Advisory Council on Historic Preservation
No active collections for this agency
African Development Foundation
No active collections for this agency
Agency for International Development
OMB NO: 0412-0003 EXPIRATION DATE: 12/31/2001
RESPS:56 HOURS:1,344 COSTS(000):$0
Annual Estimate of Requirements (AER) Fiscal Year -- Public Law
480, Title II Commodities
FORMS: AID-1550-3
OMB NO: 0412-0004 EXPIRATION DATE: 08/31/2002
RESPS:750 HOURS:375 COSTS(000):$4
Application for Approval of Commodity Eligibility
FORMS: FORM-AID-11
OMB NO: 0412-0011 EXPIRATION DATE: 08/31/2000
RESPS:85 HOURS:1,020 COSTS(000):$0
Application for Assistance, American Schools and Hospitals
FORMS: A.I.D.-1010-2 (11/91)
OMB NO: 0412-0012 EXPIRATION DATE: 11/30/2000
RESPS:3,600 HOURS:1,800 COSTS(000):$0
Supplier's Certificate Agreement With the U.S. Agency for
International Development, Invoice and Contract Abstract
FORMS: FORM-AID-282
OMB NO: 0412-0017 EXPIRATION DATE: 06/30/2003
RESPS:216 HOURS:126 COSTS(000):$0
Contractor's Certificate with the Agency for International
Development--Contractor's Invoice--Contract Abstract
FORMS: FORM-AID-1440-3
OMB NO: 0412-0019 EXPIRATION DATE: 07/31/2000
RESPS:25,000 HOURS:6,250 COSTS(000):$0
Certificate of Eligibility for Exchange Visitor (J-1) Status
FORMS: IAP-66A
OMB NO: 0412-0020 EXPIRATION DATE: 06/30/2003
RESPS:300 HOURS:196 COSTS(000):$0
Supplier's Certificate and Agreement with the Agency for
International Development for Project Commodities/Invoice--and--
Contract
FORMS: FORM-AID-1450-4
OMB NO: 0412-0506 EXPIRATION DATE: 03/31/2002
RESPS:1,000 HOURS:1,000 COSTS(000):$0
Vendor Data Base (Formerly Known as ACRIS)
FORMS: 1420-50
OMB NO: 0412-0510 EXPIRATION DATE: 11/30/2000
RESPS:1,100 HOURS:37,400 COSTS(000):$0
Administration of Assistance Awards to U.S. Non-Governmental
Organizations -- 22 CFR 226 and USAID's Automated Directive
Systems Chapter 303
FORMS: NONE
OMB NO: 0412-0514 EXPIRATION DATE: 07/31/2000
RESPS:1,918 HOURS:1,058 COSTS(000):$0
Rules and Procedures Applicable to Commodity Transactions -- AID
Regulation 1
FORMS: NONE
OMB NO: 0412-0520 EXPIRATION DATE: 08/31/2000
RESPS:67,350 HOURS:307,065 COSTS(000):$0
Information Collection Elements in the A.I.D. Acquisition
Regulation (AIDAR)
FORMS: AID-1420-17
OMB NO: 0412-0536 EXPIRATION DATE: 08/31/2000
RESPS:3,300 HOURS:13,200 COSTS(000):$0
A.I.D. Contractor Employee Physical Examination Form
FORMS: AID-1420-62
OMB NO: 0412-0538 EXPIRATION DATE: 07/31/2000
RESPS:300 HOURS:7,661 COSTS(000):$6,025
Participant Data Form (PDF)
FORMS: 138104
OMB NO: 0412-0542 EXPIRATION DATE: 04/30/2001
RESPS:400 HOURS:17,866 COSTS(000):$0
Request for Advance or Reimbursement -- Form 270
FORMS: AID-1558-2
OMB NO: 0412-0543 EXPIRATION DATE: 04/30/2001
RESPS:400 HOURS:50,296 COSTS(000):$0
Financial Status Report (Form 268, and 269 Worksheet)
FORMS: AID-1558-1 AID-1558-1A
OMB NO: 0412-0545 EXPIRATION DATE: 10/31/2001
RESPS:1,311 HOURS:120 COSTS(000):$0
Commodity Request for Foreign Distribution (Voluntary Agency)
FORMS: 1550-4
OMB NO: 0412-0546 EXPIRATION DATE: 10/31/2001
RESPS:55 HOURS:60 COSTS(000):$0
Request for Ship of Commodities for Foreign Government
FORMS: 1550-12
OMB NO: 0412-0550 EXPIRATION DATE: 01/31/2001
RESPS:656 HOURS:1,824 COSTS(000):$0
Narrative/Time-Line and Report on Commodites (Quarterly Reports)
FORMS: AID-1570-13 AID-1570-14
OMB NO: 0412-0551 EXPIRATION DATE: 11/30/2000
RESPS:2,000 HOURS:8,000 COSTS(000):$0
Agency for International Development Acquisition Regulations
(AIDAR) Clause 752.70.26 Reports
FORMS: NONE
OMB NO: 0412-0552 EXPIRATION DATE: 05/31/2001
RESPS:320 HOURS:5,920 COSTS(000):$133
Financial Status Report or Equivalent
FORMS: NONE
OMB NO: 0412-0553 EXPIRATION DATE: 05/31/2001
RESPS:5,000 HOURS:1,250 COSTS(000):$0
USAID Technical Consulting Services Resume Data Base
FORMS: NONE
OMB NO: 0412-0554 EXPIRATION DATE: 05/31/2001
RESPS:15,720 HOURS:2,620 COSTS(000):$0
Training Results and Information Network (TraiNet)
FORMS: NONE
OMB NO: 0412-0555 EXPIRATION DATE: 03/31/2002
RESPS:240 HOURS:24 COSTS(000):$0
Monthly Commodity Status Report/Monthly Recipient Status Report
FORMS: NONE
OMB NO: 0412-0556 EXPIRATION DATE: 03/31/2002
RESPS:20 HOURS:240 COSTS(000):$0
Monetization Report
FORMS: NONE
OMB NO: 0412-0557 EXPIRATION DATE: 03/31/2002
RESPS:20 HOURS:480 COSTS(000):$0
Annual Results Report
FORMS: NONE
OMB NO: 0412-0558 EXPIRATION DATE: 07/31/2000
RESPS:1,540 HOURS:11,000 COSTS(000):$4
USAID FY2000 Population Assistance Certification
FORMS: NONE
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
26 132,657 478,195 $6,166
Appalachian Regional Commission
No active collections for this agency
Architectural and Transportation Barriers Compliance Board
OMB NO: 3014-0010 EXPIRATION DATE: 01/31/2001
RESPS:201 HOURS:107,982 COSTS(000):$584,222
Telecommunications Act Accessibility Guidelines
FORMS: NONE
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
1 201 107,982 $584,222
Barry M. Goldwater Scholarship and Excellence in Education Foundation
No active collections for this agency
Commission on Civil Rights
OMB NO: 3035-0025 EXPIRATION DATE: 09/30/2000
RESPS:200 HOURS:200 COSTS(000):$0
U.S. Commission on Civil Rights Survey of Employment
Discrimination Attorneys and Mediators
FORMS: NONE
OMB NO: 3035-0026 EXPIRATION DATE: 09/30/2000
RESPS:905 HOURS:905 COSTS(000):$0
Survey of Actual and Alleged Victims of Employment Discrimination
FORMS: NONE
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
2 1,105 1,105 $0
Committee for Purchase from the Blind and Other Severely Handicapped
OMB NO: 3037-0001 EXPIRATION DATE: 11/30/2002
RESPS:71 HOURS:142 COSTS(000):$0
Annual Certification, Qualified Nonprofit Agency Serving People
Who Are Blind
FORMS: 403
OMB NO: 3037-0002 EXPIRATION DATE: 11/30/2002
RESPS:552 HOURS:1,656 COSTS(000):$0
Annual Certification, Qualified Nonprofit Agency Servicing
People Who Are Severely Disabled
FORMS: 404
OMB NO: 3037-0003 EXPIRATION DATE: 01/31/2002
RESPS:50 HOURS:50 COSTS(000):$0
Initial Certification, Qualified Nonprofit Agency Serving People
with Severe Disabilities
FORMS: 402
OMB NO: 3037-0004 EXPIRATION DATE: 01/31/2002
RESPS:5 HOURS:5 COSTS(000):$0
Initial Certification, Qualified Nonprofit Agency for the Blind
FORMS: 401
OMB NO: 3037-0005 EXPIRATION DATE: 09/30/2002
RESPS:650 HOURS:1,950 COSTS(000):$0
Nonprofit Agency Responsibilities
FORMS: NONE
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
5 1,328 3,803 $0
Corporation for National and Community Service
OMB NO: 3045-0004 EXPIRATION DATE: 08/31/2000
RESPS:50,000 HOURS:2,500 COSTS(000):$0
AmeriCorps Referral Card
FORMS: NONE
OMB NO: 3045-0005 EXPIRATION DATE: 09/30/2001
RESPS:500 HOURS:1,000 COSTS(000):$0
AmeriCorps*NCCC Team Leader Application
FORMS: NONE
OMB NO: 3045-0006 EXPIRATION DATE: 08/31/2000
RESPS:29,000 HOURS:3,625 COSTS(000):$0
Corporation for National Service Enrollment Form
FORMS: NONE
OMB NO: 3045-0010 EXPIRATION DATE: 11/30/2000
RESPS:800 HOURS:2,400 COSTS(000):$33,600
AmeriCorps National Civilian Community Corps (NCCC) Service
Project Application
FORMS: NONE
OMB NO: 3045-0014 EXPIRATION DATE: 01/31/2001
RESPS:40,000 HOURS:2,000 COSTS(000):$0
Voucher and Payment Request Form
FORMS: NONE
OMB NO: 3045-0015 EXPIRATION DATE: 08/31/2000
RESPS:31,000 HOURS:5,683 COSTS(000):$0
Corporation for National Service End of Term/Exit Form
FORMS: NONE
OMB NO: 3045-0020 EXPIRATION DATE: 10/31/2002
RESPS:3,310 HOURS:2,364 COSTS(000):$47
AmeriCorps*VISTA Accomplishment Review
FORMS: NONE
OMB NO: 3045-0025 EXPIRATION DATE: 07/31/2001
RESPS:2,500 HOURS:1,250 COSTS(000):$0
AmeriCorps*National Civilian Community Corps Applicant Medical
Prescreening Form
FORMS: NONE
OMB NO: 3045-0029 EXPIRATION DATE: 06/30/2002
RESPS:650 HOURS:4,338 COSTS(000):$11
Project Profile and Volunteer Activity Survey (PPVA); RSVP, FGP,
SCP
FORMS: 1021-RSVP 1021-FGP 1021-SCP
OMB NO: 3045-0030 EXPIRATION DATE: 03/31/2002
RESPS:6,000 HOURS:1,000 COSTS(000):$0
Forbearance Request for National Service
FORMS: NONE
OMB NO: 3045-0033 EXPIRATION DATE: 05/31/2003
RESPS:2,104 HOURS:12,576 COSTS(000):$3
National Senior Service Corps Project Progress Report
FORMS: A-1020
OMB NO: 3045-0035 EXPIRATION DATE: 12/31/2000
RESPS:1,463 HOURS:19,450 COSTS(000):$3
National Senior Service Corps Grant Application
FORMS: 424-NSSC
OMB NO: 3045-0038 EXPIRATION DATE: 04/30/2003
RESPS:2,200 HOURS:9,200 COSTS(000):$10
AmeriCorps "VISTA Project Application, Part A and Part B
FORMS: 1421 1421B
OMB NO: 3045-0043 EXPIRATION DATE: 07/31/2001
RESPS:3,600 HOURS:5,400 COSTS(000):$0
AmeriCorps*VISTA Project Progress Report
FORMS: 1433
OMB NO: 3045-0045 EXPIRATION DATE: 02/28/2003
RESPS:1 HOURS:2,250 COSTS(000):$0
The 2000 Application Guidelines for Learn and Serve America
School- and Community-Based Programs
FORMS: NONE
OMB NO: 3045-0046 EXPIRATION DATE: 02/28/2003
RESPS:400 HOURS:2,400 COSTS(000):$0
The 2000 Application Guidelines for Learn and Serve America
Higher Education
FORMS: NONE
OMB NO: 3045-0047 EXPIRATION DATE: 02/28/2003
RESPS:1 HOURS:20,000 COSTS(000):$0
The 2000 Application Guidelines for AmeriCorps National, State
and Indian Tribes, and U.S. Territories
FORMS: NONE
OMB NO: 3045-0048 EXPIRATION DATE: 08/31/2000
RESPS:6,000 HOURS:200 COSTS(000):$4,500
AmeriCorps*VISTA Locator Card
FORMS: NONE
OMB NO: 3045-0049 EXPIRATION DATE: 08/31/2001
RESPS:3,750 HOURS:2,812 COSTS(000):$0
Senior Corps Accomplishment Surveys
FORMS: NONE
OMB NO: 3045-0050 EXPIRATION DATE: 09/30/2001
RESPS:500 HOURS:1,000 COSTS(000):$5
AmeriCorps Leaders Program Leader Application
FORMS: NONE
OMB NO: 3045-0051 EXPIRATION DATE: 01/31/2002
RESPS:250 HOURS:1,500 COSTS(000):$0
National Service-Learning Leader Schools Application
FORMS: NONE
OMB NO: 3045-0052 EXPIRATION DATE: 02/28/2002
RESPS:1,125 HOURS:633 COSTS(000):$0
The Evaluation of Literacy and Tutoring Programs
FORMS: NONE
OMB NO: 3045-0053 EXPIRATION DATE: 03/31/2002
RESPS:6,000 HOURS:1,000 COSTS(000):$0
Interest Accrued During National Service
FORMS: NONE
OMB NO: 3045-0054 EXPIRATION DATE: 06/30/2002
RESPS:60,000 HOURS:45,000 COSTS(000):$0
AmeriCorps Member Application
FORMS: NONE
OMB NO: 3045-0055 EXPIRATION DATE: 07/31/2002
RESPS:18,000 HOURS:9,000 COSTS(000):$0
Corporation for National Service Generic Customer Survey
Clearance
FORMS: NONE
OMB NO: 3045-0056 EXPIRATION DATE: 07/31/2002
RESPS:2,100 HOURS:2,100 COSTS(000):$46
Learn and Serve America Project Description Form
FORMS: NONE
OMB NO: 3045-0057 EXPIRATION DATE: 08/31/2002
RESPS:7,800 HOURS:1,492 COSTS(000):$0
Senior Companion Program Quality of Care Evaluation -- Parts 1-5
FORMS: NONE
OMB NO: 3045-0060 EXPIRATION DATE: 09/30/2002
RESPS:7,835 HOURS:2,671 COSTS(000):$0
Longitudinal Research on Member Outcomes
FORMS: NONE
OMB NO: 3045-0061 EXPIRATION DATE: 10/31/2002
RESPS:6,610 HOURS:5,130 COSTS(000):$0
Outcome Evaluation of Literacy and Tutoring Programs
FORMS: NONE
OMB NO: 3045-0062 EXPIRATION DATE: 10/31/2002
RESPS:68 HOURS:272 COSTS(000):$0
Program Development Assistance and Training (PDAT) Budget Form
FORMS: NONE
OMB NO: 3045-0064 EXPIRATION DATE: 02/28/2003
RESPS:14 HOURS:4,760 COSTS(000):$0
State Administrative Standards
FORMS: NONE
OMB NO: 3045-0065 EXPIRATION DATE: 02/28/2003
RESPS:300 HOURS:2,400 COSTS(000):$0
AmeriCorps Education Awards Program 2000 Application Guidelines
FORMS: NONE
OMB NO: 3045-0067 EXPIRATION DATE: 05/31/2003
RESPS:1,304 HOURS:978 COSTS(000):$0
National Senior Service Corps (NSSC) Government Performance and
Results Act (GPRA) Project Data Report
FORMS: NONE
OMB NO: 3045-0068 EXPIRATION DATE: 06/30/2003
RESPS:319 HOURS:156 COSTS(000):$0
Evaluation of the Accomplishments and Outcomes of
AmeriCorps*NCCC Projects
FORMS: NONE
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
34 295,504 178,540 $38,225
Council on Environmental Quality
No active collections for this agency
Environmental Protection Agency
Policy Planning and Evaluation
OMB NO: 2010-0026 EXPIRATION DATE: 02/28/2002
RESPS:15 HOURS:233,770 COSTS(000):$23
Amendment to Regulatory Reinvention Pilot Projects (Project XL)
FORMS: 1755.03
OMB NO: 2010-0029 EXPIRATION DATE: 01/31/2001
RESPS:13,095 HOURS:7,820 COSTS(000):$0
Environmental Information Customer Survey
FORMS: 1853.01
OMB NO: 2010-0030 EXPIRATION DATE: 07/31/2002
RESPS:167 HOURS:458 COSTS(000):$0
National Roster for Environmental Dispute Resolution and
Consensus-Building Professionals
FORMS: 1888.01
OMB NO: 2010-0032 EXPIRATION DATE: 06/30/2003
RESPS:200 HOURS:50,450 COSTS(000):$0
Performance Track Program Level One: The Environmental Achieve-
ment Track
FORMS: 1949.01
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
4 13,477 292,498 $23
Office of Environmental Education
No active collections for this subagency
Office of Enforcement and Compliance Assurance
OMB NO: 2020-0003 EXPIRATION DATE: 08/31/2000
RESPS:300 HOURS:9,703 COSTS(000):$0
Confidentiality Claims
FORMS: 1665.02
OMB NO: 2020-0007 EXPIRATION DATE: 09/30/2001
RESPS:12 HOURS:980 COSTS(000):$0
Environmental Impact Assessment of Nongovernmental Activities in
Antarctica
FORMS: 1808.02
OMB NO: 2020-0008 EXPIRATION DATE: 07/31/2000
RESPS:60 HOURS:1,920 COSTS(000):$0
Environmental Protection Agency/Chemical Manufacturers
Association Root-Cause Analysis Pilot Project
FORMS: 1792.01
OMB NO: 2020-0009 EXPIRATION DATE: 09/30/2000
RESPS:10 HOURS:678 COSTS(000):$0
NSPS for Petroleum Storage Liquid Vessels -- 40 CFR 60, Supbart K
FORMS: 1797.01
OMB NO: 2020-0010 EXPIRATION DATE: 10/31/2000
RESPS:8,740 HOURS:2,760 COSTS(000):$0
Small Business Compliance Assistance Centers
FORMS: 1815.01
OMB NO: 2020-0015 EXPIRATION DATE: 09/30/2001
RESPS:155,197 HOURS:19,470 COSTS(000):$0
Agency Generic Information Collection Request, Regional
Compliance Assistance Program Evaluation
FORMS: 1860.01
OMB NO: 2020-0017 EXPIRATION DATE: 07/31/2002
RESPS:193 HOURS:11,391 COSTS(000):$0
Star Track Program
FORMS: 1825.01
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
7 164,512 46,902 $0
Administration and Resources Management
OMB NO: 2030-0005 EXPIRATION DATE: 02/28/2003
RESPS:4,884 HOURS:177,045 COSTS(000):$49
Monthly Progress Reports
FORMS: 1039.09
OMB NO: 2030-0006 EXPIRATION DATE: 09/30/2000
RESPS:1,731 HOURS:399,342 COSTS(000):$0
Invitation for Bids and Request for Proposals
FORMS: 1038.09
OMB NO: 2030-0007 EXPIRATION DATE: 02/28/2003
RESPS:37,492 HOURS:9,373 COSTS(000):$0
Oral and Written Purchase Orders
FORMS: 1900-8 1900-13 1037.06
OMB NO: 2030-0016 EXPIRATION DATE: 02/28/2003
RESPS:65 HOURS:43 COSTS(000):$0
Contractor Cumulative Claim and Reconciliation
FORMS: 1900-10 0246.07
OMB NO: 2030-0020 EXPIRATION DATE: 12/31/2002
RESPS:4,623 HOURS:142,435 COSTS(000):$0
General Administrative Requirements for Assistance Programs
FORMS: 0938.07
OMB NO: 2030-0023 EXPIRATION DATE: 11/30/2000
RESPS:10,200 HOURS:207,450 COSTS(000):$0
Conflict of Interest
FORMS: 1550.04
OMB NO: 2030-0037 EXPIRATION DATE: 09/30/2000
RESPS:103 HOURS:695 COSTS(000):$0
Obtaining Unbilled Grant Expenses from Grant Recipients at
Year-End
FORMS: 1810.01
OMB NO: 2030-0038 EXPIRATION DATE: 09/30/2001
RESPS:500 HOURS:5,000 COSTS(000):$0
Cooperative Agreements and Superfund Contracts for Superfund
Response Actions
FORMS: 1487.06
OMB NO: 2030-0039 EXPIRATION DATE: 12/31/2002
RESPS:8,100 HOURS:24,559 COSTS(000):$0
Synopses of Proposed Contract Actions and Market Research
Activity
FORMS: 1910.01
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
9 67,698 965,942 $49
Water
OMB NO: 2040-0004 EXPIRATION DATE: 09/30/2001
RESPS:611,205 HOURS:13,324,396 COSTS(000):$0
Discharge Monitoring Report for the National Pollutant Discharge
FORMS: 0229.11
OMB NO: 2040-0009 EXPIRATION DATE: 07/31/2000
RESPS:20,882 HOURS:1,765,156 COSTS(000):$47,349
National Pretreatment Program Information Collection Request
FORMS: 0002.08
OMB NO: 2040-0027 EXPIRATION DATE: 03/31/2003
RESPS:280 HOURS:76,752 COSTS(000):$0
Construction Grants Program Information Collection Request
FORMS: 0827.05
OMB NO: 2040-0042 EXPIRATION DATE: 09/30/2001
RESPS:438,048 HOURS:1,135,273 COSTS(000):$27,649
Underground Injection Control Program
FORMS: 370.16 7520-1 7520-4 7520-6 7520-12 7520-14 7520-16
OMB NO: 2040-0049 EXPIRATION DATE: 07/31/2002
RESPS:83 HOURS:190,336 COSTS(000):$0
Water Quality Standards Regulation -- 40 CFR Part 131
FORMS: 988.07
OMB NO: 2040-0050 EXPIRATION DATE: 12/31/2001
RESPS:14,291 HOURS:21,000 COSTS(000):$6
Clean Water Needs Survey
FORMS: 0318.08
OMB NO: 2040-0057 EXPIRATION DATE: 04/30/2003
RESPS:23,086 HOURS:1,140,794 COSTS(000):$0
Pollutant Discharge Elimination System and Sewage Sludge
Management State Programs
FORMS: 0168.07
OMB NO: 2040-0068 EXPIRATION DATE: 04/30/2003
RESPS:15,594 HOURS:293,323 COSTS(000):$0
National Pollutant Discharge Elimination System (NPDES)
Modification and Variance Requests
FORMS: 0029.07
OMB NO: 2040-0071 EXPIRATION DATE: 04/30/2003
RESPS:59 HOURS:245,676 COSTS(000):$0
National Water Quality Inventory Reports -- Clean Water Act
Sections 305(b), 303(d), 314(a), and 106(e)
FORMS: 1560.05
OMB NO: 2040-0086 EXPIRATION DATE: 04/30/2003
RESPS:88,209 HOURS:2,038,694 COSTS(000):$1,005
Applications for NPDES Discharge Permits and the Sewage
Management Permits
FORMS: 0226.15
OMB NO: 2040-0088 EXPIRATION DATE: 07/31/2002
RESPS:128 HOURS:71,049 COSTS(000):$0
Modification of Secondary Treatment Requirements for Discharges
into Marine Waters
FORMS: 0138.06
OMB NO: 2040-0090 EXPIRATION DATE: 09/30/2001
RESPS:8,665 HOURS:9,531,172 COSTS(000):$180,567
Revisions to the Existing Variance and Exemptions Rule to Comply
FORMS: 270.39
OMB NO: 2040-0095 EXPIRATION DATE: 03/31/2003
RESPS:111 HOURS:6,016 COSTS(000):$0
Construction Grants Delegation to States
FORMS: 0909.06
OMB NO: 2040-0101 EXPIRATION DATE: 12/31/2000
RESPS:200 HOURS:2,800 COSTS(000):$0
Questionnaries for Reviewing Operations and Maintenance (O&M),
Biosolids Use (Biosolids), Combined Sewer Overflow (CSO), and
Storm Water (SW) Awards Nominees under the NWMEAP
FORMS: 1287.05
OMB NO: 2040-0110 EXPIRATION DATE: 09/30/2000
RESPS:205,896 HOURS:825,053 COSTS(000):$0
National Pollutant Discharge Elimination System (NPDES),
FORMS: 1427.05
OMB NO: 2040-0118 EXPIRATION DATE: 09/30/2001
RESPS:1,479 HOURS:186,405 COSTS(000):$0
Clean Water Act State Revolving Fund Program
FORMS: 1391.04
OMB NO: 2040-0138 EXPIRATION DATE: 04/30/2003
RESPS:41 HOURS:46,767 COSTS(000):$0
National Estuary Program
FORMS: 1500.04
OMB NO: 2040-0153 EXPIRATION DATE: 04/30/2003
RESPS:29 HOURS:3,625 COSTS(000):$0
Approval of State Coastal Nonpoint Control Program -- CZARA
Section 6217
FORMS: EPA-1569.04
OMB NO: 2040-0164 EXPIRATION DATE: 03/31/2003
RESPS:895 HOURS:2,556 COSTS(000):$0
Reporting Requirements under EPA's Water Alliances for Voluntary
Efficiency (WAVE) Program
FORMS: 1654.03
OMB NO: 2040-0168 EXPIRATION DATE: 01/31/2003
RESPS:20,005 HOURS:100,667 COSTS(000):$0
Clean Water Act Section 404 State-Assumed Programs
FORMS: 0220.08
OMB NO: 2040-0170 EXPIRATION DATE: 09/30/2000
RESPS:916 HOURS:631,584 COSTS(000):$348
Combined Sewer Overflow Policy
FORMS: 1680.02
OMB NO: 2040-0180 EXPIRATION DATE: 09/30/2001
RESPS:1,257 HOURS:122,863 COSTS(000):$0
National Pollutant Discharge Elimination System Great Lakes
Water Quality Guidance
FORMS: 1639.03
OMB NO: 2040-0185 EXPIRATION DATE: 06/30/2003
RESPS:1,377 HOURS:192,950 COSTS(000):$0
Information Collection Request for Drinking Water State
Revolving Fund Programs
FORMS: 1803.03
OMB NO: 2040-0186 EXPIRATION DATE: 09/30/2000
RESPS:55 HOURS:11,440 COSTS(000):$0
Public Water Systems Annual Compliance Report
FORMS: NONE
OMB NO: 2040-0187 EXPIRATION DATE: 10/31/2000
RESPS:6 HOURS:1,965 COSTS(000):$1
Establishment of No-Discharge Zones for Discharges Incidental to
FORMS: 1791.02
OMB NO: 2040-0188 EXPIRATION DATE: 03/31/2003
RESPS:186,121 HOURS:4,753,452 COSTS(000):$2,045
Notice of Intent for Storm Water Discharges Associated with
Construction Activity under a NPDES General Permit
FORMS: 3510-9 1842.02
OMB NO: 2040-0189 EXPIRATION DATE: 01/31/2003
RESPS:533 HOURS:1,280 COSTS(000):$1
National Health Protection Survey of Beaches
FORMS: 1814.02
OMB NO: 2040-0194 EXPIRATION DATE: 07/31/2001
RESPS:4,530 HOURS:3,935 COSTS(000):$0
The Class V Underground Injection Control Study
FORMS: 1834.01
OMB NO: 2040-0195 EXPIRATION DATE: 09/30/2001
RESPS:56 HOURS:696 COSTS(000):$0
Public Water System Supervision Primacy Regulation
FORMS: 1836.01
OMB NO: 2040-0197 EXPIRATION DATE: 08/31/2000
RESPS:165 HOURS:907,745 COSTS(000):$2,299
State Source Water Assessment and Protection Programs
FORMS: EPAICR1816.01
OMB NO: 2040-0198 EXPIRATION DATE: 10/31/2001
RESPS:1,739 HOURS:15,044 COSTS(000):$0
1999 Drinking Water Infrastructure Needs Survey
FORMS: 1708.02
OMB NO: 2040-0201 EXPIRATION DATE: 09/30/2001
RESPS:47,040 HOURS:459,674 COSTS(000):$20,808
Consumer Confidence Reports for Community Water Systems
FORMS: 1832.02
OMB NO: 2040-0202 EXPIRATION DATE: 01/31/2002
RESPS:29 HOURS:1,302 COSTS(000):$78
Milestones Plan for the Bleached Papergrade Kraft and Soda
Subcategory of the Pulp, Paper, and Paperboard Point Source
Category
FORMS: 1877.01
OMB NO: 2040-0203 EXPIRATION DATE: 12/31/2001
RESPS:2,600 HOURS:25,870 COSTS(000):$8
Industry Screener Questionnaire: Phase 1 Cooling Water Intake
Structures
FORMS: 1828.02
OMB NO: 2040-0204 EXPIRATION DATE: 11/30/2001
RESPS:9,449 HOURS:314,471 COSTS(000):$0
Information Collection Request for Final National Primary Drink-
ducts Rule
FORMS: 1896.01
OMB NO: 2040-0205 EXPIRATION DATE: 11/30/2001
RESPS:3,803 HOURS:150,557 COSTS(000):$22,832
Title Information Collection Request for Final National Primary
Treatment Rule
FORMS: 1895.01
OMB NO: 2040-0206 EXPIRATION DATE: 01/31/2001
RESPS:960 HOURS:1,320 COSTS(000):$55
Small System Survey
FORMS: 1863.01
OMB NO: 2040-0207 EXPIRATION DATE: 03/31/2002
RESPS:130 HOURS:142,369 COSTS(000):$7,255
Best Management Practices for the Bleached Papergrade Kraft and
Soda Subcategory and the Papergrade Sulfite Subcategory of the
Pulp, Paper, and Paperboard Point Source Category
FORMS: 1829.01
OMB NO: 2040-0208 EXPIRATION DATE: 06/30/2002
RESPS:1,317 HOURS:11,419 COSTS(000):$2,906
Unregulated Contaminant Monitoring Regulation; ICR (Proposed
FORMS: 1882.01
OMB NO: 2040-0209 EXPIRATION DATE: 06/30/2002
RESPS:51,449 HOURS:748,811 COSTS(000):$4,035
Public Water System Supervision Program Public Notification
Requirements
FORMS: 1898.02
OMB NO: 2040-0210 EXPIRATION DATE: 09/30/2002
RESPS:159,929 HOURS:2,431,728 COSTS(000):$14,026
Information Collection Request: National Primary Drinking Water
Regulation for Lead and Copper (Final Rule)
FORMS: 1912.01
OMB NO: 2040-0211 EXPIRATION DATE: 10/31/2002
RESPS:36,421 HOURS:56,369 COSTS(000):$0
Phase II of the NPDES Storm Water Program (Final Rule ICR)
FORMS: 1820.02
OMB NO: 2040-0213 EXPIRATION DATE: 12/31/2002
RESPS:1,836 HOURS:128,736 COSTS(000):$14
Industry Detailed Questionnaire: Phase II Cooling Water Intake
Structures
FORMS: 1838.01
OMB NO: 2040-0214 EXPIRATION DATE: 11/30/2002
RESPS:855 HOURS:21,007 COSTS(000):$418
Revisions to the Underground Injection Control Regulations for
Class V Injection Wells (Final Rule)
FORMS: 1874.02
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
44 1,961,759 42,144,097 $333,705
Solid Waste and Emergency Response
OMB NO: 2050-0009 EXPIRATION DATE: 03/31/2003
RESPS:579 HOURS:177,543 COSTS(000):$48,341
Part B Permit Application, Permit Modifications, and Special
Permits
FORMS: 1573.06
OMB NO: 2050-0021 EXPIRATION DATE: 12/31/2000
RESPS:469,993 HOURS:2,828,150 COSTS(000):$28,743
Spill Prevention, Control, and Countermeasures (SPCC) Plans
FORMS: 0328.08
OMB NO: 2050-0024 EXPIRATION DATE: 11/30/2000
RESPS:9,350 HOURS:164,303 COSTS(000):$25
The 1999 Hazardous Waste Report (Biennial Report)
FORMS: 0976.09 8700-13A/B
OMB NO: 2050-0028 EXPIRATION DATE: 12/31/2002
RESPS:31,125 HOURS:100,137 COSTS(000):$131
Notification of Regulated Waste Activity
FORMS: 8700 261.13
OMB NO: 2050-0033 EXPIRATION DATE: 11/30/2001
RESPS:3,796 HOURS:64,181 COSTS(000):$80,106
Facility Groundwater Monitoring Requirements
FORMS: 959.10
OMB NO: 2050-0034 EXPIRATION DATE: 10/31/2002
RESPS:59 HOURS:945 COSTS(000):$0
RCRA Hazardous Waste Permit Application and Modification, Part A
FORMS: 8700-23 262.09
OMB NO: 2050-0035 EXPIRATION DATE: 09/30/2001
RESPS:244,932 HOURS:549,686 COSTS(000):$1,867,304
Hazardous Waste Generator Standards
FORMS: 820.07
OMB NO: 2050-0039 EXPIRATION DATE: 03/31/2002
RESPS:2,250,000 HOURS:2,920,383 COSTS(000):$1,871
Requirements for Generators, Transporters, and Hazardous Waste
Management Facilities under the RCRA Hazardous Waste Manifest
System
FORMS: 801.12
OMB NO: 2050-0041 EXPIRATION DATE: 05/31/2002
RESPS:18 HOURS:21,357 COSTS(000):$0
Final Authorization for Hazardous Waste Management
FORMS: 0969.05
OMB NO: 2050-0046 EXPIRATION DATE: 08/31/2000
RESPS:29,204 HOURS:122,360 COSTS(000):$0
Notification of Episodic Releases of Oil and Hazardous Substances
FORMS: 1049.08
OMB NO: 2050-0050 EXPIRATION DATE: 09/30/2000
RESPS:6,658 HOURS:368,543 COSTS(000):$2,602
Hazardous Waste Specific Unit Requirements, and Special Waste
Processes and Types
FORMS: 1572.04
OMB NO: 2050-0053 EXPIRATION DATE: 09/30/2001
RESPS:15 HOURS:19,318 COSTS(000):$1
"Identification, Listing, and Rulemaking Petition" (LDR Phase IV:
FORMS: 118907
OMB NO: 2050-0062 EXPIRATION DATE: 08/31/2000
RESPS:1 HOURS:9,506 COSTS(000):$0
Land Disposal Restrictions "No-Migration" Variances -- 40 CFR
part 268.6
FORMS: 1353.05
OMB NO: 2050-0068 EXPIRATION DATE: 09/30/2001
RESPS:5,000,000 HOURS:6,254,048 COSTS(000):$1,258,550
Underground Storage Tanks: Technical and Financial Requirements
and State Program Approval Procedures
FORMS: 1360.05 7530-1
OMB NO: 2050-0072 EXPIRATION DATE: 08/31/2001
RESPS:563,460 HOURS:1,873,800 COSTS(000):$6,404
Community Right-to-Know Reporting Requirements under Sections
311 and 312 of the Emergency Planning and Community
Right-to-Know Act (EPCRA)
FORMS: 1352.07
OMB NO: 2050-0073 EXPIRATION DATE: 10/31/2002
RESPS:1,850 HOURS:316,892 COSTS(000):$26,221
Information Collection Request for New RCRA Reporting and
Recordkeeping Requirements for Incinerators, Boilers, and
Industrial Furnaces Burning Hazardous Waste
FORMS: 1361.08
OMB NO: 2050-0077 EXPIRATION DATE: 03/31/2001
RESPS:36 HOURS:324 COSTS(000):$0
Application for Reimbursement to Local Governments for Emergency
123.
FORMS: 1425.04
OMB NO: 2050-0078 EXPIRATION DATE: 07/31/2000
RESPS:324 HOURS:8,641 COSTS(000):$0
Trade Secrets for Community Right-to-Know and Emergency Planning
-- EPCRA Section 322
FORMS: 1428.04
OMB NO: 2050-0085 EXPIRATION DATE: 08/31/2000
RESPS:212,699 HOURS:3,402,862 COSTS(000):$8,648
Land Disposal Restriction (LDR Phase IV: Treatment Standards for
Wastes from Toxicity Characteristic Metals, Mineral Processing
Secondary Materials, and the Exclusion of Recycled Wood)
FORMS: 1442.16
OMB NO: 2050-0086 EXPIRATION DATE: 09/30/2000
RESPS:18,736 HOURS:181,180 COSTS(000):$159
Continuous Release Reporting Regulations (CRRR)
FORMS: 1445.04
OMB NO: 2050-0092 EXPIRATION DATE: 01/31/2003
RESPS:99,170 HOURS:251,700 COSTS(000):$64
Emergency Planning and Release Notification Requirements --
EPCRA Sections 302, 303, and 304
FORMS: 1395.04
OMB NO: 2050-0095 EXPIRATION DATE: 09/30/2001
RESPS:1,163 HOURS:203,373 COSTS(000):$0
Superfund Site Evaluation and Hazard Ranking System
FORMS: 1488.04
OMB NO: 2050-0096 EXPIRATION DATE: 07/31/2001
RESPS:390 HOURS:113,490 COSTS(000):$0
National Oil and Hazardous Substances Pollution Contingency Plan
(NCP) -- 40 CFR Part 300
FORMS: 1463.04
OMB NO: 2050-0105 EXPIRATION DATE: 07/31/2002
RESPS:24,000 HOURS:255,427 COSTS(000):$0
EPA Worker Protection Standard for Hazardous Waste Operations
and Emergency Response
FORMS: 1426.05
OMB NO: 2050-0106 EXPIRATION DATE: 04/30/2001
RESPS:17 HOURS:1,968 COSTS(000):$0
Application for Preauthorization of a CERCLA Response Action
FORMS: 1304.05
OMB NO: 2050-0114 EXPIRATION DATE: 08/31/2000
RESPS:658 HOURS:8,232 COSTS(000):$0
National Request for Information (RFI) for Vendor Information
System for Innovative Technologies (VISIT) and Vendor Field
Analytical and Characterization Technologies System, Vendor Facts
FORMS: 1583.03
OMB NO: 2050-0120 EXPIRATION DATE: 12/31/2002
RESPS:2,724 HOURS:804,467 COSTS(000):$1,374
General Hazardous Waste Facility Standards
FORMS: 1571.06
OMB NO: 2050-0122 EXPIRATION DATE: 07/31/2000
RESPS:3,500 HOURS:297,800 COSTS(000):$6,515
Recordkeeping and Reporting Requirements for 40 CFR 258, Solid
Waste Disposal Facilities and Practices
FORMS: 1381.05
OMB NO: 2050-0124 EXPIRATION DATE: 06/30/2002
RESPS:983 HOURS:540,582 COSTS(000):$9,510
Used Oil Management Standards Recordkeeping and Reporting
Requirements
FORMS: 1286.05
OMB NO: 2050-0135 EXPIRATION DATE: 08/31/2000
RESPS:9,886 HOURS:562,534 COSTS(000):$20
Oil Pollution Act Facility Response Plans -- 40 CFR Part 112.20-
FORMS: 1630.03
OMB NO: 2050-0139 EXPIRATION DATE: 07/31/2000
RESPS:1,105 HOURS:40,067 COSTS(000):$0
Reporting and Recordkeeping Requirements under EPA's Waste Wise
Program
FORMS: 1698.03
OMB NO: 2050-0141 EXPIRATION DATE: 08/31/2000
RESPS:14 HOURS:370 COSTS(000):$83,000
National Oil and Hazardous Substances Pollution Contingency Plan
-- Subpart J
FORMS: 1664.03
OMB NO: 2050-0143 EXPIRATION DATE: 03/31/2001
RESPS:1,208 HOURS:8,314 COSTS(000):$1
Exports From and Imports To the United States under the OECD
Decision
FORMS: 1647.02
OMB NO: 2050-0144 EXPIRATION DATE: 09/30/2002
RESPS:23,300 HOURS:173,000 COSTS(000):$9
Risk Management Program Requirements and Petitions to Modify the
List of Regulated Substances Under Section 112(r) of The Clean
Air Act
FORMS: 1656.06
OMB NO: 2050-0145 EXPIRATION DATE: 09/30/2001
RESPS:79,271 HOURS:122,674 COSTS(000):$3
Hazardous Waste Management Systems Modifications of the
Hazardous Waste Recycling Regulatory Program, Standards for
Universal Waste Management -- 40 CFR
FORMS: 1597.03
OMB NO: 2050-0149 EXPIRATION DATE: 05/31/2002
RESPS:395 HOURS:7,253 COSTS(000):$9
RCRA Expanded Public Participation
FORMS: 1688.03
OMB NO: 2050-0152 EXPIRATION DATE: 04/30/2002
RESPS:13 HOURS:6,510 COSTS(000):$0
State Program Adequacy Determination: Non-Municipal,
Non-Hazardous Waste Disposal Units that Receive Conditionally
Exempt Small Quatity Generator (CESQG) Hazardous Waste and MSWLFs
FORMS: 1608.02
OMB NO: 2050-0154 EXPIRATION DATE: 10/31/2002
RESPS:164 HOURS:11,105 COSTS(000):$0
Criteria for Classification of Solid Waste Disposal Facilities
-- RCRA-257
FORMS: 1745.03
OMB NO: 2050-0157 EXPIRATION DATE: 12/31/2001
RESPS:838 HOURS:14,794 COSTS(000):$10
Information Collection Request for the Land Disposal
Restrictions Surface Impoundment Study
FORMS: 1841.01
OMB NO: 2050-0159 EXPIRATION DATE: 08/31/2001
RESPS:132 HOURS:1,907 COSTS(000):$0
Survey of the Inorganic Chemicals Industry
FORMS: 1848.01
OMB NO: 2050-0161 EXPIRATION DATE: 06/30/2002
RESPS:66 HOURS:34,619 COSTS(000):$50
Hazardous Remediation Waste Management Requirements (HWIR-Media)
-- #1775.02
FORMS: NONE
OMB NO: 2050-0162 EXPIRATION DATE: 06/30/2002
RESPS:3,300 HOURS:1,650 COSTS(000):$0
The 1999 National Survey of Local Emergency Planning Committees
FORMS: 1903.01
OMB NO: 2050-0164 EXPIRATION DATE: 09/30/2002
RESPS:101,500 HOURS:127,300 COSTS(000):$2
Reporting and Recordkeeping Requirements for Generators of
Hazardous Waste Lamps
FORMS: 1699.02
OMB NO: 2050-0168 EXPIRATION DATE: 06/30/2001
RESPS:365 HOURS:8,250 COSTS(000):$0
Questionnaire for the Paint Manufacturing Industry -- RCRA
Section 3007
FORMS: 1925.01
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
44 9,196,997 22,981,545 $3,429,673
Air and Radiation
OMB NO: 2060-0001 EXPIRATION DATE: 01/31/2003
RESPS:105 HOURS:3,092 COSTS(000):$50
NSPS for Beverage Can Surface Coating -- 40 CFR Part 60, Subpart
WW
FORMS: 0663.07
OMB NO: 2060-0002 EXPIRATION DATE: 09/30/2001
RESPS:86 HOURS:15,629 COSTS(000):$3,210
NSPS for Asphalt Processing and Asphalt Roofing Manufacturers,
Reporting and Recordkeeping Requirements -- Subpart UU
FORMS: 0661.06
OMB NO: 2060-0003 EXPIRATION DATE: 09/30/2000
RESPS:114,820 HOURS:4,715,260 COSTS(000):$0
Prevention of Significant Deterioration Non-Attainment Area New
Source Review
FORMS: 1230.09
OMB NO: 2060-0004 EXPIRATION DATE: 01/31/2003
RESPS:1,025 HOURS:39,104 COSTS(000):$1,880
Pressure-Sensitive Tape and Lable Surface Coating Operations,
Information Request -- NSPS Subpart RR
FORMS: 0658.07
OMB NO: 2060-0006 EXPIRATION DATE: 09/30/2002
RESPS:40 HOURS:11,420 COSTS(000):$0
Bulk Gasoline Terminals -- NSPS Subpart XX
FORMS: 0664.06
OMB NO: 2060-0007 EXPIRATION DATE: 07/31/2000
RESPS:50 HOURS:2,437 COSTS(000):$0
Precertification and Testing Exemption Reporting and
Recordkeeping Requirements
FORMS: 0095.10
OMB NO: 2060-0012 EXPIRATION DATE: 08/31/2002
RESPS:5,028 HOURS:384,693 COSTS(000):$73
NSPS for VOC Equipment Leaks in the Synthetic Organic Chemical
Industry (SOCMI) -- 40 CFR Part 60, Subpart VV
FORMS: 0662.06
OMB NO: 2060-0015 EXPIRATION DATE: 07/31/2000
RESPS:8,500 HOURS:9,201 COSTS(000):$0
Environmental Radiation Ambient Monitoring System (ERAMS)
FORMS: 877.05
OMB NO: 2060-0016 EXPIRATION DATE: 07/31/2002
RESPS:44 HOURS:1,760 COSTS(000):$14
Metallic Mineral Processing Plants, Standards of Performance for
NSPS -- Subpart LL
FORMS: 0982.06
OMB NO: 2060-0019 EXPIRATION DATE: 11/30/2000
RESPS:36 HOURS:1,516 COSTS(000):$3,268
New Source Performance Standards for Nitric Acid Plants --
Subpart G
FORMS: 1056.06
OMB NO: 2060-0021 EXPIRATION DATE: 02/28/2003
RESPS:170 HOURS:9,959 COSTS(000):$2,828
New Source Performance Standard (NSPS) for Kraft Pulp Mills --
Subpart BB
FORMS: 1055.06
OMB NO: 2060-0022 EXPIRATION DATE: 08/31/2002
RESPS:197 HOURS:19,045 COSTS(000):$123
Standard of Performance for Petroleum Refineries -- NSPS,
Subpart J
FORMS: 1054.07
OMB NO: 2060-0023 EXPIRATION DATE: 02/28/2003
RESPS:494 HOURS:28,606 COSTS(000):$3,095
Standard of Performance for Electric Utility Steam Generating
Units -- NSPS Subpart Da
FORMS: 1053.06
OMB NO: 2060-0025 EXPIRATION DATE: 09/30/2001
RESPS:28 HOURS:7,968 COSTS(000):$941
New Source Performance Standard for Portland Cement Plants --
Subpart F
FORMS: 1051.07
OMB NO: 2060-0026 EXPIRATION DATE: 02/28/2003
RESPS:2,640 HOURS:62,865 COSTS(000):$9,900
Standards of Performance for Fossil-Fuel-Fired Steam Generating
Units -- NSPS Subpart D
FORMS: 1052.06
OMB NO: 2060-0028 EXPIRATION DATE: 01/31/2001
RESPS:1,500 HOURS:76,681 COSTS(000):$0
NSPS for Stationary Gas Turbines, Information Requirements --
Subpart GG
FORMS: 1071.06
OMB NO: 2060-0029 EXPIRATION DATE: 09/30/2002
RESPS:13 HOURS:1,795 COSTS(000):$35
Standard of Performance for Primary and Secondary Emissions from
Basic Oxygen Process Furnaces -- NSPS Subparts N and Na
FORMS: 1069.06
OMB NO: 2060-0031 EXPIRATION DATE: 08/31/2000
RESPS:2,220 HOURS:4,365 COSTS(000):$0
New Source Performance Standards(NSPS) for Primary Aluminum
Reduction Plants, Recordkeeping and Reporting
FORMS: 1683.02
OMB NO: 2060-0032 EXPIRATION DATE: 11/30/2000
RESPS:365 HOURS:182 COSTS(000):$0
NSPS for Ammonium Sulfate Manufacturing Plants
FORMS: 1066.02
OMB NO: 2060-0034 EXPIRATION DATE: 09/30/2000
RESPS:180 HOURS:7,222 COSTS(000):$69
NSPS for Automobile and Light Duty Truck Surface Coating
Operations
FORMS: 1064.08
OMB NO: 2060-0035 EXPIRATION DATE: 06/30/2001
RESPS:228 HOURS:9,089 COSTS(000):$4,690
NSPS for Sewage Sludge Treatment Plant Incineration, Reporting
and Recordkeeping Requirements -- Subpart O
FORMS: 1063.07
OMB NO: 2060-0037 EXPIRATION DATE: 06/30/2003
RESPS:11 HOURS:963 COSTS(000):$0
NSPS for Phosphate Fertilizer Industry, 40 CFR Part 60, Subparts
T, U, V, W, and X
FORMS: 1061.08
OMB NO: 2060-0038 EXPIRATION DATE: 06/30/2003
RESPS:182 HOURS:48,413 COSTS(000):$95
The New Source Performance Standards (NSPS) for Steel Plants:
Electric Arc Furnaces and Argon-Oxygen Decarburization Vessels.
FORMS: 1060.10 40CFR PART60 SUBPARTAA SUBPARTAAA
OMB NO: 2060-0040 EXPIRATION DATE: 04/30/2001
RESPS:96 HOURS:8,544 COSTS(000):$255
Standards of Performance for Municipal Incinerators -- NSPS
Subpart E
FORMS: 1058.06
OMB NO: 2060-0041 EXPIRATION DATE: 08/31/2002
RESPS:212 HOURS:23,320 COSTS(000):$477
New Source Performance Standards, Sulfuric Acid Plants --
Subpart H
FORMS: 1057.08
OMB NO: 2060-0043 EXPIRATION DATE: 08/31/2002
RESPS:43 HOURS:6,769 COSTS(000):$164
Inorganic Arsenic Emissions from Glass Manufacturing Plants
FORMS: 1081.06
OMB NO: 2060-0046 EXPIRATION DATE: 09/30/2000
RESPS:200 HOURS:75 COSTS(000):$0
Emission Recall Audit Program Owner Questionnaire
FORMS: 180.05
OMB NO: 2060-0047 EXPIRATION DATE: 08/31/2000
RESPS:200 HOURS:167 COSTS(000):$0
Vehicle Emission Control Defect Survey Questionnaire
FORMS: 0184.05
OMB NO: 2060-0048 EXPIRATION DATE: 08/31/2000
RESPS:388 HOURS:1,800 COSTS(000):$0
Emission Defect Information and Voluntary Emission Recall Reports
FORMS: 282.10
OMB NO: 2060-0050 EXPIRATION DATE: 06/30/2003
RESPS:2,320 HOURS:31,746 COSTS(000):$0
NSPS 40 CFR, Part 60, Subpart OOO - Nonmetallic Mineral Pro-
cessing
FORMS: 1084.06
OMB NO: 2060-0054 EXPIRATION DATE: 10/31/2002
RESPS:61 HOURS:398 COSTS(000):$174
NSPS 40 CFR Part 60, Subpart CC, Glass Manufacturing Plants
FORMS: ICR1131.06
OMB NO: 2060-0059 EXPIRATION DATE: 01/31/2003
RESPS:85 HOURS:2,696 COSTS(000):$228
Synthetic Fiber Production Facilities -- NSPS Subpart HHH
FORMS: 1156.08
OMB NO: 2060-0060 EXPIRATION DATE: 08/31/2000
RESPS:2 HOURS:1,722 COSTS(000):$0
Emission Control System Performance Warranty Regulations and
Voluntary Aftermarket Part Certification Program
FORMS: 0116.05
OMB NO: 2060-0063 EXPIRATION DATE: 01/31/2003
RESPS:102 HOURS:4,190 COSTS(000):$95
Lime Manufacturing -- NSPS Subpart HH
FORMS: 1167.06
OMB NO: 2060-0064 EXPIRATION DATE: 08/31/2000
RESPS:16 HOURS:23,306 COSTS(000):$0
Selective Enforcement Auditing and Recordkeeping Requirements
for On-Highway HDE, Nonroad Compression Ignition Engines, and
On-Highway Light-Duty Vehicles and Light-Duty Trucks
FORMS: 11.09
OMB NO: 2060-0067 EXPIRATION DATE: 10/31/2002
RESPS:108 HOURS:6,137 COSTS(000):$0
Equipment Leaks of VOC in Petroleum Refineries -- NSPS Subpart
GGG
FORMS: 0983.06
OMB NO: 2060-0068 EXPIRATION DATE: 08/31/2001
RESPS:154 HOURS:98,921 COSTS(000):$0
NESHAP for Equipment Leaks (Fugitive Emission Sources) --
Subpart J
FORMS: 1153.06
OMB NO: 2060-0071 EXPIRATION DATE: 09/30/2001
RESPS:176 HOURS:16,159 COSTS(000):$1,980
NESHAP for Vinyl Chloride, Information Requirements -- Subpart F
FORMS: 0186.08
OMB NO: 2060-0072 EXPIRATION DATE: 02/28/2003
RESPS:3,016 HOURS:575,033 COSTS(000):$25,955
NSPS Subpart Db, Standards of Performance for Industrial-Commer-
cial-Institutional Steam Generating Units
FORMS: 1088.09
OMB NO: 2060-0073 EXPIRATION DATE: 06/30/2003
RESPS:21 HOURS:329 COSTS(000):$52
NSPS, 40 CFR Part 60, Subpart FFF for Flexible Vinyl and
Urethane Coating and Printing
FORMS: 1157.06
OMB NO: 2060-0074 EXPIRATION DATE: 11/30/2000
RESPS:22,183 HOURS:126,141 COSTS(000):$0
NSPS for Volatile Organic Liquid Storage Vessels -- Subpart Kb,
40 CFR Part 60
FORMS: 1132.05
OMB NO: 2060-0078 EXPIRATION DATE: 06/30/2003
RESPS:3,750 HOURS:1,649 COSTS(000):$0
Mobile Source Emission Factor Recruitment Questionnaire
FORMS: 0619.08
OMB NO: 2060-0079 EXPIRATION DATE: 01/31/2003
RESPS:93 HOURS:1,483 COSTS(000):$0
Petroleum Dry Cleaners -- NSPS Subpart JJ
FORMS: 0997.06
OMB NO: 2060-0080 EXPIRATION DATE: 06/30/2003
RESPS:23 HOURS:35 COSTS(000):$0
NSPS CFR 40, Part 60, Subpart L - Secondary Lead Smelters
FORMS: 112.06
OMB NO: 2060-0081 EXPIRATION DATE: 06/30/2003
RESPS:82 HOURS:123 COSTS(000):$18
NSPS Subpart KK - Lead-Acid Battery Manufacturing, 40 CFR Part
60 Subpart KK
FORMS: 1072.06
OMB NO: 2060-0082 EXPIRATION DATE: 01/31/2003
RESPS:121 HOURS:250 COSTS(000):$0
Information Requirements for Grain Elevators -- NSPS Subpart DD
FORMS: 1130.06
OMB NO: 2060-0083 EXPIRATION DATE: 01/31/2003
RESPS:200 HOURS:6,890 COSTS(000):$0
Hot Mix Asphalt Facilities -- NSPS Subpart I
FORMS: 1127.06
OMB NO: 2060-0084 EXPIRATION DATE: 09/30/2002
RESPS:520 HOURS:2,404,606 COSTS(000):$73,642
Ambient Air Quality Surveillance -- 40 CFR Part 58
FORMS: 0940.16
OMB NO: 2060-0086 EXPIRATION DATE: 07/31/2000
RESPS:17,100 HOURS:2,575 COSTS(000):$0
Investigations into Possible Noncompliance of Motor Vehicles
with Federal Emission Standards
FORMS: 0222.04
OMB NO: 2060-0088 EXPIRATION DATE: 01/31/2001
RESPS:54 HOURS:11,448 COSTS(000):$29
Annual Updates of Emission Data to the Aerometic Information
Retrieval System (AIRS)
FORMS: 0916.08
OMB NO: 2060-0092 EXPIRATION DATE: 09/30/2001
RESPS:143 HOURS:2,232 COSTS(000):$3
National Emission Standards for Hazardous Air Pollutants,
Beryllium; Information Requirements -- Subpart C
FORMS: 0193.06
OMB NO: 2060-0094 EXPIRATION DATE: 05/31/2002
RESPS:75 HOURS:150 COSTS(000):$0
Verification of Test Parameters and Parts Lists for Light-Duty
Vehicles and Light-Duty Trucks
FORMS: 0167.06
OMB NO: 2060-0095 EXPIRATION DATE: 08/31/2000
RESPS:12,315 HOURS:9,705 COSTS(000):$862
Importation Requirements for Importation of Nonconforming
Vehicles
FORMS: 10.08
OMB NO: 2060-0096 EXPIRATION DATE: 12/31/2001
RESPS:212 HOURS:35,884 COSTS(000):$0
Source Compliance and State Action Reporting -- 40 CFR Part 51,
Subpart Q
FORMS: SF-83 0107.06
OMB NO: 2060-0097 EXPIRATION DATE: 06/30/2003
RESPS:24 HOURS:26,504 COSTS(000):$0
National Emission Standard for Mercury -- NESHAP Part 61 Subpart
E
FORMS: 0113.07
OMB NO: 2060-0101 EXPIRATION DATE: 02/28/2003
RESPS:134,384 HOURS:362,159 COSTS(000):$0
National Emission Standard for Asbestos -- NESHAP Subpart M
FORMS: 0111.09
OMB NO: 2060-0104 EXPIRATION DATE: 12/31/2001
RESPS:70 HOURS:968,176 COSTS(000):$12,700
Motor Vehicle Emission Certification and Fuel Economy Compliance,
FORMS: EPA-ICR-1872.01 EPA-ICR-0783.38
OMB NO: 2060-0105 EXPIRATION DATE: 08/31/2001
RESPS:50 HOURS:2,988 COSTS(000):$0
New Source Performance Standards for Graphic Arts Industry
FORMS: 0657.06
OMB NO: 2060-0106 EXPIRATION DATE: 01/31/2003
RESPS:1,600 HOURS:101,070 COSTS(000):$1,120
NSPS for Metal Furniture Coating -- 40 CFR Part 60, Subpart EE
FORMS: 0649.07
OMB NO: 2060-0107 EXPIRATION DATE: 01/31/2003
RESPS:585 HOURS:15,335 COSTS(000):$398
NSPS for Metal Coil Surface Coating -- 40 CFR Part 60, Subpart
TT Coating
FORMS: 0660.07
OMB NO: 2060-0108 EXPIRATION DATE: 01/31/2003
RESPS:1,273 HOURS:29,564 COSTS(000):$618
NSPS for Large Appliance Surface Coating -- 40 CFR Part 60,
Subpart SS
FORMS: 0659.07
OMB NO: 2060-0110 EXPIRATION DATE: 09/30/2000
RESPS:5 HOURS:7.5 COSTS(000):$0
New Source Performance Standards (NSPS) for Secondary Brass and
Brass and Bronze Production Plants, Recordkeeping and Reporting
FORMS: 1604.05
OMB NO: 2060-0111 EXPIRATION DATE: 08/31/2001
RESPS:35 HOURS:2,445 COSTS(000):$256
NSPS Subpart NN Phosphate Rock
FORMS: 1078.05
OMB NO: 2060-0114 EXPIRATION DATE: 08/31/2000
RESPS:40 HOURS:1,410 COSTS(000):$330
NSPS for Wool Fiberglass Insulation Manufacturing Plants
FORMS: 1160.05
OMB NO: 2060-0120 EXPIRATION DATE: 07/31/2000
RESPS:1,298 HOURS:181,462 COSTS(000):$140
Standards of Performance for Onshore Natural Gas Processing
Plants
FORMS: 1086.05
OMB NO: 2060-0121 EXPIRATION DATE: 06/30/2001
RESPS:183 HOURS:20,954 COSTS(000):$0
Standards of Performance for Storage Vessels of Petroleum
Liquids, Construction, Reconstruction of Modification Commenced
After May 18, 1978, and Prior to July 23, 1984 -- NSPS Subpart Ka
FORMS: 1050.06
OMB NO: 2060-0122 EXPIRATION DATE: 09/30/2001
RESPS:399 HOURS:18,729 COSTS(000):$14
Standards of Performance for Coal Preparation Plants -- NSPS
Subpart Y
FORMS: 1062.06
OMB NO: 2060-0124 EXPIRATION DATE: 05/31/2002
RESPS:60 HOURS:90 COSTS(000):$0
Motor Vehicle Exclusion Determination -- 40 CFR 85.1703
FORMS: 0012.11
OMB NO: 2060-0135 EXPIRATION DATE: 05/31/2002
RESPS:17,020 HOURS:65,788 COSTS(000):$756
Enforcement Policy Regarding the Sale and Use of Aftermarket
Catalytic Converters
FORMS: 1292.05
OMB NO: 2060-0145 EXPIRATION DATE: 09/30/2002
RESPS:250 HOURS:14,691 COSTS(000):$765
Standards of Performance for Volatile Organic Compound Emissions
from the Polymer Manufacturing Industry -- NSPS Subpart DDD
FORMS: 1150.05
OMB NO: 2060-0150 EXPIRATION DATE: 09/30/2000
RESPS:10,300 HOURS:20,900 COSTS(000):$31
Registration of Fuels and Fuel Additives: Requirements for
Manufacturers
FORMS: 309.09
OMB NO: 2060-0156 EXPIRATION DATE: 09/30/2001
RESPS:257 HOURS:18,651 COSTS(000):$485
Standard of Performance for New Stationary Sources: Rubber Tire
Manufacturing -- Subpart BBB
FORMS: 1158.06
OMB NO: 2060-0161 EXPIRATION DATE: 09/30/2000
RESPS:3,093 HOURS:7,653 COSTS(000):$1,348
New Source Performance Standards for New Residential Wood
Heaters -- 40 CFR 60.530 thru 60.539(b), Subpart AAA
FORMS: 1176.05
OMB NO: 2060-0162 EXPIRATION DATE: 08/31/2000
RESPS:41 HOURS:3,639 COSTS(000):$0
New Source Performance Standards for the Surface Coating of
Plastic Parts for Business Machines -- NSPS Subpart TTT
FORMS: 1093.05
OMB NO: 2060-0170 EXPIRATION DATE: 07/31/2000
RESPS:1,213 HOURS:6,492 COSTS(000):$3
Recordkeeping and Periodic Reporting of the Production, Import,
of Ozone-Depleting Substances
FORMS: 7600-5 1432.17
OMB NO: 2060-0171 EXPIRATION DATE: 08/31/2000
RESPS:58 HOURS:3,982 COSTS(000):$101,220
New Source Performance Standards for Magnetic Tape Coating
Facilities -- Subpart SSS
FORMS: 1135.06
OMB NO: 2060-0172 EXPIRATION DATE: 12/31/2000
RESPS:322 HOURS:36,866 COSTS(000):$57
NSPS for Petroleum Refinery Wastewater Systems Reporting and
Recordkeeping -- Subpart QQQ
FORMS: 1136.05
OMB NO: 2060-0178 EXPIRATION DATE: 12/31/2001
RESPS:2,706,000 HOURS:1,319 COSTS(000):$0
Regulation of Fuel and Fuel Additives, Gasoline Volatility Rule
FORMS: 1367.05
OMB NO: 2060-0181 EXPIRATION DATE: 12/31/2001
RESPS:181 HOURS:14,376 COSTS(000):$270
Standard of Performance for New Stationary Sources, Polymeric
Coating of Supporting Substrates -- Subpart VVV
FORMS: 1284.05
OMB NO: 2060-0182 EXPIRATION DATE: 05/31/2002
RESPS:324 HOURS:14,685 COSTS(000):$0
NESHAP Benzene Emissions from Bulk Transfer Operations
FORMS: 1154.05
OMB NO: 2060-0183 EXPIRATION DATE: 02/28/2003
RESPS:240 HOURS:17,028 COSTS(000):$0
Benzene Waste Operations -- NESHAP Subpart FF
FORMS: 1541.06
OMB NO: 2060-0185 EXPIRATION DATE: 07/31/2000
RESPS:728 HOURS:8,628 COSTS(000):$0
National Emission Standards for Hazardous Air Pollutants Benzene
Emissions from Benzene Storage Vessels, and Coke By-Product
Recovery Plants
FORMS: 1080.09
OMB NO: 2060-0191 EXPIRATION DATE: 06/30/2002
RESPS:87 HOURS:45,748 COSTS(000):$1,737
National Emission Standards for Hazardous Air Pollutants:
Radionuclides -- 40 CFR Part 61, Subparts B, H, K, R, and W
FORMS: 1100.09
OMB NO: 2060-0197 EXPIRATION DATE: 01/31/2003
RESPS:5,534 HOURS:278,687 COSTS(000):$16,386
Standards of Performance of Volatile Organic Compound (VOC)
Emissions for the Synthetic Organic Chemical Manufacturing
Industry (SOCMI), Air Oxidation Unit Processes, Subpart III; ...
FORMS: 0998.06
OMB NO: 2060-0202 EXPIRATION DATE: 07/31/2000
RESPS:1,276 HOURS:229,673 COSTS(000):$9,940
Small Industrial-Commerical-Institutional Steam Generating Units
-- NSPS for Subpart DC
FORMS: 1564.04
OMB NO: 2060-0210 EXPIRATION DATE: 03/31/2002
RESPS:212 HOURS:70,730 COSTS(000):$563
NSPS Municipal Waste Combustors (MWC) for Subpart Ea and Subpart
Eb
FORMS: 1506.08
OMB NO: 2060-0220 EXPIRATION DATE: 09/30/2002
RESPS:299 HOURS:3,379 COSTS(000):$80
New Source Performance Standards for Municipal Solid Waste
Landfills -- 40 CFR Part 60, Subpart WWW
FORMS: 1557.04
OMB NO: 2060-0226 EXPIRATION DATE: 07/31/2000
RESPS:340 HOURS:11,515 COSTS(000):$735
Significant New Alternatives Policy (SNAP) Program under Title
VI of the Clean Air Act Amendments of 1990 (Final Rule)
FORMS: 1265-93 1265-94 1265-93(1) 1596.04
OMB NO: 2060-0234 EXPIRATION DATE: 07/31/2000
RESPS:52 HOURS:1,212,055 COSTS(000):$0
NESHAP for Dry Cleaning Facilities/Perchloroethylene (PCE)_(63,M)
FORMS: 1415.03
OMB NO: 2060-0239 EXPIRATION DATE: 04/30/2002
RESPS:602 HOURS:76,925 COSTS(000):$0
Maximum Achievable Control Technology Standards Development
under Title III (Section 112) of the Clean Air Act Regulatory
Development Program
FORMS: 1602.03
OMB NO: 2060-0243 EXPIRATION DATE: 07/31/2000
RESPS:25,659 HOURS:5,281,333 COSTS(000):$0
Part 70 Operating Permits Regulations
FORMS: 1587.04
OMB NO: 2060-0244 EXPIRATION DATE: 07/31/2000
RESPS:2,800 HOURS:654 COSTS(000):$0
EPA Indoor Environmental Quality Questionnaire
FORMS: 1619.02
OMB NO: 2060-0247 EXPIRATION DATE: 05/31/2002
RESPS:70,037 HOURS:8,882 COSTS(000):$0
Stratospheric Ozone Protection, Servicing of Motor Vehicle Air
Conditioners -- 40 CFR Subpart B (82.30 et seq.)
FORMS: 1617.03
OMB NO: 2060-0249 EXPIRATION DATE: 03/31/2002
RESPS:119 HOURS:44,642 COSTS(000):$219
Air Pollution Regulations for Outer Continental Shelf Activities:
FORMS: 1601.04
OMB NO: 2060-0251 EXPIRATION DATE: 08/31/2002
RESPS:310 HOURS:6,019 COSTS(000):$121
NSPS for Calciners and Dryers in Mineral Industries -- Subpart
UUU
FORMS: 0746.04
OMB NO: 2060-0253 EXPIRATION DATE: 07/31/2000
RESPS:600 HOURS:10,740 COSTS(000):$2,365
National Emission Standards for Coke Oven Batteries, 40 CFR Part
63, Subpart L
FORMS: 1362.03
OMB NO: 2060-0256 EXPIRATION DATE: 07/31/2000
RESPS:2,344,301 HOURS:419,546 COSTS(000):$0
National Recycling and Emissions Reduction Program
FORMS: 1626.05
OMB NO: 2060-0258 EXPIRATION DATE: 09/30/2002
RESPS:10,085 HOURS:1,330,327 COSTS(000):$135,632
Information Collection Request for the Acid Rain Program under
Title IV of the Clean Air Act Amendments of 1990
FORMS: 1633.12
OMB NO: 2060-0264 EXPIRATION DATE: 07/31/2000
RESPS:4,687 HOURS:79,885 COSTS(000):$0
Amended Application Requirements for the Approval and Delegation
of Federal Air Toxics Programs to State and Local Agencies
FORMS: 1643.03
OMB NO: 2060-0266 EXPIRATION DATE: 11/30/2001
RESPS:149 HOURS:19,743 COSTS(000):$0
Control Technology Determination for Equivalent Emissions
Limitations by Permit
FORMS: 1648.02
OMB NO: 2060-0268 EXPIRATION DATE: 09/30/2001
RESPS:1 HOURS:6 COSTS(000):$0
National Emission Standards for Hazardous Air Pollutants for
Industrial Process Cooling Towers
FORMS: EPA-1876.01
OMB NO: 2060-0269 EXPIRATION DATE: 06/30/2003
RESPS:652 HOURS:30,842 COSTS(000):$1,147
Standards of Performance of Volatile Organic Compound (VOC)
Emissions from the Synthetic Organic Chemical Manufacturing
Industry (SOCMI), Reactor Processes, Subpart RRR
FORMS: 1178.05
OMB NO: 2060-0273 EXPIRATION DATE: 05/31/2001
RESPS:4,830 HOURS:45,207 COSTS(000):$4,091
NESHAP for Halogenated Solvent Cleaners/Halogenated Hazardous
Air Pollutants (HAP)
FORMS: 1652.03
OMB NO: 2060-0275 EXPIRATION DATE: 09/30/2000
RESPS:153,679 HOURS:17,992 COSTS(000):$3,741,614
Gasoline Detergents Certification Program (Final Rule)
FORMS: 1655.03
OMB NO: 2060-0277 EXPIRATION DATE: 12/31/2000
RESPS:86,940 HOURS:41,264 COSTS(000):$2,146
Modifications to Standards and Requirements for Reformulated
FORMS: 1591.10
OMB NO: 2060-0279 EXPIRATION DATE: 09/30/2001
RESPS:280 HOURS:13,600 COSTS(000):$0
General Conformity of Federal Actions to State Implementation
Plans -- Part 51, Subpart W and Part 93, Subpart B
FORMS: 1637.04
OMB NO: 2060-0282 EXPIRATION DATE: 11/30/2000
RESPS:308 HOURS:1,727,724 COSTS(000):$98,460
Hazardous Organic NESHAP (HON) -- NESHAP Subparts F, G, H, and I
FORMS: 1414.03
OMB NO: 2060-0283 EXPIRATION DATE: 12/31/2000
RESPS:98 HOURS:7,328 COSTS(000):$228
NESHAP Subpart O: National Emission Standards for Hazardous Air
Pollutants (NESHAP) for Commerical Ethylene Oxide Sterilization
and Fumigation Operations
FORMS: 1666.03
OMB NO: 2060-0287 EXPIRATION DATE: 11/30/2000
RESPS:441 HOURS:78,006 COSTS(000):$0
Compression Ignition Non-Road Engine Certification Application
FORMS: 1684.04
OMB NO: 2060-0289 EXPIRATION DATE: 02/28/2002
RESPS:105 HOURS:28,131 COSTS(000):$0
Federal Standards for Marine Tank Vessel Loading Operations and
National Emission Standards for Hazardous Air Pollutants for
Marine Tank Vessel Loading Operations -- 40 CFR Part 63 Subpart Y
FORMS: 1679.03
OMB NO: 2060-0290 EXPIRATION DATE: 09/30/2001
RESPS:29 HOURS:4,525 COSTS(000):$9
National Emission Standards for Hazardous Air Pollutants for
Epoxy Resin Production and Non-Nylon Polyamide Production --
Subpart W
FORMS: 16981.03
OMB NO: 2060-0294 EXPIRATION DATE: 08/31/2000
RESPS:12,315 HOURS:25,100 COSTS(000):$1,255
Reporting and Recordkeeping Requirements for Importation of
FORMS: 1673.02
OMB NO: 2060-0296 EXPIRATION DATE: 09/30/2001
RESPS:48 HOURS:16,033 COSTS(000):$150
Secondary Lead Smelter Industry, Information Requirements --
MACT Subpart X
FORMS: 1686.03
OMB NO: 2060-0297 EXPIRATION DATE: 05/31/2003
RESPS:3 HOURS:67,467 COSTS(000):$6,500
Registration of Fuels and Fuel Additives: Health-Effects
Research Requirements for Manufacturers -- 40 CFR 79, Subpart F
FORMS: 1696.03
OMB NO: 2060-0302 EXPIRATION DATE: 09/30/2001
RESPS:338 HOURS:2,996 COSTS(000):$170
Retrofit/Rebuild Requirements for 1993 and Earlier Model Year
Urban Buses
FORMS: 1702.02
OMB NO: 2060-0306 EXPIRATION DATE: 05/31/2001
RESPS:12 HOURS:480 COSTS(000):$0
Clean Air Act Tribal Authority
FORMS: 1676.02
OMB NO: 2060-0308 EXPIRATION DATE: 07/31/2001
RESPS:12,843 HOURS:87 COSTS(000):$0
Regulation of Fuel and Fuel Additives, Fuel Quality Regulations
for Highway Diesel Fuel Sold in 1993 and Later Calendar Years
FORMS: 1718.02
OMB NO: 2060-0313 EXPIRATION DATE: 07/31/2000
RESPS:1,000 HOURS:208,133 COSTS(000):$0
Natioanal Emission Standards for Hazardous Air Pollutants
(NESHAP) for Off-Site Waste and Recovery Operations (Supart DD)
FORMS: 1717.02
OMB NO: 2060-0314 EXPIRATION DATE: 07/31/2000
RESPS:2,870 HOURS:829,500 COSTS(000):$0
National Emission Standards for Hazardous Air Pollutants for
Aerospace Manufacturing and Rework Operations
FORMS: 1687.03
OMB NO: 2060-0318 EXPIRATION DATE: 02/28/2001
RESPS:6,228 HOURS:557,248 COSTS(000):$0
Standards of Performance for Air Emission Standards for Tanks,
CC, and 40 CFR Part 265, Subpart CC
FORMS: 1593.04
OMB NO: 2060-0319 EXPIRATION DATE: 07/31/2000
RESPS:2 HOURS:1,284 COSTS(000):$0
Marine Engine Selective Enforcement Auditing Reporting and
Recordkeeping Requirements
FORMS: 1724.02
OMB NO: 2060-0320 EXPIRATION DATE: 09/30/2001
RESPS:3,100 HOURS:1,550 COSTS(000):$0
Reporting and Recordkeeping Requirements for the Importation of
Nonconforming Marine Engines
FORMS: 1723.02
OMB NO: 2060-0321 EXPIRATION DATE: 07/31/2000
RESPS:67 HOURS:51,099 COSTS(000):$0
Control of Air Pollution, Emission Standards for New Gasoline
Spark-Ignition Marine Engines
FORMS: 1722.02
OMB NO: 2060-0322 EXPIRATION DATE: 07/31/2000
RESPS:14 HOURS:12,210 COSTS(000):$0
Marine Engine Manufacturer In-Use Emission Testing Program
FORMS: 1726.02
OMB NO: 2060-0323 EXPIRATION DATE: 07/31/2000
RESPS:40 HOURS:34,770 COSTS(000):$0
Marine Engine Manufacturers Production Line Testing Reporting
and Recordkeeping Requirements
FORMS: 1725.02
OMB NO: 2060-0324 EXPIRATION DATE: 02/28/2001
RESPS:54,721 HOURS:91,430 COSTS(000):$34
40 CFR Part 63, Subpart JJ, Final Standards for Hazardous Air
Pollutants From Wood Furniture Manufacturing Operations
FORMS: 1716.02
OMB NO: 2060-0325 EXPIRATION DATE: 02/28/2001
RESPS:526 HOURS:32,575 COSTS(000):$850
National Emission Standards for Hazardous Air Pollutants for
Source Categories: Gasoline Distribution (Stage I) -- 40 CFR
Part 63, Subpart R
FORMS: 1659.03
OMB NO: 2060-0326 EXPIRATION DATE: 12/31/2000
RESPS:13 HOURS:7,042 COSTS(000):$89
National Emission Standards for Magnetic Tape Manufacturing
Operations -- Subpart EE
FORMS: 1678.03
OMB NO: 2060-0327 EXPIRATION DATE: 12/31/2000
RESPS:1,896 HOURS:516,186 COSTS(000):$75,300
National Emission Standards for Hazardous Air Pollutants
(NESHAP) for Chromium Emissions from Hard and Decorative
Chromium Electro- plating and Chromium Anodizing Tanks
FORMS: 1611.03
OMB NO: 2060-0328 EXPIRATION DATE: 09/30/2001
RESPS:94 HOURS:3,692 COSTS(000):$0
Reporting and Recordkeeping Requirements under EPA's Natural Gas
STAR Program
FORMS: SF-1736.02
OMB NO: 2060-0329 EXPIRATION DATE: 08/31/2001
RESPS:161 HOURS:375 COSTS(000):$1
Reporting and Recordkeeping Requirements under EPA's AgSTAR
Program
FORMS: 1735.02
OMB NO: 2060-0330 EXPIRATION DATE: 07/31/2000
RESPS:35 HOURS:27,034 COSTS(000):$49,000
National Emission Standards for Hazardous Air Pollutants for
Shipbuilding and Ship Repair Facilities (Surface Coating)
FORMS: 1712.02
OMB NO: 2060-0335 EXPIRATION DATE: 07/31/2000
RESPS:370 HOURS:51,464 COSTS(000):$29,000
National Emission Standards for Hazardous Air Pollutants for the
Printing and Publishing Industry
FORMS: 1739.02
OMB NO: 2060-0336 EXPIRATION DATE: 10/31/2000
RESPS:2,059 HOURS:677,719 COSTS(000):$19,813
Federal Operations Permits Program of the Clean Air Act -- Part
71
FORMS: 1713.03
OMB NO: 2060-0337 EXPIRATION DATE: 09/30/2001
RESPS:53 HOURS:4,240 COSTS(000):$0
State Small Business Stationary Source Technical and
Environmental Compliance Assistance Program Annual Reporting Form
FORMS: 1748.02
OMB NO: 2060-0338 EXPIRATION DATE: 11/30/2000
RESPS:30 HOURS:78,486 COSTS(000):$0
Amendment to the Information Collection Request Emission
Standards for New Nonroad Spark-Ignition Engines
FORMS: 1695.03
OMB NO: 2060-0340 EXPIRATION DATE: 08/31/2001
RESPS:330 HOURS:493,000 COSTS(000):$570
National Emissions Standards for Hazardous Air Pollutants for
Petroleum Refineries -- 40 CFR Part 63, Subpart CC
FORMS: 1692.03
OMB NO: 2060-0342 EXPIRATION DATE: 12/31/2000
RESPS:48 HOURS:3,024 COSTS(000):$0
Protection of Stratospheric Ozone, Labeling
FORMS: 1757.02
OMB NO: 2060-0345 EXPIRATION DATE: 07/31/2000
RESPS:30 HOURS:6,032.5 COSTS(000):$0
Regulations for a Voluntary Emissions Standards Program
Applicable to Manufactures of Light-Duty Vehicles and Trucks
Beginning in Model Year 1977
FORMS: 1761.02
OMB NO: 2060-0347 EXPIRATION DATE: 04/30/2003
RESPS:15,529 HOURS:217,714 COSTS(000):$15
Information Collection Activities Associated with EPA's Energy
Star Buildings Program
FORMS: ICR1772.02
OMB NO: 2060-0348 EXPIRATION DATE: 06/30/2003
RESPS:375 HOURS:29,695 COSTS(000):$0
Reporting and Recordkeeping Requirements for National Volatile
Organic Compound Emission Standards for Consumer products CFR 40
Part 59, Subpart C
FORMS: 1764.02
OMB NO: 2060-0349 EXPIRATION DATE: 02/28/2003
RESPS:916 HOURS:67,978 COSTS(000):$1,611
Information Collection Request for New and Amended Reporting and
Recordkeeping Requirements for National Emission Standards for
Hazardous Air Pollutants from Hazardous Wast Combustors
FORMS: 1773.02
OMB NO: 2060-0350 EXPIRATION DATE: 07/31/2000
RESPS:5,000,000 HOURS:416,667 COSTS(000):$500
Information Collection Activities Associated with EPA's
FORMS: 1774.01
OMB NO: 2060-0353 EXPIRATION DATE: 06/30/2003
RESPS:10 HOURS:22 COSTS(000):$0
Reporting and Recordkeeping Requirements for National Volatile
Organic Compound Emission Standards for Automobile Refinish
Coatings CFR 40 Part 59 Subpart B
FORMS: 1765.02
OMB NO: 2060-0355 EXPIRATION DATE: 09/30/2000
RESPS:6,667 HOURS:100,840 COSTS(000):$0
Industrial Combustion Coordinated Rulemaking (ICCR) Questionnaire
FORMS: 1796.01
OMB NO: 2060-0357 EXPIRATION DATE: 08/31/2000
RESPS:214 HOURS:17,796 COSTS(000):$0
National Emisssion Standards for Hazardous Air Pollutants for
FORMS: 1783.01
OMB NO: 2060-0358 EXPIRATION DATE: 07/31/2000
RESPS:505 HOURS:350,502 COSTS(000):$47
National Emission Standards for Hazardous Air Pollutants for
FORMS: 1781.01
OMB NO: 2060-0359 EXPIRATION DATE: 11/30/2000
RESPS:50 HOURS:17,800 COSTS(000):$295
National Emission Standards for Hazardous Air Pollutants for
FORMS: 1795.01
OMB NO: 2060-0360 EXPIRATION DATE: 12/31/2000
RESPS:46 HOURS:52,544 COSTS(000):$429
Reporting and Recordkeeping Requirements for Primary Aluminum
Plants
FORMS: 1767.02
OMB NO: 2060-0361 EXPIRATION DATE: 07/31/2000
RESPS:30 HOURS:3,790 COSTS(000):$66
National Emission Standards for Hazardous Air Pollutants for
Phosphoric Acid Manufacturing and Phosphate Fertilizers
Production
FORMS: 1790.01
OMB NO: 2060-0362 EXPIRATION DATE: 07/31/2000
RESPS:40 HOURS:6,107 COSTS(000):$21
Recordkeeping and Reporting Requirements for the Mineral Wool
FORMS: 1799.01
OMB NO: 2060-0363 EXPIRATION DATE: 09/30/2001
RESPS:28 HOURS:28,211 COSTS(000):$274
Standards of Performance for New Stationary Sources: Hospital/
Medical/Infectious Waste Incinerators
FORMS: 1730.02
OMB NO: 2060-0369 EXPIRATION DATE: 11/30/2000
RESPS:233 HOURS:1 COSTS(000):$0
Information Collection for Equipment Manufacturer Flexibility
FORMS: 1826.01
OMB NO: 2060-0370 EXPIRATION DATE: 11/30/2000
RESPS:390 HOURS:1 COSTS(000):$2
National Emission Standards for Hazardous Air Pollutants for
Pesticide Active Ingredient Production
FORMS: 1807.01
OMB NO: 2060-0373 EXPIRATION DATE: 02/28/2001
RESPS:600 HOURS:163,352 COSTS(000):$0
ICR for Regulations Governing Constructed or Reconstructed Major
Sources
FORMS: 1658.02
OMB NO: 2060-0376 EXPIRATION DATE: 09/30/2001
RESPS:3,000 HOURS:147,560 COSTS(000):$1,230
Compliance Assurance Monitoring (CAM) Rule
FORMS: 1663.02
OMB NO: 2060-0377 EXPIRATION DATE: 12/31/2000
RESPS:1 HOURS:1 COSTS(000):$2
National Emission Standards for Hazardous Air Pollutants for
Chemical Recovery Combustion Sources at Kraft, Soda, Sulfite,
and Stand-Alone Semichemical Pulp Mills (Proposed Rule)
FORMS: 1805.01
OMB NO: 2060-0382 EXPIRATION DATE: 06/30/2001
RESPS:30 HOURS:17,126 COSTS(000):$539
Reporting and Recordkeeping Requirements under the
Perfluorocompound (PFC) Emission Reduction Partnership for the
Semiconductor Industry
FORMS: 1823.01
OMB NO: 2060-0387 EXPIRATION DATE: 09/30/2001
RESPS:493 HOURS:53,924 COSTS(000):$1,337
Recordkeeping and Reporting Requirements for NESHAP for Total
HAP Emissions from the Pulp and Paper Production Sources
Category, Process Operations
FORMS: 1657.03
OMB NO: 2060-0389 EXPIRATION DATE: 10/31/2001
RESPS:513 HOURS:5,257 COSTS(000):$100
Promulgation of Federal Implementation Plan for Arizona-Phoenix
Moderate Area PM-10 (Includes a Proposed Rule for Vacant Lots,
Unpaved Parking Lots, and Unpaved Roads for the Phoenix Area)
FORMS: 1855.02
OMB NO: 2060-0390 EXPIRATION DATE: 12/31/2001
RESPS:112 HOURS:59,366 COSTS(000):$2,059
Federal Plan Recordkeeping and Reporting Requirements for Large
Municipal Waste Combustors Constructed On or Before September
20, 1994 -- Subpart FFF
FORMS: 1847.01
OMB NO: 2060-0391 EXPIRATION DATE: 09/30/2001
RESPS:31 HOURS:1,684 COSTS(000):$0
NESHAP for Ferroalloys Production
FORMS: EPA-ICR-1831.01
OMB NO: 2060-0392 EXPIRATION DATE: 09/30/2001
RESPS:126 HOURS:54,384 COSTS(000):$3,600
Information Requirements for Locomotives and Locomotive Engines
FORMS: EPAICR1800.01
OMB NO: 2060-0393 EXPIRATION DATE: 01/31/2002
RESPS:1,362 HOURS:65,851 COSTS(000):$0
National Volatile Organic Compound Emission Standards for
Architectural Coatings
FORMS: 1750.02
OMB NO: 2060-0394 EXPIRATION DATE: 10/31/2001
RESPS:1 HOURS:8 COSTS(000):$0
National Emission Standards for Hazardous Air Pollutants for
Beryllium Rocket Motor Fuel Firing -- 40 CFR Part 63, Subpart D
FORMS: 1125.02
OMB NO: 2060-0395 EXPIRATION DATE: 05/31/2002
RESPS:10 HOURS:16 COSTS(000):$0
Exclusion Determinations for New Non-Road Spark-Ignited Engines
At or Below 19 Kilowatts, New Compression-Ignited Engines At or
Above 37 Kilowatts, New Marine Engines, and New On-Road Heavy....
FORMS: 1852.01
OMB NO: 2060-0404 EXPIRATION DATE: 07/31/2002
RESPS:397 HOURS:53,168 COSTS(000):$1,606
Non-Road Compression-Ignition Engine At or Above 50 Kilowatts
and On-Road Heavy-Duty Engine Application for Emission
Certification and Participation in the Averaging, Banking, and
Trading Program
FORMS: 1851.01
OMB NO: 2060-0411 EXPIRATION DATE: 07/31/2002
RESPS:12 HOURS:1,866 COSTS(000):$18
Reporting Requirements under EPA's Voluntary Aluminum Industrial
Partnership
FORMS: 1867.01
OMB NO: 2060-0414 EXPIRATION DATE: 07/31/2002
RESPS:6 HOURS:2,002 COSTS(000):$40
National Emission Standards for Hazardous Air Pollutants for
Primary Lead Smelters
FORMS: 1856.02
OMB NO: 2060-0415 EXPIRATION DATE: 07/31/2002
RESPS:158 HOURS:36,319 COSTS(000):$253
National Emission Standards for Hazardous Air Pollutants for
Polyether Polyois Production
FORMS: 1811.02
OMB NO: 2060-0416 EXPIRATION DATE: 08/31/2002
RESPS:954 HOURS:77,331 COSTS(000):$1,432
National Emission Standards for Hazardous Air Pollutants for
Portland Cement Manufacturing
FORMS: 1801.02
OMB NO: 2060-0417 EXPIRATION DATE: 07/31/2002
RESPS:3,328 HOURS:27,298 COSTS(000):$355
NESHAP for Source Category: Oil and Natural Gas Production
FORMS: 1788.02
OMB NO: 2060-0418 EXPIRATION DATE: 07/31/2002
RESPS:23 HOURS:213 COSTS(000):$2
NESHAP for Source Category: Natural Gas Transmission and Storage
FORMS: 1789.02
OMB NO: 2060-0419 EXPIRATION DATE: 07/31/2002
RESPS:23 HOURS:23,190 COSTS(000):$15
National Emission Standards for Hazardous Air Pollutants for
Steel Pickling, HCI Process Facilities and Hydrochloric Acid
Regeneration Plants
FORMS: 1821.02
OMB NO: 2060-0420 EXPIRATION DATE: 09/30/2002
RESPS:89 HOURS:6,125 COSTS(000):$1
Recordkeeping and Reporting Requirements for Source Categories:
Generic Maximum Achievable Control Technology (MACT) National
Emission Standards for Hazardous Air Pollutants (NESHAP)
FORMS: 1871.02
OMB NO: 2060-0421 EXPIRATION DATE: 09/30/2002
RESPS:51 HOURS:11,500 COSTS(000):$0
Final Regional Haze Rule
FORMS: 1813.02
OMB NO: 2060-0422 EXPIRATION DATE: 01/31/2003
RESPS:1,146 HOURS:133,404 COSTS(000):$0
Reporting and Recordkeeping Requirements for the Emission
Guidelines for Hospital/Medical/Infectious Waste Incinerators
FORMS: 1899.01
OMB NO: 2060-0423 EXPIRATION DATE: 02/28/2003
RESPS:6 HOURS:8,559 COSTS(000):$219
Reporting and Recordkeeping Requirements for the New Source
Performance Standards for Small Municipal Waste Combustors --
Subpart AAAA
FORMS: 1900.01
OMB NO: 2060-0424 EXPIRATION DATE: 02/28/2003
RESPS:90 HOURS:1,297 COSTS(000):$0
Emission Guidelines Reporting and Recordkeeping Requirements for
Existing Small Municipal Waste Combustion (MWC) Units
FORMS: 1901.01
OMB NO: 2060-0428 EXPIRATION DATE: 02/28/2003
RESPS:41 HOURS:41 COSTS(000):$0
NESHAP for Source Category: Publicly Owned Treatment Works
FORMS: 1891.02
OMB NO: 2060-0430 EXPIRATION DATE: 02/28/2003
RESPS:384 HOURS:15,110 COSTS(000):$890
Federal Emission Guidelines for Existing Municipal Solid Waste
Landfills
FORMS: 1893.02
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
181 10,933,844 28,032,324 $4,469,879
Office of Prevention, Pesticides and Toxic Substances
OMB NO: 2070-0003 EXPIRATION DATE: 09/30/2000
RESPS:150,000 HOURS:32,936 COSTS(000):$0
Polychlorinated Biphenyls (PCBs) Used in Electrical Equipment
FORMS: 1000.06
OMB NO: 2070-0004 EXPIRATION DATE: 10/31/2002
RESPS:859 HOURS:4,542 COSTS(000):$0
Health and Safety Data Reporting: Submission of Lists and Copies
of Health and Safety Studies
FORMS: 0575.08
OMB NO: 2070-0008 EXPIRATION DATE: 08/31/2000
RESPS:176 HOURS:1,030 COSTS(000):$0
Polychlorinated Biphenyls (PCBs); Exclusions, Exemptions, and
Use Authorizations
FORMS: 1001.06
OMB NO: 2070-0011 EXPIRATION DATE: 12/31/2000
RESPS:32 HOURS:10,688 COSTS(000):$0
Polychlorinated Biphenyls (PCBs) Disposal Permitting Regulation
FORMS: 1012.06
OMB NO: 2070-0012 EXPIRATION DATE: 07/31/2000
RESPS:218 HOURS:226,547 COSTS(000):$0
Addendum to Existing ICR to Include the Final Rule for Certain
Microbial Products of Biotechnology
FORMS: 574.10
OMB NO: 2070-0017 EXPIRATION DATE: 08/31/2002
RESPS:7,397 HOURS:30,279 COSTS(000):$0
Recordkeeping and Reporting Requirements for Allegations of
Significant Adverse Reactions to Human Health or the Environment
-- TSCA Section 8(c) Health and Safety Data Reporting Rule
FORMS: 1031.06
OMB NO: 2070-0020 EXPIRATION DATE: 12/31/2002
RESPS:7,000 HOURS:2,100 COSTS(000):$0
Notice of Arrival of Pesticides and Devices
FORMS: 3540.1 0152.06
OMB NO: 2070-0021 EXPIRATION DATE: 11/30/2000
RESPS:3 HOURS:18 COSTS(000):$0
Polychlorinated Biphenyls (PCBs): Manufacturing, Processing, and
Distribution in Commerce Exemptions
FORMS: 857.07
OMB NO: 2070-0024 EXPIRATION DATE: 07/31/2000
RESPS:150 HOURS:216,300 COSTS(000):$0
Maximum Residue Limit (MRL) Petitions on Food/Feed Crops and New
Inert Ingredients
FORMS: 0597.06
OMB NO: 2070-0026 EXPIRATION DATE: 08/31/2002
RESPS:30 HOURS:84 COSTS(000):$0
FIFRA Section 29 Annual Report on Conditional Registrations
FORMS: 0601.06
OMB NO: 2070-0027 EXPIRATION DATE: 08/31/2002
RESPS:2,500 HOURS:21,451 COSTS(000):$0
Foreign Purchaser Acknowledgment Statement of Unregistered
Pesticides
FORMS: 0161.08
OMB NO: 2070-0028 EXPIRATION DATE: 09/30/2001
RESPS:12,336 HOURS:24,672 COSTS(000):$0
Recordkeeping Requirements for Producers of Pesticides under
Section 8 of the Federal Insecticide, Fungicide, and Rodenticide
Act (FIFRA)
FORMS: 0143.06
OMB NO: 2070-0029 EXPIRATION DATE: 09/30/2000
RESPS:330,644 HOURS:997,222 COSTS(000):$0
Certification of Pesticide Applicators -- 40 CFR Part 171
FORMS: 155.06
OMB NO: 2070-0030 EXPIRATION DATE: 01/31/2003
RESPS:11,000 HOURS:10,400 COSTS(000):$0
Notification of Chemical Exports -- TSCA Section 12(b)
FORMS: 0795.10
OMB NO: 2070-0032 EXPIRATION DATE: 09/30/2001
RESPS:422 HOURS:43,466 COSTS(000):$0
Application and Summary Report for an Emergency Exemption for
Pesticides
FORMS: ICR-0596.06
OMB NO: 2070-0033 EXPIRATION DATE: 08/31/2000
RESPS:278 HOURS:76,450 COSTS(000):$0
TSCA Section 4 Test Rules, Consent Orders and Test Rule
Exemptions
FORMS: 1139.05
OMB NO: 2070-0038 EXPIRATION DATE: 08/31/2002
RESPS:3 HOURS:1,032 COSTS(000):$0
Significant New Use Rules for Existing Chemicals -- TSCA Section
5(a)
FORMS: 1188.06
OMB NO: 2070-0039 EXPIRATION DATE: 09/30/2000
RESPS:45,540 HOURS:120,762 COSTS(000):$0
Submission of Unreasonable Adverse Effects Information under
FORMS: 1204.07
OMB NO: 2070-0040 EXPIRATION DATE: 08/31/2000
RESPS:75 HOURS:757 COSTS(000):$0
Application for Experiemental use Permit (EUP) to Ship and Use a
Pesticide for Experimental Purposes Only
FORMS: 0276.10 8570-17
OMB NO: 2070-0044 EXPIRATION DATE: 09/30/2000
RESPS:6,000 HOURS:1,500 COSTS(000):$0
Supplemental Distribution of a Registered Pesticide Product
FORMS: 278.06
OMB NO: 2070-0046 EXPIRATION DATE: 09/30/2000
RESPS:800 HOURS:9,500 COSTS(000):$0
Notification of Substantial Risk of Injury to Health and the
Environment under TSCA Section 8(e)
FORMS: 0794.08
OMB NO: 2070-0052 EXPIRATION DATE: 08/31/2000
RESPS:449 HOURS:763 COSTS(000):$0
Compliance Requirement for the Child-Resistant Packaging Act
FORMS: 616-06
OMB NO: 2070-0054 EXPIRATION DATE: 12/31/2000
RESPS:118 HOURS:3,489 COSTS(000):$0
Preliminary Assessment Information Rule (PAIR) -- TSCA Section
8(a)
FORMS: 7710-35 586.08
OMB NO: 2070-0055 EXPIRATION DATE: 08/31/2002
RESPS:349 HOURS:24,604 COSTS(000):$0
Notice of Pesticide Registration by States to Meet a Special
Local Need -- Section 24(c)
FORMS: 0595.07 8570-25
OMB NO: 2070-0057 EXPIRATION DATE: 09/30/2000
RESPS:139 HOURS:127,741 COSTS(000):$0
Data Call-In for Special Review Chemicals
FORMS: 8570-31 8570-32 EPA-0922.05
OMB NO: 2070-0060 EXPIRATION DATE: 04/30/2002
RESPS:12,466 HOURS:187,640 COSTS(000):$0
Application for New or Amended Pesticide Registration
FORMS: 8570-1 8570-4 8570-27 8570-34 8570-35 8570-36 8570-37
OMB NO: 2070-0067 EXPIRATION DATE: 08/31/2000
RESPS:4 HOURS:275 COSTS(000):$0
Chemical-Specific Rules -- TSCA Section 8(a)
FORMS: 1198.05
OMB NO: 2070-0070 EXPIRATION DATE: 06/30/2001
RESPS:3,000 HOURS:34,500 COSTS(000):$0
Partial Updating of TSCA Inventory Data Base, Production and
Site Reports
FORMS: 7740.8 1011.04
OMB NO: 2070-0072 EXPIRATION DATE: 09/30/2001
RESPS:2,080 HOURS:47,133 COSTS(000):$0
Reporting and Recordkeeping Requirements for Asbestos Abatement
Worker Protection
FORMS: EPAICR1246.06
OMB NO: 2070-0074 EXPIRATION DATE: 07/31/2000
RESPS:161 HOURS:6,439 COSTS(000):$0
Recordkeeping Requirements for Certified Applicators Using 1080
Collars for Livestock Protection
FORMS: 1249.05
OMB NO: 2070-0075 EXPIRATION DATE: 12/31/2000
RESPS:468 HOURS:814 COSTS(000):$0
Request for Contractor Access to TSCA Confidential Business
Information
FORMS: 7740-6 770 1250.05
OMB NO: 2070-0078 EXPIRATION DATE: 05/31/2002
RESPS:13,262 HOURS:18,173 COSTS(000):$0
Pesticide Registration Application, Notification and Request for
Pesticide-Producing Establishments
FORMS: 0160.06 3540-8 3540-8A 3540-16
OMB NO: 2070-0081 EXPIRATION DATE: 12/31/2002
RESPS:250 HOURS:1,284 COSTS(000):$0
Wood Preservations, Submission of Information Regarding Arsenic
Exposure Levels in Wood Treatment Plants
FORMS: 1289.05
OMB NO: 2070-0091 EXPIRATION DATE: 05/31/2001
RESPS:112,721 HOURS:2,367,293 COSTS(000):$0
Asbestos-Containing Materials in Schools Rule and Asbestos Model
Accreditiation Plan Rule (MAP)
FORMS: 1365.05
OMB NO: 2070-0093 EXPIRATION DATE: 01/31/2003
RESPS:19,990 HOURS:8,825,935 COSTS(000):$0
Final Rule related Amendment to the Existing ICR entitled "Toxic
Chemical Release Reporting, Recordkeeping, Supplier Notification
and Petitions Under Sec 313 of the EPCRA.
FORMS: 1363.10 9350-1
OMB NO: 2070-0100 EXPIRATION DATE: 09/30/2000
RESPS:2,117 HOURS:1,988 COSTS(000):$0
Pesticide Product Reregistration Fees
FORMS: 1214.04
OMB NO: 2070-0101 EXPIRATION DATE: 09/30/2000
RESPS:67 HOURS:185 COSTS(000):$0
FIFRA Reregistration Fees
FORMS: 1495.04
OMB NO: 2070-0107 EXPIRATION DATE: 07/31/2000
RESPS:111 HOURS:38,882 COSTS(000):$0
Data Generation for Registration Activities
FORMS: 1504.03
OMB NO: 2070-0109 EXPIRATION DATE: 08/31/2000
RESPS:2 HOURS:120,375 COSTS(000):$0
Notice for Stored Pesticides With Canceled or Suspended
Registrations
FORMS: 1519.04
OMB NO: 2070-0112 EXPIRATION DATE: 10/31/2001
RESPS:74,461 HOURS:175,453 COSTS(000):$0
PCBs: Notification and Manifesting of PCB Waste Activities and
Records of PCB Storage and Disposal
FORMS: 7710-53 EPAICR1446.06
OMB NO: 2070-0122 EXPIRATION DATE: 12/31/2000
RESPS:30 HOURS:208,132 COSTS(000):$0
Data Acquisition for Registration
FORMS: 1503.03
OMB NO: 2070-0143 EXPIRATION DATE: 02/28/2001
RESPS:9,072 HOURS:646,875 COSTS(000):$0
Alternate Threshold for Low Annual Reportable Amounts, Toxic
Chemical Release Reporting
FORMS: 9350-2 1704.04
OMB NO: 2070-0145 EXPIRATION DATE: 09/30/2001
RESPS:200 HOURS:200 COSTS(000):$0
Correction of Misreported Chemical Substances on the Toxic
Substances Control Act (TSCA) Chemical Substances Inventory
FORMS: 7710-3C 1741.02
OMB NO: 2070-0148 EXPIRATION DATE: 09/30/2001
RESPS:8,145,858 HOURS:2,241,633 COSTS(000):$0
Pesticides Worker Protection Standard Training and Notification
FORMS: 1759.02
OMB NO: 2070-0151 EXPIRATION DATE: 08/31/2000
RESPS:35,086,878 HOURS:7,143,991 COSTS(000):$0
Residential Lead-Based Paint Hazard Disclosure Requirements
FORMS: 1710.02
OMB NO: 2070-0155 EXPIRATION DATE: 08/31/2000
RESPS:28,596 HOURS:403,541 COSTS(000):$0
TSCA Section 402 and Section 404 Training and Certification,
Accreditation, and Standards for Lead-based Paint Activities
FORMS: 1715.02
OMB NO: 2070-0156 EXPIRATION DATE: 09/30/2000
RESPS:2,697 HOURS:1,348 COSTS(000):$0
Voluntary Cover Sheet for TSCA Submissions
FORMS: 1780.01 TBD
OMB NO: 2070-0158 EXPIRATION DATE: 09/30/2001
RESPS:18,550,000 HOURS:2,331,597 COSTS(000):$3,622
Lead: Requirements for Hazard Education Before Renovation of
Target Housing
FORMS: 1669.02
OMB NO: 2070-0159 EXPIRATION DATE: 09/30/2001
RESPS:463,488 HOURS:1,786,153 COSTS(000):$9,771
Disposal of Polychlorinated Biphenyls (PCBs); Final Rule
FORMS: 7720-12 7710-53
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
49 63,104,497 28,578,172 $13,393
Office of Research and Development
OMB NO: 2080-0005 EXPIRATION DATE: 12/31/2001
RESPS:6 HOURS:6,772 COSTS(000):$19
Revision, Application for Reference and Equivalent Method
Determination
FORMS: 559.06
OMB NO: 2080-0018 EXPIRATION DATE: 01/31/2002
RESPS:848 HOURS:31,171 COSTS(000):$0
Steam-Electric Plant Operation and Design Report
FORMS: 767
OMB NO: 2080-0021 EXPIRATION DATE: 09/30/2000
RESPS:18,000 HOURS:124,243 COSTS(000):$0
Performance Evaluation Studies on Water and Wastewater
Laboratories
FORMS: 234.06
OMB NO: 2080-0033 EXPIRATION DATE: 08/31/2000
RESPS:1,497 HOURS:55,635 COSTS(000):$0
Quality Assurance Specification and Requirements
FORMS: 866.05
OMB NO: 2080-0048 EXPIRATION DATE: 08/31/2000
RESPS:1,511 HOURS:1,620 COSTS(000):$0
Request for Information for Bioremediation Field Initiative
FORMS: 3248 1672.02
OMB NO: 2080-0050 EXPIRATION DATE: 04/30/2003
RESPS:1,800 HOURS:12,240 COSTS(000):$0
Evaluation of the Burden of Waterborne Disease Within
Communities in the United States
FORMS: 1727.02
OMB NO: 2080-0057 EXPIRATION DATE: 02/28/2002
RESPS:8,600 HOURS:1,720 COSTS(000):$0
EPA EMPACT Urban Environmental Issues Study of 86 Cities
FORMS: 1864.01
OMB NO: 2080-0058 EXPIRATION DATE: 07/31/2002
RESPS:30 HOURS:2,090 COSTS(000):$0
Personal Exposure of High-Risk Subpopulations to Particles
FORMS: 1887.01
OMB NO: 2080-0061 EXPIRATION DATE: 03/31/2003
RESPS:2,834 HOURS:657 COSTS(000):$0
A Polity Study of Children's Total Exposure to Persistent
Pesticides and Other Persistent Organic Pollutants
FORMS: 1892.02
OMB NO: 2080-0063 EXPIRATION DATE: 02/28/2003
RESPS:1,674 HOURS:349 COSTS(000):$0
Agricultural Health Study: Pesticide Exposure Study
FORMS: 1906.01
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
10 36,800 236,497 $19
Office of the Administrator
OMB NO: 2090-0003 EXPIRATION DATE: 09/30/2000
RESPS:1 HOURS:52 COSTS(000):$0
Beach Closing Survey Report on the Great Lakes
FORMS: 0994.06
OMB NO: 2090-0014 EXPIRATION DATE: 02/28/2003
RESPS:13,100 HOURS:6,550 COSTS(000):$0
Pre-Award Compliance Review Report for All Applicants Requesting
Federal Financial Assistance
FORMS: 4700-4 0275.07
OMB NO: 2090-0019 EXPIRATION DATE: 03/31/2003
RESPS:68,740 HOURS:15,536 COSTS(000):$0
Voluntary Customer Service Satisfaction Surveys
FORMS: 1711.03
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
3 81,841 22,138 $0
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
351 85,561,425 123,300,115 $8,246,741
Equal Employment Opportunity Commission
OMB NO: 3046-0003 EXPIRATION DATE: 05/31/2002
RESPS:5,000 HOURS:12,000 COSTS(000):$100
Elementary-Secondary Staff Information -- EEO-5
FORMS: 168A
OMB NO: 3046-0006 EXPIRATION DATE: 02/28/2003
RESPS:3,000 HOURS:4,500 COSTS(000):$0
Local Union Report (EEO-3)
FORMS: 274
OMB NO: 3046-0007 EXPIRATION DATE: 11/30/2002
RESPS:170,000 HOURS:402,700 COSTS(000):$0
Employer Information Report -- EEO-1
FORMS: 100
OMB NO: 3046-0008 EXPIRATION DATE: 07/31/2000
RESPS:10,000 HOURS:40,000 COSTS(000):$0
State and Local Government Information -- EEO-4
FORMS: 164
OMB NO: 3046-0017 EXPIRATION DATE: 07/31/2000
RESPS:666,000 HOURS:1,450,000 COSTS(000):$0
Uniform Guidelines on Employee Selection Procedures
FORMS: NONE
OMB NO: 3046-0040 EXPIRATION DATE: 07/31/2000
RESPS:627,000 HOURS:16,677 COSTS(000):$0
Recordkeeping and Reporting under Title VII and the ADA
FORMS: NONE
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
6 1,481,000 1,925,877 $100
Executive Office of the President
No active collections for this agency
Export-Import Bank of the United States
OMB NO: 3048-0003 EXPIRATION DATE: 09/30/2000
RESPS:600 HOURS:1,200 COSTS(000):$0
U.S. Small Business Administration, Export-Import Bank of the
United States, Joint Application for Working Capital Guarantee
FORMS: EIB-SBA FORM-84-1
OMB NO: 3048-0004 EXPIRATION DATE: 05/31/2003
RESPS:50 HOURS:50 COSTS(000):$0
Annual Competitiveness Report Survey of Exporters and Bankers
FORMS: EIB-00-02
OMB NO: 3048-0005 EXPIRATION DATE: 07/31/2001
RESPS:960 HOURS:310 COSTS(000):$0
Ex-Im Bank letter of Interest Application Form
FORMS: EIB-95-9
OMB NO: 3048-0009 EXPIRATION DATE: 05/31/2002
RESPS:2,112 HOURS:2,262 COSTS(000):$0
Application froms for export credit insurance program
FORMS: EIB-92-34 EIB-92-41 EIB-92-45 EIB-92-50 EIB-92-64 EIB-92-72
EIB-92-79 EIB-92-48
OMB NO: 3048-0011 EXPIRATION DATE: 09/30/2001
RESPS:400 HOURS:133 COSTS(000):$0
Export Import Bank of the United States Customer Service
Satisfaction Form
FORMS: EIB-95-7
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
5 4,122 3,955 $0
Federal Emergency Management Agency
OMB NO: 3067-0001 EXPIRATION DATE: 03/31/2003
RESPS:50 HOURS:25 COSTS(000):$0
National Defense Executive Reserve Personal Qualification
Statement
FORMS: FEMA-85-3
OMB NO: 3067-0009 EXPIRATION DATE: 02/28/2003
RESPS:460,900 HOURS:171,148 COSTS(000):$0
Disaster Assistance Registration; Applicant
Statement/Authorization; Declaration of Applicant
FORMS: FEMA-90-69 FEMA-90-69A FEMA-90-69B FEMA-90-69C FEMA-90-69D
FEMA-90-69E
OMB NO: 3067-0018 EXPIRATION DATE: 03/31/2002
RESPS:9,098 HOURS:7,546 COSTS(000):$5,977
National Flood Insurance Program Biennial Report
FORMS: FORMS-81-28 81-29 81-29A
OMB NO: 3067-0020 EXPIRATION DATE: 03/31/2002
RESPS:100 HOURS:400 COSTS(000):$0
Application for Participation in the National Flood Insurance
Program
FORMS: FEMA-81-64
OMB NO: 3067-0022 EXPIRATION DATE: 02/28/2003
RESPS:317,601 HOURS:31,718 COSTS(000):$16,856
National Flood Insurance Policy Forms
FORMS: 81-16 81-17 81-18 81-25 81-67
OMB NO: 3067-0066 EXPIRATION DATE: 08/31/2002
RESPS:27 HOURS:138 COSTS(000):$1,654
Request for Fire Suppression Assistance
FORMS: SF-424 SF-269A SF-270 FEMA90-58 FEMA90-91
OMB NO: 3067-0077 EXPIRATION DATE: 07/31/2002
RESPS:73,650 HOURS:166,362 COSTS(000):$0
Post Construction Elevation Certificate/Floodproofing Certificate
FORMS: 81-31 81-65
OMB NO: 3067-0113 EXPIRATION DATE: 11/30/2002
RESPS:174 HOURS:13,224 COSTS(000):$0
The Declaration Process: Request for Damage Assessment, Federal
Disaster Assistance, Cost Share Adjustment, and Loans of the
Non-Federal Share
FORMS: NONE
OMB NO: 3067-0120 EXPIRATION DATE: 06/30/2001
RESPS:50 HOURS:75 COSTS(000):$0
Implementation of Coastal Barrier Resources Act
FORMS: NONE
OMB NO: 3067-0122 EXPIRATION DATE: 06/30/2001
RESPS:2,000 HOURS:1,500 COSTS(000):$0
Debt Collection Financial Statement
FORMS: FEMA-FORM-22-13
OMB NO: 3067-0127 EXPIRATION DATE: 03/31/2002
RESPS:20 HOURS:100 COSTS(000):$0
Exemption of State-Owned Properties under Self-Insurance Plan
FORMS: NONE
OMB NO: 3067-0138 EXPIRATION DATE: 10/31/2001
RESPS:56 HOURS:1,120 COSTS(000):$0
State Administrative Plan
FORMS: NONE
OMB NO: 3067-0141 EXPIRATION DATE: 08/31/2002
RESPS:16 HOURS:24 COSTS(000):$0
Reimbursement for Cost of Firefighting on Federal Property
FORMS: NONE
OMB NO: 3067-0146 EXPIRATION DATE: 10/31/2001
RESPS:56 HOURS:168 COSTS(000):$0
State Administrative Plans for the Individual Family Grant
Program
FORMS: NONE
OMB NO: 3067-0147 EXPIRATION DATE: 05/31/2001
RESPS:5,400 HOURS:22,788 COSTS(000):$0
Report to Submit Technical or Scientific Data to Correct Mapping
Deficiencies Unrelated to Community-Wide Elevation
Determinations (Amendments & Revisions to National Flood
Insurance Program Map)
FORMS: 81-87 81-87A 81-87B 81-87C 81-87D 81-87E
OMB NO: 3067-0148 EXPIRATION DATE: 04/30/2001
RESPS:900 HOURS:7,074 COSTS(000):$0
Consultation with Local Officials to Assure Compliance with
Sections 110 and 206 of the Flood Disaster Protection Act of
1973 (Revisions to National Flood Insurance Program Maps)
FORMS: 81-89/81-89A 81-89B/81-89C 81-89D/81-89E 81-89F/81-89G
81-89H/81-89I 81-89J/81-89K
OMB NO: 3067-0151 EXPIRATION DATE: 04/30/2001
RESPS:100 HOURS:125 COSTS(000):$0
Progress Report
FORMS: NONE
OMB NO: 3067-0166 EXPIRATION DATE: 03/31/2002
RESPS:92 HOURS:4,896 COSTS(000):$0
Crisis Counseling Assistance and Training Program
FORMS: SF-424
OMB NO: 3067-0167 EXPIRATION DATE: 03/31/2002
RESPS:7 HOURS:7 COSTS(000):$0
Claims of Federal Personnel for Personal Property Damage or Loss
FORMS: NONE
OMB NO: 3067-0169 EXPIRATION DATE: 03/31/2002
RESPS:1,440 HOURS:792 COSTS(000):$0
Write Your Own (WYO) Program
FORMS: NONE
OMB NO: 3067-0194 EXPIRATION DATE: 04/30/2001
RESPS:300 HOURS:300 COSTS(000):$0
National Fire Academy Executive Fire Officer Program Application
for Admission
FORMS: FEMA-FORM-95-22
OMB NO: 3067-0195 EXPIRATION DATE: 09/30/2001
RESPS:940 HOURS:9,260 COSTS(000):$0
Community Rating System (CRS) Program, Application Worksheets
and Commentary
FORMS: 81-83 FIA-15
OMB NO: 3067-0198 EXPIRATION DATE: 03/31/2002
RESPS:3,800 HOURS:15,200 COSTS(000):$0
Efectiveness of a Community's Implementation of the NFIP,
Community Assistance Contact Report and Community Assistance
Visit Report
FORMS: FEMA-81-68 FEMA-81-69
OMB NO: 3067-0201 EXPIRATION DATE: 04/30/2002
RESPS:1 HOURS:160 COSTS(000):$0
Federal Assistance for Offsite Radiological Emergency Planning
and Preparedness under Executive Order 12657
FORMS: NONE
OMB NO: 3067-0213 EXPIRATION DATE: 06/30/2001
RESPS:10 HOURS:30 COSTS(000):$0
FEMA Contract Clause, Accessibility of Meetings to Persons with
Disabilities
FORMS: NONE
OMB NO: 3067-0222 EXPIRATION DATE: 04/30/2002
RESPS:1,000 HOURS:333 COSTS(000):$0
Request for Site Inspection, Landowners Authorization/Ingress/
Engress Agreement
FORMS: 90-1 90-31
OMB NO: 3067-0233 EXPIRATION DATE: 03/31/2002
RESPS:25,000 HOURS:6,250 COSTS(000):$0
National Fire Academy Field Course Evaluation Form
FORMS: FEMA-FORM-95-45
OMB NO: 3067-0234 EXPIRATION DATE: 08/31/2000
RESPS:5,500 HOURS:1,375 COSTS(000):$0
National Fire Academy Course Evaluation Form
FORMS: 95-20
OMB NO: 3067-0235 EXPIRATION DATE: 07/31/2000
RESPS:50 HOURS:163 COSTS(000):$0
Residential Basement Floodproofing Certificate
FORMS: 81-78
OMB NO: 3067-0237 EXPIRATION DATE: 02/28/2002
RESPS:4,000 HOURS:667 COSTS(000):$0
Emergency Management Institute Resident Course Evaluation Form
FORMS: FEMA-FORM-95-41
OMB NO: 3067-0256 EXPIRATION DATE: 02/28/2001
RESPS:233,256 HOURS:58,316 COSTS(000):$0
Federal Emergency Management Agency (FEMA) Individual Disaster
Assistance Customer Satisfaction and Program Effectiveness
Surveys
FORMS: NONE
OMB NO: 3067-0257 EXPIRATION DATE: 04/30/2001
RESPS:5,854 HOURS:14,050 COSTS(000):$0
Report to Submit Technical Data to Correct Mapping Deficiencies
Unrelated to Community-Wide Elevation Determinations for a
Single Residential Lot or Structure
FORMS: FEMA-FORM-81-92
OMB NO: 3067-0259 EXPIRATION DATE: 04/30/2002
RESPS:5 HOURS:35 COSTS(000):$0
Write You Own (WYO) Company Participation Criteria; New
Applicants
FORMS: NONE
OMB NO: 3067-0260 EXPIRATION DATE: 04/30/2002
RESPS:1,500 HOURS:375 COSTS(000):$0
National Fire Academy Long-Term Course Evaluation Forms
FORMS: NETC-F-8872 NETC-F-8873
OMB NO: 3067-0264 EXPIRATION DATE: 10/31/2001
RESPS:12,000,000 HOURS:4,000,000 COSTS(000):$0
Standard Flood Hazard Determination
FORMS: 81-93
OMB NO: 3067-0268 EXPIRATION DATE: 07/31/2000
RESPS:7,500 HOURS:2,500 COSTS(000):$0
Make Your Mark on the Floodplain, High Water Mark Form
FORMS: NONE
OMB NO: 3067-0271 EXPIRATION DATE: 03/31/2002
RESPS:616 HOURS:116,624 COSTS(000):$0
Flood Mitigation Assistance, Flood Mitigation Plan
FORMS: NONE
OMB NO: 3067-0272 EXPIRATION DATE: 04/30/2001
RESPS:56 HOURS:3,360 COSTS(000):$87
Capability Assessment for Readiness (CAR)
FORMS: NONE
OMB NO: 3067-0273 EXPIRATION DATE: 11/30/2001
RESPS:4,000 HOURS:1,000 COSTS(000):$0
Emergency Management Institute Follow-Up Evaluation Survey
FORMS: FEMA-FORM-95-56
OMB NO: 3067-0275 EXPIRATION DATE: 07/31/2002
RESPS:1,100 HOURS:3,300 COSTS(000):$72
Inspection of Insured Structures by Communities
FORMS: NONE
OMB NO: 3067-0277 EXPIRATION DATE: 10/31/2000
RESPS:70,000 HOURS:1,167 COSTS(000):$21
EMI Independent Study Course Enrollment Application
FORMS: 95-23
OMB NO: 3067-0278 EXPIRATION DATE: 10/31/2000
RESPS:56 HOURS:182 COSTS(000):$0
Request for Federal Assistance Form -- How to Process Mission
Assignments in Federal Disaster Operations
FORMS: NONE
OMB NO: 3067-0279 EXPIRATION DATE: 08/31/2000
RESPS:213 HOURS:48,789 COSTS(000):$0
Hurricane Floyd Special Buyout Authority Application and
Reporting
FORMS: SF-424 FEMA-FORMS20-15 20-10 20-16 20-16A 20-16C SF-LLL
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
43 13,236,494 4,712,666 $24,667
Appraisal Subcommittee of the FFIEC
OMB NO: 3139-0004 EXPIRATION DATE: 12/31/2001
RESPS:50 HOURS:17 COSTS(000):$0
Rules Pertaining to the Privacy of Individuals and Systems of
Records Maintained by the Appraisals Subcommittee -- 12 CFR Part
1102, Subpart C
FORMS: NONE
OMB NO: 3139-0005 EXPIRATION DATE: 09/30/2002
RESPS:2 HOURS:120 COSTS(000):$0
Rules of Practice for Proceedings -- 12 CFR Part 1102, Subpart B
FORMS: NONE
OMB NO: 3139-0006 EXPIRATION DATE: 12/31/2002
RESPS:11 HOURS:4 COSTS(000):$0
Description of Office, Procedures, Public Information 12 CFR
Part 102, Subpart D
FORMS: NONE
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
3 63 141 $0
Federal Labor Relations Authority
OMB NO: 3070-0007 EXPIRATION DATE: 07/31/2001
RESPS:160 HOURS:80 COSTS(000):$0
Federal Service Impasses Panel, Request for Assistance
FORMS: FLRA-14
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
1 160 80 $0
Federal Mediation and Conciliation Service
OMB NO: 3076-0001 EXPIRATION DATE: 11/30/2001
RESPS:250 HOURS:375 COSTS(000):$0
Arbitrator's Personal Data Questionnaire
FORMS: FMCS-R-22
OMB NO: 3076-0002 EXPIRATION DATE: 11/30/2001
RESPS:15,000 HOURS:2,500 COSTS(000):$450
The Request for Arbitration Services
FORMS: FMCS-R-43
OMB NO: 3076-0003 EXPIRATION DATE: 11/30/2001
RESPS:4,000 HOURS:834 COSTS(000):$0
Arbitrator's Report and Fee Statement
FORMS: FMCS-R-19
OMB NO: 3076-0006 EXPIRATION DATE: 01/31/2002
RESPS:404 HOURS:251 COSTS(000):$0
FMCS Grants Program and Grant Evaluation Package
FORMS: SF-424 SF-270(LM-6) (LM-8) SF-269A(LM-7) (LM-9) (LM-3)
OMB NO: 3076-0014 EXPIRATION DATE: 01/31/2001
RESPS:1,600 HOURS:800 COSTS(000):$0
National Customer Survey
FORMS: NONE
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
5 21,254 4,760 $450
General Services Administration
OMB NO: 3090-0007 EXPIRATION DATE: 10/31/2001
RESPS:6,986 HOURS:17,465 COSTS(000):$0
Contractor's Qualifications and Financial Information
FORMS: GSA-527
OMB NO: 3090-0014 EXPIRATION DATE: 09/30/2001
RESPS:63,000 HOURS:25,000 COSTS(000):$18,900
Transfer Order - Surplus Personal Property and Continuation Sheet
FORMS: SF-123 SF-123-A
OMB NO: 3090-0023 EXPIRATION DATE: 10/31/2001
RESPS:35,000 HOURS:2,905 COSTS(000):$0
Surplus Personal Property Mailing List Application
FORMS: GSA-2170
OMB NO: 3090-0027 EXPIRATION DATE: 09/30/2001
RESPS:33,600 HOURS:2,800 COSTS(000):$0
Contract Administration, Quality Assurance -- General Services
Administration Acquisition Regulation (GSAR) Part 542 and Part
546
FORMS: GSA-1678
OMB NO: 3090-0040 EXPIRATION DATE: 02/28/2001
RESPS:4,000 HOURS:1,333 COSTS(000):$0
Application for Shipping Instructions and Notice of Availability
FORMS: GSA-1611
OMB NO: 3090-0043 EXPIRATION DATE: 09/30/2001
RESPS:1,300 HOURS:2,200 COSTS(000):$0
Appraisal of Fair Annual Parking Rate Per Space for Standard
Level User Charge
FORMS: GSA-FORM-3357
OMB NO: 3090-0057 EXPIRATION DATE: 06/30/2001
RESPS:500 HOURS:125 COSTS(000):$2,870
Deposit Bond Individual, Sale of Government Personal Property
FORMS: SF-150
OMB NO: 3090-0058 EXPIRATION DATE: 06/30/2001
RESPS:1,000 HOURS:250 COSTS(000):$5,740
Deposit Bond, Annual Sale of Government Personal Property
FORMS: SF-151
OMB NO: 3090-0080 EXPIRATION DATE: 09/30/2001
RESPS:2,000 HOURS:200 COSTS(000):$0
Contract Financing -- General Services Administration
Acquisition Regulations (GSAR) Part 532
FORMS: GSA-1142
OMB NO: 3090-0093 EXPIRATION DATE: 06/30/2001
RESPS:160 HOURS:160 COSTS(000):$0
Transportation Discrepancy Report -- SF-361
FORMS: SF-361
OMB NO: 3090-0112 EXPIRATION DATE: 10/31/2001
RESPS:220 HOURS:220 COSTS(000):$6,732
State Agency Monthly Donation Report of Surplus Personal Property
FORMS: GSA-3040
OMB NO: 3090-0118 EXPIRATION DATE: 06/30/2001
RESPS:816 HOURS:272 COSTS(000):$0
Statement of Witness -- Standard Form 94
FORMS: SF-94
OMB NO: 3090-0121 EXPIRATION DATE: 06/30/2001
RESPS:119,640 HOURS:997 COSTS(000):$0
Establishing and Administering Schedules -- General Services
Administration Acquisition Regulation (GSAR) Part 538.2
FORMS: GSA-72A
OMB NO: 3090-0197 EXPIRATION DATE: 06/30/2001
RESPS:2,200 HOURS:2,200 COSTS(000):$0
Service Contracting -- General Services Administration
Acquistion Regulation (GSAR) Part 537
FORMS: NONE
OMB NO: 3090-0198 EXPIRATION DATE: 09/30/2001
RESPS:9 HOURS:1.5 COSTS(000):$0
Foreign Acquisition -- General Services Administration
Acquisition Regulation (GSAR) Part 525
FORMS: NONE
OMB NO: 3090-0200 EXPIRATION DATE: 06/30/2001
RESPS:20 HOURS:3 COSTS(000):$0
Sealed Bidding -- General Services Administration Acquisition
Regulation (GSAR) Part 514
FORMS: NONE
OMB NO: 3090-0221 EXPIRATION DATE: 12/31/2000
RESPS:86 HOURS:10 COSTS(000):$0
GSA Board of Contract Appeals Subpoena, GSA Board of Contract
Appeals Forms 4 and 5 (Certificates of Finality)
FORMS: GSA-9534
OMB NO: 3090-0227 EXPIRATION DATE: 06/30/2001
RESPS:60 HOURS:150 COSTS(000):$0
Termination Liability Schedule -- GSAR Part 549
FORMS: NONE
OMB NO: 3090-0235 EXPIRATION DATE: 01/31/2002
RESPS:13,724 HOURS:102,930 COSTS(000):$412
GSA Schedule Contracting, Price Reductions Clause -- 48 CFR
552.238-76, General Services Administration Acquisition
Regulation (GSAR) Part 538
FORMS: NONE
OMB NO: 3090-0243 EXPIRATION DATE: 06/30/2001
RESPS:4,371 HOURS:2,186 COSTS(000):$0
General Services Administration Acquisition Regulation (GSAR)
Part 516.2 Fixed-Price Contracts
FORMS: NONE
OMB NO: 3090-0246 EXPIRATION DATE: 10/31/2001
RESPS:931,219 HOURS:875 COSTS(000):$0
General Services Administration Acquisition Regulation (GSAR)
Packing List Clause
FORMS: NONE
OMB NO: 3090-0248 EXPIRATION DATE: 05/31/2002
RESPS:260 HOURS:260 COSTS(000):$0
48 CFR 552.216-73 Placement of Orders 48 CFR 552.216-74 Ordering
Information
FORMS: NONE
OMB NO: 3090-0250 EXPIRATION DATE: 05/31/2002
RESPS:1 HOURS:1 COSTS(000):$0
Zero Burden Information Collection Reports
FORMS: NONE
OMB NO: 3090-0252 EXPIRATION DATE: 05/31/2002
RESPS:1,350 HOURS:16,200 COSTS(000):$0
Preparation, Submission, and Negotiation of Subcontracting Plans
FORMS: NONE
OMB NO: 3090-0259 EXPIRATION DATE: 03/31/2002
RESPS:25 HOURS:60 COSTS(000):$0
Market Research Questionnaire
FORMS: NONE
OMB NO: 3090-0260 EXPIRATION DATE: 11/30/2001
RESPS:200 HOURS:20 COSTS(000):$0
Questionnaire: Catalog of Federal Domestic Assistance
FORMS: NONE
OMB NO: 3090-0262 EXPIRATION DATE: 10/31/2001
RESPS:1 HOURS:16,000 COSTS(000):$32
Identification of Products with Environmental Attributes
FORMS: NONE
OMB NO: 3090-0270 EXPIRATION DATE: 08/31/2002
RESPS:100,000 HOURS:250,000 COSTS(000):$0
Access Certificates for Electronic Services (ACES)
FORMS: NONE
OMB NO: 3090-0271 EXPIRATION DATE: 04/30/2003
RESPS:23,400 HOURS:3,900 COSTS(000):$0
American Customer Satisfaction Index (ACSI)
FORMS: NONE
OMB NO: 3090-0273 EXPIRATION DATE: 04/30/2003
RESPS:1,000 HOURS:50 COSTS(000):$0
Questionnaire: CD-ROM of the Ctalog of Federal Domestic
Assistance and Federal Assistance Award Data System
FORMS: NONE
OMB NO: 3090-0274 EXPIRATION DATE: 05/31/2003
RESPS:360 HOURS:90 COSTS(000):$2
Art-in-Architecture Program National Artist Registry
FORMS: GSA-7437
OMB NO: 3090-0275 EXPIRATION DATE: 10/31/2000
RESPS:500 HOURS:1,250 COSTS(000):$0
Child Care Subsidy Application - Provider
FORMS: NONE
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
32 1,347,008 450,113 $34,688
Harry S Truman Scholarship Foundation
No active collections for this agency
Inter-American Foundation
No active collections for this agency
James Madison Memorial Fellowship Foundation
No active collections for this agency
International Trade Commission
OMB NO: 3117-0016 EXPIRATION DATE: 07/31/2002
RESPS:4,375 HOURS:175,000 COSTS(000):$13,125
Information Collections for Import Injury Investigations
Questionnaires and Institution Notices for 5-Year Reviews)
FORMS: NONE
OMB NO: 3117-0188 EXPIRATION DATE: 11/30/2002
RESPS:1,500 HOURS:375 COSTS(000):$0
ITC Reader Satisfaction Survey
FORMS: NONE
OMB NO: 3117-0190 EXPIRATION DATE: 01/31/2003
RESPS:2,000 HOURS:66 COSTS(000):$0
ITC DataWeb: User Registration Forms
FORMS: NONE
OMB NO: 3117-0192 EXPIRATION DATE: 08/31/2002
RESPS:50 HOURS:50 COSTS(000):$0
Survey for Participants in Commission Import Injury
Investigations
FORMS: NONE
OMB NO: 3117-0195 EXPIRATION DATE: 11/30/2000
RESPS:100 HOURS:100 COSTS(000):$0
The Economic Impact of U.S. Sanctions with Respect to Cuba
FORMS: 332-413
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
5 8,025 175,591 $13,125
M.K. Udall Foundation U.S. Institute for Environmental Conflict Resolution
No active collections for this agency
Legal Services Corporation
No active collections for this agency
Merit Systems Protection Board
OMB NO: 3124-0009 EXPIRATION DATE: 09/30/2000
RESPS:9,000 HOURS:4,500 COSTS(000):$0
U.S. Merit Systems Protection Board Appeal Form -- OF-283
FORMS: NONE
OMB NO: 3124-0012 EXPIRATION DATE: 04/30/2001
RESPS:3,750 HOURS:937 COSTS(000):$0
Customer Surveys
FORMS: NONE
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
2 12,750 5,437 $0
National Aeronautics and Space Administration
OMB NO: 2700-0003 EXPIRATION DATE: 06/30/2001
RESPS:10,200 HOURS:91,500 COSTS(000):$0
NASA Contractor Financial Management Reports
FORMS: NASA-533M NASA-533Q
OMB NO: 2700-0007 EXPIRATION DATE: 09/30/2001
RESPS:100 HOURS:29 COSTS(000):$986
Radioactive Material Transfer Receipt
FORMS: JSC-1625
OMB NO: 2700-0009 EXPIRATION DATE: 04/30/2001
RESPS:1,100 HOURS:550 COSTS(000):$0
AST Technology Utilization
FORMS: NASA-1679
OMB NO: 2700-0010 EXPIRATION DATE: 08/31/2000
RESPS:64 HOURS:32 COSTS(000):$0
Patent License Report
FORMS: NONE
OMB NO: 2700-0017 EXPIRATION DATE: 12/31/2001
RESPS:1 HOURS:8,144 COSTS(000):$0
NASA Property in the Custody of Contractors
FORMS: NASA-1018
OMB NO: 2700-0039 EXPIRATION DATE: 08/31/2000
RESPS:80 HOURS:640 COSTS(000):$0
Application for a Patent License
FORMS: NONE
OMB NO: 2700-0047 EXPIRATION DATE: 09/30/2001
RESPS:28,596 HOURS:117,925 COSTS(000):$0
Property Management and Controls, Grants
FORMS: NONE
OMB NO: 2700-0048 EXPIRATION DATE: 08/31/2000
RESPS:7,487 HOURS:10,800 COSTS(000):$0
Patents
FORMS: NONE
OMB NO: 2700-0049 EXPIRATION DATE: 09/30/2001
RESPS:37,696 HOURS:295,760 COSTS(000):$0
Financial Monitoring and Control, Grants
FORMS: NONE
OMB NO: 2700-0050 EXPIRATION DATE: 08/31/2001
RESPS:66 HOURS:147 COSTS(000):$0
Patent Waiver Report
FORMS: NASA-1393
OMB NO: 2700-0052 EXPIRATION DATE: 05/31/2001
RESPS:3,557 HOURS:13,795 COSTS(000):$0
Patents, Data, and Copyrights -- NASA FAR Supplement Part 1827
FORMS: NONE
OMB NO: 2700-0054 EXPIRATION DATE: 09/30/2001
RESPS:176 HOURS:8,645 COSTS(000):$0
Contract Modifications -- NASA FAR Supplement Part 18-43
FORMS: NONE
OMB NO: 2700-0057 EXPIRATION DATE: 11/30/2001
RESPS:25 HOURS:25 COSTS(000):$0
Application for Volunteer Program
FORMS: NONE
OMB NO: 2700-0063 EXPIRATION DATE: 05/31/2003
RESPS:75 HOURS:19 COSTS(000):$0
NASA Safety Reporting System
FORMS: NONE
OMB NO: 2700-0064 EXPIRATION DATE: 08/31/2000
RESPS:13,111 HOURS:1,071 COSTS(000):$120,500
Locator and Information Services Tracking System (LISTS)
FORMS: GSFC24-27
OMB NO: 2700-0073 EXPIRATION DATE: 09/30/2001
RESPS:450 HOURS:5,500 COSTS(000):$0
Small Business and Small Disadvantaged Business Concerns and
SF-295
FORMS: NONE
OMB NO: 2700-0078 EXPIRATION DATE: 08/31/2000
RESPS:96 HOURS:140 COSTS(000):$0
Small Business and Small Disadvantaged Business Concerns
FORMS: NONE
OMB NO: 2700-0080 EXPIRATION DATE: 08/31/2000
RESPS:657 HOURS:2,388 COSTS(000):$0
Uncompensated Overtime
FORMS: NONE
OMB NO: 2700-0084 EXPIRATION DATE: 11/30/2001
RESPS:248 HOURS:62 COSTS(000):$0
Grants Proposal Writers and Peer Reviewers Customer Satisfaction
Surveys
FORMS: NONE
OMB NO: 2700-0085 EXPIRATION DATE: 10/31/2000
RESPS:590 HOURS:665,750 COSTS(000):$0
NASA Acquisition Process, Bids and Proposals for Contracts With
FORMS: NONE
OMB NO: 2700-0086 EXPIRATION DATE: 10/31/2000
RESPS:216,265 HOURS:75,872 COSTS(000):$0
NASA Simplified Acquisition for Goods and Services With a
FORMS: NONE
OMB NO: 2700-0087 EXPIRATION DATE: 10/31/2000
RESPS:15,317 HOURS:3,012,710 COSTS(000):$0
NASA Acquisition Process, Bids and Proposals for Contracts With
FORMS: NONE
OMB NO: 2700-0088 EXPIRATION DATE: 09/30/2001
RESPS:38,460 HOURS:2,050,380 COSTS(000):$0
NASA Acquisition Process, Reports Required under Contracts with
FORMS: NONE
OMB NO: 2700-0089 EXPIRATION DATE: 10/31/2000
RESPS:10,560 HOURS:610,450 COSTS(000):$12,672,000
NASA Acquisition Process, Reports Required for Contracts With
FORMS: NONE
OMB NO: 2700-0092 EXPIRATION DATE: 09/30/2001
RESPS:658 HOURS:17,660 COSTS(000):$0
Cooperative Agreements with Commercial firms
FORMS: NONE
OMB NO: 2700-0093 EXPIRATION DATE: 09/30/2001
RESPS:95 HOURS:620 COSTS(000):$0
Grants and Cooperative Agreements with State and Local
FORMS: NONE
OMB NO: 2700-0094 EXPIRATION DATE: 12/31/2001
RESPS:11.25 HOURS:506 COSTS(000):$0
Cost Reduction Proposals under the NASA FAR Supplement
FORMS: NONE
OMB NO: 2700-0095 EXPIRATION DATE: 03/31/2003
RESPS:200 HOURS:200 COSTS(000):$21,450
NASA Small Business Innovative Research Commercial Metrics
FORMS: NONE
OMB NO: 2700-0096 EXPIRATION DATE: 04/30/2002
RESPS:300 HOURS:75 COSTS(000):$0
NASA Commercial Technology Program Client Feedback Survey
FORMS: NONE
OMB NO: 2700-0097 EXPIRATION DATE: 12/31/2002
RESPS:10,120 HOURS:5,060 COSTS(000):$0
Required Central Contractor Registration
FORMS: NONE
OMB NO: 2700-0098 EXPIRATION DATE: 03/31/2003
RESPS:400 HOURS:188,000 COSTS(000):$0
Security Requirements for Unclassified Information Technology
Resources
FORMS: NONE
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
31 396,761 7,184,455 $12,814,936
National Archives and Records Administration
OMB NO: 3095-0002 EXPIRATION DATE: 07/31/2001
RESPS:1 HOURS:7 COSTS(000):$0
Statistical Research in Archival Records Containing Personal
Information
FORMS: NONE
OMB NO: 3095-0004 EXPIRATION DATE: 05/31/2002
RESPS:1 HOURS:552 COSTS(000):$8
NHPRC Budget Form and Instructions
FORMS: NA-17001
OMB NO: 3095-0007 EXPIRATION DATE: 12/31/2000
RESPS:3,200 HOURS:267 COSTS(000):$1
Customer Comment Form
FORMS: NA-14045
OMB NO: 3095-0012 EXPIRATION DATE: 10/31/2002
RESPS:25 HOURS:37 COSTS(000):$0
Application for Attendance at the Institute for the Editing of
Historical Documents
FORMS: NONE
OMB NO: 3095-0013 EXPIRATION DATE: 10/31/2002
RESPS:134 HOURS:7,636 COSTS(000):$0
National Historical Publications and Records Commission Grant
Program
FORMS: NONE
OMB NO: 3095-0014 EXPIRATION DATE: 10/31/2002
RESPS:9 HOURS:72 COSTS(000):$0
Application for Archival Administration or Historical
Documentary Editing Fellowships
FORMS: NONE
OMB NO: 3095-0015 EXPIRATION DATE: 10/31/2002
RESPS:9 HOURS:153 COSTS(000):$0
Application for Host Institutions of Archival Administration or
Historical Documentary Editing Fellowships
FORMS: NONE
OMB NO: 3095-0016 EXPIRATION DATE: 12/31/2001
RESPS:21,876 HOURS:1,823 COSTS(000):$0
Researcher Application
FORMS: NA-14003 NA-14003A
OMB NO: 3095-0017 EXPIRATION DATE: 05/31/2003
RESPS:1 HOURS:50 COSTS(000):$0
Request to Microfilm Records
FORMS: NONE
OMB NO: 3095-0021 EXPIRATION DATE: 12/31/2000
RESPS:36 HOURS:135 COSTS(000):$3
National Historical Publications and Records Commission (NHPRC)
Subvention Grant Guidelines and Application
FORMS: NONE
OMB NO: 3095-0022 EXPIRATION DATE: 12/31/2000
RESPS:36 HOURS:36 COSTS(000):$0
National Historical Publications and Records Commission (NHPRC)
Annual Sales Report for Subvention Grants
FORMS: NONE
OMB NO: 3095-0023 EXPIRATION DATE: 03/31/2003
RESPS:6,400 HOURS:533 COSTS(000):$0
NARA Class Evaluation Form
FORMS: NA-2019
OMB NO: 3095-0024 EXPIRATION DATE: 08/31/2001
RESPS:1,000 HOURS:334 COSTS(000):$20
Application and Permit for Use of Space in Presidential Library
and Grounds
FORMS: NA-16011
OMB NO: 3095-0025 EXPIRATION DATE: 06/30/2001
RESPS:1,750 HOURS:438 COSTS(000):$17
Item Approval Request List
FORMS: 14110 14110A
OMB NO: 3095-0026 EXPIRATION DATE: 08/31/2001
RESPS:1,266 HOURS:64 COSTS(000):$7
Request for and Record of Pass
FORMS: NA-6006
OMB NO: 3095-0027 EXPIRATION DATE: 10/31/2001
RESPS:12,000 HOURS:2,000 COSTS(000):$0
National Archives Order for Copies of Ship Passenger Arrival
Records; National Archives Order for Copies of Federal
Population Census Schedules; National Archives Order for Copies
of Eastern..
FORMS: NATF-81 NATF-82 NATF-83
OMB NO: 3095-0029 EXPIRATION DATE: 07/31/2002
RESPS:850,100 HOURS:172,300 COSTS(000):$0
Request Pertaining to Military Records
FORMS: SF-180
OMB NO: 3095-0032 EXPIRATION DATE: 12/31/2001
RESPS:150,000 HOURS:17,500 COSTS(000):$0
National Archives Order for Copies of Pension and Bounty Land
Warrant Application Files, National Archives Order for Copies of
Military Service Records Pre-WWI (Pre-1917)
FORMS: NATF-85 NATF-86
OMB NO: 3095-0033 EXPIRATION DATE: 04/30/2003
RESPS:10,000 HOURS:1,667 COSTS(000):$0
National Archives Order for Land Entry Files
FORMS: NATF-84
OMB NO: 3095-0035 EXPIRATION DATE: 09/30/2001
RESPS:1 HOURS:15 COSTS(000):$1
Request to Use Personal Paper-to-Paper Copiers at the National
Archives at the College Park Facility
FORMS: NONE
OMB NO: 3095-0036 EXPIRATION DATE: 11/30/2001
RESPS:1 HOURS:31 COSTS(000):$1
Presidential Library Facilities
FORMS: NONE
OMB NO: 3095-0037 EXPIRATION DATE: 08/31/2002
RESPS:4,500 HOURS:375 COSTS(000):$0
Returned request Form, Reply to Request Involving Relief
FORMS: NA-13022 NA-13064 NA-13068
OMB NO: 3095-0038 EXPIRATION DATE: 12/31/2002
RESPS:5,000 HOURS:1,250 COSTS(000):$0
Court Order Requirements
FORMS: NA-FORM-13027
OMB NO: 3095-0039 EXPIRATION DATE: 12/31/2002
RESPS:79,800 HOURS:6,650 COSTS(000):$0
Authorization for Release of Military Medical Patient Records,
Request for Information Needed to Locate Medical Records,
Request for Information Needed to Reconstruct Medical Data,
Questionnaire
FORMS: NA-FORMS-13036 13042 13055 13075
OMB NO: 3095-0040 EXPIRATION DATE: 05/31/2003
RESPS:660 HOURS:110 COSTS(000):$0
Request to film, photograph, or videotape at a NARA facility for
news purposes
FORMS: NONE
OMB NO: 3095-0043 EXPIRATION DATE: 05/31/2003
RESPS:52 HOURS:52 COSTS(000):$0
Request to use NARA facilities for events
FORMS: NA-16008
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
26 1,147,858 214,087 $58
National Assessment Governing Board
OMB NO: 3098-0005 EXPIRATION DATE: 08/31/2000
RESPS:10,638 HOURS:21,396 COSTS(000):$2,122,789
Voluntary National Tests: Research and Validation Support
Studies (Option Year 2)
FORMS: NONE
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
1 10,638 21,396 $2,122,789
National Capital Planning Commission
No active collections for this agency
National Commission on Libraries and Information Science
OMB NO: 3130-0004 EXPIRATION DATE: 06/30/2001
RESPS:1,000 HOURS:500 COSTS(000):$0
U.S. Participation in International Library and Information
Activities
FORMS: NONE
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
1 1,000 500 $0
Federal Council on the Arts and the Humanities
No active collections for this agency
Institute of Museum and Library Services
OMB NO: 3137-0029 EXPIRATION DATE: 10/31/2000
RESPS:1 HOURS:671 COSTS(000):$0
Generic Clearance for Institute of Museum and Library Services,
Office of Museum Services Guidelines and Reporting Forms
FORMS: NONE
OMB NO: 3137-0035 EXPIRATION DATE: 12/31/2000
RESPS:1 HOURS:12,000 COSTS(000):$0
IMLS National Leadership Grants
FORMS: NONE
OMB NO: 3137-0036 EXPIRATION DATE: 04/30/2001
RESPS:278 HOURS:1,406 COSTS(000):$0
1998 Indian Library Services Application and Guidelines
FORMS: NONE
OMB NO: 3137-0037 EXPIRATION DATE: 12/31/2001
RESPS:1 HOURS:118 COSTS(000):$0
State Grants Annual Report
FORMS: NONE
OMB NO: 3137-0038 EXPIRATION DATE: 03/31/2002
RESPS:280 HOURS:32 COSTS(000):$0
Museum/Library Partnerships Research
FORMS: NONE
OMB NO: 3137-0039 EXPIRATION DATE: 04/30/2002
RESPS:3,674 HOURS:1,225 COSTS(000):$0
Conservation Assessment Program (CAP) Evaluation
FORMS: NONE
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
6 4,235 15,452 $0
National Endowment for the Arts
OMB NO: 3135-0094 EXPIRATION DATE: 09/30/2001
RESPS:40 HOURS:1,800 COSTS(000):$0
Application for Indemnification
FORMS: NONE
OMB NO: 3135-0098 EXPIRATION DATE: 09/30/2000
RESPS:1,378 HOURS:237 COSTS(000):$0
National Endowment for the Arts Panelist Profile Form
FORMS: NONE
OMB NO: 3135-0112 EXPIRATION DATE: 11/30/2000
RESPS:5,000 HOURS:105,250 COSTS(000):$0
Blanket Justification for NEA Funding Application Guidelines, FY
1998-2001
FORMS: NONE
OMB NO: 3135-0114 EXPIRATION DATE: 02/28/2001
RESPS:600 HOURS:240 COSTS(000):$0
Customer Service Surveys and Focus Groups
FORMS: NONE
OMB NO: 3135-0116 EXPIRATION DATE: 05/31/2003
RESPS:1,062 HOURS:2,124 COSTS(000):$0
Civil Rights Compliance and Section 504 Accessibility Checklists
FORMS: NONE
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
5 8,080 109,651 $0
National Endowment for the Humanities
OMB NO: 3136-0134 EXPIRATION DATE: 06/30/2003
RESPS:20,569 HOURS:91,301 COSTS(000):$3,378
Generic Clearance Authority for the National Endowment for the
Humanities
FORMS: NONE
OMB NO: 3136-0136 EXPIRATION DATE: 12/31/2002
RESPS:100,000 HOURS:100,000 COSTS(000):$0
My History is America's History Website
FORMS: NONE
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
2 120,569 191,301 $3,378
National Mediation Board
OMB NO: 3140-0001 EXPIRATION DATE: 08/31/2002
RESPS:68 HOURS:31 COSTS(000):$0
Application for Investigation of Representation Dispute
FORMS: NMB-1
OMB NO: 3140-0002 EXPIRATION DATE: 08/31/2002
RESPS:123 HOURS:17 COSTS(000):$0
Application for Mediation Services
FORMS: NMB-2
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
2 191 48 $0
National Science Foundation
OMB NO: 3145-0019 EXPIRATION DATE: 05/31/2003
RESPS:42,683 HOURS:14,228 COSTS(000):$0
Survey of Earned Doctorates
FORMS: NONE
OMB NO: 3145-0020 EXPIRATION DATE: 04/30/2001
RESPS:34,000 HOURS:14,167 COSTS(000):$0
1999 Survey of Doctorate Recipients (SDR)
FORMS: NONE
OMB NO: 3145-0023 EXPIRATION DATE: 09/30/2002
RESPS:13,000 HOURS:156,000 COSTS(000):$0
Fellowship Applications and Award Forms
FORMS: NONE
OMB NO: 3145-0027 EXPIRATION DATE: 12/31/2001
RESPS:23,400 HOURS:43,000 COSTS(000):$0
Survey of Industrial Research and Development, 1998-2000
FORMS: RD-1 RD-1A
OMB NO: 3145-0034 EXPIRATION DATE: 08/31/2001
RESPS:20 HOURS:10 COSTS(000):$0
Antarctic Conservation Act Application Permit Form
FORMS: NSF-1078
OMB NO: 3145-0035 EXPIRATION DATE: 08/31/2002
RESPS:137 HOURS:1,242 COSTS(000):$0
National Science Foundation Science Honor Awards
FORMS: NSF-1122 NSF-1123 NSF-1124
OMB NO: 3145-0058 EXPIRATION DATE: 06/30/2002
RESPS:30,000 HOURS:3,600,000 COSTS(000):$0
National Science Foundation Proposal/Award Information, Grant
Proposal Guide
FORMS: NONE
OMB NO: 3145-0060 EXPIRATION DATE: 03/31/2002
RESPS:157,700 HOURS:753,500 COSTS(000):$0
National Science Foundation Proposal Review Process
FORMS: NSFFORM1 NSFFORM428
OMB NO: 3145-0062 EXPIRATION DATE: 09/30/2002
RESPS:11,385 HOURS:23,690 COSTS(000):$0
Survey of Graduate Students and Postdoctorates in Science and
Engineering
FORMS: NSF-811 NSF-812
OMB NO: 3145-0077 EXPIRATION DATE: 02/28/2002
RESPS:24,975 HOURS:12,487 COSTS(000):$0
1999 National Survey of Recent College Graduates (NSRCG:99)
FORMS: NONE
OMB NO: 3145-0080 EXPIRATION DATE: 07/31/2000
RESPS:260 HOURS:31,200 COSTS(000):$0
Request for Proposals
FORMS: NONE
OMB NO: 3145-0096 EXPIRATION DATE: 08/31/2000
RESPS:2,000 HOURS:100 COSTS(000):$0
Applicant Survey
FORMS: 1232
OMB NO: 3145-0100 EXPIRATION DATE: 04/30/2002
RESPS:698 HOURS:9,014 COSTS(000):$0
Survey of Research and Development Expenditures at Universities
and Colleges, FY 1999 through FY 2001
FORMS: NSF-411
OMB NO: 3145-0101 EXPIRATION DATE: 08/31/2002
RESPS:679 HOURS:12,004 COSTS(000):$0
National Survey of Scientific and Engineering Research
Facilities at Colleges and Universities
FORMS: NONE
OMB NO: 3145-0136 EXPIRATION DATE: 09/30/2001
RESPS:37,262 HOURS:37,117 COSTS(000):$212
Generic Survey Clearance of the EHR Impact Data Base
FORMS: NONE
OMB NO: 3145-0141 EXPIRATION DATE: 04/30/2001
RESPS:37,600 HOURS:15,666 COSTS(000):$0
1999 National Survey of College Graduates (NSCG)
FORMS: NONE
OMB NO: 3145-0153 EXPIRATION DATE: 04/30/2002
RESPS:580 HOURS:232 COSTS(000):$0
Outcomes and Impacts of the State/Industry University
Cooperative Research Centers (S/IUCRC) Program
FORMS: NONE
OMB NO: 3145-0157 EXPIRATION DATE: 09/30/2002
RESPS:50,030 HOURS:4,176 COSTS(000):$0
NSF Surveys to Measure Customer Service Satisfaction (FastLane
FORMS: NONE
OMB NO: 3145-0167 EXPIRATION DATE: 02/28/2003
RESPS:255 HOURS:540 COSTS(000):$205
An Evaluation of FY 1989-90 Awards made under the National
Science Foundation's Design and Manufacturing Research Programs
FORMS: NONE
OMB NO: 3145-0172 EXPIRATION DATE: 09/30/2000
RESPS:125 HOURS:125 COSTS(000):$0
Outcomes and Impacts of Research Programs of the International
Institute for Applied Systems Analysis (IIASA)
FORMS: NONE
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
20 466,789 4,728,498 $417
National Transportation Safety Board
No active collections for this agency
Navajo Hopi Indian Relocation Commission
No active collections for this agency
Office of Federal Housing Enterprise Oversight
No active collections for this agency
Office of Government Ethics
OMB NO: 3209-0001 EXPIRATION DATE: 03/31/2003
RESPS:260 HOURS:780 COSTS(000):$0
Executive Branch Personnel Public Financial Disclosure Report
FORMS: 278
OMB NO: 3209-0002 EXPIRATION DATE: 07/31/2002
RESPS:172 HOURS:29 COSTS(000):$0
Request to Inspect or Receive Copies of SF-278 Executive Branch
Personnel Public Financial Disclosure Report or Other Covered
Record
FORMS: 201
OMB NO: 3209-0006 EXPIRATION DATE: 04/30/2002
RESPS:10 HOURS:15 COSTS(000):$0
Executive Branch Confidential Financial Disclosure Report
FORMS: OGE-450
OMB NO: 3209-0007 EXPIRATION DATE: 10/31/2001
RESPS:294 HOURS:3,785 COSTS(000):$0
Executive Branch Qualified Trust Documents (See Item Nos. 1-2 of
the Supporting Statement for Precise Title of All Documents)
FORMS: NONE
OMB NO: 3209-0009 EXPIRATION DATE: 10/31/2001
RESPS:186 HOURS:9 COSTS(000):$0
Public Financial Disclosure Access Customer Service Survey
FORMS: NONE
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
5 922 4,618 $0
Office of Management and Budget
OMB NO: 0348-0002 EXPIRATION DATE: 11/30/2001
RESPS:1 HOURS:1 COSTS(000):$0
Outlay Report and Request for Reimbursement for Construction
Programs -- SF-271
FORMS: SF-271
OMB NO: 0348-0003 EXPIRATION DATE: 11/30/2001
RESPS:1 HOURS:1 COSTS(000):$0
Federal Cash Transactions Report -- SF-272 and 272A
FORMS: SF-272 SF-272A
OMB NO: 0348-0004 EXPIRATION DATE: 11/30/2001
RESPS:1 HOURS:1 COSTS(000):$0
Request for Advance or Reimbursement -- SF-270
FORMS: SF-270
OMB NO: 0348-0038 EXPIRATION DATE: 11/30/2001
RESPS:1 HOURS:1 COSTS(000):$0
Financial Status Report (Short Form) -- SF-269A
FORMS: SF-269A
OMB NO: 0348-0039 EXPIRATION DATE: 11/30/2001
RESPS:1 HOURS:1 COSTS(000):$0
Financial Status Report (Long Form) -- SF-269
FORMS: SF-269
OMB NO: 0348-0040 EXPIRATION DATE: 11/30/2001
RESPS:1 HOURS:1 COSTS(000):$0
Assurances, Nonconstruction Programs -- SF-424B
FORMS: SF-424B
OMB NO: 0348-0041 EXPIRATION DATE: 11/30/2001
RESPS:1 HOURS:1 COSTS(000):$0
Budget Information, Construction Program -- SF-424C
FORMS: SF-424C
OMB NO: 0348-0042 EXPIRATION DATE: 11/30/2001
RESPS:1 HOURS:1 COSTS(000):$0
Assurances, Construction Programs -- SF-424D
FORMS: SF-424D
OMB NO: 0348-0043 EXPIRATION DATE: 11/30/2001
RESPS:1 HOURS:1 COSTS(000):$0
Application for Federal Assistance -- SF-424
FORMS: SF-424
OMB NO: 0348-0044 EXPIRATION DATE: 11/30/2001
RESPS:1 HOURS:1 COSTS(000):$0
Budget Information, Nonconstuction Programs -- SF-424A
FORMS: SF-424A
OMB NO: 0348-0055 EXPIRATION DATE: 02/28/2001
RESPS:5 HOURS:200 COSTS(000):$8,000
Cost Accounting Standards Board Disclosure Statement for
Educational Institutions
FORMS: DS-2
OMB NO: 0348-0057 EXPIRATION DATE: 10/31/2000
RESPS:50,000 HOURS:866,800 COSTS(000):$0
OMB Circular A-133 Information Collection
FORMS: NONE
OMB NO: 0348-0058 EXPIRATION DATE: 06/30/2003
RESPS:141 HOURS:514 COSTS(000):$0
A-21 Facilities and Administrative Proposal
FORMS: NONE
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
13 50,156 867,524 $8,000
Office of National Drug Control Policy
No active collections for this agency
Office of Personnel Management
OMB NO: 3206-0001 EXPIRATION DATE: 07/31/2002
RESPS:1 HOURS:450 COSTS(000):$0
Application for 10-Point Veteran Preference
FORMS: SF-15
OMB NO: 3206-0005 EXPIRATION DATE: 06/30/2001
RESPS:10 HOURS:5 COSTS(000):$0
Questionnaire for Nonsensitive Positions
FORMS: 85
OMB NO: 3206-0006 EXPIRATION DATE: 05/31/2003
RESPS:1,560 HOURS:3,120 COSTS(000):$2
Monthly Report of Federal Civilian Employment
FORMS: 113-A
OMB NO: 3206-0007 EXPIRATION DATE: 06/30/2001
RESPS:172,150 HOURS:258,225 COSTS(000):$0
Questionnaire for National Security Positions, Continuation
Sheet for Questionnaires SF-86, SF-85P, and SF-85
FORMS: 86 86A
OMB NO: 3206-0017 EXPIRATION DATE: 09/30/2002
RESPS:1 HOURS:17 COSTS(000):$0
Medicare Part B Certification
FORMS: RI-78-11
OMB NO: 3206-0032 EXPIRATION DATE: 08/31/2001
RESPS:14,000 HOURS:2,800 COSTS(000):$0
Self-Certification of Full-Time School Attendance
FORMS: RI-25-14
OMB NO: 3206-0033 EXPIRATION DATE: 03/31/2003
RESPS:1,000 HOURS:250 COSTS(000):$0
Marital Status Certification
FORMS: RI-25-7
OMB NO: 3206-0036 EXPIRATION DATE: 08/31/2002
RESPS:21,200 HOURS:75,800 COSTS(000):$0
Establishment Information Form, Wage Data Collection Form, Wage
Data Collection Continuation Form
FORMS: DD-1918 DD-1919 DD-1919C
OMB NO: 3206-0040 EXPIRATION DATE: 10/31/2001
RESPS:500,000 HOURS:225,000 COSTS(000):$0
Qualifications and Availability Form
FORMS: 1203AW 1203FX
OMB NO: 3206-0042 EXPIRATION DATE: 03/31/2003
RESPS:1 HOURS:1,250 COSTS(000):$0
Notice of Change in Student's Status
FORMS: RI-25-15
OMB NO: 3206-0061 EXPIRATION DATE: 10/31/2001
RESPS:50 HOURS:13 COSTS(000):$0
Application for Minimum Annuity
FORMS: RI-20-I
OMB NO: 3206-0076 EXPIRATION DATE: 09/30/2000
RESPS:10 HOURS:4 COSTS(000):$0
Application to be Listed under the Voting Rights Act of 1965
FORMS: 805
OMB NO: 3206-0082 EXPIRATION DATE: 07/31/2002
RESPS:2,000 HOURS:4,000 COSTS(000):$0
Presidential Management Intern Program Application
FORMS: PMI-01
OMB NO: 3206-0095 EXPIRATION DATE: 03/31/2001
RESPS:100,000 HOURS:8,333 COSTS(000):$0
Applicant Race and National Origin Questionnaire
FORMS: 1386B
OMB NO: 3206-0106 EXPIRATION DATE: 09/30/2000
RESPS:5,700 HOURS:570 COSTS(000):$0
Mail Reinterview
FORMS: OPI-10
OMB NO: 3206-0121 EXPIRATION DATE: 06/30/2001
RESPS:3,000 HOURS:3,000 COSTS(000):$0
Application for Deferred Retirement (Separations Before October
1, 1956); Application for Deferred Retirement (Separations On or
After October 1, 1956)
FORMS: OPM-1496 OPM-1496A
OMB NO: 3206-0128 EXPIRATION DATE: 06/30/2001
RESPS:32,100 HOURS:31,298 COSTS(000):$0
Application for Refund of Retirement Deductions (CSRS)
FORMS: SF-2802 SF-2802B
OMB NO: 3206-0130 EXPIRATION DATE: 10/31/2001
RESPS:1,572 HOURS:3,144 COSTS(000):$0
Monthly Report of Full-Time Equivalent/Work-Year Civilian
Employment
FORMS: SF-113-G
OMB NO: 3206-0134 EXPIRATION DATE: 05/31/2003
RESPS:150 HOURS:75 COSTS(000):$0
Application to Make Deposit or Redeposit (CSRS) Application to
Make Service Credit Payment for Civilian Service (FERS)
FORMS: SF-2803 SF-3108
OMB NO: 3206-0138 EXPIRATION DATE: 07/31/2000
RESPS:1 HOURS:200 COSTS(000):$0
Reinstatement of Disability Annuity Previously Terminated
Because of Restoration to Earning Capacity
FORMS: RI-30-9
OMB NO: 3206-0140 EXPIRATION DATE: 09/30/2000
RESPS:12,480 HOURS:6,490 COSTS(000):$0
Representative Payee Application -- RI-20-7, Information
Necessary for a Competency Determination -- RI-30-3
FORMS: RI20-7 RI30-3
OMB NO: 3206-0141 EXPIRATION DATE: 06/30/2002
RESPS:1 HOURS:16,667 COSTS(000):$0
Health Benefits Registration Form
FORMS: OPM-2809
OMB NO: 3206-0142 EXPIRATION DATE: 06/30/2001
RESPS:2,000 HOURS:500 COSTS(000):$0
Designation of Beneficiary (CSRS)
FORMS: SF-2808
OMB NO: 3206-0143 EXPIRATION DATE: 04/30/2001
RESPS:8,000 HOURS:8,000 COSTS(000):$0
Request to Disability Annuitant for Information on Physical
Condition and Employment
FORMS: RI-30-1
OMB NO: 3206-0144 EXPIRATION DATE: 09/30/2002
RESPS:1 HOURS:250 COSTS(000):$0
We Need the Social Security Number of the Person Named Below
FORMS: RI-38-45
OMB NO: 3206-0150 EXPIRATION DATE: 04/30/2001
RESPS:250,000 HOURS:20,833 COSTS(000):$0
Fingerprint Charts
FORMS: SF-87 SF-87A
OMB NO: 3206-0156 EXPIRATION DATE: 03/31/2002
RESPS:2 HOURS:56,100 COSTS(000):$0
Application for Death Benefits under the Civil Service
Retirement System Documentation and Elections in Support of
Application for Death Benefits When the Deceased Was an....
FORMS: 2800 2800A
OMB NO: 3206-0158 EXPIRATION DATE: 04/30/2001
RESPS:500 HOURS:375 COSTS(000):$0
Former Spouse's Application for Survivor Annuity under the Civil
Service Retirement System
FORMS: 1536
OMB NO: 3206-0160 EXPIRATION DATE: 03/31/2002
RESPS:9,000 HOURS:4,500 COSTS(000):$0
Employee Health Benefits Election Form
FORMS: SF-2809
OMB NO: 3206-0162 EXPIRATION DATE: 06/30/2001
RESPS:500 HOURS:750 COSTS(000):$0
Report of Medical Examination of Person Electing Survivor
Benefits under the Civil Service Retirement System
FORMS: 1530
OMB NO: 3206-0165 EXPIRATION DATE: 11/30/2001
RESPS:1,609,000 HOURS:134,083 COSTS(000):$0
Investigative Request for Employment Data and Supervisory
Information, Personal Information, Educational Registrar, and
Dean of Students Record Data and Law Enforcement Data
FORMS: NONE
OMB NO: 3206-0167 EXPIRATION DATE: 08/31/2002
RESPS:1 HOURS:2,081 COSTS(000):$0
Financial Resources Questionnaire Notice of Amount Due Because
of Annuity Overpayment
FORMS: RI-34-1 RI-34-3
OMB NO: 3206-0168 EXPIRATION DATE: 12/31/2001
RESPS:200 HOURS:67 COSTS(000):$0
Alternative Annuity Election
FORMS: RI-20-80
OMB NO: 3206-0170 EXPIRATION DATE: 12/31/2001
RESPS:30,825 HOURS:9,076 COSTS(000):$0
Application for Refund of Retirement Deductions/Federal
Employees Retirement System (SF-3106) Current/Former Spouse's
Notification of Application for Refund of Retirement Deductions
FORMS: SF-3106 SF-3106A
OMB NO: 3206-0172 EXPIRATION DATE: 12/31/2001
RESPS:8,061 HOURS:8,061 COSTS(000):$0
Application for Death Benefits/Federal Employees Retirement
System Documentation and Elections in Support of Application for
Death Benefits when Deceased Was an Employee at the Time
FORMS: SF-3104 SF-3104B
OMB NO: 3206-0173 EXPIRATION DATE: 09/30/2002
RESPS:1,273 HOURS:318 COSTS(000):$0
Designation of Beneficiary (FERC)
FORMS: 3102
OMB NO: 3206-0174 EXPIRATION DATE: 05/31/2003
RESPS:2,400 HOURS:1,834 COSTS(000):$0
Survivor Annuity Election for a Spouse/Cover Letter for RI 20-63
Giving Information About the Cost to elect Less Than the Maximum
Survivor Annuity/Cover Letter for RI 20-63 Giving Information....
FORMS: RI-20-63 RI-20-116 RI-20-117
OMB NO: 3206-0179 EXPIRATION DATE: 06/30/2001
RESPS:2,500 HOURS:2,500 COSTS(000):$250
Disabled Dependent Questionnaire
FORMS: RI-30-10
OMB NO: 3206-0182 EXPIRATION DATE: 05/31/2001
RESPS:435,000 HOURS:108,750 COSTS(000):$0
Declaration for Federal Employment
FORMS: 306
OMB NO: 3206-0187 EXPIRATION DATE: 04/30/2001
RESPS:8,000 HOURS:1,350 COSTS(000):$0
We Need More Information About Your Missing Payment
FORMS: RI-38-31
OMB NO: 3206-0190 EXPIRATION DATE: 10/31/2001
RESPS:1,272 HOURS:1,272 COSTS(000):$0
Application for Deferred or Postponed Retirement (FERS)
FORMS: RI-92-19 RI-92-19A
OMB NO: 3206-0191 EXPIRATION DATE: 06/30/2001
RESPS:1,500 HOURS:1,500 COSTS(000):$0
Questionnaire for Public Trust Positions and Supplemental
Questionnaire for Selected Positions
FORMS: 85P 85P-S
OMB NO: 3206-0193 EXPIRATION DATE: 08/31/2000
RESPS:387 HOURS:387 COSTS(000):$0
Combined Federal Campaign Results Code Sheet
FORMS: 1417
OMB NO: 3206-0194 EXPIRATION DATE: 07/31/2000
RESPS:160 HOURS:40 COSTS(000):$0
Annuity Supplement Earnings Report
FORMS: 92-22
OMB NO: 3206-0197 EXPIRATION DATE: 05/31/2003
RESPS:25,400 HOURS:4,234 COSTS(000):$0
Verification of Who Is Getting Payments
FORMS: 38-107
OMB NO: 3206-0199 EXPIRATION DATE: 08/31/2001
RESPS:4,000 HOURS:480 COSTS(000):$0
Nonforeign Area COLA Price and Background Surveys
FORMS: NONE
OMB NO: 3206-0201 EXPIRATION DATE: 09/30/2000
RESPS:1 HOURS:18,267 COSTS(000):$0
Federal Employees Health Benefits Open Season Express,
Interactive Voice Response System
FORMS: NONE
OMB NO: 3206-0204 EXPIRATION DATE: 09/30/2001
RESPS:19,000 HOURS:9,500 COSTS(000):$0
Court Orders Affecting Retirement Benefits -- 5 CFR Sections
838.221, 838.421, and 838.721
FORMS: NONE
OMB NO: 3206-0206 EXPIRATION DATE: 08/31/2001
RESPS:250 HOURS:250 COSTS(000):$0
Evidence to Prove Dependency of a Child
FORMS: RI-25-37
OMB NO: 3206-0208 EXPIRATION DATE: 04/30/2001
RESPS:4,067 HOURS:1,356 COSTS(000):$0
Representative Payee Survey
FORMS: RI-38-115
OMB NO: 3206-0212 EXPIRATION DATE: 01/31/2001
RESPS:1 HOURS:3,000 COSTS(000):$0
Rollover Election
FORMS: RI-38-117 RI-38-118 RI-37-22
OMB NO: 3206-0213 EXPIRATION DATE: 02/28/2001
RESPS:100 HOURS:50 COSTS(000):$0
Marital Information Required of Refund Applicants
FORMS: RI95-4
OMB NO: 3206-0215 EXPIRATION DATE: 09/30/2002
RESPS:1 HOURS:10,000 COSTS(000):$0
Verification of Full-Time School Attendance
FORMS: RI-25-49
OMB NO: 3206-0216 EXPIRATION DATE: 04/30/2001
RESPS:2,200 HOURS:183 COSTS(000):$0
We Need Important Information About Your Eligibility for SSA
Disability Benefits (Our Records Show That You Have Not Received
A Decision From The SSA.)
FORMS: RI-98-7
OMB NO: 3206-0218 EXPIRATION DATE: 04/30/2001
RESPS:700 HOURS:700 COSTS(000):$19,400
Death Benefit Payment Rollover Election Form
FORMS: RI-94-7
OMB NO: 3206-0224 EXPIRATION DATE: 05/31/2001
RESPS:245,000 HOURS:4,083 COSTS(000):$0
Federal Employment Information Customer Survey
FORMS: OPM-1593
OMB NO: 3206-0230 EXPIRATION DATE: 05/31/2003
RESPS:100 HOURS:25 COSTS(000):$0
Life Insurance Election
FORMS: SF-2817
OMB NO: 3206-0231 EXPIRATION DATE: 01/31/2001
RESPS:10,000 HOURS:20,000 COSTS(000):$500,000
Federal Contractor Welfare-to-Work Success Stories
FORMS: NONE
OMB NO: 3206-0232 EXPIRATION DATE: 12/31/2000
RESPS:130 HOURS:130.5 COSTS(000):$0
Procedure for Submitting Claims
FORMS: NONE
OMB NO: 3206-0233 EXPIRATION DATE: 06/30/2001
RESPS:22,000 HOURS:11,000 COSTS(000):$0
Civil Service Retirement System Survivor Annuitant Express Pay
Application for Death Benefits
FORMS: RI-25-51
OMB NO: 3206-0234 EXPIRATION DATE: 08/31/2001
RESPS:3,300 HOURS:1,650 COSTS(000):$0
Claim for Unpaid Compensation of Deceased Civilian Employee
FORMS: SF-1153
OMB NO: 3206-0235 EXPIRATION DATE: 08/31/2001
RESPS:30 HOURS:23 COSTS(000):$0
Former Spouse Survivor Annuity Election, Information on Electing
a Survivor Annuity for Your Former Spouse
FORMS: RI-20-64 RI-20-64A
OMB NO: 3206-0236 EXPIRATION DATE: 10/31/2001
RESPS:7,333,355 HOURS:118,000 COSTS(000):$0
Generic Clearance Package for FY 1998, 1999, 2000
FORMS: NONE
OMB NO: 3206-0237 EXPIRATION DATE: 11/30/2001
RESPS:3,100 HOURS:2,325 COSTS(000):$0
Information and Instructions on Your Reconsideration Rights
FORMS: RI-38-47
OMB NO: 3206-0239 EXPIRATION DATE: 03/31/2002
RESPS:9,000 HOURS:4,500 COSTS(000):$0
Annuitant/OWCP Health Benefits Election Form
FORMS: 2809-1
OMB NO: 3206-0240 EXPIRATION DATE: 10/31/2000
RESPS:500 HOURS:84 COSTS(000):$0
Child Care Tuition Assistance Program - Provider Information
FORMS: OPM-1644
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
66 10,919,804 1,213,178 $519,652
Office of Special Counsel
OMB NO: 3255-0002 EXPIRATION DATE: 08/31/2000
RESPS:2,136 HOURS:2,136 COSTS(000):$0
Report of Possible Prohibited Personnel Practice or Other
Prohibited Activity, Disclosure of Information Form
FORMS: OSC-11 OSC-12
OMB NO: 3255-0003 EXPIRATION DATE: 03/31/2002
RESPS:6,820 HOURS:1,633 COSTS(000):$0
OSC Customer Survey Forms
FORMS: 48A 48B 48C
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
2 8,956 3,769 $0
Office of Science and Technology Policy
OMB NO: 0349-0002 EXPIRATION DATE: 11/30/2002
RESPS:120 HOURS:60 COSTS(000):$0
OSTP Evaluation of Performance as Required under the Government
Performance and Results Act (GPRA)
FORMS: NONE
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
1 120 60 $0
Office of the United States Trade Representative
No active collections for this agency
Overseas Private Investment Corporation
OMB NO: 3420-0001 EXPIRATION DATE: 09/30/2001
RESPS:850 HOURS:708 COSTS(000):$0
Request for Registration for Political Risk Investment Insurance
-- OPIC-50
FORMS: OPIC-50
OMB NO: 3420-0004 EXPIRATION DATE: 09/30/2001
RESPS:25 HOURS:175 COSTS(000):$0
Project Information Report
FORMS: OPIC-71
OMB NO: 3420-0007 EXPIRATION DATE: 01/31/2001
RESPS:15 HOURS:60 COSTS(000):$0
Contractors and Exporters Program: Application for Political
Risk Investment Insurance
FORMS: OPIC-81
OMB NO: 3420-0011 EXPIRATION DATE: 06/30/2003
RESPS:160 HOURS:960 COSTS(000):$0
Application for Political Risk Investment Insurance
FORMS: OPIC-52
OMB NO: 3420-0015 EXPIRATION DATE: 10/31/2001
RESPS:300 HOURS:900 COSTS(000):$0
Finance Application
FORMS: 115
OMB NO: 3420-0018 EXPIRATION DATE: 03/31/2003
RESPS:123 HOURS:735 COSTS(000):$0
Sponsor Disclosure Report in Support of an Application for
Financing
FORMS: OPIC-129
OMB NO: 3420-0020 EXPIRATION DATE: 11/30/2000
RESPS:150 HOURS:150 COSTS(000):$0
OPIC Expedited Screening Questionnaire, Downstream Investments
FORMS: OPIC-168
OMB NO: 3420-0021 EXPIRATION DATE: 07/31/2000
RESPS:100 HOURS:300 COSTS(000):$0
Small Business Application for Financing
FORMS: OPIC-220
OMB NO: 3420-0022 EXPIRATION DATE: 07/31/2000
RESPS:50 HOURS:200 COSTS(000):$0
Small Business Application for Political Risk Investment
Insurance
FORMS: OPIC-223
OMB NO: 3420-0023 EXPIRATION DATE: 07/31/2000
RESPS:130 HOURS:390 COSTS(000):$0
Self Monitoring Questionnaire for Investment Funds' Projects
FORMS: OPIC-217
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
10 1,903 4,578 $0
Panama Canal Commission
OMB NO: 3207-0005 EXPIRATION DATE: 02/28/2001
RESPS:7,453 HOURS:9,082 COSTS(000):$0
Personnel Administration Forms
FORMS: NONE
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
1 7,453 9,082 $0
Peace Corps
OMB NO: 0420-0001 EXPIRATION DATE: 07/31/2000
RESPS:1 HOURS:2,500 COSTS(000):$27,062
National Agency Check Questionnaire for Peace Corps Volunteer
Background Investigation
FORMS: PC-5
OMB NO: 0420-0005 EXPIRATION DATE: 12/31/2001
RESPS:30,000 HOURS:240,000 COSTS(000):$0
Peace Corps Volunteer Application
FORMS: PC-1502
OMB NO: 0420-0006 EXPIRATION DATE: 05/31/2002
RESPS:1 HOURS:13,692 COSTS(000):$0
Peace Corps Reference Form
FORMS: RMB-27
OMB NO: 0420-0007 EXPIRATION DATE: 12/31/2001
RESPS:35,000 HOURS:1,021 COSTS(000):$0
Request for Information Card
FORMS: PC-1741
OMB NO: 0420-0510 EXPIRATION DATE: 11/30/2000
RESPS:1 HOURS:1,625 COSTS(000):$616
Health Status Review/Report of Medical Exam
FORMS: 1789 1790
OMB NO: 0420-0513 EXPIRATION DATE: 04/30/2002
RESPS:10,000 HOURS:833 COSTS(000):$0
Teacher Brochure/Enrollment Form
FORMS: NONE
OMB NO: 0420-0523 EXPIRATION DATE: 08/31/2000
RESPS:300 HOURS:75 COSTS(000):$0
RPCV Country Survey
FORMS: NONE
OMB NO: 0420-0528 EXPIRATION DATE: 10/31/2000
RESPS:2,600 HOURS:434 COSTS(000):$0
Program to Assist Immigrants/Refugees Questionnaire
FORMS: NONE
OMB NO: 0420-0529 EXPIRATION DATE: 12/31/2001
RESPS:1 HOURS:6,500 COSTS(000):$0
Peace Corps Day Brochure
FORMS: WWSD-BRO99
OMB NO: 0420-0531 EXPIRATION DATE: 12/31/2001
RESPS:3,000 HOURS:150 COSTS(000):$0
Career Information Consultants Waiver Form
FORMS: NONE
OMB NO: 0420-0532 EXPIRATION DATE: 05/31/2002
RESPS:10,000 HOURS:833 COSTS(000):$0
Educator Technology Information Form
FORMS: NONE
OMB NO: 0420-0533 EXPIRATION DATE: 07/31/2000
RESPS:1,000 HOURS:80 COSTS(000):$14,223
Peace Corps Crisis Corps Application
FORMS: NONE
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
12 91,904 267,743 $41,901
Pension Benefit Guaranty Corporation
OMB NO: 1212-0009 EXPIRATION DATE: 12/31/2000
RESPS:57,900 HOURS:4,042 COSTS(000):$11,236
Payment of Premiums -- 29 CFR Part 4007, Disclosure to
Participants -- 29 CFR Part 4011
FORMS: FORM-1 FORM-1-ES
OMB NO: 1212-0013 EXPIRATION DATE: 11/30/2002
RESPS:305 HOURS:1,249 COSTS(000):$187
Reportable Events
FORMS: 10 10-ADVANCE
OMB NO: 1212-0017 EXPIRATION DATE: 10/31/2001
RESPS:13 HOURS:156 COSTS(000):$23
Liability for Termination of Single-Employer Plans
FORMS: NONE
OMB NO: 1212-0020 EXPIRATION DATE: 10/31/2001
RESPS:3,021 HOURS:48 COSTS(000):$13
Termination of Multiemployer Plans -- 29 CFR Part 4041A
FORMS: NONE
OMB NO: 1212-0021 EXPIRATION DATE: 10/31/2001
RESPS:24 HOURS:1 COSTS(000):$2
Variances for Sale of Assets -- 29 CFR Part 4204
FORMS: NONE
OMB NO: 1212-0022 EXPIRATION DATE: 10/31/2001
RESPS:20 HOURS:5 COSTS(000):$2
Mergers and Transfers Between Multiemployer Plans -- 29 CFR Part
4231
FORMS: NONE
OMB NO: 1212-0023 EXPIRATION DATE: 10/31/2001
RESPS:1 HOURS:1 COSTS(000):$2
Extension of Special Withdrawal Liability Rules -- 29 CFR Part
4203
FORMS: NONE
OMB NO: 1212-0026 EXPIRATION DATE: 11/30/2001
RESPS:45,000 HOURS:5,639 COSTS(000):$3,062
Annual Information Return/Report
FORMS: 5500
OMB NO: 1212-0030 EXPIRATION DATE: 01/31/2003
RESPS:32 HOURS:32 COSTS(000):$0
Survey of Nonparticipating Single-Premium Group Annuity Rates
FORMS: NONE
OMB NO: 1212-0031 EXPIRATION DATE: 10/31/2001
RESPS:3 HOURS:1 COSTS(000):$0
Procedures for PBGC Approval of Plan Amendments -- 29 CFR Part
FORMS: NONE
OMB NO: 1212-0032 EXPIRATION DATE: 10/31/2001
RESPS:20,943 HOURS:1 COSTS(000):$83
Duties of Plan Sponsor Following Mass Withdrawal -- 29 CFR Part
4281
FORMS: NONE
OMB NO: 1212-0033 EXPIRATION DATE: 10/31/2001
RESPS:8,018 HOURS:1 COSTS(000):$10
Notice of Insolvency -- 29 CFR Part 4245
FORMS: NONE
OMB NO: 1212-0034 EXPIRATION DATE: 10/31/2001
RESPS:179 HOURS:4 COSTS(000):$3
Notice, Collection, and Redetermination of Withdrawal Liability
-- 29 CFR Part 4219
FORMS: NONE
OMB NO: 1212-0035 EXPIRATION DATE: 10/31/2001
RESPS:5 HOURS:10 COSTS(000):$0
Allocating Unfunded Vested Benefits -- 29 CFR Part 4211
FORMS: NONE
OMB NO: 1212-0036 EXPIRATION DATE: 12/31/2000
RESPS:3,790 HOURS:5,231 COSTS(000):$2,762
Termination of Single Employer Plans
FORMS: 500 501 600 601 602 EA-S REP-S REP-D EA-D MP
OMB NO: 1212-0039 EXPIRATION DATE: 10/31/2001
RESPS:2,001 HOURS:250.5 COSTS(000):$150
Reduction or Waiver of Partial Withdrawal Liability -- 29 CFR
Part 4208
FORMS: NONE
OMB NO: 1212-0041 EXPIRATION DATE: 10/31/2002
RESPS:25 HOURS:42 COSTS(000):$6
Notice of Failure to Make Required Contributions
FORMS: 200
OMB NO: 1212-0044 EXPIRATION DATE: 10/31/2001
RESPS:201 HOURS:25.5 COSTS(000):$15
Reduction or Waiver of Complete Withdrawal Liability -- 29 CFR
Part 4207
FORMS: NONE
OMB NO: 1212-0046 EXPIRATION DATE: 07/31/2000
RESPS:360 HOURS:1,440 COSTS(000):$216
Survey of Firms with Significant Pension Plan Underfunding
FORMS: A B
OMB NO: 1212-0049 EXPIRATION DATE: 12/31/2001
RESPS:60 HOURS:552 COSTS(000):$450
Annual Finanical and Actuarial Information Reporting -- 29 CFR
Part 4010
FORMS: NONE
OMB NO: 1212-0050 EXPIRATION DATE: 10/31/2001
RESPS:3,500 HOURS:6,904 COSTS(000):$259
Disclosure to Participants
FORMS: NONE
OMB NO: 1212-0053 EXPIRATION DATE: 06/30/2003
RESPS:9,500 HOURS:2,500 COSTS(000):$0
Customer Service Focus Groups and Surveys
FORMS: NONE
OMB NO: 1212-0054 EXPIRATION DATE: 07/31/2000
RESPS:333 HOURS:112 COSTS(000):$132
Qualified Domestic Relations Orders Submitted to the PBGC
FORMS: NONE
OMB NO: 1212-0055 EXPIRATION DATE: 11/30/2002
RESPS:76,750 HOURS:32,125 COSTS(000):$25
Locating and Paying Participants
FORMS: NONE
OMB NO: 1212-0057 EXPIRATION DATE: 08/31/2001
RESPS:47,000 HOURS:1 COSTS(000):$0
Annual Information Return/Report
FORMS: 5500
OMB NO: 1212-0058 EXPIRATION DATE: 11/30/2001
RESPS:2,960 HOURS:163 COSTS(000):$0
Customer Satisfaction Surveys
FORMS: NONE
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
26 281,944 60,536 $18,638
United States Postal Service
No active collections for this agency
Presidio Trust
No active collections for this agency
Railroad Retirement Board
OMB NO: 3220-0002 EXPIRATION DATE: 04/30/2001
RESPS:19,225 HOURS:11,637 COSTS(000):$0
Application for Employee Annuity under the Railroad Retirement
Act
FORMS: AA-1 AA-1D G-204
OMB NO: 3220-0005 EXPIRATION DATE: 12/31/2000
RESPS:1,200 HOURS:120 COSTS(000):$0
Lag Service Reports
FORMS: AA-12 G-88A
OMB NO: 3220-0007 EXPIRATION DATE: 09/30/2001
RESPS:1,350 HOURS:449 COSTS(000):$0
Appeal under the Railroad Retirement and Railroad Unemployment
Insurance Act
FORMS: HA-1
OMB NO: 3220-0008 EXPIRATION DATE: 09/30/2001
RESPS:1,159 HOURS:50,893 COSTS(000):$0
Railroad Service and Compensation Reports
FORMS: BA-3A BA-4
OMB NO: 3220-0012 EXPIRATION DATE: 02/28/2003
RESPS:2,200 HOURS:917 COSTS(000):$0
Employer's Quarterly Report of Contribution Under the RUIA
FORMS: DC-1
OMB NO: 3220-0014 EXPIRATION DATE: 07/31/2000
RESPS:85 HOURS:43 COSTS(000):$0
Employee Representatives' Status and Compensation Reports
FORMS: DC-2A DC-2
OMB NO: 3220-0016 EXPIRATION DATE: 05/31/2002
RESPS:3,600 HOURS:360 COSTS(000):$0
Certification of Relinquishment of Rights
FORMS: G-88
OMB NO: 3220-0021 EXPIRATION DATE: 01/31/2003
RESPS:1,100 HOURS:196 COSTS(000):$0
Evidence of Marital Relationship; Living with Requirements
FORMS: G-124 G-124A G-237 G-238 G-238A
OMB NO: 3220-0022 EXPIRATION DATE: 06/30/2003
RESPS:78,700 HOURS:8,617 COSTS(000):$0
Application and Claim for Unemployment Benefits and Employment
Service
FORMS: UI-1 UI-3
OMB NO: 3220-0025 EXPIRATION DATE: 10/31/2000
RESPS:2,005 HOURS:234 COSTS(000):$0
Statements of Claimed Railroad Service and Earnings
FORMS: UI-9/UI-23 UI-44/ID-4F ID-4U/ID-4X ID-4Y/ID-20-1 ID-20-2/ID-20-4
OMB NO: 3220-0030 EXPIRATION DATE: 09/30/2001
RESPS:5,765 HOURS:2,864 COSTS(000):$0
Application for Survivor Insurance Annuities
FORMS: AA-17 AA-17B AA-18 AA-19 AA-19A AA-20
OMB NO: 3220-0031 EXPIRATION DATE: 01/31/2003
RESPS:20,600 HOURS:5,150 COSTS(000):$0
Application for Survivor Death Benefits
FORMS: AA-21 G-273A AA-11A G-131 AA-21CERT
OMB NO: 3220-0032 EXPIRATION DATE: 06/30/2003
RESPS:8,000 HOURS:1,391 COSTS(000):$0
Survivor Questionnaire
FORMS: RL-94-F
OMB NO: 3220-0034 EXPIRATION DATE: 11/30/2002
RESPS:400 HOURS:40 COSTS(000):$0
Statement of Authority To Act for Employee
FORMS: SI-10
OMB NO: 3220-0036 EXPIRATION DATE: 01/31/2002
RESPS:30,700 HOURS:1,875 COSTS(000):$0
Supplemental Information on Accident and Insurance
FORMS: SI-1C SI-5 ID-3S ID-3S-1 ID-3U ID-30K ID-30K-1
OMB NO: 3220-0038 EXPIRATION DATE: 10/31/2002
RESPS:29,950 HOURS:12,417 COSTS(000):$0
Medical Reports
FORMS: G-3EMP G-250 G-250A G-260 RL-11B RL-11D
OMB NO: 3220-0039 EXPIRATION DATE: 04/30/2001
RESPS:270,900 HOURS:27,921 COSTS(000):$0
Application and Claim for Sickness Benefits
FORMS: SI-1A SI-1B SI-3 SI-7 SI-8 ID-7H ID-11A
OMB NO: 3220-0042 EXPIRATION DATE: 06/30/2003
RESPS:8,500 HOURS:4,714 COSTS(000):$0
Application for Spouse Annuity Under the Railroad Retirement Act
FORMS: AA-3
OMB NO: 3220-0049 EXPIRATION DATE: 08/31/2000
RESPS:5,900 HOURS:1,388 COSTS(000):$0
Investigation of Claim for Possible Days of Employment or State
Benefits Received
FORMS: ID-5I ID-5R(SUP) ID-49R UI-48
OMB NO: 3220-0052 EXPIRATION DATE: 12/31/2000
RESPS:20,300 HOURS:16,350 COSTS(000):$0
Application to Act as Representative Payee
FORMS: AA-5 G-478
OMB NO: 3220-0055 EXPIRATION DATE: 02/28/2003
RESPS:200 HOURS:23 COSTS(000):$0
Application and Claim for RUIA Benefits Due at Death
FORMS: UI-63
OMB NO: 3220-0057 EXPIRATION DATE: 06/30/2001
RESPS:27,000 HOURS:1,494 COSTS(000):$0
Placement Service
FORMS: ES-2 ES-20A ES-20B ES-21 ES-21C UI-35
OMB NO: 3220-0070 EXPIRATION DATE: 09/30/2001
RESPS:4,500 HOURS:600 COSTS(000):$0
Employer Service and Compensation Reports
FORMS: UI-41 UI-41A
OMB NO: 3220-0079 EXPIRATION DATE: 08/31/2001
RESPS:2,900 HOURS:487 COSTS(000):$0
Certification Regarding Rights to Unemployment Benefits
FORMS: UI-45
OMB NO: 3220-0082 EXPIRATION DATE: 09/30/2000
RESPS:240 HOURS:32 COSTS(000):$0
Application for Hospital Insurance Benefits
FORMS: AA-6 AA-7 AA-8
OMB NO: 3220-0083 EXPIRATION DATE: 10/31/2000
RESPS:290 HOURS:121 COSTS(000):$0
Evidence for Application of Overall Minimum
FORMS: G-319 G-320
OMB NO: 3220-0086 EXPIRATION DATE: 07/31/2002
RESPS:35 HOURS:6 COSTS(000):$0
Application for Reimbursement for Hospital Services in Canada
FORMS: AA-104
OMB NO: 3220-0089 EXPIRATION DATE: 11/30/2002
RESPS:2,240 HOURS:300 COSTS(000):$0
Pension Plan Reports
FORMS: G-88P G-88R G-88R.1
OMB NO: 3220-0097 EXPIRATION DATE: 09/30/2001
RESPS:750 HOURS:63 COSTS(000):$0
Pay Rate Report
FORMS: UI-1E
OMB NO: 3220-0099 EXPIRATION DATE: 06/30/2002
RESPS:100 HOURS:129 COSTS(000):$0
Statement Regarding Contributions and Support
FORMS: G-134
OMB NO: 3220-0100 EXPIRATION DATE: 11/30/2002
RESPS:4,100 HOURS:1,025 COSTS(000):$0
Request for Review of Part B Medicare Claim
FORMS: G-790 G-791
OMB NO: 3220-0106 EXPIRATION DATE: 07/31/2001
RESPS:75 HOURS:13 COSTS(000):$0
Application for Search of Census Records (Railroad Retirement
Purposes Only)
FORMS: G-256
OMB NO: 3220-0107 EXPIRATION DATE: 01/31/2003
RESPS:300 HOURS:150 COSTS(000):$0
Request to Non-Railroad Employer for Information About
Annuitant's Work and Earnings
FORMS: RL-231-F
OMB NO: 3220-0123 EXPIRATION DATE: 10/31/2000
RESPS:1,230 HOURS:121 COSTS(000):$0
Student Beneficiary Monitoring
FORMS: G-315 G-315A G-315A.1
OMB NO: 3220-0127 EXPIRATION DATE: 06/30/2002
RESPS:1,200 HOURS:1,700 COSTS(000):$0
Financial Disclosure Statement
FORMS: G-423
OMB NO: 3220-0131 EXPIRATION DATE: 08/31/2002
RESPS:1 HOURS:1 COSTS(000):$0
Request for Medicare Payment
FORMS: G-740S HCFA-1500
OMB NO: 3220-0132 EXPIRATION DATE: 01/31/2003
RESPS:556 HOURS:345 COSTS(000):$0
Gross Earnings Report
FORMS: BA-11
OMB NO: 3220-0136 EXPIRATION DATE: 12/31/2000
RESPS:7,700 HOURS:1,202 COSTS(000):$0
Public Service Pension Questionnaires
FORMS: G-208 G-212
OMB NO: 3220-0138 EXPIRATION DATE: 03/31/2001
RESPS:1,000 HOURS:691 COSTS(000):$0
Self-Employment Questionnaire
FORMS: AA-4
OMB NO: 3220-0140 EXPIRATION DATE: 01/31/2003
RESPS:5,400 HOURS:450 COSTS(000):$0
Employee's Certification
FORMS: G-346
OMB NO: 3220-0141 EXPIRATION DATE: 08/31/2000
RESPS:6,000 HOURS:3,045 COSTS(000):$0
Vocational Report
FORMS: G-251
OMB NO: 3220-0145 EXPIRATION DATE: 06/30/2003
RESPS:1,500 HOURS:750 COSTS(000):$0
Nonresident Questionnaire
FORMS: RRB-1001
OMB NO: 3220-0149 EXPIRATION DATE: 05/31/2001
RESPS:25,000 HOURS:1 COSTS(000):$0
Withholding Certificate for Railroad Retirement Monthly Annuity
Payments
FORMS: RRB-W-4P
OMB NO: 3220-0151 EXPIRATION DATE: 07/31/2001
RESPS:6,535 HOURS:2,032 COSTS(000):$0
Representative Payee Monitoring
FORMS: G-99A G-99C
OMB NO: 3220-0154 EXPIRATION DATE: 07/31/2002
RESPS:500 HOURS:55 COSTS(000):$0
Employee Noncovered Service Pension Questionnaire
FORMS: G-209
OMB NO: 3220-0155 EXPIRATION DATE: 06/30/2001
RESPS:100 HOURS:17 COSTS(000):$0
Supplement to Claim of Person Outside the United States
FORMS: G-45
OMB NO: 3220-0156 EXPIRATION DATE: 06/30/2003
RESPS:4,000 HOURS:133 COSTS(000):$0
Employer's Deemed Service Month Questionnaire
FORMS: GL-99
OMB NO: 3220-0164 EXPIRATION DATE: 05/31/2002
RESPS:7,600 HOURS:1,085 COSTS(000):$0
Availability for Work
FORMS: UI-38 UI-38S ID-8K
OMB NO: 3220-0169 EXPIRATION DATE: 06/30/2003
RESPS:300 HOURS:25 COSTS(000):$0
Repayment of Debt
FORMS: G-421F
OMB NO: 3220-0171 EXPIRATION DATE: 06/30/2002
RESPS:18,600 HOURS:460 COSTS(000):$0
RUIA Claims Notification System
FORMS: ID-4K
OMB NO: 3220-0173 EXPIRATION DATE: 04/30/2002
RESPS:1,072 HOURS:1,340 COSTS(000):$0
Railroad Separation Allowance or Severance Pay Report
FORMS: BA-9
OMB NO: 3220-0175 EXPIRATION DATE: 09/30/2001
RESPS:172 HOURS:158 COSTS(000):$0
Sick Pay and Miscellaneous Payments Report
FORMS: BA-10
OMB NO: 3220-0176 EXPIRATION DATE: 05/31/2002
RESPS:1,850 HOURS:154 COSTS(000):$0
Representative Payee Parental Custody Monitoring
FORMS: G-99D
OMB NO: 3220-0178 EXPIRATION DATE: 07/31/2002
RESPS:3,000 HOURS:300 COSTS(000):$0
Aged Monitoring Questionnaire
FORMS: G-19C
OMB NO: 3220-0179 EXPIRATION DATE: 08/31/2002
RESPS:5,000 HOURS:1,250 COSTS(000):$0
Annual Earnings Questionnaire for Annuitants in Last
Pre-Retirement Non-Railroad Employment
FORMS: G-19L
OMB NO: 3220-0183 EXPIRATION DATE: 11/30/2000
RESPS:900 HOURS:225 COSTS(000):$0
Statement of Claimant or Other Person
FORMS: G-93
OMB NO: 3220-0184 EXPIRATION DATE: 07/31/2001
RESPS:1,500 HOURS:200 COSTS(000):$0
Earnings Information Request
FORMS: G-19-F
OMB NO: 3220-0185 EXPIRATION DATE: 09/30/2001
RESPS:600 HOURS:100 COSTS(000):$0
Report of Medicare State Office on Beneficiary's Buy-In Status
FORMS: RL-380F
OMB NO: 3220-0187 EXPIRATION DATE: 08/31/2002
RESPS:3,500 HOURS:790 COSTS(000):$0
Continuing Disability Report
FORMS: G-254 G-254A
OMB NO: 3220-0189 EXPIRATION DATE: 11/30/2000
RESPS:1,000 HOURS:167 COSTS(000):$0
Evidence of Coverage under An Employer Group Health Plan
FORMS: RL-311-F
OMB NO: 3220-0192 EXPIRATION DATE: 07/31/2000
RESPS:11,550 HOURS:1,043 COSTS(000):$0
Voluntary Customer Surveys in Accordance with E.O. 12862
FORMS: G-201
OMB NO: 3220-0193 EXPIRATION DATE: 11/30/2000
RESPS:1,750 HOURS:584 COSTS(000):$0
Job Information Report
FORMS: G-251A G-251B
OMB NO: 3220-0194 EXPIRATION DATE: 03/31/2001
RESPS:464 HOURS:209 COSTS(000):$0
Employee Home Address Report
FORMS: BA-6A
OMB NO: 3220-0195 EXPIRATION DATE: 02/28/2002
RESPS:500 HOURS:500 COSTS(000):$0
Statement Regarding Contributions and Support of Children
FORMS: G-139
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
64 674,449 171,152 $0
Selective Service System
OMB NO: 3240-0002 EXPIRATION DATE: 06/30/2002
RESPS:1,271,326 HOURS:42,335 COSTS(000):$0
Selective Service Registration Form
FORMS: SSS-1 SSS-1M SSS-1(SRS)
OMB NO: 3240-0003 EXPIRATION DATE: 08/31/2002
RESPS:682,781 HOURS:22,736 COSTS(000):$0
SSS Change of Information, SSS Registration Status Form, SSS
Acknowledgment and Correction/Change Form
FORMS: SSS-2 SSS-3A SSS-3B SSS-3C
OMB NO: 3240-0005 EXPIRATION DATE: 10/31/2001
RESPS:1,500 HOURS:375 COSTS(000):$0
Potential Board Member Information
FORMS: SSS-404
OMB NO: 3240-0006 EXPIRATION DATE: 08/31/2002
RESPS:1 HOURS:1 COSTS(000):$0
Registrant Claim Form
FORMS: SSS-FORM-9
OMB NO: 3240-0010 EXPIRATION DATE: 08/31/2002
RESPS:2,705 HOURS:89 COSTS(000):$0
Uncompensated Registrar Appointment
FORMS: SSS-402
OMB NO: 3240-0014 EXPIRATION DATE: 06/30/2001
RESPS:1 HOURS:1 COSTS(000):$0
Registrant Travel Reimbursement Request
FORMS: SSS-350
OMB NO: 3240-0015 EXPIRATION DATE: 06/30/2001
RESPS:1 HOURS:1 COSTS(000):$0
Application for Voluntary Induction
FORMS: 254
OMB NO: 3240-0017 EXPIRATION DATE: 08/31/2002
RESPS:1 HOURS:1 COSTS(000):$0
Application by Alien for Relief from Training and Service in the
Armed Forces of the United States
FORMS: SSS-130
OMB NO: 3240-0018 EXPIRATION DATE: 08/31/2002
RESPS:1 HOURS:1 COSTS(000):$0
Student Certificate
FORMS: SSS-109
OMB NO: 3240-0022 EXPIRATION DATE: 08/31/2002
RESPS:1 HOURS:1 COSTS(000):$0
Claim Documentation Form, Alien or Dual National
FORMS: SSS-26
OMB NO: 3240-0023 EXPIRATION DATE: 08/31/2002
RESPS:1 HOURS:1 COSTS(000):$0
Claim Documentation Form, Minister of Religion
FORMS: SSS-25
OMB NO: 3240-0024 EXPIRATION DATE: 08/31/2002
RESPS:1 HOURS:1 COSTS(000):$0
Claim Documentation Form, Hardship to Dependents
FORMS: SSS-24
OMB NO: 3240-0025 EXPIRATION DATE: 08/31/2002
RESPS:1 HOURS:1 COSTS(000):$0
Claim Documentation Form, Administrative Classifications
FORMS: SSS-21
OMB NO: 3240-0026 EXPIRATION DATE: 08/31/2002
RESPS:1 HOURS:1 COSTS(000):$0
Claim Documentation Form, Divinity Student
FORMS: SSS-23
OMB NO: 3240-0027 EXPIRATION DATE: 08/31/2002
RESPS:1 HOURS:1 COSTS(000):$0
Claim Documentation Form, Postponement of Induction
FORMS: SSS-27
OMB NO: 3240-0028 EXPIRATION DATE: 05/31/2003
RESPS:1 HOURS:1 COSTS(000):$0
Claim Documentation Form-Conscientious Objector
FORMS: SSS-FORM-22
OMB NO: 3240-0029 EXPIRATION DATE: 05/31/2002
RESPS:1 HOURS:1 COSTS(000):$0
Alternative Service Worker Travel Reimbursement Request
FORMS: SS-FORM-164
OMB NO: 3240-0030 EXPIRATION DATE: 05/31/2002
RESPS:1 HOURS:1 COSTS(000):$0
Claim for Reimbursement for Emergency Medical Care
FORMS: SSS-FORM-166
OMB NO: 3240-0031 EXPIRATION DATE: 05/31/2002
RESPS:1 HOURS:1 COSTS(000):$0
Employer Data Sheet
FORMS: SSS-153
OMB NO: 3240-0032 EXPIRATION DATE: 05/31/2002
RESPS:1 HOURS:1 COSTS(000):$0
Skills Questionnaire
FORMS: SSS-FORM-156
OMB NO: 3240-0033 EXPIRATION DATE: 05/31/2002
RESPS:1 HOURS:1 COSTS(000):$0
Alternative Service Job Data Form
FORMS: SSS-157
OMB NO: 3240-0034 EXPIRATION DATE: 05/31/2002
RESPS:1 HOURS:1 COSTS(000):$0
Request for Overseas Job Assignment
FORMS: SSS-FORM-160
OMB NO: 3240-0035 EXPIRATION DATE: 05/31/2002
RESPS:1 HOURS:1 COSTS(000):$0
Employment Verification Form
FORMS: SSS-163
OMB NO: 3240-0036 EXPIRATION DATE: 05/31/2002
RESPS:1 HOURS:1 COSTS(000):$0
Alternative Service Employment Agreement
FORMS: SSS-152
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
24 1,958,332 65,555 $0
Small Business Administration
OMB NO: 3245-0007 EXPIRATION DATE: 07/31/2000
RESPS:55,000 HOURS:28,837 COSTS(000):$0
Surety Bond Guarantee Assistance
FORMS: SBA-FORMS-990 991-994-994B 994C-994F-994H
OMB NO: 3245-0009 EXPIRATION DATE: 03/31/2001
RESPS:4,200 HOURS:700 COSTS(000):$0
Size Status Declaration
FORMS: SBA-FORM-480
OMB NO: 3245-0012 EXPIRATION DATE: 09/30/2001
RESPS:146,800 HOURS:231,800 COSTS(000):$0
Requests from Borrowers (Reports, Records, and Financial
Statements)
FORMS: SBA-FORM-770
OMB NO: 3245-0016 EXPIRATION DATE: 09/30/2001
RESPS:60,000 HOURS:1,187,000 COSTS(000):$0
Applications for Business Loans
FORMS: SBA-FORM-4 SBA-FORM-4-L SBA-FORM-4SHORT SBA-FORM-4SCH.A
SBA-FORM-4-I
OMB NO: 3245-0017 EXPIRATION DATE: 02/28/2002
RESPS:16,853 HOURS:48,561 COSTS(000):$170
Disaster Business Loan Application
FORMS: SBA-FORM-5 739A 1368
OMB NO: 3245-0018 EXPIRATION DATE: 07/31/2000
RESPS:56,418 HOURS:89,140 COSTS(000):$0
Disaster Home Loan Application
FORMS: SBA-FORM-5C SBA-FORM-739
OMB NO: 3245-0024 EXPIRATION DATE: 10/31/2002
RESPS:200,000 HOURS:50,000 COSTS(000):$0
Pro-Net
FORMS: SBA-1167
OMB NO: 3245-0062 EXPIRATION DATE: 03/31/2001
RESPS:90 HOURS:14,400 COSTS(000):$7,020
SBIC License Application; Statement of Personal History and
Qualification of Management
FORMS: SBA-FORM-415 SBA-FORM-415A
OMB NO: 3245-0063 EXPIRATION DATE: 04/30/2001
RESPS:625 HOURS:10,025 COSTS(000):$0
SBIC Financial Reports
FORMS: SBA-FORM-468
OMB NO: 3245-0075 EXPIRATION DATE: 10/31/2000
RESPS:26,000 HOURS:6,500 COSTS(000):$0
National Training Participant Evaluation Questionnaire
FORMS: FORM-20
OMB NO: 3245-0076 EXPIRATION DATE: 10/31/2000
RESPS:26,420 HOURS:6,044 COSTS(000):$0
Notice to New SBA Borrowers
FORMS: FORM-793
OMB NO: 3245-0078 EXPIRATION DATE: 04/30/2001
RESPS:2,100 HOURS:420 COSTS(000):$0
Portfolio Financing Report
FORMS: SBA-1031
OMB NO: 3245-0081 EXPIRATION DATE: 06/30/2002
RESPS:327 HOURS:507 COSTS(000):$0
Small Business Investment Company (SBIC) Leverage Application
Forms and Documents, Leverage Application Kits
FORMS: SBA-FORMS-25 33 34 1065
OMB NO: 3245-0084 EXPIRATION DATE: 06/30/2003
RESPS:53,478 HOURS:13,370 COSTS(000):$0
Disaster Home/Business Loan Inquiry Record
FORMS: SBA-FORM-700
OMB NO: 3245-0091 EXPIRATION DATE: 06/30/2001
RESPS:600,000 HOURS:150,000 COSTS(000):$0
Request for Counseling
FORMS: SBA-FORM-641 SBA-FORM-641A
OMB NO: 3245-0096 EXPIRATION DATE: 10/31/2002
RESPS:469 HOURS:3,752 COSTS(000):$0
Nomination for the Small Business Prime Contractor and
Nomination for the Small Business Subcontractor of the Year Award
FORMS: SBA-1375 SBA-883
OMB NO: 3245-0101 EXPIRATION DATE: 03/31/2003
RESPS:10,500 HOURS:42,000 COSTS(000):$0
Application for Small Business Size Determination
FORMS: SBA-FORM-355
OMB NO: 3245-0108 EXPIRATION DATE: 08/31/2000
RESPS:1,150,000 HOURS:115,000 COSTS(000):$0
SBDC Counseling Record
FORMS: SBA-FORM-1062
OMB NO: 3245-0110 EXPIRATION DATE: 03/31/2003
RESPS:30,020 HOURS:15,010 COSTS(000):$0
Borrower's Progress Certification
FORMS: SBA-FORM-1366
OMB NO: 3245-0118 EXPIRATION DATE: 09/30/2001
RESPS:200 HOURS:200 COSTS(000):$0
Disclosure Statement
FORMS: SBA-FORM-856
OMB NO: 3245-0121 EXPIRATION DATE: 06/30/2003
RESPS:57 HOURS:1,140 COSTS(000):$0
Governor's Request for Disaster Declaration
FORMS: NONE
OMB NO: 3245-0124 EXPIRATION DATE: 04/30/2002
RESPS:700 HOURS:93 COSTS(000):$0
Candidate for Appointment to SBA Advisory Councils and
Nomination for Small Business Person of the Year
FORMS: 898
OMB NO: 3245-0131 EXPIRATION DATE: 10/31/2001
RESPS:25,284 HOURS:4,214 COSTS(000):$54,360
Transaction Report on Loans Serviced by Lenders
FORMS: SBAFORM172
OMB NO: 3245-0136 EXPIRATION DATE: 10/31/2001
RESPS:4,000 HOURS:332 COSTS(000):$3,178
Disaster Survey Worksheet
FORMS: SBAFORM987
OMB NO: 3245-0140 EXPIRATION DATE: 06/30/2001
RESPS:427 HOURS:30,141 COSTS(000):$0
Notice of Award -- SBA Form 1222, Grant/Cooperative Agreement
Cost Sharing Proposal -- SBA Form 1224
FORMS: SBA-FORM-1222 SBA-FORM-1224
OMB NO: 3245-0141 EXPIRATION DATE: 10/31/2002
RESPS:63 HOURS:1,024 COSTS(000):$0
Prime Contracts Program Quarterly Report; Part A, Traditional
PCR and Part B, Breakout PCR
FORMS: SBA-FORM-843A FORM-843B
OMB NO: 3245-0172 EXPIRATION DATE: 03/31/2001
RESPS:600 HOURS:600 COSTS(000):$0
Stockholder's Confirmation (Corporation); Ownership Confirmation
(Partnership)
FORMS: SBA-FORM-1405
OMB NO: 3245-0178 EXPIRATION DATE: 07/31/2000
RESPS:50,000 HOURS:12,500 COSTS(000):$0
Statement of Personal History -- SBA Form 912
FORMS: SBA-FORM-912
OMB NO: 3245-0183 EXPIRATION DATE: 10/31/2000
RESPS:2,800 HOURS:476 COSTS(000):$0
SBA Counseling Evaluation
FORMS: 1419
OMB NO: 3245-0185 EXPIRATION DATE: 08/31/2000
RESPS:12,500 HOURS:46,875 COSTS(000):$0
Secondary Participation Guaranty and Certification Agreement
FORMS: 1086
OMB NO: 3245-0193 EXPIRATION DATE: 05/31/2002
RESPS:4,200 HOURS:4,200 COSTS(000):$84
Servicing Agent Agreement
FORMS: 1506
OMB NO: 3245-0200 EXPIRATION DATE: 06/30/2001
RESPS:17,000 HOURS:12,750 COSTS(000):$0
Settlement Sheet
FORMS: 1050
OMB NO: 3245-0201 EXPIRATION DATE: 07/31/2000
RESPS:45,000 HOURS:135,000 COSTS(000):$0
7(a) Loan Closing Forms
FORMS: SBA-147 SBA-148 SBA-159 SBA-160 SBA-160A SBA-529B SBA-928
SBA-1059
OMB NO: 3245-0212 EXPIRATION DATE: 02/28/2003
RESPS:5,000 HOURS:7,500 COSTS(000):$0
Secondary Market Assignment and Disclosure Form
FORMS: SBA-FORM-1088
OMB NO: 3245-0213 EXPIRATION DATE: 09/30/2001
RESPS:450 HOURS:1,350 COSTS(000):$63
Application for Pool of Guaranteed Interest Certificates
FORMS: SBA-FORM-1454
OMB NO: 3245-0225 EXPIRATION DATE: 02/28/2003
RESPS:300 HOURS:2,400 COSTS(000):$0
Small Business Administration, Application for Certificate of
Comptency
FORMS: SBA-FORM-1531
OMB NO: 3245-0228 EXPIRATION DATE: 05/31/2001
RESPS:1,000 HOURS:100 COSTS(000):$0
Client's Report of 7(j) Task Order Service Received
FORMS: SBA-FORM-1540
OMB NO: 3245-0298 EXPIRATION DATE: 10/31/2000
RESPS:22,500 HOURS:1,867 COSTS(000):$0
Business Information Center Customer Satisfaction Survey
FORMS: 1916
OMB NO: 3245-0301 EXPIRATION DATE: 06/30/2001
RESPS:932 HOURS:1,864 COSTS(000):$0
Financing Eligibility Statement, Social Disadvantaged-Economic
Disadvantaged
FORMS: SBA-FORM-1941-A SBA-FORM-1941-B SBA-FORM-1941-C
OMB NO: 3245-0314 EXPIRATION DATE: 09/30/2000
RESPS:28,538 HOURS:4,367 COSTS(000):$0
Voluntary Customer Surveys in Accordance with E.O. 12862
FORMS: NONE
OMB NO: 3245-0315 EXPIRATION DATE: 10/31/2000
RESPS:106 HOURS:17 COSTS(000):$0
8(a) Electronic Application Follow-Up Survey
FORMS: NONE
OMB NO: 3245-0316 EXPIRATION DATE: 12/31/2000
RESPS:10,000 HOURS:2,000 COSTS(000):$0
Mentoring Programs that Work, Women's Network for
Entrepreneurial Training (WNET)
FORMS: 2031 2031A 2031B 2031C 2031D 2031E 2031F 2031G 2031H
OMB NO: 3245-0317 EXPIRATION DATE: 10/31/2001
RESPS:30,000 HOURS:90,000 COSTS(000):$0
Small Disadvantaged Business Certification Application
FORMS: 2065
OMB NO: 3245-0319 EXPIRATION DATE: 12/31/2001
RESPS:100,000 HOURS:834 COSTS(000):$0
Business Coach Application
FORMS: SBA-2063 SBA-2064
OMB NO: 3245-0320 EXPIRATION DATE: 11/30/2002
RESPS:20,000 HOURS:20,000 COSTS(000):$0
HUBZone Empowerment Contracting Program Application
FORMS: SBA-2103
OMB NO: 3245-0324 EXPIRATION DATE: 04/30/2003
RESPS:1 HOURS:60,000 COSTS(000):$0
Entrepreneurial Development Management Information System (EDMIS)
FORMS: SBA-641 SBA-641A
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
46 2,820,958 2,454,910 $64,875
Social Security Administration
OMB NO: 0960-0001 EXPIRATION DATE: 05/31/2001
RESPS:18,000 HOURS:4,500 COSTS(000):$0
Certificate of Support
FORMS: SSA-760-F4
OMB NO: 0960-0002 EXPIRATION DATE: 05/31/2002
RESPS:3,000 HOURS:1,500 COSTS(000):$0
Statement Regarding the Inferred Death of an Individual By
Reason of Continued and Unexplained Absence
FORMS: SSA-723-F4
OMB NO: 0960-0003 EXPIRATION DATE: 09/30/2002
RESPS:45,000 HOURS:12,500 COSTS(000):$0
Application for Mother's or Father's Insurance Benefit
FORMS: SSA-5F6
OMB NO: 0960-0004 EXPIRATION DATE: 12/31/2002
RESPS:288,580 HOURS:72,145 COSTS(000):$0
Application for Widow's or Widower's Insurance Benefits
FORMS: SSA-10-BK
OMB NO: 0960-0007 EXPIRATION DATE: 04/30/2001
RESPS:1,600,000 HOURS:280,000 COSTS(000):$0
Application for Retirement Insurance Benefits
FORMS: SSA-1
OMB NO: 0960-0008 EXPIRATION DATE: 01/31/2003
RESPS:700,000 HOURS:175,000 COSTS(000):$0
Application for Wife's or Husband's Insurance Benefits
FORMS: SSA-2-F6
OMB NO: 0960-0009 EXPIRATION DATE: 09/30/2002
RESPS:180,000 HOURS:15,000 COSTS(000):$0
Marriage Certification
FORMS: SSA-3
OMB NO: 0960-0010 EXPIRATION DATE: 04/30/2001
RESPS:1,740,000 HOURS:372,417 COSTS(000):$0
Application for Child's Insurance Benefits
FORMS: SSA-4-BK
OMB NO: 0960-0012 EXPIRATION DATE: 09/30/2002
RESPS:1,400 HOURS:350 COSTS(000):$0
Application for Parent's Insurance Benefits
FORMS: SSA-7
OMB NO: 0960-0013 EXPIRATION DATE: 10/31/2000
RESPS:735,000 HOURS:122,500 COSTS(000):$0
Application for Lump-Sum Death Payment
FORMS: SSA-8-F4
OMB NO: 0960-0014 EXPIRATION DATE: 06/30/2003
RESPS:2,121,686 HOURS:371,295 COSTS(000):$0
Request to be Selected as Payee
FORMS: SSA-11-BK
OMB NO: 0960-0015 EXPIRATION DATE: 09/30/2000
RESPS:100,000 HOURS:8,333 COSTS(000):$0
Request for Withdrawal of Application
FORMS: SSA-521
OMB NO: 0960-0016 EXPIRATION DATE: 08/31/2002
RESPS:1,200 HOURS:200 COSTS(000):$0
Statement Regarding Date of Birth and Citizenship
FORMS: SSA-702
OMB NO: 0960-0017 EXPIRATION DATE: 03/31/2002
RESPS:40,000 HOURS:6,000 COSTS(000):$0
Statement Regarding Marriage
FORMS: SSA-753
OMB NO: 0960-0019 EXPIRATION DATE: 04/30/2001
RESPS:14,000 HOURS:2,333 COSTS(000):$0
Certificate of Responsibility for Welfare and Care of Child Not
in Applicant's Custody
FORMS: SSA-781
OMB NO: 0960-0020 EXPIRATION DATE: 10/31/2000
RESPS:30,000 HOURS:7,500 COSTS(000):$0
Statement Regarding Contributions
FORMS: SSA-783
OMB NO: 0960-0024 EXPIRATION DATE: 03/31/2001
RESPS:120,000 HOURS:20,000 COSTS(000):$0
Physician's/Medical Officer's Statement of Patient's Capability
to Manage Benefits
FORMS: SSA-787
OMB NO: 0960-0025 EXPIRATION DATE: 03/31/2003
RESPS:12,350 HOURS:6,175 COSTS(000):$0
Partnership Questionnaire
FORMS: SSA-7104
OMB NO: 0960-0029 EXPIRATION DATE: 09/30/2001
RESPS:375,000 HOURS:62,500 COSTS(000):$0
Request for Correction of Earnings Record
FORMS: SSA-7008
OMB NO: 0960-0030 EXPIRATION DATE: 05/31/2003
RESPS:925,000 HOURS:308,333 COSTS(000):$0
Statement of Employer
FORMS: SSA-7011
OMB NO: 0960-0034 EXPIRATION DATE: 01/31/2003
RESPS:150,000 HOURS:100,000 COSTS(000):$0
Letter to Employer Requesting Information about Wages Earned by
Beneficiary
FORMS: SSA-L725
OMB NO: 0960-0036 EXPIRATION DATE: 07/31/2001
RESPS:125,000 HOURS:37,500 COSTS(000):$0
Statement of Agricultural Employer (Years Prior to 1988);
Statement of Agricultural Employer (1988 and Later)
FORMS: SSA-1002-F3 SSA-1003-F3
OMB NO: 0960-0038 EXPIRATION DATE: 12/31/2002
RESPS:30,000 HOURS:15,000 COSTS(000):$0
Statement of Marital Relationship (By One of the Parties)
FORMS: SSA-754
OMB NO: 0960-0040 EXPIRATION DATE: 12/31/2000
RESPS:47,500 HOURS:19,792 COSTS(000):$0
Employment Relationship Questionnaire
FORMS: SSA-7160
OMB NO: 0960-0041 EXPIRATION DATE: 08/31/2002
RESPS:10,000 HOURS:500 COSTS(000):$0
State Contribution Form
FORMS: SSA-3961
OMB NO: 0960-0045 EXPIRATION DATE: 08/31/2000
RESPS:305,500 HOURS:76,675 COSTS(000):$0
Statement of Claimant or Other Persons
FORMS: SSA-795
OMB NO: 0960-0046 EXPIRATION DATE: 09/30/2000
RESPS:5,000 HOURS:417 COSTS(000):$0
Statement for Self-Employment Income
FORMS: SSA-766
OMB NO: 0960-0049 EXPIRATION DATE: 04/30/2003
RESPS:230,000 HOURS:24,167 COSTS(000):$0
Report to U.S. SSA by Person Receiving Benefits for a Child or
Adult Unable to Handle Funds; & Report to U.S. SSA
FORMS: SSA-7161-OCR-SM SSA-7162-OCR-SM
OMB NO: 0960-0050 EXPIRATION DATE: 01/31/2001
RESPS:20,000 HOURS:4,000 COSTS(000):$0
Questionnaire About Employment or Self-Employment Outside the
United States
FORMS: SSA-7163
OMB NO: 0960-0051 EXPIRATION DATE: 08/31/2000
RESPS:35,000 HOURS:2,917 COSTS(000):$0
Supplement to Claim of Person Outside the United States
FORMS: SSA-21
OMB NO: 0960-0052 EXPIRATION DATE: 09/30/2001
RESPS:750,000 HOURS:375,000 COSTS(000):$0
Medical Report (General)
FORMS: SSA-3826-F4
OMB NO: 0960-0058 EXPIRATION DATE: 10/31/2002
RESPS:50,000 HOURS:30,000 COSTS(000):$0
Report on Individual with Mental Impairment
FORMS: SSA-824
OMB NO: 0960-0059 EXPIRATION DATE: 02/28/2003
RESPS:300,000 HOURS:225,000 COSTS(000):$0
Work Activity Report--Employee
FORMS: SSA-821-BK
OMB NO: 0960-0060 EXPIRATION DATE: 06/30/2003
RESPS:1,185,942 HOURS:395,314 COSTS(000):$0
Application for Disability Insurance Benefits
FORMS: SSA-16
OMB NO: 0960-0061 EXPIRATION DATE: 06/30/2001
RESPS:47,500 HOURS:7,917 COSTS(000):$0
Farm Self-Employment Questionnaire
FORMS: SSA-7156
OMB NO: 0960-0062 EXPIRATION DATE: 01/31/2002
RESPS:3,200 HOURS:800 COSTS(000):$0
Application for Survivor Benefits
FORMS: SSA-24
OMB NO: 0960-0064 EXPIRATION DATE: 08/31/2002
RESPS:38,000 HOURS:19,000 COSTS(000):$0
Farm Arrangement Questionnaire
FORMS: SSA-7157-F4
OMB NO: 0960-0066 EXPIRATION DATE: 01/31/2001
RESPS:16,000,000 HOURS:2,275,000 COSTS(000):$0
Application for a Social Security Card
FORMS: SS-5
OMB NO: 0960-0068 EXPIRATION DATE: 11/30/2001
RESPS:5,450,173 HOURS:1,362,543 COSTS(000):$0
Representative Payee Report
FORMS: SSA-623 SSA-6230
OMB NO: 0960-0069 EXPIRATION DATE: 09/30/2001
RESPS:250,000 HOURS:125,000 COSTS(000):$0
Representative Payee Evaluation Report
FORMS: SSA-624-F5
OMB NO: 0960-0071 EXPIRATION DATE: 03/31/2003
RESPS:27,000 HOURS:2,250 COSTS(000):$0
Report of New Information in Disability Cases
FORMS: SSA-612
OMB NO: 0960-0072 EXPIRATION DATE: 01/31/2002
RESPS:830,175 HOURS:415,088 COSTS(000):$0
Report of Continuing Disability Interview
FORMS: SSA-454-BK
OMB NO: 0960-0073 EXPIRATION DATE: 01/31/2003
RESPS:70,000 HOURS:5,833 COSTS(000):$0
Reporting Changes That Affect Your Social Security Payment
FORMS: SSA-1425
OMB NO: 0960-0078 EXPIRATION DATE: 02/28/2002
RESPS:125,000 HOURS:10,417 COSTS(000):$0
Railroad Employment Questionnaire
FORMS: SSA-671
OMB NO: 0960-0084 EXPIRATION DATE: 09/30/2002
RESPS:7,000 HOURS:2,333 COSTS(000):$0
Report on Individual with Childhood Impairment
FORMS: SSA-1323
OMB NO: 0960-0086 EXPIRATION DATE: 08/31/2001
RESPS:200 HOURS:47 COSTS(000):$0
Chinese Custom Marriage Statement, Statement Regarding Chinese
Custom Marriage
FORMS: SSA-1344 SSA-1345
OMB NO: 0960-0088 EXPIRATION DATE: 12/31/2002
RESPS:75,000 HOURS:7,500 COSTS(000):$0
Student Reporting Form
FORMS: SSA-1383
OMB NO: 0960-0089 EXPIRATION DATE: 10/31/2002
RESPS:200,000 HOURS:33,333 COSTS(000):$0
Report of Student Beneficiary at End of School Year
FORMS: SSA-1388
OMB NO: 0960-0090 EXPIRATION DATE: 01/31/2002
RESPS:5,000 HOURS:833 COSTS(000):$0
Statement by School Official About Student's Attendance
FORMS: SSA-1371
OMB NO: 0960-0093 EXPIRATION DATE: 09/30/2000
RESPS:180 HOURS:45 COSTS(000):$0
Certification by a Religious Group
FORMS: SSA-1458
OMB NO: 0960-0096 EXPIRATION DATE: 10/31/2000
RESPS:15 HOURS:5 COSTS(000):$0
Application for Special Age 72-Or-Over Monthly Payments
FORMS: SSA-19
OMB NO: 0960-0097 EXPIRATION DATE: 10/31/2000
RESPS:18,000 HOURS:3,600 COSTS(000):$0
Application for Search of Census Record for Proof of Age
FORMS: SSA-1535-U3
OMB NO: 0960-0098 EXPIRATION DATE: 06/30/2002
RESPS:140,000 HOURS:35,000 COSTS(000):$0
Request for Workers' Compensation/Public Disability Benefit
Information
FORMS: SSA-1709
OMB NO: 0960-0101 EXPIRATION DATE: 06/30/2003
RESPS:300,000 HOURS:50,000 COSTS(000):$0
Claim for Amounts Due in the Case of a Deceased Beneficiary
FORMS: SSA-1724
OMB NO: 0960-0102 EXPIRATION DATE: 01/31/2002
RESPS:12,000 HOURS:6,000 COSTS(000):$0
Medical Report (Individual with Childhood Impairment)
FORMS: SSA-3827
OMB NO: 0960-0103 EXPIRATION DATE: 06/30/2001
RESPS:1,000 HOURS:1,000 COSTS(000):$0
Supplemental Statement Regarding Farming Activities of Person
Living Outside the U.S.A.
FORMS: SSA-7163A
OMB NO: 0960-0104 EXPIRATION DATE: 08/31/2002
RESPS:34,624 HOURS:17,312 COSTS(000):$0
Petition to Obtain Approval of a Fee for Representing a Claimant
Before the Social Security Administration
FORMS: SSA-1560-U4
OMB NO: 0960-0105 EXPIRATION DATE: 08/31/2001
RESPS:200,000 HOURS:33,333 COSTS(000):$0
Student's Statement Regarding School Attendance
FORMS: SSA-1372
OMB NO: 0960-0108 EXPIRATION DATE: 09/30/2001
RESPS:140,000 HOURS:105,000 COSTS(000):$0
Report of Work Activity, Continuing Disability
FORMS: SSA-3945-K
OMB NO: 0960-0109 EXPIRATION DATE: 08/31/2000
RESPS:130,000 HOURS:21,667 COSTS(000):$0
Statement of Care and Responsibility for Beneficiary
FORMS: SSA-788
OMB NO: 0960-0110 EXPIRATION DATE: 05/31/2002
RESPS:183 HOURS:183 COSTS(000):$0
State Mental Institution Policy Review
FORMS: SSA-9584
OMB NO: 0960-0112 EXPIRATION DATE: 04/30/2001
RESPS:8,000 HOURS:2,000 COSTS(000):$0
Report by Former Representative Payee
FORMS: SSA-625
OMB NO: 0960-0113 EXPIRATION DATE: 09/30/2001
RESPS:50 HOURS:8 COSTS(000):$0
Statement Regarding Student's Attendance
FORMS: SSA-2434
OMB NO: 0960-0116 EXPIRATION DATE: 02/28/2001
RESPS:50,000 HOURS:12,500 COSTS(000):$0
Child Relationship Statement
FORMS: SSA-2519
OMB NO: 0960-0118 EXPIRATION DATE: 03/31/2001
RESPS:1,800 HOURS:330 COSTS(000):$0
Application for Benefits under the Federal Mine Safety and
Health Act (Widow's, Child's and Dependent Claims)
FORMS: SSA-47 SSA-48 SSA-49
OMB NO: 0960-0120 EXPIRATION DATE: 04/30/2001
RESPS:56,000 HOURS:9,333 COSTS(000):$0
Pre-1957 Military Service Federal Benefit Questionnaire
FORMS: SSA-2512
OMB NO: 0960-0124 EXPIRATION DATE: 01/31/2003
RESPS:355,000 HOURS:147,917 COSTS(000):$0
Statement of Income and Resources
FORMS: SSA-8010-BK
OMB NO: 0960-0127 EXPIRATION DATE: 01/31/2002
RESPS:20,000 HOURS:3,333 COSTS(000):$0
Agreement to Sell Property
FORMS: SSA-8060
OMB NO: 0960-0128 EXPIRATION DATE: 11/30/2001
RESPS:33,200 HOURS:2,767 COSTS(000):$0
Reporting Events, SSI
FORMS: SSA-8150-EV
OMB NO: 0960-0130 EXPIRATION DATE: 03/31/2002
RESPS:120 HOURS:120 COSTS(000):$0
Quarterly Statistical Report on Recipients and Payments under
State-Administered Assistance Programs for Aged....
FORMS: SSA-9741
OMB NO: 0960-0133 EXPIRATION DATE: 03/31/2003
RESPS:15,000 HOURS:15,000 COSTS(000):$0
Supplemental Security Income (SSI) - Quality Review Case Analysis
FORMS: SSA-8508-BK
OMB NO: 0960-0138 EXPIRATION DATE: 05/31/2003
RESPS:133,000 HOURS:66,500 COSTS(000):$0
Letter to Employer Requesting Wage Information
FORMS: SSA-L4201
OMB NO: 0960-0140 EXPIRATION DATE: 08/31/2002
RESPS:2,134,100 HOURS:177,842 COSTS(000):$0
Record of SSI Inquiry
FORMS: SSA-3462
OMB NO: 0960-0141 EXPIRATION DATE: 04/30/2001
RESPS:36,500 HOURS:18,250 COSTS(000):$0
Disability Report, Adult
FORMS: SSA-3368-BK
OMB NO: 0960-0142 EXPIRATION DATE: 03/31/2002
RESPS:900,000 HOURS:52,500 COSTS(000):$0
Statement of Death by Funeral Director
FORMS: SSA-721
OMB NO: 0960-0143 EXPIRATION DATE: 07/31/2001
RESPS:133,000 HOURS:13,300 COSTS(000):$0
Student's Statement Regarding Resumption of School Attendance
FORMS: SSA-1386
OMB NO: 0960-0144 EXPIRATION DATE: 01/31/2002
RESPS:400,000 HOURS:200,000 COSTS(000):$0
Reconsideration Disability Report
FORMS: SSA-3441
OMB NO: 0960-0145 EXPIRATION DATE: 11/30/2000
RESPS:818,000 HOURS:149,967 COSTS(000):$0
Statement for Determining Continuing Eligibility for
Supplemental Security Income Payments
FORMS: SSA-8202-F6
OMB NO: 0960-0160 EXPIRATION DATE: 06/30/2002
RESPS:76,000 HOURS:15,833 COSTS(000):$0
Government Pension Questionnaire
FORMS: SSA-3885
OMB NO: 0960-0174 EXPIRATION DATE: 12/31/2002
RESPS:438,400 HOURS:51,147 COSTS(000):$0
Statement of Living Arrangement, In-Kind Support and Maintenance
FORMS: SSA-8006-F4
OMB NO: 0960-0184 EXPIRATION DATE: 03/31/2003
RESPS:150 HOURS:2,100 COSTS(000):$0
Instructions for Completion of Federal Assistance Application
Form SSA-96 for Social Security Administration Research and
Demonstration Grant Programs
FORMS: SSA-96
OMB NO: 0960-0189 EXPIRATION DATE: 09/30/2001
RESPS:10,365 HOURS:4,706 COSTS(000):$0
RSI/DI Quality Review Case Analysis-Sampled Number Holder,
Auxiliaries/Survivors, -Parent, Stewardship AET Workbook
FORMS: SSA-2930 SSA-2931 SSA-2932 SSA-4659
OMB NO: 0960-0229 EXPIRATION DATE: 01/31/2003
RESPS:1,002,773 HOURS:422,835 COSTS(000):$0
Application for Supplemental Security Income
FORMS: SSA-8000-BK
OMB NO: 0960-0240 EXPIRATION DATE: 11/30/2000
RESPS:71 HOURS:71 COSTS(000):$0
State Supplementation Provisions, Agreement, Payments -- 20 CFR
416.2099 Subpart T
FORMS: NONE
OMB NO: 0960-0247 EXPIRATION DATE: 11/30/2002
RESPS:100,000 HOURS:25,000 COSTS(000):$0
Worker's Compensation/Public Disability Benefit Questionnaire
FORMS: SSA-546
OMB NO: 0960-0267 EXPIRATION DATE: 01/31/2003
RESPS:60,000 HOURS:3,000 COSTS(000):$0
Medicaid Use Report -- 20 CFR 216.628
FORMS: NONE
OMB NO: 0960-0269 EXPIRATION DATE: 08/31/2002
RESPS:515,817 HOURS:85,970 COSTS(000):$0
Request for Hearing by Administrative Law Judge
FORMS: HA-501
OMB NO: 0960-0274 EXPIRATION DATE: 09/30/2001
RESPS:50,000 HOURS:4,167 COSTS(000):$0
Report of Student Beneficiary About to Attain Age 19
FORMS: SSA-1390
OMB NO: 0960-0277 EXPIRATION DATE: 08/31/2002
RESPS:103,932 HOURS:17,322 COSTS(000):$0
Request for Review of Hearing Decision/Order
FORMS: HA-520
OMB NO: 0960-0282 EXPIRATION DATE: 03/31/2003
RESPS:8,000 HOURS:2,000 COSTS(000):$0
Vocational Rehabilitation "301" Program Development
FORMS: 4290
OMB NO: 0960-0288 EXPIRATION DATE: 04/30/2001
RESPS:10,548 HOURS:879 COSTS(000):$0
Notice Regarding Substitution of Party Upon Death of Claimant
FORMS: HA-539
OMB NO: 0960-0289 EXPIRATION DATE: 05/31/2003
RESPS:171,939 HOURS:42,985 COSTS(000):$0
Claimant's Medications
FORMS: HA-4632
OMB NO: 0960-0292 EXPIRATION DATE: 03/31/2003
RESPS:309,490 HOURS:51,582 COSTS(000):$0
Claimant's Recent Medical Treatment
FORMS: HA-4631
OMB NO: 0960-0293 EXPIRATION DATE: 09/30/2001
RESPS:500,000 HOURS:50,000 COSTS(000):$0
Authorization for the Social Security Administration to Obtain
Account Records from a Financial Institution and Request for
Records
FORMS: SSA-4641-U2
OMB NO: 0960-0300 EXPIRATION DATE: 09/30/2002
RESPS:120,000 HOURS:30,000 COSTS(000):$0
Claimant's Work Background
FORMS: HA-4633
OMB NO: 0960-0310 EXPIRATION DATE: 09/30/2000
RESPS:15,375 HOURS:8,533 COSTS(000):$0
Vocational Rehabilitation Provider Claim -- 20 CFRSubpart V
FORMS: SSA-199
OMB NO: 0960-0314 EXPIRATION DATE: 12/31/2002
RESPS:150 HOURS:16 COSTS(000):$0
Black Lung Student's Statement Regarding Resumption of School
Attendance; Report of Black Lung Student Beneficiary at End of
School Year
FORMS: SSA-2602 SSA-2613
OMB NO: 0960-0316 EXPIRATION DATE: 03/31/2001
RESPS:438,444 HOURS:109,611 COSTS(000):$0
Claimant's Statement When Request for Hearing Is Filed and the
FORMS: HA-4486
OMB NO: 0960-0323 EXPIRATION DATE: 06/30/2003
RESPS:95,000 HOURS:7,917 COSTS(000):$0
Third Party Liability Information Statement
FORMS: SSA-8019-U2
OMB NO: 0960-0324 EXPIRATION DATE: 01/31/2003
RESPS:7,500 HOURS:1,250 COSTS(000):$0
Supplemental Security Income Claim Information Notice
FORMS: SSA-L8050
OMB NO: 0960-0341 EXPIRATION DATE: 09/30/2001
RESPS:2,400 HOURS:80 COSTS(000):$0
Request for Address Information from Motor Vehicles Records;
Request for Address Information from Employment Commissions
Records
FORMS: SSA-L711 SSA-L712
OMB NO: 0960-0347 EXPIRATION DATE: 07/31/2001
RESPS:1,925 HOURS:963 COSTS(000):$0
Response to Notice of Revised Determination
FORMS: SSA-765
OMB NO: 0960-0348 EXPIRATION DATE: 09/30/2001
RESPS:7,483 HOURS:998 COSTS(000):$0
Request for Change in Time/Place of Disability Hearing
FORMS: SSA-769
OMB NO: 0960-0349 EXPIRATION DATE: 09/30/2001
RESPS:15,015 HOURS:3,003 COSTS(000):$0
Request for Reconsideration, Disability Cessation
FORMS: SSA-789
OMB NO: 0960-0350 EXPIRATION DATE: 05/31/2001
RESPS:100,000 HOURS:50,000 COSTS(000):$0
Reconsideration Report for Disability Cessation
FORMS: SSA-782-BK
OMB NO: 0960-0351 EXPIRATION DATE: 09/30/2001
RESPS:1,200 HOURS:100 COSTS(000):$0
Notice Regarding Substitution of Party Upon Death of Claimant;
Reconsideration of Disability Cessation
FORMS: SSA-770
OMB NO: 0960-0369 EXPIRATION DATE: 11/30/2000
RESPS:315,000 HOURS:52,500 COSTS(000):$0
Annual Earnings Test--Direct Mail Follow-Up Program Notices
FORMS: SSA-L9778 SSA-L9779 SSA-L9781 SSA-L9784
OMB NO: 0960-0371 EXPIRATION DATE: 03/31/2002
RESPS:1,000 HOURS:250 COSTS(000):$0
Application for U.S. Benefits under the Canada-U.S.
International Social Security Agreement
FORMS: SSA-1294-F6-CN
OMB NO: 0960-0384 EXPIRATION DATE: 09/30/2000
RESPS:208 HOURS:1,248 COSTS(000):$0
SSA/DDS Cost-Effectiveness Measurement System Data Reporting Form
FORMS: SSA-1461
OMB NO: 0960-0395 EXPIRATION DATE: 01/31/2002
RESPS:90,000 HOURS:12,000 COSTS(000):$0
Modified Benefit Formula Questionnaire
FORMS: SSA-150
OMB NO: 0960-0398 EXPIRATION DATE: 03/31/2003
RESPS:30,000 HOURS:1,000 COSTS(000):$0
Certificate of Election for Reduced Spouse's Benefits
FORMS: 25
OMB NO: 0960-0406 EXPIRATION DATE: 04/30/2003
RESPS:216 HOURS:216 COSTS(000):$0
State Agency Schedule for Equipment Purchases for SSA Disability
Programs
FORMS: SSA-871
OMB NO: 0960-0408 EXPIRATION DATE: 01/31/2002
RESPS:216 HOURS:108 COSTS(000):$0
Time Report of Personnel Services for Disability Determination
Services
FORMS: SSA-4514
OMB NO: 0960-0413 EXPIRATION DATE: 03/31/2003
RESPS:1,005,804 HOURS:251,451 COSTS(000):$0
Psychiatric Review Technique
FORMS: SSA-2506
OMB NO: 0960-0416 EXPIRATION DATE: 10/31/2000
RESPS:639,000 HOURS:181,050 COSTS(000):$0
Statement for Determining Continuing Eligibility for
FORMS: SSA-8203-BK
OMB NO: 0960-0421 EXPIRATION DATE: 10/31/2000
RESPS:216 HOURS:216 COSTS(000):$0
State Agency Report of Obligations for SSA Disability Programs
FORMS: SSA-4513
OMB NO: 0960-0425 EXPIRATION DATE: 08/31/2002
RESPS:484 HOURS:434 COSTS(000):$0
Coverage of Employees of State and Local Governments
FORMS: NONE
OMB NO: 0960-0428 EXPIRATION DATE: 07/31/2001
RESPS:36 HOURS:18 COSTS(000):$0
Subpoena, Disability Hearing
FORMS: SSA-1272-U4
OMB NO: 0960-0429 EXPIRATION DATE: 07/31/2001
RESPS:100 HOURS:8 COSTS(000):$0
Notification of Projected Completion Date
FORMS: SSA-891
OMB NO: 0960-0430 EXPIRATION DATE: 09/30/2001
RESPS:22,024 HOURS:5,506 COSTS(000):$0
Summary of Evidence
FORMS: SSA-887
OMB NO: 0960-0431 EXPIRATION DATE: 06/30/2003
RESPS:1,130,772 HOURS:376,924 COSTS(000):$0
Physical Residual Functional Capacity Assessment; Mental
Residual Functional Capacity Assessment
FORMS: SSA-4734-BK SSA-4734-F4-SUP
OMB NO: 0960-0432 EXPIRATION DATE: 10/31/2002
RESPS:360,000 HOURS:180,000 COSTS(000):$0
Missing and Discrepant Wage Reports Letter and Questionnaire
FORMS: SSA-L93 SSA-95 SSA-97
OMB NO: 0960-0434 EXPIRATION DATE: 09/30/2001
RESPS:50,000 HOURS:8,333 COSTS(000):$0
Payment of Certain Travel Expenses
FORMS: NONE
OMB NO: 0960-0437 EXPIRATION DATE: 11/30/2001
RESPS:3,578,210 HOURS:894,553 COSTS(000):$0
Disability Determination and Transmittal
FORMS: SSA-831-U3/C3
OMB NO: 0960-0440 EXPIRATION DATE: 08/31/2001
RESPS:100,000 HOURS:100,000 COSTS(000):$0
Disability Hearing Officer's Report on Disability Hearing
FORMS: SSA-1205-BK
OMB NO: 0960-0441 EXPIRATION DATE: 07/31/2001
RESPS:100,000 HOURS:75,000 COSTS(000):$0
Disability Hearing Officer's Decision
FORMS: SSA-1207 SSA-1207-SUP-1 SSA-1207-SUP-3 SSA-1207-SUP-4
SSA-1207-SUP-5
OMB NO: 0960-0442 EXPIRATION DATE: 11/30/2001
RESPS:439,037 HOURS:219,519 COSTS(000):$0
Cessation or Continuance of Disability or Blindness Determination
FORMS: SSA-833-U3
OMB NO: 0960-0443 EXPIRATION DATE: 11/30/2001
RESPS:646,950 HOURS:323,475 COSTS(000):$0
Cessation or Continuance of Disability or Blindness Determination
FORMS: SSA-832-U3/C3
OMB NO: 0960-0444 EXPIRATION DATE: 11/30/2002
RESPS:1,011,046 HOURS:252,762 COSTS(000):$0
Application for Supplemental Security Income
FORMS: SSA-8001
OMB NO: 0960-0445 EXPIRATION DATE: 08/31/2001
RESPS:200 HOURS:67 COSTS(000):$0
Application for Benefits, Italy-U.S.A. Agreement on Social
Security
FORMS: SSA-2528-F4-IT
OMB NO: 0960-0448 EXPIRATION DATE: 06/30/2002
RESPS:20,000 HOURS:10,000 COSTS(000):$0
Application for Benefits under a U.S. International Social
Security Agreement
FORMS: SSA-2490-BK
OMB NO: 0960-0451 EXPIRATION DATE: 01/31/2003
RESPS:9,000 HOURS:750 COSTS(000):$0
Permanent Residence under Color of Law (PRUCOL)
FORMS: NONE
OMB NO: 0960-0454 EXPIRATION DATE: 08/31/2002
RESPS:49,000 HOURS:8,167 COSTS(000):$0
Letter to Landlord Requesting Rental Information
FORMS: SSA-L5061
OMB NO: 0960-0456 EXPIRATION DATE: 09/30/2001
RESPS:400,000 HOURS:100,000 COSTS(000):$0
Statement of Household Expenses and Contributions
FORMS: SSA-8011-F3
OMB NO: 0960-0460 EXPIRATION DATE: 12/31/2002
RESPS:5,100 HOURS:425 COSTS(000):$0
Marital Relationship Questionnaire
FORMS: SSA-4178
OMB NO: 0960-0461 EXPIRATION DATE: 07/31/2001
RESPS:200,000 HOURS:23,333 COSTS(000):$0
Information About Joint Checking/Savings Account
FORMS: SSA-2574
OMB NO: 0960-0462 EXPIRATION DATE: 09/30/2000
RESPS:12,000 HOURS:1,000 COSTS(000):$0
You Can Make Your Payment by Credit Card
FORMS: SSA-4588 SSA-4589
OMB NO: 0960-0466 EXPIRATION DATE: 04/30/2001
RESPS:3,350,000 HOURS:279,167 COSTS(000):$0
Request for Earnings and Benefit Estimate Statement
FORMS: SSA-7004
OMB NO: 0960-0470 EXPIRATION DATE: 09/30/2001
RESPS:1,000 HOURS:50 COSTS(000):$0
Agency/Employer Government Pension Offset Questionnaire
FORMS: SSA-L4163
OMB NO: 0960-0471 EXPIRATION DATE: 07/31/2001
RESPS:5,438 HOURS:1,813 COSTS(000):$0
Real Property Current Market Value Estimate
FORMS: SSA-L2794
OMB NO: 0960-0472 EXPIRATION DATE: 06/30/2001
RESPS:50,000 HOURS:8,333 COSTS(000):$0
Employer Verification of Earnings After Death
FORMS: SSA-L4112
OMB NO: 0960-0473 EXPIRATION DATE: 09/30/2001
RESPS:4,750 HOURS:792 COSTS(000):$1
Employee Identification Statement
FORMS: SSA-4156
OMB NO: 0960-0474 EXPIRATION DATE: 09/30/2001
RESPS:2,000 HOURS:167 COSTS(000):$0
Child Care Dropout Questionnaire
FORMS: SSA-4162
OMB NO: 0960-0477 EXPIRATION DATE: 01/31/2002
RESPS:30,000 HOURS:10,000 COSTS(000):$0
Modified Benefits Formula Questionnaire, Employer
FORMS: SSA-58
OMB NO: 0960-0481 EXPIRATION DATE: 03/31/2003
RESPS:40,000 HOURS:6,667 COSTS(000):$0
Statement of Funds You Provided to Another, Statement of Funds
You Received
FORMS: 2854 2855
OMB NO: 0960-0483 EXPIRATION DATE: 06/30/2002
RESPS:12,500 HOURS:3,125 COSTS(000):$0
Employee Work Activity Report
FORMS: SSA-3033
OMB NO: 0960-0487 EXPIRATION DATE: 08/31/2002
RESPS:50,000 HOURS:16,667 COSTS(000):$0
Self-Employment Corporation Officer Questionnaire
FORMS: SSA-4184
OMB NO: 0960-0492 EXPIRATION DATE: 03/31/2001
RESPS:50,000 HOURS:4,167 COSTS(000):$0
Request for SSI Benefit Estimate
FORMS: SS-3716
OMB NO: 0960-0499 EXPIRATION DATE: 03/31/2001
RESPS:132,000 HOURS:66,000 COSTS(000):$0
Questionnaire for Children Claiming SSI Benefits
FORMS: SSA-3881
OMB NO: 0960-0500 EXPIRATION DATE: 11/30/2002
RESPS:59,100 HOURS:9,850 COSTS(000):$0
Medical Report on Adult with Allegation of Human Immune
Deficiency Virus Infection and Medical Report on Child with
Allegation of Human Immune Deficiency Virus Infection
FORMS: SSA-4814-F5 SSA-4815-F6
OMB NO: 0960-0501 EXPIRATION DATE: 02/28/2001
RESPS:50 HOURS:13 COSTS(000):$0
Blood Donor Locator Service
FORMS: 209F
OMB NO: 0960-0502 EXPIRATION DATE: 07/31/2001
RESPS:163,000 HOURS:13,583 COSTS(000):$0
Beneficiary Recontact Report
FORMS: SSA-1588-OCR-SM
OMB NO: 0960-0504 EXPIRATION DATE: 03/31/2001
RESPS:10,900 HOURS:7,267 COSTS(000):$0
Disablity Report, Child
FORMS: SSA-3820-OCR-BK
OMB NO: 0960-0505 EXPIRATION DATE: 06/30/2001
RESPS:20,000 HOURS:3,333 COSTS(000):$0
Employer Verification or Records for Children under Age 7
FORMS: SSA-L3231-C1
OMB NO: 0960-0507 EXPIRATION DATE: 08/31/2001
RESPS:100,000 HOURS:100,000 COSTS(000):$0
Disability Hearing Officer's Report of Disability Hearing (DC)
FORMS: SSA-1204-BK
OMB NO: 0960-0508 EXPIRATION DATE: 10/31/2000
RESPS:3,000,000 HOURS:500,000 COSTS(000):$0
Request for Self-Employment, Request for Employment Information,
Request for Employer Information
FORMS: SSA-L2765 SSA-L3365 SSA-L4002
OMB NO: 0960-0511 EXPIRATION DATE: 08/31/2002
RESPS:900,000 HOURS:225,000 COSTS(000):$0
Disability Update Report
FORMS: SSA-455 SSA-455-OCR-SM
OMB NO: 0960-0516 EXPIRATION DATE: 08/31/2002
RESPS:60,000 HOURS:5,000 COSTS(000):$0
Continuation of Full Benefit Standard for Persons
Institutionalized -- 20 CFR 416.212
FORMS: NONE
OMB NO: 0960-0517 EXPIRATION DATE: 09/30/2002
RESPS:246 HOURS:41 COSTS(000):$0
State Report of Incorrect Bendex Information
FORMS: SSA-1086-U5
OMB NO: 0960-0525 EXPIRATION DATE: 09/30/2001
RESPS:44,000 HOURS:7,333 COSTS(000):$0
Request for Social Security Earnings Information
FORMS: SSA-7050
OMB NO: 0960-0526 EXPIRATION DATE: 12/31/2002
RESPS:1,530,854 HOURS:139,571 COSTS(000):$0
Voluntary Customer Surveys in Accordance with E.O. 12862
FORMS: NONE
OMB NO: 0960-0527 EXPIRATION DATE: 06/30/2003
RESPS:412,653 HOURS:68,776 COSTS(000):$0
Appointment of Representative
FORMS: SSA-1696-U4
OMB NO: 0960-0529 EXPIRATION DATE: 10/31/2000
RESPS:131,080 HOURS:21,847 COSTS(000):$0
Claimant's Statement About Loan of Food or Shelter, Statement
About Food or Shelter Provided to Another
FORMS: SSA-5062 SSA-L5063
OMB NO: 0960-0531 EXPIRATION DATE: 09/30/2001
RESPS:100,000 HOURS:25,000 COSTS(000):$0
Social Security Request for Information
FORMS: SSA-6231
OMB NO: 0960-0534 EXPIRATION DATE: 12/31/2000
RESPS:194 HOURS:48 COSTS(000):$0
Waiver of Right to Appear, Disability Hearing
FORMS: SSA-773-U4
OMB NO: 0960-0536 EXPIRATION DATE: 01/31/2001
RESPS:835,492 HOURS:41,775 COSTS(000):$0
Beneficiary Recontact Report
FORMS: SSA-1587-OCR-SM
OMB NO: 0960-0540 EXPIRATION DATE: 04/30/2001
RESPS:250,000 HOURS:62,500 COSTS(000):$0
Pain Report, Child
FORMS: SSA-3371-BK
OMB NO: 0960-0542 EXPIRATION DATE: 04/30/2001
RESPS:500,000 HOURS:166,667 COSTS(000):$0
Function Report, Child (Birth to 1st, Age 1 to 3rd, Age 3 to
6th, Age 6 to 12th, Age 12 to 18th Birthday)
FORMS: SSA-3375 3376 3377 3378 3379
OMB NO: 0960-0544 EXPIRATION DATE: 08/31/2002
RESPS:24,000 HOURS:400 COSTS(000):$0
Public Information Campaign
FORMS: NONE
OMB NO: 0960-0546 EXPIRATION DATE: 10/31/2002
RESPS:100,000 HOURS:16,666 COSTS(000):$0
Supplemental Security Income Notice of Interim Assistance
Reimbursement
FORMS: SSA-8125 SSA-L8125-F6
OMB NO: 0960-0547 EXPIRATION DATE: 07/31/2001
RESPS:1,211 HOURS:606 COSTS(000):$0
Wage Reports and Pension Information
FORMS: OR-418P
OMB NO: 0960-0549 EXPIRATION DATE: 06/30/2001
RESPS:10,000 HOURS:833 COSTS(000):$0
Request to Have Supplemental Security Income Overpayment
Withheld from My Social Security Benefits
FORMS: SSA-730-U2
OMB NO: 0960-0552 EXPIRATION DATE: 04/30/2001
RESPS:32,000 HOURS:16,000 COSTS(000):$0
Work History Report
FORMS: SSA-3369-BK
OMB NO: 0960-0554 EXPIRATION DATE: 09/30/2001
RESPS:34,000 HOURS:18,200 COSTS(000):$0
Certificate of Coverage Request
FORMS: NONE
OMB NO: 0960-0555 EXPIRATION DATE: 02/28/2002
RESPS:14,043,700 HOURS:3,372,117 COSTS(000):$0
Generic Clearance of Information Collections Conducted by State
Disability Determinations Services on Behalf of SSA
FORMS: NONE
OMB NO: 0960-0556 EXPIRATION DATE: 05/31/2002
RESPS:241,000 HOURS:68,283 COSTS(000):$0
Annual Registration Statement Identifying Separated Participants
with Deferred Vested Benefits
FORMS: NONE
OMB NO: 0960-0557 EXPIRATION DATE: 08/31/2002
RESPS:2,100 HOURS:105 COSTS(000):$0
Inquiry to File an SSI Child's Application
FORMS: SSRO-3-293
OMB NO: 0960-0559 EXPIRATION DATE: 09/30/2001
RESPS:7,000 HOURS:14,000 COSTS(000):$0
Plan for Achieving Self-Support
FORMS: SSA-545
OMB NO: 0960-0561 EXPIRATION DATE: 03/31/2001
RESPS:50,000 HOURS:12,500 COSTS(000):$0
Modified Benefit Formula Questionnaire, Foreign Pension
FORMS: SSA-308
OMB NO: 0960-0564 EXPIRATION DATE: 01/31/2003
RESPS:3,950,000 HOURS:197,500 COSTS(000):$0
QuickStart Enrollment Form
FORMS: NONE
OMB NO: 0960-0565 EXPIRATION DATE: 02/28/2002
RESPS:100,000 HOURS:33,367 COSTS(000):$0
Employer Report of Special Wage Payments
FORMS: SSA-131
OMB NO: 0960-0566 EXPIRATION DATE: 05/31/2003
RESPS:2,228,500 HOURS:119,133 COSTS(000):$0
Privacy and Disclosure of Official Records and Information;
Availability of Information and Records to the Public; 20-CFR
401 & 402
FORMS: SSA-3288
OMB NO: 0960-0567 EXPIRATION DATE: 09/30/2000
RESPS:2,200,000 HOURS:110,000 COSTS(000):$0
Consent for Release of Information
FORMS: SSA-3288
OMB NO: 0960-0568 EXPIRATION DATE: 01/31/2001
RESPS:1,066,000 HOURS:355,333 COSTS(000):$0
Childhood Disability Evaluation Form
FORMS: SSA-538
OMB NO: 0960-0575 EXPIRATION DATE: 02/28/2001
RESPS:550,000 HOURS:18,334 COSTS(000):$0
Request to Resolve Questionable Quarters of Coverage (QC);
Request for QC History Based on Relationship
FORMS: SSA-512 SSA-513
OMB NO: 0960-0576 EXPIRATION DATE: 03/31/2001
RESPS:30,000 HOURS:10,000 COSTS(000):$0
Representative Payee Report of Benefits and Dedicated Account
FORMS: SSA-6233
OMB NO: 0960-0577 EXPIRATION DATE: 07/31/2001
RESPS:523,000 HOURS:348,667 COSTS(000):$0
Disability Report, Child
FORMS: SSA-3820-BK
OMB NO: 0960-0578 EXPIRATION DATE: 07/31/2001
RESPS:1,000,000 HOURS:500,000 COSTS(000):$0
Work History Report
FORMS: SSA-3369-BK
OMB NO: 0960-0579 EXPIRATION DATE: 07/31/2001
RESPS:2,438,500 HOURS:1,219,250 COSTS(000):$0
Disability Report, Adult
FORMS: SSA-3368-BK
OMB NO: 0960-0581 EXPIRATION DATE: 11/30/2000
RESPS:100,000 HOURS:28,333 COSTS(000):$0
Application of Circuit Court Law -- 20 CFR 404.985(b) and 20 CFR
416.1485(b)
FORMS: NONE
OMB NO: 0960-0583 EXPIRATION DATE: 01/31/2001
RESPS:7,000 HOURS:583 COSTS(000):$0
Request for Replacement SSA-1099/SSA-1042S Social Security
Benefits Statement
FORMS: NONE
OMB NO: 0960-0585 EXPIRATION DATE: 03/31/2001
RESPS:250 HOURS:250 COSTS(000):$0
Discrimination Complaint Form
FORMS: SSA-437
OMB NO: 0960-0588 EXPIRATION DATE: 02/28/2003
RESPS:1,690 HOURS:490 COSTS(000):$0
Payee Interview; Beneficiary Interview; Custodian Interview
FORMS: SSA-835 SSA-836 SSA-837
OMB NO: 0960-0589 EXPIRATION DATE: 07/31/2000
RESPS:32,000 HOURS:8,000 COSTS(000):$0
Nursing Home Reporting Requirements Related to Supplemental
Security Income Recipients
FORMS: NONE
OMB NO: 0960-0595 EXPIRATION DATE: 11/30/2001
RESPS:133,920 HOURS:1,116 COSTS(000):$0
Electronic Benefit Verification Information
FORMS: NONE
OMB NO: 0960-0596 EXPIRATION DATE: 06/30/2003
RESPS:21,000 HOURS:525 COSTS(000):$0
Request for Internet Services - Authentication (RISA)
FORMS: NONE
OMB NO: 0960-0598 EXPIRATION DATE: 01/31/2002
RESPS:100,000 HOURS:50,000 COSTS(000):$0
Work Activity Report (Self-Employed)
FORMS: SSA-820-F4
OMB NO: 0960-0601 EXPIRATION DATE: 09/30/2000
RESPS:40,000 HOURS:39,333 COSTS(000):$0
Qualified Medicare Beneficiary Demonstration Project
FORMS: NONE
OMB NO: 0960-0602 EXPIRATION DATE: 04/30/2002
RESPS:60,000 HOURS:2,000 COSTS(000):$0
Authorization to Obtain Earnings Data from the Social Security
Administration
FORMS: SSA-581
OMB NO: 0960-0603 EXPIRATION DATE: 05/31/2001
RESPS:12,000 HOURS:6,000 COSTS(000):$0
Function Report: Adult Function Report, Third Party
FORMS: SSA-3373 SSA-3380
OMB NO: 0960-0604 EXPIRATION DATE: 05/31/2001
RESPS:7,500 HOURS:3,125 COSTS(000):$0
Symptoms Report
FORMS: SSA-3370
OMB NO: 0960-0605 EXPIRATION DATE: 06/30/2002
RESPS:10,000 HOURS:1,167 COSTS(000):$0
Organization Profile
FORMS: NONE
OMB NO: 0960-0606 EXPIRATION DATE: 04/30/2003
RESPS:88,000 HOURS:220,074 COSTS(000):$12,194
Annual Registration Statement Identifying Separated Participants
with Deferred Vested Benefits
FORMS: 1999-EDITION
OMB NO: 0960-0607 EXPIRATION DATE: 10/31/2002
RESPS:3,000 HOURS:1,500 COSTS(000):$0
Request for Information
FORMS: NONE
OMB NO: 0960-0608 EXPIRATION DATE: 08/31/2001
RESPS:163,000 HOURS:8,150 COSTS(000):$0
Request for Claimant Conference
FORMS: SSA-378
OMB NO: 0960-0609 EXPIRATION DATE: 10/31/2002
RESPS:21,454 HOURS:9,638 COSTS(000):$0
Disability Evaluation Study (National Survey on Health and
Activity)
FORMS: NONE
OMB NO: 0960-0610 EXPIRATION DATE: 11/30/2002
RESPS:12,042 HOURS:2,225 COSTS(000):$0
State Partnership Initiative Demonstration Project
FORMS: NONE
OMB NO: 0960-0611 EXPIRATION DATE: 09/30/2000
RESPS:3,600 HOURS:300 COSTS(000):$0
Social Security Card Fee Survey
FORMS: NONE
OMB NO: 0960-0612 EXPIRATION DATE: 01/31/2003
RESPS:16,000 HOURS:3,200 COSTS(000):$0
Survey of Adults to Determine Public Understanding of Social
Security Programs
FORMS: NONE
OMB NO: 0960-0613 EXPIRATION DATE: 02/28/2003
RESPS:4,740 HOURS:1,582 COSTS(000):$0
Referral System for Vocational Rehabilitation Providers (RSVP)
FORMS: NONE
OMB NO: 0960-0614 EXPIRATION DATE: 02/28/2003
RESPS:200 HOURS:33 COSTS(000):$0
Worker's Compensation Letter; Worker's Compensation Questionnaire
FORMS: SSA-L1708 SSA-1708
OMB NO: 0960-0615 EXPIRATION DATE: 06/30/2003
RESPS:12,000 HOURS:4,000 COSTS(000):$0
Application for Special Benefits for World War II Veterans
FORMS: SSA-2000
OMB NO: 0960-0616 EXPIRATION DATE: 05/31/2003
RESPS:202 HOURS:1,215 COSTS(000):$0
Notice of Proposed Rulemaking, 20 CFR Part 435, Uniform
Administrative Requirements for Grants and Agreements
FORMS: NONE
OMB NO: 0960-0617 EXPIRATION DATE: 06/30/2003
RESPS:1,000 HOURS:17 COSTS(000):$0
Denial of Supplemental Security Income Benefits for Fugitive
Felons and Probation and Parole Violators
FORMS: NONE
OMB NO: 0960-0618 EXPIRATION DATE: 06/30/2003
RESPS:560 HOURS:187 COSTS(000):$0
Internet Retirement Insurance Benefit (IRIB) Application
FORMS: NONE
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
215 97,197,200 21,258,839 $12,195
Tennessee Valley Authority
OMB NO: 3316-0002 EXPIRATION DATE: 09/30/2001
RESPS:2,067 HOURS:3,816 COSTS(000):$0
Power Distributors Monthly and Annual Reports to TVA
FORMS: TVA-3957 TVA-4171
OMB NO: 3316-0019 EXPIRATION DATE: 10/31/2000
RESPS:12,000 HOURS:3,600 COSTS(000):$0
Energy Right Residential Program
FORMS: 6254S-1 6254T-2 6254D-4 6254T-1 6254B-1 6254B-3 6254E-1 6254F-1
6254F-2 6254T
OMB NO: 3316-0060 EXPIRATION DATE: 05/31/2002
RESPS:2,600 HOURS:3,900 COSTS(000):$0
Application for Section 26a Permit, Tennessee Valley Authority
FORMS: NONE
OMB NO: 3316-0062 EXPIRATION DATE: 07/31/2000
RESPS:71,389 HOURS:67,532 COSTS(000):$4,000
TVA Procurement Documents, Including Request for Offer,
Solicitation, Offer and Acceptance, and Other Related
Procurement or Sales Forms
FORMS: 9640-1 5050
OMB NO: 3316-0096 EXPIRATION DATE: 08/31/2001
RESPS:1,000 HOURS:50 COSTS(000):$0
Customer Input Card for TVA Recreation Areas
FORMS: NONE
OMB NO: 3316-0099 EXPIRATION DATE: 10/31/2001
RESPS:2,000 HOURS:400 COSTS(000):$0
TVA Aquatic Plant Management
FORMS: NONE
OMB NO: 3316-0104 EXPIRATION DATE: 01/31/2002
RESPS:1,700 HOURS:3,400 COSTS(000):$0
Economic Assessment of Waterway Docks and Terminals
FORMS: NONE
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
7 92,756 82,698 $4,000
United States Information Agency
No active collections for this agency
The White House Office
No active collections for this agency
U.S. Trade and Development Agency
No active collections for this agency
FEDERAL ACQUISITION REGULATIONS
OMB NO: 9000-0001 EXPIRATION DATE: 09/30/2001
RESPS:715 HOURS:286 COSTS(000):$0
Affidavit of Individual Surety -- Standard Form 28; FAR Sections
Affected: 28.106-1(e), 28.203(b), 53.228(e)
FORMS: SF-28
OMB NO: 9000-0002 EXPIRATION DATE: 09/30/2000
RESPS:972,000 HOURS:563,760 COSTS(000):$0
Solicitation Mailing List Application -- SF-129
FORMS: SF-129
OMB NO: 9000-0004 EXPIRATION DATE: 03/31/2002
RESPS:35,000 HOURS:35,000 COSTS(000):$2,450,000
Architect-Engineer and Related Services Questionnaire -- SF-254,
FAR Sections Affected: Subpart 36.6 and Subpart 36.7; 53.236-2
FORMS: SF-254
OMB NO: 9000-0005 EXPIRATION DATE: 04/30/2002
RESPS:20,000 HOURS:24,000 COSTS(000):$1,680,000
Architect-Engineer and Related Services Questionnaire for
Specific Project -- SF-255 (36.702(b) and 53.236-2)
FORMS: SF-255
OMB NO: 9000-0006 EXPIRATION DATE: 04/30/2001
RESPS:14,631 HOURS:640,837 COSTS(000):$0
Subcontracting Plans/Subcontracting Report for Individual
52.219-9
FORMS: SF-294
OMB NO: 9000-0007 EXPIRATION DATE: 07/31/2000
RESPS:7,098 HOURS:91,570 COSTS(000):$2,364,024
Summary Subcontract Report
FORMS: 295
OMB NO: 9000-0010 EXPIRATION DATE: 09/30/2002
RESPS:864,000 HOURS:318,384 COSTS(000):$19,958
Progress Payments -- SF-1443, FAR Sections Affected: Subpart
FORMS: SF-1443
OMB NO: 9000-0011 EXPIRATION DATE: 09/30/2000
RESPS:144,000 HOURS:144,000 COSTS(000):$0
Preaward Survey Forms -- SFs 1403, 1404, 1405, 1405, 1407, and
1408
FORMS: SF-1403 SF-1404 SF-1405 SF-1406 SF-1407 SF-1408
OMB NO: 9000-0012 EXPIRATION DATE: 05/31/2001
RESPS:2,074 HOURS:5,185 COSTS(000):$0
Termination Settlement Proposal Forms -- SFs 1435 through 1440,
FAR Sections Affected: Subpart 49.6
FORMS: SF-1435 SF-1436 SF-1437 SF-1438 AF-1439 SF-1440
OMB NO: 9000-0013 EXPIRATION DATE: 11/30/2001
RESPS:199,992 HOURS:10,101,684 COSTS(000):$0
Cost or Pricing Data Exemption Information -- FAR Sections
Affected: Subpart 15.4, 42.7, 52.214-28, 52.215-12, 52.215-13,
52.215-20, 52.215-21
FORMS: NONE
OMB NO: 9000-0014 EXPIRATION DATE: 04/30/2001
RESPS:21,000 HOURS:3,150 COSTS(000):$0
Statement and Acknowledgment (SF 1413) -- FAR Sections Affected:
22.406-5, 22.407(a), 52.222-11(b), 53.222(e), 53.301-1413
FORMS: SF-1413
OMB NO: 9000-0018 EXPIRATION DATE: 11/30/2001
RESPS:1,285,000 HOURS:12,850 COSTS(000):$0
Certification of Indpependent Price Determination and Parent
3.302
FORMS: NONE
OMB NO: 9000-0022 EXPIRATION DATE: 09/30/2001
RESPS:13,300 HOURS:6,650 COSTS(000):$0
Customs and Duties -- FAR Sections Affected: 52.225-10
FORMS: NONE
OMB NO: 9000-0023 EXPIRATION DATE: 09/30/2001
RESPS:5 HOURS:1,038 COSTS(000):$0
Balance of Payments Program Certificate -- FAR Sections
Affected: 25.305(a), 52.225-6
FORMS: NONE
OMB NO: 9000-0024 EXPIRATION DATE: 09/30/2001
RESPS:53,260 HOURS:8,894 COSTS(000):$0
Buy American Certificate -- FAR Sections Affected: 52.225-1
FORMS: NONE
OMB NO: 9000-0025 EXPIRATION DATE: 09/30/2001
RESPS:11,400 HOURS:1,904 COSTS(000):$0
Buy American Act, Trade Agreements Act, Balance of Payments
Program Ceritficate -- FAR Sections Afected: 52.225-8
FORMS: NONE
OMB NO: 9000-0026 EXPIRATION DATE: 03/31/2003
RESPS:157,500 HOURS:26,355 COSTS(000):$555,660
Change Order Accounting - FAR Sections Affected: 43.205(f),
52.243-6
FORMS: NONE
OMB NO: 9000-0027 EXPIRATION DATE: 09/30/2001
RESPS:1,600 HOURS:48,000 COSTS(000):$0
Value Engineering Requirements -- FAR Sections Affected:
Subparts 48.1 and 48.2, 52.248-1, 52.248-2, 52.248-3
FORMS: NONE
OMB NO: 9000-0028 EXPIRATION DATE: 12/31/2001
RESPS:2,920 HOURS:11,680 COSTS(000):$0
Termination Requirements -- FAR Sections Affected: Subparts 4.1
thru 49.6
FORMS: NONE
OMB NO: 9000-0029 EXPIRATION DATE: 09/30/2001
RESPS:100 HOURS:1,600 COSTS(000):$0
Extraordinary Contractual Action Requests -- FAR Sections
Affected: 52.250-1 and 50-403-3
FORMS: NONE
OMB NO: 9000-0031 EXPIRATION DATE: 04/30/2002
RESPS:2,100 HOURS:525 COSTS(000):$22,500
Contractor Use of Government Supply Sources -- Subpart 51.1 and
52.251-1
FORMS: NONE
OMB NO: 9000-0032 EXPIRATION DATE: 04/30/2002
RESPS:140 HOURS:70 COSTS(000):$2,940
Contractor Use of Interagency Motor Pool Vehicles -- Subpart
51-2 and 52.251-2)
FORMS: NONE
OMB NO: 9000-0033 EXPIRATION DATE: 09/30/2001
RESPS:1 HOURS:82 COSTS(000):$2,122
Contractor's Signature Authority -- FAR Sections Affected: 4.102
FORMS: NONE
OMB NO: 9000-0034 EXPIRATION DATE: 10/31/2000
RESPS:19,142 HOURS:63,934 COSTS(000):$0
Examination of Records by Comptroller General and Contract Audit
FORMS: NONE
OMB NO: 9000-0035 EXPIRATION DATE: 03/31/2002
RESPS:13,500 HOURS:13,500 COSTS(000):$567,000
Claims and Appeals -- FAR Sections Affected: Parts 32 and 33 and
52.233-1
FORMS: NONE
OMB NO: 9000-0037 EXPIRATION DATE: 09/30/2001
RESPS:42,480 HOURS:7,094 COSTS(000):$0
Presolicitation Notice and Response -- Standard Form 1417; FAR
Sections Affected: 14.205-4(c), 15.201-c, 36.302, 26.701(a), and
53.236-1(a)
FORMS: SF-1417
OMB NO: 9000-0038 EXPIRATION DATE: 03/31/2002
RESPS:4,673 HOURS:2,337 COSTS(000):$98,154
Mistake in Bid -- 14.407
FORMS: NONE
OMB NO: 9000-0039 EXPIRATION DATE: 03/31/2002
RESPS:7,989 HOURS:1,254 COSTS(000):$56,028
Descriptive Literature -- 14.202-5
FORMS: NONE
OMB NO: 9000-0043 EXPIRATION DATE: 03/31/2002
RESPS:17,200 HOURS:2,872 COSTS(000):$120,624
Delivery Schedules -- FAR Sections Affected: 52.211-8 and
52.211-9
FORMS: NONE
OMB NO: 9000-0044 EXPIRATION DATE: 04/30/2002
RESPS:12,320 HOURS:209 COSTS(000):$91,980
Bid/Offer Acceptance Period -- 52.214-15, 52.214-16, 52.215(d)
FORMS: NONE
OMB NO: 9000-0045 EXPIRATION DATE: 09/30/2001
RESPS:56,520 HOURS:23,738 COSTS(000):$0
Bid, Performance, and Payment Bonds -- FAR Sections Affected:
Subparts 28.1 and 28.2, 52.228-1, 53.228
FORMS: SF-24 SF-25 SF-25-A SF-25-B SF-34 SF-35 SF-273 SF-274 SF-275
SF-1416/SF-1418
OMB NO: 9000-0047 EXPIRATION DATE: 03/31/2002
RESPS:1,111,558 HOURS:77,810 COSTS(000):$3,268,020
Place of Performance -- 14.201-6(b), 15.209(f), 52.214-14, and
52.215-6
FORMS: NONE
OMB NO: 9000-0048 EXPIRATION DATE: 03/31/2002
RESPS:495,000 HOURS:8,415 COSTS(000):$353,430
Authorized Negotiators -- 52.215-11
FORMS: NONE
OMB NO: 9000-0053 EXPIRATION DATE: 06/30/2002
RESPS:3,318 HOURS:312 COSTS(000):$13,104
Permits, Authorities, or Franchises Certification -- FAR
Sections Affected: 47.207-1(a) and 52.247-2
FORMS: NONE
OMB NO: 9000-0054 EXPIRATION DATE: 06/30/2002
RESPS:300 HOURS:75 COSTS(000):$3,150
U.S.-Flag Air Carriers Certification -- FAR Sections Affected:
47.405 and 52.247-63
FORMS: NONE
OMB NO: 9000-0055 EXPIRATION DATE: 06/30/2002
RESPS:7,920 HOURS:1,323 COSTS(000):$55,566
Freight Classification Description -- FAR Sections Affected:
47.305-9(b) and 52.247-53
FORMS: NONE
OMB NO: 9000-0056 EXPIRATION DATE: 04/30/2002
RESPS:1,000 HOURS:167 COSTS(000):$7,014
Report of Shipment -- 42.1406-1, 42.1406-2, 52.242-12
FORMS: NONE
OMB NO: 9000-0057 EXPIRATION DATE: 06/30/2002
RESPS:400 HOURS:100 COSTS(000):$4,200
Evaluation of Export Offers -- FAR Sections Affected:
47.305-6(e) and 52.247-51
FORMS: NONE
OMB NO: 9000-0058 EXPIRATION DATE: 04/30/2002
RESPS:5,200 HOURS:5,200 COSTS(000):$218,400
Schedules for Construction Contracts -- 52.236-15
FORMS: NONE
OMB NO: 9000-0059 EXPIRATION DATE: 04/30/2002
RESPS:424 HOURS:72 COSTS(000):$3,024
North Carolina Sales Tax Certification -- FAR Sections Affected:
29.304(d), 29.401-2, and 52.229-2
FORMS: NONE
OMB NO: 9000-0060 EXPIRATION DATE: 04/30/2002
RESPS:4,212 HOURS:8,424 COSTS(000):$410,670
Accident Prevention Plans and Recordkeeping -- 52.236-13
FORMS: NONE
OMB NO: 9000-0061 EXPIRATION DATE: 06/30/2002
RESPS:283,400 HOURS:65,182 COSTS(000):$2,737,644
Transportation Requirements -- FAR Sections Affected: 47.207-1;
47..303-1 thru 47.303-16; 47.305-2, -3, -6, and -13; 47.507(a);
52.247-6, -29 thru -44, -48, -52, -57, and -64.
FORMS: NONE
OMB NO: 9000-0062 EXPIRATION DATE: 04/30/2002
RESPS:4,740 HOURS:1,185 COSTS(000):$41,475
Material and Workmanship -- 52.236-5
FORMS: NONE
OMB NO: 9000-0064 EXPIRATION DATE: 04/30/2002
RESPS:50 HOURS:38 COSTS(000):$1,330
Organization and Direction of Work -- 36.519, 52.236-19
FORMS: NONE
OMB NO: 9000-0065 EXPIRATION DATE: 03/31/2002
RESPS:1,270 HOURS:318 COSTS(000):$13,356
Overtime -- 22.103 and 52.222-2
FORMS: NONE
OMB NO: 9000-0066 EXPIRATION DATE: 03/31/2001
RESPS:5,340 HOURS:2,670 COSTS(000):$0
Professional Employee Compensation Plan -- Subpart 22.11,
52.222-46
FORMS: NONE
OMB NO: 9000-0067 EXPIRATION DATE: 04/30/2002
RESPS:3,000 HOURS:3,000 COSTS(000):$131,250
Incentive Contracts -- Subpart 16.4, 52.216-10, 52.216-16, and
52.216-17
FORMS: NONE
OMB NO: 9000-0068 EXPIRATION DATE: 06/30/2002
RESPS:5,346 HOURS:1,337 COSTS(000):$56,154
Economic Price Adjustment -- FAR Sections Affected: 16.203,
52.216-2, 52.216-3, and 52.216-4
FORMS: NONE
OMB NO: 9000-0069 EXPIRATION DATE: 06/30/2002
RESPS:2,469 HOURS:2,469 COSTS(000):$103,698
Indirect Cost Rates -- FAR Sections Affected: Subpart 42.7,
52.216-7, 52.216-13, and 52.216-15
FORMS: NONE
OMB NO: 9000-0070 EXPIRATION DATE: 06/30/2002
RESPS:9,600,000 HOURS:240,000 COSTS(000):$8,400,000
Payments -- FAR Sections Affected: 52.232-1 Through 52.232-11
FORMS: NONE
OMB NO: 9000-0071 EXPIRATION DATE: 06/30/2002
RESPS:7,000 HOURS:7,000 COSTS(000):$294,000
Price Redetermination -- FAR Sections Affected: 16.205, 16.206,
52.216-5 and 52.216-6
FORMS: NONE
OMB NO: 9000-0073 EXPIRATION DATE: 06/30/2002
RESPS:500 HOURS:500 COSTS(000):$17,500
Advance Payments -- FAR Sections Affected: Subpart 32.4 and
52.232-12
FORMS: NONE
OMB NO: 9000-0074 EXPIRATION DATE: 06/30/2002
RESPS:53,456 HOURS:31,728 COSTS(000):$1,110,480
Limitation of Costs/Funds -- FAR Sections Affected: Subpart 32.7
and 52.232-20 thru 52.232-22
FORMS: NONE
OMB NO: 9000-0075 EXPIRATION DATE: 07/31/2000
RESPS:13,624,759 HOURS:3,428,957 COSTS(000):$0
Government Property -- Part 45, Clauses 52.245-1, -4, -5, -7,
FORMS: 1426THRU1434
OMB NO: 9000-0076 EXPIRATION DATE: 05/31/2003
RESPS:1,000 HOURS:458 COSTS(000):$0
Novation/Change of Name Requirements FAR Section Affected:
Subpart 42.12
FORMS: NONE
OMB NO: 9000-0077 EXPIRATION DATE: 06/30/2001
RESPS:950 HOURS:39,719 COSTS(000):$0
Quality Assurance Requirements -- FAR Sections Affected:
Subparts 46.1 thru 46.3; 52.246-2 thru 52.246-8; 52.246-10,
52.246-12, and 52.246-15
FORMS: NONE
OMB NO: 9000-0078 EXPIRATION DATE: 09/30/2001
RESPS:450 HOURS:3,600 COSTS(000):$0
Make-or-Buy Program -- FAR Sections Affected: 15.407-2, 52.215-9
FORMS: NONE
OMB NO: 9000-0079 EXPIRATION DATE: 06/30/2003
RESPS:3,000 HOURS:18,000 COSTS(000):$0
Corporate Aircraft Costs FAR Sections Affected: 31.205-46
FORMS: NONE
OMB NO: 9000-0080 EXPIRATION DATE: 09/30/2002
RESPS:10,000 HOURS:10,000 COSTS(000):$420
Integrity of Unit Prices -- FAR Sections Affected: 15.408(f) and
52.215-14
FORMS: NONE
OMB NO: 9000-0082 EXPIRATION DATE: 09/30/2002
RESPS:38,100 HOURS:31,623 COSTS(000):$1,328
Economic Purchase Quantities--Supplies -- FAR Sections Affected:
7.203 and 52.207-4
FORMS: NONE
OMB NO: 9000-0083 EXPIRATION DATE: 09/30/2002
RESPS:220,700 HOURS:55,175 COSTS(000):$2,317,350
Qualification Requirements -- FAR Sections Affected: Subpart 9.2
and 52.209-1
FORMS: NONE
OMB NO: 9000-0088 EXPIRATION DATE: 06/30/2001
RESPS:10 HOURS:14,500 COSTS(000):$485,750
Travel Costs -- 31.205-46
FORMS: NONE
OMB NO: 9000-0090 EXPIRATION DATE: 03/31/2001
RESPS:1,100 HOURS:29,970 COSTS(000):$0
Rights in Data and Copyrights -- Subpart 27.4, 52.227-14 thru
52.227-21
FORMS: NONE
OMB NO: 9000-0091 EXPIRATION DATE: 04/30/2002
RESPS:100 HOURS:100 COSTS(000):$4,200
Anti-Kickback Procedures -- 3.502, 52.203-7
FORMS: NONE
OMB NO: 9000-0094 EXPIRATION DATE: 06/30/2002
RESPS:1,100,000 HOURS:91,667 COSTS(000):$3,850,014
Debarment and Suspension -- FAR Sections Affected: 9.409,
52.209-5, and 52.209-6
FORMS: NONE
OMB NO: 9000-0095 EXPIRATION DATE: 08/31/2001
RESPS:11,700 HOURS:45,630 COSTS(000):$0
Commerce Patent Regulations -- Public Law 98-620, FAR Subpart
27.3; FAR Sections Affected: Subpart 27.3; 52.227-11; 52.227-12,
52.227-13
FORMS: NONE
OMB NO: 9000-0096 EXPIRATION DATE: 08/31/2000
RESPS:30 HOURS:15 COSTS(000):$0
Patents
FORMS: NONE
OMB NO: 9000-0097 EXPIRATION DATE: 09/30/2001
RESPS:3,000,000 HOURS:300,000 COSTS(000):$0
Information Reporting to the Internal Revenue Service (Taxpayer
Identification Number) -- FAR Sections Affected: Subpart 4.9,
52.204-3
FORMS: NONE
OMB NO: 9000-0101 EXPIRATION DATE: 04/30/2002
RESPS:600 HOURS:102 COSTS(000):$8,400
Drug-Free Workplace -- 52.223-6(b)(5)
FORMS: NONE
OMB NO: 9000-0102 EXPIRATION DATE: 06/30/2001
RESPS:1.5000000 HOURS:697,461 COSTS(000):$0
Prompt Payment -- FAR Sections Affected: Subpart 32.9, 52.232-5,
52..232-25, 52.232-26, 52.232-27, 52.212-4
FORMS: NONE
OMB NO: 9000-0107 EXPIRATION DATE: 04/30/2002
RESPS:2,500 HOURS:2,500 COSTS(000):$105,000
Notice of Radioactive Materials -- 23.602 and 52.223-7
FORMS: NONE
OMB NO: 9000-0108 EXPIRATION DATE: 04/30/2002
RESPS:1,000 HOURS:1,250 COSTS(000):$52,500
Bankruptcy -- 52.242-13
FORMS: NONE
OMB NO: 9000-0113 EXPIRATION DATE: 08/31/2000
RESPS:20 HOURS:20 COSTS(000):$0
Acquisition of Helium
FORMS: NONE
OMB NO: 9000-0114 EXPIRATION DATE: 08/31/2000
RESPS:130 HOURS:440 COSTS(000):$0
Right of First Refusal of Employment
FORMS: NONE
OMB NO: 9000-0115 EXPIRATION DATE: 10/31/2000
RESPS:100 HOURS:125 COSTS(000):$0
Notification of Ownership Changes
FORMS: NONE
OMB NO: 9000-0122 EXPIRATION DATE: 04/30/2001
RESPS:5,000 HOURS:2,250 COSTS(000):$0
Scope and Duration of Contract -- FAR 52.241-3
FORMS: NONE
OMB NO: 9000-0123 EXPIRATION DATE: 04/30/2001
RESPS:5,000 HOURS:2,250 COSTS(000):$0
Change in Rates or Terms and Conditions of Service for Regulated
Services -- FAR Sections Affected: 52.241-7
FORMS: NONE
OMB NO: 9000-0124 EXPIRATION DATE: 04/30/2001
RESPS:450 HOURS:900 COSTS(000):$0
Capital Credits -- FAR Clause 52.241-13
FORMS: NONE
OMB NO: 9000-0125 EXPIRATION DATE: 04/30/2001
RESPS:50 HOURS:25 COSTS(000):$0
Written Refusal of a Utility Supplier to Execute a Utility
Contract -- FAR Sections Affected: 41.202(c)
FORMS: NONE
OMB NO: 9000-0126 EXPIRATION DATE: 04/30/2001
RESPS:500 HOURS:225 COSTS(000):$0
Electric Service Territory Compliance Representation -- FAR
52.241-1
FORMS: NONE
OMB NO: 9000-0129 EXPIRATION DATE: 07/31/2000
RESPS:1,462 HOURS:293,650 COSTS(000):$0
Cost Accounting Standards Administration
FORMS: NONE
OMB NO: 9000-0130 EXPIRATION DATE: 03/31/2003
RESPS:5,700 HOURS:952 COSTS(000):$39,318
Buy American Act-north American Free Trade Agreement
Implementation Act-Balance of Payments Program Certificate FAR
Sections Affected: 52.225-4
FORMS: NONE
OMB NO: 9000-0132 EXPIRATION DATE: 07/31/2000
RESPS:1,580 HOURS:26,860 COSTS(000):$0
Contractors' Purchasing Systems Reviews
FORMS: NONE
OMB NO: 9000-0133 EXPIRATION DATE: 10/31/2000
RESPS:18 HOURS:1,800 COSTS(000):$0
Defense Production Act Amendments
FORMS: NONE
OMB NO: 9000-0134 EXPIRATION DATE: 03/31/2001
RESPS:64,350 HOURS:26,800 COSTS(000):$0
Environmentally Sound Products -- FAR 23.405, 52-223-9
FORMS: NONE
OMB NO: 9000-0135 EXPIRATION DATE: 03/31/2001
RESPS:60,000 HOURS:30,000 COSTS(000):$0
Subcontractor Requests for Bonds -- FAR 28.106-4 and 52.228-12
FORMS: NONE
OMB NO: 9000-0136 EXPIRATION DATE: 12/31/2001
RESPS:1,427,800 HOURS:445,450 COSTS(000):$0
Commercial Item Aquisitions -- FAR Sections Affected: Part 12,
52.212-1 thru 52.212-5
FORMS: NONE
OMB NO: 9000-0137 EXPIRATION DATE: 04/30/2001
RESPS:100,000 HOURS:50,000 COSTS(000):$0
Simplified Acquisition Procedures/FACNET -- FAR Sections
Affected 4.503
FORMS: NONE
OMB NO: 9000-0138 EXPIRATION DATE: 06/30/2001
RESPS:11,000 HOURS:22,000 COSTS(000):$0
Contract Financing -- FAR Sections Affected: Subparts 32.0,
32.1, 32.2, 32.5, 32.10, 52.232-29 thru 32
FORMS: NONE
OMB NO: 9000-0139 EXPIRATION DATE: 12/31/2002
RESPS:167,487 HOURS:83,744 COSTS(000):$3,517,248
Federal Acquisition and Community Right-to-Know -- Subpart 23.9,
52.223-13, and 52.223-14
FORMS: NONE
OMB NO: 9000-0141 EXPIRATION DATE: 04/30/2002
RESPS:1,000 HOURS:2,500 COSTS(000):$55,000
Buy American Act--Construction (Grimberg Decision) -- FAR
Sections Affected: Subpart 25.2 and 52.225-5 and 52.225-15
FORMS: NONE
OMB NO: 9000-0142 EXPIRATION DATE: 08/31/2002
RESPS:600,000 HOURS:1,200,000 COSTS(000):$0
Past Performance Information -- FAR Sections Affected: 9.104-1,
9.105-1, 15.406, 15.604, 15.605, 15.608, 42.302, Subpart 42.15
FORMS: NONE
OMB NO: 9000-0144 EXPIRATION DATE: 09/30/2002
RESPS:140,000 HOURS:70,000 COSTS(000):$1,820
Payment by Electronic Fund Transfer -- FAR Sections Affected:
Subpart 32.9, 32.11, 52.232-33, and 52.232-34
FORMS: NONE
OMB NO: 9000-0145 EXPIRATION DATE: 03/31/2003
RESPS:201,600 HOURS:4,147 COSTS(000):$106,494
use of data universal numbering system (DuNS) as Primary
contractor Identification FAR Sections Affected: 4.602, 4.603,
52.204-6, 52.212-1)j)
FORMS: SF-294 SF-295
OMB NO: 9000-0147 EXPIRATION DATE: 05/31/2003
RESPS:19,500 HOURS:14,500 COSTS(000):$0
Pollution Prevention and Right-to-Know Information FAR Sections
Affected: Subpart 23.10 and 52.223-5
FORMS: NONE
OMB NO: 9000-0149 EXPIRATION DATE: 07/31/2000
RESPS:15,344 HOURS:13,384 COSTS(000):$0
Subcontract Consent -- 44.201, 52.244-2
FORMS: NONE
OMB NO: 9000-0150 EXPIRATION DATE: 07/31/2000
RESPS:182,470 HOURS:381,305 COSTS(000):$9,913,930
Small Disadvantaged Business Procurement Credit Programs
FORMS: NONE
OMB NO: 9000-0152 EXPIRATION DATE: 05/31/2003
RESPS:19,906 HOURS:9,953 COSTS(000):$0
Service Contracting - FAR Sections Affected: 52.237-10; 37.115-3
FORMS: NONE
OMB NO: 9000-0153 EXPIRATION DATE: 02/28/2002
RESPS:100 HOURS:100 COSTS(000):$2,600
OMB Circular A-119
FORMS: NONE
OMB NO: 9000-0154 EXPIRATION DATE: 01/31/2003
RESPS:1 HOURS:81,000 COSTS(000):$2,187
Davis-Bacon Act--Price Adjustment (Actual Method) -- FAR
52.222-xx
FORMS: NONE
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
100 36,624,131 20,154,874 $45,738,014
National Institute for Literacy
OMB NO: 3430-0005 EXPIRATION DATE: 06/30/2002
RESPS:10 HOURS:800 COSTS(000):$0
Application for Cooperative Agreement for the Equipped for the
Future (EFF) Field-Based Center for Training, Technical
Assistance, and Materials Development
FORMS: NONE
OMB NO: 3430-0006 EXPIRATION DATE: 06/30/2003
RESPS:25 HOURS:108 COSTS(000):$0
Application for Cooperative Agreement for Content Development
Partners (Special Collections)
FORMS: NONE
OMB NO: 3430-0007 EXPIRATION DATE: 06/30/2003
RESPS:15 HOURS:120 COSTS(000):$0
Application for Cooperative Agreement for LINCS Regional
Technology Centers
FORMS: NONE
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
3 50 1,028 $0