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INFORMATION COLLECTIONS (EXCL
IRS) 30 AUG 2001
BURDEN HOURS 1,000,000 OR GREATER
PRIMARY PURPOSE: Application for
benefits
AVG HOURS
OMB NBR
EXPIRATION
BHOURS RESPONSES RESPONDENTS PER RESP
TOTALS:
45 287,584,617 1,207,256,076 208,895,962 0.24
_______________________________________________________________________________
USDA-Farm
Service Agency
0560-0129 03/31/2004 3,825,000
6,105,000 2,035,000 0.63
Loan Deficiency Payments
0560-0175 09/30/2003 4,661,088
3,564,000 609,000 1.31
Noninsured Crop Disaster Assistance Program
_______________________________________________________________________________
USDA-Federal
Crop Insurance Corporation
0563-0053 08/31/2001 1,194,316
3,345,415 1,304,390 0.36
Mulltiple Peril Crop Insurance (Millet)
_______________________________________________________________________________
USDA-Food
and Nutrition Service
0584-0026 08/31/2004 1,021,272
12,193,997 4,260,644 0.08
7 CFR 245, Determining Eligibility for F
& RP Meals and Free
Milk
0584-0055 12/31/2003 5,076,428
4,802,804 2,603,387 1.06
7 CFR sPart 226 Child and Adult Care Food
Program
0584-0064 08/31/2001 27,694,052
105,612,885 18,131,799 0.26
Food Stamp Forms: Applications, Periodic Reporting, Notices
_______________________________________________________________________________
DOC-Patent
and Trademark Office
0651-0031 10/31/2002 1,018,736
2,231,365 2,231,365 0.46
Proposed Additions to Patent Processing
(Updating)
0651-0032 10/31/2002 2,984,360
319,350 319,350 9.35
Intial Patent Application
_______________________________________________________________________________
DOD-Departmental
and Others
0704-0187 12/31/2002 23,986,320
2,338,668 192,555 10.26
Information Collection in Support of the
DoD Acquisition Process
(Solicitation Phase)
0704-0188 08/31/2002 52,628,400
478,440 886 110
Acquisition Management Systems and Data
Requirements Control List
(AMSDL)
0704-0214 12/31/2002 1,372,401
95,520 72,586 14.37
Special Contracting Methods -- Defense
Federal Acquisition
Regulation Supplement Part 217 and Related
Provisions and
Clauses in DFARS 252.217
0704-0369 11/30/2003 4,320,447
1,185,005 56,044 3.65
Defense Federal Acquisition Regulation
Supplement Subparts
227.72, Rights in Computer Software and
Computer Software
Documentation; and related clauses and
provisions at 252.227
_______________________________________________________________________________
DOD-Office
of Assistant Secretary for Health Affairs
0720-0001 08/31/2003 3,625,000 14,500,000 14,500,000 0.25
Health Insurance Claim Form
_______________________________________________________________________________
HHS-National
Institutes of Health
0925-0001 05/31/2004 1,377,548
114,407 114,407 12.04
Research and Research Training Grant
Applications and
Related forms
_______________________________________________________________________________
HHS-Centers
for Medicare and Medicaid Services
0938-0008 04/30/2002 44,189,007
714,391,083 1,321,417 0.06
Medicare/Medicaid Health Insurance Common
Claim Form,
Instructions, and Supporting
Regulations: 42 CFR 414.40,
424.32, 424.44
0938-0279 04/30/2002 1,960,991
147,343,290 4,680 0.01
Medicare Uniform Institutonal Provider Bill
_______________________________________________________________________________
SSA-Social
Security Administration
0960-0037 05/31/2004 1,000,000
500,000 500,000 2
Request for Waiver of Overpayment Recovery
or Change in
Repayment Notice
0960-0066 03/31/2004 1,991,667
18,026,800 14,000,053 0.11
Application for a Social Security
Card/Enumeration At Birth
0960-0555 02/28/2002 3,372,117
14,043,700 14,043,700 0.24
Generic Clearance of Information
Collections Conducted by State
Disability Determinations Services on
Behalf of SSA
0960-0579 07/31/2004 2,116,667
2,116,667 2,116,667 1
Disability Report, Adult
_______________________________________________________________________________
DOI-Bureau
of Indian Affairs
1076-0154 10/31/2003 1,577,125
1,997,500 285,000 0.79
Funds Held in Trust for Tribes and
Individuals 25 CFR-115
_______________________________________________________________________________
DOJ-Legal
Activities
1105-0008 08/31/2002 1,800,000
300,000 300,000 6
Claim for Damage, Injury, or Death
_______________________________________________________________________________
DOJ-Immigration
and Naturalization Service
1115-0009 05/31/2002 4,291,000
700,000 700,000 6.13
Application for Naturalization
1115-0134 02/28/2002 1,200,000
800,000 800,000 1.5
Medical Examination of Aliens Seeking
Adjustment of Status
1115-0136 10/31/2001 13,020,000
78,000,000 78,000,000 0.17
Employment Eligibility Verification
1115-0163 10/31/2001 6,406,672
1,873,296 1,873,296 3.42
Application for Employment Authorization
1115-0168 08/31/2001 1,014,607
368,948 368,948 2.75
Petition for Nonimmigrant Worker
1115-0214 08/31/2004 2,443,350
950,300 950,300 2.57
Affidavit of Support Under Sction 213A of
the Act, and Contract
Between Sponsor and Household Member
1115-0227 12/31/2002 1,200,000
100,000 100,000 12
Application for Suspension of Deportation
or Special Rule
Cancellation of Removal (Pursuant to
Section 203 of Public Law
105-100)
_______________________________________________________________________________
STATE-Administration
of Foreign Affairs
1405-0004 12/31/2001 2,803,850
8,411,550 8,411,550 0.33
Application for Passport/Registration
1405-0015 05/31/2004 1,500,000
750,000 750,000 2
Application for Immigrant Visa and Alien
Registration
1405-0018 08/31/2004 9,600,000
9,600,000 9,600,000 1
Nonimmigrant Visa Application
1405-0113 01/31/2004 1,400,000
700,000 700,000 2
Medical Examination of Applicants for
United States Visas
_______________________________________________________________________________
ED-Office
of Student Financial Assistance
1845-0001 06/30/2003 6,670,932
10,979,031 9,952,909 0.61
Free Application for Federal Student Aid
(FAFSA)
1845-0006 08/31/2002 1,400,000
1,400,000 1,400,000 1
Federal Stafford Loan (Subsidized and
Unsubsidized) Program
Master Promissory Note
1845-0007 08/31/2002 1,828,224
1,828,224 1,828,224 1
Federal Direct Stafford/Ford Loan and/or
Federal Direct
Unsubsidized Stafford/Ford Loan Master
Promissory Note
1845-0008 12/31/2002 4,386,515
17,234,692 10,721,049 0.25
Student Aid Report (SAR)
1845-0050 12/31/2001 1,400,000
1,400,000 1,400,000 1
Federal Stafford Loan (Subsidized and
Unsubsidized) Program
Master Promissory Note
1845-0056 12/31/2001 2,031,360 2,031,360 2,031,360 1
Federal Direct Stafford/Ford Loan and
Federal Direct Unsubsidized
Stafford/Ford Loan Master Promissory Note
_______________________________________________________________________________
EPA-Water
2040-0090 09/30/2001 9,531,172
8,665 4,180 1099.96
Revisions to the Existing Variance and
Exemptions Rule to Comply
_______________________________________________________________________________
NSF-National
Science Foundation
3145-0058 08/31/2004 3,600,000
30,000 30,000 120
National Science Foundation Proposal/Award
Information - Grant
Proposal Guide
_______________________________________________________________________________
SBA-Small
Business Administration
3245-0016 09/30/2001 1,187,000
60,000 60,000 19.78
Applications for Business Loans
_______________________________________________________________________________
FAR-DOD/GSA/NASA
(FAR)
9000-0013 11/30/2001 10,101,684
199,992 33,332 50.51
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
9000-0075 09/30/2003 6,575,309
13,624,122 27,884 0.48
Government Property - Part 45, Clauses
52.245-2; -4; -5;
-7 thru -11; -17 thru 19
9000-0142 08/31/2002 1,200,000
600,000 150,000 2
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
INFORMATION COLLECTIONS (EXCL
IRS) 30 AUG 2001
BURDEN HOURS 1,000,000 OR GREATER
PRIMARY PURPOSE: Program evaluation
AVG HOURS
OMB NBR
EXPIRATION
BHOURS RESPONSES RESPONDENTS PER RESP
TOTALS:
2 3,799,606 5,580,520 7,452 0.68
_______________________________________________________________________________
HHS-Centers
for Medicare and Medicaid Services
0938-0357 06/30/2002 1,395,000
5,580,000 7,322 0.25
Home Health Services Under Hospital
Insurance, Manuel
Instructions and Supporting Regulations in
42 CFR 409.40 - 50,
410.36, 410.170, 411.4-.15, 421.100,
424.22, 484.18, and 489.21
_______________________________________________________________________________
EPA-Air
and Radiation
2060-0084 09/30/2002 2,404,606
520 130 4624.24
Ambient Air Quality Surveillance -- 40 CFR
Part 58
INFORMATION COLLECTIONS (EXCL
IRS) 30 AUG 2001
BURDEN HOURS 1,000,000 OR GREATER
PRIMARY PURPOSE: General purpose
statistics
AVG HOURS
OMB NBR
EXPIRATION
BHOURS RESPONSES RESPONDENTS PER RESP
TOTALS:
1 1,284,949 13,449,996 200,000 0.1
_______________________________________________________________________________
DOC-Bureau
of the Census
0607-0152 09/30/2003 1,284,949
13,449,996 200,000 0.1
Shipper's Export Declaration
(SED)/Automated Export System
(AES) Program
INFORMATION COLLECTIONS (EXCL
IRS) 30 AUG 2001
BURDEN HOURS 1,000,000 OR GREATER
PRIMARY PURPOSE: Audit
AVG HOURS
OMB NBR
EXPIRATION
BHOURS RESPONSES RESPONDENTS PER RESP
TOTALS:
1 1,036,800 60,000 60,000 17.28
_______________________________________________________________________________
OMB-Office
of Management and Budget
0348-0057 12/31/2003 1,036,800
60,000 60,000 17.28
Data Collection Form for Reporting on
Audits of States, Local
Governments, and Non-Profit Organizations
INFORMATION COLLECTIONS (EXCL
IRS) 30 AUG 2001
BURDEN HOURS 1,000,000 OR GREATER
PRIMARY PURPOSE: Program planning or
management
AVG HOURS
OMB NBR
EXPIRATION
BHOURS RESPONSES RESPONDENTS PER RESP
TOTALS:
10 28,961,261 18,365,027 6,440,984 1.58
_______________________________________________________________________________
USDA-Rural
Housing Service
0575-0033 08/31/2001 2,218,740
2,482,265 538,200 0.89
Management and Supervision of Multiple
Family Housing Borrowers
_______________________________________________________________________________
HHS-Centers
for Medicare and Medicaid Services
0938-0033 01/31/2003 1,400,000
5,600,000 5,600,000 0.25
Request for Review of Part B Medicare
Claims and Supporting
Regulations in 42 CFR 405.807
0938-0301 08/31/2001 1,239,584
30,607 30,607 40.5
Medicare Provider Cost Report Reimbursement
Questionnaire and
Supporting Regulations -- 42 CFR 405.465,
405.481, 413.20, and
413.24
0938-0600 09/30/2002 1,142,400
190,400 47,600 6
Medicare Credit Balance Reporting
Requirements and Supporting
Regulations in 42 CFR 405.371, 405.378, and
413.20
_______________________________________________________________________________
HHS-Departmental
Management
0990-0115 08/31/2001 1,434,300
5,660 5,660 253.41
Procurement: Solicitation and Contracts
_______________________________________________________________________________
ED-Office
of Student Financial Assistance
1845-0038 05/31/2003 1,214,240
6,576 6,576 184.65
Student Assistance General Provisions -
Subpart K - Cash
Management
_______________________________________________________________________________
EPA-Water
2040-0071 07/31/2003 4,489,147
59 59 76087.24
National Water Quality Inventory Reports
(TMDL Final Rule: Clean
Water Act Sections 305(b), 303(d), 314(a) and
106(e)).
_______________________________________________________________________________
NASA-National
Aeronautics and Space Administration
2700-0087 11/30/2003 2,790,000
11,000 11,000 253.64
NASA Acquisition Process, bids and
proposals for contracts with
an estimated value less than $500,000.
2700-0088 09/30/2001 2,050,380
38,460 1,282 53.31
NASA Acquisition Process, Reports Required
under Contracts with
_______________________________________________________________________________
FCC-Federal
Communications Commission
3060-0954 10/31/2003 10,982,470
10,000,000 200,000 1.1
Third NPRM and NPRM Regarding
Implementation of the 911 Act
INFORMATION COLLECTIONS (EXCL
IRS) 30 AUG 2001
BURDEN HOURS 1,000,000 OR GREATER
PRIMARY PURPOSE: Research
AVG HOURS
OMB NBR
EXPIRATION
BHOURS RESPONSES RESPONDENTS PER RESP
TOTALS:
2 9,387,600 10,349,114 35,114 0.91
_______________________________________________________________________________
TREAS-United
States Customs Service
1515-0001 04/30/2003 1,410,000
10,340,000 26,000 0.14
Transportation Manifest (Cargo Declaration)
1515-0214 05/31/2003 7,977,600
9,114 9,114 875.31
Customs Modernization Act Recordkeeping
Requirements
INFORMATION COLLECTIONS (EXCL
IRS) 30 AUG 2001
BURDEN HOURS 1,000,000 OR GREATER
PRIMARY PURPOSE: Regulatory or
compliance
AVG HOURS
OMB NBR
EXPIRATION
BHOURS RESPONSES RESPONDENTS PER RESP
TOTALS:
149 743,371,530
45,592,335,241 436,563,316 0.02
_______________________________________________________________________________
USDA-Agricultural
Marketing Service
0581-0164 06/30/2002 1,828,452
190,802,858 1,018,651 0.01
Recordkeeping Requirements for Certified
Application of Federally
Restricted Use Pesticides -- 7 CFR Part 110
_______________________________________________________________________________
USDA-Food
and Nutrition Service
0584-0006 05/31/2004 9,462,622
2,210,854 118,051 4.28
7 CFR Part 210 National School Lunch
Program
0584-0012 05/31/2004 4,895,796
1,283,639 82,748 3.81
7 CFR Part 220 School Breakfast Program
0584-0043 01/31/2004 2,734,330
26,149,238 15,100,402 0.1
WIC Program Regulations - Reporting and
Recordkeeping Burden
0584-0293 06/30/2003 1,154,581
918,593 368,590 1.26
Food Distribution Forms
_______________________________________________________________________________
HHS-Food
and Drug Administration
0910-0001 11/30/2001 2,121,270
21,200 2,561 100.06
Application for FDA Approval to Market a
New Drug
0910-0014 09/30/2002 17,240,565
372,620 83,150 46.27
Investigational New Drug (IND) Regulations
0910-0037 09/30/2002 1,466,250
12 5,865 122187.5
Food Canning Establishment Registration,
Process Filing and
Recordkeeping for Acidified Foods and
Thermally Processed
Low-Acid Foods in Hermetically Sealed
Containers
0910-0073 07/31/2004 3,167,670
1 9,229 3167670
Medical Devices: Current Good Manufacturing Practice (CGMP),
Quality System (Q/S) Regulation; 21 CFR
Part 820
0910-0119 10/31/2001 1,739,000
240,000 400 7.25
Good Laboratory Practices (GLP) Regulations
for Nonclinical
Laboratory Studies -- 21 CFR Part 58
0910-0309 02/29/2004 3,516,183
39,996,722 10,000 0.09
Mammography Facilities, Standards, and Lay
Summaries
For Patients
0910-0381 02/29/2004 1,594,269
509,579 363,387 3.13
Food Labeling Regulations
0910-0435 02/28/2003 3,361,996
96,935,065 682,409 0.03
Prescription Drug Marketing Act of 1987;
Policies, Requirements,
and Administrative Procedures
0910-0442 05/31/2003 2,790,693
10,175,490 17,407 0.27
Medical Devices; Device Tracking (Amended)
_______________________________________________________________________________
HHS-Substance
Abuse and Mental Health Services Administration
0930-0158 06/30/2003 1,790,664
7,093,210 7,090,070 0.25
Mandatory guidelines for Federal Workplace
Drug Testing Program
_______________________________________________________________________________
HHS-Centers
for Medicare and Medicaid Services
0938-0022 05/31/2004 1,311,060
7,310 7,310 179.35
Home Health Agency Cost Report and
Supporting Regulations in
42 CFR 413.20, 413.24, 413.106
0938-0050 05/31/2004 4,011,669
6,057 6,057 662.32
Hospital Cost Report and Supporting
Regulations in 42 CFR
413.20 and 413.24
0938-0302 01/31/2003 6,042,834 2,275
2,275 2656.19
Information Collection Requirements in the
Hospice Care
Regulation -- 42 CFR 418.22, 418.24,
418.28, 418.56, 418.58,
418.70, 418.74, 418.83, 418.96, and 418.100
0938-0463 05/31/2004 2,943,354 15,700
15,700 187.47
Skilled Nursing Facility and Skilled
Nursing Facility Cost
Report and Supporting Regulations in 42 CFR
413.20, 413.24,
and 413.106
0938-0565 09/30/2002 1,096,466
327,947 327,947 3.34
Internal Revenue Service/Social Security
Administration/Health
Care Financing Administration Data Match
and Supporting
Regulations in 42 CFR Sections
411.20-411.206
0938-0566 12/31/2001 1,568,596
18,823,150 980,742 0.08
Advance Beneficiary Notice and Supporting
Regulations in
42 CFR 411.404, 411.406, and 411.408
0938-0612 06/30/2004 10,230,714
700,650 149,700 14.6
Clinical Laboratory Improvement Amendments
(CLIA) and the ICRs
contained in the supporting regulations in
42 CFR 493.1-.2001
0938-0702 12/31/2002 2,700,000
43,000,000 2,030 0.06
Information Collection Requirements
Referenced in HIPAA for the
Group Market -- Supporting Regulations 45
CFR 146 and
Forms/Instructions
0938-0739 04/30/2003 5,696,218
204,000 17,000 27.92
SNF Resident Assessment MDS Data and
Supporting Regulation
42 CFR 413.343 and 424.32
0938-0753 08/31/2002 2,120,006 7,657,534 2,450 0.28
Medicare Plus Choice Program Requirements
Refernced in
42 CFR 422.000 - 422.700
0938-0760 12/31/2002 10,454,100
9,510,900 7,100 1.1
Medicare and Medicaid Programs Use of the
OASIS as Part of the
CoPs for HHAs and Supporting Regulations in
Part 484 of 42 CFR
_______________________________________________________________________________
SSA-Social
Security Administration
0960-0068 11/30/2001 1,362,543
5,450,173 5,450,173 0.25
Representative Payee Report
_______________________________________________________________________________
HHS-Administration
for Children and Families
0970-0148 08/31/2003 1,468,626 2,472 2,472 594.1
Head Start Program Performance
Standards-Final Rule
0970-0166 01/31/2004 1,962,402
60,000,000 6,300,000 0.03
National Directory of New Hires
_______________________________________________________________________________
HHS-Office
of Human Development Services
0980-0140 07/31/2004 1,872,392
714,056 714,056 2.62
Case Plan Requirements, Section 422(b);
471(a)(16), 475(5)
and 475(6) of the Social Security Act
(SSA); 45 CFR 1356.21(f)(g)
_______________________________________________________________________________
DOL-Pension
and Welfare Benefits Administration
1210-0040 02/28/2003 1,404,924
235,000,000 817,000 0.01
ERISA Summary Annual Report Requirement
1210-0110 08/31/2001 1,817,412
801,934 801,934 2.27
Annual Information Return/Report
_______________________________________________________________________________
DOL-Employment
Standards Administration
1215-0072 06/30/2002 10,895,679
107,414 107,414 101.44
OFCCP Recordkeeping and Reporting
Requirements - Supply and
Service
1215-0149 03/31/2003 9,200,000
9,840,320 106,960 0.93
Optional Use Payroll form Under the
Davis-Bacon Act
1215-0163 12/31/2003 4,841,475
103,711 100,000 46.68
Recordkeeping and Reporting Requirements,
Construction
1215-0196 03/31/2003 1,050,000
50,000 50,000 21
Equal Opportunity Survey
_______________________________________________________________________________
DOL-Occupational
Safety and Health Administration
1218-0048 02/29/2004 5,175,645 17,982,447 379,512 0.29
Noise (29 CFR 1910.95)
1218-0072 02/28/2002 7,560,232
474,129,468 5,041,918 0.02
Hazard Communication -- 29 CFR 1200, 1915,
1917, 1918, 1926, 1928
1218-0092 04/30/2004 1,280,916
4,990,031 50,031 0.26
Lead in General Industry
1218-0099 07/31/2001 8,926,558
15,642,571 1,300,000 0.57
Respiratory Protection
1218-0134 02/29/2004 5,569,659
52,828,437 286,821 0.11
Asbestos in Construction (29 CFR 1926.1101)
1218-0150 02/28/2002 1,236,149
89,227,582 462,340 0.01
Control of Hazardous Energy Sources
(Lockout/Tagout)
1218-0176 12/31/2001 2,229,349
5,067,726 1,395,516 0.44
29 CFR Part 1904 Recording and Reporting
Occupational
Injuries and Illnesses
1218-0180 03/31/2004 12,719,062
1,569,329 113,150 8.1
Bloodborne Pathogens Standard (29 CFR
1910.1030)
1218-0189 02/29/2004 1,697,383
6,155,640 147,073 0.28
Lead in Construction 1926.62
1218-0200 10/31/2002 79,045,232
1,406,075 192,865 56.22
Process Safety Management of Highly
Hazardous Chemicals (PSM)
-- 1910.119
1218-0202 10/31/2002 1,412,915
31,643 38,363 44.65
Hazardous Waste Operations and Emergency
Response (HAZWOPER)
-- 29 CFR 1910.120
1218-0203 08/31/2002 1,634,663
9,571,943 2,700,000 0.17
Permit-Required Confined Spaces -- 29 CFR
1910.146
1218-0205 05/31/2003 1,834,279
5,965,572 1,100,000 0.31
Personal Protection Equipment for General
Industry
(29 CFR 1910.132)
1218-0229 06/30/2002 1,372,930 9,971,000 191,750 0.14
Mechanical Power Presses, Inspection
Certification Records
(29 CFR 1910.217(e)(1)(i) and (e)(1)(ii))
1218-0246 10/31/2001 1,236,764
5,340,499 502,724 0.23
Bloodborne Pathogen Standard (Needlestick
Safety and Prevention
Act)
_______________________________________________________________________________
DOL-Mine
Safety and Health Administration
1219-0088 03/31/2004 2,725,770
2,262,566 980
1.2
Ventilation Plans, Tests, and Examinations
in Underground Coal
Mines (30 CFR 7 70.205(a); 70.211(b);
212(b); .216(a);
75.310; 312; 342; 351; 360; 361; 362; 363;
364; 370; and 382
1219-0089 08/31/2001 1,425,443 13,266,343 26,885 0.11
Safety Defects: Examination, Correction, and Records