Evaluation Father Study FORMS: NONE OMB NO: 0970-0171 EXPIRATION DATE: 01/31/2001 RESPS:0.2243 HOURS:74,468 COSTS(000):$0 Required Data Elements for Paternity Establishment Affidavits FORMS: NONE OMB NO: 0970-0173 EXPIRATION DATE: 02/28/2001 RESPS:18 HOURS:756 COSTS(000):$0 Request for State Data Needed to Determine Amount of a Tribal Family Assistance Grant FORMS: NONE OMB NO: 0970-0174 EXPIRATION DATE: 03/31/2002 RESPS:2,288 HOURS:2,288 COSTS(000):$0 Native Employment Works (NEW) Program Plan Guidance and Report Requirements FORMS: NONE OMB NO: 0970-0175 EXPIRATION DATE: 03/31/2001 RESPS:6,905,480 HOURS:76,059 COSTS(000):$0 Voluntary Establishment of Paternity FORMS: NONE OMB NO: 0970-0177 EXPIRATION DATE: 04/30/2001 RESPS:54 HOURS:216 COSTS(000):$0 The OCSE-157 Child Support Enforcement Annual Data Report FORMS: NONE OMB NO: 0970-0178 EXPIRATION DATE: 05/31/2001 RESPS:216 HOURS:5,184 COSTS(000):$0 Grants to States for Access and Visitation: Program Reporting FORMS: NONE OMB NO: 0970-0180 EXPIRATION DATE: 01/31/2001 RESPS:4 HOURS:15,632 COSTS(000):$132 1) TANF High Performance Bonus Report 2) Emergency TANF Data Report FORMS: ACF-200 ACF-198 OMB NO: 0970-0181 EXPIRATION DATE: 09/30/2002 RESPS:432 HOURS:3,456 COSTS(000):$2,000 Child Support Enforcement Program Financial Report; Child Support Enforcement Program Quarterly Report of Collections FORMS: OCSE-396A OCSE-34A OMB NO: 0970-0183 EXPIRATION DATE: 11/30/2001 RESPS:516 HOURS:1,032 COSTS(000):$0 Project 1099 FORMS: NONE OMB NO: 0970-0185 EXPIRATION DATE: 11/30/2001 RESPS:216 HOURS:108 COSTS(000):$0 National Directory of New Hires Reporting Results Survey FORMS: NONE OMB NO: 0970-0186 EXPIRATION DATE: 11/30/2001 RESPS:54 HOURS:15,240 COSTS(000):$0 Information Collection for the Methodology for Determining Whether an Increase in a State's Child Poverty Rate Is the Result of the TANF Program FORMS: NONE OMB NO: 0970-0193 EXPIRATION DATE: 04/30/2002 RESPS:200 HOURS:8,200 COSTS(000):$0 Final Rule Information Collection Burden -- 45 CFR 1309 FORMS: NONE OMB NO: 0970-0195 EXPIRATION DATE: 02/28/2002 RESPS:236 HOURS:1,888 COSTS(000):$3 Child Care and Development Fund Tribal Annual Financial Report FORMS: ACF-696T OMB NO: 0970-0196 EXPIRATION DATE: 06/30/2001 RESPS:9,430 HOURS:4,715 COSTS(000):$480 Financial Institution Data Match FORMS: NONE OMB NO: 0970-0197 EXPIRATION DATE: 05/31/2002 RESPS:27,783 HOURS:5,757 COSTS(000):$0 National Study of Child Care for Low-Income Families FORMS: NONE OMB NO: 0970-0198 EXPIRATION DATE: 05/31/2002 RESPS:253 HOURS:4,807 COSTS(000):$0 Child Care and Development Fund Plan Preprint FORMS: ACF-118-A OMB NO: 0970-0199 EXPIRATION DATE: 04/30/2003 RESPS:208 HOURS:586,864 COSTS(000):$13,500 TANF Data Report (Includes TANF Sampling and Statistical Methods Manual), SSP-MOE Data report (Includes TANF Sampling and Statistical Methods Manual FORMS: ACF-199 ACF-209 OMB NO: 0970-0200 EXPIRATION DATE: 06/30/2002 RESPS:1 HOURS:108 COSTS(000):$0 Family Violence State Practices Survey FORMS: NONE OMB NO: 0970-0202 EXPIRATION DATE: 08/31/2002 RESPS:30,547 HOURS:30,547 COSTS(000):$0 National Survey of Child and Adolescent Well-Being FORMS: NONE OMB NO: 0970-0204 EXPIRATION DATE: 08/31/2002 RESPS:1 HOURS:5,184 COSTS(000):$153 Grants to States for Access and Visitation: Program Reporting FORMS: NONE OMB NO: 0970-0205 EXPIRATION DATE: 03/31/2001 RESPS:4 HOURS:5,100 COSTS(000):$0 IV-E Foster Care and Adoption Assistance Financial Report FORMS: ACF-IV-E-1 OMB NO: 0970-0207 EXPIRATION DATE: 04/30/2003 RESPS:1,513 HOURS:49,929 COSTS(000):$998 Head Start Program Grant Application FORMS: NONE OMB NO: 0970-0209 EXPIRATION DATE: 12/31/2002 RESPS:972 HOURS:292 COSTS(000):$0 Online Interstate Referral Guide (IRG) FORMS: NONE OMB NO: 0970-0214 EXPIRATION DATE: 04/30/2003 RESPS:39 HOURS:17,621 COSTS(000):$0 Title IV-E Foster Care Eligibility Reviews, Child and Family Services Reviews, Section 471(a)(18) Compliance Reviews FORMS: NONE OMB NO: 0970-0215 EXPIRATION DATE: 05/31/2003 RESPS:216 HOURS:68,544 COSTS(000):$198 Final Tribal TANF Data Report FORMS: ACF-343 OMB NO: 0970-0218 EXPIRATION DATE: 09/30/2003 RESPS:990 HOURS:29,464 COSTS(000):$0 Tribal Child Support Enforcement Direct Funding Request and Reports -- Notice of Proposed Rulemaking and Interim Final Rule FORMS: NONE OMB NO: 0970-0221 EXPIRATION DATE: 11/30/2003 RESPS:216 HOURS:216 COSTS(000):$0 State Systems Profiles FORMS: NONE OMB NO: 0970-0222 EXPIRATION DATE: 12/31/2003 RESPS:2,234 HOURS:120,653 COSTS(000):$22 National Medical Support Notice - Final Rule FORMS: NONE Office of Human Development Services OMB NO: 0980-0017 EXPIRATION DATE: 05/31/2001 RESPS:2,078 HOURS:6,691 COSTS(000):$0 Head Start Program Information Report, 1997-1998 FORMS: NONE OMB NO: 0980-0047 EXPIRATION DATE: 05/31/2002 RESPS:300 HOURS:52,500 COSTS(000):$0 Child and Family Services Plan (CFSP), Annual Progress and Services Review, and Annual Budget Expense Request and Estimated Expenditures -- CFS-101 FORMS: CFS-101 OMB NO: 0980-0141 EXPIRATION DATE: 09/30/2002 RESPS:12 HOURS:180 COSTS(000):$0 State Plan for Foster Care and Adoption Assistance Title IV-E of the Social Security Act FORMS: NONE OMB NO: 0980-0144 EXPIRATION DATE: 03/31/2003 RESPS:250 HOURS:500 COSTS(000):$0 Objective Evaluation Report (OER) FORMS: NONE OMB NO: 0980-0155 EXPIRATION DATE: 03/31/2003 RESPS:600 HOURS:900 COSTS(000):$0 Objective Progress Report (OPR) FORMS: NONE OMB NO: 0980-0160 EXPIRATION DATE: 01/31/2002 RESPS:56 HOURS:2,464 COSTS(000):$2 Developmental Disabilities Protection and Advocacy Program Performance Report FORMS: NONE OMB NO: 0980-0172 EXPIRATION DATE: 01/31/2002 RESPS:55 HOURS:2,420 COSTS(000):$2 Developmental Disabilities Council Program Performance Report FORMS: NONE OMB NO: 0980-0196 EXPIRATION DATE: 05/31/2001 RESPS:52 HOURS:3,120 COSTS(000):$0 Application and Program Reporting Requirement for the Children's Justice Act Authorized by the Child Abuse Prevention and Treatment Act (as Amended) FORMS: NONE OMB NO: 0980-0204 EXPIRATION DATE: 04/30/2003 RESPS:650 HOURS:18,200 COSTS(000):$0 Program Narrative Objective Work Plan (OWP) FORMS: NONE OMB NO: 0980-0229 EXPIRATION DATE: 06/30/2003 RESPS:52 HOURS:4,780 COSTS(000):$63 National Child Abuse and Neglect Data System (NCANDS) FORMS: NONE OMB NO: 0980-0241 EXPIRATION DATE: 11/30/2001 RESPS:244 HOURS:9,760 COSTS(000):$0 Child Care and Development Fund Annual Report -- ACF-700 FORMS: ACF-700 OMB NO: 0980-0242 EXPIRATION DATE: 03/31/2003 RESPS:10 HOURS:260 COSTS(000):$0 Appeal Procedures for head Start Grantees and Current or Prospective Delegate Agencies FORMS: NONE OMB NO: 0980-0243 EXPIRATION DATE: 08/31/2002 RESPS:2,186 HOURS:4,372 COSTS(000):$0 Head Start Grants Administration FORMS: NONE OMB NO: 0980-0266 EXPIRATION DATE: 08/31/2001 RESPS:1,505 HOURS:496 COSTS(000):$0 Voluntary Surveys of Program Partners to Implement Executive Order 12862 FORMS: NONE OMB NO: 0980-0267 EXPIRATION DATE: 11/30/2002 RESPS:102 HOURS:331,602 COSTS(000):$563 Adoption and Foster Care Analysis and Reporting System (AFCARS) -- Title IV-B and IV-E FORMS: NONE OMB NO: 0980-0270 EXPIRATION DATE: 01/31/2002 RESPS:56 HOURS:2,464 COSTS(000):$2 Developmental Disabilities Protection and Advocacy Statement of Objectives and Priorities FORMS: NONE OMB NO: 0980-0271 EXPIRATION DATE: 08/31/2001 RESPS:11 HOURS:851,535 COSTS(000):$259 Computerized Support Enforcement Systems (Final Rule) FORMS: OCSE-100 OMB NO: 0980-0272 EXPIRATION DATE: 06/30/2003 RESPS:560 HOURS:31,120 COSTS(000):$0 Child Welfare Demonstration Project Information Collection FORMS: NONE Administration on Aging OMB NO: 0985-0004 EXPIRATION DATE: 05/31/2001 RESPS:114 HOURS:57 COSTS(000):$2 Supplemental Form to the Financial Status Report (SF-269), and Community Programs on Aging FORMS: NONE OMB NO: 0985-0005 EXPIRATION DATE: 08/31/2001 RESPS:52 HOURS:9,000 COSTS(000):$71,148 State Annual Long-Term Care Ombudsman Report FORMS: NONE OMB NO: 0985-0006 EXPIRATION DATE: 07/31/2001 RESPS:120 HOURS:2,400 COSTS(000):$0 Performance (Progress) Reports for Title IV Grantees FORMS: NONE OMB NO: 0985-0007 EXPIRATION DATE: 07/31/2003 RESPS:2 HOURS:681 COSTS(000):$0 Program Performance Report, Title VI of the Older Americans Act. (Grants for Native Americans for Nutritional and Supportive Services) FORMS: NONE OMB NO: 0985-0008 EXPIRATION DATE: 08/31/2002 RESPS:1 HOURS:141,132 COSTS(000):$2 State Program Report for Titles III and VII of the Older FORMS: NONE OMB NO: 0985-0009 EXPIRATION DATE: 10/31/2001 RESPS:57 HOURS:28 COSTS(000):$1,497 Certification of Maintenance of Effort FORMS: NONE OMB NO: 0985-0011 EXPIRATION DATE: 02/28/2003 RESPS:130 HOURS:80 COSTS(000):$0 Operation Restore Trust FORMS: NONE Departmental Management OMB NO: 0990-0001 EXPIRATION DATE: 12/31/2002 RESPS:200 HOURS:1,200 COSTS(000):$150 Application for Waiver of the 2-Year Foreign Residence Requirement of the Exchange Visitor Program FORMS: HHS-426 OMB NO: 0990-0015 EXPIRATION DATE: 03/31/2001 RESPS:8,100 HOURS:4,050 COSTS(000):$0 Recordkeeping Requirement for Government-Owned/Contractor-Held Property -- HHS 565 Report of Accountable Property FORMS: 565 OMB NO: 0990-0115 EXPIRATION DATE: 06/30/2001 RESPS:5,660 HOURS:1,434,300 COSTS(000):$0 Procurement: Solicitation and Contracts FORMS: NONE OMB NO: 0990-0124 EXPIRATION DATE: 03/31/2001 RESPS:2,120 HOURS:33,920 COSTS(000):$0 Self-Evaluation and Recordkeeping Required by Regulations Implementing Section 504 of the Rehabilitation Act of 1973 -- 45 CFR Part 84 FORMS: NONE OMB NO: 0990-0128 EXPIRATION DATE: 02/28/2001 RESPS:292 HOURS:1,408 COSTS(000):$0 Special Program Requirements Affecting PHS Acquisitions and Solicitation Provisions and Contract Clauses -- PHS Acquisition Regulation (PHSAR) Part 380 and Part 352 FORMS: NONE OMB NO: 0990-0129 EXPIRATION DATE: 12/31/2002 RESPS:1,267 HOURS:10,806 COSTS(000):$0 Special Programs Affecting Acquisition -- HHS Acquisition Regulation (HHSAR) Part 370 FORMS: NONE OMB NO: 0990-0130 EXPIRATION DATE: 12/31/2002 RESPS:1,921 HOURS:3,842 COSTS(000):$0 Solicitation Provisions and Contract Clauses -- HHS Acquisition Regulation (HHSAR) Part 352 FORMS: NONE OMB NO: 0990-0131 EXPIRATION DATE: 09/30/2002 RESPS:215 HOURS:4,300 COSTS(000):$0 Contract Administration -- HHS Acquisition Regulation (HHSAR) Part 342 FORMS: NONE OMB NO: 0990-0133 EXPIRATION DATE: 11/30/2002 RESPS:86 HOURS:43 COSTS(000):$0 HHS Acquisition Regulations - HHSAR Part 333 Disputes and Appeals FORMS: NONE OMB NO: 0990-0134 EXPIRATION DATE: 09/30/2002 RESPS:226 HOURS:226 COSTS(000):$0 Contract Financing -- HHS Acquisition Regulation (HHSAR) Part 332 FORMS: NONE OMB NO: 0990-0136 EXPIRATION DATE: 09/30/2002 RESPS:638 HOURS:5,104 COSTS(000):$0 Protection of Privacy and Freedom of Information -- HHS Acquisition Regulation (HHSAR) Part 324 FORMS: NONE OMB NO: 0990-0138 EXPIRATION DATE: 09/30/2002 RESPS:520 HOURS:5,200 COSTS(000):$0 Types of Contracts -- HHS Acquisition Regulation (HHSAR) Part 316 FORMS: NONE OMB NO: 0990-0139 EXPIRATION DATE: 06/30/2003 RESPS:6,645 HOURS:13,290 COSTS(000):$0 HHS Acquisition Regulation - HHSAR Subpart 315.4 - Solicitation and Receipt of Proposals and Quotations FORMS: NONE OMB NO: 0990-0150 EXPIRATION DATE: 02/28/2001 RESPS:1 HOURS:1 COSTS(000):$0 Uniform Relocation and Real Property Acquisition under Federal and Federally Assisted Programs -- 45 CFR Part 15 FORMS: NONE OMB NO: 0990-0169 EXPIRATION DATE: 09/30/2002 RESPS:4,000 HOURS:280,000 COSTS(000):$0 Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governments FORMS: NONE OMB NO: 0990-0208 EXPIRATION DATE: 08/31/2001 RESPS:310,000 HOURS:10,333 COSTS(000):$0 Applicant Background Survey FORMS: NONE OMB NO: 0990-0220 EXPIRATION DATE: 12/31/2003 RESPS:2,400 HOURS:480 COSTS(000):$0 Voluntary Industry Partner Surveys to Implement E.O. 12862 FORMS: NONE OMB NO: 0990-0221 EXPIRATION DATE: 02/28/2001 RESPS:90 HOURS:1,440 COSTS(000):$23,040 Grants for Family Planning Services -- 42 CFR Subpart A Part 59 Services FORMS: NONE OMB NO: 0990-0222 EXPIRATION DATE: 09/30/2001 RESPS:136 HOURS:208 COSTS(000):$0 Analysis of Employer Group Long-Term Care Insurance FORMS: NONE OMB NO: 0990-0223 EXPIRATION DATE: 10/31/2001 RESPS:44,170 HOURS:18,476 COSTS(000):$0 Evaluation of the Cash and Counseling Demonstration FORMS: NONE OMB NO: 0990-0225 EXPIRATION DATE: 11/30/2001 RESPS:1,800 HOURS:1,047 COSTS(000):$0 Study of Frail Elders in Medicare Managed Care FORMS: NONE OMB NO: 0990-0228 EXPIRATION DATE: 04/30/2002 RESPS:12,688 HOURS:1,580 COSTS(000):$0 Baseline Data Collection Forms for the Multi-Site Evaluation FORMS: NONE OMB NO: 0990-0229 EXPIRATION DATE: 05/31/2002 RESPS:1,050 HOURS:123 COSTS(000):$0 Office of Minority Health Resource Center Evaluation Survey FORMS: NONE OMB NO: 0990-0230 EXPIRATION DATE: 06/30/2003 RESPS:780 HOURS:930 COSTS(000):$0 Site Visit Protocols for the Multi-site Evaluation of the Welfare-to-Work Grants Program FORMS: NONE OMB NO: 0990-0231 EXPIRATION DATE: 10/31/2002 RESPS:578 HOURS:713 COSTS(000):$0 Second Mail Survey for the Multi-Site Evaluation of the Welfare-to-Work Grants Program FORMS: NONE OMB NO: 0990-0232 EXPIRATION DATE: 10/31/2002 RESPS:9,500 HOURS:3,940 COSTS(000):$0 Cash and Counseling Demonstration, Additonal Survey Instruments FORMS: NONE OMB NO: 0990-0233 EXPIRATION DATE: 10/31/2002 RESPS:7,000 HOURS:5,250 COSTS(000):$0 Baseline Survey of Youth; Federal Evaluation of Initiatives Funded under Section 510 of the Maternal and Child Health Block Grant Program FORMS: NONE OMB NO: 0990-0235 EXPIRATION DATE: 02/28/2003 RESPS:1,875 HOURS:1,132 COSTS(000):$0 Research on Employment Supports for People with Disabilities FORMS: NONE OMB NO: 0990-0236 EXPIRATION DATE: 04/30/2002 RESPS:620 HOURS:620 COSTS(000):$0 Financial summary of Obligation and Expenditure of Block Grant Funds (45 CFR 96.30) FORMS: NONE OMB NO: 0990-0237 EXPIRATION DATE: 05/31/2003 RESPS:7,220 HOURS:6,138 COSTS(000):$0 First Follow-up Survey of Youth - Federal Evaluation of Initiatives Funded Under Section 510 of the Maternal and Child Health Block Grant Program FORMS: NONE OMB NO: 0990-0238 EXPIRATION DATE: 06/30/2003 RESPS:12,750 HOURS:9,819 COSTS(000):$0 Follow-up Survey for the Multi-site Evaluation of the Welfare-to-Work Grants Program FORMS: NONE OMB NO: 0990-0239 EXPIRATION DATE: 06/30/2003 RESPS:136 HOURS:46 COSTS(000):$0 Empowerment Zone and Enterprise Community Health Improvement Capacity Survey FORMS: NONE OMB NO: 0990-0240 EXPIRATION DATE: 07/31/2003 RESPS:3,555 HOURS:666 COSTS(000):$0 Survey of Grant Recipients FORMS: NONE OMB NO: 0990-0241 EXPIRATION DATE: 06/30/2001 RESPS:125 HOURS:172 COSTS(000):$0 Analysis of Guidelines for the Conduct of Research Adopted by Medical Schools or their Components FORMS: NONE OMB NO: 0990-0242 EXPIRATION DATE: 12/31/2001 RESPS:822 HOURS:274 COSTS(000):$0 BodyWise Eating Disorders Initiative - Evaluation FORMS: NONE OMB NO: 0990-0243 EXPIRATION DATE: 10/31/2003 RESPS:3,000 HOURS:48,000 COSTS(000):$0 OCR Pre-grant Automation Project FORMS: NONE Office of the Secretary No active collections for this subagency Office of Family Assistance OMB NO: 0992-0005 EXPIRATION DATE: 03/31/2003 RESPS:260 HOURS:5,752 COSTS(000):$0 45 CFR Part 95, Subpart F -- Automatic Data Processing Equipment and Services--Conditions for Federal Financial Participation FORMS: NONE
(RETURN TO AGENCY LIST)OMB NO: 2501-0014 EXPIRATION DATE: 12/31/2003 RESPS:10,794,339 HOURS:365,858 COSTS(000):$0 Restrictions on Assistance to Noncitizens (FR-2383) FORMS: NONE Office of Housing OMB NO: 2502-0001 EXPIRATION DATE: 11/30/2002 RESPS:8,000 HOURS:64,000 COSTS(000):$0 Personal Financial and Credit Statement -- HUD-92417 FORMS: HUD-92417 OMB NO: 2502-0005 EXPIRATION DATE: 05/31/2003 RESPS:4,130 HOURS:3,438 COSTS(000):$0 Application for Approval - FHA Lender and/or Ginnie Mae mortgage-Backed Securities Issuer Branch Office Notification - Title I/Title II FORMS: HUD-11701 HUD-92001 HUD-92001-B OMB NO: 2502-0010 EXPIRATION DATE: 03/31/2001 RESPS:1,500 HOURS:750 COSTS(000):$0 HUD Survey Instructions and Report for Insured Multifamily Projects FORMS: HUD-2457 OMB NO: 2502-0012 EXPIRATION DATE: 11/30/2003 RESPS:16,000 HOURS:5,280 COSTS(000):$0 Rent Schedule - Low Rent Housing FORMS: HUD-92458 OMB NO: 2502-0018 EXPIRATION DATE: 05/31/2003 RESPS:525 HOURS:1,050 COSTS(000):$0 Advance of Escrow Funds FORMS: HUD-92464 OMB NO: 2502-0025 EXPIRATION DATE: 06/30/2003 RESPS:300 HOURS:150 COSTS(000):$0 Cooperative Membership Exhibit FORMS: HUD-93203 OMB NO: 2502-0044 EXPIRATION DATE: 08/31/2003 RESPS:925 HOURS:10,200 COSTS(000):$0 Contractor's and/or Mortgagor's Cost Breakdown Contractor's Certificate of Actual Cost Mortgagor's Certificate of Actual Cost FORMS: HUD-2328 HUD-92330-A HUD-2205-A OMB NO: 2502-0052 EXPIRATION DATE: 03/31/2002 RESPS:16,296 HOURS:16,296 COSTS(000):$0 Statement of Profit and Loss FORMS: HUD-92410 OMB NO: 2502-0057 EXPIRATION DATE: 03/31/2002 RESPS:270 HOURS:90 COSTS(000):$0 Eligibility of a Nonprofit Corporation FORMS: HUD-3433 HUD-3434 HUD-3435 OMB NO: 2502-0086 EXPIRATION DATE: 09/30/2003 RESPS:32,500 HOURS:3,025 COSTS(000):$0 Monthly Report of Excess Income FORMS: HUD-93104 OMB NO: 2502-0098 EXPIRATION DATE: 03/31/2002 RESPS:1,258 HOURS:1,258 COSTS(000):$0 Financial Statement FORMS: HUD-56142 OMB NO: 2502-0112 EXPIRATION DATE: 01/31/2001 RESPS:800 HOURS:6,400 COSTS(000):$0 Mortgagor's Certificate of Actual Cost FORMS: HUD-92330 OMB NO: 2502-0182 EXPIRATION DATE: 11/30/2003 RESPS:725,766 HOURS:284,110 COSTS(000):$0 Applications for Housing Assistance Payments FORMS: HUD-52670 52670-A-PT.1 52670-A-PT.2 HUD-52671-A HUD-52671-B HUD-52671-C HUD-52671-D OMB NO: 2502-0187 EXPIRATION DATE: 03/31/2002 RESPS:930 HOURS:465 COSTS(000):$0 Requisition for Disbursement of Section 202 Loan Funds FORMS: HUD-92403-CA OMB NO: 2502-0190 EXPIRATION DATE: 01/31/2001 RESPS:21,000 HOURS:5,250 COSTS(000):$0 Application for Homeownership Assistance under Section 235 of the National Housing Act FORMS: HUD-93100 OMB NO: 2502-0192 EXPIRATION DATE: 03/31/2001 RESPS:50,000 HOURS:25,000 COSTS(000):$0 Description of Materials FORMS: HUD-92005 OMB NO: 2502-0204 EXPIRATION DATE: 04/30/2001 RESPS:2,171,256 HOURS:1,997,556 COSTS(000):$0 Owner/Tenant Certification for Multifamily Housing Programs FORMS: 50059 50059-D 50059-F 50059-G OMB NO: 2502-0233 EXPIRATION DATE: 05/31/2003 RESPS:15,232 HOURS:8,032 COSTS(000):$0 Manufactured Home Construction and Safety Standards Program FORMS: HUD-101 -203 -203-B -301 -302 -303 -304 OMB NO: 2502-0235 EXPIRATION DATE: 08/31/2003 RESPS:12,000 HOURS:3,000 COSTS(000):$0 Reporting Requirements Associated with 24 CFR 203.508b and 24 CFR 235.1001 - Providing Information FORMS: NONE OMB NO: 2502-0243 EXPIRATION DATE: 01/31/2002 RESPS:51,003 HOURS:19,513 COSTS(000):$0 Land Sales Registration, Purchaser's Revocation Rights, Sale Practices and Standards, and Formal Procedures and Rules of Practice FORMS: NONE OMB NO: 2502-0253 EXPIRATION DATE: 08/31/2001 RESPS:1,441,500 HOURS:339,789 COSTS(000):$4,787 Manufactured Home Construction and Safety Standards Act Reporting Requirements FORMS: NONE OMB NO: 2502-0259 EXPIRATION DATE: 05/31/2003 RESPS:900 HOURS:6,300 COSTS(000):$0 Management Review Report for Unsubsidized Multifamily Housing Projects FORMS: HUD-9838 OMB NO: 2502-0261 EXPIRATION DATE: 06/30/2002 RESPS:103,820 HOURS:15,901 COSTS(000):$0 Housing Counseling Services FORMS: HUD-9900-A 9900-B 9900-C 9902 9903 9908 9921 OMB NO: 2502-0267 EXPIRATION DATE: 07/31/2002 RESPS:40 HOURS:15,960 COSTS(000):$0 Section 202 Supportive Housing for the Elderly Application Submission Requirements -- FR-3904 FORMS: HUD-92015-CA OMB NO: 2502-0268 EXPIRATION DATE: 08/31/2003 RESPS:61,525 HOURS:17,388 COSTS(000):$0 Request for Occupied Conveyance FORMS: HUD-9539 OMB NO: 2502-0275 EXPIRATION DATE: 04/30/2003 RESPS:350 HOURS:32,000 COSTS(000):$0 Application for the Transfer of Physical Assets FORMS: HUD-92266 OMB NO: 2502-0305 EXPIRATION DATE: 04/30/2003 RESPS:3,600 HOURS:4,350 COSTS(000):$0 Management Certifications and Management Entity Profile FORMS: HUD-9832 HUD-9839-A HUD-9839-B HUD-9839-C OMB NO: 2502-0313 EXPIRATION DATE: 08/31/2001 RESPS:50 HOURS:2,200 COSTS(000):$0 Technical Suitability of Products Program -- Section 521 of National Housing Act FORMS: HUD-4950.1 OMB NO: 2502-0321 EXPIRATION DATE: 04/30/2001 RESPS:1,350 HOURS:10,800 COSTS(000):$0 Minimum Property Standards for Housing FORMS: 4910.1 OMB NO: 2502-0322 EXPIRATION DATE: 03/31/2001 RESPS:20,000 HOURS:1,400 COSTS(000):$0 Insurance of Adjustable Rate Mortgages FORMS: NONE OMB NO: 2502-0324 EXPIRATION DATE: 04/30/2003 RESPS:12,500 HOURS:15,625 COSTS(000):$0 Budget-Based Rent Increase FORMS: HUD-92457-A OMB NO: 2502-0328 EXPIRATION DATE: 01/31/2003 RESPS:330,370 HOURS:95,125 COSTS(000):$0 Title I Property Improvement and Manufactured Home Loan -- 24 CFR 201 FORMS: HUD-637 HUD-27029 HUD-27030 HUD-55013 HUD-55014 HUD-56001 HUD-56001MH HUD-56002 HUD-56002MH HUD-56004/92802 OMB NO: 2502-0331 EXPIRATION DATE: 03/31/2002 RESPS:2,875 HOURS:68,885 COSTS(000):$0 Project Applications and Review of Application, Delegated Processing FORMS: HUD-92264 92264A 92264T 92273 92274 92325 92326 92326A 92329 92331 OMB NO: 2502-0340 EXPIRATION DATE: 03/31/2001 RESPS:1,220 HOURS:610 COSTS(000):$0 Section 248 Single-Family Mortgage Insurance on Indian Reservations and Other Restricted Lands FORMS: NONE OMB NO: 2502-0349 EXPIRATION DATE: 06/30/2003 RESPS:280 HOURS:140 COSTS(000):$0 Certified Eligibility for Adjustments for Damage or Neglect FORMS: NONE OMB NO: 2502-0352 EXPIRATION DATE: 09/30/2003 RESPS:1,200 HOURS:600 COSTS(000):$0 Utility Allowance Adjustments FORMS: NONE OMB NO: 2502-0395 EXPIRATION DATE: 01/31/2001 RESPS:540 HOURS:3,030 COSTS(000):$0 Flexible Subsidy, Capital Improvement Loan Program FORMS: HUD-9823A 9823B 9824A 9835 9835A 9835B OMB NO: 2502-0404 EXPIRATION DATE: 03/31/2002 RESPS:1,000,000 HOURS:190,916 COSTS(000):$0 Requirements for Single-Family Mortgage Instruments FORMS: NONE OMB NO: 2502-0410 EXPIRATION DATE: 03/31/2001 RESPS:9,881 HOURS:537 COSTS(000):$0 Survey of Tenants in Certain Properties with HUD-Held and Foreclosured Mortgages FORMS: NONE OMB NO: 2502-0415 EXPIRATION DATE: 05/31/2003 RESPS:118 HOURS:411 COSTS(000):$0 Multifamily Mortgage Insurance Benefits Claim FORMS: HUD-2742 2744-A 2744-B 2744-C 2744-D 2744-E OMB NO: 2502-0416 EXPIRATION DATE: 11/30/2002 RESPS:500 HOURS:63 COSTS(000):$0 Request for Termination of Multifamily Mortgage Insurance FORMS: HUD-9807 OMB NO: 2502-0418 EXPIRATION DATE: 03/31/2002 RESPS:250 HOURS:125 COSTS(000):$0 Statement of Taxes FORMS: HUD-434 OMB NO: 2502-0429 EXPIRATION DATE: 05/31/2003 RESPS:90,000 HOURS:119,700 COSTS(000):$0 Single Family Application for Insurance Benefits FORMS: HUD-27011 A-B-C-D-E (2502-0523) OMB NO: 2502-0447 EXPIRATION DATE: 06/30/2003 RESPS:8,960 HOURS:47,400 COSTS(000):$0 Multifamily Housing Service Coordinator Program FORMS: HUD-92456 HUD-50080-SCMF SF-269 SF-424 SF-424-B HUD-2880 SF-LLL OMB NO: 2502-0456 EXPIRATION DATE: 03/31/2001 RESPS:23,000 HOURS:6,437 COSTS(000):$0 Mortgagee Letter: "Revision to the Section 235 (r) Refinancing Procedures" FORMS: HUD-93114 OMB NO: 2502-0462 EXPIRATION DATE: 06/30/2002 RESPS:260 HOURS:10,556 COSTS(000):$0 Section 811 Supportive Housing for Persons with Disabilities, Application Submission Requirements FORMS: HUD-92016-CA OMB NO: 2502-0476 EXPIRATION DATE: 05/31/2003 RESPS:1,500 HOURS:55,950 COSTS(000):$0 Federally Assisted Low-Income Housing Drug Elimination Grants FORMS: HUD-50080-DF-2B SF-269 SF-424 SF-424-A HUD-2880 SF-LLL OMB NO: 2502-0483 EXPIRATION DATE: 09/30/2002 RESPS:1,258 HOURS:1,258 COSTS(000):$0 Repayment Agreement for Delinquency of HUD-Insured Loan FORMS: HUD-56146 OMB NO: 2502-0486 EXPIRATION DATE: 12/31/2003 RESPS:272,950 HOURS:65,870 COSTS(000):$0 Single Family Acquired Asset Management System (SAMS) FORMS: SAMS-1100 1101 1103 1106 1106-C 1108 1110 1111 1111-A 1117 OMB NO: 2502-0496 EXPIRATION DATE: 01/31/2003 RESPS:65,600 HOURS:16,400 COSTS(000):$0 Builder's Certification of Plans, Specifications, and Site FORMS: HUD-92541 OMB NO: 2502-0505 EXPIRATION DATE: 11/30/2003 RESPS:26,000 HOURS:53,500 COSTS(000):$0 Comprehensive Needs Assessment (CNA) FORMS: HUD-96001 96002 96003 OMB NO: 2502-0507 EXPIRATION DATE: 07/31/2001 RESPS:1,250 HOURS:13,013 COSTS(000):$0 AAF Rent Increase Requirement Pursuant to the Housing FORMS: HUD-92273 OMB NO: 2502-0512 EXPIRATION DATE: 10/31/2001 RESPS:1,500 HOURS:375 COSTS(000):$8 ACH Program Application, Title I Insurance Change Payments System -- FR-3823 FORMS: HUD-56150 OMB NO: 2502-0514 EXPIRATION DATE: 06/30/2002 RESPS:87 HOURS:5,632 COSTS(000):$87 Information collection for regulation of the Federal National Mortgage Corporation (Freddie Mae) FORMS: NONE OMB NO: 2502-0519 EXPIRATION DATE: 10/31/2001 RESPS:30 HOURS:6,000 COSTS(000):$0 Mark-to-Market/Portfolio Reengineering Program for Technical Assistance NOFAs for Outreach and Training and Intermediary TA Grants FORMS: NONE OMB NO: 2502-0524 EXPIRATION DATE: 01/31/2001 RESPS:5,000 HOURS:5,000 COSTS(000):$0 Insurance for Home Equity Conversion Mortgages, Residential Loan Application for Reverse Mortgages (RLARM) FORMS: HUD-92900-A 92900-B RLARM-FORM-1009 OMB NO: 2502-0525 EXPIRATION DATE: 07/31/2002 RESPS:54,000 HOURS:8,964 COSTS(000):$0 Subterranean Termite Treatment Builder's Certification and Guarantee and the New Construction Subterranean Termite Soil Treatment Record FORMS: NPCA-99A NPCA-99B OMB NO: 2502-0526 EXPIRATION DATE: 03/31/2001 RESPS:20 HOURS:400 COSTS(000):$0 Use of Materials Bulletins Used in the HUD Building Products Standards and Certification Program FORMS: NONE OMB NO: 2502-0528 EXPIRATION DATE: 09/30/2002 RESPS:370 HOURS:5,600 COSTS(000):$84 Request for Proposals: Contract Administrators for Project-Based Section 8 Housing Assistance Contracts FORMS: NONE OMB NO: 2502-0530 EXPIRATION DATE: 06/30/2001 RESPS:10,000 HOURS:833 COSTS(000):$24,990 Survey of Title I Borrowers FORMS: NONE OMB NO: 2502-0532 EXPIRATION DATE: 10/31/2001 RESPS:1,500 HOURS:250 COSTS(000):$0 Service Coordinator Data Base Information FORMS: HUD-92297 OMB NO: 2502-0533 EXPIRATION DATE: 02/28/2003 RESPS:3,199 HOURS:371,652 COSTS(000):$0 Multifamily Housing Mortgage and Housing Assistance Restructuring FORMS: NONE OMB NO: 2502-0534 EXPIRATION DATE: 01/31/2002 RESPS:32,000 HOURS:6,800 COSTS(000):$0 Home Equity Conversion Mortgages; Consumer Protection Measures Against Excessive Fees FORMS: NONE OMB NO: 2502-0535 EXPIRATION DATE: 05/31/2003 RESPS:45 HOURS:825 COSTS(000):$15 NOFA for Secondary Market for Non-Conforming Loans to Low Wealth Borrowers Demonstration Program FORMS: HUD-2880 HUD-50071 HUD-2992 OMB NO: 2502-0536 EXPIRATION DATE: 05/31/2002 RESPS:21,600 HOURS:21,600 COSTS(000):$173 Single Family Premium Collection Subsystem-Periodic (SFPCS-P) FORMS: NONE OMB NO: 2502-0537 EXPIRATION DATE: 05/31/2002 RESPS:9,000 HOURS:4,500 COSTS(000):$0 Informed Consumer Choice Disclosure Notice FORMS: NONE OMB NO: 2502-0538 EXPIRATION DATE: 04/30/2003 RESPS:1,215,000 HOURS:502,500 COSTS(000):$625 Fee or Roster Designation, HUD Conditions and Appraisal Report FORMS: HUD-92563 HUD-92564-VC HUD-92564-HS HUD-92564-CN 1004 1004B OMB NO: 2502-0539 EXPIRATION DATE: 12/31/2002 RESPS:1,800 HOURS:266,666 COSTS(000):$1,700 HMDA Loan/Application Register FORMS: HUD HMDA/LAR OMB NO: 2502-0540 EXPIRATION DATE: 10/31/2003 RESPS:15,750 HOURS:81,000 COSTS(000):$0 Application and Re-certification Packages for Approval of Nonprofit Organizations in FHA Activities FORMS: NONE OMB NO: 2502-0542 EXPIRATION DATE: 08/31/2003 RESPS:260 HOURS:4,300 COSTS(000):$0 Assisted Living Conversion Program (ALCP) FORMS: HUD-50080-ALCP SF-269 SF-424 SF-424C SF-424D SF-LLL HUD-2880 HUD-50070 HUD-50071 HUD-2991 Government National Mortgage Association OMB NO: 2503-0001 EXPIRATION DATE: 09/30/2002 RESPS:2,496 HOURS:637 COSTS(000):$0 Commitment to Guarantee Mortgage-Backed Securities FORMS: 11704 OMB NO: 2503-0009 EXPIRATION DATE: 05/31/2002 RESPS:23,541 HOURS:4,002 COSTS(000):$0 Schedule of Subscribers and Ginnie Mae Guaranty/Contractual Agreement FORMS: 11705 OMB NO: 2503-0016 EXPIRATION DATE: 03/31/2002 RESPS:25,536 HOURS:4,340 COSTS(000):$0 1) Letter of Transmittal; 2) Resolution of Board of Directors and Certificate of Authorized Signatures; and 3) Master Servicing Agreement FORMS: 11700 11702 11707 OMB NO: 2503-0017 EXPIRATION DATE: 09/30/2002 RESPS:1 HOURS:39 COSTS(000):$0 Request for Release of Documents, ACH Debit Authorization, Master Agreements for Servicer's P&I Custodial Account, Servicer's Escrow Account and Custodial Account FORMS: 11708 11709 11709-A 11751 11720 OMB NO: 2503-0026 EXPIRATION DATE: 03/31/2002 RESPS:1,584 HOURS:6,336 COSTS(000):$0 Quarterly Loan Level Reporting FORMS: NONE OMB NO: 2503-0031 EXPIRATION DATE: 11/30/2001 RESPS:520 HOURS:130 COSTS(000):$0 Customer Satisfaction Survey FORMS: 11773 OMB NO: 2503-0032 EXPIRATION DATE: 08/31/2003 RESPS:150 HOURS:38 COSTS(000):$0 Generic Customer Satisfaction Surveys for Business Partners and Multiclass Program Participants FORMS: NONE Solar Energy and Energy Conservation Bank No active collections for this subagency Office of Multifamily Assistance Restructuring No active collections for this subagency Office of Community Planning and Development OMB NO: 2506-0042 EXPIRATION DATE: 04/30/2003 RESPS:150 HOURS:350 COSTS(000):$0 Urban Homesteading Program FORMS: NONE OMB NO: 2506-0087 EXPIRATION DATE: 06/30/2001 RESPS:4,925 HOURS:8,619 COSTS(000):$0 Environmental Review Procedures for Entities Assuming HUD Environmental Responsibilities -- 24 CFR Part 58 (Final Rule) FORMS: HUD-7015.15 OMB NO: 2506-0112 EXPIRATION DATE: 06/30/2003 RESPS:4,620 HOURS:203,280 COSTS(000):$0 Continuum of Care Homeless Assistance Application FORMS: HUD-40076-COC HUD-40076-2 HUD-40085-2 OMB NO: 2506-0117 EXPIRATION DATE: 06/30/2002 RESPS:2,200 HOURS:549,925 COSTS(000):$462 Consolidated Plan FORMS: 40090 OMB NO: 2506-0122 EXPIRATION DATE: 01/31/2001 RESPS:960 HOURS:10,580 COSTS(000):$0 Historically Black Colleges and Universities (HBCUs) FORMS: HUD-441.1 HUD-661.1 HUD-40076HBCU OMB NO: 2506-0128 EXPIRATION DATE: 08/31/2003 RESPS:2,528 HOURS:15,490 COSTS(000):$0 HOPE for Homeownership of Single Family Homes Program (HOPE 3) FORMS: HUD-40086-B 40102-B 40103 40104 40105 OMB NO: 2506-0133 EXPIRATION DATE: 11/30/2003 RESPS:410 HOURS:28,635 COSTS(000):$0 Housing Opportunities for Persons with AIDS (HOPWA) Program: Aplication for competitive grants award; annual progress report for competitive FORMS: HUD-40110-B HUD-40110-C OMB NO: 2506-0142 EXPIRATION DATE: 09/30/2003 RESPS:300 HOURS:9,250 COSTS(000):$0 Youthbuild Program FORMS: HUD-40200 -40201 -40202 -40203 SF-1199A HUD-27054 OMB NO: 2506-0145 EXPIRATION DATE: 04/30/2003 RESPS:1 HOURS:200,000 COSTS(000):$0 Competitive Homeless Assistance Program Annual Progress Report (APR) FORMS: HUD-40118 OMB NO: 2506-0148 EXPIRATION DATE: 09/30/2001 RESPS:1,100 HOURS:12,655 COSTS(000):$253 1998 Empowerment Zones Program FORMS: HUD-40003 OMB NO: 2506-0151 EXPIRATION DATE: 01/31/2001 RESPS:300 HOURS:2,702 COSTS(000):$0 Floodplain Management -- 24 CFR Part 55 FORMS: NONE OMB NO: 2506-0153 EXPIRATION DATE: 06/30/2001 RESPS:190 HOURS:12,240 COSTS(000):$0 Economic Development Initiative (EDI) Grant Program FORMS: SF-424 OMB NO: 2506-0154 EXPIRATION DATE: 03/31/2002 RESPS:45 HOURS:19,920 COSTS(000):$112 Base Closure Community Redevelopment and Homeless Assistance Application FORMS: NONE OMB NO: 2506-0159 EXPIRATION DATE: 09/30/2001 RESPS:800 HOURS:10,200 COSTS(000):$0 Loan Guarantee Recovery Fund Established Pursuant to the Church Arson Prevention Act of 1996 FORMS: SF-424 HUD-40076-LGA OMB NO: 2506-0165 EXPIRATION DATE: 05/31/2001 RESPS:384 HOURS:12,288 COSTS(000):$246 Disaster Recovery Grant Reporting System FORMS: NONE OMB NO: 2506-0166 EXPIRATION DATE: 06/30/2001 RESPS:8,355 HOURS:49,100 COSTS(000):$0 Technical Assistance for Community Planning and Development Programs FORMS: SF424 SF424B SF269A SFLLL HUD2880 HUD50070 OMB NO: 2506-0169 EXPIRATION DATE: 11/30/2003 RESPS:1,240 HOURS:18,940 COSTS(000):$0 Rural Housing and Economic Development Program FORMS: SF-424 OMB NO: 2506-0170 EXPIRATION DATE: 09/30/2002 RESPS:53 HOURS:3,305 COSTS(000):$0 CDBG Urban County/New York Towns Qualification/Requalification Process FORMS: NONE OMB NO: 2506-0171 EXPIRATION DATE: 11/30/2001 RESPS:4,867 HOURS:320,150 COSTS(000):$0 HOME Investment Partnerships Program Final Rule FORMS: 40093 40094/-B 40095/-C 40096/-M 40097 40098 40099/-B 40100/-B/-C 40107/-A 40115-40016 Real Estate Assessment Center OMB NO: 2507-0001 EXPIRATION DATE: 06/30/2002 RESPS:224,400 HOURS:56,100 COSTS(000):$0 Assessment of resident satisfaction with their living conditions FORMS: NONE OMB NO: 2507-0003 EXPIRATION DATE: 05/31/2003 RESPS:732,300 HOURS:37,500 COSTS(000):$0 Tenant Assessment Subsystem (TASS) computer matching income verification FORMS: 50073 50074 Office of the Inspector General No active collections for this subagency Enforcement Center No active collections for this subagency Office of the General Counsel OMB NO: 2510-0011 EXPIRATION DATE: 03/31/2003 RESPS:16,900 HOURS:40,560 COSTS(000):$0 Accountability in the Provision of HUD Assistance Applicant/Recipient Disclosure/Update FORMS: HUD-2880 New Communities Development Corporation No active collections for this subagency Policy Development and Research OMB NO: 2528-0013 EXPIRATION DATE: 07/31/2002 RESPS:48,000 HOURS:3,600 COSTS(000):$0 Survey of Market Absorption of New Apartment Buildings FORMS: H-31 SOMA-1 OMB NO: 2528-0017 EXPIRATION DATE: 07/31/2002 RESPS:55,480 HOURS:33,845 COSTS(000):$0 American Housing Survey (AHS), 1999 National Sample FORMS: AHS-26 AHS-27 AHS-28 OMB NO: 2528-0029 EXPIRATION DATE: 09/30/2003 RESPS:12,960 HOURS:6,480 COSTS(000):$0 Survey of New Manufactured (Mobile) Home Placements FORMS: C-MH-9A OMB NO: 2528-0142 EXPIRATION DATE: 03/31/2002 RESPS:463,159 HOURS:11,454 COSTS(000):$0 Section 8 Random Digit Dialing Fair Market Rent Telephone Surveys FORMS: NONE OMB NO: 2528-0170 EXPIRATION DATE: 09/30/2002 RESPS:187,000 HOURS:46,725 COSTS(000):$0 Customer Survey of Households Living in Federally Assisted Units FORMS: NONE OMB NO: 2528-0175 EXPIRATION DATE: 03/31/2002 RESPS:150 HOURS:2,970 COSTS(000):$49,629 Community Development Work Study Program FORMS: NONE OMB NO: 2528-0180 EXPIRATION DATE: 02/28/2003 RESPS:160 HOURS:14,208 COSTS(000):$0 Community Outreach Partnership Centers Program (COPC) FORMS: HUD-30001 HUD-30002 HUD-30003 OMB NO: 2528-0189 EXPIRATION DATE: 06/30/2002 RESPS:6,729 HOURS:2,131 COSTS(000):$0 Canvass of Moving to Opportunity Families FORMS: NONE OMB NO: 2528-0192 EXPIRATION DATE: 03/31/2001 RESPS:750 HOURS:313 COSTS(000):$0 Survey of Community Development Work Study Program Participants FORMS: NONE OMB NO: 2528-0195 EXPIRATION DATE: 10/31/2001 RESPS:420 HOURS:105 COSTS(000):$0 Case Studies of Conversion of Development-Based Assistance to Household-Based Assistance FORMS: NONE OMB NO: 2528-0196 EXPIRATION DATE: 11/30/2001 RESPS:1,000 HOURS:460 COSTS(000):$69,570 Evaluation of the Fair Housing Election Process FORMS: NONE OMB NO: 2528-0197 EXPIRATION DATE: 03/31/2002 RESPS:1,215 HOURS:903 COSTS(000):$0 Assessment of Neighborhood Networks FORMS: NONE OMB NO: 2528-0198 EXPIRATION DATE: 09/30/2002 RESPS:124 HOURS:5,824 COSTS(000):$0 Hispanic-Serving Institutions Assisting Communities Program; Application, Reporting, Recordkeeping Requirements FORMS: HUD-30004 SF-424 SF-424B SF-LLL HUD-50070 HUD-50071 HUD-2880 OMB NO: 2528-0199 EXPIRATION DATE: 03/31/2002 RESPS:800 HOURS:427 COSTS(000):$0 Survey of Low-Income Housing Tax Credit (LIHTC) Developers and Owners FORMS: NONE OMB NO: 2528-0200 EXPIRATION DATE: 03/31/2002 RESPS:1,000 HOURS:500 COSTS(000):$0 Assessment of the Economic and Social Characteristics of the Low Income Housing Tax Credit (LIHTC) Residents and Neighborhoods FORMS: NONE OMB NO: 2528-0201 EXPIRATION DATE: 09/30/2002 RESPS:1,500 HOURS:375 COSTS(000):$0 Interim Assessment of the HOPE VI Program: Survey Development, Data Collection, and Case Studies FORMS: NONE OMB NO: 2528-0203 EXPIRATION DATE: 09/30/2002 RESPS:3,000 HOURS:2,350 COSTS(000):$0 Quality Control for Rental Assistance Subsidy Determinations FORMS: NONE OMB NO: 2528-0204 EXPIRATION DATE: 01/31/2003 RESPS:10,000 HOURS:6,667 COSTS(000):$0 Welfare-to-Work Voucher Program Evaluation FORMS: NONE OMB NO: 2528-0206 EXPIRATION DATE: 05/31/2003 RESPS:36 HOURS:1,824 COSTS(000):$0 Alaska Native / Native Hawaiian Institutions Assisting Communities (AN/NHIC) FORMS: HUD-30005 OMB NO: 2528-0207 EXPIRATION DATE: 04/30/2001 RESPS:1 HOURS:200 COSTS(000):$0 Housing Condition Assessment (Pilot Study) FORMS: NONE OMB NO: 2528-0209 EXPIRATION DATE: 08/31/2003 RESPS:100 HOURS:33 COSTS(000):$0 Assessment of the American Housing Survey - Metropolitan Sample (AHS-MS) FORMS: NONE OMB NO: 2528-0210 EXPIRATION DATE: 12/31/2001 RESPS:600 HOURS:50 COSTS(000):$0 Study of Rent Burden of Residents Living in HOME-Assisted Rental Units FORMS: NONE OMB NO: 2528-0211 EXPIRATION DATE: 10/31/2003 RESPS:2,418 HOURS:605 COSTS(000):$0 HUD 2020 Partners Survey FORMS: NONE OMB NO: 2528-0212 EXPIRATION DATE: 10/31/2003 RESPS:1,500 HOURS:175 COSTS(000):$0 Fair Housing Literacy Survey FORMS: NONE Office of Fair Housing and Equal Opportunity OMB NO: 2529-0011 EXPIRATION DATE: 04/30/2001 RESPS:10,750 HOURS:3,583 COSTS(000):$0 Housing Discrimination Information Form FORMS: HUD-903 HUD-903A OMB NO: 2529-0013 EXPIRATION DATE: 09/30/2003 RESPS:3,006 HOURS:9,018 COSTS(000):$0 Affirmative Fair Housing Marketing Plan, Form HUD-935.2 FORMS: HUD-935.2 OMB NO: 2529-0033 EXPIRATION DATE: 10/31/2003 RESPS:890 HOURS:28,410 COSTS(000):$0 Fair Housing Initiatives Program Application Kit FORMS: SF-269A 424/A/B/D/M SF-LLL HUD-2880 HUD-50070 HUD-50071 HUD-2992 HUD-2991 HUD-2990 OMB NO: 2529-0043 EXPIRATION DATE: 04/30/2001 RESPS:58,593 HOURS:117,646 COSTS(000):$0 Economic Opportunities for Low- and Very Low-Income Persons FORMS: HUD-60002 HUD-958 OMB NO: 2529-0046 EXPIRATION DATE: 03/31/2003 RESPS:12,000 HOURS:5,500 COSTS(000):$0 Final Regulations Implementing Housing for Older Persons Act of (FR-4094-F-02) 1995 (HOPA) FORMS: NONE Office of Administration OMB NO: 2535-0091 EXPIRATION DATE: 09/30/2002 RESPS:12 HOURS:45,600 COSTS(000):$0 HUD Acquisition Regulation (HUDAR) (48 CFR 24) FORMS: HUD-770 OMB NO: 2535-0106 EXPIRATION DATE: 09/30/2002 RESPS:2,368 HOURS:7,041 COSTS(000):$20 Public Housing Assessment System (PHAS) Management Operations Certification FORMS: HUD-50072 OMB NO: 2535-0107 EXPIRATION DATE: 06/30/2002 RESPS:28,159 HOURS:23,387 COSTS(000):$1,842 Multifamily Financial Management Template and Public Housing Financial Management Template (i.e., Supplemental Data on Housing Programs) FORMS: NONE OMB NO: 2535-0110 EXPIRATION DATE: 01/31/2001 RESPS:110 HOURS:110 COSTS(000):$0 Departmental Grants management survey FORMS: NONE Office of Lead-Based Paint and Poison Prevention OMB NO: 2539-0008 EXPIRATION DATE: 08/31/2001 RESPS:9,075 HOURS:9,075 COSTS(000):$0 Lead-Based Paint Hazard Control Grant Program Data Collection for Rounds Two and Three Grantees FORMS: HUD-96005 OMB NO: 2539-0009 EXPIRATION DATE: 08/31/2002 RESPS:1,289,006 HOURS:236,827 COSTS(000):$2,621 Requirements for Notification of Lead-Based Paint Hazrds in Federally Owned Residential Properties and Housing Receiving Federal Assistance -- FR-3482 FORMS: NONE OMB NO: 2539-0010 EXPIRATION DATE: 06/30/2003 RESPS:50 HOURS:2,136 COSTS(000):$0 Notice of Funding Availability / Improving the Evaluation and Control of Residential Lead-Based Hazards FORMS: NONE OMB NO: 2539-0012 EXPIRATION DATE: 04/30/2001 RESPS:1,000 HOURS:2,500 COSTS(000):$0 National Survey of Dust Lead Hazards in Housing FORMS: NONE OMB NO: 2539-0013 EXPIRATION DATE: 10/31/2001 RESPS:30 HOURS:660 COSTS(000):$0 Notice of Funding Availability for a Local Lead Hazard Awareness Campaign FORMS: NONE OMB NO: 2539-0014 EXPIRATION DATE: 10/31/2001 RESPS:10 HOURS:232 COSTS(000):$0 Notice of Funding Availability for a National Lead Hazard Awareness Campaign FORMS: NONE OMB NO: 2539-0015 EXPIRATION DATE: 09/30/2002 RESPS:80 HOURS:8,552 COSTS(000):$0 Notices of Funding Availability under the Department of Housing and Urban Development's Lead-Based Paint Hazard Control and Other Related Grant Programs (This Is a Modification of an....) FORMS: NONE OMB NO: 2539-0016 EXPIRATION DATE: 03/31/2003 RESPS:1 HOURS:57 COSTS(000):$0 A Review of currently available lead-based paint encapsulants and use patterns in the control of residential lead-based paint hazards. FORMS: NONE OMB NO: 2539-0017 EXPIRATION DATE: 05/31/2003 RESPS:3 HOURS:425 COSTS(000):$0 A Study of the Effectiveness of the Milwaukee Lead Hazard Control Ordinance FORMS: NONE OMB NO: 2539-0018 EXPIRATION DATE: 06/30/2003 RESPS:365 HOURS:43 COSTS(000):$0 Evaluation of Environmental Interventions Conducted under HUD Lead-Based Paint Abatement Program FORMS: NONE Office of Public and Indian Housing OMB NO: 2577-0006 EXPIRATION DATE: 09/30/2001 RESPS:3,330 HOURS:158,400 COSTS(000):$0 Lease Requirements -- 24 CFR Part 966.4 FORMS: NONE OMB NO: 2577-0012 EXPIRATION DATE: 04/30/2001 RESPS:816 HOURS:2,652 COSTS(000):$0 Outline Specification FORMS: HUD-5087 OMB NO: 2577-0015 EXPIRATION DATE: 03/31/2002 RESPS:2,630 HOURS:8,557 COSTS(000):$0 Contract for Development of A/E Services; CIAP A/E Services FORMS: HUD-51915 HUD-51915-A OMB NO: 2577-0024 EXPIRATION DATE: 11/30/2003 RESPS:238 HOURS:1,428 COSTS(000):$0 Life-Cycle Cost Analysis of Utility Combination in Public Housing FORMS: HUD-51994 OMB NO: 2577-0025 EXPIRATION DATE: 04/30/2001 RESPS:10,150 HOURS:20,155 COSTS(000):$0 Periodical Estimate for Partial Payment and Related Schedules FORMS: HUD-51001 HUD-51002 HUD-51003 HUD-51004 OMB NO: 2577-0026 EXPIRATION DATE: 06/30/2001 RESPS:3,580 HOURS:429,600 COSTS(000):$7,500 Operating Budget, Supporting Schedules and Board Resolution FORMS: HUD-52564 HUD-52566 HUD-52567 HUD-52571 HUD-52573 HUD-52574 OMB NO: 2577-0027 EXPIRATION DATE: 05/31/2003 RESPS:3,792 HOURS:720 COSTS(000):$0 Public Housing Construction Report FORMS: HUD-5378 OMB NO: 2577-0028 EXPIRATION DATE: 02/28/2001 RESPS:3,400 HOURS:3,400 COSTS(000):$0 Report on Occupancy for Public and Indian Housing FORMS: HUD-51234 OMB NO: 2577-0029 EXPIRATION DATE: 05/31/2001 RESPS:22,400 HOURS:19,028 COSTS(000):$0 Performance Funding System (PFS) Data Collection Forms FORMS: HUD-52720A HUD-52720B HUD-52720C HUD-52721 HUD-52722A HUD-52722B HUD-52723 OMB NO: 2577-0033 EXPIRATION DATE: 03/31/2001 RESPS:334 HOURS:7,595 COSTS(000):$0 Public Housing Development and Mixed-Finance Development of Units: Proposal, Financial Feasibility, Site Information, Turnkey Method, Evidentiary Materials FORMS: HUD-52483-A HUD-52482 HUD-51971-I HUD-51971-II HUD-52651-A HUD-52485 OMB NO: 2577-0037 EXPIRATION DATE: 04/30/2001 RESPS:110 HOURS:248 COSTS(000):$0 Analysis of Proposed Main Construction Contract FORMS: HUD-52396 OMB NO: 2577-0046 EXPIRATION DATE: 05/31/2001 RESPS:12,000 HOURS:12,000 COSTS(000):$0 Procedure for Obtaining Certificates of Insurance for Development and Modernization Projects FORMS: NONE OMB NO: 2577-0066 EXPIRATION DATE: 09/30/2002 RESPS:2 HOURS:6,200 COSTS(000):$112 Performance Funding System, Determination of Operating Subsidy for Vacancies FORMS: HUD-52728 OMB NO: 2577-0075 EXPIRATION DATE: 07/31/2001 RESPS:120 HOURS:2,040 COSTS(000):$0 Demolition/Disposition Application and Reporting FORMS: HUD-52860 OMB NO: 2577-0078 EXPIRATION DATE: 03/31/2001 RESPS:32,000 HOURS:256 COSTS(000):$0 Pet Ownership in Public Housing for the Elderly or Handicapped: Notification to Applicants FORMS: NONE OMB NO: 2577-0083 EXPIRATION DATE: 09/30/2003 RESPS:4,689,165 HOURS:1,563,054 COSTS(000):$0 Multifamily Tenant Characteristics Family Reporting FORMS: HUD-50058 HUD-50058-MTW OMB NO: 2577-0094 EXPIRATION DATE: 11/30/2003 RESPS:2,694 HOURS:2,694 COSTS(000):$0 General Conditions of the Contract for Construction - Public Housing Programs FORMS: HUD-5370 OMB NO: 2577-0124 EXPIRATION DATE: 11/30/2002 RESPS:1,085 HOURS:94,395 COSTS(000):$10,000 Public Housing Drug Elimination Program Formula Allocation: Plan, Consultation, Reporting Resident Survey FORMS: NONE OMB NO: 2577-0149 EXPIRATION DATE: 07/31/2001 RESPS:43,400 HOURS:62,000 COSTS(000):$608 Requisition for Partial Payment of Annual Contributions; Supporting Data for Annual Contributions Estimates; Estimate of Required ACs; Voucher for Payment for ACs; & Operating Statement FORMS: HUD-52663 HUD-52672 HUD-52681 OMB NO: 2577-0157 EXPIRATION DATE: 02/28/2002 RESPS:832 HOURS:54,320 COSTS(000):$0 Modernization of Public Housing Under the Comprehensive Grant Program (CGP) Reporting Requirements FORMS: HUD-52831 HUD-52832 HUD-52833 HUD-52834 HUD-52835 HUD-52836 HUD-52837 HUD-53839 HUD-52842 OMB NO: 2577-0161 EXPIRATION DATE: 08/31/2003 RESPS:1 HOURS:8,500 COSTS(000):$0 Public Housing-Contracting with Resident-Owned Businesses Application Requirements FORMS: NONE OMB NO: 2577-0169 EXPIRATION DATE: 09/30/2002 RESPS:2,232,500 HOURS:650,975 COSTS(000):$0 Section 8 Tenant-Based Vouchers Merger Rule -- Part 982 FORMS: HUD-52515/52517 HUD-52580/52595 HUD-52580A HUD-52646 HUD-52665 HUD-52667 HUD-52672 HUD-52673 HUD-52681/52683 HUD-52663 OMB NO: 2577-0178 EXPIRATION DATE: 05/31/2003 RESPS:4,550 HOURS:39,090 COSTS(000):$0 Family Self-Sufficiency Program (FSS) FORMS: HUD-52650 HUD-52552 OMB NO: 2577-0191 EXPIRATION DATE: 05/31/2003 RESPS:1 HOURS:12,800 COSTS(000):$0 Application for Indian Community Development Block Grant (ICDBG) Program FORMS: HUD-4121 HUD-4122 HUD-4123 HUD-4125 HUD-4126 OMB NO: 2577-0200 EXPIRATION DATE: 12/31/2001 RESPS:1,000 HOURS:92 COSTS(000):$0 Loan Guarantee Program: Mortgage Credit Analysis and Transmittal for Payment of Loan Guarantee Fee FORMS: HUD-53036 HUD-53038 OMB NO: 2577-0201 EXPIRATION DATE: 06/30/2001 RESPS:300 HOURS:3,850 COSTS(000):$0 Section 5(h) Homeownership Program: Resident Application; Homeownership Plan, Agreement, Resident Consultation FORMS: NONE OMB NO: 2577-0214 EXPIRATION DATE: 04/30/2001 RESPS:1 HOURS:3,744 COSTS(000):$0 Public Housing Agencies' Plan for Exception Request, Site-Based Waiting Lists FORMS: NONE OMB NO: 2577-0215 EXPIRATION DATE: 08/31/2003 RESPS:2,565 HOURS:34,720 COSTS(000):$0 Section 8 Management Assessment Program (SEMAP) FORMS: HUD-52648 OMB NO: 2577-0218 EXPIRATION DATE: 06/30/2001 RESPS:400 HOURS:144,149 COSTS(000):$0 Implementation of the Native American Housing Assistance and Self-Determination Act of 1996 (NAHASDA): Indian Housing Plan, Income Verification, Certifications, Performance Report, etc. FORMS: HUD-52734 HUD-52735 OMB NO: 2577-0219 EXPIRATION DATE: 01/31/2001 RESPS:147 HOURS:67 COSTS(000):$0 Community Renaissance Fellows Program: Budget, Payment Voucher, Reporting FORMS: HUD-52810 HUD-52811 HUD-50080-CRFP OMB NO: 2577-0223 EXPIRATION DATE: 07/31/2001 RESPS:50 HOURS:1,800 COSTS(000):$0 Campus of Learners Semiannual Report FORMS: HUD-52350 OMB NO: 2577-0226 EXPIRATION DATE: 03/31/2002 RESPS:1 HOURS:301,310 COSTS(000):$0 Public Housing Agency (PHA) Plan FORMS: NONE OMB NO: 2577-0229 EXPIRATION DATE: 11/30/2003 RESPS:850 HOURS:44,800 COSTS(000):$0 Resident Opportunities Self-Sufficiency (ROSS) Program: Application Requirements, Evaluation, Assessment, Certifications FORMS: NONE OMB NO: 2577-0230 EXPIRATION DATE: 09/30/2002 RESPS:3,400 HOURS:169,300 COSTS(000):$0 Public Housing Reform; Change in Admission and Occupancy Requirements FORMS: NONE OMB NO: 2577-0232 EXPIRATION DATE: 09/30/2002 RESPS:4,500 HOURS:217,850 COSTS(000):$0 Public Housing "One-Strike": Admission Policies, Criminal Records FORMS: NONE OMB NO: 2577-0233 EXPIRATION DATE: 09/30/2002 RESPS:1 HOURS:25,737 COSTS(000):$0 Public Housing Homeownership Program: Family Application, Reporting and Recordkeeping Requirements, Homeownership Program Development and Approval FORMS: NONE OMB NO: 2577-0234 EXPIRATION DATE: 11/30/2002 RESPS:1.5 HOURS:13,860 COSTS(000):$0 Required Conversion of Developments from Public Housing Stock: Plan, Submission, Consultation FORMS: NONE OMB NO: 2577-0235 EXPIRATION DATE: 01/31/2003 RESPS:1 HOURS:800 COSTS(000):$0 Consortia of Public Housing Agencies and Joint Ventures: Agreement, Plan, and Reporting FORMS: NONE
(RETURN TO AGENCY LIST)OMB NO: 1004-0001 EXPIRATION DATE: 01/31/2001 RESPS:430 HOURS:215 COSTS(000):$0 Free-Use Application and Permit FORMS: 5510-1 OMB NO: 1004-0004 EXPIRATION DATE: 08/31/2003 RESPS:17 HOURS:34 COSTS(000):$0 Desert Land entry Application FORMS: FORM-2520-1 OMB NO: 1004-0005 EXPIRATION DATE: 05/31/2002 RESPS:6,000 HOURS:2,000 COSTS(000):$0 Grazing Application; Grazing Schedule FORMS: 4130-1 OMB NO: 1004-0009 EXPIRATION DATE: 10/31/2001 RESPS:620 HOURS:5,955 COSTS(000):$0 Land Use Application and Permit FORMS: FORM-2920-1 OMB NO: 1004-0010 EXPIRATION DATE: 08/31/2003 RESPS:20 HOURS:20 COSTS(000):$0 Conveyances Affecting Color or Claim of title FORMS: FORM-2540-2 OMB NO: 1004-0011 EXPIRATION DATE: 08/31/2003 RESPS:20 HOURS:20 COSTS(000):$0 Color-of-Title Tax Levy and Payment Record FORMS: FORM-2540-3 OMB NO: 1004-0012 EXPIRATION DATE: 08/31/2003 RESPS:25 HOURS:1,000 COSTS(000):$3 Application for Land for Recreation and Public Purposes FORMS: FORM-2740-1 OMB NO: 1004-0019 EXPIRATION DATE: 01/31/2001 RESPS:60 HOURS:20 COSTS(000):$0 Range Improvement Permit FORMS: 4120-7 OMB NO: 1004-0025 EXPIRATION DATE: 07/31/2003 RESPS:255 HOURS:12,185 COSTS(000):$6,612 43 CFR 3860 & 3870 -- Mineral Surveys, Mineral Patent Applications, Adverse Claims, Protests, & Contests FORMS: 3860-2 3860-5 OMB NO: 1004-0029 EXPIRATION DATE: 08/31/2003 RESPS:20 HOURS:10 COSTS(000):$0 Color-of-Title Application Form FORMS: FORM-2540-1 OMB NO: 1004-0034 EXPIRATION DATE: 12/31/2001 RESPS:60,000 HOURS:30,000 COSTS(000):$0 Oil and Gas Lease Transfers by Assignment or Operating Rights (Sublease) FORMS: 3000-3 3000-3A OMB NO: 1004-0041 EXPIRATION DATE: 02/28/2002 RESPS:7,665 HOURS:1,794 COSTS(000):$0 Grazing Preference Statement FORMS: 4130-3A OMB NO: 1004-0042 EXPIRATION DATE: 05/31/2001 RESPS:30,000 HOURS:5,000 COSTS(000):$0 Protection, Management, and Control of Wild Free-Roaming Horses and Burros FORMS: 4710-10 OMB NO: 1004-0051 EXPIRATION DATE: 08/31/2001 RESPS:15,000 HOURS:6,250 COSTS(000):$0 Actual Grazing Use Report FORMS: 4130-5 OMB NO: 1004-0058 EXPIRATION DATE: 01/31/2001 RESPS:100 HOURS:190 COSTS(000):$0 Timber Export Reporting and Substitution Determination FORMS: 5460-17 OMB NO: 1004-0060 EXPIRATION DATE: 12/31/2001 RESPS:4,900 HOURS:9,800 COSTS(000):$0 Application for Transportation and Utility Systems and Facility FORMS: SF-299 OMB NO: 1004-0073 EXPIRATION DATE: 12/31/2003 RESPS:1,185 HOURS:23,986 COSTS(000):$40 43 C.F.R. Group 3400, Coal Management FORMS: 3400-12 3440-1 OMB NO: 1004-0074 EXPIRATION DATE: 07/31/2003 RESPS:443 HOURS:886 COSTS(000):$0 Oil and Gas and Geothemal Resources Leasing FORMS: 3000-2 3200-9 OMB NO: 1004-0103 EXPIRATION DATE: 10/31/2002 RESPS:2,800 HOURS:1,475 COSTS(000):$0 Mineral Materials Disposal -- 43 CFR 3600 and 43 CFR 3610 FORMS: 3600-1 OMB NO: 1004-0107 EXPIRATION DATE: 09/30/2001 RESPS:16,800 HOURS:16,800 COSTS(000):$0 Right-of-Way -- 43 CFR Parts 2800 and 2880 FORMS: NONE OMB NO: 1004-0109 EXPIRATION DATE: 06/30/2003 RESPS:50 HOURS:1,000 COSTS(000):$0 Payments in Lieu of Taxes (43 CFR 1881) FORMS: 1004-0109 OMB NO: 1004-0114 EXPIRATION DATE: 12/31/2002 RESPS:364,175 HOURS:48,562 COSTS(000):$33,389 Recordation of Location Notices and Annual for Mining Claims, Mill Sites, and Tunnel Sites; Payments of Location and Maintenance Fees and Service Charges FORMS: 3820-2 3830-3 OMB NO: 1004-0119 EXPIRATION DATE: 10/31/2001 RESPS:31,000 HOURS:15,500 COSTS(000):$1 Special Recreation Application and Permit FORMS: 8370-1 OMB NO: 1004-0121 EXPIRATION DATE: 06/30/2003 RESPS:276 HOURS:3,760 COSTS(000):$3 Leasing of Solid Minerals Other Than Coal and Oil Shale: 43 CFR Part 3500 through 3590 FORMS: 3510-1 3520-7 3510-2 3504-1 3504-3 3504-4 OMB NO: 1004-0132 EXPIRATION DATE: 01/31/2001 RESPS:760 HOURS:1,700 COSTS(000):$0 Geothermal Resources Operations FORMS: 3260-2 3260-3 3260-4 3260-5 OMB NO: 1004-0133 EXPIRATION DATE: 12/31/2001 RESPS:190,000 HOURS:9,500 COSTS(000):$0 Permit Fee Envelope FORMS: FORM-1370-36 OMB NO: 1004-0134 EXPIRATION DATE: 01/31/2001 RESPS:193,855 HOURS:96,190 COSTS(000):$0 Non-Form Items FORMS: NONE OMB NO: 1004-0135 EXPIRATION DATE: 01/31/2001 RESPS:34,000 HOURS:14,166 COSTS(000):$0 Sundry Notices and Reports on Wells FORMS: 3160-5 OMB NO: 1004-0136 EXPIRATION DATE: 01/31/2001 RESPS:4,000 HOURS:2,250 COSTS(000):$0 Application for Permit to Drill FORMS: 3160-3 OMB NO: 1004-0137 EXPIRATION DATE: 01/31/2001 RESPS:2,200 HOURS:2,290 COSTS(000):$0 Well Completion or Recompletion Report and Log FORMS: 3160-4 OMB NO: 1004-0145 EXPIRATION DATE: 09/30/2002 RESPS:1,400 HOURS:1,400 COSTS(000):$0 Oil and Gas Exploration and Leasing FORMS: NONE OMB NO: 1004-0153 EXPIRATION DATE: 09/30/2002 RESPS:13 HOURS:130 COSTS(000):$0 Conveyance of Federally Owned Mineral Interest -- 43 CFR 2720 FORMS: NONE OMB NO: 1004-0157 EXPIRATION DATE: 12/31/2003 RESPS:80 HOURS:240 COSTS(000):$0 43 CFR Subpart 2808 - Reimbursement of Costs FORMS: NONE OMB NO: 1004-0160 EXPIRATION DATE: 08/31/2001 RESPS:75 HOURS:150 COSTS(000):$0 Geothermal Leasing Reports FORMS: NONE OMB NO: 1004-0162 EXPIRATION DATE: 10/31/2002 RESPS:1,200 HOURS:800 COSTS(000):$0 Oil and Gas Geophysical Exploration Operations FORMS: 3150-4 315-5 OMB NO: 1004-0165 EXPIRATION DATE: 08/31/2003 RESPS:60 HOURS:155 COSTS(000):$0 Cave Management: Cave Nominations and Confidential Information 43 CFR Part 37 FORMS: NONE OMB NO: 1004-0168 EXPIRATION DATE: 10/31/2001 RESPS:4 HOURS:1,600 COSTS(000):$0 Report of Road Use FORMS: OR2812-6 OMB NO: 1004-0169 EXPIRATION DATE: 09/30/2002 RESPS:280 HOURS:560 COSTS(000):$0 Use and Occupancy -- 43 CFR 3715 FORMS: NONE OMB NO: 1004-0172 EXPIRATION DATE: 08/31/2001 RESPS:10,000 HOURS:500 COSTS(000):$0 Generic Clearance for Customer Comment Cards FORMS: NONE OMB NO: 1004-0173 EXPIRATION DATE: 06/30/2001 RESPS:200 HOURS:100 COSTS(000):$0 Jobs-in-the-Woods Employment Evaluation FORMS: NONE OMB NO: 1004-0175 EXPIRATION DATE: 08/31/2002 RESPS:1,500 HOURS:1,500 COSTS(000):$0 Identification of Communications Sites Tenants and Tenant Uses FORMS: NONE OMB NO: 1004-0176 EXPIRATION DATE: 05/31/2003 RESPS:750 HOURS:125,808 COSTS(000):$0 Surface Management Activities Under The General Mining Law, Regulations At 43 CFR 3802 And 3809 FORMS: FORM-3809-1 FORM-3809-2 FORM-3809-4 OMB NO: 1004-0179 EXPIRATION DATE: 05/31/2001 RESPS:70 HOURS:26.8 COSTS(000):$0 In-Kind Crude Helium Contract FORMS: NONE OMB NO: 1004-0180 EXPIRATION DATE: 08/31/2001 RESPS:200 HOURS:50 COSTS(000):$0 Gas Well Data, Survey of Helium-Bearing Natural Gas FORMS: 3100-12 OMB NO: 1004-0181 EXPIRATION DATE: 09/30/2001 RESPS:13,000 HOURS:3,250 COSTS(000):$0 Generic Clearance for Customer Surveys FORMS: NONE OMB NO: 1004-0182 EXPIRATION DATE: 12/31/2001 RESPS:6 HOURS:7 COSTS(000):$0 Alaska Reindeer Grazing -- 43 CFR 4300 FORMS: 4210-1 4132-2 OMB NO: 1004-0183 EXPIRATION DATE: 10/31/2001 RESPS:600 HOURS:30 COSTS(000):$0 Wild Horse and Burro Internet Adoption Customer Comment Card FORMS: NONE OMB NO: 1004-0184 EXPIRATION DATE: 02/28/2002 RESPS:22,945 HOURS:9,441 COSTS(000):$0 Onshore Oil and Gas Leasing and Operations FORMS: NONE OMB NO: 1004-0185 EXPIRATION DATE: 05/31/2002 RESPS:1,110 HOURS:4,600 COSTS(000):$0 Drainage Protection FORMS: NONE OMB NO: 1004-0187 EXPIRATION DATE: 07/31/2002 RESPS:12,000 HOURS:20,000 COSTS(000):$0 Taxpayer Identification/Social Security Number Request FORMS: 1372-6 OMB NO: 1004-0188 EXPIRATION DATE: 08/31/2002 RESPS:4,050 HOURS:19,550 COSTS(000):$0 Rights-of-Way: Principles and Procedures -- 43 CFR Part 2800 Rights-of-Way under the Mineral Leasing Act -- 43 CFR Part 2880 FORMS: NONE OMB NO: 1004-0189 EXPIRATION DATE: 08/31/2002 RESPS:4,900 HOURS:9,800 COSTS(000):$4,780 Application for Transportation and Utility Systems and Facility FORMS: 299 OMB NO: 1004-0190 EXPIRATION DATE: 08/31/2002 RESPS:16 HOURS:13 COSTS(000):$1 Indian Allotment Regulations FORMS: 2530-3 OMB NO: 1004-0191 EXPIRATION DATE: 03/31/2003 RESPS:732 HOURS:20,496 COSTS(000):$0 Alaska Veteran's Native Allotment Regulations and Application Form, Public Law 105-276 FORMS: AK-2561-10 OMB NO: 1004-0192 EXPIRATION DATE: 06/30/2003 RESPS:1,760 HOURS:440 COSTS(000):$0 Trans-Alaska Pipeline System Survey of the Employee Concerns Program FORMS: NONE OMB NO: 1004-0193 EXPIRATION DATE: 08/31/2003 RESPS:1,720 HOURS:430 COSTS(000):$0 Generic Clearance for Customer Surveys for Stakeholders/Partners and State and Local Government FORMS: NONE OMB NO: 1004-0194 EXPIRATION DATE: 11/30/2003 RESPS:1,897 HOURS:306,536 COSTS(000):$0 Surface Management Activities Under the General Mining Law, 43 CFR Subpart 3809 FORMS: 3809-1 3809-2 3809-4 Bureau of Reclamation OMB NO: 1006-0001 EXPIRATION DATE: 02/28/2003 RESPS:25,225 HOURS:8,050 COSTS(000):$0 Crop Acreage and Yields and Water Distribution FORMS: 7-332 7-2045 OMB NO: 1006-0002 EXPIRATION DATE: 04/30/2003 RESPS:535 HOURS:1,070 COSTS(000):$0 Recreation Use Data Report FORMS: 7-2534-PART1 7-2535-PART2 OMB NO: 1006-0005 EXPIRATION DATE: 12/31/2001 RESPS:19,586 HOURS:14,829 COSTS(000):$0 Individual Landholder's Certification and Reporting Forms for Acreage Limitation -- 43 CFR Part 426 and 43 CFR Part 428 (Proposed Rule) FORMS: 7-21INFO/7-2180 7-2180EZ/7-2181 7-2184/7-2190 7-2190EZ/7-2191 7-2194/7-21PE 7-21TRUST 7-21FARMOP 7-21VERIFY 7-21FC/7-21XS 7-21CONT-I OMB NO: 1006-0006 EXPIRATION DATE: 12/31/2001 RESPS:345 HOURS:13,800 COSTS(000):$235 Certification Summary Form, Reporting Summary Form for Acreage Limitation -- 43 CFR Part 426 and 43 CFR Part 428 (Proposed Rule) FORMS: 7-21SUMM-C 7-21SUMM-R TABULATION-A TABULATION-B TABULATION-C TABULATION-D TABULATION-E TABULATION-F TABULATION-G OMB NO: 1006-0009 EXPIRATION DATE: 01/31/2001 RESPS:3,000 HOURS:590 COSTS(000):$0 Private Rental Survey FORMS: 7-2226 7-2227 OMB NO: 1006-0014 EXPIRATION DATE: 12/31/2002 RESPS:1,000 HOURS:500 COSTS(000):$0 Lower Colorado River Well Inventory FORMS: NONE OMB NO: 1006-0015 EXPIRATION DATE: 08/31/2003 RESPS:54 HOURS:290 COSTS(000):$0 Diversions, Return Flows, and Consumptive Use of Colorado River Water in the Lower Colorado River Basin FORMS: LC-72 LC-72A LC-72B OMB NO: 1006-0022 EXPIRATION DATE: 04/30/2001 RESPS:750 HOURS:375 COSTS(000):$0 Mountain Lion Survey, Tucson, Arizona FORMS: NONE Office of Water Policy No active collections for this subagency Minerals Management Service OMB NO: 1010-0006 EXPIRATION DATE: 03/31/2001 RESPS:6,649 HOURS:17,856 COSTS(000):$470 Leasing of Sulphur or Oil and Gas in the Outer Continental Shelf (OCS) -- 30 CFR Part 256 FORMS: MMS-2028 MMS-2028A OMB NO: 1010-0017 EXPIRATION DATE: 09/30/2002 RESPS:1,660 HOURS:2,490 COSTS(000):$0 Semiannual Well Test Report -- Form MMS-128 FORMS: MMS-128 OMB NO: 1010-0018 EXPIRATION DATE: 09/30/2001 RESPS:900 HOURS:900 COSTS(000):$0 Request for Reservoir Maximum Efficiency Rate (MER) -- Form MMS-127 FORMS: MMS-127 OMB NO: 1010-0022 EXPIRATION DATE: 08/31/2001 RESPS:3,286,500 HOURS:188,349 COSTS(000):$0 Report of Sales and Royalty Remittance FORMS: MMS-2014 OMB NO: 1010-0033 EXPIRATION DATE: 06/30/2002 RESPS:23,000 HOURS:17,250 COSTS(000):$0 Payor Information Form FORMS: MMS-4025 OMB NO: 1010-0039 EXPIRATION DATE: 09/30/2002 RESPS:1,250 HOURS:1,250 COSTS(000):$0 Well Potential Test Report -- Form MMS-126 FORMS: MMS-126 OMB NO: 1010-0040 EXPIRATION DATE: 08/31/2001 RESPS:356,668 HOURS:81,938 COSTS(000):$0 Production Accounting and Auditing System Oil and Gas Reports FORMS: MMS-3160 MMS-4051 MMS-4054 MMS-4055 MMS-4056 MMS-4058 OMB NO: 1010-0041 EXPIRATION DATE: 06/30/2003 RESPS:1,949 HOURS:14,189 COSTS(000):$0 30 CFR 250, Subpart K, Oil and Gas Production Rates FORMS: MMS-140 OMB NO: 1010-0042 EXPIRATION DATE: 03/31/2001 RESPS:20 HOURS:25 COSTS(000):$0 Application for the Purchase of Royalty Oil FORMS: MMS-4070 OMB NO: 1010-0043 EXPIRATION DATE: 09/30/2001 RESPS:1,458 HOURS:7,920 COSTS(000):$0 Oil and Gas Well-Workover Operations -- 30 CFR 250, Subpart F FORMS: NONE OMB NO: 1010-0044 EXPIRATION DATE: 09/30/2002 RESPS:1,165 HOURS:4,078 COSTS(000):$0 Application for Permit to Drill -- Form MMS-123 FORMS: MMS-123 OMB NO: 1010-0045 EXPIRATION DATE: 09/30/2002 RESPS:9,500 HOURS:11,875 COSTS(000):$0 Sundry Notices and Reports on Wells -- Form MMS-124 FORMS: MMS-124 OMB NO: 1010-0046 EXPIRATION DATE: 09/30/2002 RESPS:2,275 HOURS:2,275 COSTS(000):$0 Well Summary Report -- Form MMS-125 FORMS: MMS-125 OMB NO: 1010-0048 EXPIRATION DATE: 05/31/2003 RESPS:963 HOURS:8,109 COSTS(000):$0 30 CFR Part 251, Geological and Geophysical (G&G) Explorations of the OCS FORMS: MMS-327 MMS-328 MMS-329 OMB NO: 1010-0049 EXPIRATION DATE: 09/30/2003 RESPS:1,016 HOURS:257,470 COSTS(000):$0 30 CFR 250, Subpart B, Exploration and Development and Production FORMS: MMS-137 MMS-138 MMS-139 MMS-141 OMB NO: 1010-0050 EXPIRATION DATE: 08/31/2003 RESPS:2,190 HOURS:78,910 COSTS(000):$332 30 CFR 250, Subpart J, Pipelines and Pipeline Rights-of-way FORMS: NONE OMB NO: 1010-0051 EXPIRATION DATE: 07/31/2001 RESPS:32,396 HOURS:5,330 COSTS(000):$0 Oil and Gas Production Measurement, Surface Commingling, and Security -- 30 CFR 250, Subpart L FORMS: NONE OMB NO: 1010-0053 EXPIRATION DATE: 09/30/2003 RESPS:2,543 HOURS:113,827 COSTS(000):$0 30 CFR 250, Subpart D, Oil and Gas Drilling Operations FORMS: NONE OMB NO: 1010-0057 EXPIRATION DATE: 12/31/2002 RESPS:4,040 HOURS:194,311 COSTS(000):$750 Pollution Prevention and Control -- 30 CFR 250, Subpart C FORMS: NONE OMB NO: 1010-0058 EXPIRATION DATE: 10/31/2001 RESPS:978 HOURS:31,893 COSTS(000):$0 Platforms and Structures -- 30 CFR 250, Subpart I FORMS: NONE OMB NO: 1010-0059 EXPIRATION DATE: 12/31/2002 RESPS:727 HOURS:5,204 COSTS(000):$0 Oil and Gas Production Safety Systems -- 30 CFR 250, Subpart H FORMS: NONE OMB NO: 1010-0061 EXPIRATION DATE: 05/31/2001 RESPS:3 HOURS:7 COSTS(000):$0 Oil Transportation Allowances FORMS: MMS-4110 OMB NO: 1010-0063 EXPIRATION DATE: 02/28/2003 RESPS:3,876 HOURS:2,763 COSTS(000):$0 Production Accounting and Auditing System Reports for Solid Minerals FORMS: MMS-4050 MMS-4051S MMS-4059A MMS-4059B MMS-4060A MMS-4060B OMB NO: 1010-0064 EXPIRATION DATE: 07/31/2003 RESPS:130 HOURS:173 COSTS(000):$0 Payor Information Form - Solid Minerals FORMS: FORM-MMS-4030 OMB NO: 1010-0067 EXPIRATION DATE: 09/30/2003 RESPS:2,095 HOURS:5,672 COSTS(000):$0 30 CFR 250, Subpart E, Oil and Gas Well-Completion Operations FORMS: NONE OMB NO: 1010-0068 EXPIRATION DATE: 09/30/2002 RESPS:27 HOURS:2,742 COSTS(000):$0 Unitization -- 30 CFR 250, Subpart M FORMS: NONE OMB NO: 1010-0071 EXPIRATION DATE: 09/30/2003 RESPS:19 HOURS:8,650 COSTS(000):$661 30 CFR Part 203, Relief or Reduction in Royalty Rates FORMS: NONE OMB NO: 1010-0072 EXPIRATION DATE: 01/31/2003 RESPS:12 HOURS:88 COSTS(000):$0 Prospecting for Minerals Other Than Oil, Gas, and Sulphur in the OCS -- 30 CFR Part 280 FORMS: MMS-134 MMS-135 MMS-136 OMB NO: 1010-0073 EXPIRATION DATE: 08/31/2002 RESPS:183 HOURS:2,946 COSTS(000):$0 Net Profit Share Leases FORMS: NONE OMB NO: 1010-0074 EXPIRATION DATE: 05/31/2001 RESPS:5 HOURS:10 COSTS(000):$0 Coal Washing and Transportation Allowances FORMS: MMS-4292 MMS-4293 OMB NO: 1010-0075 EXPIRATION DATE: 08/31/2001 RESPS:3,000 HOURS:750 COSTS(000):$0 Gas Processing and Transportation Allowances FORMS: MMS-4109 MMS-4295 OMB NO: 1010-0078 EXPIRATION DATE: 08/31/2003 RESPS:2,188 HOURS:2,300 COSTS(000):$0 30 CFR 250, Subpart o, Training FORMS: NONE OMB NO: 1010-0079 EXPIRATION DATE: 09/30/2002 RESPS:200 HOURS:650 COSTS(000):$0 Abandonment of Wells -- 30 CFR 250, Subpart G FORMS: NONE OMB NO: 1010-0086 EXPIRATION DATE: 09/30/2001 RESPS:86 HOURS:978 COSTS(000):$0 Sulphur Operations -- 30 CFR 250, Subpart P FORMS: NONE OMB NO: 1010-0087 EXPIRATION DATE: 08/31/2003 RESPS:85 HOURS:1,224 COSTS(000):$0 Cooperative Agreements FORMS: NONE OMB NO: 1010-0088 EXPIRATION DATE: 08/31/2003 RESPS:48,050 HOURS:210,400 COSTS(000):$80 Delegation of Authority to States FORMS: NONE OMB NO: 1010-0090 EXPIRATION DATE: 08/31/2001 RESPS:800 HOURS:600 COSTS(000):$0 Stripper Royalty Rate Reduction Notification FORMS: MMS-4377 OMB NO: 1010-0091 EXPIRATION DATE: 10/31/2003 RESPS:801 HOURS:42,233 COSTS(000):$0 30 CFR part 254, Oil-Spill Responses Requirements for Facilities Located Seaward of the Coast Line FORMS: NONE OMB NO: 1010-0095 EXPIRATION DATE: 05/31/2003 RESPS:75 HOURS:37 COSTS(000):$0 Request to Exceed Regulatory Allowance Limitation FORMS: MMS-4393 OMB NO: 1010-0098 EXPIRATION DATE: 02/28/2001 RESPS:60 HOURS:2 COSTS(000):$0 Office of Indian Royalty Assistance (OIRA) Customer Satisfaction Survey Postcard FORMS: NONE OMB NO: 1010-0103 EXPIRATION DATE: 01/31/2003 RESPS:420 HOURS:10,500 COSTS(000):$0 Safety Net Report FORMS: MMS-4411 OMB NO: 1010-0104 EXPIRATION DATE: 01/31/2003 RESPS:720 HOURS:2,880 COSTS(000):$0 Certification for Not Performing Accounting for Comparison (Dual Accounting) FORMS: MMS-4410 OMB NO: 1010-0106 EXPIRATION DATE: 10/31/2001 RESPS:4,631 HOURS:22,181 COSTS(000):$0 Oil Spill Financial Responsibility for Offshore Facilities -- 30 CFR Part 253 FORMS: MMS-1016 MMS-1017 MMS-1018 MMS-1019 MMS-1020 MMS-1021 MMS-1022 OMB NO: 1010-0107 EXPIRATION DATE: 05/31/2002 RESPS:11,500 HOURS:8,625 COSTS(000):$0 Designation of Royalty Payment Responsibility FORMS: MMS-4425 OMB NO: 1010-0110 EXPIRATION DATE: 03/31/2001 RESPS:1,260 HOURS:126 COSTS(000):$0 Training and Outreach Evaluation Questionnaires FORMS: MMS-4420A-H OMB NO: 1010-0112 EXPIRATION DATE: 02/28/2002 RESPS:80 HOURS:960 COSTS(000):$0 Performance Measures Data Form -- Form MMS-131 FORMS: MMS-131 OMB NO: 1010-0113 EXPIRATION DATE: 02/28/2003 RESPS:6,075 HOURS:1 COSTS(000):$0 Indian Crude Oil Valuation Report FORMS: MMS-4416 OMB NO: 1010-0114 EXPIRATION DATE: 09/30/2002 RESPS:3,899 HOURS:10,716 COSTS(000):$2 General -- 30 CFR 250, Subpart A FORMS: MMS-132 OMB NO: 1010-0118 EXPIRATION DATE: 06/30/2002 RESPS:10,000 HOURS:330 COSTS(000):$0 Royalty-In-Kind Pilot Program Spreadsheets: Federal Oil and Gas Purchase System and Joint Effort Royalty Oil and Gas Purchase System FORMS: NONE OMB NO: 1010-0119 EXPIRATION DATE: 08/31/2002 RESPS:25 HOURS:100 COSTS(000):$0 Royalty-in-Kind (RIK) Determination of Need FORMS: NONE OMB NO: 1010-0120 EXPIRATION DATE: 08/31/2002 RESPS:304 HOURS:463 COSTS(000):$0 Solid Minerals Reengineering Operational Model FORMS: MMS-4430 OMB NO: 1010-0121 EXPIRATION DATE: 04/30/2002 RESPS:400 HOURS:36,100 COSTS(000):$0 Preliminary Statement of Issues and Fee Waiver FORMS: NONE OMB NO: 1010-0122 EXPIRATION DATE: 04/30/2002 RESPS:300 HOURS:300 COSTS(000):$0 Filing Sureties FORMS: MMS-4435 MMS-4436 OMB NO: 1010-0123 EXPIRATION DATE: 04/30/2002 RESPS:12 HOURS:180 COSTS(000):$0 Issuing Orders Requested by Indian Lessors FORMS: NONE OMB NO: 1010-0124 EXPIRATION DATE: 04/30/2002 RESPS:2,786,000 HOURS:1 COSTS(000):$0 Report of Sales and Royalty Remittance FORMS: MMS-2014 OMB NO: 1010-0125 EXPIRATION DATE: 04/30/2002 RESPS:10,643 HOURS:1 COSTS(000):$7 Accounting Relief for Marginal Properties FORMS: NONE OMB NO: 1010-0126 EXPIRATION DATE: 02/28/2003 RESPS:4,320 HOURS:3,720 COSTS(000):$0 Royalty-In-Kind Pilot Program Directed Third-Party Communications Between Operators and Purchasers of RIK Federal Oil and Gas Purchase System FORMS: NONE OMB NO: 1010-0128 EXPIRATION DATE: 08/31/2003 RESPS:717 HOURS:5,739 COSTS(000):$0 30 CFR 250, Subpart O-Well Control & Production Safety Training FORMS: NONE OMB NO: 1010-0129 EXPIRATION DATE: 06/30/2003 RESPS:1,869 HOURS:1,324 COSTS(000):$0 Bids and Financial Statements for Sale of Royalty Oil and Gas (RIK Pilots) FORMS: FORM-MMS-4440 OMB NO: 1010-0130 EXPIRATION DATE: 04/30/2003 RESPS:30 HOURS:201 COSTS(000):$0 Directed Communications Between Operators of Federaal RIK Leases and Deliverers of Equivalent Oil Production to the Strategic Petroleum Reserve FORMS: NONE OMB NO: 1010-0131 EXPIRATION DATE: 09/30/2002 RESPS:1,365 HOURS:683 COSTS(000):$0 Supplemental APD Information Sheet -- Form MMS-123S FORMS: MMS-123S OMB NO: 1010-0132 EXPIRATION DATE: 09/30/2002 RESPS:4,550 HOURS:2,275 COSTS(000):$0 Weekly Activity Report -- Form MMS-133 FORMS: MMS-133 OMB NO: 1010-0134 EXPIRATION DATE: 11/30/2002 RESPS:4 HOURS:176 COSTS(000):$0 Further Implementation of the Memorandum of Understanding FORMS: NONE OMB NO: 1010-0135 EXPIRATION DATE: 05/31/2003 RESPS:25 HOURS:25 COSTS(000):$0 Royalty-in-King (RIK) Small Refiner Sale Program FORMS: MMS-4071 MMS-4072 OMB NO: 1010-0136 EXPIRATION DATE: 02/28/2003 RESPS:85 HOURS:17,711 COSTS(000):$0 Federal Oil Valuation FORMS: NONE OMB NO: 1010-0137 EXPIRATION DATE: 08/31/2003 RESPS:130 HOURS:90,000 COSTS(000):$0 Historical Well Data Cleanup (HWDC) Project FORMS: NONE OMB NO: 1010-0138 EXPIRATION DATE: 04/30/2003 RESPS:2,714 HOURS:1 COSTS(000):$0 Indian Crude Oil Valuation Report FORMS: NONE OMB NO: 1010-0139 EXPIRATION DATE: 07/31/2003 RESPS:360,400 HOURS:1 COSTS(000):$1,533 Production Accounting and Auditing System Oil and Gas Reports FORMS: MMS-4054 MMS-4055 MMS-4056 MMS-4058 OMB NO: 1010-0140 EXPIRATION DATE: 08/31/2003 RESPS:2,496,000 HOURS:1 COSTS(000):$4,700 Report of Sales and Royalty Remittance FORMS: MMS-2014 OMB NO: 1010-0141 EXPIRATION DATE: 08/31/2003 RESPS:10,516 HOURS:1 COSTS(000):$0 Proposed Rule - 30 CFR 250, Subpart D, Oil and Gas Drilling FORMS: NONE OMB NO: 1010-0142 EXPIRATION DATE: 08/31/2003 RESPS:628 HOURS:1 COSTS(000):$0 30 CFR 250, Subpart Q-Decommissioning Activities FORMS: NONE OMB NO: 1010-0143 EXPIRATION DATE: 11/30/2003 RESPS:7 HOURS:1,603 COSTS(000):$0 30 CFR Part 260, Outer Continental Shelf Oil and Gas Leasing FORMS: NONE OMB NO: 1010-0144 EXPIRATION DATE: 09/30/2001 RESPS:800 HOURS:340 COSTS(000):$0 Survey-Labor Migration and the Deepwater Oil Industry FORMS: NONE United States Fish and Wildlife Service OMB NO: 1018-0007 EXPIRATION DATE: 09/30/2003 RESPS:56 HOURS:56 COSTS(000):$0 State cert. of hunting and fishing licenses issued annually; 50 CFR 80 FORMS: FORM-3-154A FORM-3-154B OMB NO: 1018-0010 EXPIRATION DATE: 08/31/2002 RESPS:1,062 HOURS:2,655 COSTS(000):$0 Mourning Dove Call-Count Survey FORMS: 3-159 OMB NO: 1018-0012 EXPIRATION DATE: 10/31/2003 RESPS:85,000 HOURS:21,250 COSTS(000):$0 Declaration for Import or Export of Fish/Wildlife, 50 CFR 14.61- 14.64 FORMS: 3-177 OMB NO: 1018-0014 EXPIRATION DATE: 08/31/2003 RESPS:212 HOURS:1,820 COSTS(000):$0 Special Use Permit Applications on National Wildlife Refuges in Alaska covers 50 CFR 25.61, 26.22(b), 26.25, 36.33, 36.37, and 36.41. FORMS: 3-2001 OMB NO: 1018-0015 EXPIRATION DATE: 09/30/2001 RESPS:3,607,000 HOURS:131,992 COSTS(000):$0 Migratory Bird Harvest Surveys FORMS: 3-1823A 3-2056G 3-2056J 3-2056K 3-2056L 3-2056M 3-165 3-165A 3-165B 3-165C OMB NO: 1018-0019 EXPIRATION DATE: 08/31/2002 RESPS:750 HOURS:500 COSTS(000):$0 North American Woodcock Singing Ground Survey FORMS: 3-156 OMB NO: 1018-0022 EXPIRATION DATE: 02/28/2001 RESPS:115,172 HOURS:115,172 COSTS(000):$241 Federal Fish and Wildlife License/Permit Application, Migratory Birds FORMS: 3-200-6/3-200-7 3-200-8/3-200-9 3-200-10 3-200-11 3-200-12 3-200-13 3-200-14 3-200-15 3-200-16 3-200-17/18 OMB NO: 1018-0023 EXPIRATION DATE: 07/31/2003 RESPS:7,400 HOURS:614 COSTS(000):$0 Sandhill Crane Harvest Survey FORMS: 3-530 3-530A 3-2056N OMB NO: 1018-0049 EXPIRATION DATE: 09/30/2003 RESPS:1,456 HOURS:5,250 COSTS(000):$0 Grant agreement and amendment to grant agreement FORMS: FORM-3-1552 FORM-3-1591 OMB NO: 1018-0066 EXPIRATION DATE: 10/31/2001 RESPS:1,930 HOURS:482 COSTS(000):$0 Marine Mammal Marking, Tagging, and Reporting Certificates FORMS: R7-50 R7-51 R7-52 OMB NO: 1018-0067 EXPIRATION DATE: 10/31/2003 RESPS:1 HOURS:3,200 COSTS(000):$0 Protocol for Nontoxic Approval Procedures for Shot and Shot Coatings Migratory Bird Treaty Act FORMS: NONE OMB NO: 1018-0070 EXPIRATION DATE: 10/31/2001 RESPS:15 HOURS:366 COSTS(000):$0 Incidental Take of Marine Mammals During Specified Activities Application FORMS: NONE OMB NO: 1018-0075 EXPIRATION DATE: 07/31/2003 RESPS:6,900 HOURS:1,725 COSTS(000):$0 Fed. Subsistence Hunt Application, Designated Hunter, Fish/ Shellfish; 50 CFR 100 FORMS: 7-FS-1 7FS-2 7FS-3 OMB NO: 1018-0088 EXPIRATION DATE: 09/30/2003 RESPS:161,000 HOURS:27,000 COSTS(000):$0 FHWAR SURVEY. 16 U.S.C. 669-699i, 742d-f, 777-777k P.L. 98-369 FORMS: FH-2 FH-3 FH-4 OMB NO: 1018-0092 EXPIRATION DATE: 02/28/2001 RESPS:14,221 HOURS:14,221 COSTS(000):$363 Federal Fish and Wildlife License/Permit Application, Law Enforcement FORMS: 3-200-1 3-200-2 3-200-3 3-200-26 OMB NO: 1018-0093 EXPIRATION DATE: 02/28/2001 RESPS:9,832 HOURS:9,030 COSTS(000):$180 Federal Fish and Wildlife License/Permit Application, Management Authority FORMS: 3-200-19 3-200-20 3-200-21 3-200-22 3-200-23 3-200-24 3-200-25 3-200-27 THROUGH-53 OMB NO: 1018-0094 EXPIRATION DATE: 02/28/2001 RESPS:1,275 HOURS:4,125 COSTS(000):$17 Federal Fish and Wildlife License Permit, Endangered Species FORMS: 3-200-54 3-200-53 3-200-52 OMB NO: 1018-0095 EXPIRATION DATE: 08/31/2001 RESPS:44 HOURS:11 COSTS(000):$0 Information Collection Requirements for Experimental Populations FORMS: NONE OMB NO: 1018-0096 EXPIRATION DATE: 08/31/2001 RESPS:12 HOURS:3 COSTS(000):$0 Information Collection Requirements for Experimental Populations, Mexican Wolf FORMS: NONE OMB NO: 1018-0098 EXPIRATION DATE: 07/31/2002 RESPS:2,400 HOURS:400 COSTS(000):$0 Evaluation of Visitor Responses to Recreation Fee Demonstration Programs in the U.S. Fish and Wildlife Service National Wildlife Refuges FORMS: NONE OMB NO: 1018-0099 EXPIRATION DATE: 05/31/2001 RESPS:45 HOURS:360 COSTS(000):$0 Special Canada Goose Permit FORMS: NONE OMB NO: 1018-0100 EXPIRATION DATE: 05/31/2002 RESPS:150 HOURS:37,600 COSTS(000):$0 Information Collection in Support of Grant Programs Authorized by the North American Wetlands Conservation Act (NAWCA) FORMS: NONE OMB NO: 1018-0101 EXPIRATION DATE: 10/31/2001 RESPS:20 HOURS:12 COSTS(000):$0 Information Collection Requirements for Monitoring Peregine Falcons Once the Species Is Delisted FORMS: NONE OMB NO: 1018-0102 EXPIRATION DATE: 12/31/2001 RESPS:10,000 HOURS:5,000 COSTS(000):$0 Special Use Permit Application on National Wildlife Refuges Outside Alaska FORMS: 3-1383 OMB NO: 1018-0103 EXPIRATION DATE: 01/31/2002 RESPS:17 HOURS:510 COSTS(000):$0 Conservation Order for Control of Mid-Continent Light Geese FORMS: NONE OMB NO: 1018-0104 EXPIRATION DATE: 09/30/2002 RESPS:40 HOURS:640 COSTS(000):$0 Information Collection in Support of Grant Programs Authorized by the North American Wetlands Conservation Act (NAWCA) and Council FORMS: NONE OMB NO: 1018-0105 EXPIRATION DATE: 08/31/2002 RESPS:60 HOURS:125 COSTS(000):$0 Information Collection for Bald Eagle Monitoring FORMS: NONE OMB NO: 1018-0106 EXPIRATION DATE: 03/31/2003 RESPS:1,600 HOURS:32,200 COSTS(000):$0 National Boating Infrastructure Grant Program Survey FORMS: NONE National Park Service OMB NO: 1024-0009 EXPIRATION DATE: 05/31/2003 RESPS:3,000 HOURS:7,500 COSTS(000):$764 Historic Preservation Certification Application FORMS: 10-168 OMB NO: 1024-0022 EXPIRATION DATE: 01/31/2001 RESPS:206,300 HOURS:16,500 COSTS(000):$0 Public Information Collection, Backcountry Permit FORMS: 10-404 OMB NO: 1024-0026 EXPIRATION DATE: 09/30/2003 RESPS:18,600 HOURS:11,150 COSTS(000):$930 Special Park Use Applications (36 CFR) FORMS: NPS-10-939 NPS-10-931 NPS-10-932 OMB NO: 1024-0028 EXPIRATION DATE: 01/31/2001 RESPS:103 HOURS:42 COSTS(000):$0 Urban Park and Recreation Recovery Program Project Performance Report FORMS: NONE OMB NO: 1024-0031 EXPIRATION DATE: 01/31/2001 RESPS:50 HOURS:13 COSTS(000):$0 Land and Water Conservation Fund Description and Notification Form FORMS: 10-903 OMB NO: 1024-0032 EXPIRATION DATE: 01/31/2001 RESPS:690 HOURS:690 COSTS(000):$0 Land and Water Conservation Fund Program Performance Report FORMS: NONE OMB NO: 1024-0033 EXPIRATION DATE: 01/31/2001 RESPS:70 HOURS:70 COSTS(000):$0 Land and Water Conservation Fund Project Agreement and Amendment FORMS: 10-902 10-902A OMB NO: 1024-0034 EXPIRATION DATE: 01/31/2001 RESPS:6,000 HOURS:3,000 COSTS(000):$0 Land and Water Conservation Fund on-Site Inspection Report FORMS: NONE OMB NO: 1024-0036 EXPIRATION DATE: 07/31/2001 RESPS:4,000 HOURS:200 COSTS(000):$0 Public Use Reporting Survey FORMS: NONE OMB NO: 1024-0037 EXPIRATION DATE: 10/31/2001 RESPS:2,100 HOURS:1,750 COSTS(000):$0 Application for an Issuance of Federal Permits under the Archaeological Resources Protection Act and the Antiquities Act FORMS: DI-1926 DI-1991 OMB NO: 1024-0047 EXPIRATION DATE: 01/31/2001 RESPS:50 HOURS:1,750 COSTS(000):$0 Land and Water Conservation Fund Conversion of Use Provisions FORMS: NONE OMB NO: 1024-0048 EXPIRATION DATE: 01/31/2001 RESPS:3 HOURS:75 COSTS(000):$0 Urban Park and Recreation Recovery Program Conversion of Use Provisions FORMS: NONE OMB NO: 1024-0064 EXPIRATION DATE: 06/30/2003 RESPS:23 HOURS:4,048 COSTS(000):$0 36 CFR Part 9, Subpart A - Mining and Minimg Claims 36 CFR Part 9, Subpart B - Non-Federal Oil and Gas FORMS: NONE OMB NO: 1024-0089 EXPIRATION DATE: 01/31/2001 RESPS:33 HOURS:33 COSTS(000):$0 Urban Park and Recreation Recovery Program Project Agreement and Amendment FORMS: FNP10-912 FNP10-915 OMB NO: 1024-0125 EXPIRATION DATE: 08/31/2003 RESPS:240 HOURS:76,800 COSTS(000):$1,120 Submission of Offers in Response to Concession Opportunities FORMS: NONE OMB NO: 1024-0126 EXPIRATION DATE: 08/31/2002 RESPS:20 HOURS:1,600 COSTS(000):$5 Proposed Sale of Concession Operations FORMS: NONE OMB NO: 1024-0216 EXPIRATION DATE: 05/31/2001 RESPS:67,680 HOURS:3,384 COSTS(000):$0 National Park Service Survey Card FORMS: NONE OMB NO: 1024-0217 EXPIRATION DATE: 06/30/2001 RESPS:4,200 HOURS:840 COSTS(000):$0 Evaluation of the National Park Service Fee Demonstration Program FORMS: NONE OMB NO: 1024-0224 EXPIRATION DATE: 08/31/2001 RESPS:40,000 HOURS:10,000 COSTS(000):$0 Programmatic Approval for National Park Service Visitor Surveys FORMS: NONE OMB NO: 1024-0226 EXPIRATION DATE: 12/31/2001 RESPS:642 HOURS:214 COSTS(000):$0 National Park Service Partnership Programs GPRA Information Collections FORMS: NONE OMB NO: 1024-0228 EXPIRATION DATE: 10/31/2001 RESPS:2,360 HOURS:631 COSTS(000):$0 Alaskan Military Operations Areas On-Site Visitor Surveys FORMS: NONE OMB NO: 1024-0231 EXPIRATION DATE: 11/30/2003 RESPS:758 HOURS:3,276 COSTS(000):$0 Concession Contract - 36 CFR 51 FORMS: NONE OMB NO: 1024-0232 EXPIRATION DATE: 11/30/2003 RESPS:100 HOURS:1,000 COSTS(000):$0 NPS Underground Railroad Network to Freedom Application FORMS: NONE Geological Survey OMB NO: 1028-0048 EXPIRATION DATE: 08/31/2002 RESPS:3,500 HOURS:350 COSTS(000):$0 Earthquake Report FORMS: 9-3013 OMB NO: 1028-0051 EXPIRATION DATE: 09/30/2002 RESPS:300 HOURS:12,000 COSTS(000):$0 National Earthquake Hazards Reduction Program, Annual Announcement of Availability of Funds FORMS: SF424 SF269 SF270 OMB NO: 1028-0053 EXPIRATION DATE: 08/31/2002 RESPS:6,633 HOURS:5,453 COSTS(000):$0 Nonferrous Metals Surveys FORMS: NONE OMB NO: 1028-0056 EXPIRATION DATE: 03/31/2001 RESPS:900 HOURS:300 COSTS(000):$0 North American Reporting Center for Amphibian Malformations FORMS: NONE OMB NO: 1028-0057 EXPIRATION DATE: 11/30/2003 RESPS:1,000 HOURS:350 COSTS(000):$0 The National Atlas of the United States of America FORMS: NONE OMB NO: 1028-0058 EXPIRATION DATE: 02/28/2001 RESPS:600 HOURS:300 COSTS(000):$0 Portland and Masonry Cement, Monthly FORMS: 9-3079 OMB NO: 1028-0059 EXPIRATION DATE: 02/28/2001 RESPS:12,370 HOURS:3,092 COSTS(000):$0 Comprehensive Test Ban Treaty FORMS: FORM-9-3078 OMB NO: 1028-0060 EXPIRATION DATE: 12/31/2003 RESPS:739 HOURS:555 COSTS(000):$0 Mine, Development, and Mineral Exploration Supplement FORMS: 9-4000-A OMB NO: 1028-0061 EXPIRATION DATE: 02/28/2001 RESPS:110 HOURS:165 COSTS(000):$0 Lime, Annual FORMS: 9-1221-A OMB NO: 1028-0062 EXPIRATION DATE: 02/28/2001 RESPS:15,162 HOURS:10,203 COSTS(000):$0 Industrial Minerals Surveys FORMS: NONE OMB NO: 1028-0064 EXPIRATION DATE: 03/31/2001 RESPS:130 HOURS:650 COSTS(000):$0 Portland and Masonry Cement, Annual FORMS: 6-1214-A OMB NO: 1028-0065 EXPIRATION DATE: 03/31/2001 RESPS:3,418 HOURS:855 COSTS(000):$0 Production Estimate, Quarterly Construction Sand and Gravel and Crushed and Broken Stone FORMS: 6-1209-A 6-1209-A-A OMB NO: 1028-0068 EXPIRATION DATE: 09/30/2001 RESPS:3,560 HOURS:1,997 COSTS(000):$0 Ferrous Metals Surveys FORMS: 18U.S. GEOLOGICAL OMB NO: 1028-0069 EXPIRATION DATE: 08/31/2001 RESPS:3,840 HOURS:192 COSTS(000):$0 User Survey for National Biological Information Infrastructure FORMS: NONE OMB NO: 1028-0070 EXPIRATION DATE: 08/31/2001 RESPS:2,923 HOURS:2,192 COSTS(000):$0 Consolidated Consumers' Report FORMS: 9-4117-MA OMB NO: 1028-0071 EXPIRATION DATE: 02/28/2002 RESPS:10,250 HOURS:2,250 COSTS(000):$0 USGS Customer Surveys, Generic Clearance FORMS: NONE OMB NO: 1028-0072 EXPIRATION DATE: 08/31/2002 RESPS:14,500 HOURS:3,625 COSTS(000):$4 Frogwatch USA FORMS: NONE Office of Surface Mining Reclamation and Enforcement OMB NO: 1029-0024 EXPIRATION DATE: 09/30/2001 RESPS:65 HOURS:8,965 COSTS(000):$0 Procedures and Criteria for Approval or Disapproval of State Program Submissions -- 30 CFR Part 732 FORMS: NONE OMB NO: 1029-0025 EXPIRATION DATE: 08/31/2003 RESPS:2 HOURS:200 COSTS(000):$0 Maintenance of State programs and procedures for substituting Federal enforcement of State programs and withdrawing approval of State programs, 30 CFR 733. FORMS: NONE OMB NO: 1029-0027 EXPIRATION DATE: 09/30/2002 RESPS:31 HOURS:1,582 COSTS(000):$0 General Requirements for Surface Coal Mining and Reclamation Operations on Federal Lands -- 30 CFR 740 FORMS: NONE OMB NO: 1029-0030 EXPIRATION DATE: 08/31/2001 RESPS:5 HOURS:7,324 COSTS(000):$0 State Processes for Designating Areas Unsuitable for Surface Coal Mining Operations -- 30 CFR Part 764 FORMS: NONE OMB NO: 1029-0034 EXPIRATION DATE: 08/31/2002 RESPS:420 HOURS:16,261 COSTS(000):$0 Permit Applications; Minimum Requirements for Legal, Financial, Compliance, and Related Information -- Part 778 FORMS: NONE OMB NO: 1029-0035 EXPIRATION DATE: 06/30/2003 RESPS:315 HOURS:51,188 COSTS(000):$0 Surface Mining Permit Applications - Minimum Requirements for Environmental Resources - Part 779 FORMS: NONE OMB NO: 1029-0036 EXPIRATION DATE: 09/30/2002 RESPS:420 HOURS:186,081 COSTS(000):$3,147 Surface Mining Permit Applications, Minimum Requirements for Reclamation and Operation Plans -- 30 CFR Part 780 FORMS: NONE OMB NO: 1029-0038 EXPIRATION DATE: 03/31/2003 RESPS:105 HOURS:16,918 COSTS(000):$0 Underground Mining Permit Applications - Minimum Requirements for Information on Environmental Resources - 30 CFR Part 783 FORMS: NONE OMB NO: 1029-0039 EXPIRATION DATE: 05/31/2001 RESPS:130 HOURS:92,605 COSTS(000):$856 Underground Mining Permit Applications, Minimum Requirements FORMS: NONE OMB NO: 1029-0040 EXPIRATION DATE: 08/31/2003 RESPS:347 HOURS:16,372 COSTS(000):$0 30 CFR Part 785 -- Requirements for permits for special categories of mining FORMS: NONE OMB NO: 1029-0041 EXPIRATION DATE: 11/30/2003 RESPS:333 HOURS:1,909 COSTS(000):$13 Requirements for permits and permit processing - 30 CFR Part 773 FORMS: NONE OMB NO: 1029-0043 EXPIRATION DATE: 11/30/2002 RESPS:16,974 HOURS:188,736 COSTS(000):$5,734 Bond and Insurance Requirements for Surface Coal Mining and Reclamation Operations under Regulatory Programs -- 30 CFR Part 800 FORMS: NONE OMB NO: 1029-0047 EXPIRATION DATE: 02/28/2001 RESPS:146,224 HOURS:412,076 COSTS(000):$0 Permanent Program Performance Standards, Surface Mining Activities -- 30 CFR Part 816 FORMS: NONE OMB NO: 1029-0048 EXPIRATION DATE: 05/31/2001 RESPS:52,690 HOURS:183,284 COSTS(000):$369 Permanent Program Performance Standards, Underground Mining Activities -- 30 CFR Part 817 FORMS: NONE OMB NO: 1029-0049 EXPIRATION DATE: 08/31/2001 RESPS:10 HOURS:1,000 COSTS(000):$0 Special Permanent Program Performance Standards, Operations in Alluvial Valley Floors -- 30 CFR Part 822 FORMS: NONE OMB NO: 1029-0051 EXPIRATION DATE: 02/28/2001 RESPS:138,384 HOURS:507,952 COSTS(000):$4 Permanent Program Inspection and Enforcement Procedures FORMS: NONE OMB NO: 1029-0054 EXPIRATION DATE: 08/31/2002 RESPS:1 HOURS:1 COSTS(000):$0 Abandoned Mine Reclamation Funds -- 30 CFR 872 FORMS: NONE OMB NO: 1029-0055 EXPIRATION DATE: 05/31/2002 RESPS:30 HOURS:30 COSTS(000):$1 Rights of Entry -- Part 877 FORMS: NONE OMB NO: 1029-0057 EXPIRATION DATE: 05/31/2001 RESPS:1 HOURS:1 COSTS(000):$0 Reclamation on Private Land -- 30 CFR 882 FORMS: NONE OMB NO: 1029-0059 EXPIRATION DATE: 12/31/2002 RESPS:131 HOURS:655 COSTS(000):$0 Budget Information, Financial Reporting, and Performance/Program Narrative Forms FORMS: OSM-47 OSM-49 OSM-51 OMB NO: 1029-0061 EXPIRATION DATE: 06/30/2003 RESPS:160 HOURS:10,635 COSTS(000):$0 Small Operator Assistance Program - Part 795 FORMS: FORM-FS-6 OMB NO: 1029-0063 EXPIRATION DATE: 06/30/2003 RESPS:15,804 HOURS:4,280 COSTS(000):$0 Coal Production and Reclamation Fee Report FORMS: OSM-1 OMB NO: 1029-0067 EXPIRATION DATE: 08/31/2002 RESPS:3,321 HOURS:1,111 COSTS(000):$0 Statement of Employment and Financial Interests for Use by State Employees -- 30 CFR Part 705 FORMS: ODM-23 OMB NO: 1029-0080 EXPIRATION DATE: 03/31/2001 RESPS:1 HOURS:1 COSTS(000):$0 Permanent Regulatory Program Requirements, Standards for Certification of Blasters -- 30 CFR 850 FORMS: NONE OMB NO: 1029-0083 EXPIRATION DATE: 08/31/2002 RESPS:33 HOURS:57 COSTS(000):$3 Application for Blaster Certification in Federal Program States and Indian Lands -- 30 CFR Part 955 FORMS: FORM-OSM-74 OMB NO: 1029-0087 EXPIRATION DATE: 05/31/2001 RESPS:1,800 HOURS:4,000 COSTS(000):$0 Abandoned Mine Land Problem Area Description Form -- OSM 76 FORMS: OSM-76 OMB NO: 1029-0088 EXPIRATION DATE: 06/30/2002 RESPS:5,443 HOURS:100,470 COSTS(000):$0 Revision; Renewal; and Transfer, Assignment, or Sale of Permit Rights -- 30 CFR 774 FORMS: NONE OMB NO: 1029-0089 EXPIRATION DATE: 03/31/2001 RESPS:78 HOURS:733 COSTS(000):$0 Exemption for Coal Extraction Incidental to the Extraction of Other Minerals -- 30 CFR Part 702 FORMS: NONE OMB NO: 1029-0090 EXPIRATION DATE: 12/31/2002 RESPS:1,000 HOURS:750 COSTS(000):$0 Abandoned Mine Reclamation Fund Fee Collection and Coal FORMS: NONE OMB NO: 1029-0091 EXPIRATION DATE: 05/31/2002 RESPS:75 HOURS:1,400 COSTS(000):$15 Requirements for Surface Coal Mining and Reclamation Operations on Indian Lands -- 30 CFR 750 FORMS: NONE OMB NO: 1029-0092 EXPIRATION DATE: 09/30/2002 RESPS:12 HOURS:12,344 COSTS(000):$0 State-Federal Cooperative Agreements -- 30 CFR 745 FORMS: NONE OMB NO: 1029-0094 EXPIRATION DATE: 11/30/2003 RESPS:6 HOURS:12 COSTS(000):$0 General - 30 CFR Part 700 FORMS: NONE OMB NO: 1029-0098 EXPIRATION DATE: 11/30/2003 RESPS:1 HOURS:120 COSTS(000):$0 Petition process for designation of Federal lands as unsuitable for all or certain types of surface coal mining operations and for termination of previous designation - 30 CFR 769 FORMS: NONE OMB NO: 1029-0103 EXPIRATION DATE: 09/30/2003 RESPS:7 HOURS:340 COSTS(000):$0 Noncoal Reclamation - 30 CFR 875 FORMS: NONE OMB NO: 1029-0104 EXPIRATION DATE: 08/31/2003 RESPS:1 HOURS:350 COSTS(000):$0 Acid Mine Drainage Treatment of Abatement Program - 30 CFR 876 FORMS: NONE OMB NO: 1029-0107 EXPIRATION DATE: 09/30/2002 RESPS:1 HOURS:8 COSTS(000):$0 Subsidence Insurance Program Grants -- 30 CFR Part 887 FORMS: NONE OMB NO: 1029-0110 EXPIRATION DATE: 06/30/2003 RESPS:315 HOURS:53 COSTS(000):$0 Technical Training Program Course Effectiveness Evaluation FORMS: NONE OMB NO: 1029-0111 EXPIRATION DATE: 11/30/2002 RESPS:253 HOURS:2,417 COSTS(000):$10 Areas Designated by Act of Congress -- 30 CFR Part 761 FORMS: NONE OMB NO: 1029-0112 EXPIRATION DATE: 11/30/2002 RESPS:905 HOURS:10,963 COSTS(000):$1 30 CFR Part 772 - Requirements for Coal Exploration FORMS: NONE OMB NO: 1029-0113 EXPIRATION DATE: 08/31/2001 RESPS:55 HOURS:3,300 COSTS(000):$0 General Reclamation Requirements -- 30 CFR 874 FORMS: NONE OMB NO: 1029-0114 EXPIRATION DATE: 10/31/2001 RESPS:1,600 HOURS:267 COSTS(000):$0 Technical Evaluations Series FORMS: NONE OMB NO: 1029-0115 EXPIRATION DATE: 12/31/2003 RESPS:310 HOURS:11,116 COSTS(000):$12 Requirements for permits and permit processing - 30 CFR Part 773 FORMS: NONE OMB NO: 1029-0116 EXPIRATION DATE: 12/31/2003 RESPS:12,090 HOURS:97,780 COSTS(000):$0 Revision; Renewal; and Transfer, Assignment, or Sale of Permit Rights - 30 CFR 774 FORMS: NONE OMB NO: 1029-0117 EXPIRATION DATE: 12/31/2003 RESPS:310 HOURS:8,437 COSTS(000):$0 Permit Applications - minimum requirements for legal, financial, compliance, and related information-Part 778 FORMS: NONE OMB NO: 1029-0118 EXPIRATION DATE: 06/30/2002 RESPS:140 HOURS:105 COSTS(000):$0 Federal Inspections and Monitoring -- 30 CFR Part 842 FORMS: NONE OMB NO: 1029-0119 EXPIRATION DATE: 11/30/2003 RESPS:519 HOURS:465 COSTS(000):$0 Abandoned Mine Land Contractor Information Form FORMS: NONE Bureau of Mines No active collections for this subagency Office of the Special Trustee OMB NO: 1035-0001 EXPIRATION DATE: 05/31/2003 RESPS:12 HOURS:468 COSTS(000):$0 Application for Technical Assistance to Withdraw Tribal Funds from Trust Status (Specific Budget) FORMS: SF-424A OMB NO: 1035-0002 EXPIRATION DATE: 05/31/2003 RESPS:12 HOURS:156 COSTS(000):$0 Application for assistance to withdraw Tribal funds from Trust Status (General) FORMS: SF-424 OMB NO: 1035-0003 EXPIRATION DATE: 05/31/2003 RESPS:12 HOURS:4,104 COSTS(000):$0 Application to Withdraw Tribal funds from Trust Status FORMS: NONE Bureau of Indian Affairs OMB NO: 1076-0017 EXPIRATION DATE: 06/30/2002 RESPS:200,000 HOURS:50,000 COSTS(000):$0 U.S. Department of the Interior, Bureau of Indian Affairs, Financial Assistance and Social Services Program FORMS: BIA-FORM-5.6601 OMB NO: 1076-0018 EXPIRATION DATE: 09/30/2002 RESPS:26 HOURS:26 COSTS(000):$0 Tribal Colleges and Universities Grant Application Form -- 25 CFR 41 FORMS: 62107 OMB NO: 1076-0020 EXPIRATION DATE: 10/31/2003 RESPS:852 HOURS:519 COSTS(000):$0 25 CFR 103- Loan Guaranty, Insurance, and Interest Subsidy FORMS: 5-4749 5-4753 5-4754 5-4755 5-4759 5-4760 OMB NO: 1076-0021 EXPIRATION DATE: 11/30/2002 RESPS:4,750 HOURS:1,188 COSTS(000):$0 Electrical Service Application -- 25 CFR 175 FORMS: NONE OMB NO: 1076-0062 EXPIRATION DATE: 01/31/2003 RESPS:4,900 HOURS:2,450 COSTS(000):$0 Application for Training or Employment FORMS: BIA-8205 OMB NO: 1076-0084 EXPIRATION DATE: 09/30/2001 RESPS:3,500 HOURS:1,750 COSTS(000):$0 United States Department of the Interior, Bureau of Indian Affairs, Housing Assistance Application FORMS: BIA-6407 OMB NO: 1076-0096 EXPIRATION DATE: 07/31/2002 RESPS:360 HOURS:1,800 COSTS(000):$0 Education Contracts under Johnson-O'Malley Act Application and Regulatory Requirements FORMS: BIA-NO.-62118 OMB NO: 1076-0100 EXPIRATION DATE: 12/31/2003 RESPS:9,200 HOURS:36,800 COSTS(000):$0 25 CFR 151, Acquisition of Title to Land in Trust FORMS: NONE OMB NO: 1076-0104 EXPIRATION DATE: 09/30/2003 RESPS:10 HOURS:22,377 COSTS(000):$0 Documented Petitions for Federal Acknowledgment as an Indian Tribe, 25 CFR 83 FORMS: 8304 8305 8306 OMB NO: 1076-0105 EXPIRATION DATE: 09/30/2002 RESPS:26 HOURS:78 COSTS(000):$0 Tribal Colleges and Universities Annual Report Form -- 25 CFR 41 FORMS: 6259 OMB NO: 1076-0111 EXPIRATION DATE: 10/31/2003 RESPS:4 HOURS:12 COSTS(000):$0 25 CFR 23.13, Payment for Appointed Counsel in Involuntary Indian Child Custody Proceedings in State Courts FORMS: NONE OMB NO: 1076-0112 EXPIRATION DATE: 02/28/2003 RESPS:2 HOURS:16 COSTS(000):$0 Contents of Reassumption Petition -- 25 CFR 13.11 FORMS: NONE OMB NO: 1076-0120 EXPIRATION DATE: 08/31/2001 RESPS:70 HOURS:280 COSTS(000):$0 Adult Education Annual Report Form FORMS: BIA-FORM-6-2123 OMB NO: 1076-0131 EXPIRATION DATE: 12/31/2001 RESPS:554 HOURS:277 COSTS(000):$0 Indian Child Welfare Assistance Annual Report FORMS: NONE OMB NO: 1076-0134 EXPIRATION DATE: 07/31/2002 RESPS:116 HOURS:696 COSTS(000):$0 Student Transportation Form FORMS: NONE OMB NO: 1076-0135 EXPIRATION DATE: 03/31/2003 RESPS:37 HOURS:370 COSTS(000):$0 A Reporting System for P.L. 102-477 Deomonstration Project FORMS: NONE OMB NO: 1076-0136 EXPIRATION DATE: 09/30/2003 RESPS:5,507 HOURS:238,992 COSTS(000):$0 Indian Self-Determination and Education Assistance Act Programs FORMS: NONE OMB NO: 1076-0141 EXPIRATION DATE: 11/30/2002 RESPS:51,500 HOURS:4,292 COSTS(000):$0 Water Request -- 25 CFR 171 FORMS: NONE OMB NO: 1076-0143 EXPIRATION DATE: 04/30/2003 RESPS:257 HOURS:10,766 COSTS(000):$16 Tribal Self-Governance Program, 25 CFR Part 1000 FORMS: NONE OMB NO: 1076-0144 EXPIRATION DATE: 09/30/2001 RESPS:554 HOURS:2,493 COSTS(000):$0 Survey of Tribal Justice Systems and Courts of Indian Offenses FORMS: NONE OMB NO: 1076-0145 EXPIRATION DATE: 09/30/2001 RESPS:5,000 HOURS:2,500 COSTS(000):$0 Application to Share in the Mississippi Sioux Judgment Funds as a Lineal Descendant of the Sisseton Wahpeton and Mississippi Sioux Tribes FORMS: NONE OMB NO: 1076-0146 EXPIRATION DATE: 05/31/2002 RESPS:63 HOURS:1,512 COSTS(000):$0 Evaluation of the Performance of Trust Functions Performed by Tribes under Self Governance Compacts FORMS: NONE OMB NO: 1076-0147 EXPIRATION DATE: 12/31/2001 RESPS:279 HOURS:279 COSTS(000):$0 U.S. Department of the Interior, Bureau of Indian Affairs, Indian Service Population and Labor Force Estimate Report FORMS: NONE OMB NO: 1076-0149 EXPIRATION DATE: 03/31/2003 RESPS:12 HOURS:3,840 COSTS(000):$0 Class III Gaming Procedures 25 CFR 522 FORMS: NONE OMB NO: 1076-0152 EXPIRATION DATE: 03/31/2003 RESPS:50 HOURS:5,000 COSTS(000):$0 Tribal Revenue Allocation Plans 25 CFR 290 FORMS: NONE OMB NO: 1076-0153 EXPIRATION DATE: 06/30/2003 RESPS:287,400 HOURS:433,500 COSTS(000):$0 Request for Certificate of Degree of Indian or Alaska Native Blood, 25 CFR Part 70 FORMS: NONE OMB NO: 1076-0154 EXPIRATION DATE: 10/31/2003 RESPS:1,997,500 HOURS:1,577,125 COSTS(000):$0 Funds Held in Trust for Tribes and Individuals 25 CFR-115 FORMS: NONE OMB NO: 1076-0155 EXPIRATION DATE: 09/30/2003 RESPS:79,843 HOURS:70,237 COSTS(000):$0 Leases and Permits 25 CFR 162 FORMS: NONE OMB NO: 1076-0156 EXPIRATION DATE: 09/30/2003 RESPS:32,589 HOURS:156,407 COSTS(000):$60 Probate of Indian Estates, Except for Members of the Five Civilized Tribes 25 CFR 15 FORMS: NONE OMB NO: 1076-0157 EXPIRATION DATE: 09/30/2003 RESPS:4,200 HOURS:3,088 COSTS(000):$0 Grazing Permits 25 CFR 166 FORMS: 5-5513 5-5514 5-5515 5-5516 5-5517 5-5519 5-5423 5-5522 5-5523 5-5524 OMB NO: 1076-0158 EXPIRATION DATE: 11/30/2003 RESPS:2 HOURS:2,000 COSTS(000):$0 Gaming on Trust Lands Acquired After October 17, 1988 25 CFR 292 FORMS: NONE Office of the Solicitor and Office of the Secretary OMB NO: 1084-0010 EXPIRATION DATE: 12/31/2002 RESPS:200 HOURS:88 COSTS(000):$0 Claim for Relocation Payments, Residential -- DI-381 Clain for Relocation Payments, Nonresidential -- DI-382 FORMS: DI-381 DI-382 National Biological Service No active collections for this subagency Assistant Secretary for Policy, Management and Budget No active collections for this subagency Office for Equal Opportunity OMB NO: 1091-0001 EXPIRATION DATE: 01/31/2003 RESPS:120,000 HOURS:9,960 COSTS(000):$0 U.S. Department of the Interior, Applicant Background Survey FORMS: 1935 Office of the Solicitor No active collections for this subagency Office of the Secretary No active collections for this subagency Office of Hearings and Appeals No active collections for this subagency
(RETURN TO AGENCY LIST)OMB NO: 1103-0016 EXPIRATION DATE: 02/28/2001 RESPS:833 HOURS:417 COSTS(000):$0 Certification of Identity FORMS: DOJ-361 OMB NO: 1103-0018 EXPIRATION DATE: 02/28/2001 RESPS:7,462 HOURS:149,240 COSTS(000):$0 Department of Justice Procurement Blanket Clearance FORMS: NONE OMB NO: 1103-0019 EXPIRATION DATE: 11/30/2001 RESPS:1,150 HOURS:35,880 COSTS(000):$359 Making Officer Redeployment Effective Application (MORE) FORMS: NONE OMB NO: 1103-0027 EXPIRATION DATE: 05/31/2001 RESPS:1 HOURS:17,600 COSTS(000):$176 Universal Hiring Grant Program Application FORMS: NONE OMB NO: 1103-0030 EXPIRATION DATE: 04/30/2003 RESPS:1,600 HOURS:2,400 COSTS(000):$0 COPS Department Initial Report FORMS: COPS-012/01 OMB NO: 1103-0036 EXPIRATION DATE: 07/31/2001 RESPS:144 HOURS:24 COSTS(000):$0 Police Corps Service Agreement FORMS: COPS-17/02 OMB NO: 1103-0042 EXPIRATION DATE: 02/28/2001 RESPS:140 HOURS:280 COSTS(000):$0 Regional Community Policing Institute Quarterly Projection Report FORMS: COPS-022/02 OMB NO: 1103-0043 EXPIRATION DATE: 03/31/2001 RESPS:420 HOURS:1,050 COSTS(000):$0 Regional Community Policing Institute Monthly Progress Report FORMS: COPS-022/01 OMB NO: 1103-0046 EXPIRATION DATE: 05/31/2001 RESPS:336 HOURS:2,688 COSTS(000):$0 Community Policing to Combat Domestic Violence Progress Reports FORMS: NONE OMB NO: 1103-0047 EXPIRATION DATE: 05/31/2001 RESPS:470 HOURS:3,760 COSTS(000):$0 Problem Solving Partnerships Report on Analysis FORMS: NONE OMB NO: 1103-0048 EXPIRATION DATE: 07/31/2001 RESPS:8 HOURS:160 COSTS(000):$0 Police Corps Interim Final Regulation FORMS: COPS-17/01 OMB NO: 1103-0049 EXPIRATION DATE: 11/30/2001 RESPS:4,000 HOURS:8,000 COSTS(000):$80 COPS Small Community Supplemental Grant Program Application FORMS: NONE OMB NO: 1103-0050 EXPIRATION DATE: 11/30/2001 RESPS:1 HOURS:300 COSTS(000):$3 Assessment of Indian Country Law Enforcement Agencies FORMS: NONE OMB NO: 1103-0051 EXPIRATION DATE: 11/30/2001 RESPS:15 HOURS:330 COSTS(000):$1,815 Visiting Fellows Program Application Form FORMS: COPS-26/01 OMB NO: 1103-0052 EXPIRATION DATE: 11/30/2001 RESPS:120 HOURS:840 COSTS(000):$5 Analysis Protocol: Enhanced Evaluation PSP FORMS: COPS-024/01 OMB NO: 1103-0053 EXPIRATION DATE: 11/30/2001 RESPS:1,100 HOURS:5,518 COSTS(000):$55 COPS MORE '96 Certification -- 28 CFR Part 23 FORMS: COPS-25/01 OMB NO: 1103-0054 EXPIRATION DATE: 02/28/2002 RESPS:6,700 HOURS:6,141 COSTS(000):$57,285 National Survey of Police Executives, District Commanders, and Agencies FORMS: COPS-28/01 OMB NO: 1103-0056 EXPIRATION DATE: 05/31/2002 RESPS:940 HOURS:861 COSTS(000):$5,687 Problem-Solving Partnerships: Analysis and Assessment Surveys FORMS: COPS-29/01 OMB NO: 1103-0057 EXPIRATION DATE: 11/30/2001 RESPS:2,600 HOURS:1,300 COSTS(000):$15 Grantee Satisfaction Survey FORMS: CPRS-27/01 OMB NO: 1103-0058 EXPIRATION DATE: 08/31/2002 RESPS:1 HOURS:750 COSTS(000):$3,750 Trust '99 FORMS: NONE OMB NO: 1103-0059 EXPIRATION DATE: 03/31/2002 RESPS:6,000 HOURS:4,500 COSTS(000):$36,300 Regional Community Policing Institute Surveys: Pre-Test and Post-Test FORMS: COPS-30/01 OMB NO: 1103-0060 EXPIRATION DATE: 04/30/2002 RESPS:1 HOURS:750 COSTS(000):$4 Troops to COPS II FORMS: NONE OMB NO: 1103-0061 EXPIRATION DATE: 01/31/2001 RESPS:23,118 HOURS:11,559 COSTS(000):$0 COPS Grant Status Survey FORMS: 301/01 OMB NO: 1103-0066 EXPIRATION DATE: 01/31/2001 RESPS:10,000 HOURS:2,500 COSTS(000):$0 National Center for Victims of Crime: Service Referral Questionnaire FORMS: COPS/PPSE/02 OMB NO: 1103-0067 EXPIRATION DATE: 05/31/2003 RESPS:1,550 HOURS:975 COSTS(000):$0 COPS Crime Analysis Unit Survey FORMS: COPS-034/01 United States Parole Commission No active collections for this subagency Legal Activities OMB NO: 1105-0001 EXPIRATION DATE: 02/28/2001 RESPS:100 HOURS:150 COSTS(000):$0 Registration Statement of Individuals (Foreign Agents) FORMS: OBD-63 CRM-153 OMB NO: 1105-0002 EXPIRATION DATE: 02/28/2001 RESPS:2,400 HOURS:3,300 COSTS(000):$0 Supplemental Registration Statement of Individuals (Foreign Agents) FORMS: OBD-64 CRM-154 OMB NO: 1105-0003 EXPIRATION DATE: 02/28/2001 RESPS:75 HOURS:38 COSTS(000):$0 Exhibit A to Registration Statement (Foreign Agents) FORMS: OBD-67 CRM-157 OMB NO: 1105-0004 EXPIRATION DATE: 02/28/2001 RESPS:200 HOURS:300 COSTS(000):$0 Amendment to Registration or Supplemental Registration Reports (Foreign Agents) FORMS: OBD-68 CRM-158 OMB NO: 1105-0007 EXPIRATION DATE: 02/28/2001 RESPS:75 HOURS:25 COSTS(000):$0 Exhibit B to Registration Statement (Foreign Agents) FORMS: OBD-65 CRM-155 OMB NO: 1105-0008 EXPIRATION DATE: 06/30/2001 RESPS:300,000 HOURS:1,800,000 COSTS(000):$0 Claim for Damage, Injury, or Death FORMS: SF95 OMB NO: 1105-0013 EXPIRATION DATE: 02/28/2001 RESPS:350 HOURS:150 COSTS(000):$0 Short-Form Registration Statement of Individuals (Foreign Agents) FORMS: OBD-66 CRM-156 OMB NO: 1105-0025 EXPIRATION DATE: 07/31/2002 RESPS:20 HOURS:40 COSTS(000):$0 Department of Justice Federal Coal Lease Review Information FORMS: ATR-139 ATR-140 OMB NO: 1105-0030 EXPIRATION DATE: 06/30/2001 RESPS:5,000 HOURS:5,000 COSTS(000):$0 Application Booklets - Attorney General's Honor Program, Summer Law Intern Program FORMS: NONE OMB NO: 1105-0052 EXPIRATION DATE: 11/30/2001 RESPS:914 HOURS:2,285 COSTS(000):$0 Claims under the Radiation Exposure Compensation Act FORMS: NONE OMB NO: 1105-0063 EXPIRATION DATE: 07/31/2002 RESPS:75 HOURS:200 COSTS(000):$0 Data Base of Offender Job Training and Placement Service Providers FORMS: NONE Federal Bureau of Investigation OMB NO: 1110-0001 EXPIRATION DATE: 09/30/2003 RESPS:212,004 HOURS:74,201 COSTS(000):$449 Return A-Monthly Return of Offenses known to Police and Supplement to Return A-Monthly Return of Offenses known to Police. FORMS: 4-927A 4-919 OMB NO: 1110-0002 EXPIRATION DATE: 03/31/2001 RESPS:205,740 HOURS:30,861 COSTS(000):$0 Supplementary Homicide Report FORMS: 1-704 OMB NO: 1110-0004 EXPIRATION DATE: 07/31/2002 RESPS:17,667 HOURS:2,356 COSTS(000):$0 Full-Time Law Enforcement Employees as of October 31 FORMS: 1-711A 1-711B 1-711C OMB NO: 1110-0005 EXPIRATION DATE: 07/31/2002 RESPS:411,480 HOURS:205,740 COSTS(000):$0 Age, Sex, and Race of Persons Arrested (18 Years of Age and Over) Age, Sex, and Race of Persons Arrested (Under 18 Years of Age) FORMS: 1-708 1-708A OMB NO: 1110-0006 EXPIRATION DATE: 07/31/2002 RESPS:212,004 HOURS:24,734 COSTS(000):$0 Law Enforcement Officers Killed and Assaulted FORMS: I-705 OMB NO: 1110-0008 EXPIRATION DATE: 07/31/2002 RESPS:212,004 HOURS:31,801 COSTS(000):$0 Monthly Return of Arson Offenses Known to Law Enforcement FORMS: I-725 OMB NO: 1110-0009 EXPIRATION DATE: 07/31/2002 RESPS:570 HOURS:570 COSTS(000):$0 Analysis of Law Enforcement Officers Killed and Assaulted FORMS: I-728 OMB NO: 1110-0015 EXPIRATION DATE: 09/30/2003 RESPS:106,002 HOURS:15,900 COSTS(000):$216 Hate Crime Incident Report/Quarterly Hate Crime Report FORMS: 11-1 11-2 OMB NO: 1110-0016 EXPIRATION DATE: 05/31/2002 RESPS:50,000 HOURS:400,000 COSTS(000):$0 Application for Employment/Federal Bureau of Investigation FORMS: FD-140 OMB NO: 1110-0021 EXPIRATION DATE: 04/30/2002 RESPS:2,553 HOURS:1,914 COSTS(000):$0 Post-Graduate Evaluation of the FBI National Academy Survey Booklet FORMS: NONE OMB NO: 1110-0022 EXPIRATION DATE: 04/30/2003 RESPS:11,500 HOURS:46,000 COSTS(000):$0 Cost Recovery Regulations, Communications Assistance for Law Enforcement Act of 1994 FORMS: NONE OMB NO: 1110-0026 EXPIRATION DATE: 09/30/2002 RESPS:6,000 HOURS:1,800 COSTS(000):$21,980 Federal Firearms Licensee Enrollment Form FORMS: NONE OMB NO: 1110-0028 EXPIRATION DATE: 10/31/2001 RESPS:1,200 HOURS:300 COSTS(000):$0 Federal Firearms License Survey FORMS: NONE OMB NO: 1110-0029 EXPIRATION DATE: 04/30/2002 RESPS:1,751 HOURS:860 COSTS(000):$0 FBI National Academy Training Needs Assessment FORMS: NONE OMB NO: 1110-0030 EXPIRATION DATE: 04/30/2003 RESPS:5,000 HOURS:21,250 COSTS(000):$0 Flexible Deployment Assistance Guide FORMS: NONE OMB NO: 1110-0031 EXPIRATION DATE: 05/31/2003 RESPS:3,200 HOURS:1,600 COSTS(000):$0 Emergency Law Enforcement Services Vulnerability Survey FORMS: NONE Immigration and Naturalization Service OMB NO: 1115-0003 EXPIRATION DATE: 11/30/2001 RESPS:250,000 HOURS:20,750 COSTS(000):$0 Alien Change of Address Card FORMS: AR-11 OMB NO: 1115-0004 EXPIRATION DATE: 12/31/2002 RESPS:410,799 HOURS:376,292 COSTS(000):$55,457 Application to Replace Alien Registration Card FORMS: I-90 OMB NO: 1115-0005 EXPIRATION DATE: 03/31/2001 RESPS:453,318 HOURS:407,986 COSTS(000):$0 Application for Travel Document FORMS: I-131 OMB NO: 1115-0007 EXPIRATION DATE: 10/31/2002 RESPS:1,000 HOURS:250 COSTS(000):$0 Request for Verification of Naturalization FORMS: N-336 OMB NO: 1115-0008 EXPIRATION DATE: 01/31/2001 RESPS:433 HOURS:325 COSTS(000):$0 Application to File Declaration of Intention FORMS: N-300 OMB NO: 1115-0009 EXPIRATION DATE: 07/31/2001 RESPS:700,000 HOURS:3,031,000 COSTS(000):$157,500 Application for Naturalization FORMS: FORM-N-400 OMB NO: 1115-0014 EXPIRATION DATE: 08/31/2003 RESPS:375 HOURS:375 COSTS(000):$43 Application to Preserve Residence for Naturalization FORMS: N-470 OMB NO: 1115-0015 EXPIRATION DATE: 09/30/2002 RESPS:22,567 HOURS:20,671 COSTS(000):$3,272 Application for Replacement Naturalization/Citizenship Document FORMS: N-565 OMB NO: 1115-0019 EXPIRATION DATE: 07/31/2002 RESPS:270,410 HOURS:22,444 COSTS(000):$7,031 Application for Nonresident Alien's Mexican Border Crossing Card FORMS: I-190 OMB NO: 1115-0020 EXPIRATION DATE: 12/31/2001 RESPS:41 HOURS:7 COSTS(000):$0 Application for Removal FORMS: I-243 OMB NO: 1115-0022 EXPIRATION DATE: 01/31/2001 RESPS:45,000 HOURS:7,470 COSTS(000):$0 Request for Certification of Military or Naval Service FORMS: N-426 OMB NO: 1115-0028 EXPIRATION DATE: 01/31/2002 RESPS:12,000 HOURS:3,000 COSTS(000):$2,040 Application for Advance Permission to Enter as Nonimmigrant (Pursuant to 212(d)(3) of the Immigration and Nationality Act) FORMS: I-192 OMB NO: 1115-0029 EXPIRATION DATE: 09/30/2002 RESPS:100 HOURS:8 COSTS(000):$0 Guarantee of Payment FORMS: I-510 OMB NO: 1115-0032 EXPIRATION DATE: 06/30/2003 RESPS:300 HOURS:75 COSTS(000):$51 Application for Advance Permission to Return to Unrelinquished Domicile FORMS: I-191 OMB NO: 1115-0035 EXPIRATION DATE: 05/31/2002 RESPS:100 HOURS:17 COSTS(000):$9 Application for Transfer of Petition for Naturalization FORMS: N-455 OMB NO: 1115-0037 EXPIRATION DATE: 04/30/2002 RESPS:1,800 HOURS:150 COSTS(000):$0 Waiver of Rights, Privileges, Exemptions, and Immunities FORMS: I-508 OMB NO: 1115-0040 EXPIRATION DATE: 11/30/2001 RESPS:433,000 HOURS:35,939 COSTS(000):$0 Alien Crewman Landing Permit FORMS: I-95A I-95B OMB NO: 1115-0042 EXPIRATION DATE: 05/31/2002 RESPS:25,000 HOURS:4,150 COSTS(000):$4,250 Application for Waiver of Passport and/or Visa FORMS: I-193 OMB NO: 1115-0044 EXPIRATION DATE: 06/30/2002 RESPS:100 HOURS:100 COSTS(000):$0 Data Relating to Beneficiary of Private Bill FORMS: G-79A OMB NO: 1115-0046 EXPIRATION DATE: 12/31/2001 RESPS:2,000 HOURS:500 COSTS(000):$0 Request for Cancellation of Public Charge Bond FORMS: I-356 OMB NO: 1115-0048 EXPIRATION DATE: 06/30/2003 RESPS:3,000 HOURS:1,500 COSTS(000):$510 Application for Waiver of Ground of Excludability FORMS: I-601 OMB NO: 1115-0049 EXPIRATION DATE: 04/30/2002 RESPS:34,000 HOURS:17,000 COSTS(000):$13,770 Petition to Classify Orphan as an Immediate Relative and Application for Advance Processing of Orphan Petition FORMS: I-600 I-600A OMB NO: 1115-0051 EXPIRATION DATE: 12/31/2001 RESPS:260,000 HOURS:130,000 COSTS(000):$0 Certificate of Eligibility for Nonimmigrant Study (F-1) Status for Academic and Language Students FORMS: I-20AB/ID OMB NO: 1115-0052 EXPIRATION DATE: 08/31/2002 RESPS:650,000 HOURS:53,950 COSTS(000):$0 Notice of Naturalization Oath Ceremony FORMS: FORM-N-445 OMB NO: 1115-0053 EXPIRATION DATE: 06/30/2001 RESPS:523,028 HOURS:2,417,256 COSTS(000):$152,109 Application to Register Permanent Residence or Adjust Status, and Supplement A to Form I-485 FORMS: I-485 SUPP.A-I-485 OMB NO: 1115-0054 EXPIRATION DATE: 05/31/2003 RESPS:506,358 HOURS:253,179 COSTS(000):$55,699 Petition for Alien relative FORMS: I-130 OMB NO: 1115-0055 EXPIRATION DATE: 11/30/2001 RESPS:10,000 HOURS:5,000 COSTS(000):$1,550 Application for Stay of Deportation or Removal FORMS: I-246 OMB NO: 1115-0057 EXPIRATION DATE: 08/31/2002 RESPS:140,000 HOURS:81,620 COSTS(000):$0 Registration for Classification as Refugee FORMS: I-590 OMB NO: 1115-0059 EXPIRATION DATE: 04/30/2002 RESPS:1,300 HOURS:432 COSTS(000):$221 Application for Waiver of the Foreign Residence Requirement of Section 212(e) of the Immigration and Nationality Act FORMS: I-612 OMB NO: 1115-0060 EXPIRATION DATE: 12/31/2001 RESPS:165,000 HOURS:10,890 COSTS(000):$0 Certification by Designated School Official FORMS: I-538 OMB NO: 1115-0061 EXPIRATION DATE: 03/31/2001 RESPS:56,260 HOURS:56,260 COSTS(000):$6,470 Immigrant Petition for Alien Workers FORMS: I-140 OMB NO: 1115-0062 EXPIRATION DATE: 06/30/2003 RESPS:44,000 HOURS:14,652 COSTS(000):$0 Affidavit of Support FORMS: I-134 OMB NO: 1115-0063 EXPIRATION DATE: 04/30/2002 RESPS:600,000 HOURS:10,200 COSTS(000):$0 Baggage and Personal Effects of Detained Alien FORMS: I-43 OMB NO: 1115-0065 EXPIRATION DATE: 12/31/2001 RESPS:68,000 HOURS:11,288 COSTS(000):$1,088 Canadian Border Boat Landing Permit FORMS: I-68 OMB NO: 1115-0066 EXPIRATION DATE: 12/31/2001 RESPS:1,144,994 HOURS:286,249 COSTS(000):$0 Biographic Information FORMS: G-325 OMB NO: 1115-0068 EXPIRATION DATE: 05/31/2002 RESPS:3,000 HOURS:249 COSTS(000):$0 Notice to Student or Exchange Visitor FORMS: I-515 OMB NO: 1115-0070 EXPIRATION DATE: 10/31/2002 RESPS:322 HOURS:322 COSTS(000):$64 Petition for Approval of School for Attendance by Nonimmigrant Students FORMS: I-17 I-17A I-17B OMB NO: 1115-0071 EXPIRATION DATE: 12/31/2002 RESPS:20,000 HOURS:10,000 COSTS(000):$1,900 Petition for Alien Fiance(e) FORMS: I-129F OMB NO: 1115-0073 EXPIRATION DATE: 05/31/2002 RESPS:85,000 HOURS:35,360 COSTS(000):$0 Application to Payoff or Discharge Alien Crewman FORMS: I-408 OMB NO: 1115-0075 EXPIRATION DATE: 01/31/2001 RESPS:20,000 HOURS:3,320 COSTS(000):$0 Nonimmigrant Checkout Letter FORMS: G-146 OMB NO: 1115-0077 EXPIRATION DATE: 07/31/2002 RESPS:13,924,380 HOURS:919,009 COSTS(000):$83,546 Arrival and Departure Record FORMS: I-94 OMB NO: 1115-0078 EXPIRATION DATE: 12/31/2001 RESPS:720,000 HOURS:129,600 COSTS(000):$0 Aircraft/Vessel Report FORMS: I-92 OMB NO: 1115-0079 EXPIRATION DATE: 01/31/2001 RESPS:12,195 HOURS:5,073 COSTS(000):$0 Application for Replacement/Initial Nonimmigrant FORMS: I-102 OMB NO: 1115-0081 EXPIRATION DATE: 12/31/2001 RESPS:1,368 HOURS:1,710 COSTS(000):$750 Immigrant Petition by Alien Entrepreneur FORMS: I-526 OMB NO: 1115-0083 EXPIRATION DATE: 01/31/2002 RESPS:95,000 HOURS:95,000 COSTS(000):$0 Passenger List, Crew List FORMS: I-418 OMB NO: 1115-0085 EXPIRATION DATE: 12/31/2002 RESPS:25,000 HOURS:12,500 COSTS(000):$0 Immigration Bond FORMS: I-352 OMB NO: 1115-0086 EXPIRATION DATE: 03/31/2001 RESPS:50,000 HOURS:600,000 COSTS(000):$500 Application for Asylum and Withholding of Removal FORMS: I-589 I-589S OMB NO: 1115-0087 EXPIRATION DATE: 06/30/2002 RESPS:100,000 HOURS:25,000 COSTS(000):$0 Freedom of Information/Privacy Act Request FORMS: FORM-G-639 OMB NO: 1115-0090 EXPIRATION DATE: 05/31/2003 RESPS:4,400 HOURS:1,100 COSTS(000):$0 Inter-Agency Record of Individual Requesting Change/Adjustment to or form A or g Status; or Requesting A, G. or NATO Dependent Employment Authorization FORMS: I-566 OMB NO: 1115-0098 EXPIRATION DATE: 04/30/2002 RESPS:2,500 HOURS:625 COSTS(000):$0 Application by Refugee for Waiver of Grounds of Excludability FORMS: I-602 OMB NO: 1115-0099 EXPIRATION DATE: 09/30/2002 RESPS:7,250 HOURS:2,414 COSTS(000):$1,233 Application for Admission to Reapply for Admission into the United States after Deportation or Removal FORMS: I-212 OMB NO: 1115-0108 EXPIRATION DATE: 05/31/2002 RESPS:3,000 HOURS:249 COSTS(000):$0 Supplementary Statement for Graduate Medical Trainees FORMS: I-644 OMB NO: 1115-0115 EXPIRATION DATE: 09/30/2002 RESPS:1 HOURS:1 COSTS(000):$0 Alien Address Report Card FORMS: I-104 OMB NO: 1115-0116 EXPIRATION DATE: 11/30/2001 RESPS:50 HOURS:25 COSTS(000):$0 Request to Enforce Affidavit of Financial Support and Intent to Petition for Custody for Public Law 97-359 Amerasian FORMS: I-363 OMB NO: 1115-0117 EXPIRATION DATE: 01/31/2002 RESPS:14,944 HOURS:29,888 COSTS(000):$671 Petition for Amerasian, Widow(er), or Special Immigrant FORMS: I-360 OMB NO: 1115-0118 EXPIRATION DATE: 10/31/2002 RESPS:50 HOURS:25 COSTS(000):$0 Affidavit of Financial Support and Intent to Petition for Legal Custody for Public Law 97-359 Amerasian FORMS: I-361 OMB NO: 1115-0121 EXPIRATION DATE: 01/31/2001 RESPS:86,400 HOURS:50,371 COSTS(000):$0 Refugee/Asylee Relative Petition FORMS: I-730 OMB NO: 1115-0122 EXPIRATION DATE: 02/28/2002 RESPS:500,000 HOURS:41,500 COSTS(000):$0 Document Verification Request FORMS: G-845 OMB NO: 1115-0128 EXPIRATION DATE: 07/31/2002 RESPS:250,000 HOURS:145,750 COSTS(000):$0 Nonimmigrant Petition Based on Blanket L Petition FORMS: I-129S OMB NO: 1115-0129 EXPIRATION DATE: 06/30/2002 RESPS:396 HOURS:66 COSTS(000):$7 Application of Temporary Replacement Card FORMS: I-695 OMB NO: 1115-0130 EXPIRATION DATE: 08/31/2002 RESPS:200,000 HOURS:16,600 COSTS(000):$0 Change of Address Card FORMS: I-697A OMB NO: 1115-0132 EXPIRATION DATE: 01/31/2001 RESPS:85 HOURS:21 COSTS(000):$3 Application for Waiver on Grounds of Excludability FORMS: I-690 OMB NO: 1115-0134 EXPIRATION DATE: 02/28/2002 RESPS:800,000 HOURS:1,200,000 COSTS(000):$0 Medical Examination of Aliens Seeking Adjustment of Status FORMS: I-693 OMB NO: 1115-0135 EXPIRATION DATE: 04/30/2002 RESPS:1,192 HOURS:596 COSTS(000):$60 Notice of Appeal of Decision under Section 210 or 245A of the Immigration and Nationality Act FORMS: I-694 OMB NO: 1115-0136 EXPIRATION DATE: 10/31/2001 RESPS:78,000,000 HOURS:13,020,000 COSTS(000):$0 Employment Eligibility Verification FORMS: I-9 OMB NO: 1115-0139 EXPIRATION DATE: 12/31/2002 RESPS:200,000 HOURS:13,200 COSTS(000):$0 Arrival/Departure Record; Transit Without Visa FORMS: I-94T OMB NO: 1115-0140 EXPIRATION DATE: 04/30/2002 RESPS:5 HOURS:1 COSTS(000):$0 Guam Visa Waiver Agreement FORMS: I-760 OMB NO: 1115-0141 EXPIRATION DATE: 12/31/2002 RESPS:170,000 HOURS:14,110 COSTS(000):$0 Guam Visa Waiver Information FORMS: I-736 OMB NO: 1115-0142 EXPIRATION DATE: 02/28/2002 RESPS:325 HOURS:331 COSTS(000):$0 Immigration User Fee FORMS: NONE OMB NO: 1115-0145 EXPIRATION DATE: 01/31/2002 RESPS:118,008 HOURS:156,951 COSTS(000):$14,751 Petition to Remove the Conditions on Residence FORMS: I-751 OMB NO: 1115-0148 EXPIRATION DATE: 04/30/2002 RESPS:4,000,000 HOURS:420,000 COSTS(000):$24,000 Visa Waiver Nonimmigrant Arrival/Departure Record FORMS: I-94W OMB NO: 1115-0149 EXPIRATION DATE: 10/31/2003 RESPS:50 HOURS:50 COSTS(000):$0 Visa Waiver Pilot Program Carrier Agreement FORMS: I-775 OMB NO: 1115-0151 EXPIRATION DATE: 01/31/2001 RESPS:100 HOURS:50 COSTS(000):$0 Application for Issuance or Replacement of Northern Mariana Card FORMS: I-777 OMB NO: 1115-0154 EXPIRATION DATE: 10/31/2002 RESPS:100,000 HOURS:16,600 COSTS(000):$0 Certificate of Satisfactory Pursuit FORMS: I-699 OMB NO: 1115-0155 EXPIRATION DATE: 10/31/2001 RESPS:1,179 HOURS:1,179 COSTS(000):$94 Application to Adjust Status from Temporary to Permanent Resident FORMS: I-698 OMB NO: 1115-0162 EXPIRATION DATE: 02/28/2002 RESPS:2,500 HOURS:625 COSTS(000):$0 Request for the Return of Original Document(s) FORMS: G-884 OMB NO: 1115-0163 EXPIRATION DATE: 08/31/2002 RESPS:1,244,722 HOURS:4,251,970 COSTS(000):$124,472 Application for Employment Authorization FORMS: I-765 OMB NO: 1115-0166 EXPIRATION DATE: 03/31/2003 RESPS:25,000 HOURS:52,075 COSTS(000):$4,125 Application for Benefits Under the Family Unity Program FORMS: FORM-I-817 OMB NO: 1115-0168 EXPIRATION DATE: 01/31/2001 RESPS:368,948 HOURS:1,014,607 COSTS(000):$104,630 Petition for Nonimmigrant Worker FORMS: I-129 OMB NO: 1115-0170 EXPIRATION DATE: 01/31/2001 RESPS:181,000 HOURS:90,500 COSTS(000):$86 Application for Temporary Protected Status FORMS: I-821 I-821A OMB NO: 1115-0173 EXPIRATION DATE: 12/31/2002 RESPS:50 HOURS:92 COSTS(000):$4 Application for Posthumous Citizenship FORMS: N-644 OMB NO: 1115-0174 EXPIRATION DATE: 08/31/2003 RESPS:500,000 HOURS:583,000 COSTS(000):$12,740 Application - Alternative Inspection Services FORMS: I-823 OMB NO: 1115-0176 EXPIRATION DATE: 01/31/2001 RESPS:39,514 HOURS:16,201 COSTS(000):$0 Application for Action on an Approved Application or Petition FORMS: I-824 OMB NO: 1115-0180 EXPIRATION DATE: 04/30/2002 RESPS:7,669 HOURS:21,090 COSTS(000):$844 Request for Hearing on a Decision in Naturalization Proceedings under Section 336 FORMS: N-336 OMB NO: 1115-0182 EXPIRATION DATE: 06/30/2002 RESPS:20 HOURS:1,600 COSTS(000):$0 Guidelines on Producing Master Exhibits for Asylum Applications FORMS: NONE OMB NO: 1115-0183 EXPIRATION DATE: 05/31/2002 RESPS:50 HOURS:2,000 COSTS(000):$0 Notice of Immigration Pilot Program FORMS: NONE OMB NO: 1115-0184 EXPIRATION DATE: 06/30/2002 RESPS:10,000 HOURS:300 COSTS(000):$0 Emergency Federal Law Enforcement Assistance FORMS: NONE OMB NO: 1115-0188 EXPIRATION DATE: 01/31/2001 RESPS:75,000 HOURS:4,950 COSTS(000):$0 Applicant Survey FORMS: G-942 OMB NO: 1115-0189 EXPIRATION DATE: 12/31/2002 RESPS:1,920 HOURS:960 COSTS(000):$0 Monthly Report Naturalization Papers FORMS: N-4 OMB NO: 1115-0190 EXPIRATION DATE: 09/30/2002 RESPS:200 HOURS:216 COSTS(000):$69 Petition by Entrepreneur to Remove Conditions FORMS: I-829 OMB NO: 1115-0191 EXPIRATION DATE: 09/30/2003 RESPS:250 HOURS:63 COSTS(000):$0 Report of Complaint FORMS: I-847 OMB NO: 1115-0192 EXPIRATION DATE: 07/31/2001 RESPS:276 HOURS:32,016 COSTS(000):$0 Telephone Verification System (TVS) Phase II Pilot Non-Citizen Employees Employment Status Report FORMS: NONE OMB NO: 1115-0195 EXPIRATION DATE: 01/31/2001 RESPS:150,000 HOURS:75,000 COSTS(000):$0 Generic Clearance of Customer Service Surveys FORMS: NONE OMB NO: 1115-0196 EXPIRATION DATE: 07/31/2002 RESPS:50 HOURS:213 COSTS(000):$0 Interagency Alien Witness and Informant Record FORMS: I-854 OMB NO: 1115-0197 EXPIRATION DATE: 08/31/2002 RESPS:250,000 HOURS:5,000 COSTS(000):$0 ABC Change of Address Form and Special Filing Instructions for ABC Class Members FORMS: I-855 M-426 OMB NO: 1115-0205 EXPIRATION DATE: 07/31/2002 RESPS:20,000 HOURS:40,000 COSTS(000):$1,600 Medical Certification for Disability Exceptions FORMS: N-648 OMB NO: 1115-0211 EXPIRATION DATE: 12/31/2003 RESPS:25,000 HOURS:1,250 COSTS(000):$0 Arrival Record FORMS: I-94A-OT OMB NO: 1115-0214 EXPIRATION DATE: 09/30/2001 RESPS:590,000 HOURS:558,500 COSTS(000):$0 Affidavit of Support under Section 213A of the Act and Notification of Reimbursement of Means-Tested Benefits FORMS: I-864 I-864A OMB NO: 1115-0215 EXPIRATION DATE: 09/30/2001 RESPS:100,000 HOURS:23,300 COSTS(000):$0 Sponsor's Notice of Change of Address FORMS: I-865 OMB NO: 1115-0219 EXPIRATION DATE: 01/31/2002 RESPS:12,000 HOURS:3,996 COSTS(000):$0 Fax Request Form from Benefit Agency to INS for Confirmation of Status of I-130 and Fax Request Form Benefit Agency to EOIR for Confirmation of Status FORMS: NONE OMB NO: 1115-0220 EXPIRATION DATE: 06/30/2003 RESPS:15,000 HOURS:26,250 COSTS(000):$0 Liberian Deferred Enforced Departure (DED) Supplement to Form I-765 FORMS: I-765D OMB NO: 1115-0221 EXPIRATION DATE: 10/31/2001 RESPS:50,000 HOURS:12,500 COSTS(000):$0 NACARA Supplement to Form I-485 FORMS: FORMI-485 SUPPLEMENTB OMB NO: 1115-0223 EXPIRATION DATE: 09/30/2001 RESPS:65 HOURS:6,500 COSTS(000):$0 Screening Requirements of Carriers FORMS: NONE OMB NO: 1115-0225 EXPIRATION DATE: 05/31/2001 RESPS:128,092 HOURS:64,046 COSTS(000):$64,046 H-1B Data Collection and Filing Fee Exemption FORMS: I-129W OMB NO: 1115-0226 EXPIRATION DATE: 07/31/2002 RESPS:14,000 HOURS:25,620 COSTS(000):$2,100 Certificate for Health Care Benefits FORMS: NONE OMB NO: 1115-0227 EXPIRATION DATE: 12/31/2002 RESPS:100,000 HOURS:1,200,000 COSTS(000):$21,500 Application for Suspension of Deportation or Special Rule Cancellation of Removal (Pursuant to Section 203 of Public Law 105-100) FORMS: I-881 OMB NO: 1115-0228 EXPIRATION DATE: 10/31/2002 RESPS:419,750 HOURS:22,161 COSTS(000):$0 Memorandum of Understanding to Participate in Employment Eligibility Confirmation Pilot Program FORMS: NONE OMB NO: 1115-0229 EXPIRATION DATE: 10/31/2002 RESPS:50,000 HOURS:25,000 COSTS(000):$0 HRIFA Supplement to Form I-485 Instructions FORMS: FORMI-485 SUPPLEMENTC OMB NO: 1115-0230 EXPIRATION DATE: 08/31/2002 RESPS:75,000 HOURS:37,500 COSTS(000):$0 Sworn Statement of Refugee Applying for Admission to the United States FORMS: G-646 OMB NO: 1115-0232 EXPIRATION DATE: 11/30/2002 RESPS:1,500,400 HOURS:26,000 COSTS(000):$0 Inspection of Persons Applying for Admission; Transit Without Visa (TWOV) and International-to-International Agreements FORMS: NONE OMB NO: 1115-0234 EXPIRATION DATE: 01/31/2003 RESPS:7,158 HOURS:5,323 COSTS(000):$0 Study of Employment Eligibility FORMS: NONE Drug Enforcement Administration OMB NO: 1117-0001 EXPIRATION DATE: 11/30/2001 RESPS:8,398 HOURS:4,199 COSTS(000):$0 Report of Theft or Loss of Controlled Substances -- DEA Form 106 FORMS: DEA-FORM-106 OMB NO: 1117-0003 EXPIRATION DATE: 11/30/2001 RESPS:2,468 HOURS:2,468 COSTS(000):$0 ARCOS Transaction Reporting -- DEA Form 333 FORMS: DEA-FORM-333 OMB NO: 1117-0004 EXPIRATION DATE: 11/30/2001 RESPS:871 HOURS:218 COSTS(000):$0 Application for Permit to Export Controlled Substances -- DEA Form 161 FORMS: DEA-FORM-161 OMB NO: 1117-0006 EXPIRATION DATE: 09/30/2001 RESPS:270 HOURS:135 COSTS(000):$0 Application for Individual Manufacturing Quota for a Basic Class of Controlled Substance FORMS: DEA-FORM-189 OMB NO: 1117-0007 EXPIRATION DATE: 11/30/2001 RESPS:20,000 HOURS:10,000 COSTS(000):$0 Registrants Inventory of Drugs Surrendered -- DEA Form 41 FORMS: DEA-FORM-41 OMB NO: 1117-0008 EXPIRATION DATE: 05/31/2001 RESPS:531 HOURS:531 COSTS(000):$0 Application for Procurement Quota for Controlled Substances FORMS: DEA-FORM-250 OMB NO: 1117-0009 EXPIRATION DATE: 11/30/2001 RESPS:2,760 HOURS:690 COSTS(000):$0 Controlled Substances Import/Export Declaration -- DEA Form 236 FORMS: DEA-FORM-236 OMB NO: 1117-0010 EXPIRATION DATE: 11/30/2001 RESPS:436,000 HOURS:109,000 COSTS(000):$0 U.S. Official Order Forms for Schedules I and II Controlled Substances (Accountable Forms), Order Form Requisition FORMS: DEA-222 DEA-222A OMB NO: 1117-0012 EXPIRATION DATE: 02/28/2001 RESPS:10,000 HOURS:5,000 COSTS(000):$0 Application for Registration (DEA Form 225) and Application for Registration Renewal (DEA Form 225a). FORMS: DEA-FORM-225 DEA-FORM-225A OMB NO: 1117-0013 EXPIRATION DATE: 05/31/2001 RESPS:237 HOURS:59.25 COSTS(000):$0 Application for Permit to Import Controlled Substances for Domestic and/or Scientific Purposes Pursuant to 21 U.S.C. 952 FORMS: DEA-FORM-357 OMB NO: 1117-0014 EXPIRATION DATE: 02/28/2001 RESPS:355,000 HOURS:71,000 COSTS(000):$0 Application for Registration (DEA Form 224) and Application for Registration Renewal (DEA Form 224a) FORMS: DEA-FORM-224 DEA-FORM-224A OMB NO: 1117-0015 EXPIRATION DATE: 02/28/2001 RESPS:1,197 HOURS:599 COSTS(000):$0 Application for Registration (DEA Form 363) and Application for Registration Renewal (DEA Form 363a) FORMS: DEA-FORM-363 DEA-FORM-363A OMB NO: 1117-0021 EXPIRATION DATE: 11/30/2001 RESPS:500 HOURS:50,250 COSTS(000):$0 Records and Reports of Registrants: Changes in Record Requirements for Individual Practitioners FORMS: NONE OMB NO: 1117-0023 EXPIRATION DATE: 11/30/2001 RESPS:1,800 HOURS:360 COSTS(000):$0 Import/Export Declaration: Precursor and Essential Chemicals FORMS: DEA-FORM-486 OMB NO: 1117-0024 EXPIRATION DATE: 11/30/2001 RESPS:4,000 HOURS:10,680 COSTS(000):$0 Reports of Suspicious Orders or Theft/Loss of Listed Chemicals/Machines FORMS: NONE OMB NO: 1117-0029 EXPIRATION DATE: 09/30/2003 RESPS:100 HOURS:400 COSTS(000):$0 Annual Reporting Requirement for Manufacturers of Listed Chemicals FORMS: NONE OMB NO: 1117-0031 EXPIRATION DATE: 11/30/2001 RESPS:1,500 HOURS:750 COSTS(000):$0 Application for Registration under Domestic Chemical Diversion Control Act of 1993 and Renewal Application for Registration under Domestic Chemical Diversion Control Act of 1993 FORMS: DEA-FORM-510 DEA-FORM-510A OMB NO: 1117-0032 EXPIRATION DATE: 11/30/2001 RESPS:100 HOURS:50 COSTS(000):$0 Removal of Restrictions on Employing Certain Individuals FORMS: NONE OMB NO: 1117-0033 EXPIRATION DATE: 09/30/2003 RESPS:1,200 HOURS:1,200 COSTS(000):$0 Report of Mail Order Transactions FORMS: NONE OMB NO: 1117-0034 EXPIRATION DATE: 09/30/2003 RESPS:1,200 HOURS:1,200 COSTS(000):$0 Collection of Laboratory Analysis Data on Drug Samples Testes by Non-Federal (State and Local Government) Crime Laboratories FORMS: NONE OMB NO: 1117-0035 EXPIRATION DATE: 04/30/2003 RESPS:50 HOURS:100 COSTS(000):$0 Notice of Intent to Operate a Freight Forwarding Facility FORMS: NONE Bureau of Prisons No active collections for this subagency Office of Justice Programs OMB NO: 1121-0024 EXPIRATION DATE: 05/31/2002 RESPS:320 HOURS:800 COSTS(000):$0 Claim For Death Benefits -- OMB No. 1121-0024 FORMS: 3650/5 (REV-10-95) OMB NO: 1121-0025 EXPIRATION DATE: 05/31/2002 RESPS:320 HOURS:800 COSTS(000):$0 Report of Public Safety Officer's Death FORMS: 3650/6 REV-10-95 OMB NO: 1121-0030 EXPIRATION DATE: 02/28/2001 RESPS:3,045 HOURS:1,708 COSTS(000):$0 Capital Punishment Report of Inmates under Sentence of Death FORMS: NPS-8 NPS-8A NPS-8B NPS-8C OMB NO: 1121-0064 EXPIRATION DATE: 04/30/2002 RESPS:343 HOURS:515 COSTS(000):$8 The Parole Data Survey and The Probation Data Survey FORMS: CJ-7 CJ-8 OMB NO: 1121-0065 EXPIRATION DATE: 06/30/2003 RESPS:2 HOURS:2,196 COSTS(000):$0 National Corrections Reporting Program FORMS: NCRP-1A NCRP-1B NCRP-1C NCRP-1D OMB NO: 1121-0078 EXPIRATION DATE: 11/30/2001 RESPS:104 HOURS:143 COSTS(000):$0 National Prisoner Statistics Midyear Counts and National Prisoner Statistics Advance Year-end Counts FORMS: NPS-1A NPS-1B OMB NO: 1121-0094 EXPIRATION DATE: 06/30/2001 RESPS:900 HOURS:1,125 COSTS(000):$0 Annual Survey of Jails FORMS: CJ-5 CJ-5A CJ-5B OMB NO: 1121-0095 EXPIRATION DATE: 11/30/2001 RESPS:1,500 HOURS:2,250 COSTS(000):$0 National Survey of Indigent Defense Systems FORMS: NSIDS-2 OMB NO: 1121-0100 EXPIRATION DATE: 05/31/2002 RESPS:3,558 HOURS:3,289 COSTS(000):$0 1999 Census of Jails FORMS: CJ-3 CJ-3-ADDENDUM CJ-3A CJ-3B OMB NO: 1121-0102 EXPIRATION DATE: 04/30/2001 RESPS:52 HOURS:338 COSTS(000):$0 Summary of Sentenced Population Movement FORMS: 1(NPS-1) OMB NO: 1121-0111 EXPIRATION DATE: 10/31/2003 RESPS:213,600 HOURS:70,958 COSTS(000):$0 National Crime Victimization Survey (NCVS) FORMS: NCVS-1-1A-2-7 NCVS-500-110 572(L)-573(L) 593(L)-594(L) 541-545 1SP-2SP 554-554SP 572(L)SP/KOR/ OMB NO: 1121-0114 EXPIRATION DATE: 09/30/2001 RESPS:1 HOURS:104 COSTS(000):$0 Victims of Crime Act, Victim Compensation Grant Program, State Performance Report FORMS: FORM-7390/6 OMB NO: 1121-0115 EXPIRATION DATE: 07/31/2002 RESPS:57 HOURS:1,197 COSTS(000):$23 Victims of Crime Act, Crime Victim Assistance Grant Program, Performance Report FORMS: FORME-7330 OMB NO: 1121-0130 EXPIRATION DATE: 03/31/2002 RESPS:344 HOURS:2,774 COSTS(000):$0 National Judicial Reporting Program (NJRP) FORMS: NJRP-1 OMB NO: 1121-0137 EXPIRATION DATE: 04/30/2002 RESPS:100,000 HOURS:62,500 COSTS(000):$8,700 Arrestee Drug Abuse Monitoring (ADAM), Formerly Known As Drug FORMS: NONE OMB NO: 1121-0140 EXPIRATION DATE: 09/30/2002 RESPS:11,500 HOURS:4,000 COSTS(000):$0 Equal Employment Opportuity Program Guidelines -- 28 CFR Section 42.301 et seq. FORMS: NONE OMB NO: 1121-0142 EXPIRATION DATE: 12/31/2001 RESPS:3,200 HOURS:189 COSTS(000):$4 Victims of Crime Act, Crime Victim Assistance Grant Program, Subgrant Award Report FORMS: 7390/2A (REV.11-95) OMB NO: 1121-0147 EXPIRATION DATE: 04/30/2003 RESPS:1,750 HOURS:5,250 COSTS(000):$0 2000 Census of State and Federal Adult Correctional Facilities FORMS: CJ-43 OMB NO: 1121-0148 EXPIRATION DATE: 05/31/2002 RESPS:500 HOURS:41 COSTS(000):$0 Denial of Federal Benefits for Drug Offenders FORMS: OJD-FORM-3500/2 OMB NO: 1121-0166 EXPIRATION DATE: 11/30/2001 RESPS:30 HOURS:300 COSTS(000):$64 Report of Public Safety Officers Permanent and Total Disability FORMS: OJP-3650/7 OMB NO: 1121-0170 EXPIRATION DATE: 03/31/2002 RESPS:1 HOURS:52 COSTS(000):$1 Crime Victim Compensation State Certification Form FORMS: OJP-FORM-7390/5 OMB NO: 1121-0184 EXPIRATION DATE: 11/30/2001 RESPS:14,000 HOURS:2,338 COSTS(000):$0 School Crime Supplement FORMS: SCS-1 OMB NO: 1121-0189 EXPIRATION DATE: 10/31/2001 RESPS:20 HOURS:60 COSTS(000):$0 Nomination for Young American Medal for Bravery FORMS: OJP-FORM-1673/1 OMB NO: 1121-0190 EXPIRATION DATE: 10/31/2001 RESPS:20 HOURS:60 COSTS(000):$0 Nomination for Young American Medal for Service FORMS: OJP-FORM-1673/2 OMB NO: 1121-0196 EXPIRATION DATE: 05/31/2003 RESPS:1 HOURS:3,500 COSTS(000):$0 Local Law Enforcement Block Grants Program Application FORMS: NONE OMB NO: 1121-0197 EXPIRATION DATE: 07/31/2001 RESPS:500 HOURS:250 COSTS(000):$0 Bureau of Justice Assistance Application Form, State Criminal Alien Assistance Program FORMS: NONE OMB NO: 1121-0204 EXPIRATION DATE: 01/31/2001 RESPS:6,400 HOURS:4,800 COSTS(000):$0 Local Law Enforcement Block Grants Progress Reporting Form FORMS: NONE OMB NO: 1121-0219 EXPIRATION DATE: 03/31/2001 RESPS:1 HOURS:7,000 COSTS(000):$0 Juvenile Residential Facility Census FORMS: CJ-15 OMB NO: 1121-0220 EXPIRATION DATE: 05/31/2002 RESPS:30 HOURS:60 COSTS(000):$0 Application for Federal Law Enforcement Dependents Assistance FORMS: OJP-1240/20 (9-97) OMB NO: 1121-0222 EXPIRATION DATE: 01/31/2001 RESPS:2,000 HOURS:33 COSTS(000):$0 "A 1-Minute Survey on Curfews" FORMS: NONE OMB NO: 1121-0223 EXPIRATION DATE: 01/31/2001 RESPS:2,789 HOURS:562 COSTS(000):$0 Crime Mapping Survey FORMS: NONE OMB NO: 1121-0224 EXPIRATION DATE: 01/31/2001 RESPS:4,752 HOURS:708 COSTS(000):$0 National Youth Gang Survey FORMS: NONE OMB NO: 1121-0225 EXPIRATION DATE: 01/31/2001 RESPS:109,050 HOURS:14,716 COSTS(000):$0 The Second National Incidence Studies of Missing, Abducted, Runaways, and Thrownaway Children (NISMART II) FORMS: NONE OMB NO: 1121-0228 EXPIRATION DATE: 12/31/2001 RESPS:600 HOURS:600 COSTS(000):$0 Drug Court Grantee Data Collection Survey FORMS: NONE OMB NO: 1121-0229 EXPIRATION DATE: 10/31/2001 RESPS:160 HOURS:120 COSTS(000):$0 1998 National Study of DNA Laboratories FORMS: CLAB-1 OMB NO: 1121-0230 EXPIRATION DATE: 11/30/2001 RESPS:56 HOURS:112 COSTS(000):$6 Offense Coverage, Jacob Wetterling Crimes Against Children and FORMS: NONE OMB NO: 1121-0231 EXPIRATION DATE: 12/31/2001 RESPS:1,810 HOURS:603 COSTS(000):$0 National Opinion Poll on White Collar Crime FORMS: NONE OMB NO: 1121-0232 EXPIRATION DATE: 03/31/2002 RESPS:1 HOURS:2,925 COSTS(000):$31,120 Office for Victims of Crime Preliminary Questionnaire to Determine Bias Claims Recordkeeping Practices FORMS: NONE OMB NO: 1121-0233 EXPIRATION DATE: 10/31/2002 RESPS:25 HOURS:12 COSTS(000):$0 Certification of Compliance with Eligibility Requirements of Section 826 of the Higher Education Amendments of 1998 FORMS: NONE OMB NO: 1121-0234 EXPIRATION DATE: 04/30/2003 RESPS:4,200 HOURS:4,200 COSTS(000):$0 Requirements: Data Collection Application for the Juvenile Accountability Incentive Block Grant Program FORMS: NONE OMB NO: 1121-0235 EXPIRATION DATE: 04/30/2003 RESPS:3 HOURS:125,000 COSTS(000):$0 Bulletproof Vest Partnership FORMS: NONE OMB NO: 1121-0237 EXPIRATION DATE: 03/31/2003 RESPS:7,000 HOURS:1,650 COSTS(000):$0 Generic Clearance of Customer Satisfaction Surveys FORMS: NONE OMB NO: 1121-0238 EXPIRATION DATE: 04/30/2003 RESPS:10,780 HOURS:7,875 COSTS(000):$0 Survey of Youth in Residential Placement FORMS: NONE OMB NO: 1121-0240 EXPIRATION DATE: 05/31/2003 RESPS:19,000 HOURS:14,000 COSTS(000):$0 2000 Census of State and Local Law Enforcement Agencies FORMS: CJ-38L CJ-38S OMB NO: 1121-0242 EXPIRATION DATE: 01/31/2001 RESPS:250 HOURS:375 COSTS(000):$0 Comprehensive Strategy Stakeholder Survey FORMS: NONE OMB NO: 1121-0243 EXPIRATION DATE: 01/31/2001 RESPS:3,000 HOURS:12,000 COSTS(000):$0 Grants Management System Online Application FORMS: NONE OMB NO: 1121-0244 EXPIRATION DATE: 01/31/2001 RESPS:1 HOURS:66,200 COSTS(000):$0 Fiscal Year 1999 State Domestic Preparedness Equipment Program Needs Assessment FORMS: NONE OMB NO: 1121-0245 EXPIRATION DATE: 01/31/2001 RESPS:582 HOURS:416,150 COSTS(000):$0 Program Guidance of Environmental Protection Requirements and Project Status Report FORMS: NONE Criminal Division No active collections for this subagency Executive Office for Immigration Review OMB NO: 1125-0001 EXPIRATION DATE: 06/30/2002 RESPS:4,125 HOURS:23,718 COSTS(000):$413 Application for Cancellation of Removal FORMS: FORM-EOIR-42 OMB NO: 1125-0002 EXPIRATION DATE: 06/30/2002 RESPS:27,000 HOURS:13,500 COSTS(000):$0 Notice of Appeal to the Board of Immigration Appeals of Decision of Immigration Judge FORMS: EOIR-26 OMB NO: 1125-0003 EXPIRATION DATE: 07/31/2002 RESPS:6,100 HOURS:6,100 COSTS(000):$0 Appeal Fee Waiver Request FORMS: EOIR-26A OMB NO: 1125-0004 EXPIRATION DATE: 06/30/2002 RESPS:15,000 HOURS:600 COSTS(000):$0 Change of Address Form FORMS: EOIR-33 OMB NO: 1125-0005 EXPIRATION DATE: 10/31/2002 RESPS:26,000 HOURS:2,600 COSTS(000):$130 Notice of Entry of Appearance as Attorney or Representative Before the Board of Immigration Appeals Executive Office for Immigration Review FORMS: EOIR-27 OMB NO: 1125-0006 EXPIRATION DATE: 10/31/2002 RESPS:77,000 HOURS:7,700 COSTS(000):$385 Notice of Entry of Appearance as Attorney or Representative Before the Immigration Court FORMS: EOIR-28 OMB NO: 1125-0007 EXPIRATION DATE: 10/31/2002 RESPS:500 HOURS:1,000 COSTS(000):$0 Immigration Practitioner Complaint Form FORMS: EOIR-44 OMB NO: 1125-0008 EXPIRATION DATE: 10/31/2002 RESPS:50 HOURS:50 COSTS(000):$0 Immigration Practitioner Appeal Form from Adverse Decision of Adjudicating Official FORMS: EOIR-45 Civil Rights Division OMB NO: 1190-0001 EXPIRATION DATE: 12/31/2001 RESPS:4,727 HOURS:47,365 COSTS(000):$0 Procedures for the Administration of Section 5 of the Voting Rights Act of 1965 FORMS: NONE OMB NO: 1190-0004 EXPIRATION DATE: 01/31/2001 RESPS:6,000 HOURS:48,000 COSTS(000):$0 Nondiscrimination on the Basis of Disability in State and Local Government Services (Transition Plan) FORMS: NONE OMB NO: 1190-0005 EXPIRATION DATE: 01/31/2001 RESPS:10 HOURS:320 COSTS(000):$0 Nondiscrimination on the Basis of Disability in State and Local Government Services (Certification) FORMS: NONE OMB NO: 1190-0006 EXPIRATION DATE: 01/31/2001 RESPS:15,000 HOURS:90,000 COSTS(000):$0 Nondiscrimination on the Basis of Disability in State and Local Government Services (Self-Evaluation) FORMS: NONE OMB NO: 1190-0008 EXPIRATION DATE: 01/31/2001 RESPS:500 HOURS:250 COSTS(000):$0 Complaint Form, Coordination and Review Section, Civil Rights Division, Department of Justice FORMS: NONE OMB NO: 1190-0009 EXPIRATION DATE: 01/31/2001 RESPS:5,000 HOURS:3,750 COSTS(000):$0 Discrimination Complaint Form -- Title II of the Americans with Disabilities Act of 1990, Section 504 of the Rehabilitation Act of 1973 FORMS: NONE OMB NO: 1190-0016 EXPIRATION DATE: 03/31/2002 RESPS:133,750 HOURS:22,738 COSTS(000):$0 Assurance Provision Contained in Proposed Common Rule, Nondiscrimination on the Basis of Sex in Education Programs and Activities Receiving or Benefitting from Federal Financial Assist FORMS: NONE
(RETURN TO AGENCY LIST)OMB NO: 1205-0001 EXPIRATION DATE: 01/31/2001 RESPS:416 HOURS:416 COSTS(000):$0 Work Application/Job Order Recordkeeping FORMS: NONE OMB NO: 1205-0009 EXPIRATION DATE: 12/31/2002 RESPS:12 HOURS:5,512 COSTS(000):$0 Distribution of Characteristics of the Insured Unemployed FORMS: ETA-203 OMB NO: 1205-0010 EXPIRATION DATE: 03/31/2003 RESPS:714 HOURS:1,359 COSTS(000):$0 Claims and Payment Activities FORMS: ETA-5159 OMB NO: 1205-0015 EXPIRATION DATE: 11/30/2002 RESPS:73,500 HOURS:196,000 COSTS(000):$0 Application for Alien Employment Certification FORMS: ETA-750 OMB NO: 1205-0016 EXPIRATION DATE: 12/31/2002 RESPS:17,100 HOURS:3,420 COSTS(000):$0 Quarterly Determinations, Allowance Activities, and Employability Services under the Trade Act FORMS: ETA-563 OMB NO: 1205-0017 EXPIRATION DATE: 01/31/2001 RESPS:39,375 HOURS:16,294 COSTS(000):$0 Domestic Agricultural In-Season Wage Report -- ETA-232 and ETA-232A FORMS: ETA-232 ETA-232A OMB NO: 1205-0025 EXPIRATION DATE: 09/30/2003 RESPS:94,792 HOURS:47,781 COSTS(000):$3,060 Job Corps Application Data FORMS: ETA-652 ETA-655 ETA-682 OMB NO: 1205-0028 EXPIRATION DATE: 07/31/2003 RESPS:5,512 HOURS:3,675 COSTS(000):$0 Weekly Claims and Extended Benefits Data and Weekly Initial and Continued Weeks Claimed FORMS: 539 538 OMB NO: 1205-0029 EXPIRATION DATE: 11/30/2001 RESPS:212 HOURS:848 COSTS(000):$0 Interstate Arrangement for Combining Employment and Wages FORMS: ETA-586 OMB NO: 1205-0039 EXPIRATION DATE: 09/30/2002 RESPS:208 HOURS:5,530 COSTS(000):$0 Program Monitoring Report and Job Service Complaint Form FORMS: ETA-8429 ETA-5184 OMB NO: 1205-0040 EXPIRATION DATE: 08/31/2003 RESPS:434 HOURS:1,776 COSTS(000):$0 Senior Community Service Employment Program (SCSEP) FORMS: ETA-5140 ETA-8705 ETA-5163 OMB NO: 1205-0051 EXPIRATION DATE: 10/31/2002 RESPS:81,035 HOURS:8,075 COSTS(000):$0 Employment and Training Administration (ETA) Disaster Unemployment Assistance (DUA) Handbook & Program Operating Forms, Including ETA 90-2, Disaster Payment Activities under the.... FORMS: ETA-90-2 OMB NO: 1205-0132 EXPIRATION DATE: 12/31/2001 RESPS:844 HOURS:2,137 COSTS(000):$53,425 Unemployment Insurance (UI) State Quality Service Plan (SQSP) FORMS: ETAHANDBOOK#336 16THEDITION OMB NO: 1205-0134 EXPIRATION DATE: 03/31/2001 RESPS:11,000 HOURS:6,500 COSTS(000):$0 Forms for Agricultural Recruitment System of Services to Migratory Workers and Their Employers; Application for Alien Employment Certification FORMS: ETA-790 795 785 785A OMB NO: 1205-0137 EXPIRATION DATE: 10/31/2003 RESPS:95 HOURS:47 COSTS(000):$0 Occupational Code Request FORMS: ETA-741 OMB NO: 1205-0150 EXPIRATION DATE: 09/30/2001 RESPS:224 HOURS:896 COSTS(000):$0 Nonmonetary Determination Activity Report FORMS: ETA-207 OMB NO: 1205-0154 EXPIRATION DATE: 01/31/2003 RESPS:72 HOURS:2,226 COSTS(000):$55 Unemployment Insurance Trust Fund Activity FORMS: ETA-2112 8401 8403 8405 8413 8414 OMB NO: 1205-0162 EXPIRATION DATE: 07/31/2003 RESPS:212 HOURS:1,272 COSTS(000):$0 Statement of Expenditures and Adjustments of Federal Funds for Unemployment Compensation for Federal Employees and Ex-Servicemembers FORMS: ETA-191 OMB NO: 1205-0164 EXPIRATION DATE: 01/31/2003 RESPS:53 HOURS:14 COSTS(000):$0 Experience Rating Report FORMS: ETA-204 OMB NO: 1205-0172 EXPIRATION DATE: 09/30/2001 RESPS:648 HOURS:1,620 COSTS(000):$0 Benefit Appeals Report FORMS: ETA-5130 OMB NO: 1205-0173 EXPIRATION DATE: 11/30/2003 RESPS:212 HOURS:2,968 COSTS(000):$0 Overpayment Detection and recovery Activities FORMS: ETA-227 OMB NO: 1205-0176 EXPIRATION DATE: 03/31/2003 RESPS:66,126 HOURS:1,708 COSTS(000):$1,527 Unemployment Compensation for Ex-Servicemembers (UCX) Handbook (ETA Handbook No. 384) FORMS: ETA-841 ETA-843 OMB NO: 1205-0177 EXPIRATION DATE: 08/31/2001 RESPS:212 HOURS:108 COSTS(000):$0 Benefit Rights and Experience Report FORMS: ETA-218 OMB NO: 1205-0178 EXPIRATION DATE: 08/31/2002 RESPS:212 HOURS:1,802 COSTS(000):$0 Contribution Operations FORMS: ETA-581 OMB NO: 1205-0179 EXPIRATION DATE: 01/31/2001 RESPS:453,261 HOURS:28,434 COSTS(000):$66 Unemployment Compensation for Former Federal Employee Handbook No. 391 FORMS: ES-931 ES-931A ES-933 ES-934 ES-935 ES-936 ES-939 ETA-8-32 OMB NO: 1205-0187 EXPIRATION DATE: 10/31/2001 RESPS:53 HOURS:159 COSTS(000):$0 Internal Fraud Activities FORMS: ETA-9000 OMB NO: 1205-0190 EXPIRATION DATE: 10/31/2003 RESPS:2,220 HOURS:3,951 COSTS(000):$0 Customer Survey FORMS: ETA-8562 OMB NO: 1205-0192 EXPIRATION DATE: 07/31/2003 RESPS:1,400 HOURS:350 COSTS(000):$0 Petition for Adjustment Assistance/Solicitud De Asistencia Para Ajuste FORMS: ETA-8560 ETA-8559 OMB NO: 1205-0197 EXPIRATION DATE: 10/31/2003 RESPS:1,500 HOURS:4,500 COSTS(000):$0 Business Confidential Data Request FORMS: ETA-9014 OMB NO: 1205-0199 EXPIRATION DATE: 04/30/2003 RESPS:1 HOURS:1 COSTS(000):$0 Title XII Advances and Voluntary Repayment Process FORMS: NONE OMB NO: 1205-0207 EXPIRATION DATE: 07/31/2001 RESPS:208 HOURS:208 COSTS(000):$0 Procedures for Classifying Labor Surplus Areas FORMS: NONE OMB NO: 1205-0219 EXPIRATION DATE: 04/30/2003 RESPS:314,570 HOURS:84,741 COSTS(000):$0 Standard Job Corps Request for Proposal and Related Contractor Information Gathering FORMS: NONE OMB NO: 1205-0222 EXPIRATION DATE: 03/31/2001 RESPS:3,180 HOURS:53 COSTS(000):$0 Administrative Procedures -- 20 CFR 601 Including Form MA-8-7 FORMS: MA-8-7 OMB NO: 1205-0223 EXPIRATION DATE: 02/28/2002 RESPS:1 HOURS:39,260 COSTS(000):$0 Labor Standards for the Registration of Apprenticeship Programs -- Title 29 CFR Part 29 FORMS: ETA-671 OMB NO: 1205-0224 EXPIRATION DATE: 06/30/2001 RESPS:5,350 HOURS:6,068 COSTS(000):$0 Equal Employment Opportunity in Apprenticeship and Training -- 29 CFR Part 30 FORMS: ETA-9039 OMB NO: 1205-0228 EXPIRATION DATE: 01/31/2001 RESPS:1 HOURS:14 COSTS(000):$0 Preliminary Estimate of Average Employer Tax Rates FORMS: ETA-205 OMB NO: 1205-0238 EXPIRATION DATE: 01/31/2001 RESPS:212 HOURS:52,183 COSTS(000):$1,043,660 Income and Eligibility Verification FORMS: NONE OMB NO: 1205-0240 EXPIRATION DATE: 06/30/2001 RESPS:7,264 HOURS:8,933 COSTS(000):$16 Employment Service Program Reporting System FORMS: ETA9002A-C VETS200A-B VETS300 OMB NO: 1205-0245 EXPIRATION DATE: 10/31/2002 RESPS:23,760 HOURS:75,319 COSTS(000):$106 Unemployment Insurance Benefits Accuracy Measurement Program (Formerly Benefits Quality Control) FORMS: 395 OMB NO: 1205-0268 EXPIRATION DATE: 10/31/2001 RESPS:212 HOURS:212 COSTS(000):$0 Alien Claims Activity Report FORMS: ETA-9016 OMB NO: 1205-0272 EXPIRATION DATE: 10/31/2003 RESPS:75 HOURS:225 COSTS(000):$0 Oil and Gas Drilling and Exploration Oilfield Services FORMS: ETA-9018 OMB NO: 1205-0275 EXPIRATION DATE: 04/30/2003 RESPS:500 HOURS:1,000 COSTS(000):$26 Trade Adjustment Assistance/NAFTA (Financial Status/Requests for funds Report) FORMS: ETA-9023 OMB NO: 1205-0308 EXPIRATION DATE: 05/31/2001 RESPS:30,370 HOURS:95,935 COSTS(000):$1,142 Planning and Reporting Requirements for JTPA, Section 401, Indian and Native American Grantees (Both Title IV-A and Title II-B) FORMS: ETA-8600 ETA-8601 ETA-8602 ETA-8603 ETA-8604 OMB NO: 1205-0309 EXPIRATION DATE: 09/30/2001 RESPS:1 HOURS:4 COSTS(000):$0 Attestation by Employers Using Alien Crewmembers for Longshore Activities in U.S. Ports FORMS: ETA-9033 OMB NO: 1205-0310 EXPIRATION DATE: 01/31/2001 RESPS:200,200 HOURS:200,050 COSTS(000):$0 Labor Condition Application and Requirements for Employer Using Nonimmigrants on H-1B Visas FORMS: ETA-9035 OMB NO: 1205-0318 EXPIRATION DATE: 05/31/2001 RESPS:460 HOURS:4,968 COSTS(000):$0 Dislocated Worker Special Project Report FORMS: ETA-9038 OMB NO: 1205-0319 EXPIRATION DATE: 03/31/2001 RESPS:108 HOURS:216 COSTS(000):$0 State Alien Labor Certification Activity Report FORMS: ETA-9037 OMB NO: 1205-0332 EXPIRATION DATE: 09/30/2002 RESPS:52 HOURS:91,000 COSTS(000):$0 Revenue Quality Control-Tax Performance System FORMS: ETA-407 OMB NO: 1205-0337 EXPIRATION DATE: 05/31/2001 RESPS:1,050 HOURS:2,100 COSTS(000):$0 NAFTA Customer Survey Data Request FORMS: ETA-9044 OMB NO: 1205-0339 EXPIRATION DATE: 05/31/2001 RESPS:1,000 HOURS:7,500 COSTS(000):$0 NAFTA Confidential Data Request FORMS: ETA-9043 OMB NO: 1205-0341 EXPIRATION DATE: 02/28/2001 RESPS:59 HOURS:59 COSTS(000):$0 JTPA Annual Service Delivery Area (JASDA) Report FORMS: ETA-9045 OMB NO: 1205-0342 EXPIRATION DATE: 06/30/2001 RESPS:1,000 HOURS:330 COSTS(000):$0 Petition for NAFTA Transitional Adjustment Assistance; Soliciud del Programa de Assitencia Para Ajsute Bajo NAFTA FORMS: ETA-9042 ETA-9042-1 OMB NO: 1205-0352 EXPIRATION DATE: 01/31/2002 RESPS:350 HOURS:1,050 COSTS(000):$0 Attestations by Employers Using Alien Crewmembers for Longshore Activities at Locations in the State of Alaska FORMS: ETA-9033A OMB NO: 1205-0353 EXPIRATION DATE: 01/31/2001 RESPS:424 HOURS:106 COSTS(000):$0 Worker Profiling and Reemployment Service Reports FORMS: ETA-9048 ETA-9049 OMB NO: 1205-0359 EXPIRATION DATE: 10/31/2001 RESPS:54,908 HOURS:38,486 COSTS(000):$0 Benefits, Timeliness, and Quality (BTQ) Review System FORMS: NONE OMB NO: 1205-0371 EXPIRATION DATE: 06/30/2001 RESPS:208 HOURS:60,303 COSTS(000):$0 Work Opportunity and Welfare-to-Work Tax Credits FORMS: ETA-408 9061-9063 9065 9057 9058 9059 OMB NO: 1205-0373 EXPIRATION DATE: 02/28/2003 RESPS:1 HOURS:2,176 COSTS(000):$0 Baseline and Post-Program Employment Rate for the Youth Opportunity Area Demonstration FORMS: NONE OMB NO: 1205-0385 EXPIRATION DATE: 01/31/2001 RESPS:1,020 HOURS:510 COSTS(000):$0 Welfare to Work (WtW) Formula/Competitive Cumulative Quarterly Status Reports FORMS: ETA-9068 ETA-9068-1 OMB NO: 1205-0386 EXPIRATION DATE: 09/30/2001 RESPS:680 HOURS:6,120 COSTS(000):$720 Indian and Native American Welfare-to-Work Program Report Forms and Instructions FORMS: ETA-9069 ETA-9069-1 OMB NO: 1205-0391 EXPIRATION DATE: 05/31/2001 RESPS:1,500 HOURS:925 COSTS(000):$0 Center for Employment and Training (CET) 24-Month Follow-Up Study FORMS: NONE OMB NO: 1205-0392 EXPIRATION DATE: 06/30/2001 RESPS:200 HOURS:16,000 COSTS(000):$725 GPRA-Complaint Program Performance and Participant Outcomes Data System FORMS: NONE OMB NO: 1205-0393 EXPIRATION DATE: 07/31/2001 RESPS:54 HOURS:540 COSTS(000):$0 Planning Guidance and Instructions for Submission of Annual State Plans for FY '99 Welfare-to-Work Formula Grants FORMS: NONE OMB NO: 1205-0397 EXPIRATION DATE: 11/30/2001 RESPS:3,148 HOURS:1,468 COSTS(000):$0 Evaluation of the Quantum Opportunity Program (QOP) Demonstration FORMS: NONE OMB NO: 1205-0404 EXPIRATION DATE: 08/31/2002 RESPS:3,189 HOURS:533 COSTS(000):$0 Labor Certification for the Temporary Employment of Nonimmigrant Aliens in Agriculture in the United States; Administrative Measures to Improve Program Performance FORMS: NONE OMB NO: 1205-0405 EXPIRATION DATE: 06/30/2001 RESPS:4,025 HOURS:4,333 COSTS(000):$0 Study of Unemployment Insurance (UI) Exhaustees FORMS: NONE OMB NO: 1205-0407 EXPIRATION DATE: 01/31/2003 RESPS:57 HOURS:19,095 COSTS(000):$0 State Unified Plan Planning Guidance for State Unified Plans Submitted Under Section 501 of the Workforce Invesment Act of 1998. FORMS: NONE OMB NO: 1205-0408 EXPIRATION DATE: 01/31/2001 RESPS:672 HOURS:672 COSTS(000):$0 Workforce Investment Act Cumulative Quarterly Financial Reporting for Funds Allotted to States for: 1) Servioces to Youth 2) Services to Adults 3) Services to Dislocated Workers......... FORMS: 9076-A 9076-B 9076-C 9076-D 9076-E 9076-F OMB NO: 1205-0410 EXPIRATION DATE: 06/30/2003 RESPS:16 HOURS:64 COSTS(000):$0 Employers' Use and Assessment of the WOTC and Welfare-to-Work Tax Credit Programs FORMS: NONE OMB NO: 1205-0412 EXPIRATION DATE: 08/31/2003 RESPS:1,200 HOURS:300 COSTS(000):$0 Benefit-Cost Analysis of the Self-Employment Assistance Program for the United States Unemployment Insurance Program FORMS: NONE OMB NO: 1205-0414 EXPIRATION DATE: 10/31/2002 RESPS:432 HOURS:51,840 COSTS(000):$0 MIS Requirements for Youth Opportunity grants FORMS: ETA-9086 ETA-9087 OMB NO: 1205-0415 EXPIRATION DATE: 02/28/2001 RESPS:143 HOURS:68 COSTS(000):$0 Attestations by Facilities Temporarily Employing H-1C Nonimmigrant Aliens as Registered Nurses FORMS: ETA-9801 OMB NO: 1205-0416 EXPIRATION DATE: 10/31/2003 RESPS:75 HOURS:1,500 COSTS(000):$0 Disability Employment and Initiatives Grant Program FORMS: APR-ETA-9077 PCR-ETA-9078 OMB NO: 1205-0417 EXPIRATION DATE: 05/31/2001 RESPS:162 HOURS:2,592 COSTS(000):$0 One-Stop Labor Market Information Grant Plan and Progress Reports FORMS: NONE OMB NO: 1205-0418 EXPIRATION DATE: 05/31/2001 RESPS:162 HOURS:2,592 COSTS(000):$0 One-Stop Occupational Employment Statistics Survey Plan and Progress Reports FORMS: NONE OMB NO: 1205-0419 EXPIRATION DATE: 12/31/2001 RESPS:53 HOURS:2,703 COSTS(000):$0 Revising Quarterly Contribution and Wage Reports to Accommodate Expanded Name Fields and Additional Labor Market Information FORMS: NONE Pension and Welfare Benefits Administration OMB NO: 1210-0034 EXPIRATION DATE: 11/30/2001 RESPS:5,533 HOURS:2,441 COSTS(000):$29 Alternative Method of Compliance for Certain Simplified Employee Pensions (Final Regulation) FORMS: NONE OMB NO: 1210-0039 EXPIRATION DATE: 11/30/2003 RESPS:52,771,000 HOURS:710,134 COSTS(000):$243,226 Summar Plan Description Requirements under ERISA FORMS: NONE OMB NO: 1210-0040 EXPIRATION DATE: 02/28/2003 RESPS:235,000,000 HOURS:1,404,924 COSTS(000):$119,327 ERISA Summary Annual Report Requirement FORMS: NONE OMB NO: 1210-0048 EXPIRATION DATE: 11/30/2001 RESPS:75,401 HOURS:18,850 COSTS(000):$61 Suspension of Pension Benefits Regulation Pursuant 29 CFR Section 2530.203-3 FORMS: NONE OMB NO: 1210-0049 EXPIRATION DATE: 11/30/2001 RESPS:77,633 HOURS:6,676 COSTS(000):$0 Certain Transactions Between Investment Companies and Employee Benefit Plan -- Class Exemption 77-4 FORMS: NONE OMB NO: 1210-0053 EXPIRATION DATE: 11/30/2003 RESPS:118,000,000 HOURS:316,000 COSTS(000):$95,637 Employee Benefit Plan Claim Procedures under the Employee Retirement Income Security Act of 1974 (ERISA) FORMS: NONE OMB NO: 1210-0058 EXPIRATION DATE: 06/30/2003 RESPS:3,187 HOURS:797 COSTS(000):$0 Prohibited Transaction Class Exemption 76-1 and Prohibited Transaction Class Exemption 77-10 FORMS: NONE OMB NO: 1210-0059 EXPIRATION DATE: 11/30/2001 RESPS:289,625 HOURS:65,510 COSTS(000):$211 Certain Transactions Involving Employee Benefit Plans and Securities Broker-Dealers -- Class Exemption 86-128 FORMS: NONE OMB NO: 1210-0060 EXPIRATION DATE: 11/30/2001 RESPS:167 HOURS:7,996 COSTS(000):$141 Procedure for Applications for Exemption from the Prohibited Transaction Provisions of Section 408(a) of the Employee Retirement Income Security Act (ERISA) FORMS: NONE OMB NO: 1210-0061 EXPIRATION DATE: 11/30/2001 RESPS:128,000 HOURS:21,333 COSTS(000):$0 Investment of Plan Assets in Certain Types of Short-Term Investments -- Class Exemption 81-8 FORMS: NONE OMB NO: 1210-0062 EXPIRATION DATE: 11/30/2001 RESPS:51,200 HOURS:4,267 COSTS(000):$0 Prohibited Transaction Class Exemption 82-63 FORMS: NONE OMB NO: 1210-0063 EXPIRATION DATE: 11/30/2001 RESPS:7,656 HOURS:1,276 COSTS(000):$0 Prohibited Transaction Class Exemption 92-6 FORMS: NONE OMB NO: 1210-0064 EXPIRATION DATE: 01/31/2001 RESPS:25 HOURS:1 COSTS(000):$0 Prohibited Transaction Exemption 80-83 FORMS: NONE OMB NO: 1210-0065 EXPIRATION DATE: 11/30/2001 RESPS:51,200 HOURS:4,267 COSTS(000):$0 Prohibited Transaction Class Exemption 81-6 FORMS: NONE OMB NO: 1210-0066 EXPIRATION DATE: 01/31/2003 RESPS:83 HOURS:101 COSTS(000):$88 Advisory Opinion Procedure -- ERISA Procedure 76-1 FORMS: NONE OMB NO: 1210-0074 EXPIRATION DATE: 11/30/2001 RESPS:1 HOURS:1 COSTS(000):$0 Prohibited Transaction Class Exemption T88-1 FORMS: NONE OMB NO: 1210-0076 EXPIRATION DATE: 11/30/2001 RESPS:1,232 HOURS:3,696 COSTS(000):$277 Final Regulation Relating to Loans to Plan Participants and Beneficiaries Who Are Parties in Interest with Respect to the Plan FORMS: NONE OMB NO: 1210-0079 EXPIRATION DATE: 11/30/2001 RESPS:2,000,000 HOURS:36,666 COSTS(000):$0 Prohibited Transaction Class Exemption 91-55 FORMS: NONE OMB NO: 1210-0080 EXPIRATION DATE: 06/30/2003 RESPS:1,275 HOURS:106 COSTS(000):$0 Prohibited Exemption 786-6 FORMS: NONE OMB NO: 1210-0082 EXPIRATION DATE: 06/30/2003 RESPS:1,000 HOURS:83 COSTS(000):$0 Prohibition Transaction Exemption 91-38 FORMS: NONE OMB NO: 1210-0083 EXPIRATION DATE: 06/30/2003 RESPS:128 HOURS:11 COSTS(000):$0 Prohibited Transaction Class Exemption 90-1 -- Pooled Separate Accounts FORMS: NONE OMB NO: 1210-0084 EXPIRATION DATE: 11/30/2001 RESPS:36 HOURS:3,136 COSTS(000):$46 ERISA Technical Release 91-1 FORMS: NONE OMB NO: 1210-0085 EXPIRATION DATE: 06/30/2003 RESPS:175 HOURS:15 COSTS(000):$0 Prohibited Transaction Class Exemption 94-20, Purchases and Sales of Foreign Currencies FORMS: NONE OMB NO: 1210-0089 EXPIRATION DATE: 11/30/2001 RESPS:3,100 HOURS:109 COSTS(000):$74 Delinquent Filer Voluntary Compliance Program FORMS: NONE OMB NO: 1210-0090 EXPIRATION DATE: 11/30/2001 RESPS:20,000,000 HOURS:79,261 COSTS(000):$8,156 Regulation Regarding Participant Directed Individual Account Plans -- ERISA Section 404(c) Plans FORMS: NONE OMB NO: 1210-0091 EXPIRATION DATE: 11/30/2001 RESPS:2,500 HOURS:88 COSTS(000):$1 Prohibited Transaction Class Exemption 94-71 FORMS: NONE OMB NO: 1210-0092 EXPIRATION DATE: 01/31/2001 RESPS:750 HOURS:1 COSTS(000):$0 Prohibited Transaction Exemption 75-1 FORMS: NONE OMB NO: 1210-0094 EXPIRATION DATE: 11/30/2001 RESPS:1 HOURS:1 COSTS(000):$0 Permit Employee Benefit Plans to Invest in Customer Notes of Employers -- Prohibited Transaction Class Exemption 85-68 FORMS: NONE OMB NO: 1210-0095 EXPIRATION DATE: 01/31/2001 RESPS:185 HOURS:1 COSTS(000):$0 Prohibited Transaction Exemption 88-59 FORMS: NONE OMB NO: 1210-0098 EXPIRATION DATE: 11/30/2001 RESPS:1,050 HOURS:1 COSTS(000):$70 Prohibited Transaction Class Exemption 96-62 FORMS: NONE OMB NO: 1210-0100 EXPIRATION DATE: 05/31/2003 RESPS:1 HOURS:3 COSTS(000):$0 Definition of Plan Assets - Participant Contributions FORMS: NONE OMB NO: 1210-0101 EXPIRATION DATE: 06/30/2003 RESPS:9,602,000 HOURS:7,200 COSTS(000):$841 Notice of Enrollment Rights FORMS: NONE OMB NO: 1210-0102 EXPIRATION DATE: 06/30/2003 RESPS:8,570,000 HOURS:9,004 COSTS(000):$1,088 Notice of Pre-Existing Condition Exclusion FORMS: NONE OMB NO: 1210-0103 EXPIRATION DATE: 06/30/2003 RESPS:44,396,000 HOURS:351,150 COSTS(000):$34,689 Establishing Creditable Coverage FORMS: NONE OMB NO: 1210-0104 EXPIRATION DATE: 08/31/2003 RESPS:75 HOURS:2,625 COSTS(000):$162 Prohibition Transaction Exemption 97-41 FORMS: NONE OMB NO: 1210-0105 EXPIRATION DATE: 08/31/2001 RESPS:94,854 HOURS:3,162 COSTS(000):$270 Notice of Participants and Beneficiaries and the Federal Government of Electing One Percent Increased Cost Exemption FORMS: NONE OMB NO: 1210-0106 EXPIRATION DATE: 08/31/2001 RESPS:3,527 HOURS:117 COSTS(000):$2,430 Calculation and Disclosure of Documentation of Eligibility for Exemption FORMS: NONE OMB NO: 1210-0107 EXPIRATION DATE: 08/31/2001 RESPS:286 HOURS:9 COSTS(000):$1 Notice of Group Health Plan's Use of Transition Period and Posting Thereof FORMS: NONE OMB NO: 1210-0110 EXPIRATION DATE: 08/31/2001 RESPS:801,934 HOURS:1,817,412 COSTS(000):$517,367 Annual Information Return/Report FORMS: 5500 OMB NO: 1210-0111 EXPIRATION DATE: 11/30/2001 RESPS:8,400 HOURS:4,200 COSTS(000):$0 Class Exemption Relating to Certain Employee Benefit Plan Foreign Exchange Transactions Executed Pursuant to Standing Instructions FORMS: NONE OMB NO: 1210-0112 EXPIRATION DATE: 10/31/2002 RESPS:1,000 HOURS:95 COSTS(000):$1 Furnishing Documents to the Secreaty of Labor on Request under ERISA Section 104(a)(6) and Assessment of Civil Penalties under ERISA Section 502(c)(6) FORMS: NONE OMB NO: 1210-0113 EXPIRATION DATE: 01/31/2003 RESPS:770,000 HOURS:785,000 COSTS(000):$1,100 National Medical Support Notice -- Part B FORMS: NONE OMB NO: 1210-0114 EXPIRATION DATE: 12/31/2002 RESPS:123,500 HOURS:1,204,369 COSTS(000):$30 Disclosures by Insurers to General Account Policyholders FORMS: NONE OMB NO: 1210-0115 EXPIRATION DATE: 04/30/2003 RESPS:61,800 HOURS:68,150 COSTS(000):$116 Proposed Class Exemption for Cross-Trades of Securities by Index and Model-Driven Funds FORMS: NONE OMB NO: 1210-0116 EXPIRATION DATE: 11/30/2003 RESPS:2,678 HOURS:874 COSTS(000):$394 Annual Report for Multiple Employer Welfare Arrangements and Certain Entities Claiming Exception (Form M-1) FORMS: M-1 OMB NO: 1210-0117 EXPIRATION DATE: 03/31/2002 RESPS:240,250 HOURS:80,083 COSTS(000):$91 Application for EFAST Electornic Signature and Codes for EFAST Transmitters and Software Developers FORMS: EFAST-1 OMB NO: 1210-0118 EXPIRATION DATE: 11/30/2003 RESPS:700 HOURS:5,600 COSTS(000):$295 Voluntary Fiduciary Correction Program FORMS: NONE Office of the American Workplace/Office of Labor Management Standards No active collections for this subagency Employment Standards Administration OMB NO: 1215-0001 EXPIRATION DATE: 08/31/2001 RESPS:37,000 HOURS:12,333 COSTS(000):$0 Employment Information Forms FORMS: WH-3 WH-3-SP. OMB NO: 1215-0005 EXPIRATION DATE: 03/31/2001 RESPS:28,600 HOURS:21,425 COSTS(000):$3 Applications to Employ Special Industrial Homeworkers and Workers with Disabilities FORMS: WH2 WH-226-MIS WH-226A OMB NO: 1215-0013 EXPIRATION DATE: 09/30/2003 RESPS:18,985 HOURS:9,757 COSTS(000):$0 Applications to Employ Homeworkers Piece Rate Measurements, Homeworker Handbooks FORMS: WH-46 WH-75 OMB NO: 1215-0017 EXPIRATION DATE: 05/31/2001 RESPS:3,700,000 HOURS:819,231 COSTS(000):$0 Records To Be Kept By Employers FORMS: NONE OMB NO: 1215-0022 EXPIRATION DATE: 02/28/2002 RESPS:27,000 HOURS:6,750 COSTS(000):$10 Payment of Compensation Without Award FORMS: LS-206 OMB NO: 1215-0023 EXPIRATION DATE: 03/31/2002 RESPS:18,000 HOURS:4,500 COSTS(000):$7 Notice of Controversion of Right to Compensation FORMS: LS-207 OMB NO: 1215-0024 EXPIRATION DATE: 04/30/2003 RESPS:19,350 HOURS:4,838 COSTS(000):$10 Notice of Final Payment of Suspension of Compensation Benefits FORMS: LS-208 OMB NO: 1215-0027 EXPIRATION DATE: 05/31/2002 RESPS:195 HOURS:49 COSTS(000):$0 Certification of Funeral Expenses FORMS: LS-265 OMB NO: 1215-0028 EXPIRATION DATE: 08/31/2003 RESPS:50 HOURS:38 COSTS(000):$0 Economic Survey Schedule FORMS: WH-1 OMB NO: 1215-0031 EXPIRATION DATE: 09/30/2001 RESPS:29,990 HOURS:7,543 COSTS(000):$11 Employer's First Report of Injury or Occupational Disease--LS-202 Physician's Report on Impairment of Vision -- LS-205 Employer's Supplementary Report of Accident or Occupational.... FORMS: LS-202 LS-205 LS-210 OMB NO: 1215-0032 EXPIRATION DATE: 07/31/2002 RESPS:2,000 HOURS:400 COSTS(000):$1 Application for Authority to Employ Full-Time Students at Subminimum Wages in Retail or Service Establishments or Agriculture FORMS: WH-200-MIS OMB NO: 1215-0034 EXPIRATION DATE: 01/31/2003 RESPS:300 HOURS:75 COSTS(000):$0 Agreement and Undertaking FORMS: OWCP01 OMB NO: 1215-0036 EXPIRATION DATE: 06/30/2001 RESPS:3,150 HOURS:263 COSTS(000):$63 Vehicle Mechanical Inspection Report for Transportation Subject to DOT Requirements; Subject to DOL Safety Standards FORMS: WH-514 WH-514A OMB NO: 1215-0037 EXPIRATION DATE: 04/30/2001 RESPS:7,500 HOURS:3,750 COSTS(000):$2 Application for Farm Labor Contractor and Farm Labor Contractor Employee Certificates of Registration FORMS: WH-530 OMB NO: 1215-0046 EXPIRATION DATE: 08/31/2002 RESPS:75,000 HOURS:25,000 COSTS(000):$0 Report to Construction Contractor's Wage Rates FORMS: WD-10 OMB NO: 1215-0052 EXPIRATION DATE: 05/31/2002 RESPS:20,200 HOURS:9,116 COSTS(000):$4 1) Miner's Claim for Benefits under the Black Lung Benefits Act; 2) Employment History; 3) Miner Reimbursement Form FORMS: CM-911 CM-911A CM-915 OMB NO: 1215-0054 EXPIRATION DATE: 09/30/2001 RESPS:8,700 HOURS:1,450 COSTS(000):$3 Medical Travel Refund Request FORMS: CM-957 OMB NO: 1215-0055 EXPIRATION DATE: 11/30/2003 RESPS:1,574,688 HOURS:183,539 COSTS(000):$0 Health Insurance Claim Form FORMS: OWCP-1500 OMB NO: 1215-0056 EXPIRATION DATE: 05/31/2002 RESPS:3,336 HOURS:1,618 COSTS(000):$1 (1) Comparability of Current Work to Coal Mine Employment; (2) Coal Mine Employment Affidavit; (3) Affidavit of Deceased Miner's Condition FORMS: CM-913 CM-918 CM-1093 OMB NO: 1215-0057 EXPIRATION DATE: 11/30/2003 RESPS:2,700 HOURS:225 COSTS(000):$0 Authorization for Release of Medical Information FORMS: CM-936 OMB NO: 1215-0058 EXPIRATION DATE: 09/30/2001 RESPS:8,000 HOURS:2,000 COSTS(000):$3 Operator Controversion, Operator Response FORMS: CM-970 CM-970A OMB NO: 1215-0059 EXPIRATION DATE: 03/31/2001 RESPS:4,000 HOURS:667 COSTS(000):$2 Notice of Issuance of Insurance Policy FORMS: CM-921 OMB NO: 1215-0060 EXPIRATION DATE: 10/31/2001 RESPS:3,986 HOURS:996 COSTS(000):$1 Request for State or Federal Workers' Compensation Information FORMS: CM-905 OMB NO: 1215-0061 EXPIRATION DATE: 05/31/2001 RESPS:1,000 HOURS:167 COSTS(000):$0 Certification by School Official FORMS: CM-981 OMB NO: 1215-0064 EXPIRATION DATE: 08/31/2003 RESPS:9,000 HOURS:1,800 COSTS(000):$3 Notice of Termination, Suspension, Reduction or Increase in Benefit Payments FORMS: CM-908 OMB NO: 1215-0066 EXPIRATION DATE: 11/30/2002 RESPS:115,500 HOURS:124,740 COSTS(000):$42 Request for Examination and/or Treatment FORMS: LS-1 OMB NO: 1215-0067 EXPIRATION DATE: 07/31/2002 RESPS:7,000 HOURS:3,500 COSTS(000):$0 Rehabilitation Plan and Award FORMS: OWCP-16 OMB NO: 1215-0069 EXPIRATION DATE: 08/31/2001 RESPS:3,300 HOURS:440 COSTS(000):$1 Survivor's Form for Benefits FORMS: CM-912 OMB NO: 1215-0072 EXPIRATION DATE: 06/30/2001 RESPS:89,807 HOURS:13,701,349 COSTS(000):$34 OFCCP Recordkeeping and Reporting Requirements, Supply FORMS: NONE OMB NO: 1215-0073 EXPIRATION DATE: 01/31/2002 RESPS:43 HOURS:22 COSTS(000):$0 Application for Continuation of Death Benefits for Students FORMS: LS-266 OMB NO: 1215-0078 EXPIRATION DATE: 12/31/2002 RESPS:13,720 HOURS:9,860 COSTS(000):$17 Representative Fee Request FORMS: CA-143 CA-1066 OMB NO: 1215-0080 EXPIRATION DATE: 01/31/2003 RESPS:15 HOURS:5 COSTS(000):$0 Application for Authority for an Institution of Higher Education to Employ Its Full-Time Students at Subminimum Wages under Regulations Part 519 FORMS: WH-201 OMB NO: 1215-0083 EXPIRATION DATE: 01/31/2003 RESPS:45 HOURS:8 COSTS(000):$0 Application for Federal Certificate of Age FORMS: WH-14 OMB NO: 1215-0084 EXPIRATION DATE: 07/31/2002 RESPS:30,000 HOURS:2,650 COSTS(000):$0 Report of Changes That May Affect Your Black Lung Benefits FORMS: CM-929 OMB NO: 1215-0085 EXPIRATION DATE: 05/31/2002 RESPS:6,800 HOURS:1,088 COSTS(000):$3 Pre-Hearing Statement FORMS: LS-18 OMB NO: 1215-0090 EXPIRATION DATE: 05/31/2002 RESPS:37,800 HOURS:9,338 COSTS(000):$0 Report of Ventilatory Study -- CM-907, Roentgenographic Interpretation -- CM-933 & CM-933b, Medical History & Examination for Coal Mine Workers' Compensation -- CM-988 & Report of.... FORMS: CM-907 CM-933 CM-933B CM-988 CM-1159 OMB NO: 1215-0103 EXPIRATION DATE: 08/31/2002 RESPS:302,628 HOURS:30,766 COSTS(000):$109 FECA Medical Report Forms FORMS: CA-7 CA-16-17 CA-20 CA-1090 CA-1303 CA-1305-1306 CA-1314 CA-1316 CA-1331-1332 CA-1336 OMB NO: 1215-0105 EXPIRATION DATE: 03/31/2001 RESPS:1,000 HOURS:250 COSTS(000):$1 Request for Employment Information FORMS: CA-1027 OMB NO: 1215-0112 EXPIRATION DATE: 06/30/2003 RESPS:1,700 HOURS:425 COSTS(000):$0 Request for Earnings Information FORMS: LS-426 OMB NO: 1215-0113 EXPIRATION DATE: 11/30/2002 RESPS:9,000 HOURS:3,600 COSTS(000):$0 Certificate of Medical Necessity FORMS: CM-893 OMB NO: 1215-0116 EXPIRATION DATE: 09/30/2001 RESPS:63 HOURS:87 COSTS(000):$0 Notice of Law Enforcement Officer's Injury or Occupational Disease -- CA-721; Notice of Law Enforcement Officer's Death -- CA-722 FORMS: CA-721 CA-722 OMB NO: 1215-0119 EXPIRATION DATE: 02/28/2003 RESPS:1,924,000 HOURS:2 COSTS(000):$0 Requirements of a Bona Fide Thrift or Saving Plan -- 29 CFR Part 547 and Requirements of a Bona Fide Profit-Sharing Plan or Trust -- 29 CFR Part 549 FORMS: NONE OMB NO: 1215-0120 EXPIRATION DATE: 08/31/2001 RESPS:1 HOURS:4 COSTS(000):$0 Waiver of Child Labor Provisions for Agricultural Employment of 10 and 11 Year Old Minors in Hand Harvesting of Short Season Crops -- 29 CFR Part 575 FORMS: NONE OMB NO: 1215-0121 EXPIRATION DATE: 02/28/2003 RESPS:14,014 HOURS:7,145 COSTS(000):$0 Work Experience and Career Exploration Programs (29 CFR 570.35A) FORMS: NONE OMB NO: 1215-0124 EXPIRATION DATE: 09/30/2001 RESPS:150 HOURS:1 COSTS(000):$0 Maintenance of Receipt for Benefits Paid by a Coal Mine Operator FORMS: CM-200 OMB NO: 1215-0131 EXPIRATION DATE: 11/30/2001 RESPS:1,150 HOURS:1,472 COSTS(000):$0 OFCCP Complaint Form CC-4 FORMS: CC-4 OMB NO: 1215-0137 EXPIRATION DATE: 01/31/2002 RESPS:4,000 HOURS:300 COSTS(000):$1 Black Lung Provider Enrollment Form FORMS: CM-1168 OMB NO: 1215-0140 EXPIRATION DATE: 04/30/2001 RESPS:2,506 HOURS:631 COSTS(000):$0 Davis-Bacon and Related Acts Contract Work Hours and Safety Standards Reporting Requirements Regulations -- 29 CFR Part 5 FORMS: NONE OMB NO: 1215-0144 EXPIRATION DATE: 05/31/2002 RESPS:4,500 HOURS:4,500 COSTS(000):$2 Overpayment Recovery Questionnaire FORMS: OWCP-20 OMB NO: 1215-0146 EXPIRATION DATE: 09/30/2002 RESPS:1,300 HOURS:650 COSTS(000):$0 Housing Terms and Conditions FORMS: WH-521 OMB NO: 1215-0148 EXPIRATION DATE: 08/31/2003 RESPS:34,000,000 HOURS:566,667 COSTS(000):$0 Wage Statement FORMS: WH-501 WH-501S OMB NO: 1215-0149 EXPIRATION DATE: 03/31/2003 RESPS:9,840,320 HOURS:9,200,000 COSTS(000):$354 Optional Use Payroll form Under the Davis-Bacon Act FORMS: WH-347 OMB NO: 1215-0150 EXPIRATION DATE: 09/30/2001 RESPS:61,789 HOURS:59,368 COSTS(000):$0 Labor Standards for Federal Service Contracts -- 29 CFR Part 4 FORMS: NONE OMB NO: 1215-0151 EXPIRATION DATE: 01/31/2002 RESPS:50,000 HOURS:16,667 COSTS(000):$17 Request for Informtion on Earnings, Dual Benefits, Dependents FORMS: CA-1032 OMB NO: 1215-0154 EXPIRATION DATE: 05/31/2002 RESPS:6,054 HOURS:505 COSTS(000):$2 Claim for Continuance of Compensation FORMS: CA-12 OMB NO: 1215-0155 EXPIRATION DATE: 04/30/2001 RESPS:3,615 HOURS:1,835 COSTS(000):$1 Claim for Compensation by Dependents Information Reports FORMS: CA-5 CA-5B CA-1031 CA-1074 CA-1085 CA-1093 CA-1615 CA-1617 CA-1618 OMB NO: 1215-0158 EXPIRATION DATE: 06/30/2002 RESPS:60 HOURS:4 COSTS(000):$0 Housing Occupancy Certificate, Migrant and Seasonal Agricultural Worker Protection Act FORMS: WH-520 OMB NO: 1215-0160 EXPIRATION DATE: 11/30/2003 RESPS:189,144 HOURS:76,326 COSTS(000):$59 Regulations Governing the Administration of the Longshore and Harbor Workers' Compensation Act FORMS: LS-200 LS-271 LS-201 LS-513 LS-267 LS-203 LS-204 LS-262 OMB NO: 1215-0161 EXPIRATION DATE: 09/30/2003 RESPS:15,600 HOURS:2,605 COSTS(000):$0 Rehabilitation Maintenance Certificate FORMS: OWCP-17 OMB NO: 1215-0163 EXPIRATION DATE: 12/31/2003 RESPS:103,711 HOURS:4,841,475 COSTS(000):$0 Recordkeeping and Reporting Requirements, Construction FORMS: CC-41 OMB NO: 1215-0166 EXPIRATION DATE: 02/28/2003 RESPS:2,350 HOURS:783 COSTS(000):$1 Request To Be Selected as a Payee FORMS: CM-910 OMB NO: 1215-0167 EXPIRATION DATE: 08/31/2002 RESPS:550 HOURS:275 COSTS(000):$0 Notice of Recurrence of Disability and Claim for Continuation of Pay/Compensation FORMS: CA-2A OMB NO: 1215-0170 EXPIRATION DATE: 10/31/2002 RESPS:328,000 HOURS:82,406 COSTS(000):$0 Application of the Employee Polygraph Protection Act FORMS: NONE OMB NO: 1215-0171 EXPIRATION DATE: 11/30/2001 RESPS:1,000 HOURS:700 COSTS(000):$0 Application for Approval of a Representative's Fee in a Black Lung Claim Proceeding Conducted by the U.S. Department of Labor FORMS: CM-972 OMB NO: 1215-0173 EXPIRATION DATE: 10/31/2002 RESPS:3,098 HOURS:3,569 COSTS(000):$0 Representative Payee Report -- CM-623 Representative Payee Report, Short Form -- CM-623S Physician's/Medical Officer's Report -- CM-787 FORMS: CM-623 CM-623S CM-787 OMB NO: 1215-0175 EXPIRATION DATE: 06/30/2003 RESPS:15,000 HOURS:5,000 COSTS(000):$0 The Remedial Education Provisions of the Fair Labor Standards Act FORMS: NONE OMB NO: 1215-0176 EXPIRATION DATE: 12/31/2003 RESPS:166,622 HOURS:28,538 COSTS(000):$0 Uniform Health Insurance Claim Form FORMS: OWCP-92(UB-92) OMB NO: 1215-0178 EXPIRATION DATE: 06/30/2001 RESPS:720 HOURS:360 COSTS(000):$0 Claim for Reimbursement-Assisted Reemployment FORMS: CA-2231 OMB NO: 1215-0181 EXPIRATION DATE: 06/30/2002 RESPS:9,142,500 HOURS:645,625 COSTS(000):$0 The Family and Medical Leave Act of 1993 -- 29 CFR Part 825 FORMS: WH-380 WH-381 OMB NO: 1215-0182 EXPIRATION DATE: 08/31/2002 RESPS:7,000 HOURS:3,500 COSTS(000):$0 Rehabilitation Action Report FORMS: OWCP-44 OMB NO: 1215-0187 EXPIRATION DATE: 02/28/2002 RESPS:2,625,000 HOURS:85,333 COSTS(000):$24 Worker Information, Terms and Conditions of Employment FORMS: WH-516-ENGLISH WH-516-ESPANOL OMB NO: 1215-0188 EXPIRATION DATE: 11/30/2002 RESPS:33,652 HOURS:197,630 COSTS(000):$0 Labor Organization and Auxiliary Reports FORMS: LM-1-4 LM-10 LM-15 LM-15A LM-16 LM-20 LM-21 S-1 OMB NO: 1215-0190 EXPIRATION DATE: 01/31/2003 RESPS:88 HOURS:22 COSTS(000):$0 29 CFR Part 9 - Executive Order 12933 of October 20, 1994; "Nondisplacement of Qualified Workers Under Certain Contracts" FORMS: NONE OMB NO: 1215-0192 EXPIRATION DATE: 07/31/2003 RESPS:651 HOURS:325 COSTS(000):$0 Employment Under Special Certificate of Apprentices, Messengers and Learners (including Student Learners) FORMS: WH-205 WH-209 OMB NO: 1215-0193 EXPIRATION DATE: 01/31/2001 RESPS:40,500 HOURS:6,723 COSTS(000):$0 Claimant Medical Reimbursement Form FORMS: CA-915 OMB NO: 1215-0194 EXPIRATION DATE: 01/31/2001 RESPS:406,198 HOURS:33,714 COSTS(000):$0 The NCPDP Universal Pharmacy Billing Form FORMS: 79-1A OMB NO: 1215-0195 EXPIRATION DATE: 01/31/2001 RESPS:10 HOURS:333 COSTS(000):$0 Survey of Physicians Board Certified in Internal Medicine with a Sub-Specialty in Pulmonary Medicine, Plumonary Clinics and Facilities FORMS: NONE OMB NO: 1215-0196 EXPIRATION DATE: 03/31/2003 RESPS:50,000 HOURS:1,050,000 COSTS(000):$150 Equal Opportunity Survey FORMS: NONE Occupational Safety and Health Administration OMB NO: 1218-0003 EXPIRATION DATE: 07/31/2001 RESPS:6,443 HOURS:93 COSTS(000):$474 Gear Certification -- 29 CFR Part 1919 FORMS: OSHA-70 OSHA-71 OSHA-72 OMB NO: 1218-0007 EXPIRATION DATE: 07/31/2003 RESPS:3,064 HOURS:766 COSTS(000):$0 Reporting of Fatality and Multiple Hospitalization Incidents (29 CFR 1904.8) FORMS: NONE OMB NO: 1218-0010 EXPIRATION DATE: 02/28/2003 RESPS:5,512 HOURS:2,978 COSTS(000):$258 Vinyl Chloride FORMS: NONE OMB NO: 1218-0011 EXPIRATION DATE: 01/31/2002 RESPS:82,560 HOURS:134,993 COSTS(000):$0 Confined and Enclosed Spaces and Other Dangerous Atmospheres FORMS: NONE OMB NO: 1218-0020 EXPIRATION DATE: 04/30/2001 RESPS:200 HOURS:11,800 COSTS(000):$0 Application for Training Grant FORMS: NONE OMB NO: 1218-0048 EXPIRATION DATE: 01/31/2001 RESPS:8,859,832 HOURS:5,166,401 COSTS(000):$53,892 Noise -- 1910.95 FORMS: NONE OMB NO: 1218-0054 EXPIRATION DATE: 08/31/2001 RESPS:2,900 HOURS:100 COSTS(000):$9 Crane and Derricks: Construction, Oxygen, and Toxic Gas Test FORMS: NONE OMB NO: 1218-0061 EXPIRATION DATE: 01/31/2002 RESPS:280,655 HOURS:75,696 COSTS(000):$6,060 Cotton Dust 29 CFR 1910.1043 FORMS: NONE OMB NO: 1218-0064 EXPIRATION DATE: 09/30/2001 RESPS:28,713 HOURS:8,155 COSTS(000):$2 Notice of Alleged Safety and Health Hazards -- OSHA-7 Form FORMS: OSHA-7-FORM OMB NO: 1218-0065 EXPIRATION DATE: 01/31/2001 RESPS:3,068,284 HOURS:578,803 COSTS(000):$0 Access to Employee Exposure and Medical Records -- 1910.1020 FORMS: NONE OMB NO: 1218-0067 EXPIRATION DATE: 10/31/2001 RESPS:295,260 HOURS:8,357 COSTS(000):$115 Underground Construction Air Quality Record FORMS: NONE OMB NO: 1218-0069 EXPIRATION DATE: 11/30/2001 RESPS:406,200 HOURS:91,326 COSTS(000):$0 Commercial Diving Operations -- 29 CFR Part 1910, Subpart T FORMS: NONE OMB NO: 1218-0070 EXPIRATION DATE: 05/31/2003 RESPS:123 HOURS:41 COSTS(000):$0 Reports of Injuries to Employees Operating Mechanical Power Presses (29 CFR 1910.217(g)) FORMS: NONE OMB NO: 1218-0072 EXPIRATION DATE: 02/28/2002 RESPS:474,129,468 HOURS:7,560,232 COSTS(000):$0 Hazard Communication -- 29 CFR 1200, 1915, 1917, 1918, 1926, 1928 FORMS: NONE OMB NO: 1218-0075 EXPIRATION DATE: 11/30/2001 RESPS:1,670 HOURS:172 COSTS(000):$0 Fire Brigades -- 29 CFR 1910.156 FORMS: NONE OMB NO: 1218-0085 EXPIRATION DATE: 03/31/2003 RESPS:1,121 HOURS:2,798 COSTS(000):$86 The 13 Carcinogens Standard (29 CFR 1910.1003, 1915.1003 and 1926.1103) FORMS: NONE OMB NO: 1218-0092 EXPIRATION DATE: 01/31/2001 RESPS:4,594,109 HOURS:1,623,945 COSTS(000):$4,699 Lead in General Industry FORMS: NONE OMB NO: 1218-0093 EXPIRATION DATE: 08/31/2001 RESPS:124,658 HOURS:5,555 COSTS(000):$0 Construction Posing Requirements, Emergency Phone Number and Floor Load Limits FORMS: NONE OMB NO: 1218-0095 EXPIRATION DATE: 07/31/2001 RESPS:46,722 HOURS:7,787 COSTS(000):$0 Concrete and Masonry Construction FORMS: NONE OMB NO: 1218-0096 EXPIRATION DATE: 12/31/2002 RESPS:838 HOURS:67 COSTS(000):$0 Temporary Labor Camps -- 29 CFR 1910.142 FORMS: NONE OMB NO: 1218-0099 EXPIRATION DATE: 06/30/2001 RESPS:15,642,571 HOURS:8,926,558 COSTS(000):$179,851 Respiratory Protection FORMS: NONE OMB NO: 1218-0100 EXPIRATION DATE: 04/30/2001 RESPS:140 HOURS:1,680 COSTS(000):$0 Grantee Quarterly Progress Report FORMS: OSHA-171 OMB NO: 1218-0101 EXPIRATION DATE: 06/30/2003 RESPS:1 HOURS:1 COSTS(000):$0 1,2-Dibromo-3-Chloropropane (DBCP) 29 CFR 1910.1044 FORMS: NONE OMB NO: 1218-0103 EXPIRATION DATE: 06/30/2001 RESPS:258,745 HOURS:42,518 COSTS(000):$2,512 Ionizing Radiation 29 CFR 1910.1096 FORMS: NONE OMB NO: 1218-0104 EXPIRATION DATE: 05/31/2003 RESPS:58,763 HOURS:7,376 COSTS(000):$1,132 Inorganic Arsenic (29 CFR 1910.1018) FORMS: NONE OMB NO: 1218-0108 EXPIRATION DATE: 09/30/2003 RESPS:232,564 HOURS:49,200 COSTS(000):$7,056 Ethylene Oxide (29 CFR 1910.1047) FORMS: NONE OMB NO: 1218-0110 EXPIRATION DATE: 06/30/2002 RESPS:27,048 HOURS:11,905 COSTS(000):$0 Consultation Agreements FORMS: NONE OMB NO: 1218-0113 EXPIRATION DATE: 06/30/2001 RESPS:32,900 HOURS:218,090 COSTS(000):$0 Construction Crane or Derrick Annual Inspection Record FORMS: NONE OMB NO: 1218-0115 EXPIRATION DATE: 08/31/2001 RESPS:59,944 HOURS:4,996 COSTS(000):$333 Construction Crane Rating Charting Limitation Instructions and Hand Signal Illustrations FORMS: NONE OMB NO: 1218-0121 EXPIRATION DATE: 06/30/2001 RESPS:56,087 HOURS:246,498 COSTS(000):$0 Powered Platforms for Building Maintenance -- 29 CFR 1910.66 FORMS: NONE OMB NO: 1218-0126 EXPIRATION DATE: 01/31/2002 RESPS:18,960 HOURS:4,428 COSTS(000):$197 Acrylonitrile (29 CFR 1910.1045) FORMS: NONE OMB NO: 1218-0128 EXPIRATION DATE: 05/31/2003 RESPS:83,111 HOURS:60,664 COSTS(000):$1,365 Coke Oven Emissions (29 CFR 1910.1028) FORMS: NONE OMB NO: 1218-0129 EXPIRATION DATE: 05/31/2003 RESPS:185,719 HOURS:125,195 COSTS(000):$8,180 Benzene 29 CFR 1910.1028 FORMS: NONE OMB NO: 1218-0130 EXPIRATION DATE: 01/31/2002 RESPS:1,555,700 HOURS:53,001 COSTS(000):$0 Electrical Standards for Construction -- 29 CFR Part 1926, Subpart K FORMS: NONE OMB NO: 1218-0131 EXPIRATION DATE: 11/30/2001 RESPS:306,909 HOURS:107,842 COSTS(000):$10,569 Hazardous Chemicals in Laboratories FORMS: NONE OMB NO: 1218-0132 EXPIRATION DATE: 06/30/2001 RESPS:112,000 HOURS:30,225 COSTS(000):$0 Accident Prevention Tags -- 29 CFR 1910.145 FORMS: NONE OMB NO: 1218-0133 EXPIRATION DATE: 01/31/2001 RESPS:85,306 HOURS:43,197 COSTS(000):$1,625 Asbestos in General Industry FORMS: NONE OMB NO: 1218-0134 EXPIRATION DATE: 01/31/2001 RESPS:53,488,129 HOURS:6,238,200 COSTS(000):$42,779 Asbestos in Construction FORMS: NONE OMB NO: 1218-0137 EXPIRATION DATE: 07/31/2001 RESPS:10,000 HOURS:69,581 COSTS(000):$301 Design of Cave-In Protection Systems FORMS: NONE OMB NO: 1218-0143 EXPIRATION DATE: 01/31/2002 RESPS:1 HOURS:1 COSTS(000):$0 Presence Sensing Device Initiation (PSDI) -- 29 CFR 1910.217(h) FORMS: NONE OMB NO: 1218-0145 EXPIRATION DATE: 01/31/2001 RESPS:1,487,946 HOURS:521,110 COSTS(000):$54,209 Formaldehyde FORMS: NONE OMB NO: 1218-0147 EXPIRATION DATE: 01/31/2001 RESPS:47 HOURS:1,160 COSTS(000):$0 Safety Testing and Certification -- 29 CFR 1910.7 FORMS: NONE OMB NO: 1218-0150 EXPIRATION DATE: 02/28/2002 RESPS:89,227,582 HOURS:1,236,149 COSTS(000):$0 Control of Hazardous Energy Sources (Lockout/Tagout) FORMS: NONE OMB NO: 1218-0151 EXPIRATION DATE: 08/31/2001 RESPS:2,750 HOURS:229 COSTS(000):$0 Crane or Derrick Suspended Personnel Platforms FORMS: NONE OMB NO: 1218-0170 EXPIRATION DATE: 05/31/2003 RESPS:335,944 HOURS:2,909 COSTS(000):$82 1,3-Butadiene (29 CFR 1910.1051) FORMS: NONE OMB NO: 1218-0172 EXPIRATION DATE: 05/31/2001 RESPS:5,500 HOURS:463 COSTS(000):$0 Student Data Form FORMS: OSHA-182 OMB NO: 1218-0173 EXPIRATION DATE: 07/31/2001 RESPS:11,500 HOURS:1,916 COSTS(000):$0 Course Evaluation FORMS: OSHA-49 OMB NO: 1218-0176 EXPIRATION DATE: 01/31/2001 RESPS:4,675,654 HOURS:1,739,157 COSTS(000):$0 Recording and Reporting Occupational Injuries and Illnesses -- 29 CFR Part 1904 FORMS: 200 101 OMB NO: 1218-0179 EXPIRATION DATE: 07/31/2001 RESPS:721,345 HOURS:524,615 COSTS(000):$46,248 Methylene Chloride 1910.1052 FORMS: NONE OMB NO: 1218-0180 EXPIRATION DATE: 01/31/2001 RESPS:11,345,833 HOURS:5,162,397 COSTS(000):$17,263 Bloodborne Pathogens -- 1910.1030 FORMS: NONE OMB NO: 1218-0183 EXPIRATION DATE: 01/31/2002 RESPS:3,220 HOURS:1,523 COSTS(000):$74 4,4'-Methylenedianline (MDA) Construction 29 CFR 1926.60 FORMS: NONE OMB NO: 1218-0184 EXPIRATION DATE: 01/31/2002 RESPS:650 HOURS:327 COSTS(000):$19 4,4'-Methylenedianline (MDA) General Industyr 1910.1050 FORMS: NONE OMB NO: 1218-0185 EXPIRATION DATE: 11/30/2001 RESPS:359,968 HOURS:148,172 COSTS(000):$19,069 Cadmium in General Industry FORMS: NONE OMB NO: 1218-0186 EXPIRATION DATE: 07/31/2001 RESPS:243,555 HOURS:36,388 COSTS(000):$2,233 Cadmium in Construction FORMS: NONE OMB NO: 1218-0189 EXPIRATION DATE: 01/31/2001 RESPS:6,351,167 HOURS:1,814,671 COSTS(000):$87,087 Lead in Construction -- 1926.62 FORMS: NONE OMB NO: 1218-0190 EXPIRATION DATE: 09/30/2003 RESPS:515,094 HOURS:34,496 COSTS(000):$0 Electrical Protective Equipment (1910.137), and Electric Power Generation, Transmission, and Distribution (1910.269) Standard FORMS: NONE OMB NO: 1218-0195 EXPIRATION DATE: 01/31/2001 RESPS:2,468 HOURS:1,484 COSTS(000):$35 Asbestos in Shipyards FORMS: NONE OMB NO: 1218-0196 EXPIRATION DATE: 05/31/2002 RESPS:170,749 HOURS:23,161 COSTS(000):$0 Longshoring and Marine Terminals -- 29 CFR Parts 1910, 1917, and 1918 FORMS: NONE OMB NO: 1218-0197 EXPIRATION DATE: 01/31/2001 RESPS:100,000 HOURS:767,246 COSTS(000):$0 Construction Fall Protection Plans and Records FORMS: NONE OMB NO: 1218-0198 EXPIRATION DATE: 06/30/2001 RESPS:79,200 HOURS:73,106 COSTS(000):$0 Logging Operations -- 29 CFR 1910.266 FORMS: NONE OMB NO: 1218-0199 EXPIRATION DATE: 11/30/2001 RESPS:60,500 HOURS:33,837 COSTS(000):$0 Walking-Working Surfaces -- 29 CFR 1910.21-30 FORMS: NONE OMB NO: 1218-0200 EXPIRATION DATE: 10/31/2002 RESPS:1,406,075 HOURS:79,045,232 COSTS(000):$0 Process Safety Management of Highly Hazardous Chemicals (PSM) -- 1910.119 FORMS: NONE OMB NO: 1218-0202 EXPIRATION DATE: 10/31/2002 RESPS:31,643 HOURS:1,412,915 COSTS(000):$5,045 Hazardous Waste Operations and Emergency Response (HAZWOPER) -- 29 CFR 1910.120 FORMS: NONE OMB NO: 1218-0203 EXPIRATION DATE: 08/31/2002 RESPS:9,571,943 HOURS:1,634,663 COSTS(000):$0 Permit-Required Confined Spaces -- 29 CFR 1910.146 FORMS: NONE OMB NO: 1218-0205 EXPIRATION DATE: 05/31/2003 RESPS:5,965,572 HOURS:1,834,279 COSTS(000):$0 Personal Protection Equipment for General Industry (29 CFR 1910.132) FORMS: NONE OMB NO: 1218-0206 EXPIRATION DATE: 07/31/2001 RESPS:1,907,660 HOURS:138,921 COSTS(000):$0 Grain Handling Facilities -- 29 CFR 1910.272 FORMS: NONE OMB NO: 1218-0207 EXPIRATION DATE: 07/31/2001 RESPS:35,307 HOURS:380,178 COSTS(000):$0 Welding, Cutting, and Brazing FORMS: NONE OMB NO: 1218-0208 EXPIRATION DATE: 06/30/2001 RESPS:300 HOURS:2,500 COSTS(000):$0 Storage and Handling of Anhydrous Ammonia -- 29 CFR 1910.111 FORMS: NONE OMB NO: 1218-0209 EXPIRATION DATE: 01/31/2001 RESPS:81,825 HOURS:35,913 COSTS(000):$0 OSHA Data Collection System FORMS: 196A 196B OMB NO: 1218-0215 EXPIRATION DATE: 05/31/2003 RESPS:87,000 HOURS:2,255 COSTS(000):$0 Personal Protective Equipment (PPE) for Shipyard Employment (29 CFR Part 1915) FORMS: NONE OMB NO: 1218-0216 EXPIRATION DATE: 12/31/2003 RESPS:60 HOURS:3 COSTS(000):$0 Manfacturer's Certification of Modifications Made to Construction Aerial Lifts FORMS: NONE OMB NO: 1218-0217 EXPIRATION DATE: 06/30/2002 RESPS:160 HOURS:1,280 COSTS(000):$227 Blasting Operations (29 CFR 1926.900(k)(3)(i)) FORMS: NONE OMB NO: 1218-0218 EXPIRATION DATE: 06/30/2002 RESPS:1,133,333 HOURS:127,500 COSTS(000):$11,560 Portable Fire Extinguishers, Hydrostatic Testing Certification Record (29 CFr 1910.157(f)(16)) FORMS: NONE OMB NO: 1218-0219 EXPIRATION DATE: 06/30/2002 RESPS:80 HOURS:6 COSTS(000):$0 Servicing Multi-Piece and Single Piece Rim Wheels, Manufacturer's Certification Record (29 CFR 1910.177(d)(3)(iv)) FORMS: NONE OMB NO: 1218-0220 EXPIRATION DATE: 06/30/2002 RESPS:19,200 HOURS:4,461 COSTS(000):$0 Shipyard Certification Records (29 CFR 1915.113(b)((1) and 1915.172(d)) FORMS: NONE OMB NO: 1218-0221 EXPIRATION DATE: 06/30/2002 RESPS:462,000 HOURS:174,000 COSTS(000):$0 Crawler, Locomotive, and Truck Cranes, Inspection Certifications (29 CFR 1910.180(d)(2), (d)(6), (g)(1), and (g)(2)(ii)) FORMS: NONE OMB NO: 1218-0222 EXPIRATION DATE: 06/30/2002 RESPS:114,000 HOURS:28,500 COSTS(000):$0 Derricks, Inspection Certifications -- 29 CFR 1910.181(g)(1) and (g)(3) FORMS: NONE OMB NO: 1218-0223 EXPIRATION DATE: 06/30/2002 RESPS:155,675 HOURS:21,435 COSTS(000):$0 Inspection Certification Records for Slings (20 CFR 1910.184) FORMS: NONE OMB NO: 1218-0224 EXPIRATION DATE: 06/30/2002 RESPS:1,110,000 HOURS:367,500 COSTS(000):$0 Overhead and Gantry Cranes, Inspection Certification Records (29 CFR 1910.179(j)(2)(iii), (j)(2)(iv), (m)(1), and (m)(2) FORMS: NONE OMB NO: 1218-0225 EXPIRATION DATE: 06/30/2002 RESPS:107,138 HOURS:7,487 COSTS(000):$0 Telecommunications, Training Certification (29 CFR 1910.268(c)) FORMS: NONE OMB NO: 1218-0226 EXPIRATION DATE: 06/30/2002 RESPS:156,000 HOURS:51,000 COSTS(000):$0 Manlifts, Inspection Certifications (29 CFR 1910.68(e)(3)) FORMS: NONE OMB NO: 1218-0227 EXPIRATION DATE: 06/30/2002 RESPS:52 HOURS:9 COSTS(000):$0 Trucks Used Underground to Transport Explosives (29 CFR 1926.903(e) -- Inspection Certifications FORMS: NONE OMB NO: 1218-0228 EXPIRATION DATE: 06/30/2002 RESPS:1,440,400 HOURS:244,868 COSTS(000):$0 Forging Machines, Inspection Certification Records (29 CFR 1910.218(a)(2)(i) and (a)(2)(ii)) FORMS: NONE OMB NO: 1218-0229 EXPIRATION DATE: 06/30/2002 RESPS:9,971,000 HOURS:1,372,930 COSTS(000):$0 Mechanical Power Presses, Inspection Certification Records (29 CFR 1910.217(e)(1)(i) and (e)(1)(ii)) FORMS: NONE OMB NO: 1218-0230 EXPIRATION DATE: 06/30/2002 RESPS:900 HOURS:45 COSTS(000):$0 Aerial Lifts, Manufacturer's Certification Record of Modification (29 CFR 1910.67(b)(2)) FORMS: NONE OMB NO: 1218-0231 EXPIRATION DATE: 06/30/2002 RESPS:63,360 HOURS:15,840 COSTS(000):$0 Construction Records for Tests and Inspection for Personnel Hoists (29 CFR 1926.552(c)(15)) FORMS: NONE OMB NO: 1218-0232 EXPIRATION DATE: 06/30/2002 RESPS:1,128,000 HOURS:169,200 COSTS(000):$0 Crawler, ruck and Locomotive Cranes (29 CFR 1926.550(b)(2)) FORMS: NONE OMB NO: 1218-0233 EXPIRATION DATE: 06/30/2002 RESPS:18,940 HOURS:1,515 COSTS(000):$0 Rigging Equipment for Material Handling (29 CFR 1926.251)(c)(15)(ii) FORMS: NONE OMB NO: 1218-0236 EXPIRATION DATE: 04/30/2001 RESPS:200 HOURS:200 COSTS(000):$0 Procedures for the Handling of Discrimination Complaints under Federal Employee Protection Statutes -- 29 CFR Part 24 FORMS: NONE OMB NO: 1218-0237 EXPIRATION DATE: 06/30/2001 RESPS:1 HOURS:1 COSTS(000):$0 Dipping and Coating Operations (Dip Tanks) FORMS: NONE OMB NO: 1218-0238 EXPIRATION DATE: 05/31/2001 RESPS:127,500 HOURS:63,750 COSTS(000):$9,180 Portable Fire Extinguishers, Annual Maintenance Certification Record -- 29 CFR 1910.157(e)(3) FORMS: NONE OMB NO: 1218-0239 EXPIRATION DATE: 07/31/2001 RESPS:90 HOURS:18,000 COSTS(000):$0 Voluntary Protection Programs (VPP) Application Information FORMS: NONE OMB NO: 1218-0241 EXPIRATION DATE: 10/31/2001 RESPS:73,570 HOURS:79,228 COSTS(000):$61 Steel Erection -- Subpart R, 29 CFR Part 1926.750 through 1926.761 (Proposed Rule) FORMS: NONE OMB NO: 1218-0242 EXPIRATION DATE: 11/30/2001 RESPS:1,835,541 HOURS:543,860 COSTS(000):$0 Powered Industrial Truck Operator Training -- 29 CFR 1910.178 FORMS: NONE OMB NO: 1218-0244 EXPIRATION DATE: 10/31/2002 RESPS:1,000 HOURS:14,860 COSTS(000):$0 Strategic Partnerships for Worker Safety and Health (OSP) FORMS: NONE OMB NO: 1218-0245 EXPIRATION DATE: 12/31/2003 RESPS:122,570,126 HOURS:40,582,309 COSTS(000):$61,114 Ergonomic Program Standard - (29 CFR 1910.900) FORMS: NONE Mine Safety and Health Administration OMB NO: 1219-0001 EXPIRATION DATE: 01/31/2001 RESPS:3,800 HOURS:16,584 COSTS(000):$389 Certificate of Electrical/Noise Training -- 30 CFR 70-504-1, 70-504-2, 71.801, 75.153(a)(2), and 77.103(a)(2)) FORMS: MSHA5000-1 OMB NO: 1219-0003 EXPIRATION DATE: 12/31/2001 RESPS:1,000 HOURS:8,000 COSTS(000):$0 Radiation Sampling and Exposure Records -- 30 CFR 57.5037 and 57.5040 FORMS: 4000-9 OMB NO: 1219-0004 EXPIRATION DATE: 05/31/2003 RESPS:3,517 HOURS:5,967 COSTS(000):$6 Roof Control Plans (30 CFR 75.220, 75.221, and 75.223) FORMS: NONE OMB NO: 1219-0006 EXPIRATION DATE: 09/30/2002 RESPS:89,205 HOURS:43,915 COSTS(000):$22,791 Quarterly Mine Employment and Coal Reduction Report -- 30 CFR 50.30(a) FORMS: MSHA-7000-2 OMB NO: 1219-0007 EXPIRATION DATE: 09/30/2002 RESPS:70,344 HOURS:74,992 COSTS(000):$19 Mine Accident, Injury, and Illness Report -- 30 CFR 50.10; 50.11; and 50.20(a) FORMS: 7000-1 OMB NO: 1219-0008 EXPIRATION DATE: 12/31/2001 RESPS:6,307 HOURS:2,447 COSTS(000):$2 Notification of Legal Identity -- 30 CFR Section 41.10, 41.11, 41.12, and 41.20 FORMS: 2000-7 OMB NO: 1219-0009 EXPIRATION DATE: 10/31/2001 RESPS:1,300 HOURS:10,400 COSTS(000):$2 Training Plan Regulations -- 48.3 and 48.23 FORMS: NONE OMB NO: 1219-0011 EXPIRATION DATE: 02/28/2003 RESPS:58,162 HOURS:42,454 COSTS(000):$3,128 Mine Operator Dust Data Cards -- 70/71/90.209; 70/71/90.201(c); 70/71/90.202(b); 70/7l/90.220(a); 7l/90.300; and 70/90.301(d) FORMS: NONE OMB NO: 1219-0012 EXPIRATION DATE: 06/30/2003 RESPS:7 HOURS:11 COSTS(000):$0 Main Fan Maintenance Record FORMS: NONE OMB NO: 1219-0014 EXPIRATION DATE: 08/31/2001 RESPS:637 HOURS:127 COSTS(000):$0 Hazardous Conditions Complaints -- 30 CFR 43.2, 43.4, 43.7, and 43.8 FORMS: NONE OMB NO: 1219-0015 EXPIRATION DATE: 01/31/2002 RESPS:12,768 HOURS:96,688 COSTS(000):$0 Refuse Piles and Impounding Structures, Recordkeeping and Reporting Requirements FORMS: NONE OMB NO: 1219-0016 EXPIRATION DATE: 10/31/2001 RESPS:240 HOURS:5,760 COSTS(000):$0 Mine Ventilation System Plan -- 57.8520 FORMS: NONE OMB NO: 1219-0019 EXPIRATION DATE: 10/31/2001 RESPS:25 HOURS:1,000 COSTS(000):$0 Slope and Shaft Sinking Plans -- 30 CFR 77.19000 FORMS: NONE OMB NO: 1219-0020 EXPIRATION DATE: 10/31/2001 RESPS:14 HOURS:70 COSTS(000):$0 Operations under Water -- 30 CFR 73.1716, 75.1716-1, and 75.1716-3 FORMS: NONE OMB NO: 1219-0024 EXPIRATION DATE: 12/31/2001 RESPS:940 HOURS:384 COSTS(000):$0 Application for Waiver of Surface Facilities Requirements -- 30 CFR 71.403, 75.1712-4, and 75.1712-5 FORMS: NONE OMB NO: 1219-0025 EXPIRATION DATE: 09/30/2001 RESPS:190 HOURS:110 COSTS(000):$1 Application for a Permit to Fire More than 20 Boreholes for the Use of Nonpermissible Blasting Units, Explosives, and Shot-Firing Units FORMS: NONE OMB NO: 1219-0026 EXPIRATION DATE: 09/30/2003 RESPS:159 HOURS:1,404 COSTS(000):$0 Ground Control Plan (30 CFR 77.1000 and 77.1000-1) FORMS: NONE OMB NO: 1219-0030 EXPIRATION DATE: 12/31/2003 RESPS:2,625 HOURS:1,313 COSTS(000):$2 Main Fan Operation and Inspection (30 CFR 57.22204) FORMS: NONE OMB NO: 1219-0034 EXPIRATION DATE: 01/31/2002 RESPS:99,032 HOURS:34,460 COSTS(000):$0 Records of Tests and Examinations of Personnel Hoisting Equipment FORMS: NONE OMB NO: 1219-0039 EXPIRATION DATE: 01/31/2001 RESPS:2 HOURS:2 COSTS(000):$0 Gamma Radiation Exposure Records FORMS: NONE OMB NO: 1219-0040 EXPIRATION DATE: 12/31/2002 RESPS:92,528 HOURS:12,334 COSTS(000):$200 Independent Contractor Register -- 30 CFR 45.4(b) FORMS: NONE OMB NO: 1219-0041 EXPIRATION DATE: 06/30/2001 RESPS:328 HOURS:164 COSTS(000):$0 Program to Prevent Smoking in Hazardous Areas -- 30 CFR 75.1702 FORMS: NONE OMB NO: 1219-0042 EXPIRATION DATE: 10/31/2001 RESPS:350 HOURS:175 COSTS(000):$0 Representative of Miners -- 30 CFR 40.2 and 40.5(a) FORMS: NONE OMB NO: 1219-0043 EXPIRATION DATE: 07/31/2003 RESPS:1,687 HOURS:191 COSTS(000):$1 Identification of Independent Contractors (30 CFR 45.3) FORMS: NONE OMB NO: 1219-0044 EXPIRATION DATE: 10/31/2001 RESPS:4,000 HOURS:2,000 COSTS(000):$86 Record of Results of Examinations of Self-Rescuers, Underground Coal Mines -- 30 CFR 75.1714-3(e) FORMS: NONE OMB NO: 1219-0046 EXPIRATION DATE: 09/30/2001 RESPS:810 HOURS:6,480 COSTS(000):$2 Escape and Evacuation Plan -- 30 CFR 57.11053 FORMS: NONE OMB NO: 1219-0048 EXPIRATION DATE: 12/31/2001 RESPS:15,900 HOURS:3,973 COSTS(000):$0 Respirator Program Records -- 30 CFR 56.5005 and 57.5005 FORMS: NONE OMB NO: 1219-0049 EXPIRATION DATE: 01/31/2002 RESPS:360 HOURS:37 COSTS(000):$111 Hoisting Operators' Physical Fitness and Physical Requirements for Mine Rescue Teams and Man Hoist Operators FORMS: NONE OMB NO: 1219-0051 EXPIRATION DATE: 11/30/2003 RESPS:59 HOURS:263 COSTS(000):$0 Fire Protection, Escape and Evacuation Plan -- 30 CFR 77.1101 FORMS: NONE OMB NO: 1219-0054 EXPIRATION DATE: 09/30/2003 RESPS:398,339 HOURS:89,263 COSTS(000):$2 Fire Protection for Underground Coal Mines (30 CFR Part 75, Subpart L) FORMS: NONE OMB NO: 1219-0065 EXPIRATION DATE: 10/31/2003 RESPS:174 HOURS:5,400 COSTS(000):$79 Petitions for Modification - Pertains to All Mines (30 CFR 44,9, 44.10, and 44.11) FORMS: NONE OMB NO: 1219-0066 EXPIRATION DATE: 02/28/2002 RESPS:876 HOURS:8,831 COSTS(000):$1,849 Permissible Equipment Testing FORMS: NONE OMB NO: 1219-0067 EXPIRATION DATE: 02/28/2002 RESPS:1,328,056 HOURS:985,344 COSTS(000):$0 Examinations and Tests of Electrical Equipment -- 30 CFR 75.512, 75.703(d)(11), 77.502, 75.800, 77.900, 75.1001-1(c), 75.342(a)(4), and 75.351 FORMS: NONE OMB NO: 1219-0069 EXPIRATION DATE: 05/31/2003 RESPS:611 HOURS:213 COSTS(000):$0 Qualification and Certification Program (30 CFR 75.100; 75.155; 77.100; and 77.105) FORMS: 5000-4 5000-7 OMB NO: 1219-0070 EXPIRATION DATE: 09/30/2001 RESPS:638,998 HOURS:36,493 COSTS(000):$281 Certificate of Training (Final Rule) FORMS: 5000-23 5000-23T OMB NO: 1219-0073 EXPIRATION DATE: 10/31/2002 RESPS:2,108 HOURS:28,212 COSTS(000):$24,007 Records of Mine Closures, Opening and Reopening of Mines -- 30 CFR 75/77.1200 and -1; 1202 and -1; 75.1203, 1204, and 1204-1; 75.373; 75.1721 FORMS: NONE OMB NO: 1219-0078 EXPIRATION DATE: 01/31/2001 RESPS:54,984 HOURS:29,267 COSTS(000):$559 Mine Rescue Teams: Arrangements for Emergency Medical Assistance and Arrangements for Transporation for Injured Persons FORMS: NONE OMB NO: 1219-0082 EXPIRATION DATE: 11/30/2003 RESPS:11,858 HOURS:14,823 COSTS(000):$0 Records of Preshift and Onshift Inspections of Slope and Shaft Areas (30 CFR 77.1901) FORMS: NONE OMB NO: 1219-0083 EXPIRATION DATE: 12/31/2003 RESPS:411,885 HOURS:617,828 COSTS(000):$0 Record of Examinations for Hazardous Conditions (30 CFR 77.1713) FORMS: NONE OMB NO: 1219-0088 EXPIRATION DATE: 01/31/2001 RESPS:2,262,566 HOURS:2,723,592 COSTS(000):$194 Ventilation Plans, Tests, and Examinations in Underground Coal Mines (30 CFR 75.310, .312; .342; .351; .360; 75.361-364, 75.370, and 75.382) FORMS: NONE OMB NO: 1219-0089 EXPIRATION DATE: 07/31/2001 RESPS:13,266,343 HOURS:1,425,443 COSTS(000):$0 Safety Defects: Examination, Correction, and Records -- 30 CFR 56.1/57/14100, 57.13015, 56/57.13030, and 56/57.18002 FORMS: NONE OMB NO: 1219-0092 EXPIRATION DATE: 04/30/2003 RESPS:2,070 HOURS:259 COSTS(000):$1 Notification of Commencement of Operations and Closing of Mines (30 CFR 56.1000 and 57.1000) FORMS: NONE OMB NO: 1219-0095 EXPIRATION DATE: 12/31/2003 RESPS:7 HOURS:7 COSTS(000):$0 Explosive Materials and Blasting Units (30 CFR 57.22606) FORMS: NONE OMB NO: 1219-0096 EXPIRATION DATE: 08/31/2003 RESPS:1 HOURS:160 COSTS(000):$0 Underground Retorts (30 CFR 57.22401) FORMS: NONE OMB NO: 1219-0097 EXPIRATION DATE: 12/31/2001 RESPS:2 HOURS:24 COSTS(000):$0 Rock Burst Control Plan (Pertains to Underground Metal/Nonmental Mines) -- 30 CFR 57.3461 FORMS: NONE OMB NO: 1219-0100 EXPIRATION DATE: 08/31/2003 RESPS:307 HOURS:565 COSTS(000):$42 Product Testing by Applicant or Third Part (30 CFR Part 7, Subparts A through F, and J through K) FORMS: NONE OMB NO: 1219-0101 EXPIRATION DATE: 01/31/2002 RESPS:2 HOURS:16 COSTS(000):$0 Applications for Approval of Sanitary Toilet Facilities -- 30 CFR 71.500 and 75.1712-6 FORMS: NONE OMB NO: 1219-0103 EXPIRATION DATE: 08/31/2003 RESPS:372 HOURS:31 COSTS(000):$0 Notification of Methane Detected in Mine Atmosphere (30 CFR 57.220004(c); 57.22229; 57.22230; 57.22231, and 57.22239) FORMS: NONE OMB NO: 1219-0119 EXPIRATION DATE: 02/28/2003 RESPS:234,308 HOURS:56,332 COSTS(000):$662 Approval, Exhaust Gas Monitoring, and Safety Requirements for the Use of Diesel-Powered Equipment in Underground Coal Mines FORMS: NONE OMB NO: 1219-0120 EXPIRATION DATE: 11/30/2002 RESPS:1,461,150 HOURS:123,099 COSTS(000):$18,835 Noise Exposure Assessment; Audiometric Testing Evaluation and Records and Training in All Mines FORMS: NONE OMB NO: 1219-0121 EXPIRATION DATE: 08/31/2003 RESPS:8,616 HOURS:431 COSTS(000):$0 Safety Standard for Roof Bolts in Metal and Nonmetal Mines and Underground Coal Mines (30 CFR 56/57.3203(a), and 75.204(a)) FORMS: NONE OMB NO: 1219-0124 EXPIRATION DATE: 06/30/2001 RESPS:1 HOURS:1 COSTS(000):$1 Approval, Exhaust Gas Monitoring, and Safety Requirements for the Use of Diesel-Powered Equipment in Underground Coal Mines FORMS: NONE OMB NO: 1219-0125 EXPIRATION DATE: 10/31/2001 RESPS:910 HOURS:78,001 COSTS(000):$0 Safety Standards for Underground Coal Mine Ventilation -- 30 CFR 75.360(a)(1) and 75.360(f) FORMS: NONE OMB NO: 1219-0127 EXPIRATION DATE: 02/28/2002 RESPS:13,815 HOURS:23,021 COSTS(000):$0 Records of All Certified and Qualified Persons and Man Hoist Operators Physical Fitness FORMS: NONE OMB NO: 1219-0128 EXPIRATION DATE: 05/31/2002 RESPS:1,849 HOURS:109 COSTS(000):$205 Improving and Eliminating Regulations; Calibration and Maintenance Procedures for Wet Test Meters and Coal Mine Respirable Dust Samples FORMS: NONE OMB NO: 1219-0131 EXPIRATION DATE: 12/31/2002 RESPS:239,871 HOURS:253,393 COSTS(000):$604 Training Plus, New Miner Training, Newly-Hired Experienced Miner Training -- 30 CFR 46.3, .5, .6, .7, .9, and .11 FORMS: NONE OMB NO: 1219-0133 EXPIRATION DATE: 05/31/2002 RESPS:21,166 HOURS:511,721 COSTS(000):$1,235 Hazard Communication - 30 CFR part 47 - (Interim Final Rule) FORMS: NONE Bureau of Labor Statistics OMB NO: 1220-0008 EXPIRATION DATE: 03/31/2002 RESPS:1,266,342 HOURS:390,684 COSTS(000):$0 Producer Price Index Survey FORMS: BLS-473P BLS-1810A A1 B C C1 E OMB NO: 1220-0011 EXPIRATION DATE: 02/28/2002 RESPS:5,238,000 HOURS:596,710 COSTS(000):$0 Report on Employment, Payroll, and Hours FORMS: BLS-790 OMB NO: 1220-0012 EXPIRATION DATE: 07/31/2001 RESPS:212 HOURS:946,400 COSTS(000):$0 Employment, Wages, and Contributions Program -- ES-202 FORMS: NONE OMB NO: 1220-0017 EXPIRATION DATE: 11/30/2002 RESPS:82,718 HOURS:131,600 COSTS(000):$0 Local Area Unemployment Statistics Program FORMS: LAUS-8 LAUS-15 LAUS-16 LAUS-17 LAUS-3040 OMB NO: 1220-0025 EXPIRATION DATE: 09/30/2003 RESPS:40,240 HOURS:23,379 COSTS(000):$0 International Price Program (IPP) U.S. Export Price Indexes FORMS: BLS-3007D BLS-3008 OMB NO: 1220-0026 EXPIRATION DATE: 09/30/2003 RESPS:40,240 HOURS:24,246 COSTS(000):$0 International Price Program/U.S. Import Product Information FORMS: BLS-3007D BLS-3008 OMB NO: 1220-0032 EXPIRATION DATE: 12/31/2003 RESPS:1,700,150 HOURS:153,051 COSTS(000):$0 Annual Refiling Survey FORMS: BLS-3023-NVS BLS-3023-NVM BLS-3023-NCA BLS-3023-NAX OMB NO: 1220-0039 EXPIRATION DATE: 06/30/2002 RESPS:337,361 HOURS:89,749 COSTS(000):$0 Consumer Price Index Commodities and Service Survey FORMS: BLS-3400 BLS-3400-A.2 BLS-3400-B BLS-3400-C BLS-3401 OMB NO: 1220-0042 EXPIRATION DATE: 08/31/2001 RESPS:336,841 HOURS:262,980 COSTS(000):$0 Report on Occupational Employment FORMS: BLS-2877 BLS-2877-RAS OMB NO: 1220-0044 EXPIRATION DATE: 12/31/2002 RESPS:67,200 HOURS:12,320 COSTS(000):$0 Point of Purchase Survey FORMS: NONE OMB NO: 1220-0045 EXPIRATION DATE: 12/31/2001 RESPS:230,000 HOURS:184,791 COSTS(000):$0 Survey of Occupational Injuries and Illnesses FORMS: BLS-9300 OMB NO: 1220-0050 EXPIRATION DATE: 05/31/2003 RESPS:68,194 HOURS:99,820 COSTS(000):$0 The Consumer Expenditure Surveys: The Quarterly Interview and the Diary FORMS: CE-300-302 CE-303(L)1 CE-303(L)2 CE-303(L)5 CE-303(L)6 CE-303A CE-803A CE-380 CE-386 CE-880 OMB NO: 1220-0076 EXPIRATION DATE: 08/31/2002 RESPS:7,000 HOURS:6,250 COSTS(000):$0 Hours at Work Survey (HWS) FORMS: BLS-2000P BLS-2000N OMB NO: 1220-0079 EXPIRATION DATE: 08/31/2001 RESPS:832 HOURS:781 COSTS(000):$0 Labor Market Information (LMI) Cooperative Agreement FORMS: BLS-LMI-1A 1B 2A 2B OMB NO: 1220-0090 EXPIRATION DATE: 11/30/2002 RESPS:16,432 HOURS:73,320 COSTS(000):$0 Mass Layoff Statistics Program FORMS: NONE OMB NO: 1220-0100 EXPIRATION DATE: 08/31/2002 RESPS:576,000 HOURS:67,200 COSTS(000):$0 Current Population Survey (CPS) Basic Labor Force FORMS: NONE OMB NO: 1220-0109 EXPIRATION DATE: 03/31/2001 RESPS:14,740 HOURS:14,013 COSTS(000):$0 National Longitudinal Survey of Youth 79 FORMS: NONE OMB NO: 1220-0133 EXPIRATION DATE: 12/31/2001 RESPS:27,500 HOURS:5,000 COSTS(000):$0 Census of Fatal Occupational Injuries FORMS: CF0I-1 OMB NO: 1220-0134 EXPIRATION DATE: 01/31/2001 RESPS:459,280 HOURS:169,934 COSTS(000):$0 Multiple Worksite Report and the Report of Federal Employment and Wages FORMS: BLS-3020 BLS-3021 OMB NO: 1220-0141 EXPIRATION DATE: 12/31/2002 RESPS:4,150 HOURS:9,000 COSTS(000):$0 Cognitive and Psychological Research FORMS: NONE OMB NO: 1220-0149 EXPIRATION DATE: 12/31/2001 RESPS:285 HOURS:342 COSTS(000):$0 BLS/OSHS Federal/State Cooperative Agreement, Application Package FORMS: BLS-OSHS1 BLS-OSHS2 OMB NO: 1220-0157 EXPIRATION DATE: 08/31/2001 RESPS:12,200 HOURS:10,130 COSTS(000):$0 National Longitudinal Survey of Youth 97 FORMS: NONE OMB NO: 1220-0163 EXPIRATION DATE: 08/31/2003 RESPS:163,394 HOURS:19,299 COSTS(000):$0 Consumer Price Index (CPI) Housing Survey (CADC) FORMS: NONE OMB NO: 1220-0164 EXPIRATION DATE: 11/30/2001 RESPS:71,607 HOURS:47,060 COSTS(000):$0 National Compensation Survey FORMS: NONE OMB NO: 1220-0168 EXPIRATION DATE: 06/30/2001 RESPS:23,890 HOURS:15,762 COSTS(000):$0 General Inquiries to State Agency Contacts FORMS: NONE OMB NO: 1220-0170 EXPIRATION DATE: 03/31/2003 RESPS:111,440 HOURS:24,765 COSTS(000):$0 Job Openings and Labor Turnover Survey (JOLTS) FORMS: BLS-1411-C1 BLS-1411-C2 BLS-1411-C3 BLS-1411-TD1 BLS-1411-TD2 BLS-1411-TD3 BLS-1411-FM2 BLS-1411-FM3 Departmental Management OMB NO: 1225-0013 EXPIRATION DATE: 11/30/2001 RESPS:10 HOURS:50 COSTS(000):$0 Equal Access to Justice Act FORMS: NONE OMB NO: 1225-0030 EXPIRATION DATE: 09/30/2003 RESPS:7,000 HOURS:12,250 COSTS(000):$0 Disclosure of Information to Credit Reporting Agencies; Administrative Offset, Interest, Penalties and Administrative Costs FORMS: NONE OMB NO: 1225-0038 EXPIRATION DATE: 11/30/2003 RESPS:300 HOURS:375 COSTS(000):$0 Salary Offset FORMS: NONE OMB NO: 1225-0044 EXPIRATION DATE: 09/30/2001 RESPS:7,850 HOURS:6,350 COSTS(000):$0 National Agricultural Workers Survey (NAWS), Child Labor Supplement FORMS: NONE OMB NO: 1225-0059 EXPIRATION DATE: 06/30/2003 RESPS:63,750 HOURS:13,500 COSTS(000):$0 Customer Satisfaction Surveys and Conference Evaluations Generic Clearance FORMS: NONE OMB NO: 1225-0064 EXPIRATION DATE: 10/31/2001 RESPS:10 HOURS:4 COSTS(000):$0 Senior Technical Assistance Register (STAR) FORMS: NONE OMB NO: 1225-0072 EXPIRATION DATE: 04/30/2002 RESPS:3,000 HOURS:250 COSTS(000):$0 Applicant Background Survey FORMS: NONE OMB NO: 1225-0073 EXPIRATION DATE: 06/30/2001 RESPS:5,000 HOURS:125 COSTS(000):$0 Conference Evaluation Form FORMS: NONE OMB NO: 1225-0074 EXPIRATION DATE: 02/28/2002 RESPS:1,000 HOURS:500 COSTS(000):$0 Information Collection Requests and Administrative Forms for Dependent Care Mentoring Program FORMS: NONE OMB NO: 1225-0077 EXPIRATION DATE: 01/31/2003 RESPS:5,105,979 HOURS:149,166 COSTS(000):$122 Compliance Information Report -- 29 CFR Part 37 Nondiscrimination-Workforce Investment Act of 1998 -- 29 CFR 37 FORMS: DL-1-2014A Office of the Secretary No active collections for this subagency Office of the Assistant Secretary for Administration and Management No active collections for this subagency Office of the Inspector General No active collections for this subagency Office of the Assistant Secretary for Veterans' Employment & Training OMB NO: 1293-0002 EXPIRATION DATE: 12/31/2001 RESPS:1,405 HOURS:500 COSTS(000):$0 Eligibility Data Form for Requesting Assistance in Obtaining Veterans' Reemployment Rights FORMS: USERRA-1010 OMB NO: 1293-0005 EXPIRATION DATE: 01/31/2001 RESPS:194,580 HOURS:97,290 COSTS(000):$0 Federal Contractor Veterans' Employment Report VETS-100 FORMS: VETS-100 Office of the American Workplace No active collections for this subagency
(RETURN TO AGENCY LIST)OMB NO: 1400-0007 EXPIRATION DATE: 10/31/2001 RESPS:25,000 HOURS:12,500 COSTS(000):$0 Department of State Application for Federal Employment FORMS: DS-1950 OMB NO: 1400-0009 EXPIRATION DATE: 04/30/2001 RESPS:75,000 HOURS:18,750 COSTS(000):$0 Affidavit Regarding Change of Name FORMS: DSP-60 OMB NO: 1400-0010 EXPIRATION DATE: 04/30/2001 RESPS:50,000 HOURS:12,500 COSTS(000):$0 Birth Affidavit FORMS: DSP-10A OMB NO: 1400-0012 EXPIRATION DATE: 06/30/2001 RESPS:3,000 HOURS:1,500 COSTS(000):$0 Client Satisfaction Survey FORMS: NONE Administration of Foreign Affairs OMB NO: 1405-0002 EXPIRATION DATE: 01/31/2002 RESPS:5,000 HOURS:10,000 COSTS(000):$150 Statement of Registration FORMS: DSP-9 OMB NO: 1405-0003 EXPIRATION DATE: 01/31/2002 RESPS:20,000 HOURS:20,000 COSTS(000):$300 Application/License for Permanent Export of Unclassified Defense Articles and Related Unclassified Technical Data FORMS: DSP-5 OMB NO: 1405-0004 EXPIRATION DATE: 05/31/2001 RESPS:4,400,000 HOURS:1,466,666 COSTS(000):$240,240 Application for Passport/Registration FORMS: DSP-11 OMB NO: 1405-0005 EXPIRATION DATE: 04/30/2001 RESPS:2,600 HOURS:650 COSTS(000):$0 Statement of Identity FORMS: DSP-10 OMB NO: 1405-0007 EXPIRATION DATE: 04/30/2001 RESPS:150,000 HOURS:37,500 COSTS(000):$0 Application for Employment FORMS: DS-1950 OMB NO: 1405-0008 EXPIRATION DATE: 04/30/2003 RESPS:13,660 HOURS:3,415 COSTS(000):$0 Department of State-Foreign Service Officer Written Examination Registration FORMS: DS-1998 OMB NO: 1405-0011 EXPIRATION DATE: 03/31/2001 RESPS:40,000 HOURS:13,334 COSTS(000):$0 Application for Consular Report of Birth of a Citizen of the United States of America FORMS: FS-579 OMB NO: 1405-0013 EXPIRATION DATE: 01/31/2002 RESPS:9,000 HOURS:4,500 COSTS(000):$67 Application/License for Temporary Import of Unclassified Defense Articles FORMS: DSP-61 OMB NO: 1405-0014 EXPIRATION DATE: 04/30/2001 RESPS:30,000 HOURS:7,500 COSTS(000):$0 Statement Regarding Lost and Stolen Passport FORMS: DSP-64 OMB NO: 1405-0015 EXPIRATION DATE: 03/31/2001 RESPS:750,000 HOURS:18,000,000 COSTS(000):$0 Application for Immigrant Visa and Alien Registration FORMS: OF-230 OMB NO: 1405-0018 EXPIRATION DATE: 06/30/2001 RESPS:8,300,000 HOURS:8,300,000 COSTS(000):$0 Nonimmigrant Visa Application FORMS: OF-156 OMB NO: 1405-0020 EXPIRATION DATE: 04/30/2001 RESPS:1,700,000 HOURS:425,000 COSTS(000):$93,500 Application for Passport By Mail FORMS: DSP-82 OMB NO: 1405-0021 EXPIRATION DATE: 01/31/2002 RESPS:17,000 HOURS:17,000 COSTS(000):$255 Non-Transfer and Use Certificate FORMS: DSP-83 OMB NO: 1405-0022 EXPIRATION DATE: 01/31/2002 RESPS:1,000 HOURS:1,000 COSTS(000):$15 Application/License for Permanent/Temporary Export or Temporary Import of Classified Defense Articles and Classified Technical Data FORMS: DSP-85 OMB NO: 1405-0023 EXPIRATION DATE: 01/31/2002 RESPS:2,000 HOURS:2,000 COSTS(000):$30 Application/License for Temporary Export of Unclassified Defense Articles FORMS: DSP-73 OMB NO: 1405-0025 EXPIRATION DATE: 01/31/2002 RESPS:12,000 HOURS:12,000 COSTS(000):$180 Statement of Political Contributions, Fees, or Commissions in Connection with the Sale of Defense Articles or Services FORMS: NONE OMB NO: 1405-0031 EXPIRATION DATE: 03/31/2001 RESPS:1 HOURS:47 COSTS(000):$0 Approval of Funding to Support Educational Projects FORMS: JF-45 OMB NO: 1405-0033 EXPIRATION DATE: 01/31/2001 RESPS:190 HOURS:47 COSTS(000):$7 Overseas Schools-Grant Status Report FORMS: JF-61 OMB NO: 1405-0036 EXPIRATION DATE: 10/31/2001 RESPS:199 HOURS:199 COSTS(000):$0 Grant Request Automated Submissions Program (GRASP) (Formerly Overseas Schools Questionnaire) FORMS: FS-573 FS-573A FS-573B FS-574 OMB NO: 1405-0048 EXPIRATION DATE: 03/31/2001 RESPS:2,750 HOURS:2,750 COSTS(000):$0 Report of the Death of an American Citizen Abroad FORMS: OF-180 OMB NO: 1405-0050 EXPIRATION DATE: 03/31/2001 RESPS:2,000 HOURS:225,302 COSTS(000):$0 Department of State Acquisition Regulation (DOSAR) FORMS: NONE OMB NO: 1405-0051 EXPIRATION DATE: 01/31/2002 RESPS:2,500 HOURS:1,250 COSTS(000):$19 Authority to Export Defense Articles and Services Sold under the Foreign Military Sales (FMS) Program FORMS: DSP-94 OMB NO: 1405-0060 EXPIRATION DATE: 08/31/2002 RESPS:5,000 HOURS:2,125 COSTS(000):$100 Notification of Appointment of Foreign Government Employee FORMS: DSP-111 OMB NO: 1405-0061 EXPIRATION DATE: 08/31/2002 RESPS:6,000 HOURS:720 COSTS(000):$0 Notice of Termination of Diplomatic, Consular, or Foreign Government Employees FORMS: DSP-115 OMB NO: 1405-0062 EXPIRATION DATE: 08/31/2002 RESPS:2,000 HOURS:850 COSTS(000):$40 Notification of Appointment of Foreign Diplomatic Officer FORMS: DSP-110 OMB NO: 1405-0064 EXPIRATION DATE: 08/31/2002 RESPS:200 HOURS:80 COSTS(000):$4 Notification of Appointment of Honorary Consular Officer FORMS: DSP-112 OMB NO: 1405-0066 EXPIRATION DATE: 03/31/2001 RESPS:10,250 HOURS:500 COSTS(000):$0 United States Department of State Building Access Application FORMS: DSP-97 OMB NO: 1405-0069 EXPIRATION DATE: 03/31/2001 RESPS:40,000 HOURS:664 COSTS(000):$0 1. Application for Diplomatic Exemption from Taxes on Utilities 2. Application for Diplomatic Exemption from Taxes on Gasoline FORMS: DSP-99 DSP-99A OMB NO: 1405-0072 EXPIRATION DATE: 10/31/2001 RESPS:27,732 HOURS:6,933 COSTS(000):$0 Diplomatic Motor Vehicles Applications for: Vehicle Registration, Title, and Replacement Plates FORMS: DSP100 101 102 104 OMB NO: 1405-0076 EXPIRATION DATE: 10/31/2003 RESPS:500 HOURS:500 COSTS(000):$0 Application for Assistance Under the Hague Convention on Child Abduction FORMS: DS-3013 OMB NO: 1405-0082 EXPIRATION DATE: 05/31/2003 RESPS:500 HOURS:250 COSTS(000):$0 Petition to Classify Special Immigrant Under INA 203(b)(4) as an employee or former employee of the U.S. Government FORMS: DS-1884 OMB NO: 1405-0088 EXPIRATION DATE: 03/31/2001 RESPS:88,000 HOURS:7,333 COSTS(000):$0 Affidavit of Identifying Witness FORMS: DSP-71 OMB NO: 1405-0089 EXPIRATION DATE: 08/31/2002 RESPS:5,000 HOURS:600 COSTS(000):$0 Notification of Change Identification Card Request FORMS: DSP-113 OMB NO: 1405-0090 EXPIRATION DATE: 08/31/2002 RESPS:7,000 HOURS:840 COSTS(000):$140 Notification of Dependents of Diplomatic, Consular, and Foreign Government Employees FORMS: DSP-114 OMB NO: 1405-0091 EXPIRATION DATE: 03/31/2001 RESPS:1,500 HOURS:1,500 COSTS(000):$0 Application to Determine Returning Resident Status FORMS: DSP-117 OMB NO: 1405-0092 EXPIRATION DATE: 01/31/2002 RESPS:2,300 HOURS:1,150 COSTS(000):$18 Application for Amendment to License for Export or Import of Classified or Unclassified Defense Articles and Related Technical Data FORMS: DSP-119 OMB NO: 1405-0093 EXPIRATION DATE: 01/31/2002 RESPS:1,500 HOURS:3,000 COSTS(000):$45 Request for Approval of Manufacturing License Agreements, Technical Assistance Agreements, and Other Agreements FORMS: NONE OMB NO: 1405-0095 EXPIRATION DATE: 05/31/2001 RESPS:10,000 HOURS:1,666 COSTS(000):$0 Shrimp Exporter's/Importer's Declaration FORMS: DS-2031 OMB NO: 1405-0096 EXPIRATION DATE: 03/31/2001 RESPS:12,000 HOURS:24,000 COSTS(000):$0 Nonimmigrant Fiance(e) "K" Visa Application FORMS: OF-156K OMB NO: 1405-0098 EXPIRATION DATE: 06/30/2003 RESPS:90,000 HOURS:45,000 COSTS(000):$0 Supplemental Registration for the Diversity Immigrant Visa Program FORMS: DSP-122 OMB NO: 1405-0100 EXPIRATION DATE: 06/30/2003 RESPS:20,000 HOURS:10,000 COSTS(000):$0 Application for A, G, or NATO Visa FORMS: DS-1648 OMB NO: 1405-0101 EXPIRATION DATE: 03/31/2001 RESPS:15,000 HOURS:30,000 COSTS(000):$0 Nonimmigrant Treaty Trader/Investor Visa Application FORMS: OF-156(E) OMB NO: 1405-0102 EXPIRATION DATE: 03/31/2001 RESPS:75,000 HOURS:37,500 COSTS(000):$0 Refugee Biographical Data Sheet FORMS: NONE OMB NO: 1405-0105 EXPIRATION DATE: 03/31/2001 RESPS:12,500 HOURS:6,250 COSTS(000):$0 United States Department of State Driver License and Tax Exemption Card Application FORMS: NONE OMB NO: 1405-0106 EXPIRATION DATE: 03/31/2001 RESPS:4,500 HOURS:75 COSTS(000):$0 DTC Customer Service Survey FORMS: NONE OMB NO: 1405-0107 EXPIRATION DATE: 03/31/2001 RESPS:10,250 HOURS:2,550 COSTS(000):$0 Request for Building Pass Identification Card FORMS: DS-1838 OMB NO: 1405-0108 EXPIRATION DATE: 03/31/2001 RESPS:1,500 HOURS:250 COSTS(000):$0 Business Survey FORMS: NONE OMB NO: 1405-0110 EXPIRATION DATE: 03/31/2001 RESPS:150 HOURS:500 COSTS(000):$4,000 Program Announcement for U.S.-Egypt Science and Technology Joint FORMS: NONE OMB NO: 1405-0111 EXPIRATION DATE: 12/31/2001 RESPS:5,000 HOURS:100,000 COSTS(000):$0 "Maintenance of records by registrants" Section 122.5 of the International Traffic in Arms Regulations (ITAR) FORMS: NONE OMB NO: 1405-0113 EXPIRATION DATE: 01/31/2001 RESPS:700,000 HOURS:70,000 COSTS(000):$70 Medical Examination of Applicants for United States Visas FORMS: OF-157 OMB NO: 1405-0114 EXPIRATION DATE: 02/28/2001 RESPS:740 HOURS:1,480 COSTS(000):$0 Fulbright Teacher Exchange Program, United States Information Agency, Application for Teaching Positions Abroad FORMS: IAP-92 OMB NO: 1405-0115 EXPIRATION DATE: 05/31/2001 RESPS:700 HOURS:14,000 COSTS(000):$0 Proposal Submission Instructions (PSI) U.S. Information Agency FORMS: IAP-135 IA-1285 M/KR-13 SF-LLL M/KR-12 IA-1279 IA-1280 IAP-100 OMB NO: 1405-0116 EXPIRATION DATE: 03/31/2002 RESPS:86 HOURS:2,580 COSTS(000):$75 College and University Affiliations Program FORMS: NONE OMB NO: 1405-0118 EXPIRATION DATE: 08/31/2001 RESPS:5,600 HOURS:4,200 COSTS(000):$0 USIA-Sponsored Educational and Cultural Exchange Activities, USIA Program Participant Survey Questionnaire FORMS: NONE OMB NO: 1405-0119 EXPIRATION DATE: 11/30/2001 RESPS:203,000 HOURS:203,000 COSTS(000):$0 Certificate of Eligibility for Exchange Visitor FORMS: IAP-66P OMB NO: 1405-0120 EXPIRATION DATE: 08/31/2002 RESPS:202 HOURS:2,061 COSTS(000):$0 Exchange Visitor Program Application and Update of Information on Exchange Visitor Program Sponsor FORMS: IAP-37 IAP-87 OMB NO: 1405-0122 EXPIRATION DATE: 08/31/2002 RESPS:444 HOURS:182 COSTS(000):$0 Application for Certificate of International Educational Character FORMS: IAP-17 OMB NO: 1405-0124 EXPIRATION DATE: 08/31/2003 RESPS:20,200 HOURS:12,400 COSTS(000):$0 Irish Peace Process Cultural and Training Program (IPPCTP) Employer Information Collection FORMS: NONE OMB NO: 1405-0125 EXPIRATION DATE: 07/31/2001 RESPS:1,200 HOURS:900 COSTS(000):$0 Joint Survey on Public-Private Partnership FORMS: NONE OMB NO: 1405-0126 EXPIRATION DATE: 10/31/2003 RESPS:350,000 HOURS:175,000 COSTS(000):$0 Choice of Address and Agent for US Department of State Immigrant Visa Applicants FORMS: NONE
(RETURN TO AGENCY LIST)OMB NO: 2105-0009 EXPIRATION DATE: 12/31/2002 RESPS:1 HOURS:25 COSTS(000):$0 Advisory Committee Candidate Biographical Information Request FORMS: DOT-F-1120.1 OMB NO: 2105-0508 EXPIRATION DATE: 09/30/2001 RESPS:1,460 HOURS:29,043 COSTS(000):$0 Uniform Relocation Assistance and Real Property Acquisition Regulations for Federal and Federally Assisted Programs FORMS: NONE OMB NO: 2105-0510 EXPIRATION DATE: 10/31/2002 RESPS:1,798 HOURS:1,456,683 COSTS(000):$0 Report of DBE Awards and Commitments FORMS: DOT-F4630 OMB NO: 2105-0517 EXPIRATION DATE: 05/31/2003 RESPS:25,094 HOURS:33,115 COSTS(000):$0 Transportation Acquisition Regulation (TAR) FORMS: DOT-F-4220.4 4220.7 4220.43 4220.45 4220.46 FORM-DD882 OMB NO: 2105-0520 EXPIRATION DATE: 09/30/2001 RESPS:7,180 HOURS:125,650 COSTS(000):$0 Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governments FORMS: NONE OMB NO: 2105-0529 EXPIRATION DATE: 09/30/2003 RESPS:12,322,394 HOURS:2,230,811 COSTS(000):$0 Procedures for Transportation Drug and Alcohol Testing Programs FORMS: 2105-0529 OMB NO: 2105-0531 EXPIRATION DATE: 03/31/2001 RESPS:600 HOURS:10,500 COSTS(000):$0 Uniform Administrative Requirements for Grants and Agreements with Institutions of Higher Education, Hospitals, and Other Nonprofit Organizations FORMS: NONE OMB NO: 2105-0534 EXPIRATION DATE: 02/28/2001 RESPS:53,800,000 HOURS:1,050,000 COSTS(000):$25,070 Notice of Proposed Rulemaking on Passenger Manifest Information FORMS: NONE OMB NO: 2105-0535 EXPIRATION DATE: 01/31/2001 RESPS:12,708 HOURS:888 COSTS(000):$0 Information Collection on Passenger Travel by Air FORMS: NONE OMB NO: 2105-0537 EXPIRATION DATE: 06/30/2002 RESPS:102,000,000 HOURS:849,988 COSTS(000):$29,600 Disclosure of Code-Sharing Arrangements and Long-Term Wet Leases FORMS: NONE OMB NO: 2105-0538 EXPIRATION DATE: 06/30/2002 RESPS:74,000,000 HOURS:308,861 COSTS(000):$0 Disclosure of Change-of-Gauge Services (Final Rule) FORMS: NONE Office of the Secretary - Aviation OMB NO: 2106-0005 EXPIRATION DATE: 12/31/2002 RESPS:1,738 HOURS:1,343 COSTS(000):$0 Public Charters -- 14 CFR Part 380 FORMS: 4532 4533 4534 4535 OMB NO: 2106-0009 EXPIRATION DATE: 09/30/2002 RESPS:3,068,200 HOURS:650,000 COSTS(000):$0 Construction, Publication, Filing, and Posting of Tariffs of Air Carriers and Foreign Air Carriers -- 14 CFR Part 221 FORMS: NONE OMB NO: 2106-0023 EXPIRATION DATE: 11/30/2003 RESPS:127 HOURS:4,604 COSTS(000):$0 Procedures & Evidence rules for Air Carrier Authority Applications FORMS: NONE OMB NO: 2106-0030 EXPIRATION DATE: 02/28/2001 RESPS:5,525 HOURS:2,763 COSTS(000):$0 Aircraft Accident Liability Insurance FORMS: OST-6410 OST-6411 OMB NO: 2106-0043 EXPIRATION DATE: 09/30/2003 RESPS:15 HOURS:69 COSTS(000):$0 Use and Change of Names of Air Carriers, Foreign Air Carriers, and Commuter Air Carriers FORMS: NONE OMB NO: 2106-0044 EXPIRATION DATE: 09/30/2003 RESPS:816 HOURS:4,176 COSTS(000):$0 Supporting Statements--Air Carriers' claims for subsidy payments FORMS: OST-FORM-397 OST-FORM-398 U.S. Coast Guard OMB NO: 2115-0003 EXPIRATION DATE: 01/31/2002 RESPS:182,386 HOURS:20,492 COSTS(000):$0 Collection of Marine Casualty Reporting Requirements -- CG-2692/ Commercial Vessel Personnel -- CG-2692B and CG-5573 FORMS: CG-2692 CG-2692A CG-2692B CG-5573 OMB NO: 2115-0007 EXPIRATION DATE: 05/31/2003 RESPS:2,443 HOURS:613 COSTS(000):$0 Application for Vessel Inspection and Waiver FORMS: CG-2633 CG-3752 OMB NO: 2115-0010 EXPIRATION DATE: 03/31/2003 RESPS:8,000 HOURS:4,000 COSTS(000):$0 Recreational Boating Accident Report FORMS: CG-3865 OMB NO: 2115-0012 EXPIRATION DATE: 02/28/2001 RESPS:13,600 HOURS:6,640 COSTS(000):$0 U.S. Coast Guard Academy Preliminary Application and Supplemental Forms FORMS: NONE OMB NO: 2115-0013 EXPIRATION DATE: 06/30/2002 RESPS:348 HOURS:383 COSTS(000):$0 Application and Permit to Handle Hazardous Material FORMS: CG-4260 OMB NO: 2115-0016 EXPIRATION DATE: 02/28/2001 RESPS:100 HOURS:300 COSTS(000):$0 Characteristics of Liquid Chemicals Proposed for Bulk Water Movement FORMS: CG-4355 OMB NO: 2115-0017 EXPIRATION DATE: 08/31/2003 RESPS:1,500 HOURS:1,540 COSTS(000):$0 Regattas and Marine Parades FORMS: NONE OMB NO: 2115-0025 EXPIRATION DATE: 05/31/2003 RESPS:1,697 HOURS:35,828 COSTS(000):$0 Oil Record Book for Ships FORMS: CG-4602A OMB NO: 2115-0035 EXPIRATION DATE: 09/30/2002 RESPS:4 HOURS:351 COSTS(000):$0 Defect/Noncompliance Report and Campaign Update Report FORMS: CG-4917 CG-4918 OMB NO: 2115-0038 EXPIRATION DATE: 09/30/2002 RESPS:1 HOURS:3,073 COSTS(000):$0 Private Aids to Navigation Application -- CG-2554 Application for Class I Private Aids to Navigation -- CG-4143 FORMS: CG-2554 CG-4143 OMB NO: 2115-0042 EXPIRATION DATE: 04/30/2003 RESPS:130,000 HOURS:4,500 COSTS(000):$0 Certificate of Discharge to Merchant Mariners FORMS: CG-718A OMB NO: 2115-0043 EXPIRATION DATE: 11/30/2001 RESPS:245 HOURS:2,245 COSTS(000):$0 Plan Approval and Records for Load Lines FORMS: LL8-A LL9-A LL10-A LL14-A LL18-E LL40-A LL101-A OMB NO: 2115-0050 EXPIRATION DATE: 09/30/2002 RESPS:70 HOURS:2,800 COSTS(000):$0 Bridge Permit Application Guide FORMS: NONE OMB NO: 2115-0053 EXPIRATION DATE: 05/31/2003 RESPS:29 HOURS:29 COSTS(000):$0 Request for Designation and Exemption of Oceanographic Research Vessels FORMS: NONE OMB NO: 2115-0054 EXPIRATION DATE: 12/31/2001 RESPS:884 HOURS:318 COSTS(000):$0 Welding and Hot-Work Permits; Posting of Warning Signs FORMS: CG-4201 OMB NO: 2115-0056 EXPIRATION DATE: 11/30/2003 RESPS:458 HOURS:38 COSTS(000):$0 Various International Agreement Safety Certificates and Documents FORMS: CG-967 CG-968 CG-968A CG-969 CG-3347 CG-3347B CG-4359 CG-5643 CG-5679 CG-5679A OMB NO: 2115-0071 EXPIRATION DATE: 03/31/2002 RESPS:1,750 HOURS:1,750 COSTS(000):$0 Official Logbook FORMS: 706B OMB NO: 2115-0073 EXPIRATION DATE: 07/31/2001 RESPS:1 HOURS:127 COSTS(000):$0 Alternate Compliance, International Navigation Rules Alternate Compliance, Inland Navigation Rules FORMS: NONE OMB NO: 2115-0076 EXPIRATION DATE: 11/30/2001 RESPS:1 HOURS:394 COSTS(000):$0 Security Zones, Regulated Navigation Areas, and Safety Zones FORMS: NONE OMB NO: 2115-0077 EXPIRATION DATE: 12/31/2002 RESPS:230 HOURS:460 COSTS(000):$0 Facilities Transferring Oil or Hazardous Materials in Bulk, Letter of Intent FORMS: NONE OMB NO: 2115-0078 EXPIRATION DATE: 06/30/2002 RESPS:1,012 HOURS:22,632 COSTS(000):$0 Operations Manual and Amendments for Facilities Transferring Oil and Hazardous Materials in Bulk FORMS: NONE OMB NO: 2115-0086 EXPIRATION DATE: 12/31/2002 RESPS:12,720 HOURS:27,600 COSTS(000):$0 Application for Tonnage Measurement of Vessels FORMS: CG-5397 OMB NO: 2115-0089 EXPIRATION DATE: 12/31/2002 RESPS:102 HOURS:471 COSTS(000):$0 Ships Carrying Bulk Hazardous Liquid FORMS: CG-4602B OMB NO: 2115-0092 EXPIRATION DATE: 11/30/2003 RESPS:50 HOURS:30,618 COSTS(000):$0 Barge Fleeting Facility Records FORMS: NONE OMB NO: 2115-0094 EXPIRATION DATE: 01/31/2002 RESPS:2,121,140 HOURS:71,504 COSTS(000):$0 Safety Approval of Cargo Containers FORMS: NONE OMB NO: 2115-0096 EXPIRATION DATE: 12/31/2002 RESPS:230 HOURS:1,840 COSTS(000):$0 Oil and Hazardous Material Pollution Prevention and Safety Records, Equivalent/Alternative and Exemptions FORMS: NONE OMB NO: 2115-0100 EXPIRATION DATE: 04/30/2001 RESPS:1,521 HOURS:575 COSTS(000):$0 Carriage of Bulk Solids Requiring Special Handling FORMS: NONE OMB NO: 2115-0106 EXPIRATION DATE: 09/30/2003 RESPS:61 HOURS:65 COSTS(000):$0 Plan Approval and Records for Foreign Vessels Carrying Oil in Bulk FORMS: NONE OMB NO: 2115-0110 EXPIRATION DATE: 07/31/2001 RESPS:180,000 HOURS:50,092 COSTS(000):$0 Vessel Documentation FORMS: CG-1258 1261 1270 1280 1280B 1340 1356 4593 5542 MA-899 OMB NO: 2115-0111 EXPIRATION DATE: 09/30/2002 RESPS:420 HOURS:19,026 COSTS(000):$0 Course Approvals for Merchant Marine Training Schools FORMS: NONE OMB NO: 2115-0113 EXPIRATION DATE: 06/30/2002 RESPS:185 HOURS:4,070 COSTS(000):$0 Self-Propelled Liquefied Gas Vessels FORMS: NONE OMB NO: 2115-0115 EXPIRATION DATE: 06/30/2002 RESPS:478 HOURS:478 COSTS(000):$0 Electrical Engineering Regulations -- 46 Subchapter J FORMS: NONE OMB NO: 2115-0120 EXPIRATION DATE: 12/31/2002 RESPS:28,602 HOURS:14,302 COSTS(000):$0 Oil and Hazardous Materials Transfer Procedures and Waste Management Plans FORMS: NONE OMB NO: 2115-0121 EXPIRATION DATE: 09/30/2002 RESPS:26 HOURS:268 COSTS(000):$0 Electrical Equipment and Fire Protection Materials/Systems -- 46 CFR Subchapter Q FORMS: NONE OMB NO: 2115-0133 EXPIRATION DATE: 04/30/2003 RESPS:3,338 HOURS:1,444 COSTS(000):$0 Vessel Inspection Related Forms and Posting Requirements Under Title 46 U.S. Code FORMS: CG-841 CG-854 CG-948 CG-949 CG-950 CG-2832 CG-4504 OMB NO: 2115-0135 EXPIRATION DATE: 09/30/2003 RESPS:1,596 HOURS:798 COSTS(000):$0 Display of Fire Control Plans for Vessels FORMS: NONE OMB NO: 2115-0137 EXPIRATION DATE: 01/31/2003 RESPS:95,000 HOURS:7,917 COSTS(000):$0 Report of Oil or Hazardous Substance Discharge FORMS: NONE OMB NO: 2115-0139 EXPIRATION DATE: 09/30/2002 RESPS:2 HOURS:6 COSTS(000):$0 Ships' Stores Certification for Hazardous Materials Aboard Ships FORMS: NONE OMB NO: 2115-0141 EXPIRATION DATE: 06/30/2002 RESPS:261 HOURS:7,220 COSTS(000):$0 Firefighting Equipment, Structural Fire Protection Materials, Lifesaving Equipment, and Marine Sanitation Devices -- 46 CFR 2.90-2.95, 159-164, and 33 CFR 159 FORMS: NONE OMB NO: 2115-0142 EXPIRATION DATE: 12/31/2002 RESPS:3,433 HOURS:3,433 COSTS(000):$0 Plan Approval and Records for Marine Engineering Systems -- 46 CFR Subchapter F FORMS: NONE OMB NO: 2115-0143 EXPIRATION DATE: 12/31/2002 RESPS:6,746 HOURS:449 COSTS(000):$0 Records Relating to Citizenship of Personnel on Units Engaged in Outer Continental Shelf (OCS) Activities FORMS: NONE OMB NO: 2115-0503 EXPIRATION DATE: 11/30/2001 RESPS:134 HOURS:315 COSTS(000):$0 Plan Approval and Records for Vessels Carrying Oil in Bulk FORMS: NONE OMB NO: 2115-0504 EXPIRATION DATE: 06/30/2002 RESPS:45,143 HOURS:21,531 COSTS(000):$0 Tank Vessel Examination Letter -- CG 840S-1 & 2, Certificate of Compliance, Boiler/Pressure Vessel Repairs, Cargo Gear Records, and Shipping Papers FORMS: CG-840S-1 CG-840S-2 OMB NO: 2115-0505 EXPIRATION DATE: 08/31/2003 RESPS:11,963 HOURS:6,472 COSTS(000):$0 Plan Approval & Records for Tank, Passenger, Cargo & Miscellan- eous Vessels, Mobile Off-shore Drilling Units, Nautical Schools, Oceanographic Vessels & Electrictal Engineering FORMS: NONE OMB NO: 2115-0506 EXPIRATION DATE: 08/31/2003 RESPS:92,283 HOURS:28,332 COSTS(000):$0 Declaration of Inspection Before Transfer of Liquid Cargo in Bulk FORMS: NONE OMB NO: 2115-0514 EXPIRATION DATE: 10/31/2001 RESPS:1 HOURS:83,327 COSTS(000):$0 Merchant Mariner License, Certificates, and Document Application; Criminal Record Review in Issuing Licenses, CORS, MMDs; Access to NDR; 5-Year Terms of Validity FORMS: 719K 4509 719B 719A 5206 887 3750 2987 2849 5205 OMB NO: 2115-0518 EXPIRATION DATE: 02/28/2001 RESPS:3,068 HOURS:784 COSTS(000):$0 Requirements for the Installation and Use of Oil Discharge Monitoring Equipment for Tank Vessels and International Oil Pollution Prevention Certificates -- 33 CFR 157 FORMS: NONE OMB NO: 2115-0525 EXPIRATION DATE: 05/31/2003 RESPS:4 HOURS:58 COSTS(000):$0 Plan/Drawing Approval and Records for Safety Valves -- 46 CFR Part 162 FORMS: NONE OMB NO: 2115-0539 EXPIRATION DATE: 06/30/2002 RESPS:1,800 HOURS:315 COSTS(000):$0 Requirements for Lightering of Oil and Hazardous Material Cargoes FORMS: NONE OMB NO: 2115-0540 EXPIRATION DATE: 11/30/2003 RESPS:1,329 HOURS:2,924 COSTS(000):$0 Ports and Waterways Safety --Title 33 CFR Subchapter P FORMS: NONE OMB NO: 2115-0541 EXPIRATION DATE: 12/31/2002 RESPS:982 HOURS:11,724 COSTS(000):$0 Barges Carrying Bulk Hazardous Materials FORMS: NONE OMB NO: 2115-0542 EXPIRATION DATE: 09/30/2003 RESPS:263 HOURS:526 COSTS(000):$0 Station Bill for Manned Outer Continental Shelf Facilities FORMS: NONE OMB NO: 2115-0543 EXPIRATION DATE: 11/30/2001 RESPS:1 HOURS:1,753 COSTS(000):$0 Advance Notice and Adequacy Certification for Reception FORMS: CG-5401 CG-5401A CG-5401B CG-5401C OMB NO: 2115-0545 EXPIRATION DATE: 06/30/2003 RESPS:1 HOURS:2,162 COSTS(000):$0 Financial Responsibility for Water Pollution (Vessels) FORMS: CG-5585 CG-5586 CG-5586-1 CG-5586-2 CG-5586-3 CG-5586-4 CG-5586-5 OMB NO: 2115-0548 EXPIRATION DATE: 05/31/2003 RESPS:765 HOURS:57,375 COSTS(000):$0 Vital System Automation -- 46 CFR Parts 52, 56, 58, 61, 62, 110, 111, and 113 FORMS: NONE OMB NO: 2115-0549 EXPIRATION DATE: 12/31/2002 RESPS:4,724 HOURS:2,362 COSTS(000):$0 Requirements for the Use of Liquefied Petroleum Gas and Compressed Natural Gas as Cooking Fuel on Passenger Vessels FORMS: NONE OMB NO: 2115-0551 EXPIRATION DATE: 01/31/2003 RESPS:546 HOURS:137 COSTS(000):$0 Vessel Reporting Requirement FORMS: NONE OMB NO: 2115-0552 EXPIRATION DATE: 02/28/2001 RESPS:53 HOURS:3,260 COSTS(000):$0 Liquid Natural Gas and Liquefied Hazardous Gas Waterfront Facilities FORMS: NONE OMB NO: 2115-0553 EXPIRATION DATE: 11/30/2001 RESPS:10 HOURS:100 COSTS(000):$0 Equivalents and Approved Equipment -- 33 CFR 140.15 FORMS: NONE OMB NO: 2115-0556 EXPIRATION DATE: 09/30/2002 RESPS:35 HOURS:15 COSTS(000):$0 a) Reports of MARPOL 73/78 Oil, Noxious Liquid Substance (NLS), and Garbage Discharge; b) Application for Equivalents, Exemptions, and Alternatives; c) Pollution Sightings FORMS: NONE OMB NO: 2115-0557 EXPIRATION DATE: 04/30/2001 RESPS:144,943 HOURS:16,646 COSTS(000):$0 Advance Notice of Vessel Arrival and Departure FORMS: NONE OMB NO: 2115-0563 EXPIRATION DATE: 09/30/2003 RESPS:13 HOURS:84 COSTS(000):$0 Nondestructive Testing Proposal and Results for Pressure Vessel Cargo Tanks on Unmanned Barges FORMS: NONE OMB NO: 2115-0565 EXPIRATION DATE: 02/28/2001 RESPS:11 HOURS:50 COSTS(000):$0 Hopper Dredge Working Freeboard, Loadline and Stability FORMS: NONE OMB NO: 2115-0569 EXPIRATION DATE: 03/31/2003 RESPS:3,313 HOURS:9,939 COSTS(000):$0 Self-Inspection of Fixed OCS Facilities FORMS: CG-5432 OMB NO: 2115-0571 EXPIRATION DATE: 02/28/2001 RESPS:52 HOURS:572 COSTS(000):$0 Alternative Provisions for Reinspection of Offshore Supply Vessels in Foreign Ports -- 46 CFR 91.27-13 FORMS: NONE OMB NO: 2115-0573 EXPIRATION DATE: 08/31/2003 RESPS:261 HOURS:382,798 COSTS(000):$0 Labeling Requirements in 33 CFR Parts 181 and 183 FORMS: NONE OMB NO: 2115-0576 EXPIRATION DATE: 06/30/2002 RESPS:30,000 HOURS:8,512 COSTS(000):$0 Instructional Material for Lifesaving, Fire Protection, and Emergency Equipment FORMS: NONE OMB NO: 2115-0577 EXPIRATION DATE: 12/31/2002 RESPS:30,000 HOURS:4,012 COSTS(000):$0 Identification Markings on Lifesaving, Fire Protection, and Emergency Equipment FORMS: NONE OMB NO: 2115-0578 EXPIRATION DATE: 09/30/2003 RESPS:6,753 HOURS:436,173 COSTS(000):$0 Small Passenger Vessels -- Title 46 CFR Subchapters K and T FORMS: CG-841 CG-854 CG-948 CG-949 CG-3752 CG-5256 OMB NO: 2115-0579 EXPIRATION DATE: 11/30/2001 RESPS:433 HOURS:376 COSTS(000):$0 Application for a Permit to Transport Municipal or Commercial Waste FORMS: NONE OMB NO: 2115-0580 EXPIRATION DATE: 02/28/2001 RESPS:196 HOURS:3,460 COSTS(000):$0 Emergency Evacuation Plan for Manned Facilities FORMS: NONE OMB NO: 2115-0581 EXPIRATION DATE: 06/30/2002 RESPS:43 HOURS:1,390 COSTS(000):$0 Plan Review for Facilities with Vapor Control Systems FORMS: NONE OMB NO: 2115-0582 EXPIRATION DATE: 11/30/2001 RESPS:77,234 HOURS:79,670 COSTS(000):$0 Commercial Fishing Industry Vessel Safety Regulations FORMS: NONE OMB NO: 2115-0585 EXPIRATION DATE: 11/30/2001 RESPS:1 HOURS:53 COSTS(000):$0 Marine Portable Tanks (MPTs); Alteration Non-Specification Portable Tanks; Approval FORMS: NONE OMB NO: 2115-0586 EXPIRATION DATE: 06/30/2003 RESPS:200 HOURS:59,755 COSTS(000):$0 Marine Occupational Health and Safety Standards for Benzene--46 CFR 197 Subpart C FORMS: NONE OMB NO: 2115-0589 EXPIRATION DATE: 02/28/2001 RESPS:6,717 HOURS:19,693 COSTS(000):$0 Subdivision and Stability -- 46 CFR Subchapter S FORMS: NONE OMB NO: 2115-0592 EXPIRATION DATE: 09/30/2003 RESPS:580 HOURS:5,931 COSTS(000):$0 Offshore Supply Vessels -- 46 CFR Subchapter L FORMS: NONE OMB NO: 2115-0595 EXPIRATION DATE: 08/31/2003 RESPS:5,207 HOURS:188,733 COSTS(000):$0 Vessel Response Plans, Facility Response Plans, Shipboard Oil Pollution Emergency Plans, and Additional Response Equipment Requirements for Prince William Sound FORMS: NONE OMB NO: 2115-0596 EXPIRATION DATE: 11/30/2001 RESPS:3,775 HOURS:10,163 COSTS(000):$0 Claims under the Oil Pollution Act of 1990 FORMS: NONE OMB NO: 2115-0597 EXPIRATION DATE: 11/30/2001 RESPS:1 HOURS:3 COSTS(000):$0 State Access to the Oil Spill Liability Trust Fund for Removal FORMS: NONE OMB NO: 2115-0598 EXPIRATION DATE: 08/31/2002 RESPS:30,877 HOURS:20,688 COSTS(000):$0 Ballast Water Management for Vessels with Ballast Tanks Entering U.S. Waters FORMS: NONE OMB NO: 2115-0603 EXPIRATION DATE: 12/31/2002 RESPS:319 HOURS:18,502 COSTS(000):$0 Periodic Gauging and Engineering Analyses for Certain Tank Vessels Over 30 Years Old FORMS: NONE OMB NO: 2115-0606 EXPIRATION DATE: 12/31/2002 RESPS:142 HOURS:1,446 COSTS(000):$0 National Response Resource Inventory FORMS: NONE OMB NO: 2115-0607 EXPIRATION DATE: 06/30/2003 RESPS:123,582 HOURS:5,697 COSTS(000):$308 Vessel Identification System FORMS: NONE OMB NO: 2115-0611 EXPIRATION DATE: 07/31/2003 RESPS:1 HOURS:80 COSTS(000):$0 Boat Owner's Report - Possible Safety Defect FORMS: CG-5578 OMB NO: 2115-0613 EXPIRATION DATE: 01/31/2001 RESPS:24,224 HOURS:526,624 COSTS(000):$0 Recordkeeping of Refuse Discharges from Ships FORMS: NONE OMB NO: 2115-0614 EXPIRATION DATE: 06/30/2003 RESPS:3 HOURS:120 COSTS(000):$0 Alteration of Unreasonably Obstructive Bridges under the Truman-Hobbs (T-H) Act FORMS: NONE OMB NO: 2115-0617 EXPIRATION DATE: 02/28/2001 RESPS:26,004 HOURS:2,855 COSTS(000):$0 Direct User Fees for Inspection or Examination of U.S. and Foreign Commercial Vessels FORMS: CG-5565 CG-5565A OMB NO: 2115-0618 EXPIRATION DATE: 05/31/2001 RESPS:1,600 HOURS:320 COSTS(000):$0 Boating Statistics Questionnaire FORMS: CG-5599 OMB NO: 2115-0619 EXPIRATION DATE: 07/31/2001 RESPS:50 HOURS:503 COSTS(000):$0 Inflatable Personal Flotation Devices for Recreational Vessels; PFD Marking, Inflation Mechanism Marking, Manufacturer Records, Information Pamphlet, and Owners Manual FORMS: NONE OMB NO: 2115-0622 EXPIRATION DATE: 06/30/2003 RESPS:95 HOURS:1,811 COSTS(000):$0 Security of Passenger Vessels and Passenger Terminals FORMS: NONE OMB NO: 2115-0623 EXPIRATION DATE: 09/30/2002 RESPS:1 HOURS:1,590 COSTS(000):$0 Licensing and Manning Requirements for Towing Vessels FORMS: NONE OMB NO: 2115-0624 EXPIRATION DATE: 09/30/2003 RESPS:13,986 HOURS:18,331 COSTS(000):$0 Standards of Training, Certification and Watchkeeping for Seafarers (STCW), 1995 Amendments FORMS: NONE OMB NO: 2115-0625 EXPIRATION DATE: 09/30/2003 RESPS:13,485 HOURS:4,712 COSTS(000):$0 Customer Satisfaction Surveys FORMS: NONE OMB NO: 2115-0626 EXPIRATION DATE: 06/30/2002 RESPS:3 HOURS:190 COSTS(000):$0 Alternate Compliance Program, Record of Inspections FORMS: NONE OMB NO: 2115-0628 EXPIRATION DATE: 03/31/2001 RESPS:64 HOURS:304,251 COSTS(000):$0 Navigation Safety Equipment for Towing Vessels FORMS: NONE OMB NO: 2115-0629 EXPIRATION DATE: 06/30/2002 RESPS:813,886 HOURS:30,136 COSTS(000):$0 Operational Measures for Existing Tank Vessels Without Double Hulls FORMS: NONE OMB NO: 2115-0630 EXPIRATION DATE: 07/31/2003 RESPS:2,988 HOURS:3,650 COSTS(000):$0 International Safety Management Code Audit Reports FORMS: NONE OMB NO: 2115-0632 EXPIRATION DATE: 05/31/2001 RESPS:6,840 HOURS:2,560 COSTS(000):$0 Recreational Boating Safety Survey FORMS: NONE OMB NO: 2115-0633 EXPIRATION DATE: 07/31/2001 RESPS:1,907 HOURS:32,244 COSTS(000):$0 Streamlined Inspection Program FORMS: NONE OMB NO: 2115-0634 EXPIRATION DATE: 01/31/2002 RESPS:920 HOURS:153 COSTS(000):$0 Letter of Instruction for Persons-in-Charge (PIC) on Uninspected Vessels FORMS: NONE OMB NO: 2115-0635 EXPIRATION DATE: 10/31/2003 RESPS:60 HOURS:18 COSTS(000):$0 Great Lakes Pilotage Rate Methodology FORMS: NONE OMB NO: 2115-0636 EXPIRATION DATE: 01/31/2002 RESPS:300 HOURS:150 COSTS(000):$0 U.S. Coast Guard International Ice Patrol (IIP) Customer Survey FORMS: NONE OMB NO: 2115-0637 EXPIRATION DATE: 11/30/2001 RESPS:709 HOURS:355 COSTS(000):$0 Voyage Planning for Tank Barge Transits in the Northeast United States. FORMS: NONE OMB NO: 2115-0638 EXPIRATION DATE: 07/31/2002 RESPS:237,000 HOURS:3,926 COSTS(000):$0 National Recreational Boating Survey FORMS: NONE OMB NO: 2115-0639 EXPIRATION DATE: 01/31/2003 RESPS:69,967 HOURS:5,939 COSTS(000):$0 Year 2000 (Y2K) Preparedness Reporting Requirements FORMS: NONE OMB NO: 2115-0640 EXPIRATION DATE: 12/31/2002 RESPS:4,400 HOURS:352 COSTS(000):$0 Mandatory Ship Reporting System for the Northeast and Southeast Coasts of the United States FORMS: NONE OMB NO: 2115-0644 EXPIRATION DATE: 09/30/2003 RESPS:2,784 HOURS:1,624 COSTS(000):$0 Understanding How Mariners Use Aids to Navigation - A Tool for the Coast Guard's Office of Aids to Navigation FORMS: NONE OMB NO: 2115-0645 EXPIRATION DATE: 09/30/2003 RESPS:27 HOURS:54 COSTS(000):$0 Certification of Navigation Lights for Recreational and Ininspected Vessels FORMS: NONE Federal Aviation Administration OMB NO: 2120-0001 EXPIRATION DATE: 06/30/2001 RESPS:30,000 HOURS:8,820 COSTS(000):$0 Notice of Proposed Construction or Alteration, Notice of Actual Construction or Alteration, and Project Status Request FORMS: 7460-1 7460-2 7460-11 OMB NO: 2120-0003 EXPIRATION DATE: 07/31/2002 RESPS:46,239 HOURS:6,935 COSTS(000):$0 Malfunction or Defect Report FORMS: FAA-FORM-8010-4 OMB NO: 2120-0005 EXPIRATION DATE: 03/31/2002 RESPS:21,197 HOURS:231,064 COSTS(000):$0 General Operating and Flight Rule -- FAR 91 FORMS: NONE OMB NO: 2120-0007 EXPIRATION DATE: 12/31/2002 RESPS:4,071 HOURS:1,009 COSTS(000):$0 Flight Engineers and Flight Navigators -- FAR 63 FORMS: FAA-FORM-8400-3 OMB NO: 2120-0008 EXPIRATION DATE: 11/30/2002 RESPS:61,844 HOURS:1,278,856 COSTS(000):$0 Operating Requirements: Domestic, Flag, and Supplemental Operations -- Part 121 FORMS: FAA-FORM-8070-1 OMB NO: 2120-0009 EXPIRATION DATE: 09/30/2002 RESPS:524 HOURS:28,878 COSTS(000):$0 Pilot Schools -- FAR 141 FORMS: FAA8420-8 OMB NO: 2120-0010 EXPIRATION DATE: 04/30/2003 RESPS:1,100 HOURS:304,647 COSTS(000):$0 Repair Station Certification FORMS: 8310-3 OMB NO: 2120-0014 EXPIRATION DATE: 11/30/2002 RESPS:1,273 HOURS:29,516 COSTS(000):$0 Procedures for Non-Federal Navigational Facilities -- FAR Part 171 FORMS: 6030-1 6030-17 6790-4 6790-5 OMB NO: 2120-0015 EXPIRATION DATE: 10/31/2002 RESPS:14,420 HOURS:4,355 COSTS(000):$0 Airport Master Record FORMS: 5010-1 5010-2 5010-3 5010-5 OMB NO: 2120-0018 EXPIRATION DATE: 08/31/2001 RESPS:52,020 HOURS:44,101 COSTS(000):$0 Certification Procedures for Products and Parts -- FAR 21 FORMS: FORMS-8110-12 8130-1 8130-6 8130-9 8120-12 OMB NO: 2120-0020 EXPIRATION DATE: 08/31/2001 RESPS:74,196 HOURS:1,377,879 COSTS(000):$0 Maintenance, Preventive Maintenance, Rebuilding and Alteration -- FAR 43 FORMS: FAA-FORM-337 OMB NO: 2120-0021 EXPIRATION DATE: 02/28/2001 RESPS:809,827 HOURS:252,140 COSTS(000):$0 Certification: Pilots and Flight Instructors FORMS: 8710-1 OMB NO: 2120-0022 EXPIRATION DATE: 06/30/2001 RESPS:33,434 HOURS:28,943 COSTS(000):$0 Certification: Mechanics, Repairmen, Parachute Riggers, and Inspection Authorizations -- FAR-65 FORMS: FAA-FORM-8610-1 FAA-FORM-8610-2 OMB NO: 2120-0024 EXPIRATION DATE: 06/30/2002 RESPS:1 HOURS:1,640 COSTS(000):$0 Dealer's Aircraft Registration Certification Application FORMS: 8050-5 OMB NO: 2120-0026 EXPIRATION DATE: 04/30/2003 RESPS:17,584,302 HOURS:293,072 COSTS(000):$0 Domestic and International Flight Plan Forms FORMS: 7233-1 7233-4 OMB NO: 2120-0027 EXPIRATION DATE: 07/31/2002 RESPS:25,231 HOURS:12,202 COSTS(000):$0 Application for Certificate of Waiver or Authorization FORMS: FAA-FORM-7711-2 OMB NO: 2120-0033 EXPIRATION DATE: 12/31/2003 RESPS:4,840 HOURS:3,974 COSTS(000):$0 Representatives of the Administrator, FAR 183 FORMS: FAA-8110-14 FAA-8110-28 FAA-8710-9 FAA-8110-10 OMB NO: 2120-0034 EXPIRATION DATE: 11/30/2001 RESPS:899,463 HOURS:899,463 COSTS(000):$0 Medical Standards and Certification -- 14 CFR Part 67 FORMS: FAA-FORM-8500-7 8500-8 8500-14 8500-20 OMB NO: 2120-0036 EXPIRATION DATE: 03/31/2001 RESPS:3,426 HOURS:2,570 COSTS(000):$0 Notice of Landing Area Proposal FORMS: FAA-7480-1 OMB NO: 2120-0039 EXPIRATION DATE: 04/30/2003 RESPS:9,050,493 HOURS:1,128,904 COSTS(000):$0 Operating Requirements: Commuter and On-Demand Operation -- 14 CFR Part 135 FORMS: 8070-1 OMB NO: 2120-0040 EXPIRATION DATE: 08/31/2001 RESPS:181 HOURS:74,015 COSTS(000):$0 Aviation Maintenance Technician Schools -- FAR Part 147 FORMS: FORM-8310-6 OMB NO: 2120-0042 EXPIRATION DATE: 05/31/2002 RESPS:122,271 HOURS:67,153 COSTS(000):$0 Aircraft Registration FORMS: AC8050-1 AC8050-2 AC8050-4 AC8050-81 AC8050-98 AC8050-117 OMB NO: 2120-0043 EXPIRATION DATE: 04/30/2003 RESPS:55,406 HOURS:55,406 COSTS(000):$0 Recording of Aircraft Conveyanes and Security Documents FORMS: AC8050-41 OMB NO: 2120-0044 EXPIRATION DATE: 09/30/2002 RESPS:1,449 HOURS:3,268 COSTS(000):$0 Rotorcraft External-Load Certificate Application FORMS: FAA-FORM-8710-4 OMB NO: 2120-0045 EXPIRATION DATE: 08/31/2003 RESPS:5,000 HOURS:400 COSTS(000):$0 Bird/Other Wildlife Strike FORMS: FAA-FORM-5200-7 OMB NO: 2120-0049 EXPIRATION DATE: 02/28/2003 RESPS:1,075 HOURS:14,037 COSTS(000):$0 Agricultural Aircraft Operator Certificate Application FORMS: FAA-FORM-8710-3 OMB NO: 2120-0056 EXPIRATION DATE: 07/31/2001 RESPS:81,250 HOURS:6,771 COSTS(000):$0 Report of Inspections Required by Airworthiness Directives -- Part 39 FORMS: NONE OMB NO: 2120-0057 EXPIRATION DATE: 09/30/2001 RESPS:17,346 HOURS:1,762 COSTS(000):$0 Safety Improvement Report, Accident Prevention Counselor Activity Reports FORMS: 8740-5/2 8740-6 OMB NO: 2120-0060 EXPIRATION DATE: 09/30/2002 RESPS:19,500 HOURS:4,875 COSTS(000):$0 General Aviation/Air Taxi Activity and Avionics Survey FORMS: FORM-1800-54 OMB NO: 2120-0063 EXPIRATION DATE: 06/30/2002 RESPS:275,448 HOURS:174,151 COSTS(000):$0 Certification of Airports FORMS: FAA-FORM-5280-1 OMB NO: 2120-0067 EXPIRATION DATE: 08/31/2001 RESPS:200 HOURS:260 COSTS(000):$0 Air Taxi and Commercial Operator Activity Survey FORMS: FORM-1800-31 OMB NO: 2120-0075 EXPIRATION DATE: 05/31/2001 RESPS:465 HOURS:75,414 COSTS(000):$0 Airport Security -- 14 CFR Part 107 FORMS: FAA-FORM-1650-8 FAA-FORM-1650-7 OMB NO: 2120-0085 EXPIRATION DATE: 04/30/2001 RESPS:45,999 HOURS:29,445 COSTS(000):$0 Certification and Operation -- Federal Aviation Regulations 125 FORMS: NONE OMB NO: 2120-0098 EXPIRATION DATE: 09/30/2002 RESPS:299 HOURS:7,966 COSTS(000):$0 Airplane Operator Security FORMS: FAAFORM-1650-17 OMB NO: 2120-0101 EXPIRATION DATE: 07/31/2001 RESPS:5,500 HOURS:458 COSTS(000):$0 Physiological Training FORMS: ACFORM3150-7 OMB NO: 2120-0505 EXPIRATION DATE: 09/30/2002 RESPS:2,820 HOURS:664 COSTS(000):$0 Indirect Air Carrier Security -- 14 CFR Part 109 FORMS: N/A OMB NO: 2120-0507 EXPIRATION DATE: 07/31/2002 RESPS:6 HOURS:530 COSTS(000):$0 Development of Major Repair Data -- Special Federal Aviation Regulation (SFAR) 36 FORMS: NONE OMB NO: 2120-0508 EXPIRATION DATE: 08/31/2001 RESPS:1,200 HOURS:100 COSTS(000):$0 Fuel Venting and Exhaust Emission Requirements for Turbine Engine Powered Airplanes FORMS: NONE OMB NO: 2120-0514 EXPIRATION DATE: 04/30/2002 RESPS:36 HOURS:68 COSTS(000):$0 Aviation Insurance FORMS: NONE OMB NO: 2120-0517 EXPIRATION DATE: 03/31/2002 RESPS:34 HOURS:54,900 COSTS(000):$0 Airport Noise Compatibility Planning -- 14 CFR Part 150 FORMS: NONE OMB NO: 2120-0524 EXPIRATION DATE: 07/31/2001 RESPS:576 HOURS:2,581 COSTS(000):$0 High Density Traffic Airports, Slot Allocation and Transfer FORMS: NONE OMB NO: 2120-0535 EXPIRATION DATE: 11/30/2002 RESPS:251,729 HOURS:24,602 COSTS(000):$0 Antidrug and Alcohol Program for Personnel Engaged in Specified Aviation Activities FORMS: 9000-2 OMB NO: 2120-0536 EXPIRATION DATE: 10/31/2002 RESPS:229 HOURS:5,193 COSTS(000):$0 Security Programs for Foreign Air Carriers -- 14 CFR Part 129 FORMS: 1650-17 1650-8 OMB NO: 2120-0539 EXPIRATION DATE: 09/30/2001 RESPS:42 HOURS:210 COSTS(000):$0 Implementation of the Equal Access to Justice Act FORMS: NONE OMB NO: 2120-0543 EXPIRATION DATE: 01/31/2003 RESPS:2,222 HOURS:370 COSTS(000):$0 Pilots Convicted of Alcohol or Drug-Related Motor Vehicle Offenses or Subject to State Motor Vehicle Administrative Procedures FORMS: 8500-8 OMB NO: 2120-0552 EXPIRATION DATE: 02/28/2003 RESPS:400 HOURS:60 COSTS(000):$0 Suspected Unapproved Parts Notification FORMS: FORM-8120-11 OMB NO: 2120-0554 EXPIRATION DATE: 03/31/2003 RESPS:1,305 HOURS:16,297 COSTS(000):$0 Employment Standards, FAR Part 107 and FAR Part 108 FORMS: NONE OMB NO: 2120-0557 EXPIRATION DATE: 08/31/2003 RESPS:1,655 HOURS:26,592 COSTS(000):$0 Passenger Facility Charge (PFC) Application FORMS: FAA-FORM-5500-1 OMB NO: 2120-0559 EXPIRATION DATE: 09/30/2003 RESPS:100 HOURS:1,400 COSTS(000):$0 Aviation Research Grants Program FORMS: FAA-9550-1 FAA-9550-2 FAA-9550-3 FAA-9550-5 SF-269 SF-270 SF-272 SF-3881 SF-LLL OMB NO: 2120-0563 EXPIRATION DATE: 11/30/2003 RESPS:8 HOURS:30,000 COSTS(000):$0 Notice and Approval of Airport Noise and Access Restrictions FORMS: NONE OMB NO: 2120-0564 EXPIRATION DATE: 08/31/2001 RESPS:390 HOURS:1,466 COSTS(000):$0 Unescorted Access Privilege -- Parts 107 and 108 of the Code of Federal Regulations FORMS: NONE OMB NO: 2120-0568 EXPIRATION DATE: 04/30/2001 RESPS:63,709 HOURS:12,741 COSTS(000):$0 Federal Aviation Administration, Flight Standards Customer Satisfaction Survey FORMS: NONE OMB NO: 2120-0569 EXPIRATION DATE: 08/31/2001 RESPS:10,176 HOURS:67,714 COSTS(000):$0 Airport Grants Program FORMS: 5100-100 5100-108 5100-125 5100-126 5370-1 OMB NO: 2120-0570 EXPIRATION DATE: 04/30/2002 RESPS:50 HOURS:6,000 COSTS(000):$0 Certificated Training Centers, Simulator Rule -- 14 CFR Part 142 FORMS: FAA-FORM-8400-8 OMB NO: 2120-0572 EXPIRATION DATE: 10/31/2002 RESPS:264 HOURS:1,606 COSTS(000):$0 Operating Procedures for Airport Traffic Control Towers (ATCT) That Are Not Operated By or Under Contract with the U.S. (Non-Federal) FORMS: 7210-2 7210-3 7230-4 7230-7.2 7230-8 7230-10 8020-9 8020-11 8020-17 8020-19 OMB NO: 2120-0573 EXPIRATION DATE: 04/30/2001 RESPS:25 HOURS:38 COSTS(000):$0 Special Federal Aviation Regulation, Special Flight Authorization for Noise Restricted Aircraft FORMS: NONE OMB NO: 2120-0574 EXPIRATION DATE: 07/31/2002 RESPS:180 HOURS:180 COSTS(000):$0 Aviation Safety Counselor of the Year Award Competition FORMS: FAA-FORM8740-14 OMB NO: 2120-0576 EXPIRATION DATE: 12/31/2002 RESPS:100 HOURS:25 COSTS(000):$0 Kansas City Center Customer Satisfaction Questionnaire FORMS: ZKC-FORM-7010-1 OMB NO: 2120-0577 EXPIRATION DATE: 09/30/2002 RESPS:11 HOURS:775 COSTS(000):$0 Explosives Detection System Certification Testing FORMS: NONE OMB NO: 2120-0587 EXPIRATION DATE: 09/30/2002 RESPS:1 HOURS:13,333 COSTS(000):$0 Aviator Safety Studies FORMS: NONE OMB NO: 2120-0593 EXPIRATION DATE: 12/31/2001 RESPS:4,976 HOURS:8,803 COSTS(000):$0 Certification: Air Carrier and Commercial Operators -- Part 119 FORMS: FORM-8400-6 OMB NO: 2120-0595 EXPIRATION DATE: 06/30/2002 RESPS:53,784 HOURS:170,073 COSTS(000):$0 Federal Aviation Administration Acquisition Management System (FAAAMS) FORMS: FAA-2120-0595 OMB NO: 2120-0597 EXPIRATION DATE: 11/30/2002 RESPS:50,000 HOURS:75,000 COSTS(000):$0 Application for Employment with the Federal Aviation Administration FORMS: 3330.76 OMB NO: 2120-0600 EXPIRATION DATE: 11/30/2002 RESPS:3,100 HOURS:13 COSTS(000):$0 Training and Qualification Requirements for Check Airmen and Flight Instructors FORMS: NONE OMB NO: 2120-0601 EXPIRATION DATE: 08/31/2002 RESPS:7 HOURS:1,827 COSTS(000):$0 Financial Responsibility for Licensed Launch Activities FORMS: NONE OMB NO: 2120-0604 EXPIRATION DATE: 11/30/2002 RESPS:450 HOURS:225 COSTS(000):$0 Aviation Medical Examiner Program FORMS: FAA-FORM-8520-2 OMB NO: 2120-0605 EXPIRATION DATE: 12/31/2002 RESPS:450 HOURS:225 COSTS(000):$0 ACSEP Evaluation Customer Feedback Report FORMS: FAA-FORM-8100.7 OMB NO: 2120-0606 EXPIRATION DATE: 03/31/2003 RESPS:48 HOURS:48 COSTS(000):$0 Fleet and Operations Reporting: Grand Canyon National Park FORMS: NONE OMB NO: 2120-0607 EXPIRATION DATE: 02/28/2001 RESPS:20,977 HOURS:5,899 COSTS(000):$0 Pilot Records Improvement Act of 1996 FORMS: 8060-10 8060-11 OMB NO: 2120-0608 EXPIRATION DATE: 04/30/2003 RESPS:8 HOURS:3,236 COSTS(000):$0 Commercial Space Transportation Licensing Regulations FORMS: NONE OMB NO: 2120-0611 EXPIRATION DATE: 11/30/2003 RESPS:300 HOURS:300 COSTS(000):$0 Associate Administrator for Commercial Space Transportation (AST) Customer Service Survey FORMS: NONE OMB NO: 2120-0614 EXPIRATION DATE: 08/31/2003 RESPS:360 HOURS:720 COSTS(000):$0 Revised Standards for Cargo or Baggage Compartments in Transport Category Airplanes FORMS: NONE OMB NO: 2120-0616 EXPIRATION DATE: 08/31/2003 RESPS:2,960 HOURS:1 COSTS(000):$54,600 Revisions to Digital Flight Data Recorders FORMS: NONE OMB NO: 2120-0618 EXPIRATION DATE: 12/31/2003 RESPS:600 HOURS:50 COSTS(000):$0 Overflight Billing and Collection Customer Information Form FORMS: NONE OMB NO: 2120-0620 EXPIRATION DATE: 02/28/2001 RESPS:100,205 HOURS:6,977 COSTS(000):$0 Special Federal Aviation Regulation No. 71 FORMS: NONE OMB NO: 2120-0623 EXPIRATION DATE: 04/30/2001 RESPS:325 HOURS:81 COSTS(000):$0 Office of Rulemaking Request for Evaluation of Customer Standards Survey FORMS: NONE OMB NO: 2120-0624 EXPIRATION DATE: 06/30/2001 RESPS:14,400 HOURS:2,400 COSTS(000):$0 Pilot Medical Certification Customer Service Survey FORMS: NONE OMB NO: 2120-0628 EXPIRATION DATE: 07/31/2001 RESPS:16,206 HOURS:2,969 COSTS(000):$0 Employment History, Vertification, and Criminal History Records Check FORMS: NONE OMB NO: 2120-0629 EXPIRATION DATE: 10/31/2001 RESPS:1,500 HOURS:274 COSTS(000):$0 In-Flight Medical Incident Report FORMS: NONE OMB NO: 2120-0631 EXPIRATION DATE: 09/30/2001 RESPS:1 HOURS:1 COSTS(000):$140,000 Terrain Awareness and Warning System (TAWS) (Proposed Rule) FORMS: NONE OMB NO: 2120-0632 EXPIRATION DATE: 09/30/2001 RESPS:100 HOURS:3,385 COSTS(000):$0 Office of Dispute Resolution Procedures for Protests and Contract Disputes -- 14 CFR Part 17 FORMS: NONE OMB NO: 2120-0633 EXPIRATION DATE: 08/31/2002 RESPS:1,586 HOURS:793 COSTS(000):$0 Exemptions for Air Taxi and Commuter Air Carrier Operations FORMS: OST-FORM-4507 OMB NO: 2120-0634 EXPIRATION DATE: 09/30/2001 RESPS:220 HOURS:220 COSTS(000):$0 Federal Aviation Administration, Eastern Region Airports Division Customer Survey FORMS: NONE OMB NO: 2120-0638 EXPIRATION DATE: 01/31/2002 RESPS:1 HOURS:5,193 COSTS(000):$0 Security Programs for Foreign Air Carriers -- 14 CFR Part 129 FORMS: NONE OMB NO: 2120-0641 EXPIRATION DATE: 05/31/2002 RESPS:44 HOURS:10 COSTS(000):$0 Parachute Accident Reporting FORMS: NONE OMB NO: 2120-0642 EXPIRATION DATE: 05/31/2002 RESPS:32 HOURS:5,045 COSTS(000):$4,391 "Security of Checked Baggage on Flights Within the United States" (Proposed Rule) FORMS: NONE OMB NO: 2120-0643 EXPIRATION DATE: 06/30/2002 RESPS:35 HOURS:4,384 COSTS(000):$0 Commercial Space Transportation Reusable Launch Vehicle and Reentry Licensing Regulations FORMS: NONE OMB NO: 2120-0644 EXPIRATION DATE: 07/31/2002 RESPS:2 HOURS:1,592 COSTS(000):$0 License Requirements for Operation of a Launch Site FORMS: NONE OMB NO: 2120-0646 EXPIRATION DATE: 08/31/2002 RESPS:5 HOURS:5 COSTS(000):$0 Protection of Voluntarily Submitted Information FORMS: NONE OMB NO: 2120-0648 EXPIRATION DATE: 10/31/2002 RESPS:70 HOURS:3,911 COSTS(000):$0 Certification: Airmen Other Than Flight Crewmembers -- Part 65; Aircraft Dispatches -- Subpart C; and Aircraft Dispatcher Courses -- Appendix A FORMS: NONE OMB NO: 2120-0649 EXPIRATION DATE: 11/30/2002 RESPS:6 HOURS:1,566 COSTS(000):$0 Financial Responsibility Requirements for Licensed Reentry Activities FORMS: NONE OMB NO: 2120-0651 EXPIRATION DATE: 12/31/2002 RESPS:1,200 HOURS:1 COSTS(000):$205,000 Additional Flight Data Recorder Requirements for Certain Boeing 737 Airplanes FORMS: NONE OMB NO: 2120-0652 EXPIRATION DATE: 04/30/2003 RESPS:100 HOURS:25 COSTS(000):$0 Changes in Permissible Stage 2 Airplane Operations FORMS: NONE OMB NO: 2120-0653 EXPIRATION DATE: 01/31/2003 RESPS:138 HOURS:466 COSTS(000):$0 Commercial Air Tour Limitation in the Grand Canyon National Park Special Flight Rules Area FORMS: NONE OMB NO: 2120-0655 EXPIRATION DATE: 12/31/2003 RESPS:1,580 HOURS:8,855 COSTS(000):$0 Aircraft Operator Security, 14 CFR Part 108 Revision FORMS: 1650-7 1650-17 OMB NO: 2120-0656 EXPIRATION DATE: 12/31/2001 RESPS:458 HOURS:512,426 COSTS(000):$23 Airport Security, Part 107 FORMS: NONE OMB NO: 2120-0657 EXPIRATION DATE: 09/30/2003 RESPS:2,558 HOURS:18,815 COSTS(000):$0 Type Certification Procedures for Changed Products FORMS: NONE OMB NO: 2120-0659 EXPIRATION DATE: 09/30/2003 RESPS:10 HOURS:1,350 COSTS(000):$0 Noise Certification Standards for Subsonic Jet Airplanes and Subsonic Transport Category Large Airplanes FORMS: NONE OMB NO: 2120-0660 EXPIRATION DATE: 09/30/2003 RESPS:360 HOURS:360 COSTS(000):$0 Flight Operational Quality Assurance (FOQA) Program FORMS: NONE OMB NO: 2120-0661 EXPIRATION DATE: 09/30/2003 RESPS:82 HOURS:5,945 COSTS(000):$0 Competition Plans, Passenger Facility Charges FORMS: NONE OMB NO: 2120-0662 EXPIRATION DATE: 09/30/2003 RESPS:200 HOURS:2,200 COSTS(000):$0 Laser Operations in the Navigable Airspace (Advisory Circular (AC), Outdoor Laser Operations) FORMS: NONE OMB NO: 2120-0663 EXPIRATION DATE: 11/30/2003 RESPS:41,500 HOURS:6,107 COSTS(000):$0 Service Difficulty Report (SDR) FORMS: FAA-FORM-8070-1 OMB NO: 2120-0664 EXPIRATION DATE: 11/30/2003 RESPS:100 HOURS:100 COSTS(000):$0 Volcanic Activity User Needs Analysis Questionnaire FORMS: NONE OMB NO: 2120-0665 EXPIRATION DATE: 12/31/2003 RESPS:625,000 HOURS:52,000 COSTS(000):$0 Safe Disposition of Life-Limited Aircraft Parts FORMS: NONE Federal Highway Administration OMB NO: 2125-0010 EXPIRATION DATE: 03/31/2001 RESPS:43 HOURS:484 COSTS(000):$0 Bid Price Data FORMS: FHWA-45 OMB NO: 2125-0019 EXPIRATION DATE: 01/31/2001 RESPS:1 HOURS:6,580 COSTS(000):$0 Federal-Aid Highway Construction Equal Employment Opportunity FORMS: PR-1391 PR-1392 OMB NO: 2125-0025 EXPIRATION DATE: 03/31/2001 RESPS:51 HOURS:11,220 COSTS(000):$0 Highway Safety Improvement Program and Priorities FORMS: NONE OMB NO: 2125-0028 EXPIRATION DATE: 02/28/2003 RESPS:56 HOURS:74,960 COSTS(000):$0 Highway Performance Monitoring System (HPMS) Field Manual FORMS: NONE OMB NO: 2125-0032 EXPIRATION DATE: 03/31/2003 RESPS:1,826 HOURS:40,880 COSTS(000):$0 A Guide to Reporting Highway Statistics FORMS: FHWA-531 532-534 536-539 541-542-543 551M 556 561 562 566 571 OMB NO: 2125-0033 EXPIRATION DATE: 12/31/2003 RESPS:1,300 HOURS:8,450 COSTS(000):$0 Statement of Materials and Labor used by Contractors on Highway Construction involving Federal Funds FORMS: FHWA-47 OMB NO: 2125-0034 EXPIRATION DATE: 05/31/2003 RESPS:104 HOURS:4,160 COSTS(000):$0 Certification of Enforcement of Vehicle Size and Weight Laws FORMS: NONE OMB NO: 2125-0039 EXPIRATION DATE: 04/30/2001 RESPS:52 HOURS:29,120 COSTS(000):$0 Planning and Research Program Administration FORMS: NONE OMB NO: 2125-0501 EXPIRATION DATE: 04/30/2001 RESPS:270,000 HOURS:540,000 COSTS(000):$0 Structure Inventory and Appraisal Sheet FORMS: NONE OMB NO: 2125-0507 EXPIRATION DATE: 09/30/2001 RESPS:11,820 HOURS:5,910 COSTS(000):$0 Voucher for Federal-Aid Reimbursements FORMS: PR-20 FHWA-1447 OMB NO: 2125-0514 EXPIRATION DATE: 09/30/2001 RESPS:10 HOURS:2,800 COSTS(000):$3 Develop and Submit Utility Accommodation Policies FORMS: NONE OMB NO: 2125-0515 EXPIRATION DATE: 09/30/2001 RESPS:5 HOURS:180 COSTS(000):$1 Eligibility Statement for Utility Adjustments FORMS: NONE OMB NO: 2125-0519 EXPIRATION DATE: 10/31/2003 RESPS:9,000 HOURS:72,000 COSTS(000):$180 Developing and Recording Costs for Utility Adjustments FORMS: NONE OMB NO: 2125-0521 EXPIRATION DATE: 10/31/2003 RESPS:1,200 HOURS:9,600 COSTS(000):$24 Developing and Recording Costs for Railroad Adjustments FORMS: NONE OMB NO: 2125-0522 EXPIRATION DATE: 10/31/2003 RESPS:69,000 HOURS:414,000 COSTS(000):$690 Utility Use and Occupancy Agreements FORMS: NONE OMB NO: 2125-0525 EXPIRATION DATE: 05/31/2001 RESPS:36 HOURS:7,200 COSTS(000):$1 Emergency Relief Funding Applications FORMS: NONE OMB NO: 2125-0529 EXPIRATION DATE: 05/31/2001 RESPS:12,040 HOURS:12,040 COSTS(000):$0 Preparation and Execution of the Project Agreement and Modifications FORMS: PR-2 PR-2-1 PR-2A OMB NO: 2125-0541 EXPIRATION DATE: 09/30/2001 RESPS:51 HOURS:612 COSTS(000):$0 Certification of Enforcement of Heavy Vehicle Use Tax FORMS: NONE OMB NO: 2125-0545 EXPIRATION DATE: 01/31/2001 RESPS:1,600 HOURS:1,450 COSTS(000):$0 2000 Nationwide Personal Transportation Survey (NPTS) FORMS: NONE OMB NO: 2125-0562 EXPIRATION DATE: 05/31/2001 RESPS:1,500 HOURS:375 COSTS(000):$0 Nationwide Survey of Public Roads Readers FORMS: NONE OMB NO: 2125-0565 EXPIRATION DATE: 11/30/2001 RESPS:557 HOURS:140 COSTS(000):$0 Indian Reservation Roads, Program Administration Survey FORMS: NONE OMB NO: 2125-0578 EXPIRATION DATE: 12/31/2001 RESPS:200 HOURS:33 COSTS(000):$0 Fiscal Vendor Satisfaction Survey FORMS: NONE OMB NO: 2125-0579 EXPIRATION DATE: 06/30/2001 RESPS:52 HOURS:260 COSTS(000):$0 Drug Offender's License Suspension Certification FORMS: NONE OMB NO: 2125-0582 EXPIRATION DATE: 05/31/2002 RESPS:1,100 HOURS:367 COSTS(000):$0 Local Technical Assistance Program Extent of Coverage FORMS: NONE OMB NO: 2125-0586 EXPIRATION DATE: 08/31/2003 RESPS:52 HOURS:4,000 COSTS(000):$0 State Right-of-Way Operations Manuals FORMS: NONE Federal Motor Carrier Safety Administration OMB NO: 2126-0001 EXPIRATION DATE: 06/30/2001 RESPS:1,544,732,000 HOURS:42,464,327 COSTS(000):$292,100 Hours of Service of Drivers Regulations FORMS: NONE OMB NO: 2126-0003 EXPIRATION DATE: 01/31/2001 RESPS:4,800,000 HOURS:28,452,600 COSTS(000):$213 Inspection, Repair, and Maintenance FORMS: NONE OMB NO: 2126-0004 EXPIRATION DATE: 02/28/2001 RESPS:6,436,400 HOURS:941,856 COSTS(000):$27,998 Driver Qualification Files FORMS: NONE OMB NO: 2126-0006 EXPIRATION DATE: 10/31/2003 RESPS:3,218,215 HOURS:1,180,792 COSTS(000):$0 Medical Qualification Requirements FORMS: NONE OMB NO: 2126-0008 EXPIRATION DATE: 06/30/2003 RESPS:118,590 HOURS:5,285 COSTS(000):$0 Financial Responsibility for Motor Carriers of Passengers and Motor Carriers of Property FORMS: MCS-90 MCS-90B MCS-82 MCS-82B OMB NO: 2126-0009 EXPIRATION DATE: 08/31/2002 RESPS:111,150 HOURS:33,300 COSTS(000):$0 Accident Recordkeeping Requirements FORMS: NONE OMB NO: 2126-0010 EXPIRATION DATE: 03/31/2001 RESPS:260 HOURS:14,498 COSTS(000):$400 Motor Carrier Safety Assistance Program (MCSAP) FORMS: MCSAP-3 OMB NO: 2126-0011 EXPIRATION DATE: 02/28/2001 RESPS:3,976,051 HOURS:690,299 COSTS(000):$0 Commercial Driver Licensing and Test Standards FORMS: NONE OMB NO: 2126-0012 EXPIRATION DATE: 03/31/2001 RESPS:5,969,686 HOURS:573,490 COSTS(000):$0 Controlled Substances and Alcohol Use and Testing FORMS: FHWA-MCS-154 FHWA-MCS-155 OMB NO: 2126-0013 EXPIRATION DATE: 10/31/2002 RESPS:50,000 HOURS:16,667 COSTS(000):$0 Motor Carrier Identification Report FORMS: MCS-150 OMB NO: 2126-0014 EXPIRATION DATE: 04/30/2001 RESPS:53 HOURS:13 COSTS(000):$0 Transportation of Hazardous Materials, Highway Routing FORMS: NONE OMB NO: 2126-0015 EXPIRATION DATE: 11/30/2001 RESPS:21,000 HOURS:3,500 COSTS(000):$7 Designation of Agents, Motor Carriers, Brokers, and Freight FORMS: BOC-3 OMB NO: 2126-0016 EXPIRATION DATE: 04/30/2001 RESPS:19,000 HOURS:38,000 COSTS(000):$0 Revision of Licensing Application Forms, of Application FORMS: OP-1 OP-1(P) OP1-(FF) OP-(1)MX OMB NO: 2126-0017 EXPIRATION DATE: 04/30/2002 RESPS:180,000 HOURS:30,400 COSTS(000):$145 Financial Responsibility Trucking and Freight Forwarding FORMS: BMC-91 BMC-91X BMC-34 BMC-82 BMC-83 BMC-84 BMC-85 BMC-90 BMC-32 BMC-35-36-40 OMB NO: 2126-0018 EXPIRATION DATE: 01/31/2001 RESPS:800 HOURS:200 COSTS(000):$0 Request for Revocation of Authority Granted FORMS: OCE-46 OMB NO: 2126-0019 EXPIRATION DATE: 01/31/2001 RESPS:700 HOURS:1,400 COSTS(000):$210 Application for Certificate of Registration for Foreign Motor 13902(C) FORMS: OP-2 OMB NO: 2126-0021 EXPIRATION DATE: 11/30/2001 RESPS:1,500 HOURS:250 COSTS(000):$0 Motor Carrier Assessment of Compliance Reviews FORMS: NONE OMB NO: 2126-0023 EXPIRATION DATE: 08/31/2002 RESPS:3,800 HOURS:1,225 COSTS(000):$0 Motor Carrier Scheduling Practices and Their Influence on Driver Fatigue FORMS: NONE OMB NO: 2126-0024 EXPIRATION DATE: 12/31/2002 RESPS:1,100 HOURS:92 COSTS(000):$0 No-Zone Campaign Assessment FORMS: NONE National Highway Traffic Safety Administration OMB NO: 2127-0001 EXPIRATION DATE: 07/31/2003 RESPS:10,470,555 HOURS:1,852 COSTS(000):$0 National Driver Register (NDR) FORMS: NONE OMB NO: 2127-0002 EXPIRATION DATE: 05/31/2003 RESPS:838,000 HOURS:72,500 COSTS(000):$2 Motor Vehicle Importation FORMS: HS-7 HS-474 OMB NO: 2127-0003 EXPIRATION DATE: 10/31/2001 RESPS:1,140 HOURS:31,601 COSTS(000):$0 Uniform Safety Program Cost Summary Form for Highway Safety Plan -- 23 CFR FORMS: HS-FORM-217 OMB NO: 2127-0004 EXPIRATION DATE: 08/31/2002 RESPS:445 HOURS:6,348 COSTS(000):$0 Defect Noncompliance Determination FORMS: NONE OMB NO: 2127-0006 EXPIRATION DATE: 07/31/2001 RESPS:36,000 HOURS:77,400 COSTS(000):$0 Fatal Accident Reporting System (FARS) FORMS: HS-214 HS-214A HS-214B HS-214C OMB NO: 2127-0008 EXPIRATION DATE: 06/30/2001 RESPS:239,000 HOURS:36,380 COSTS(000):$0 Consumer Complaint/Recall Audit Information FORMS: HS-FORM-350 350C OMB NO: 2127-0019 EXPIRATION DATE: 06/30/2001 RESPS:40 HOURS:3,300 COSTS(000):$645 Automotive Fuel Economy Reports -- 49 CFR Part 537 FORMS: NONE OMB NO: 2127-0021 EXPIRATION DATE: 05/31/2003 RESPS:13,500 HOURS:5,807 COSTS(000):$0 National Automotive Sampling System (NASS) Crashworthiness Data Systems (CDS) FORMS: HS-433A HS-433B HS-435H HS-435I OMB NO: 2127-0025 EXPIRATION DATE: 12/31/2001 RESPS:150 HOURS:600 COSTS(000):$0 Confidential Business Information -- 49 CFR Part 512 FORMS: NONE OMB NO: 2127-0038 EXPIRATION DATE: 06/30/2001 RESPS:21 HOURS:10 COSTS(000):$0 Assigning DOT Code Numbers to Glazing Material Manufacturers FORMS: NONE OMB NO: 2127-0039 EXPIRATION DATE: 12/31/2001 RESPS:21 HOURS:21 COSTS(000):$0 Petitions for Hearings on Notifications and Remedy on Defects -- 49 CFR Part 557 FORMS: NONE OMB NO: 2127-0040 EXPIRATION DATE: 05/31/2003 RESPS:70 HOURS:70 COSTS(000):$0 Designation of Agents FORMS: NONE OMB NO: 2127-0042 EXPIRATION DATE: 09/30/2001 RESPS:1,000 HOURS:40,000 COSTS(000):$0 Record Retention -- 49 CFR Part 576 FORMS: NONE OMB NO: 2127-0043 EXPIRATION DATE: 06/30/2001 RESPS:100 HOURS:25 COSTS(000):$1 Manufacturers' Identification -- 49 CFR Part 566 FORMS: NONE OMB NO: 2127-0044 EXPIRATION DATE: 06/30/2001 RESPS:14,250,000 HOURS:950,000 COSTS(000):$7,958 Names and Addresses of First Purchasers of Motor Vehicles FORMS: NONE OMB NO: 2127-0045 EXPIRATION DATE: 06/30/2001 RESPS:15 HOURS:30 COSTS(000):$1 Petitions for Inconsequentiality -- 49 CFR 556 FORMS: NONE OMB NO: 2127-0046 EXPIRATION DATE: 12/31/2001 RESPS:100 HOURS:100 COSTS(000):$0 Petitions for Rulemaking, Defect, and Noncompliance Orders -- 49 CFR Part 552 FORMS: NONE OMB NO: 2127-0047 EXPIRATION DATE: 09/30/2001 RESPS:130,770,562 HOURS:2,586,160 COSTS(000):$0 Odometer Disclosure Statement -- 49 CFR Part 580 FORMS: NONE OMB NO: 2127-0049 EXPIRATION DATE: 04/30/2003 RESPS:15 HOURS:300 COSTS(000):$2,362 49 CFR Part 575 Consumer Information Regulations (Section 103 and 105) FORMS: NONE OMB NO: 2127-0050 EXPIRATION DATE: 09/30/2003 RESPS:54,000,000 HOURS:245,000 COSTS(000):$5,340 Tire Identification and Recordkeeping FORMS: NONE OMB NO: 2127-0052 EXPIRATION DATE: 09/30/2001 RESPS:1 HOURS:1 COSTS(000):$0 Brake Hose Manufacturers Identification FORMS: 49CFR571.106 OMB NO: 2127-0501 EXPIRATION DATE: 04/30/2003 RESPS:52 HOURS:2,340 COSTS(000):$0 23 CFR Part 1313 Certification Requirements for State Grants for Drunk Driving Prevention Programs. FORMS: HS-217 OMB NO: 2127-0503 EXPIRATION DATE: 09/30/2003 RESPS:190,000,000 HOURS:128,979 COSTS(000):$1,787 Tires and Rims Labeling FORMS: NONE OMB NO: 2127-0506 EXPIRATION DATE: 06/30/2001 RESPS:2,850,000 HOURS:6 COSTS(000):$0 Warning Devices -- 49 CFR Section 571, FMVSS-125 FORMS: NONE OMB NO: 2127-0510 EXPIRATION DATE: 08/31/2001 RESPS:18,670,000 HOURS:376,591 COSTS(000):$175,100 Consolidated Labeling Requirements for 49 CFR 571.115 and Parts FORMS: NONE OMB NO: 2127-0511 EXPIRATION DATE: 06/30/2003 RESPS:4,500,000 HOURS:90,000 COSTS(000):$1,229 49 CFR Part 571.213, "Child Restraint Systems" FORMS: NONE OMB NO: 2127-0512 EXPIRATION DATE: 06/30/2001 RESPS:83,759,930 HOURS:71,095 COSTS(000):$1,429 Consolidated Labeling Requirements for Motor Vehicles (Except FORMS: NONE OMB NO: 2127-0518 EXPIRATION DATE: 06/30/2001 RESPS:1,200,000 HOURS:4,000 COSTS(000):$408 Motorcycle Helmets (Labeling) -- 49 CFR 571.218 FORMS: NONE OMB NO: 2127-0519 EXPIRATION DATE: 09/30/2001 RESPS:137 HOURS:72,450 COSTS(000):$21,700 Uniform Tire Quality Grading Standards -- 49 CFR Part 575-104 FORMS: NONE OMB NO: 2127-0521 EXPIRATION DATE: 06/30/2001 RESPS:70,000,000 HOURS:7,680 COSTS(000):$80 Motor Vehicle Brake Fluids -- 49 CFR Part 571.116 FORMS: NONE OMB NO: 2127-0539 EXPIRATION DATE: 09/30/2001 RESPS:40 HOURS:1,600 COSTS(000):$0 Procedures for Selecting Lines To Be Covered by the Theft Prevention Standard -- 49 CFR Part 542 FORMS: NONE OMB NO: 2127-0541 EXPIRATION DATE: 10/31/2001 RESPS:204 HOURS:1,371 COSTS(000):$3,787 Consolidated Justification of Owner's Manual Requirements for FORMS: NONE OMB NO: 2127-0542 EXPIRATION DATE: 09/30/2001 RESPS:12 HOURS:192 COSTS(000):$0 Exemption from Vehicle Theft Prevention Standard -- 49 CFR Part 543 FORMS: NONE OMB NO: 2127-0547 EXPIRATION DATE: 08/31/2003 RESPS:46 HOURS:68,325 COSTS(000):$2,010 Part 544 - Insurer Reporting Requirements -- Motor Vechicle Theft Law Enforcement Act of 1984 FORMS: NONE OMB NO: 2127-0563 EXPIRATION DATE: 06/30/2001 RESPS:4 HOURS:20 COSTS(000):$0 Replaceable Light Source Dimensional Information Collection -- 49 CFR 564 FORMS: NONE OMB NO: 2127-0569 EXPIRATION DATE: 06/30/2001 RESPS:10,000,000 HOURS:1 COSTS(000):$1 Compliance Labeling of Retroreflective Materials for Heavy FORMS: NONE OMB NO: 2127-0573 EXPIRATION DATE: 06/30/2001 RESPS:1 HOURS:6,740 COSTS(000):$4,800 Motor Vehicle Content Labeling -- 49 CFR Part 583 FORMS: NONE OMB NO: 2127-0576 EXPIRATION DATE: 06/30/2001 RESPS:1,200 HOURS:26 COSTS(000):$0 Voluntary Child Safety Seat Registration Form FORMS: NONE OMB NO: 2127-0579 EXPIRATION DATE: 06/30/2001 RESPS:39,669 HOURS:251 COSTS(000):$0 Generic Clearance for Customer Surveys FORMS: NONE OMB NO: 2127-0581 EXPIRATION DATE: 09/30/2001 RESPS:35 HOURS:1,260 COSTS(000):$0 Upper Interior Component Head Impact Protection Phase-In Requirements -- Part 589 FORMS: NONE OMB NO: 2127-0582 EXPIRATION DATE: 10/31/2002 RESPS:52 HOURS:52 COSTS(000):$0 Certification Requirements for State Laws Concerning Intoxicated Minor Age Drivers -- 23 CFR Part 1210 FORMS: NONE OMB NO: 2127-0588 EXPIRATION DATE: 01/31/2001 RESPS:200,000 HOURS:53,300 COSTS(000):$56 Air Bag Deactivation FORMS: NONE OMB NO: 2127-0589 EXPIRATION DATE: 04/30/2001 RESPS:10,000 HOURS:778 COSTS(000):$0 Crash Risk of Alcohol Involved Driving FORMS: 22-94-C-05001 OMB NO: 2127-0591 EXPIRATION DATE: 02/28/2001 RESPS:2,000 HOURS:49 COSTS(000):$0 Development of Improved Driver Interview Procedures for Police Use at Checkpoints FORMS: DTNH2295C-05072 OMB NO: 2127-0593 EXPIRATION DATE: 08/31/2001 RESPS:925 HOURS:267 COSTS(000):$0 Surveys and Analysis of Consumer Information on the Domestic Content of New Cars and Light Trucks FORMS: NONE OMB NO: 2127-0594 EXPIRATION DATE: 07/31/2001 RESPS:4,000 HOURS:1,375 COSTS(000):$200 A Survey of Driver Experiences and Expectations of Light Vehicle FORMS: NONE OMB NO: 2127-0597 EXPIRATION DATE: 02/28/2002 RESPS:52 HOURS:17,942 COSTS(000):$0 Uniform Criteria for State Observational Surveys of Seat Belt Use FORMS: NONE OMB NO: 2127-0599 EXPIRATION DATE: 02/28/2002 RESPS:21 HOURS:1,260 COSTS(000):$0 Phase-in Production Reporting Requirements for Advanced Air Bags FORMS: NONE OMB NO: 2127-0600 EXPIRATION DATE: 02/28/2002 RESPS:56 HOURS:1,736 COSTS(000):$0 Occupant Protection Incentive Grant -- 23 CFR Part 1345, Section 405 FORMS: HS-217 OMB NO: 2127-0603 EXPIRATION DATE: 08/31/2002 RESPS:4,240 HOURS:1,514 COSTS(000):$0 National Survey of Pedestrian and Bicyclist Attitudes, Knowledge, and Behaviors FORMS: DTNH-22-9605082 OMB NO: 2127-0605 EXPIRATION DATE: 12/31/2001 RESPS:15,000 HOURS:2,499 COSTS(000):$0 Five State Survey of Alcohol Targets of Opportunity FORMS: NH22-99-F-05274 OMB NO: 2127-0606 EXPIRATION DATE: 06/30/2003 RESPS:57 HOURS:114 COSTS(000):$0 23 CFR Part 1335-State Highway Safety Data and Traffice Records Improvements FORMS: NONE OMB NO: 2127-0607 EXPIRATION DATE: 10/31/2003 RESPS:12,000 HOURS:3,845 COSTS(000):$0 2000 Motor Vehicle Occupant Safety Survey FORMS: NONE OMB NO: 2127-0608 EXPIRATION DATE: 11/30/2003 RESPS:1,520 HOURS:253 COSTS(000):$0 Part Time Seat Belt User Program FORMS: NONE Federal Railroad Administration OMB NO: 2130-0004 EXPIRATION DATE: 09/30/2003 RESPS:5,666,801 HOURS:1,150,330 COSTS(000):$23 Railroad Locomotive Safety Standards and Event Recorders FORMS: FRA-F-6180.49A OMB NO: 2130-0005 EXPIRATION DATE: 09/30/2003 RESPS:27,431,566 HOURS:4,067,432 COSTS(000):$1 Hours of Service Regulations FORMS: FRA-F-6180.3 OMB NO: 2130-0006 EXPIRATION DATE: 07/31/2003 RESPS:1,673,786 HOURS:480,326 COSTS(000):$5 Railroad Signal System Requirements FORMS: FRA-F-6180.14 FRA-F-6180.47 OMB NO: 2130-0008 EXPIRATION DATE: 12/31/2003 RESPS:12,013,516,275 HOURS:717,925 COSTS(000):$9,438 Inspection Brake System Safety Standards for Freight and Other Non-Passenger Trains and Equipment (Power Brakes and Drawbars) FORMS: NONE OMB NO: 2130-0010 EXPIRATION DATE: 06/30/2001 RESPS:1,634,467 HOURS:1,770,035 COSTS(000):$0 Track Safety Standards (Formerly Designation of Qualified Persons (Track) and Record of Results of Track Inspection) FORMS: NONE OMB NO: 2130-0017 EXPIRATION DATE: 03/31/2003 RESPS:65,377 HOURS:3,104 COSTS(000):$0 U.S. DOT Crossing Inventory Form FORMS: FRA-6180.71 OMB NO: 2130-0035 EXPIRATION DATE: 08/31/2003 RESPS:500,343 HOURS:131,192 COSTS(000):$0 Railroad Operating Rules FORMS: NONE OMB NO: 2130-0500 EXPIRATION DATE: 07/31/2003 RESPS:75,352 HOURS:58,841 COSTS(000):$171 Accident/Incident Reporting and Recordkeeping FORMS: 6180.33 54 55 55A 56 57 78 81 97 98 OMB NO: 2130-0502 EXPIRATION DATE: 07/31/2003 RESPS:4 HOURS:4 COSTS(000):$0 Filing of Dedicated Cars FORMS: NONE OMB NO: 2130-0504 EXPIRATION DATE: 02/28/2001 RESPS:282 HOURS:24 COSTS(000):$0 Special Notice for Repairs FORMS: FRA-F-6180.8 8A OMB NO: 2130-0505 EXPIRATION DATE: 01/31/2003 RESPS:4,900 HOURS:369 COSTS(000):$1 Inspection and Maintenance Standards for Steam Locomotives (Formerly Steam Locomotive Inspection) FORMS: FRA-FORM-NO.1 FRA-FORM-NO.2 FRA-FORM-NO.3 FRA-FORM-NO.4 FRA-FORM-NO.5 FRA-FORM-NO.19 OMB NO: 2130-0506 EXPIRATION DATE: 06/30/2003 RESPS:800 HOURS:67 COSTS(000):$0 Identification of Cars Moved in Accordance with Order 13528 FORMS: NONE OMB NO: 2130-0509 EXPIRATION DATE: 08/31/2003 RESPS:25,362 HOURS:9,467 COSTS(000):$30 State Safety Participation Regulations and Remedial Actions FORMS: FRA-F-6180.10 FRA-F-6180.29 FRA-F-6180.29A FRA-F-6180.33 FRA-F-6180.61 FRA-F-6180.67 FRA-F-6180.68 FRA-F-6180.68A FRA-F-6180.96 FRA-F-6180.96A OMB NO: 2130-0511 EXPIRATION DATE: 02/28/2001 RESPS:1,500 HOURS:50 COSTS(000):$0 Designation of Qualified Persons FORMS: NONE OMB NO: 2130-0516 EXPIRATION DATE: 07/31/2003 RESPS:3,604,000 HOURS:240,267 COSTS(000):$0 Remotely Controlled Switch Operations FORMS: NONE OMB NO: 2130-0517 EXPIRATION DATE: 08/31/2002 RESPS:2,000 HOURS:6,000 COSTS(000):$6 Supplemental Qualifications Statement for Railroad Safety Inspector Applicants FORMS: FRA-F-120 OMB NO: 2130-0519 EXPIRATION DATE: 07/31/2003 RESPS:150,000 HOURS:10,833 COSTS(000):$1 Bad Order and Home Shop Card FORMS: NONE OMB NO: 2130-0520 EXPIRATION DATE: 07/31/2003 RESPS:35,000 HOURS:26,250 COSTS(000):$0 Stenciling Reporting Mark on Freight Cars FORMS: NONE OMB NO: 2130-0523 EXPIRATION DATE: 08/31/2003 RESPS:4 HOURS:8 COSTS(000):$0 Rear-End Marking Devices FORMS: NONE OMB NO: 2130-0524 EXPIRATION DATE: 11/30/2001 RESPS:865,335 HOURS:205,435 COSTS(000):$10 Railroad Communications (Formerly Transmission of Train Orders FORMS: NONE OMB NO: 2130-0525 EXPIRATION DATE: 08/31/2003 RESPS:28,776 HOURS:1,010 COSTS(000):$29 Certification of Glazing Materials FORMS: FRA-F-6180.3 OMB NO: 2130-0526 EXPIRATION DATE: 06/30/2003 RESPS:360,124 HOURS:129,916 COSTS(000):$56 Control of Alcohol and Drug Use in Railroad Operations FORMS: FRA-F-6180.73 6180.74 6180-94A 6180.94B OMB NO: 2130-0527 EXPIRATION DATE: 07/31/2003 RESPS:120 HOURS:160 COSTS(000):$0 New Locomotive Certification (Noise Compliance Regulations) FORMS: NONE OMB NO: 2130-0529 EXPIRATION DATE: 07/31/2003 RESPS:3 HOURS:5 COSTS(000):$0 Disqualification Proceedings FORMS: NONE OMB NO: 2130-0533 EXPIRATION DATE: 07/31/2002 RESPS:166,844 HOURS:209,061 COSTS(000):$154 Qualifications for Locomotive Engineers FORMS: NONE OMB NO: 2130-0534 EXPIRATION DATE: 07/31/2003 RESPS:3,204 HOURS:601 COSTS(000):$0 Grade Crossing Signal System Safety FORMS: FRA-F-6180.83 OMB NO: 2130-0535 EXPIRATION DATE: 08/31/2003 RESPS:6 HOURS:1 COSTS(000):$0 Bridge Worker Safety Rules FORMS: NONE OMB NO: 2130-0537 EXPIRATION DATE: 06/30/2003 RESPS:60 HOURS:155 COSTS(000):$5 Railroad Polic Officers FORMS: NONE OMB NO: 2130-0539 EXPIRATION DATE: 06/30/2002 RESPS:19,354,469 HOURS:585,101 COSTS(000):$3,051 Roadway Workers Protection FORMS: NONE OMB NO: 2130-0540 EXPIRATION DATE: 08/31/2003 RESPS:537,571 HOURS:5,797 COSTS(000):$3 Two-way End-of-Train Devices FORMS: NONE OMB NO: 2130-0544 EXPIRATION DATE: 04/30/2002 RESPS:5,370,913 HOURS:99,903 COSTS(000):$62 Passenger Equipment Safety Standards FORMS: NONE OMB NO: 2130-0545 EXPIRATION DATE: 04/30/2001 RESPS:30,218 HOURS:8,037 COSTS(000):$0 Passenger Train Emergency Preparedness FORMS: NONE OMB NO: 2130-0548 EXPIRATION DATE: 01/31/2003 RESPS:159 HOURS:5,881 COSTS(000):$151 Railroad Rehabilitation and Improvement Financing Program FORMS: NONE OMB NO: 2130-0550 EXPIRATION DATE: 09/30/2003 RESPS:1,120 HOURS:1,150 COSTS(000):$0 Rail-Equipment Accident/Incident Cost Analysis Study FORMS: F6180.105 OMB NO: 2130-0551 EXPIRATION DATE: 12/31/2003 RESPS:8,135 HOURS:3,387 COSTS(000):$0 Regional Inspection Point Listing Forms FORMS: FRA-F-6180.106 (A)-(E) Federal Transit Administration OMB NO: 2132-0008 EXPIRATION DATE: 02/28/2002 RESPS:567 HOURS:238,140 COSTS(000):$0 National Transit Data Base -- 49 U.S.C. Section 5335 (a), (b) FORMS: 001 100 200 400 OMB NO: 2132-0500 EXPIRATION DATE: 01/31/2001 RESPS:111 HOURS:11,370 COSTS(000):$0 Capital Assistance Program for Elderly Persons and Persons with Disabilities and Nonurbanized Area Formula Program -- 49 U.S.C. Section 5310 and Section 5311 FORMS: NONE OMB NO: 2132-0502 EXPIRATION DATE: 02/28/2002 RESPS:517,600 HOURS:517,600 COSTS(000):$0 Capital Program -- 49 U.S.C. Section 5309 and Urbanized Area Formula Program -- Section 5307 FORMS: NONE OMB NO: 2132-0529 EXPIRATION DATE: 08/31/2001 RESPS:101,339 HOURS:253,250 COSTS(000):$1,460 Metropolitan and Statewide Transportation Planning FORMS: NONE OMB NO: 2132-0540 EXPIRATION DATE: 07/31/2003 RESPS:200 HOURS:4,454 COSTS(000):$11 Title VI as it Applies to FTA Grant Programs FORMS: NONE OMB NO: 2132-0542 EXPIRATION DATE: 06/30/2003 RESPS:150 HOURS:4,500 COSTS(000):$0 Nondiscrimination as it Applies to FTA Grant Programs FORMS: NONE OMB NO: 2132-0543 EXPIRATION DATE: 11/30/2001 RESPS:1,656 HOURS:1,984 COSTS(000):$0 Charter Service Operations FORMS: NONE OMB NO: 2132-0544 EXPIRATION DATE: 02/28/2001 RESPS:3 HOURS:3,024 COSTS(000):$0 Pre-Award, Post-Delivery Review Requirements under Buy America FORMS: NONE OMB NO: 2132-0546 EXPIRATION DATE: 06/30/2003 RESPS:2,210 HOURS:13,940 COSTS(000):$0 49 U.S.C. Section 5312(a) Transit Research, Development, Demonstration and Training Projects FORMS: NONE OMB NO: 2132-0549 EXPIRATION DATE: 06/30/2003 RESPS:104 HOURS:156 COSTS(000):$3 Technical Activities Form FORMS: NONE OMB NO: 2132-0550 EXPIRATION DATE: 06/30/2003 RESPS:15 HOURS:53 COSTS(000):$103 Bus Testing Program FORMS: NONE OMB NO: 2132-0555 EXPIRATION DATE: 02/28/2001 RESPS:750 HOURS:75,000 COSTS(000):$0 Americans with Disabilities Act FORMS: NONE OMB NO: 2132-0556 EXPIRATION DATE: 09/30/2003 RESPS:87,568 HOURS:10,113 COSTS(000):$0 Prevention of Prohibited Drug Use & Control of Alcohol Misuse in Transit Operations (Was 2 separate information collections: 2132-0556 Prevention of Prohibited Drug Use in Transit Operations FORMS: NONE OMB NO: 2132-0558 EXPIRATION DATE: 10/31/2002 RESPS:160 HOURS:37,158 COSTS(000):$0 Rail Fixed Guideway Systems; State Safety Oversight FORMS: NONE OMB NO: 2132-0559 EXPIRATION DATE: 03/31/2002 RESPS:2,035 HOURS:1,693 COSTS(000):$0 Customer Service Surveys FORMS: NONE OMB NO: 2132-0560 EXPIRATION DATE: 08/31/2003 RESPS:1,770 HOURS:32,742 COSTS(000):$0 49 U.S.C. Section 5308 Clean Fuels Formula Grant Program FORMS: NONE Maritime Administration OMB NO: 2133-0005 EXPIRATION DATE: 04/30/2002 RESPS:220 HOURS:2,090 COSTS(000):$0 Uniform Financial Reporting Requirements FORMS: MA-172 OMB NO: 2133-0006 EXPIRATION DATE: 07/31/2003 RESPS:100 HOURS:200 COSTS(000):$0 Request for Transfer of Ownership, Registry, and Flag, or Charter, Lease, or Mortgage of U.S. Citizen Owned Documented Vessels FORMS: MA-29 MA-29A MA-29B OMB NO: 2133-0007 EXPIRATION DATE: 07/31/2003 RESPS:25 HOURS:300 COSTS(000):$0 Maintenance and Repair Cumulative Summary FORMS: MA-140 OMB NO: 2133-0010 EXPIRATION DATE: 10/31/2002 RESPS:2,500 HOURS:12,500 COSTS(000):$0 U.S. Merchant Marine Academy Application for Admission and Pre-Candidate Application FORMS: KP-2-65 OMB NO: 2133-0011 EXPIRATION DATE: 02/28/2002 RESPS:1,730 HOURS:930 COSTS(000):$0 War Risk Insurance, Application and Related Information FORMS: MA-355 MA-528 MA-742 MA-828 MA-942 OMB NO: 2133-0012 EXPIRATION DATE: 03/31/2002 RESPS:300 HOURS:1,500 COSTS(000):$0 Requirements for Establishing U.S. Citizenship -- 46 CFR 355 FORMS: NONE OMB NO: 2133-0013 EXPIRATION DATE: 05/31/2003 RESPS:336 HOURS:168 COSTS(000):$0 Monthly Report of Ocean Shipments Moving Under Export-Import Bank (Eximbank) Financing FORMS: MA-518 OMB NO: 2133-0018 EXPIRATION DATE: 10/31/2002 RESPS:25 HOURS:1,750 COSTS(000):$0 Obligation Guarantees -- 46 CFR Part 298, Title XI FORMS: MA-163 MA-163A OMB NO: 2133-0023 EXPIRATION DATE: 09/30/2002 RESPS:40 HOURS:40 COSTS(000):$0 Port Facilities Inventory FORMS: MA-400 OMB NO: 2133-0024 EXPIRATION DATE: 03/31/2002 RESPS:120 HOURS:240 COSTS(000):$0 Subsidy Voucher: Operating Differential Subsidy (Bulk and Liner Cargo Vessels) FORMS: MA-7790 SF-1034 S OMB NO: 2133-0025 EXPIRATION DATE: 03/31/2001 RESPS:20,800 HOURS:3,328 COSTS(000):$0 Position Reporting System for Vessels FORMS: CG-4796-A(MA) (REV.8-88) OMB NO: 2133-0027 EXPIRATION DATE: 02/28/2003 RESPS:140 HOURS:2,130 COSTS(000):$0 Capital Construction Fund and Exhibits FORMS: NONE OMB NO: 2133-0029 EXPIRATION DATE: 12/31/2002 RESPS:800 HOURS:400 COSTS(000):$0 Shipbuilding Orderbook and Shipyard Employment FORMS: MA-832 OMB NO: 2133-0030 EXPIRATION DATE: 05/31/2002 RESPS:2,000 HOURS:100 COSTS(000):$0 Supplementary Training Course Application FORMS: MA-823 OMB NO: 2133-0032 EXPIRATION DATE: 11/30/2002 RESPS:17 HOURS:153 COSTS(000):$0 Application for Construction Reserve Fund and Annual Statements (CRF) FORMS: NONE OMB NO: 2133-0501 EXPIRATION DATE: 04/30/2003 RESPS:3 HOURS:150 COSTS(000):$0 Records Retention Schedule FORMS: NONE OMB NO: 2133-0503 EXPIRATION DATE: 05/31/2003 RESPS:22 HOURS:66 COSTS(000):$0 Inventory of American Intermodel Equipment FORMS: NONE OMB NO: 2133-0504 EXPIRATION DATE: 06/30/2002 RESPS:120 HOURS:120 COSTS(000):$0 Regulations for Making Excess or Surplus Federal Property Available to the U.S. Merchant Marine Academy, State Maritime Academies FORMS: NONE OMB NO: 2133-0505 EXPIRATION DATE: 03/31/2001 RESPS:20 HOURS:20 COSTS(000):$0 Voluntary Tanker Agreement FORMS: NONE OMB NO: 2133-0506 EXPIRATION DATE: 05/31/2001 RESPS:2,500 HOURS:2,500 COSTS(000):$0 Merchant Marine Medals and Awards FORMS: NONE OMB NO: 2133-0509 EXPIRATION DATE: 04/30/2003 RESPS:3,000 HOURS:1,500 COSTS(000):$0 Maritime Administration Service Obligation Compliance Report and Merchant Marine Reserve, US Naval Reserve (USNR), Annual Report FORMS: MA-930 OMB NO: 2133-0510 EXPIRATION DATE: 06/30/2002 RESPS:75 HOURS:25 COSTS(000):$0 Request for Waiver of Service Obligation; Request for Deferment of Service Obligation; Application for Review of Waiver/Deferment Decisions FORMS: MA-935 MA-936 MA-937 OMB NO: 2133-0511 EXPIRATION DATE: 04/30/2003 RESPS:92 HOURS:46 COSTS(000):$0 EUSC/Parent Company FORMS: NONE OMB NO: 2133-0514 EXPIRATION DATE: 05/31/2003 RESPS:160 HOURS:640 COSTS(000):$0 Determination of Fair and Reasonable Rates for the Carriage of Bulk and Packaged Cargoes on U.S.-flag Commercial Vessels FORMS: NONE OMB NO: 2133-0517 EXPIRATION DATE: 06/30/2003 RESPS:62 HOURS:46 COSTS(000):$0 Approval of Underwriters for Marine Hull Insurance FORMS: NONE OMB NO: 2133-0521 EXPIRATION DATE: 06/30/2002 RESPS:1 HOURS:1 COSTS(000):$0 Application for Designation of Vessels as American Great Lakes Vessels, Procedures -- New Subpart B FORMS: NONE OMB NO: 2133-0522 EXPIRATION DATE: 05/31/2003 RESPS:250 HOURS:3,125 COSTS(000):$37 Seamen's Claims; Administrative Action and Litigation FORMS: NONE OMB NO: 2133-0524 EXPIRATION DATE: 03/31/2001 RESPS:20 HOURS:2,200 COSTS(000):$0 Port Facility Conveyance Information FORMS: NONE OMB NO: 2133-0525 EXPIRATION DATE: 09/30/2002 RESPS:132 HOURS:152 COSTS(000):$0 Application and Reporting Elements for Participation in the Maritime Security Program under Subtitle B, Title VI, Merchant Marine Act 1936, and Related Regulations FORMS: NONE OMB NO: 2133-0526 EXPIRATION DATE: 05/31/2003 RESPS:50 HOURS:50 COSTS(000):$0 Information to Determine Seamen's Reemployment - National Emergency FORMS: NONE OMB NO: 2133-0528 EXPIRATION DATE: 09/30/2003 RESPS:6,650 HOURS:256 COSTS(000):$0 Customer Service Surveys FORMS: MA-1016 MA-1017 MA-1021 OMB NO: 2133-0529 EXPIRATION DATE: 12/31/2002 RESPS:100 HOURS:100 COSTS(000):$0 Application for Waiver of the Coastwise Trade Laws for Small Passenger Vessels FORMS: NONE OMB NO: 2133-0530 EXPIRATION DATE: 06/30/2003 RESPS:500 HOURS:2,950 COSTS(000):$0 Eligibility of US-flag Vessels of 100 Feet or Greater in Registered Length to Obtain a Fishery Endorsement to the Vessel's Documentation FORMS: NONE OMB NO: 2133-0532 EXPIRATION DATE: 07/31/2003 RESPS:40 HOURS:200 COSTS(000):$0 Voluntary Intermodal Sealift Agreement (VISA) FORMS: MA-1020 Saint Lawrence Seaway Development Corporation No active collections for this subagency Research and Special Programs Administration OMB NO: 2137-0014 EXPIRATION DATE: 08/31/2003 RESPS:132,600 HOURS:106,262 COSTS(000):$0 Cargo Tank Specification Requirements FORMS: NONE OMB NO: 2137-0018 EXPIRATION DATE: 03/31/2002 RESPS:51,220 HOURS:51,340 COSTS(000):$0 Inspection and Testing of Portable Tanks and Intermediate Bulk Containers FORMS: NONE OMB NO: 2137-0022 EXPIRATION DATE: 03/31/2002 RESPS:153,287 HOURS:168,431 COSTS(000):$0 Testing, Inspection, and Marking Requirements for Cylinders FORMS: NONE OMB NO: 2137-0034 EXPIRATION DATE: 03/31/2001 RESPS:260,000,000 HOURS:6,500,000 COSTS(000):$6,500 "Hazardous Materials Shipping Papers and Emergency Response FORMS: NONE OMB NO: 2137-0039 EXPIRATION DATE: 03/31/2002 RESPS:22,500 HOURS:33,811 COSTS(000):$0 Hazardous Materials Incident Reports FORMS: F-5800.1 OMB NO: 2137-0047 EXPIRATION DATE: 07/31/2001 RESPS:210 HOURS:49,210 COSTS(000):$0 Transportation of Hazardous Liquids by Pipeline, Reporting and Recordkeeping Requirements FORMS: DOT-7000-1 OMB NO: 2137-0048 EXPIRATION DATE: 02/28/2002 RESPS:400 HOURS:11,400 COSTS(000):$0 Recordkeeping for Liquid Natural Gas Facilities (LNG) FORMS: NONE OMB NO: 2137-0049 EXPIRATION DATE: 02/28/2002 RESPS:22,700 HOURS:940,991 COSTS(000):$0 Gas Recordkeeping Requirements FORMS: NONE OMB NO: 2137-0051 EXPIRATION DATE: 08/31/2003 RESPS:4,294 HOURS:4,219 COSTS(000):$0 Rulemaking, Exemption, and Preemption Requirements FORMS: NONE OMB NO: 2137-0510 EXPIRATION DATE: 03/31/2001 RESPS:21,319 HOURS:14,480 COSTS(000):$117 Radioactive (RAM) Transportation Requirements FORMS: NONE OMB NO: 2137-0522 EXPIRATION DATE: 07/31/2001 RESPS:4,769 HOURS:6,717 COSTS(000):$0 Incident and Annual Reports for Gas Pipelines FORMS: 7100.1 7100.2 7100.1-1 7100.2-1 OMB NO: 2137-0542 EXPIRATION DATE: 03/31/2002 RESPS:18,200 HOURS:1,213 COSTS(000):$0 Flammable Cryogenic Liquids FORMS: NONE OMB NO: 2137-0557 EXPIRATION DATE: 08/31/2003 RESPS:3,869 HOURS:18,381 COSTS(000):$0 Approvals for Hazardous Materials FORMS: NONE OMB NO: 2137-0559 EXPIRATION DATE: 08/31/2003 RESPS:16,640 HOURS:2,759 COSTS(000):$0 (Rail Carriers and Tank Car Tank Requirements) Requirements for Rail Tank Car Tanks--Transportation of Hazardous Materials by Rail FORMS: NONE OMB NO: 2137-0572 EXPIRATION DATE: 03/31/2002 RESPS:15,000 HOURS:30,000 COSTS(000):$0 Testing Requirements for Non-Bulk Packaging (Formerly Entitled: Testing Requirements for Packaging) FORMS: NONE OMB NO: 2137-0578 EXPIRATION DATE: 07/31/2001 RESPS:47 HOURS:282 COSTS(000):$0 Reporting Safety-Related Conditions on Gas, Hazardous Liquid, and Carbon Dioxide Pipelines and Liquefied Natural Gas Facilities FORMS: NONE OMB NO: 2137-0579 EXPIRATION DATE: 03/31/2001 RESPS:1,719 HOURS:2,963 COSTS(000):$0 Management Information System Standardized Data Collection and FORMS: NONE OMB NO: 2137-0582 EXPIRATION DATE: 03/31/2002 RESPS:839,600 HOURS:13,989 COSTS(000):$0 Container Certification Statements FORMS: NONE OMB NO: 2137-0584 EXPIRATION DATE: 02/28/2002 RESPS:1 HOURS:3,678 COSTS(000):$0 Certification and Agreement Forms for the Gas and Hazardous Liquid Safety Program FORMS: NONE OMB NO: 2137-0586 EXPIRATION DATE: 03/31/2002 RESPS:1 HOURS:4,080 COSTS(000):$0 Hazardous Materials Public Sector Training and Planning Grants FORMS: NONE OMB NO: 2137-0589 EXPIRATION DATE: 01/31/2003 RESPS:700 HOURS:65,467 COSTS(000):$0 Response Plans for Onshore Oil Pipelines FORMS: NONE OMB NO: 2137-0591 EXPIRATION DATE: 03/31/2002 RESPS:8,000 HOURS:10,560 COSTS(000):$0 Response Plans for Shipments of Oil FORMS: NONE OMB NO: 2137-0593 EXPIRATION DATE: 07/31/2002 RESPS:900,000 HOURS:20,000 COSTS(000):$479 Recordkeeping Requirements for Excess Flow Valves, Customer FORMS: NONE OMB NO: 2137-0594 EXPIRATION DATE: 07/31/2002 RESPS:550,000 HOURS:9,167 COSTS(000):$0 Customer-Owned Service Lines FORMS: NONE OMB NO: 2137-0595 EXPIRATION DATE: 04/30/2002 RESPS:920,530 HOURS:200,615 COSTS(000):$0 Cargo Tank Motor Vehicles in Liquefied Compressed Gas Service FORMS: NONE OMB NO: 2137-0596 EXPIRATION DATE: 03/31/2001 RESPS:36 HOURS:144 COSTS(000):$0 Mapping Pilot Project FORMS: NONE OMB NO: 2137-0597 EXPIRATION DATE: 01/31/2001 RESPS:375 HOURS:3,000 COSTS(000):$0 Pipeline Safety: Regulations Implementing MOU with the Department of Interior FORMS: NONE OMB NO: 2137-0598 EXPIRATION DATE: 04/30/2001 RESPS:50 HOURS:100 COSTS(000):$0 Incorporation by Reference of Industry Standard on Leak Detection FORMS: NONE OMB NO: 2137-0600 EXPIRATION DATE: 08/31/2002 RESPS:50,000 HOURS:466,667 COSTS(000):$29 Qualification of Pipeline Personnel FORMS: NONE OMB NO: 2137-0601 EXPIRATION DATE: 10/31/2002 RESPS:400 HOURS:3,700 COSTS(000):$0 Pipeline Safety Report of Abandonded Underwater Pipelines FORMS: NONE OMB NO: 2137-0602 EXPIRATION DATE: 03/31/2003 RESPS:30 HOURS:1,800 COSTS(000):$0 Damage Prevention State Grant Program FORMS: NONE OMB NO: 2137-0604 EXPIRATION DATE: 12/31/2003 RESPS:66 HOURS:245,980 COSTS(000):$0 Pipeline Integrity Management in High Consequence Areas FORMS: NONE Bureau of Transportation Statistics - Aviation OMB NO: 2138-0004 EXPIRATION DATE: 11/30/2002 RESPS:84 HOURS:21 COSTS(000):$0 Submission of Audit Reports -- Part 248 FORMS: NONE OMB NO: 2138-0006 EXPIRATION DATE: 06/30/2003 RESPS:482 HOURS:710 COSTS(000):$55 Part 249 Preservation of Records FORMS: NONE OMB NO: 2138-0009 EXPIRATION DATE: 05/31/2002 RESPS:4 HOURS:4,720 COSTS(000):$25 Form 298-C Report of Financial and Operating Statistics for Small Aircraft Operators FORMS: BTS-FORM-298-C OMB NO: 2138-0013 EXPIRATION DATE: 05/31/2002 RESPS:8,631 HOURS:33,121 COSTS(000):$0 Report of Financial and Operating Statistics for Large Certificated Air Carriers FORMS: BTS-FORM-41 OMB NO: 2138-0016 EXPIRATION DATE: 06/30/2003 RESPS:24 HOURS:24 COSTS(000):$600 Report of Extension of Credit to Political Candidates FORMS: FORM-183 OMB NO: 2138-0018 EXPIRATION DATE: 03/31/2001 RESPS:544 HOURS:2,312 COSTS(000):$0 Report of Passengers Denied Confirmed Space -- Form 251 FORMS: BTS-FORM-251 OMB NO: 2138-0023 EXPIRATION DATE: 02/28/2001 RESPS:1 HOURS:8 COSTS(000):$0 Domestic Cargo Transportation -- Part 291 FORMS: BTS-FORM-291-A OMB NO: 2138-0039 EXPIRATION DATE: 11/30/2002 RESPS:47 HOURS:16 COSTS(000):$0 Reporting Required for International Civil Aviation Organization FORMS: BTS-FORM-EF OMB NO: 2138-0040 EXPIRATION DATE: 06/30/2003 RESPS:3,000 HOURS:15,084 COSTS(000):$0 Report of Traffic and Capacity Statistics - The T-100 System FORMS: T-100 T-100(F) OMB NO: 2138-0041 EXPIRATION DATE: 08/31/2001 RESPS:240 HOURS:1,440 COSTS(000):$0 Airline Service Quality Performance FORMS: NONE Bureau of Transportation Statistics OMB NO: 2139-0001 EXPIRATION DATE: 09/30/2003 RESPS:160 HOURS:38,080 COSTS(000):$8,000 Passenger Origin-Destination Survey Report FORMS: NONE OMB NO: 2139-0002 EXPIRATION DATE: 03/31/2002 RESPS:3,600 HOURS:1,800 COSTS(000):$0 Quarterly Report of Class I Motor Carriers of Property FORMS: FORM-QFR OMB NO: 2139-0003 EXPIRATION DATE: 02/28/2003 RESPS:130 HOURS:195 COSTS(000):$0 Class I Quarterly and Annual Report of Motor Carriers of Passengers FORMS: FORM-MP-1 OMB NO: 2139-0004 EXPIRATION DATE: 03/31/2002 RESPS:2,800 HOURS:28,000 COSTS(000):$0 Annual Report of Class I and II Motor Carriers of Property (2139-0004 and 2139-0005 Are Being Combined into a Single Form under 2139-0004) FORMS: FORM-M OMB NO: 2139-0007 EXPIRATION DATE: 04/30/2001 RESPS:4,700 HOURS:800 COSTS(000):$0 Bureau of Transportation Statistics Customer Satisfaction Survey Program FORMS: NONE OMB NO: 2139-0008 EXPIRATION DATE: 12/31/2002 RESPS:1,400 HOURS:833 COSTS(000):$0 American Travel Survey (ATS) FORMS: NONE
(RETURN TO AGENCY LIST)OMB NO: 2900-0001 EXPIRATION DATE: 11/30/2003 RESPS:395,000 HOURS:592,500 COSTS(000):$0 Veteran's Application for Compensation and/or Pension FORMS: 21-526 OMB NO: 2900-0003 EXPIRATION DATE: 11/30/2002 RESPS:300,000 HOURS:100,000 COSTS(000):$0 Application for Burial Benefits FORMS: 21-530 OMB NO: 2900-0004 EXPIRATION DATE: 02/28/2003 RESPS:63,300 HOURS:79,125 COSTS(000):$0 Application for Dependency and Indemnity Compensation, Death Pension, and Accrued Benefits by a Surviving Spouse or Child (Including Death Compensation if Applicable) FORMS: 21-534 OMB NO: 2900-0005 EXPIRATION DATE: 04/30/2003 RESPS:20,880 HOURS:25,056 COSTS(000):$0 Application for Dependency and Indemnity Compensation by parents(s) (Including Accrued Benfits and Death Compensation When Applicable) FORMS: 21-535 OMB NO: 2900-0006 EXPIRATION DATE: 02/28/2003 RESPS:2,400 HOURS:1,200 COSTS(000):$0 Application for Accrued Amounts of Veteran's Benefits Payable to Surviving Spouse, Child, or Dependent Parents FORMS: 21-614 OMB NO: 2900-0009 EXPIRATION DATE: 08/31/2002 RESPS:54,000 HOURS:13,500 COSTS(000):$0 Disabled Veteran's Application for Vocational Rehabilitation FORMS: 28-1900 OMB NO: 2900-0011 EXPIRATION DATE: 10/31/2001 RESPS:1,500 HOURS:500 COSTS(000):$0 Application for Reinstatement FORMS: 29-352 OMB NO: 2900-0012 EXPIRATION DATE: 03/31/2001 RESPS:29,636 HOURS:4,939 COSTS(000):$0 Application for Cash Surrender or Policy Loan FORMS: 29-1546 OMB NO: 2900-0013 EXPIRATION DATE: 06/30/2003 RESPS:650,000 HOURS:162,500 COSTS(000):$0 Application for United States Flag for Burial Purposes FORMS: 21-2008 OMB NO: 2900-0014 EXPIRATION DATE: 08/31/2002 RESPS:35,000 HOURS:2,917 COSTS(000):$0 Authorization and Certification of Entrance or Reentrance into Rehabilitation and Certification of Status FORMS: 28-1905 OMB NO: 2900-0016 EXPIRATION DATE: 02/28/2003 RESPS:8,100 HOURS:14,175 COSTS(000):$0 Claim for Disability Insurance Benefits FORMS: 29-357 OMB NO: 2900-0017 EXPIRATION DATE: 10/31/2003 RESPS:24,868 HOURS:22,946 COSTS(000):$0 Court Appointed Fiduciarys Account (letter size), Federal Fiduciary's Account, Account Book, and Court Appointed Fiduciary's Account (legal size) FORMS: 21-4706 21-4706B 21-4706C 21-4718 OMB NO: 2900-0020 EXPIRATION DATE: 10/31/2001 RESPS:83,500 HOURS:13,917 COSTS(000):$0 Designation of Beneficiary FORMS: 29-336 OMB NO: 2900-0024 EXPIRATION DATE: 08/31/2002 RESPS:3,732 HOURS:622 COSTS(000):$0 Insurance Deduction Authorization FORMS: 29-888 OMB NO: 2900-0025 EXPIRATION DATE: 10/31/2003 RESPS:151,000 HOURS:18,875 COSTS(000):$0 Request for and Consent to Release of Information from Claimant's Records FORMS: 3288 OMB NO: 2900-0027 EXPIRATION DATE: 06/30/2002 RESPS:100 HOURS:33 COSTS(000):$0 Application for Accrued Benefits by Veteran's Surviving Spouse, Child, or Dependent Parent FORMS: 21-551 OMB NO: 2900-0028 EXPIRATION DATE: 11/30/2002 RESPS:150 HOURS:25 COSTS(000):$0 Application of Service Representative for Placement on Mailing List FORMS: 3215 OMB NO: 2900-0029 EXPIRATION DATE: 01/31/2002 RESPS:172,500 HOURS:57,917 COSTS(000):$0 Offer to Purchase and Contract of Sale -- VA Form 26-6705, Credit Statement of Prospective Purchaser -- VA Form 26-6705b, Addendum to VA Form 26-6705 (Virginia) -- VA Form 26-6705d FORMS: 26-6705 26-6705B 26-6705D OMB NO: 2900-0031 EXPIRATION DATE: 12/31/2002 RESPS:460 HOURS:115 COSTS(000):$0 Veteran's Supplemental Application for Assistance in Acquiring Specially Adapted Housing FORMS: 26-4555C OMB NO: 2900-0032 EXPIRATION DATE: 10/31/2001 RESPS:260,000 HOURS:130,000 COSTS(000):$0 Report and Certification of Loan Disbursement FORMS: 26-1820 OMB NO: 2900-0033 EXPIRATION DATE: 03/31/2002 RESPS:1,500 HOURS:375 COSTS(000):$0 Application for Reinstatement FORMS: 29-353 OMB NO: 2900-0034 EXPIRATION DATE: 10/31/2003 RESPS:30,000 HOURS:7,500 COSTS(000):$0 Trainee Request for Leave - Chapter 31, Title 38, U.S. Code FORMS: 28-1905H OMB NO: 2900-0036 EXPIRATION DATE: 01/31/2002 RESPS:2,000 HOURS:5,500 COSTS(000):$0 Statement of Disappearance FORMS: 21-1775 OMB NO: 2900-0038 EXPIRATION DATE: 01/31/2002 RESPS:9,000 HOURS:3,000 COSTS(000):$0 Information from Remarried Widow(er) FORMS: 21-4103 OMB NO: 2900-0040 EXPIRATION DATE: 12/31/2002 RESPS:5,000 HOURS:2,500 COSTS(000):$0 Request for Postponement of Offsite or Exterior Onsite Improvements, Home Loan FORMS: 26-1847 OMB NO: 2900-0041 EXPIRATION DATE: 10/31/2001 RESPS:225,000 HOURS:1 COSTS(000):$0 Compliance Inspection Report FORMS: 26-1839 OMB NO: 2900-0042 EXPIRATION DATE: 10/31/2003 RESPS:32,895 HOURS:32,895 COSTS(000):$0 Statement of Accredited Representative in Appealed Case FORMS: 646 OMB NO: 2900-0043 EXPIRATION DATE: 01/31/2002 RESPS:226,000 HOURS:56,500 COSTS(000):$0 Declaration of Status of Dependents FORMS: 21-686C OMB NO: 2900-0045 EXPIRATION DATE: 10/31/2001 RESPS:300,000 HOURS:60,000 COSTS(000):$0 VA Request for Determination of Reasonable Value FORMS: 26-1805 OMB NO: 2900-0046 EXPIRATION DATE: 10/31/2001 RESPS:312 HOURS:78 COSTS(000):$0 Statement of Heirs for Payment of Credits Due Estate of Deceased Veteran FORMS: 29-596 OMB NO: 2900-0047 EXPIRATION DATE: 08/31/2002 RESPS:40,000 HOURS:30,000 COSTS(000):$0 Financial Statement FORMS: 26-6807 OMB NO: 2900-0049 EXPIRATION DATE: 11/30/2002 RESPS:138,000 HOURS:34,500 COSTS(000):$0 Request for Approval of School Attendance FORMS: 21-674 674C OMB NO: 2900-0051 EXPIRATION DATE: 10/31/2003 RESPS:228 HOURS:228 COSTS(000):$0 Quarterly Report of State Approving Agency Activities FORMS: 22-7398 OMB NO: 2900-0052 EXPIRATION DATE: 06/30/2002 RESPS:180,000 HOURS:45,000 COSTS(000):$0 Report of Medical Examination for Disability Evaluation FORMS: 21-2545 OMB NO: 2900-0055 EXPIRATION DATE: 11/30/2002 RESPS:1,000 HOURS:250 COSTS(000):$0 Request for Determination of Loan Guaranty Eligibiity, Unremarried Surviving Spouses FORMS: 26-1817 OMB NO: 2900-0057 EXPIRATION DATE: 06/30/2002 RESPS:39,500 HOURS:3,292 COSTS(000):$0 School Attendance Report FORMS: 21-674B OMB NO: 2900-0060 EXPIRATION DATE: 01/31/2002 RESPS:85,850 HOURS:8,938 COSTS(000):$0 Claim for Life Insurance Proceeds (NSLI&USGLI), Claim for Monthly Install. (NSLI), Claim for One Sum Payment (NSLI & USGLI), Claim for Monthly Install. (USGLI), Invitation & Claim for One Sum Paym FORMS: VA-29-4125 VA-29-4125A VA-29-4125B VA-29-4125K VA-29-764 OMB NO: 2900-0061 EXPIRATION DATE: 11/30/2002 RESPS:1,000 HOURS:1,000 COSTS(000):$0 Request for Supplies FORMS: 28-1905M OMB NO: 2900-0064 EXPIRATION DATE: 08/31/2002 RESPS:750 HOURS:375 COSTS(000):$0 Application for Amounts Due Estates of Person Entitled to Benefits FORMS: 21-609 OMB NO: 2900-0065 EXPIRATION DATE: 10/31/2001 RESPS:60,000 HOURS:15,000 COSTS(000):$0 Request for Employment Information in Connection with Claim for Disability Benefits FORMS: 21-4192 OMB NO: 2900-0066 EXPIRATION DATE: 10/31/2001 RESPS:5,167 HOURS:862 COSTS(000):$0 Request to Employer for Employment Information in Connection with Claim for Disability Benefits FORMS: 29-459 OMB NO: 2900-0067 EXPIRATION DATE: 04/30/2003 RESPS:1,500 HOURS:375 COSTS(000):$0 Application for Automobile or Other Conveyance and Adaptive Equipment (38 U.S.C. 3901-3904) FORMS: 21-4502 OMB NO: 2900-0068 EXPIRATION DATE: 08/31/2002 RESPS:4,250 HOURS:2,833 COSTS(000):$0 Application for Service Disabled Veterans Insurance FORMS: 29-4364 OMB NO: 2900-0073 EXPIRATION DATE: 10/31/2003 RESPS:725,802 HOURS:120,967 COSTS(000):$0 Enrollment Certification FORMS: 22-1999 22-1999-1 22-1999-2 22-1999-3 OMB NO: 2900-0074 EXPIRATION DATE: 12/31/2003 RESPS:120,300 HOURS:24,060 COSTS(000):$0 Request for Change of Program or Place of Training (Under Chapters 30 and 32, Title 38, U.S. Code; Section 903 of Public Law 96-342; or Chapter 1606, Title 10, U.S. Code) FORMS: 22-1995 OMB NO: 2900-0075 EXPIRATION DATE: 06/30/2002 RESPS:752,000 HOURS:188,000 COSTS(000):$0 Statement in Support of Claim FORMS: 21-4138 OMB NO: 2900-0076 EXPIRATION DATE: 01/31/2002 RESPS:45,000 HOURS:7,500 COSTS(000):$0 Request to Creditor Regarding Applicant's Indebtedness FORMS: VA-26-250 OMB NO: 2900-0078 EXPIRATION DATE: 10/31/2003 RESPS:45,000 HOURS:3,750 COSTS(000):$0 Request to Correspondent for Identifying Information FORMS: 70-2 OMB NO: 2900-0079 EXPIRATION DATE: 06/30/2003 RESPS:45,480 HOURS:3,790 COSTS(000):$0 Employment Questionnaire FORMS: 21-4140 21-4140-1 21-4140A OMB NO: 2900-0080 EXPIRATION DATE: 05/31/2001 RESPS:1 HOURS:29,671 COSTS(000):$0 Authorization and Invoice for Medical and Hospital Services; Claim for Payment of Unauthorized Medical Services; Authority and Invoice for Travel by Ambulance or Other Hired Vehicle FORMS: 10-583 10-7078 10-2511 OMB NO: 2900-0085 EXPIRATION DATE: 06/30/2002 RESPS:41,644 HOURS:36,837 COSTS(000):$0 Appeal to Board of Veterans' Appeal, Withdrawal of Services by a Representative, Filing of Representatives' Fee Agreements, and Motions for Review of Such Agreements, Motion for Review of.... FORMS: 9 OMB NO: 2900-0086 EXPIRATION DATE: 11/30/2002 RESPS:523,639 HOURS:130,910 COSTS(000):$0 Request for a Certification of Eligibility for VA Home Loan Benefits FORMS: 26-1880 OMB NO: 2900-0089 EXPIRATION DATE: 01/31/2002 RESPS:40,000 HOURS:20,000 COSTS(000):$0 Statement of Dependency of Parents FORMS: 21-509 OMB NO: 2900-0090 EXPIRATION DATE: 11/30/2003 RESPS:30,000 HOURS:7,500 COSTS(000):$0 Application for Voluntary Service FORMS: 10-7055 OMB NO: 2900-0091 EXPIRATION DATE: 10/31/2001 RESPS:2,372,766 HOURS:681,192 COSTS(000):$0 Application for Health Benefits and Yearly Reapplication of Health Benefits -- 38 CFR 17.36(d)(1) and 38 CFR 17.36(d)(4)(iii) FORMS: 10-10EZ OMB NO: 2900-0093 EXPIRATION DATE: 06/30/2001 RESPS:8,000 HOURS:4,000 COSTS(000):$0 Request for Organizational Data from Builder FORMS: 26-312 OMB NO: 2900-0094 EXPIRATION DATE: 01/31/2002 RESPS:1,000 HOURS:250 COSTS(000):$0 Supplement to VA Forms 21-526, 21-534, and 21-535 (For Phillipine Claims) FORMS: 21-4169 OMB NO: 2900-0095 EXPIRATION DATE: 01/31/2002 RESPS:25,000 HOURS:12,500 COSTS(000):$0 Pension Claim Questionnaire for Farm Income FORMS: 21-4165 OMB NO: 2900-0096 EXPIRATION DATE: 06/30/2001 RESPS:31,500 HOURS:5,250 COSTS(000):$0 Loan and Cash Surrender Values FORMS: 29-5772 OMB NO: 2900-0098 EXPIRATION DATE: 07/31/2003 RESPS:20,100 HOURS:10,050 COSTS(000):$0 Application for Survivors' and Dependents' Educational Assistance (Under Chapter 35, Title 38 U.S.C.) FORMS: 22-5490 OMB NO: 2900-0099 EXPIRATION DATE: 07/31/2003 RESPS:11,000 HOURS:5,500 COSTS(000):$0 Request for Change of Program or Place of Training Survivors' and Dependents' Education Assistance FORMS: 22-5495 OMB NO: 2900-0101 EXPIRATION DATE: 03/31/2002 RESPS:293,894 HOURS:146,947 COSTS(000):$0 Eligibility Verification Reports FORMS: 21-0511S 21-0511S-1 21-0511V 21-0511V-1 21-0512S 21-0512S-1 21-0512V-1 21-0513 21-0513-1 21-0514 OMB NO: 2900-0103 EXPIRATION DATE: 03/31/2002 RESPS:7,900 HOURS:1,975 COSTS(000):$0 Application for Dependency and Indemnity Compensation by Child FORMS: 21-4813 OMB NO: 2900-0104 EXPIRATION DATE: 04/30/2003 RESPS:4,400 HOURS:2,200 COSTS(000):$0 Report of Accidental Injury in Support of Claim for Compensation or Pension FORMS: 21-4176 OMB NO: 2900-0105 EXPIRATION DATE: 10/31/2001 RESPS:13,200 HOURS:4,400 COSTS(000):$0 Statement of Witness to Accident FORMS: 21-806 OMB NO: 2900-0107 EXPIRATION DATE: 12/31/2002 RESPS:4,316 HOURS:863 COSTS(000):$0 Certificate as to Securities FORMS: 21-4709 OMB NO: 2900-0108 EXPIRATION DATE: 12/31/2002 RESPS:59,000 HOURS:29,500 COSTS(000):$0 Report of Income from Property or Business FORMS: 21-4185 OMB NO: 2900-0110 EXPIRATION DATE: 07/31/2003 RESPS:4,082 HOURS:680 COSTS(000):$0 Application for Assumption Approval and/or Release From Personal Liability to the Government on a Home Loan FORMS: 26-6381 OMB NO: 2900-0111 EXPIRATION DATE: 01/31/2002 RESPS:9,000 HOURS:3,000 COSTS(000):$0 Statement of Purchaser or Owner Assuming Seller's Loan FORMS: 26-6382 OMB NO: 2900-0112 EXPIRATION DATE: 08/31/2003 RESPS:7,000 HOURS:1,167 COSTS(000):$0 Statement of Holder or Servicer of Veteran's Loan FORMS: 26-559 OMB NO: 2900-0113 EXPIRATION DATE: 09/30/2003 RESPS:6,200 HOURS:2,067 COSTS(000):$0 Application for Fee Personnel Designation FORMS: 26-6681 OMB NO: 2900-0114 EXPIRATION DATE: 01/31/2002 RESPS:6,000 HOURS:3,000 COSTS(000):$0 Statement of Marital Relationship FORMS: 21-4170 OMB NO: 2900-0115 EXPIRATION DATE: 06/30/2002 RESPS:2,400 HOURS:800 COSTS(000):$0 Supporting Statement Regarding Marriage FORMS: 21-4171 OMB NO: 2900-0116 EXPIRATION DATE: 08/31/2002 RESPS:1,664 HOURS:416 COSTS(000):$0 Notice of Department of Veterans Affairs of Veteran or Beneficiary Incarcerated in Penal Institution FORMS: 21-4193 OMB NO: 2900-0118 EXPIRATION DATE: 10/31/2001 RESPS:1,048 HOURS:175 COSTS(000):$0 Transfer of Scholastic Credit (Schools) FORMS: 22-315 OMB NO: 2900-0119 EXPIRATION DATE: 02/28/2003 RESPS:20,277 HOURS:4,055 COSTS(000):$0 Report of Treatment in Hospital FORMS: FL29-551 OMB NO: 2900-0120 EXPIRATION DATE: 02/28/2002 RESPS:20,277 HOURS:5,069 COSTS(000):$0 Report of Treatment by Attending Physician FORMS: FL29-551A OMB NO: 2900-0121 EXPIRATION DATE: 03/31/2003 RESPS:244 HOURS:61 COSTS(000):$0 Obtaining Supplemental Information from Hospital or Doctor FORMS: FL29-551B OMB NO: 2900-0128 EXPIRATION DATE: 03/31/2002 RESPS:23,352 HOURS:4,459 COSTS(000):$0 Notice of Lapse/Notice of Past Due Payment FORMS: 29-389 29-389-1 OMB NO: 2900-0129 EXPIRATION DATE: 01/31/2002 RESPS:6,570 HOURS:548 COSTS(000):$0 Supplemental Disability Report FORMS: 29-30A OMB NO: 2900-0130 EXPIRATION DATE: 01/31/2002 RESPS:40,000 HOURS:20,000 COSTS(000):$0 Status of Loan Account, Foreclosure or Other Liquidation FORMS: 26-567 OMB NO: 2900-0131 EXPIRATION DATE: 02/28/2002 RESPS:9,000 HOURS:3,000 COSTS(000):$0 Request for Supplemental Information on Medical and Nonmedical Application FORMS: FL29-615 OMB NO: 2900-0132 EXPIRATION DATE: 04/30/2003 RESPS:800 HOURS:133 COSTS(000):$0 Veteran's Application in Acquiring Specially Adapted Housing or Special Home Adaptation Grant FORMS: 26-4555 OMB NO: 2900-0133 EXPIRATION DATE: 10/31/2001 RESPS:700 HOURS:175 COSTS(000):$0 Application for Amounts on Deposit for Deceased Veteran FORMS: 21-6898 OMB NO: 2900-0138 EXPIRATION DATE: 01/31/2002 RESPS:22,800 HOURS:5,700 COSTS(000):$0 Request for Details of Expenses FORMS: VA-21-8049 OMB NO: 2900-0139 EXPIRATION DATE: 02/28/2002 RESPS:1,200 HOURS:300 COSTS(000):$0 Notice: Payment Not Applied FORMS: 29-4499A OMB NO: 2900-0143 EXPIRATION DATE: 10/31/2001 RESPS:100 HOURS:33 COSTS(000):$0 Offer to Rent on Month-To-Month Basis and Credit Statement of Prospective Tenant FORMS: 26-6725 OMB NO: 2900-0144 EXPIRATION DATE: 10/31/2001 RESPS:258,975 HOURS:25,898 COSTS(000):$0 HUD/VA Addendum to Uniform Residential Loan Application FORMS: 26-1802A 65 1003 OMB NO: 2900-0148 EXPIRATION DATE: 01/31/2002 RESPS:1,936 HOURS:484 COSTS(000):$0 Notice of Past Due Payment FORMS: 29-389E OMB NO: 2900-0149 EXPIRATION DATE: 01/31/2002 RESPS:4,500 HOURS:1,125 COSTS(000):$0 Application for Conversion FORMS: 29-0152 OMB NO: 2900-0153 EXPIRATION DATE: 10/31/2001 RESPS:60,000 HOURS:15,000 COSTS(000):$0 Disability Benefits Questionnaire FORMS: 29-8313 29-8313-1 OMB NO: 2900-0154 EXPIRATION DATE: 01/31/2001 RESPS:154,682 HOURS:90,231 COSTS(000):$0 Application for Education Benefits FORMS: 22-1990 OMB NO: 2900-0156 EXPIRATION DATE: 04/30/2003 RESPS:824,588 HOURS:68,716 COSTS(000):$0 Notice of Change in Student Status FORMS: 22-1999B OMB NO: 2900-0159 EXPIRATION DATE: 10/31/2001 RESPS:8,600 HOURS:2,867 COSTS(000):$0 Matured Endowment Notification FORMS: 29-5767 OMB NO: 2900-0160 EXPIRATION DATE: 09/30/2003 RESPS:55,993 HOURS:14,245 COSTS(000):$0 Title 38, CFR Part 51 and Title 38, CFR Part 52 FORMS: VA-10-10SH VA-10-3567 VA-10-5588 VA-10-0143 VA-10-0143A VA-10-0144 VA-10-0144A OMB NO: 2900-0161 EXPIRATION DATE: 08/31/2002 RESPS:96,400 HOURS:48,200 COSTS(000):$0 Medical Expense Report FORMS: VA-21-8416 OMB NO: 2900-0162 EXPIRATION DATE: 01/31/2002 RESPS:13,200 HOURS:6,600 COSTS(000):$0 Monthly Certification of Flight Training FORMS: VA22-6553C OMB NO: 2900-0165 EXPIRATION DATE: 07/31/2003 RESPS:41,800 HOURS:41,800 COSTS(000):$0 Financial Status Report FORMS: 20-5655 OMB NO: 2900-0166 EXPIRATION DATE: 05/31/2001 RESPS:15,400 HOURS:1,284 COSTS(000):$0 Application for Ordinary Life Insurance (Ages 65 and 70) FORMS: 29-8700 29-8700A 29-8700B 29-8700C 29-8700D 29-8700E 29-8701A-E 29-8485 29-8485A OMB NO: 2900-0168 EXPIRATION DATE: 01/31/2002 RESPS:13,800 HOURS:2,300 COSTS(000):$0 Request for Estate Information FORMS: 21-439 OMB NO: 2900-0171 EXPIRATION DATE: 07/31/2003 RESPS:2,000 HOURS:1,000 COSTS(000):$0 Application and Enrollment Certification for Individualized Tutorial Assistance FORMS: 22-1990T OMB NO: 2900-0178 EXPIRATION DATE: 08/31/2003 RESPS:95,850 HOURS:15,975 COSTS(000):$34 Monthly Certification of On-The-Job and Apprenticeship Training FORMS: 22-6553D 22-6553D-1 OMB NO: 2900-0179 EXPIRATION DATE: 01/31/2002 RESPS:28 HOURS:14 COSTS(000):$0 Application for Change of Permanent Plan (Medical) FORMS: VA-29-1549 OMB NO: 2900-0180 EXPIRATION DATE: 08/31/2003 RESPS:1 HOURS:124 COSTS(000):$0 Compliance Report of Proprietary Institutions FORMS: 27-4274 OMB NO: 2900-0188 EXPIRATION DATE: 05/31/2001 RESPS:519,844 HOURS:37,079 COSTS(000):$0 Prescription, Authorization, Application, Procurement, Repair, and Loan of Prosthetic Items FORMS: FL-10-90 FL-10-426 VA-10-0103 VA-10-1394 VA-10-2421 VA-10-2914 OMB NO: 2900-0191 EXPIRATION DATE: 11/30/2002 RESPS:250 HOURS:63 COSTS(000):$0 Application for Designation as Management Broker FORMS: 26-6685 OMB NO: 2900-0198 EXPIRATION DATE: 07/31/2003 RESPS:6,720 HOURS:1,120 COSTS(000):$0 Application for Annual Clothing Allowance FORMS: 21-8678 OMB NO: 2900-0202 EXPIRATION DATE: 10/31/2001 RESPS:7,700 HOURS:642 COSTS(000):$0 Application for Ordinary Life Insurance and Information About Modified Life FORMS: 29-8485A 29-8701 OMB NO: 2900-0205 EXPIRATION DATE: 02/28/2003 RESPS:151,220 HOURS:68,610 COSTS(000):$0 Application for Employment and Appraisal of Applicant for Title 38 Positions FORMS: 10-2850 10-2850A 10-2850B 10-2850C FL-10-341A OMB NO: 2900-0208 EXPIRATION DATE: 02/28/2003 RESPS:21,200 HOURS:7,400 COSTS(000):$0 Daily Report of Workmen and Material Daily Log, Formal Contract, Architect/Engineer Fee Proposal, and Supplement to SF-129 Solicitation Mailing List Application FORMS: 10-6131 10-6298 10-6299 OMB NO: 2900-0209 EXPIRATION DATE: 11/30/2002 RESPS:28,000 HOURS:4,667 COSTS(000):$0 Application for Work-Study Allowance FORMS: 22-8691 OMB NO: 2900-0212 EXPIRATION DATE: 10/31/2001 RESPS:450 HOURS:113 COSTS(000):$0 Veterans Mortgage Life Insurance Statement FORMS: 29-8636 OMB NO: 2900-0215 EXPIRATION DATE: 01/31/2002 RESPS:22,600 HOURS:3,767 COSTS(000):$0 Request for Information to Make Direct Payment to Child Reaching Majority FORMS: 21-863 OMB NO: 2900-0216 EXPIRATION DATE: 08/31/2002 RESPS:3,750 HOURS:1,875 COSTS(000):$0 Application for Reimbursement from Accured Amounts Due a Deceased Beneficiary FORMS: 21-601 OMB NO: 2900-0227 EXPIRATION DATE: 06/30/2003 RESPS:278,062 HOURS:49,099 COSTS(000):$0 Nation-wide Customer Satisfaction Surveys FORMS: 10-0142B 10-0142C 10-1465-1 10-1465-3 10-1465-7 10-1465-9 10-5387 OMB NO: 2900-0234 EXPIRATION DATE: 10/31/2001 RESPS:450 HOURS:75 COSTS(000):$0 Request to Mortgage Company for Amount of Unpaid Mortgage FORMS: 29-712 OMB NO: 2900-0236 EXPIRATION DATE: 08/31/2002 RESPS:30 HOURS:20 COSTS(000):$0 Application for Education Loan FORMS: 22-8725 OMB NO: 2900-0241 EXPIRATION DATE: 12/31/2002 RESPS:225 HOURS:117 COSTS(000):$0 Request for Determination of Reasonable Value (Used Manufactured Home) FORMS: 26-8728 OMB NO: 2900-0249 EXPIRATION DATE: 05/31/2001 RESPS:65,000 HOURS:27,083 COSTS(000):$0 Loan Service Report FORMS: 26-6808 OMB NO: 2900-0251 EXPIRATION DATE: 11/30/2002 RESPS:175,000 HOURS:29,167 COSTS(000):$0 Request to Lender for Status of Loan Account, LCS FORMS: 26-8778 OMB NO: 2900-0252 EXPIRATION DATE: 10/31/2001 RESPS:120 HOURS:50 COSTS(000):$0 Application for Authority to Close Loans on an Automatic Basis, Nonsupervised Lenders FORMS: VA-26-8736 OMB NO: 2900-0253 EXPIRATION DATE: 08/31/2002 RESPS:3,000 HOURS:1,000 COSTS(000):$0 Nonsupervised Lender's Nomination and Recommendation of Credit Underwriter FORMS: 26-8736A OMB NO: 2900-0255 EXPIRATION DATE: 01/31/2002 RESPS:14,000 HOURS:3,500 COSTS(000):$0 Application for Dependency and Indemnity Compensation or Death (Including Accrued Benefits and Death Compensation Where Applicable) from the Department of Veterans Affairs FORMS: 21-4182 OMB NO: 2900-0260 EXPIRATION DATE: 05/31/2001 RESPS:323,378 HOURS:10,779 COSTS(000):$0 Request for and Consent to Release of Medical Records Protected by 38 U.S.C. 7332 FORMS: 10-5345 OMB NO: 2900-0262 EXPIRATION DATE: 10/31/2003 RESPS:2,500 HOURS:417 COSTS(000):$0 Designation of Certifying Official FORMS: 22-8794 OMB NO: 2900-0265 EXPIRATION DATE: 10/31/2003 RESPS:5,000 HOURS:417 COSTS(000):$0 Application for Counseling FORMS: 28-8832 OMB NO: 2900-0270 EXPIRATION DATE: 05/31/2002 RESPS:5,000 HOURS:3,750 COSTS(000):$0 Financial Counseling Statement FORMS: 26-8844 OMB NO: 2900-0276 EXPIRATION DATE: 11/30/2003 RESPS:124 HOURS:186 COSTS(000):$0 Manufactured Home Appraisal Report FORMS: 26-8712 OMB NO: 2900-0300 EXPIRATION DATE: 05/31/2001 RESPS:75 HOURS:25 COSTS(000):$0 Veterans Application for Assistance in Acquiring Special Housing Adaptations FORMS: 26-4555D OMB NO: 2900-0317 EXPIRATION DATE: 10/31/2001 RESPS:2,400 HOURS:200 COSTS(000):$0 Request for Identifying Information Re: Veteran's Loan Records FORMS: 26-626 OMB NO: 2900-0319 EXPIRATION DATE: 10/31/2003 RESPS:16,676 HOURS:1,390 COSTS(000):$0 Fiduciary Agreement FORMS: 21-4703 OMB NO: 2900-0320 EXPIRATION DATE: 07/31/2002 RESPS:10,000 HOURS:1 COSTS(000):$0 Escrow Agreement for Postponed Exterior Onsite Improvements FORMS: 26-1849 OMB NO: 2900-0321 EXPIRATION DATE: 06/30/2003 RESPS:325,000 HOURS:27,083 COSTS(000):$0 Appointment of Veterans Service Organization as Claimant's Representatives FORMS: 21-22 OMB NO: 2900-0324 EXPIRATION DATE: 06/30/2002 RESPS:1,440 HOURS:1,080 COSTS(000):$0 Insurance, Life Insurance FORMS: 29-1800(SERIES) OMB NO: 2900-0325 EXPIRATION DATE: 10/31/2001 RESPS:33,590 HOURS:2,829 COSTS(000):$0 Certification of Delivery of Advance Payment and Enrollment FORMS: 22-1999V OMB NO: 2900-0342 EXPIRATION DATE: 10/31/2001 RESPS:1,050 HOURS:875 COSTS(000):$0 Application and On-the-Job Training Agreement and Standards and Employer's Application to Provide Training FORMS: 22-8864 22-8865 OMB NO: 2900-0353 EXPIRATION DATE: 12/31/2002 RESPS:12,188 HOURS:2,031 COSTS(000):$0 Certification of Lessons Completed FORMS: 22-6553B 22-6553B-1 OMB NO: 2900-0355 EXPIRATION DATE: 08/31/2002 RESPS:146,907 HOURS:24,485 COSTS(000):$0 Verification of Pursuit of Course (Leading to a Standard College Degree) FORMS: 22-6553 OMB NO: 2900-0358 EXPIRATION DATE: 08/31/2003 RESPS:16,500 HOURS:8,250 COSTS(000):$0 Supplemental Information for Change of Program or Reenrollment After Unsatisfactory Attendance, Conduct or Progress FORMS: 22-8873 OMB NO: 2900-0362 EXPIRATION DATE: 07/31/2002 RESPS:26,806 HOURS:26,139 COSTS(000):$0 Claim under Loan Guaranty Supplemental Claim Form, Adjustable Rate Mortgages FORMS: 26-1874 26-1874A OMB NO: 2900-0368 EXPIRATION DATE: 02/28/2003 RESPS:3,600 HOURS:1,800 COSTS(000):$0 Monthly Statement of Wages Paid to Trainee -- Chapter 31, Title 38 U.S.C. FORMS: 28-1917 OMB NO: 2900-0377 EXPIRATION DATE: 01/31/2001 RESPS:842 HOURS:421 COSTS(000):$0 Claim for Repurchase of Loan FORMS: 26-8084 OMB NO: 2900-0379 EXPIRATION DATE: 09/30/2002 RESPS:120,000 HOURS:10,000 COSTS(000):$0 Time Record (Work-Study Program) FORMS: 22-8690 OMB NO: 2900-0381 EXPIRATION DATE: 02/28/2003 RESPS:30,000 HOURS:5,000 COSTS(000):$0 Notice for Election to Convey and/or Invoice for Transfer of Property FORMS: 26-8903 OMB NO: 2900-0383 EXPIRATION DATE: 06/30/2002 RESPS:200 HOURS:100 COSTS(000):$0 Application for Educational Assistance Test Program Benefits -- Section 901, Public Law 96-342 FORMS: 22-8889 OMB NO: 2900-0386 EXPIRATION DATE: 10/31/2003 RESPS:50,000 HOURS:8,333 COSTS(000):$0 Interest Rate Reduction Refinancing Loan Worksheet FORMS: 26-8923 OMB NO: 2900-0387 EXPIRATION DATE: 10/31/2001 RESPS:258,775 HOURS:21,565 COSTS(000):$0 Request for Verification of Deposit FORMS: 26-8497A OMB NO: 2900-0390 EXPIRATION DATE: 06/30/2002 RESPS:7,500 HOURS:2,500 COSTS(000):$0 Application of Surviving Spouse or Child for REPS Benefits (Restored Entitlement Program for Survivors) FORMS: 21-8924 OMB NO: 2900-0394 EXPIRATION DATE: 12/31/2001 RESPS:1,200 HOURS:300 COSTS(000):$0 Certification of School Attendance - REPS FORMS: 21-8926 OMB NO: 2900-0396 EXPIRATION DATE: 03/31/2001 RESPS:1,000 HOURS:585 COSTS(000):$5 Certification of Training (Under the Service Members Occupational Conversion and Training Act) FORMS: 22-8929 OMB NO: 2900-0399 EXPIRATION DATE: 04/30/2003 RESPS:5,300 HOURS:1,767 COSTS(000):$0 Student Beneficiary Report - REPS FORMS: 21-8938 OMB NO: 2900-0404 EXPIRATION DATE: 01/31/2002 RESPS:24,000 HOURS:18,000 COSTS(000):$0 Veteran's Application for Increased Compensation Based on Individual Unemployability FORMS: 21-8940 OMB NO: 2900-0405 EXPIRATION DATE: 09/30/2002 RESPS:2,200 HOURS:550 COSTS(000):$0 REPS Annual Eligibility Report FORMS: 21-8941 OMB NO: 2900-0406 EXPIRATION DATE: 03/31/2001 RESPS:300,000 HOURS:25,000 COSTS(000):$0 Verification of VA Benefit-Related Indebtedness FORMS: 26-8937 OMB NO: 2900-0408 EXPIRATION DATE: 09/30/2002 RESPS:1 HOURS:36 COSTS(000):$0 Manufactured Home Loan Claim Under Loan Guaranty (Manufactured Home Unit Only) and Manufactured Home Loan Claim Under Loan Guaranty (Combination Loan - Manufactured Home Unit and Lot..... FORMS: 26-8629 26-8630 OMB NO: 2900-0427 EXPIRATION DATE: 11/30/2003 RESPS:50 HOURS:50 COSTS(000):$0 Former POW Medical History FORMS: 10-0048 OMB NO: 2900-0432 EXPIRATION DATE: 01/31/2001 RESPS:50,000 HOURS:1 COSTS(000):$0 Invitation, Bid, and/or Acceptance or Authorization FORMS: 26-6724 OMB NO: 2900-0442 EXPIRATION DATE: 01/31/2001 RESPS:102,000 HOURS:17,000 COSTS(000):$0 Request for Armed Forces Separation Records FORMS: 21-80E OMB NO: 2900-0445 EXPIRATION DATE: 10/31/2003 RESPS:3,403,500 HOURS:4,727 COSTS(000):$0 VAAR Subpart 819.70 Veteran-Owned & Operated Small Business (Exceptions to SF 18 & 129) FORMS: NONE OMB NO: 2900-0458 EXPIRATION DATE: 11/30/2002 RESPS:70,000 HOURS:11,667 COSTS(000):$0 Certification of School Attendance or Termination FORMS: 21-8960 OMB NO: 2900-0459 EXPIRATION DATE: 11/30/2003 RESPS:22,000 HOURS:44,000 COSTS(000):$0 Property Management Consolidated Invoice FORMS: 26-8974 OMB NO: 2900-0460 EXPIRATION DATE: 04/30/2003 RESPS:300,000 HOURS:50,000 COSTS(000):$0 Request for Verification of Employment FORMS: 26-8497 OMB NO: 2900-0463 EXPIRATION DATE: 05/31/2002 RESPS:29,000 HOURS:4,833 COSTS(000):$0 Notice of Waiver of VA Compensation or Pension to Receive Military Pay and Allowances FORMS: 21-8951 OMB NO: 2900-0465 EXPIRATION DATE: 01/31/2001 RESPS:2,222,533 HOURS:185,571 COSTS(000):$0 Monthly Verification of Pursuits FORMS: NONE OMB NO: 2900-0466 EXPIRATION DATE: 10/31/2003 RESPS:23,700 HOURS:1,185 COSTS(000):$0 Certificate of Balance on Deposit and Authorization to Disclose Financial Records FORMS: 21-4178A OMB NO: 2900-0469 EXPIRATION DATE: 01/31/2002 RESPS:2,078 HOURS:1,039 COSTS(000):$0 Certificate Showing Residence and Heirs of Deceased Veterans and Beneficiary FORMS: 29-541 OMB NO: 2900-0492 EXPIRATION DATE: 08/31/2002 RESPS:3,000 HOURS:1,500 COSTS(000):$0 Vamatic Authorization FORMS: 29-0532-1 OMB NO: 2900-0495 EXPIRATION DATE: 03/31/2001 RESPS:34,500 HOURS:2,875 COSTS(000):$0 Marital Status Questionnaire FORMS: 21-0537 OMB NO: 2900-0496 EXPIRATION DATE: 03/31/2002 RESPS:250 HOURS:250 COSTS(000):$0 Claim for Veterans Mortgage Life Insurance FORMS: 29-0549 OMB NO: 2900-0500 EXPIRATION DATE: 01/31/2002 RESPS:84,500 HOURS:14,083 COSTS(000):$0 Status of Dependents Questionnaire FORMS: 21-0538 OMB NO: 2900-0501 EXPIRATION DATE: 06/30/2002 RESPS:540 HOURS:45 COSTS(000):$0 Veterans Mortgage Life Insurance Inquiry FORMS: 29-0543 OMB NO: 2900-0503 EXPIRATION DATE: 06/30/2002 RESPS:240 HOURS:20 COSTS(000):$0 Veterans Mortgage Life Insurance Change of Address Statement FORMS: 29-0563 OMB NO: 2900-0507 EXPIRATION DATE: 01/31/2002 RESPS:480 HOURS:240 COSTS(000):$0 Medical Information for Reinstatement FORMS: 29-762 OMB NO: 2900-0510 EXPIRATION DATE: 01/31/2002 RESPS:25,000 HOURS:18,750 COSTS(000):$0 Application for Exclusion of Children's Income FORMS: 21-0571 OMB NO: 2900-0519 EXPIRATION DATE: 08/31/2002 RESPS:3,375 HOURS:2,531 COSTS(000):$0 Locality Pay System Survey, DVA Nurse Pay Act of 1990 FORMS: 10-0132 OMB NO: 2900-0523 EXPIRATION DATE: 02/28/2001 RESPS:240,000 HOURS:120,000 COSTS(000):$0 Loan Analysis FORMS: 26-6393 OMB NO: 2900-0524 EXPIRATION DATE: 10/31/2003 RESPS:1,800 HOURS:300 COSTS(000):$0 VA Police Officer Pre-Employment Screening Checklist FORMS: 0120 OMB NO: 2900-0525 EXPIRATION DATE: 06/30/2001 RESPS:5,000 HOURS:1,250 COSTS(000):$0 VA Matic Change FORMS: 29-0165 OMB NO: 2900-0539 EXPIRATION DATE: 10/31/2001 RESPS:10,000 HOURS:3,333 COSTS(000):$0 Application for Supplemental Service Disabled Veterans Insurance FORMS: 29-0188 OMB NO: 2900-0545 EXPIRATION DATE: 06/30/2002 RESPS:10,000 HOURS:7,500 COSTS(000):$0 Report of Medical, Legal, and Other Expenses Incident to Recovery for Injury or Death FORMS: 21-8416B OMB NO: 2900-0546 EXPIRATION DATE: 03/31/2001 RESPS:18,000 HOURS:3,000 COSTS(000):$0 Adjacent Gravesite Set-Aside Survey (2 Year) -- FL-40-40 (Was Formerly Used To Conduct 1-Year Surveys of AGS Holders FORMS: FL-40-40 OMB NO: 2900-0556 EXPIRATION DATE: 08/31/2002 RESPS:243,000 HOURS:101,250 COSTS(000):$0 Living Will and Durable Power of Attorney for Health Care FORMS: 10-0317 OMB NO: 2900-0563 EXPIRATION DATE: 04/30/2003 RESPS:4,895 HOURS:7,343 COSTS(000):$0 Army Chemical Corps Vietnam Veterans Health Study, Phase II FORMS: VA-10-20998(NR) OMB NO: 2900-0564 EXPIRATION DATE: 07/31/2003 RESPS:198,000 HOURS:6,600 COSTS(000):$0 Direct Deposit Enrollment FORMS: 24-0296 OMB NO: 2900-0565 EXPIRATION DATE: 08/31/2003 RESPS:40,000 HOURS:20,000 COSTS(000):$0 State Application for Interment Allowance Under 38 U.S.C. FORMS: 21-530A OMB NO: 2900-0569 EXPIRATION DATE: 12/31/2003 RESPS:195,966 HOURS:26,810 COSTS(000):$0 VA Voluntary Customer Surveys to Implement E.O. 12862 FORMS: NONE OMB NO: 2900-0570 EXPIRATION DATE: 12/31/2001 RESPS:22,500 HOURS:22,500 COSTS(000):$0 Generic Veterans Health Administration Customer Satisfaction Surveys FORMS: NONE OMB NO: 2900-0571 EXPIRATION DATE: 10/31/2003 RESPS:21,400 HOURS:9,496 COSTS(000):$0 Generic Clearance for NCA, OFM, and IG Customer Satisfaction Surveys FORMS: NONE OMB NO: 2900-0577 EXPIRATION DATE: 01/31/2001 RESPS:500 HOURS:125 COSTS(000):$0 Provision of Vocational Training and Rehabilitation to Vietnam Veterans' Children With Spina Bifida and Spina Bifida Award Attachment -- VA Form 21-0307 FORMS: 21-0307 OMB NO: 2900-0590 EXPIRATION DATE: 03/31/2002 RESPS:10,000 HOURS:5,000 COSTS(000):$0 Department of Veterans Affairs Acquisition Regulation Clause 852.237-7, Indemnification and Medical Liability Insurance FORMS: NONE OMB NO: 2900-0594 EXPIRATION DATE: 01/31/2001 RESPS:35 HOURS:11 COSTS(000):$0 Election to Apply Selected Reserve Service to Either Montgomery GI Bill-Active Duty or to the Montgomery GI Bill-Selected Reserve -- 38 CFR 21.7042 and 21.7540 FORMS: NONE OMB NO: 2900-0595 EXPIRATION DATE: 01/31/2001 RESPS:2,900 HOURS:580 COSTS(000):$0 Election to Receive Dependents' Educational Assistance Instead of Dependency and Indemnity Compensation -- 38 CFR 21.3023(c) FORMS: NONE OMB NO: 2900-0596 EXPIRATION DATE: 08/31/2001 RESPS:345,048 HOURS:178,484 COSTS(000):$0 Claim for Educational Assistance -- 38 CFR 21.1030 FORMS: NONE OMB NO: 2900-0597 EXPIRATION DATE: 08/31/2001 RESPS:576,800 HOURS:48,067 COSTS(000):$0 Monthly Verification of Pursuit of Training under the Montgomery GI Bill, Selected Reserve -- 38 CFR 21.7654 and 21.7656(a) and 21.7656(a)) FORMS: NONE OMB NO: 2900-0599 EXPIRATION DATE: 11/30/2001 RESPS:5,000 HOURS:1,650 COSTS(000):$170 Vocational Rehabilitation and Counseling (VR&C) Service Program Outcome Survey FORMS: 28-0317 OMB NO: 2900-0600 EXPIRATION DATE: 10/31/2001 RESPS:101,652 HOURS:25,413 COSTS(000):$0 Regulation for Reconsideration of Denied Claims FORMS: NONE OMB NO: 2900-0601 EXPIRATION DATE: 10/31/2001 RESPS:350 HOURS:175 COSTS(000):$1 Loan Guaranty: Requirements for Interest Rate Reduction Refinancing Loans FORMS: NONE OMB NO: 2900-0602 EXPIRATION DATE: 10/31/2001 RESPS:50,000 HOURS:4,165 COSTS(000):$0 Request for an Advance Payment of Educational Assistance -- 38 CFR 21.4138(a) FORMS: NONE OMB NO: 2900-0604 EXPIRATION DATE: 10/31/2001 RESPS:50,000 HOURS:4,165 COSTS(000):$0 Request for an Advance Payment of Educational Assistance - 38 CFR 21.4138(a) FORMS: NONE OMB NO: 2900-0605 EXPIRATION DATE: 01/31/2002 RESPS:20 HOURS:15 COSTS(000):$0 Application for Accreditation as a Claims Agent FORMS: 21A OMB NO: 2900-0606 EXPIRATION DATE: 02/28/2002 RESPS:400 HOURS:800 COSTS(000):$0 Submission of Evidence -- 38 CFR 17.101(a)(2) FORMS: NONE OMB NO: 2900-0607 EXPIRATION DATE: 03/31/2002 RESPS:56 HOURS:19 COSTS(000):$0 Evidence Submitted to Validate an Election to Receive Educational Assistance Under the Motgomery GI Bill--Active Duty (38 CFR 21.7131(1) and (m) FORMS: NONE OMB NO: 2900-0608 EXPIRATION DATE: 05/31/2002 RESPS:6,000 HOURS:2,250 COSTS(000):$0 The 1999 Survey of Educational Benefits Usage (SEBU) FORMS: NONE OMB NO: 2900-0609 EXPIRATION DATE: 01/31/2003 RESPS:3,027,000 HOURS:754,050 COSTS(000):$0 Census of Enrollment Status and Health of Veterans FORMS: 36 10-21034A OMB NO: 2900-0610 EXPIRATION DATE: 02/28/2003 RESPS:11 HOURS:3 COSTS(000):$0 Ecclesiastical Endorsing Organization Verification/Reverification Information FORMS: 10-0379 OMB NO: 2900-0611 EXPIRATION DATE: 02/28/2003 RESPS:5,492 HOURS:2,145 COSTS(000):$0 Survey of Department of Veterans Affairs (VA) Benefits Usage FORMS: NONE OMB NO: 2900-0612 EXPIRATION DATE: 04/30/2003 RESPS:182,916 HOURS:13,570 COSTS(000):$0 Report of Change in Enrollment for Reservists Training Under the Montgomery GI Bill-Selected Reserve (38 CFR 21.7656(b)) FORMS: NONE OMB NO: 2900-0613 EXPIRATION DATE: 07/31/2003 RESPS:2,000 HOURS:667 COSTS(000):$0 Recordkeeping at Flight Schools FORMS: NONE OMB NO: 2900-0614 EXPIRATION DATE: 09/30/2003 RESPS:700 HOURS:525 COSTS(000):$0 Study of Individuals at Risk for Stress Related Illnesses FORMS: 10-21036(NR)
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