Sample records for sample request form

  1. 21 CFR 203.33 - Drug sample forms.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Drug sample forms. 203.33 Section 203.33 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL PRESCRIPTION DRUG MARKETING Samples § 203.33 Drug sample forms. A sample request or receipt form may be...

  2. 21 CFR 203.33 - Drug sample forms.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 4 2011-04-01 2011-04-01 false Drug sample forms. 203.33 Section 203.33 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL PRESCRIPTION DRUG MARKETING Samples § 203.33 Drug sample forms. A sample request or receipt form may be...

  3. 21 CFR 203.33 - Drug sample forms.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 4 2013-04-01 2013-04-01 false Drug sample forms. 203.33 Section 203.33 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL PRESCRIPTION DRUG MARKETING Samples § 203.33 Drug sample forms. A sample request or receipt form may be...

  4. 21 CFR 203.33 - Drug sample forms.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 4 2012-04-01 2012-04-01 false Drug sample forms. 203.33 Section 203.33 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL PRESCRIPTION DRUG MARKETING Samples § 203.33 Drug sample forms. A sample request or receipt form may be...

  5. 21 CFR 203.33 - Drug sample forms.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 4 2014-04-01 2014-04-01 false Drug sample forms. 203.33 Section 203.33 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL PRESCRIPTION DRUG MARKETING Samples § 203.33 Drug sample forms. A sample request or receipt form may be...

  6. Requirements management: A CSR's perspective

    NASA Technical Reports Server (NTRS)

    Thompson, Joanie

    1991-01-01

    The following subject areas are covered: customer service overview of network service request processing; Customer Service Representative (CSR) responsibility matrix; extract from a sample Memorandum of Understanding; Network Service Request Form and its instructions sample notification of receipt; and requirements management in the NASA Science Internet.

  7. The impact of automating laboratory request forms on the quality of healthcare services.

    PubMed

    Dogether, Majed Al; Muallem, Yahya Al; Househ, Mowafa; Saddik, Basema; Khalifa, Mohamed

    In recent decades, healthcare organizations have undergone a significant transformation with the integration of Information and Communication Technologies within healthcare operations to improve healthcare services. Various technologies such as Hospital Information Systems (HIS), Electronic Health Records (EHR) and Laboratory Information Systems (LIS) have been incorporated into healthcare services. The aim of this study is to evaluate the completeness of outpatients' laboratory paper based request forms in comparison with a electronic laboratory request system. This study was carried out in the laboratory department at King Abdulaziz Medical City (KAMC), National Guard Health Affairs, Riyadh, Saudi Arabia. We used a sample size calculator for comparing two proportions. We estimated the sample size to be 228 for each group. Any laboratory requests including paper and electronic forms were included. We categorized the clarity of the forms into understandable, readable, and unclear. A total of 57 incomplete paper forms or 25% were identified as being incomplete. For electronic forms, there were no incomplete fields, as all fields were mandatory, therefore, rendering them complete. The total of understandable paper-based laboratory forms was 11.4%. Additionally, it was found that the total of readable was 33.8% and the total for unclear was 54.8%, while for electronic-based forms, there were no unclear forms. Electronic based laboratory forms provide a more complete, accurate, clear, and understandable format than paper-based laboratory records. Based on these findings, KAMC should move toward the implementation of electronic-based laboratory request forms for the outpatient laboratory department. Copyright © 2016 King Saud Bin Abdulaziz University for Health Sciences. Published by Elsevier Ltd. All rights reserved.

  8. 75 FR 80563 - Agency Information Collection Activities: Proposed Request and Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-22

    .... The respondents are a statistically valid sample of all RSI/DI beneficiaries in current pay status or... SSN. We send this form to the employer to identify the employees involved, to resolve the discrepancy...

  9. M3FT-17OR0301070211 - Preparation of Hot Isostatically Pressed AgZ Waste Form Samples

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Jubin, Robert Thomas; Bruffey, Stephanie H.; Jordan, Jacob A.

    The production of radioactive iodine-bearing waste forms that exhibit long-term stability and are suitable for permanent geologic disposal has been the subject of substantial research interest. One potential method of iodine waste form production is hot isostatic pressing (HIP). Recent studies at Oak Ridge National Laboratory (ORNL) have investigated the conversion of iodine-loaded silver mordenite (I-AgZ) directly to a waste form by HIP. ORNL has performed HIP with a variety of sample compositions and pressing conditions. The base mineral has varied among AgZ (in pure and engineered forms), silver-exchanged faujasite, and silverexchanged zeolite A. Two iodine loading methods, occlusion andmore » chemisorption, have been explored. Additionally, the effects of variations in temperature and pressure of the process have been examined, with temperature ranges of 525°C–1,100°C and pressure ranges of 100–300 MPa. All of these samples remain available to collaborators upon request. The sample preparation detailed in this document is an extension of that work. In addition to previously prepared samples, this report documents the preparation of additional samples to support stability testing. These samples include chemisorbed I-AgZ and pure AgI. Following sample preparation, each sample was processed by HIP by American Isostatic Presses Inc. and returned to ORNL for storage. ORNL will store the samples until they are requested by collaborators for durability testing. The sample set reported here will support waste form durability testing across the national laboratories and will provide insight into the effects of varied iodine content on iodine retention by the produced waste form and on potential improvements in waste form durability provided by the zeolite matrix.« less

  10. 77 FR 21563 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-10

    ... OMB Review; Comment Request Title: Annual Survey of Refugees (Form ORR-9). OMB No.: 0970-0033. Description: The Annual Survey of Refugees collects information on the social and economic circumstances of a random sample of refugees, Amerasians, and entrants who arrived in the United States in the five years...

  11. 78 FR 47329 - Agency Information Collection Activities: Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-05

    ... planning communities, plans, protocols, and procedures to manage a catastrophic event. The RCPGP is... collection. FEMA Forms: FEMA Form 089-19, RCPGP Investment Justification Template; FEMA Form 089-26, RCGCP (Sample) Detailed Project Plan Template; FEMA Form 089-17, RCPT Membership List. Abstract: The RCPGP is an...

  12. Handling Heavenly Jewels - 35 Years of Antarctic Meteorite Processing at Johnson Space Center

    NASA Technical Reports Server (NTRS)

    Satterwhite, C. E.; McBridge, K. M.; Harrington, R.; Schwarz, C. M.

    2011-01-01

    The ANSMET program began in 1976, and since that time more than 18,000 meteorites have been processed in the Meteorite Processing Lab at Johnson Space Center in Houston, TX[1]. The meteorites are collected and returned to JSC on a freezer truck and remain frozen until they are initially processed. Initial Processing of Meteorites: Initial processing involves drying the meteorites in a nitrogen glove box for 24 to 48 hours, photographing, measuring, weighing and writing a description of the interior and exterior. The meteorite is broken and a representative sample is sent to the Smithsonian Institution for classification. Newsletter & Requests: Once initial processing has been complete and the meteorites have been classified, the information is published in the Antarctic Meteorite Newsletter[2,3]. The newsletter is published twice yearly and is sent electronically to researchers around the world and is also available on line. Researchers are asked to fill out a request form and submit it to the Meteorite Working Group secretary. All sample requests will be reviewed by either the meteorite curator or the Meteorite Working Group de-pending on the type of meteorite and the research being conducted. Processing for Sample Requests: In the meteorite processing lab, meteorite samples are prepared several different ways. Most samples are prepared as chips obtained by use of stainless steel chisels in a chipping bowl or rock splitter. In special situations where a researcher needs a slab the meteorite samples can be bandsawed in a dry nitrogen glove box with a diamond blade, no liquids are ever introduced into the cabinet. The last type of sample preparation is thin/thick sections. The meteorite thin section lab at JSC can prepare standard 30-micron thin sections, thick sections of variable thickness (100 to 200 microns), or demountable sections using superglue. Information for researchers: It is important that re-searchers fill the sample request form completely, in order to make sure the meteorite is processed correctly[4]. Re-searchers should list any special requirements on the form, i.e. packaging of samples (poly vs. stainless), thick sections and thickness needed, superglue needed, interior chips, exterior chips, fusion crust, contamination issues, all concerns should be listed so processing can be done accurately and any concerns the researcher has can be addressed be-fore the meteorites are broken.

  13. 77 FR 58979 - Proposed Information Collection; Comment Request; Direct Investment Surveys: BE-15, Annual Survey...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-25

    ... Request; Direct Investment Surveys: BE-15, Annual Survey of Foreign Direct Investment in the United States... to David H. Galler, Chief, Direct Investment Division (BE- 50), Bureau of Economic Analysis, U.S... Investment in the United States (Form BE-15) obtains sample data on the financial structure and operations of...

  14. 78 FR 54954 - Reports, Forms, and Record Keeping Requirements

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-06

    ... assumptions used; (iii) How to enhance the quality, utility, and clarity of the information to be collected... information: Title: National Automotive Sampling System (NASS) Law Enforcement Information Type of Request.... NHTSA's National Automotive Sampling System (NASS) collects crash data on a nationally representative...

  15. 77 FR 32138 - Agency Information Collection Activities: Extension of a Currently Approved Collection; Comments...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-31

    ... Activities: Extension of a Currently Approved Collection; Comments Requested National Crime Victimization... collection. (2) Title of the Form/Collection: National Crime Victimization Survey (NCVS). (3) Agency form... NCVS sampled households located throughout the United States. The National Crime Victimization Survey...

  16. DOE Office of Scientific and Technical Information (OSTI.GOV)

    Miller, D. H.; Reigel, M. M.

    A full-scale formed core sampler was designed and functionally tested for use in the Saltstone Disposal Facility (SDF). Savannah River National Laboratory (SRNL) was requested to compare properties of the formed core samples and core drilled samples taken from adjacent areas in the full-scale sampler. While several physical properties were evaluated, the primary property of interest was hydraulic conductivity. Differences in hydraulic conductivity between the samples from the formed core sampler and those representing the bulk material were noted with respect to the initial handling and storage of the samples. Due to testing conditions, the site port samples were exposedmore » to uncontrolled temperature and humidity conditions prior to testing whereas the formed core samples were kept in sealed containers with minimal exposure to an uncontrolled environment prior to testing. Based on the results of the testing, no significant differences in porosity or density were found between the formed core samples and those representing the bulk material in the test stand.« less

  17. 76 FR 64379 - Agency Information Collection Activities: Proposed Collection; Comments Requested; eForm 6 Access...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-18

    ...] Agency Information Collection Activities: Proposed Collection; Comments Requested; eForm 6 Access Request... Form/Collection: eForm 6 Access Request. (3) Agency form number, if any, and the applicable component...: Respondents must complete the eForm 6 Access Request form in order to receive a user ID and password to obtain...

  18. 78 FR 118 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-02

    ... form number: NA Forms 13022, 13064, 13068. Type of review: Regular. Affected public: Former Federal... nature of the request. The NA Form 13022, Returned Request Form, is used to request additional information about the former Federal employee. The NA Form 13064, Reply to Request Involving Relief Agencies...

  19. An audit of request forms submitted in a multidisciplinary diagnostic center in Lagos.

    PubMed

    Oyedeji, Olufemi Abiola; Ogbenna, Abiola Ann; Iwuala, Sandra Omozehio

    2015-01-01

    Request forms are important means of communication between physicians and diagnostic service providers. Pre-analytical errors account for over two thirds of errors encountered in diagnostic service provision. The importance of adequate completion of request forms is usually underestimated by physicians which may result in medical errors or delay in instituting appropriate treatment. The aim of this study was to audit the level of completion of request forms presented at a multidisciplinary diagnostic center. A review of all requests forms for investigations which included radiologic, laboratory and cardiac investigations received between July and December 2011 was performed to assess their level of completeness. The data was entered into a spreadsheet and analyzed. Only 1.3% of the 7,841 request forms reviewed were fully completed. Patient's names, the referring physician's name and gender were the most completed information on the forms evaluated with 99.0%, 99.0% and 90.3% completion respectively. Patient's age was provided in 68.0%, request date in 88.2%, and clinical notes/ diagnosis in 65.9% of the requests. Patient's full address was provided in only 5.6% of requests evaluated. This study shows that investigation request forms are inadequately filled by physicians in our environment. Continuous medical education of physicians on the need for adequate completion of request forms is needed.

  20. 77 FR 26277 - Agency Information Collection Activities: Final Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-03

    ... Review and Comments Request. Form Title: EIB 99-14 Export Import Bank Trade Reference form. SUMMARY: The... requesting an emergency approval of Ex-Im Bank form EIB 99-14 Export Import Bank Trade Reference form. Export-Import (Ex- Im) Bank is requesting an emergency approval of form EIB 99-14, Trade Reference Form. This...

  1. 76 FR 17819 - Proposed Information Collection; Comment Request; Direct Investment Surveys: BE-15, Annual Survey...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-31

    ... universe of U.S. affiliates collected once every five years on the BE-12 benchmark survey. The survey forms... that subsequently entered the direct investment universe. The BE-15 is a sample survey, as described; universe estimates are developed from the reported sample data. III. Data OMB Control Number: 0608-0034...

  2. 75 FR 16424 - Proposed Information Collection; Comment Request; Census Coverage Measurement Final Housing Unit...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-01

    ... unit is a block cluster, which consists of one or more geographically contiguous census blocks. As in... a number of distinct processes, ranging from forming block clusters, selecting the block clusters... sample of block clusters, while the E Sample is the census of housing units and enumerations in the same...

  3. The College Environment: Contrasts Between CYCC Freshmen and Transfers and a Nationwide Freshman Sample, Fall, 1975.

    ERIC Educational Resources Information Center

    Kirby, E. B.

    In order to analyze the environment of Central YMCA Community College (CYCC), information was requested on the Student Information Form, 1975, which dealt with three large areas: social issues, personal behavior, and future behavior in the noncollege world. This report compares the responses of three student samples--CYCC first-time entering…

  4. 75 FR 5801 - Notice of Proposed Information Collection for 1029-0120

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-04

    ... request for its Nomination and Request for Payment Form for OSM Technical Training Courses, has been... Nomination and Request for Payment Form for OSM Technical Training Courses. OSM is requesting a 3- year term... information collection activity: Title: Nomination and Request for Payment Form for OSM Technical Training...

  5. 75 FR 52313 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-25

    .... Title, Form and OMB Number: Request for Armed Forces Participation in Public Events (Non-Aviation), DD Form 2536 and Request for Military Aerial Support, DD Form 2535; OMB Number 0704-0290. Type of Request...

  6. 76 FR 9757 - Information Collection; Submission for OMB Review, Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-22

    ... information collection request (ICR) consisting of four instruments entitled Request to Transfer a Segal Education Award Amount Form, Accept/Decline Award Transfer Form, Request to Revoke Transfer of Education Award Form, and Rescind Acceptance of Award Transfer Form for review and approval in accordance with the...

  7. Evaluation of request forms submitted to the haematology laboratory in a Ghanaian tertiary hospital.

    PubMed

    Olayemi, Edeghonghon; Asiamah-Broni, Rebecca

    2011-01-01

    Laboratory request forms provide information about the laboratory test being requested for. They carry demographic data and other information such as location of patient, laboratory number, doctor's name, signature of the doctor, telephone number of the requesting doctor. Omission of information on the forms may lead to laboratory errors. The aim of this study was to evaluate the level of completion of laboratory request forms at the haematology department of a Ghanaian tertiary hospital. Three thousand request forms submitted to the haematology department between January and April 2010 were retrieved and studied. The information provided on each request form was recorded in a spread sheet and analyzed. The patient's age and sex were missing in 25.6% and 32.7% of the forms respectively. About half of the request forms did not have the patient's location. No clinical detail was provided on 22.7% of the forms. Doctors were more likely to sign their request forms and provide a name but they all failed to provide an address or a contact telephone number. This study demonstrates that, the standard of completion of request forms was poor. Essential information required on the forms was often missing. This can lead to limited advice given by laboratory physicians and may increase the potential for errors. Conversely, provision of all the information needed on the forms will aid laboratory diagnosis and enhance patient care and save time and resources. There should be closer interaction between clinicians and laboratory personnel to improve quality of services.

  8. 78 FR 12782 - Notice of Proposed Information Collection; Request for Comments for 1029-0120

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-25

    ... information collection request for the Nomination and Request for Payment Form for OSM's Technical Training... Payment Form for OSM Technical Training Courses. OSM is requesting a 3-year term of approval for this... collection activity: Title: Nomination and Request for Payment Form for OSM Technical Training Courses. OMB...

  9. Audit of clinical-laboratory practices in haematology and blood transfusion at Muhimbili National Hospital in Tanzania.

    PubMed

    Makubi, Abel N; Meda, Collins; Magesa, Alex; Minja, Peter; Mlalasi, Juliana; Salum, Zubeda; Kweka, Rumisha E; Rwehabura, James; Quaresh, Amrana; Magesa, Pius M; Robert, David; Makani, Julie; Kaaya, Ephata

    2012-10-01

    In Tanzania, there is paucity of data for monitoring laboratory medicine including haematology. This therefore calls for audits of practices in haematology and blood transfusion in order to provide appraise practice and devise strategies that would result in improved quality of health care services. This descriptive cross-sectional study which audited laboratory practice in haematology and blood transfusion at Muhimbili National Hospital (MNH) aimed at assessing the pre-analytical stage of laboratory investigations including laboratory request forms and handling specimen processing in the haematology laboratory and assessing the chain from donor selection, blood component processing to administration of blood during transfusion. A national standard checklist was used to audit the laboratory request forms (LRF), phlebotomists' practices on handling and assessing the from donor selection to administration 6f blood during transfusion. Both interview and observations were used. A total of 195 LRF were audited and 100% of had incomplete information such as patients' identification numbers, time sample ordered, reason for request, summary of clinical assessment and differential diagnoses. The labelling of specimens was poorly done by phlebotomists/clinicians in 82% of the specimens. Also 65% (132/202) of the blood samples delivered in the haematology laboratory did not contain the recommended volume of blood. There was no laboratory request form specific for ordering blood and there were no guidelines for indication of blood transfusion in the wards/ clinics. The blood transfusion laboratory section was not participating in external quality assessment and the hospital transfusion committee was not in operation. It is recommended that a referral hospital like MNH should have a transfusion committee to provide an active forum to facilitate communication between those involved with transfusion, monitor, coordinate and audit blood transfusion practices as per national guidelines.

  10. 48 CFR 245.7101-4 - DD Form 1640, Request for Plant Clearance.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false DD Form 1640, Request for Plant Clearance. 245.7101-4 Section 245.7101-4 Federal Acquisition Regulations System DEFENSE... Forms 245.7101-4 DD Form 1640, Request for Plant Clearance. Use to request plant clearance assistance or...

  11. 76 FR 24912 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Request for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-03

    ... for OMB Review; Comment Request; Request for Examination and/or Treatment ACTION: Notice. SUMMARY: The... information collection request (ICR) titled, ``Request for Examination and/or Treatment,'' Form LS-1, to the... Request for Examination and/or Treatment, Form LS-1, is used by employers to authorize medical treatment...

  12. 77 FR 9259 - Agency Information Collection Activities: Forms G-1041 and G-1041A, Extension of a Currently...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-16

    ..., Genealogy Index Search Request and Genealogy Records Request. The Department of Homeland Security, U.S... the Forms/Collections: Genealogy Index Search Request and Genealogy Records Request. (3) Agency form.... USCIS will use these forms will to facilitate an accurate and timely response to genealogy index search...

  13. 49 CFR Appendix A to Subpart H of... - Service Request Form

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 1 2010-10-01 2010-10-01 false Service Request Form A Appendix A to Subpart H of... INDIVIDUALS WITH DISABILITIES (ADA) Over-the-Road Buses (OTRBs) Pt. 37, Subpt. H, App. A Appendix A to Subpart H of Part 37—Service Request Form Form for Advance Notice Requests and Provision of Equivalent...

  14. Requests, Blocking Moves, and Rational (Inter)action in Survey Introductions.

    PubMed

    Maynard, Douglas W; Freese, Jeremy; Schaeffer, Nora Cate

    2010-10-01

    We draw on conversation analytic methods and research to explicate the interactional phenomenon of requesting in general and the specific case of requesting participation in survey interviews. Recent work on survey participation has given much attention to leverage-saliency theory, but has not engaged how the key concepts of this theory are exhibited in the actual unfolding interaction of interviewers and potential respondents. We do so using digitally recorded and transcribed calls to recruit participation in the 2004 Wisconsin Longitudinal Study. We describe how potential respondents present interactional environments that are relatively discouraging or encouraging, and how, in response, interviewers may be relatively cautious or presumptive in their requesting actions. We consider how the ability of interviewers to tailor their behavior to their interactional environment can affect whether the introduction reaches the point at which a request to participate is made, the form that this request takes, and the sample person's response. Our analysis contributes to understanding how we might use insights from the analysis of interaction to increase cooperation with requests to participate in surveys.

  15. Requests, Blocking Moves, and Rational (Inter)action in Survey Introductions

    PubMed Central

    Maynard, Douglas W.; Freese, Jeremy; Schaeffer, Nora Cate

    2011-01-01

    We draw on conversation analytic methods and research to explicate the interactional phenomenon of requesting in general and the specific case of requesting participation in survey interviews. Recent work on survey participation has given much attention to leverage-saliency theory, but has not engaged how the key concepts of this theory are exhibited in the actual unfolding interaction of interviewers and potential respondents. We do so using digitally recorded and transcribed calls to recruit participation in the 2004 Wisconsin Longitudinal Study. We describe how potential respondents present interactional environments that are relatively discouraging or encouraging, and how, in response, interviewers may be relatively cautious or presumptive in their requesting actions. We consider how the ability of interviewers to tailor their behavior to their interactional environment can affect whether the introduction reaches the point at which a request to participate is made, the form that this request takes, and the sample person's response. Our analysis contributes to understanding how we might use insights from the analysis of interaction to increase cooperation with requests to participate in surveys. PMID:21691562

  16. 77 FR 63924 - Proposed Collection; Comment Request for Form 8633

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-17

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 8633 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... 20224. FOR FURTHER INFORMATION CONTACT: Requests for additional information or copies of the form and...

  17. 8 CFR 103.40 - Genealogical Research Requests.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    .... Genealogy requests are requests for searches and/or copies of historical records relating to a deceased person, usually for genealogy and family history research purposes. (b) Manner of requesting genealogical searches and records. Requests must be submitted on Form G-1041, Genealogy Index Search Request, or Form G...

  18. 78 FR 18560 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-27

    ... approved collection for forms C-700, Private Construction Projects; C-700 (R), Multi-family Residential... private companies or individuals, private multi-family residential buildings, and on building projects... sample basis from federal, state and local agency officials, owners of private nonresidential projects...

  19. 76 FR 30738 - Agency Information Collection Activities: Form G-845 and Form G-845 Supplement, Revision of a...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-26

    ... Collection Activities: Form G-845 and Form G- 845 Supplement, Revision of a Currently Approved Information Collection; Comment Request ACTION: 30-Day Notice of Information Collection under Review: Form G- 845 and Form G-845 Supplement, Document Verification Request and Document Verification Request Supplement; OMB...

  20. 76 FR 66683 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-27

    ...: National Oceanic and Atmospheric Administration (NOAA). Title: Protocol for Access to Tissue Specimen Samples from the National Marine Mammal Tissue Bank. OMB Control Number: 0648-0468. Form Number(s): NA..., the National Marine Mammal Tissue Bank (NMMTB) was established by the National Marine Fisheries...

  1. Helicopter Operations and Personnel Safety (Helirescue Manual). Fourth Edition.

    ERIC Educational Resources Information Center

    Dalle-Molle, John

    The illustrated manual includes information on various aspects of helicopter rescue missions, including mission management roles for key personnel, safety rules around helicopters, requests for helicopter support, sample military air support forms, selection of landing zones, helicopter evacuations, rescuer delivery, passenger unloading, crash…

  2. Mexican and Mexican American women in a battered women's shelter: barriers to condom negotiation for HIV/AIDS prevention.

    PubMed

    Davila, Y R; Brackley, M H

    1999-01-01

    Anecdotal information suggests that, for Hispanic women who are involved with abusive partners, condom use request as an HIV/AIDS sexual risk-reduction behavior may expose the women to risk of both abuse and HIV/AIDS. A qualitative study explored barriers to condom negotiation for HIV/AIDS prevention among Mexican and Mexican American women in abusive relationships. A convenience sample of 14 Mexican and Mexican American women was recruited from a battered women's shelter. A demographic form, a domestic violence assessment form, and audiotaped responses to a semistructured interview guide were used to collect data. Descriptive statistics were used to describe the sample. Audiotaped interviews were transcribed verbatim and submitted to content analysis, which revealed past and present themes of physical, psychological, and sexual abuse of Mexican and Mexican American women who requested condom use by their male sexual partners. Also identified by content analysis was the influence of men's power on women's public, private, and sexual interactions.

  3. Study of the Information Dissemination Service--Health Sciences Library, State University of New York at Buffalo.

    PubMed Central

    Brown, H J; Miller, J K; Pinchoff, D M

    1975-01-01

    The Information Dissemination Service at the Health Sciences Library, State University of New York at Buffalo, was established June 1970 through a three-year grant from the Lakes Area Regional Medical Program, Inc. Analysis of two samples of user request forms yielded results which significantly substantiate findings in prior biomedical literature utilization studies. The findings demonstrate comparable utilization patterns by user group, age of material, journal titles, language, time to process request, source of reference, and size of institution. PMID:1148441

  4. 5 CFR 2638.304 - Form of requests for formal advisory opinions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Form of requests for formal advisory opinions. 2638.304 Section 2638.304 Administrative Personnel OFFICE OF GOVERNMENT ETHICS GOVERNMENT ETHICS... Service § 2638.304 Form of requests for formal advisory opinions. (a) A request for a formal advisory...

  5. 78 FR 26766 - Commission Information Collection Activities (FERC Form 580); Comment Request; Revision

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-08

    ... Information Collection Activities (FERC Form 580); Comment Request; Revision AGENCY: Federal Energy Regulatory... collection, FERC Form No. 580 (Interrogatory on Fuel and Energy Purchase Practices). DATES: Comments on the... (FERC Form No. 580). OMB Control No.: 1902-0131. Type of Request: Three-year approval of the FERC Form...

  6. 77 FR 27062 - Agency Forms Undergoing Paperwork Reduction Act Review

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-08

    ... calculations that justify the proposed sample size, the expected response rate, methods for assessing potential... Project NIOSH Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery--NEW... Collection Request (Generic ICR): ``Generic Clearance for the Collection of Qualitative Feedback on Agency...

  7. 78 FR 34386 - Agency Forms Undergoing Paperwork Act Review

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-07

    ...-to-date sampling frames of residential care facilities. Three year clearance is requested. Section... care facilities within each state that meet the NSLTCP definition and (2) for each relevant licensure... study definition of a residential care facility is one that is licensed, registered, listed, certified...

  8. 40 CFR 178.27 - Form and manner of submission of request for evidentiary hearing.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 25 2012-07-01 2012-07-01 false Form and manner of submission of... Objections and Requests for Hearing § 178.27 Form and manner of submission of request for evidentiary hearing... hearing. (e) Include a discussion of the relationship between the factual issues and the relief requested...

  9. 40 CFR 178.27 - Form and manner of submission of request for evidentiary hearing.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 24 2011-07-01 2011-07-01 false Form and manner of submission of... Objections and Requests for Hearing § 178.27 Form and manner of submission of request for evidentiary hearing... hearing. (e) Include a discussion of the relationship between the factual issues and the relief requested...

  10. 40 CFR 178.27 - Form and manner of submission of request for evidentiary hearing.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 23 2010-07-01 2010-07-01 false Form and manner of submission of... Objections and Requests for Hearing § 178.27 Form and manner of submission of request for evidentiary hearing... hearing. (e) Include a discussion of the relationship between the factual issues and the relief requested...

  11. 40 CFR 178.27 - Form and manner of submission of request for evidentiary hearing.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 24 2014-07-01 2014-07-01 false Form and manner of submission of... Objections and Requests for Hearing § 178.27 Form and manner of submission of request for evidentiary hearing... hearing. (e) Include a discussion of the relationship between the factual issues and the relief requested...

  12. 75 FR 67975 - Agency Information Collection Request; 30-Day Public Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-04

    ... Information Request Form. The Civil Rights Information Request Form is designed to collect data from health... of the Medicare certification process, health care facilities must receive a civil rights clearance... regulations. The civil rights information is requested only when a health care provider applies for Medicare...

  13. 75 FR 8407 - Agency Information Collection Activities: Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-24

    ... Request, NA Form 6006, which will be used by NARA employees, on-site contractors, volunteers, Foundation...: Identification Card Request. OMB number: 3095-0057. Agency form number: NA Form 6006. Type of review: Regular...

  14. 77 FR 67834 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Health...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-14

    ... for OMB Review; Comment Request; Health Insurance Claim Form ACTION: Notice. SUMMARY: The Department... information collection request (ICR) revision titled, ``Health Insurance Claim Form,'' (Form OWCP-1500) to the... submission of responses. Agency: DOL-OWCP. Title of Collection: Health Insurance Claim Form. OMB Control...

  15. 77 FR 24267 - Proposed Collection; Comment Request for Form 8508

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-23

    ... 8508, Request for Waiver From Filing Information Returns Electronically (Forms W-2, W-2G, 1042-S, 1098... INFORMATION: Title: Request for Waiver From Filing Information Returns Electronically (Forms W-2, W-2G, 1042-S...

  16. 77 FR 24221 - Agency Information Collection Activities: Proposed Collection; Comments Requested; Research To...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-23

    ... collection: Extension of the time frame required to complete approved and ongoing methodological research on... methodological research on the National Crime Victimization Survey. (2) Title of the Form/Collection: National.... This generic clearance will cover methodological research that will use existing or new sampled...

  17. 78 FR 5211 - Proposed Collection, Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-24

    .... The survey design provides data gathered from the same respondents over time to form the only dataset... approval has expired collection of the ``National Longitudinal Survey of Youth 1997.'' A copy of the... National Longitudinal Survey of Youth 1997 (NLSY97) is a nationally representative sample of persons who...

  18. 76 FR 50758 - Agency Information Collection Activities: Proposed Collection; Comments Requested-Reinstatement...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-16

    ... Approved Collection for Which Approval Has Expired, Identity Theft Supplement (ITS) to the National Crime... Form/Collection: Identity Theft Supplement (ITS) to the National Crime Victimization Survey. (3) Agency... administered to persons 16 years or older in NCVS sampled households in the United States. The Identity Theft...

  19. Volunteers in Education: Materials for Volunteer Programs and the Volunteer.

    ERIC Educational Resources Information Center

    Department of Health, Education, and Welfare, Washington, DC. Office of Citizen Participation.

    This publication contains materials which have been developed, adapted, and utilized by school volunteer programs. Under program operation and coordination, there are: (1) plans for recruiting, speaking, and youth tutoring youth; and (2) sample application, request, and evaluation forms and guidelines for reading volunteers, school volunteer…

  20. 77 FR 65706 - Agency Information Collection Activities: Request for the Return of Original Documents, Form...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-30

    ...-0100] Agency Information Collection Activities: Request for the Return of Original Documents, Form... Collection. (2) Title of the Form/Collection: Request for the Return of Original Documents. (3) Agency form... obtain original document(s) contained in an alien file. (5) An estimate of the total number of...

  1. 77 FR 47426 - Agency Information Collection Activities: Request for the Return of Original Documents, Form...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-08

    ...-0100] Agency Information Collection Activities: Request for the Return of Original Documents, Form.... (2) Title of the Form/Collection: Request for the Return of Original Documents. (3) Agency form... obtain original document(s) contained in an alien file. (5) An estimate of the total number of...

  2. 76 FR 9810 - Agency Information Collection Activities: Comment Request for the Ferrous Metals Surveys (17 Forms)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-22

    ... Activities: Comment Request for the Ferrous Metals Surveys (17 Forms) AGENCY: U.S. Geological Survey (USGS... with domestic consumption data of 13 ores, concentrates, metals, and ferroalloys, some of which are...-0068. Form Number: Various (17 forms). Title: Ferrous Metals Surveys. Type of Request: Extension of a...

  3. 32 CFR 989.12 - AF Form 813, Request for Environmental Impact Analysis.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 6 2010-07-01 2010-07-01 false AF Form 813, Request for Environmental Impact... FORCE ENVIRONMENTAL PROTECTION ENVIRONMENTAL IMPACT ANALYSIS PROCESS (EIAP) § 989.12 AF Form 813, Request for Environmental Impact Analysis. The Air Force uses AF Form 813 to document the need for...

  4. 76 FR 46325 - Agency Information Collection Activities: Proposed Collection; Comments Requested: Red Ribbon...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-02

    ... Collection Activities: Proposed Collection; Comments Requested: Red Ribbon Week Patch DEA Form 316 and 316A... Enforcement Administration (DEA) will be submitting the following information collection request to the Office... the collection: Form number: DEA Form 316 and DEA Form 316A. Component: Office of Congressional and...

  5. An audit of the completion of radiology request forms and the request practice

    PubMed Central

    Akintomide, Akintunde O.; Ikpeme, Anthonia A.; Ngaji, Affiong I.; Ani, Nchiewe E.; Udofia, Appolline T.

    2015-01-01

    Objective: To assess the degree of utilization of the radiology request form (RRF), the extent of completion each form, the frequency of filling the fields in all the forms, and its effectiveness as a communication tool between the referring clinicians and radiologists. Materials and Methods: All the RRFs for conventional radiographic examinations were audited over a 3-month period. A database containing all the fields in the form, type of request paper used, and legibility of the physician's handwriting was created. A few resident radiologists in the plain film reporting unit were recruited to join in collecting the data daily. We used simple statistical methods to analyze the extent of completion of each form, frequency of completion of the fields in all the request forms, frequency of use of the appropriate form, and frequency of legibility of the physician's handwriting. The results are expressed in percentages. Results: Five hundred eighty (580) requests were analyzed, consisting of 180 for males and 400 for females. The most-completed request form was 86.67% filled, while the least-completed was 26.67%. The most frequently filled field was the requested examination (99.66%). Of the clinicians, 28% did not use the RRF for their referrals, while 7.37% had illegible handwriting. Conclusion: A significant number of the referring clinicians did not make the best use of the radiology department by not using the institution's approved RRF as an effective means of communication with the radiologists, mainly due to the inadequate completion of the forms. PMID:26288767

  6. 77 FR 59664 - Agency Information Collection Activities: Extension Requested; Comments Requested, Monitoring...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-28

    ... DEPARTMENT OF JUSTICE [OMB Number 1103-0100] Agency Information Collection Activities: Extension Requested; Comments Requested, Monitoring Information Collections ACTION: 60-day notice. The Department of.... (2) Title of the Form/Collection: Monitoring Information Collections. (3) Agency form number, if any...

  7. 75 FR 60510 - Proposed Collection; Comment Request for Form 1120-RIC

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-30

    ... Companies. OMB Number: 1545-1010. Form Number: 1120-RIC. Abstract: Internal Revenue Code sections 851... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 1120-RIC AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments...

  8. 78 FR 63564 - Proposed Collection; Comment Request for Form 8038-R

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-24

    ... 8038-R AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 8038-R, Request for Recovery of Overpayments Under Arbitrage Rebate Provisions. DATES: Written... Rebate Provisions. OMB Number: 1545-1750. Form Number: 8038-R. Abstract: Under Treasury Regulations...

  9. 76 FR 10391 - Agency Information Collection Activities: Proposed Collection; Comments Requested: ARCOS...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-24

    ... Collection Activities: Proposed Collection; Comments Requested: ARCOS Transaction Reporting; DEA Form 333... Enforcement Administration (DEA), will be submitting the following information collection request to the... approved collection. (2) Title of the Form/Collection: ARCOS Transaction Reporting--DEA Form 333. (3...

  10. 76 FR 24054 - Agency Information Collection Activities: Proposed Collection; Comments Requested: Registrants...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-29

    ... Collection; Comments Requested: Registrants Inventory of Drugs Surrendered; DEA Form 41 AGENCY: Department of...), Drug Enforcement Administration (DEA) will be submitting the following information collection request... component of the Department sponsoring the collection: Form number: DEA Form 41; component: Office of...

  11. Challenges to obtaining parental permission for child participation in a school-based waterpipe tobacco smoking prevention intervention in Qatar.

    PubMed

    Nakkash, Rima T; Al Mulla, Ahmad; Torossian, Lena; Karhily, Roubina; Shuayb, Lama; Mahfoud, Ziyad R; Janahi, Ibrahim; Al Ansari, Al Anoud; Afifi, Rema A

    2014-09-30

    Involving children in research studies requires obtaining parental permission. A school-based intervention to delay/prevent waterpipe use for 7th and 8th graders in Qatar was developed, and parental permission requested. Fifty three percent (2308/4314) of the parents returned permission forms; of those 19.5% of the total (840/4314) granted permission. This paper describes the challenges to obtaining parental permission. No research to date has described such challenges in the Arab world. A random sample of 40 schools in Doha, Qatar was selected for inclusion in the original intervention. Permission forms were distributed to parents for approval of their child's participation. The permission forms requested that parents indicate their reasons for non-permission if they declined. These were categorized into themes. In order to understand reasons for non-permission, interviews with parents were conducted. Phone numbers of parents were requested from the school administration; 12 of the 40 schools (30%) agreed to provide the contact information. A random sample of 28 parents from 12 schools was interviewed to reach data saturation. Thematic analysis was used to analyze their responses. Reasons for non-permission documented in both the forms and interviews included: poor timing; lack of interest; the child not wanting to participate; and the child living in a smoke-free environment. Interviews provided information on important topics to include in the consent forms, parents' decision-making processes regarding their child's participation, and considerations for communicating with parents. Many parents also indicated that this was the first time they had been asked to give an informed consent for their child's participation in a study. Results indicate that more attention needs to be given to the informed parental consent process. Researchers should consider enhancing both the methods of communicating information as well the specific information provided. Before embarking on recruitment of children for studies, formative research on the parental consent process is suggested.

  12. User Accounts | High-Performance Computing | NREL

    Science.gov Websites

    see information on user account policies. ACCOUNT PASSWORDS Logging in for the first time? Forgot your Accounts User Accounts Learn how to request an NREL HPC user account. Request an HPC Account To request an HPC account, please complete our request form. This form is provided using DocuSign. REQUEST

  13. 77 FR 29690 - Extension of a Currently Approved Collection; Comments Requested; COPS Extension Request Form

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-18

    ... DEPARTMENT OF JUSTICE Agency Information Collection Activities [OMB Number 1103-0093] Extension of a Currently Approved Collection; Comments Requested; COPS Extension Request Form ACTION: 30-Day Notice of Information Collection Under Review. The Department of Justice (DOJ) Office of Community...

  14. 77 FR 4374 - Submission for OMB Review; Comments Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-27

    ...) calendar-days of publication of this Notice. OPIC plans to implement this form in Fall 2012. ADDRESSES... Request: Revised form. Title: Request for Registration for Political Risk Insurance. Form Number: OPIC-50... for political risk insurance and collect information for underwriting analysis. Dated: January 20...

  15. 75 FR 38176 - Proposed Collection; Comment Request for Form 8916-A

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-01

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 8916-A AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 8916-A, Reconciliation of Cost of Goods Sold Reported on Schedule M-3. DATES: Written comments...

  16. 78 FR 19464 - Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-01

    ... identifiers or contact information. Any associated form(s) for this collection may be located within this same... number, and title. FOR FURTHER INFORMATION CONTACT: To request more information on this proposed... Public Outreach at (703) 695- 3845. Title; Associated Form; and OMB Number: Request for Armed Forces...

  17. What Is Asked in Clinical Data Request Forms? A Multi-site Thematic Analysis of Forms Towards Better Data Access Support

    PubMed Central

    Hanauer, David A; Hruby, Gregory W.; Fort, Daniel G.; Rasmussen, Luke V.; Mendonça, Eneida A.; Weng, Chunhua

    2014-01-01

    Many academic medical centers have aggregated data from multiple clinical systems into centralized repositories. These repositories can then be queried by skilled data analysts who act as intermediaries between the data stores and the research teams. To obtain data, researchers are often expected to complete a data request form. Such forms are meant to support record-keeping and, most importantly, provide a means for conveying complex data needs in a clear and understandable manner. Yet little is known about how data request forms are constructed and how effective they are likely to be. We conducted a content analysis of ten data request forms from CTSA-supported institutions. We found that most of the forms over-emphasized the collection of metadata that were not considered germane to the actual data needs. Based on our findings, we provide recommendations to improve the quality of data request forms in support of clinical and translational research. PMID:25954367

  18. 41 CFR 101-26.4904-416 - DD Form 416: Purchase Request for Coal, Coke, or Briquettes.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 41 Public Contracts and Property Management 2 2011-07-01 2007-07-01 true DD Form 416: Purchase Request for Coal, Coke, or Briquettes. 101-26.4904-416 Section 101-26.4904-416 Public Contracts and... DD Form 416: Purchase Request for Coal, Coke, or Briquettes. Note: The form illustrated in § 101-26...

  19. 41 CFR 101-26.4904-416 - DD Form 416: Purchase Request for Coal, Coke, or Briquettes.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 41 Public Contracts and Property Management 2 2014-07-01 2012-07-01 true DD Form 416: Purchase Request for Coal, Coke, or Briquettes. 101-26.4904-416 Section 101-26.4904-416 Public Contracts and... DD Form 416: Purchase Request for Coal, Coke, or Briquettes. Note: The form illustrated in § 101-26...

  20. 41 CFR 101-26.4904-416 - DD Form 416: Purchase Request for Coal, Coke, or Briquettes.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 2 2010-07-01 2010-07-01 true DD Form 416: Purchase Request for Coal, Coke, or Briquettes. 101-26.4904-416 Section 101-26.4904-416 Public Contracts and... DD Form 416: Purchase Request for Coal, Coke, or Briquettes. Note: The form illustrated in § 101-26...

  1. 41 CFR 101-26.4904-416 - DD Form 416: Purchase Request for Coal, Coke, or Briquettes.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 41 Public Contracts and Property Management 2 2012-07-01 2012-07-01 false DD Form 416: Purchase Request for Coal, Coke, or Briquettes. 101-26.4904-416 Section 101-26.4904-416 Public Contracts and... DD Form 416: Purchase Request for Coal, Coke, or Briquettes. Note: The form illustrated in § 101-26...

  2. 41 CFR 101-26.4904-416 - DD Form 416: Purchase Request for Coal, Coke, or Briquettes.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 41 Public Contracts and Property Management 2 2013-07-01 2012-07-01 true DD Form 416: Purchase Request for Coal, Coke, or Briquettes. 101-26.4904-416 Section 101-26.4904-416 Public Contracts and... DD Form 416: Purchase Request for Coal, Coke, or Briquettes. Note: The form illustrated in § 101-26...

  3. 76 FR 61763 - Extension: Form N-17f-2; Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-05

    ...: Form N-17f-2; Proposed Collection; Comment Request Upon Written Request, Copies Available From... information to the Office of Management and Budget for extension and approval. Form N-17f-2 (17 CFR 274.220... Investments in the Custody of Management Investment Companies.'' Form N-17f-2 is the cover sheet for the...

  4. 77 FR 73673 - Notice of Proposed Information Collection; Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-11

    ... to request approval to continue the collection of information for one of its Technical Training... approval. This collection is for the OSM Technical Training Nomination and Request for Payment Form (OSM.... Title: Nomination and Request for Payment Form for OSM Technical Training Courses. OMB Control Number...

  5. 77 FR 70826 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Uniform...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-27

    ... for OMB Review; Comment Request; Uniform Billing Form ACTION: Notice. SUMMARY: The Department of Labor... collection request (ICR) revision titled, ``Uniform Billing Form,'' (Form OWCP-04) to the Office of.... In addition, notwithstanding any other provisions of law, no person shall generally be subject to...

  6. 78 FR 10263 - Proposed Collection; Comment Request for Form 8082

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-13

    ..., Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8082, Notice of Inconsistent Treatment or Administrative Adjustment Request (AAR). DATES: Written... Inconsistent Treatment or Administrative Adjustment Request (AAR). OMB Number: 1545-0790. Form Number: 8082...

  7. 76 FR 44657 - Proposed Collection; Comment Request for Form 1125-A

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-26

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 1125-A AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1125-A, Cost of Goods Sold. DATES: Written comments should be received on or before September 26...

  8. 75 FR 61244 - Proposed Collection; Comment Request for Form 8038-R

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-04

    ... 8038-R AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 8038-R, Request for Recovery of Overpayments Under Arbitrage Rebate Provisions. DATES: Written... information or copies of the form and instructions should be directed to R. Joseph Durbala at Internal Revenue...

  9. 75 FR 9608 - National Protection and Programs Directorate; Technical Assistance Request and Evaluation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-03

    ... Directorate; Technical Assistance Request and Evaluation AGENCY: National Protection and Programs Directorate... assistance requests from each State and territory. OEC will use the Technical Assistance Evaluation Form to... electronically. Evaluation forms may be submitted electronically or in paper form. The Office of Management and...

  10. 77 FR 12079 - Agency Information Collection Activities; Proposed Collection; Comments Requested: Crime Victim...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-28

    ... Collection; Comments Requested: Crime Victim Compensation State Certification Form Request ACTION: 30-Day... Programs (OJP), Office for Victims of Crime (OVC) will be submitting the following information collection...: Crime Victim Compensation State Certification Form. (3) Agency form number, if any, and the applicable...

  11. 77 FR 50146 - Agency Information Collection Activities: Extension, With Change, of an Existing Information...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-20

    ... Request ACTION: 60-day notice of information collection; 10-002; Electronic Funds Transfer Waiver Request... appropriate automated, electronic, mechanical, or other technological collection techniques or other forms of.... (2) Title of the Form/Collection: Electronic Funds Transfer Waiver Request. (3) Agency form number...

  12. 78 FR 22511 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-16

    ... evaluation. In years past, the Census Bureau collected the long-form data only once every ten years and it... methodology to collect and update demographic, social, economic, and housing data every year that are... File (MAF) from the decennial census, which is updated each year, we select a sample of addresses and...

  13. Program Standards for School Foundation Units for Gifted Children. (Intellectually Gifted and Talented).

    ERIC Educational Resources Information Center

    Ohio State Dept. of Education, Columbus.

    Ohio's program standards for school foundation units for gifted children are presented in outline form. Areas covered (with sample rules in parentheses) include the following: general standards (elements of a written proposal to request approval from the Division of Special Education), student eligibility (the areas of giftedness included),…

  14. 78 FR 57617 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-19

    ... Investment Abroad, which is conducted every five years. The data are used in the preparation of the U.S.... Reporter with Foreign Affiliate (Form 577), obtains quarterly data on transactions and positions between U... covers all foreign affiliates above a size-exemption level. The sample data are used to derive universe...

  15. Preserving, Enhancing, and Continuing the Scientific Legacy of the Apollo Sample Suite

    NASA Astrophysics Data System (ADS)

    Zeigler, R. A.; Evans, C. A.; Lehnert, K.; Cai, Y.; Todd, N. S.

    2016-12-01

    From 1969 to 1972, Apollo astronauts collected 382 kg of rocks, soils, and core samples from six geologically diverse locations on the Moon. In the nearly 50 years since the samples were collected, over 3000 different studies have been conducted using the nearly 2200 different Apollo samples. Despite the maturity of the sample collection, many new studies of lunar samples are undertaken each year, with an average of >55 requests and >600 distinct subsamples allocated annually over the past five years. The Apollo samples are a finite resource, however. Although new studies are encouraged, it is important that new studies do not duplicate previous studies, and where possible, leverage previous results to inform and enhance the current studies. This helps to preserve the samples and scientific funding, both of which are precious resources. We have initiated several new efforts to rescue some of the early analyses from these samples, including unpublished analytical data. We are actively scanning NASA documentation in paper form that is related to the Apollo missions and sample processing, and we are collaborating with IEDA to establish a geochemical data base called MoonDB. To populate this database, we are actively working with about a dozen prominent lunar PIs to organize and transcribe years of both published and unpublished data, making it available to all researchers. This effort will also take advantage of new online analytical tools like PetDB. There have already been tangible results from the MoonDB data rescue effort. A pilot project involving the rescue of geochemical data of John Delano on Apollo pyroclastic glasses has already been referenced in multiple Apollo sample requests, and in fact, the compiled data was used as part of one of the new studies. Similarly, scanned sample handling reports have been utilized to find previously analyzed samples that were appropriate to fulfill new sample requests. We have also begun to image the Apollo samples using (1) micro-CT scanning to document the interior structure of samples, and (2) comprehensive high resolution photography of samples, enabling high resolution 3D reconstructions of the samples. Both efforts will provide comprehensive access to these samples and allow for more targeted requests, and thus better curation of the samples for decades to come.

  16. Preserving, Enhancing, and Continuing the Scientific Legacy of the Apollo Sample Suite

    NASA Technical Reports Server (NTRS)

    Zeigler, Ryan; Evans, Cindy; Cai, Yue; Lehnert, Kerstin; Todd, Nancy; Blumenfeld, Erika

    2016-01-01

    From 1969 to 1972, Apollo astronauts collected 382 kg of rocks, soils, and core samples from six geologically diverse locations on the Moon. In the nearly 50 years since the samples were collected, over 3000 different studies have been conducted using the nearly 2200 different Apollo samples. Despite the maturity of the sample collection, many new studies of lunar samples are undertaken each year, with an average of more than 55 requests and more than 600 distinct subsamples allocated annually over the past five years. The Apollo samples are a finite resource, however. Although new studies are encouraged, it is important that new studies do not duplicate previous studies, and where possible, leverage previous results to inform and enhance the current studies. This helps to preserve the samples and scientific funding, both of which are precious resources. We have initiated several new efforts to rescue some of the early analyses from these samples, including unpublished analytical data. We are actively scanning NASA documentation in paper form that is related to the Apollo missions and sample processing, and we are collaborating with IEDA to establish a geochemical data base called MoonDB. To populate this database, we are actively working with about a dozen prominent lunar PIs to organize and transcribe years of both published and unpublished data, making it available to all researchers. This effort will also take advantage of new online analytical tools like PetDB. There have already been tangible results from the MoonDB data rescue effort. A pilot project involving the rescue of geochemical data of John Delano on Apollo pyroclastic glasses has already been referenced in multiple Apollo sample requests, and in fact, the compiled data was used as part of one of the new studies. Similarly, scanned sample handling reports have been utilized to find previously analyzed samples that were appropriate to fulfill new sample requests. We have also begun to image the Apollo samples using (1) micro-CT scanning to document the interior structure of samples, and (2) comprehensive high resolution photography of samples, enabling high resolution 3D reconstructions of the samples. Both efforts will provide comprehensive access to these samples and allow for more targeted requests, and thus better curation of the samples for decades to come.

  17. 76 FR 49436 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-10

    ...) Applicant Requirements. OMB Control Number: 0693-0059. Form Number(s): NIST-1103. Type of Request: Regular... (STEM) fields. This request is for the information collection for form (NIST-1103) that must be...

  18. 75 FR 21148 - Proposed Collection; Comment Request for Form 4506-T

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-22

    ... 4506-T AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 4506-T Request for Transcript of Tax Return. DATES: Written comments should be received on or... 4506-T. Abstract: Internal Revenue Code section 7513 allows taxpayers to request a copy of a tax return...

  19. 17 CFR 145.7 - Requests for Commission records and copies thereof.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... (including electronic formats) of the response. The Commission will accommodate requesters as to form or... or format of the response, the Commission will respond in the form or format in which the document is... requests/oral requests. (1) The Commission cannot assure that a timely or satisfactory response will be...

  20. 17 CFR 145.7 - Requests for Commission records and copies thereof.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... (including electronic formats) of the response. The Commission will accommodate requesters as to form or... or format of the response, the Commission will respond in the form or format in which the document is... requests/oral requests. (1) The Commission cannot assure that a timely or satisfactory response will be...

  1. 17 CFR 145.7 - Requests for Commission records and copies thereof.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... (including electronic formats) of the response. The Commission will accommodate requesters as to form or... or format of the response, the Commission will respond in the form or format in which the document is... requests/oral requests. (1) The Commission cannot assure that a timely or satisfactory response will be...

  2. 21 CFR 203.60 - Request and receipt forms, reports, and records.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Request and receipt forms, reports, and records. 203.60 Section 203.60 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL PRESCRIPTION DRUG MARKETING Request and Receipt Forms, Reports, and...

  3. 75 FR 44053 - Proposed Collection; Comment Request: CDFI/CDE Project Profiles Web Form

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-27

    ...; Comment Request: CDFI/CDE Project Profiles Web Form ACTION: Notice and request for comments. SUMMARY: The... the Treasury, is soliciting comments concerning the CDFI/CDE Project Profile Web Form, a voluntary... CIIS. The CDFI Fund plans to use the descriptions in CDFI Fund publications, on its Web site and in...

  4. 77 FR 37869 - Agency Information Collection Activities: Proposed Collection; Comment Request-National Hunger...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-25

    ...: Proposed Collection; Comment Request--National Hunger Clearinghouse Database Form AGENCY: Food and... Database Form. Form: FNS 543. OMB Number: 0584-0474. Expiration Date: 8/31/2012. Type of Request: Revision... Clearinghouse includes a database (FNS-543) of non- governmental, grassroots programs that work in the areas of...

  5. 48 CFR 253.208-1 - DD Form 448, Military Interdepartmental Purchase Request.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false DD Form 448, Military Interdepartmental Purchase Request. 253.208-1 Section 253.208-1 Federal Acquisition Regulations System DEFENSE... DD Form 448, Military Interdepartmental Purchase Request. Follow the procedures at PGI 253.208-1 for...

  6. 26 CFR 1.6015-5 - Time and manner for requesting relief.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... equitable relief under § 1.6015-4, a requesting spouse must file Form 8857, “Request for Innocent Spouse Relief” (or other specified form); submit a written statement containing the same information required on Form 8857, which is signed under penalties of perjury; or submit information in the manner prescribed...

  7. 26 CFR 1.6015-5 - Time and manner for requesting relief.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... equitable relief under § 1.6015-4, a requesting spouse must file Form 8857, “Request for Innocent Spouse Relief” (or other specified form); submit a written statement containing the same information required on Form 8857, which is signed under penalties of perjury; or submit information in the manner prescribed...

  8. 75 FR 81244 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-27

    ... Supplement (DFARS) Part 204, Administrative Matters, and related clauses at DFARS 252.204; DD Form 2051, Request for Assignment of a Commercial and Government Entity (CAGE) Code, and DD Form 2051-1, Request for...

  9. New rules for physicians implement sample drug bill.

    PubMed

    1990-06-01

    Record keeping requirements for dangerous drugs, including samples, has been a source of confusion for physicians and often has lead to misinterpretation of the law. To clarify this issue and to assist in implementing Senate Bill 788 (the sample drug bill), the Texas State Board of Medical Examiners recently has adopted rules for record keeping for dangerous drugs and controlled substances. A dangerous drug is any drug or device that is not listed in the Controlled Substances Act and thus is not safe for self-medication, or bears the legend, "Caution: Federal law prohibits dispensing without a prescription." The Dangerous Drugs Act requires a physician to maintain records for 2 years after the date of the acquisition or disposal of the dangerous drug. The new TSBME rules provide a presumption of compliance by a physician for record keeping for dangerous drug samples if he or she (1) retains a copy of the signed request form required by the Prescription Drug Marketing Act of 1987 for 2 years and (2) makes appropriate entries in a patient's medical records when a dangerous drug sample is supplied to the patient. Generally, a drug company representative provides a copy of the request as a receipt at the time the physician receives the samples. For dangerous drugs that the physician acquires other than as samples, the physician needs to retain a copy of the invoice or receiving order or other form of documentation of receipt or acquisition for 2 years. Once again, the physician should make appropriate entries in patients' records.(ABSTRACT TRUNCATED AT 250 WORDS)

  10. 77 FR 37683 - Proposed Collection; Comment Request; NDAR Data Access Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-22

    ... first where the Principal Investigator (PI) completes the entire NDAR Data Access Request form, and the second where the PI has the Research Assistant begin filling out the form and PI provides the final...

  11. 77 FR 23735 - Agency Information Collection Activities: Forms G-1041 and G-1041A, Extension of a Currently...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-20

    ..., Genealogy Index Search Request and Genealogy Records Request. The Department of Homeland Security, U.S... existing information collection. (2) Title of the Form/Collection: Genealogy Index Search Request and... response to genealogy index search and records requests. (5) An estimate of the total number of respondents...

  12. 75 FR 33886 - Proposed Collection; Comment Request for Form 5308

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-15

    ..., Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 5308, Request for Change in Plan/Trust Year. DATES: Written comments should be received on or before... INFORMATION: Title: Request for Change in Plan/Trust Year. OMB Number: 1545-0201. Form Number: 5308. Abstract...

  13. 75 FR 35776 - Commission Information Collection Activities (FERC Form No. 80); Comment Request; Submitted for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-23

    ... Information Collection Activities (FERC Form No. 80); Comment Request; Submitted for OMB Review June 16, 2010... interested person may file comments directly with OMB and should address a copy of those comments to the.../2010) requesting public comments. FERC received no comments on the FERC Form No. 80 and has made this...

  14. 77 FR 6823 - Proposed Extension of Existing Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-09

    ... Form CA-1122 is requested from the claimant if he or she received a payment for damages without hiring an attorney. Form CA-1108 requests this information from the attorney if one was hired to bring suit... approval of the information collection: Statement of Recovery (SOR) Forms (CA-1108 and CA-1122). A copy of...

  15. 75 FR 67382 - Agency Information Collection Activities: Submission for OMB Review; Comment Request, OMB No...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-02

    ...-89D), Coastal Structures Form; FEMA Form 086-0-27E (formerly FEMA Form 81-89E), Alluvial Fan Flooding... Fan Flooding Form. Abstract: The certification forms are designed to assist requesters in gathering...

  16. 78 FR 21500 - Proposed Collection; Comment Request for Form 8275 and 8275-R

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-10

    ... 8275 and 8275-R AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for... Form 8275, Disclosure Statement, and Form 8275-R, Regulation Disclosure Statement. DATES: Written... (Form 8275) and Regulation Disclosure Statement (Form 8275-R). OMB Number: 1545-0889. Form Number: Forms...

  17. How to Defuse Censorship: Implementing 404.2 of the Standards for Accreditation of Montana Schools, 4th Ed.

    ERIC Educational Resources Information Center

    Bechtold, Brian; And Others

    To help defuse censorship efforts, this booklet identifies issues and strategies for handling censorship efforts and provides the instructional materials selection policies of two Montana school districts. The booklet also includes sample forms for a citizen requesting reconsideration of materials and for a school media committee's reconsideration…

  18. 76 FR 43331 - Labor-Management Relations Information Collection Requests

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-20

    ... FEDERAL MEDIATION AND CONCILIATION SERVICE Labor-Management Relations Information Collection... the following public information collection requests (ICR) to the Office of Management and Budget (OMB... information collection requests are FMCS forms: Arbitrator's Report and Fee Statement (Agency Form R-19...

  19. 76 FR 3688 - Agency Information Collection Activities: Proposed Request and Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-20

    ... may request Appeals Council review by filing a written request using Form HA-520. SSA uses the... CFR 404.938 & 416.1438--0960-0671. SSA uses Forms HA-504 and HA-504-OP1 to inform claimants of a... exclusion of the video teleconferencing option on the HA-504-OP1. We exclude video teleconferencing when it...

  20. 32 CFR Appendix A to Part 291 - Freedom of Information Act Request (DNA Form 524)

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 2 2011-07-01 2011-07-01 false Freedom of Information Act Request (DNA Form 524... OF DEFENSE (CONTINUED) FREEDOM OF INFORMATION ACT PROGRAM DEFENSE NUCLEAR AGENCY (DNA) FREEDOM OF INFORMATION ACT PROGRAM Pt. 291, App. A Appendix A to Part 291—Freedom of Information Act Request (DNA Form...

  1. 32 CFR Appendix A to Part 291 - Freedom of Information Act Request (DNA Form 524)

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 2 2010-07-01 2010-07-01 false Freedom of Information Act Request (DNA Form 524... OF DEFENSE (CONTINUED) FREEDOM OF INFORMATION ACT PROGRAM DEFENSE NUCLEAR AGENCY (DNA) FREEDOM OF INFORMATION ACT PROGRAM Pt. 291, App. A Appendix A to Part 291—Freedom of Information Act Request (DNA Form...

  2. 32 CFR Appendix A to Part 291 - Freedom of Information Act Request (DNA Form 524)

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 2 2014-07-01 2014-07-01 false Freedom of Information Act Request (DNA Form 524... OF DEFENSE (CONTINUED) FREEDOM OF INFORMATION ACT PROGRAM DEFENSE NUCLEAR AGENCY (DNA) FREEDOM OF INFORMATION ACT PROGRAM Pt. 291, App. A Appendix A to Part 291—Freedom of Information Act Request (DNA Form...

  3. 32 CFR Appendix A to Part 291 - Freedom of Information Act Request (DNA Form 524)

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 2 2013-07-01 2013-07-01 false Freedom of Information Act Request (DNA Form 524... OF DEFENSE (CONTINUED) FREEDOM OF INFORMATION ACT PROGRAM DEFENSE NUCLEAR AGENCY (DNA) FREEDOM OF INFORMATION ACT PROGRAM Pt. 291, App. A Appendix A to Part 291—Freedom of Information Act Request (DNA Form...

  4. 32 CFR Appendix A to Part 291 - Freedom of Information Act Request (DNA Form 524)

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 2 2012-07-01 2012-07-01 false Freedom of Information Act Request (DNA Form 524... OF DEFENSE (CONTINUED) FREEDOM OF INFORMATION ACT PROGRAM DEFENSE NUCLEAR AGENCY (DNA) FREEDOM OF INFORMATION ACT PROGRAM Pt. 291, App. A Appendix A to Part 291—Freedom of Information Act Request (DNA Form...

  5. 77 FR 59690 - Agency Information Collection Activities: Proposed Request and Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-28

    ... uses form SSA-7011-F4 to document the alleged wages. Specifically, the agency uses the form to resolve... benefits. We only send Form SSA-7011-F4 to employers if we are unable to locate the earnings information in... (minutes) (hours) SSA-7011-F4 462,000 1 20 154,000 2. Request for Deceased Individual's Social Security...

  6. 77 FR 58109 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-19

    ... Regulation Supplement (DFARS) part 245, Government Property, and the following related clauses and forms: DD Form 1149, Requisition and Invoice/Shipping Document; DD Form 1348-1A, DoD Single Line item Release/Receipt Document; DD Form 1639, Scrap Warranty; DD Form 1640, Request for Plant Clearance; DD Form 1641...

  7. 77 FR 6863 - Proposed Collection; Comment Request for VITA/TCE Program Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-09

    .../TCE Program Forms AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for... VITA/TCE Program Forms 14310, 8653, 8654, and 14024. DATES: Written comments should be received on or... . SUPPLEMENTARY INFORMATION: Title: VITA/TCE Program Forms. OMB Number: 1545-2222. Form Number: Forms 14310, 8653...

  8. 75 FR 61840 - Proposed Collection; Comment Request for Form 5300 and Schedule Q (Form 5300)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-06

    ... 5300 and Schedule Q (Form 5300) AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and... comments concerning Form 5300, Application for Determination for Employee Benefit Plan, and Schedule Q... Elective Determination Requests (Schedule Q (Form 5300)). OMB Number: 1545-0197. Form Number: Form 5300 and...

  9. 76 FR 32405 - Proposed Collection; Comment Request for Form 12114

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-06

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 12114 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... consideration. ADDRESSES: Direct all written comments to Yvette Lawrence Internal Revenue Service, room 6129...

  10. 78 FR 29205 - Proposed Collection; Comment Request for Form 4952

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-17

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 4952 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... Durbala, Internal Revenue Service, Room 6129, 1111 Constitution Avenue NW., Washington, DC 20224. FOR...

  11. 78 FR 12830 - Proposed Collection; Comment Request for Form 14420

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-25

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 14420 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY..., Internal Revenue Service, Room 6129, 1111 Constitution Avenue NW., Washington, DC 20224. FOR FURTHER...

  12. 78 FR 24812 - Proposed Collection: Comment Request for Form 8833

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-26

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection: Comment Request for Form 8833 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... written comments to Yvette Lawrence Internal Revenue Service, Room 6129, 1111 Constitution Avenue NW...

  13. 77 FR 68887 - Proposed Collection; Comment Request for Form 2063

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-16

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 2063 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... Lawrence, Internal Revenue Service, Room 6129, 1111 Constitution Avenue NW., Washington, DC 20224. FOR...

  14. 77 FR 71037 - Proposed Collection; Comment Request for Form 9452

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-28

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 9452 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... all written comments to R. Joseph Durbala, Internal Revenue Service, room 6129, 1111 Constitution...

  15. 75 FR 28322 - Proposed Collection; Comment Request for Form 5578

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-20

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 5578 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... consideration. ADDRESSES: Direct all written comments to Gerald Shields, Internal Revenue Service, room 6129...

  16. 78 FR 24814 - Proposed Collection; Comment Request for Form 8612

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-26

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 8612 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... all written comments to Yvette Lawrence, Internal Revenue Service, room 6129, 1111 Constitution Avenue...

  17. 77 FR 4403 - Proposed Collection; Comment Request for Form 8725

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-27

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 8725 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... R. Joseph Durbala at Internal Revenue Service, room 6129, 1111 Constitution Avenue NW., Washington...

  18. 77 FR 60744 - Proposed Collection; Comment Request for Form 4136

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-04

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 4136 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY..., Internal Revenue Service, room 6129, 1111 Constitution Avenue NW., Washington, DC 20224. FOR FURTHER...

  19. 77 FR 71036 - Proposed Collection; Comment Request for Form 4506

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-28

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 4506 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY..., Internal Revenue Service, Room 6129, 1111 Constitution Avenue NW., Washington, DC 20224. FOR FURTHER...

  20. 77 FR 7241 - Proposed Collection; Comment Request for Form 4810

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-10

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 4810 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... all written comments to Yvette B. Lawrence, Internal Revenue Service, room 6129, 1111 Constitution...

  1. 76 FR 32403 - Proposed Collection; Comment Request for Form 2678

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-06

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 2678 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY..., Internal Revenue Service, room 6129, 1111 Constitution Avenue NW., Washington, DC 20224. FOR FURTHER...

  2. 78 FR 24312 - Proposed Collection; Comment Request for Form 5308

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-24

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 5308 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY..., Internal Revenue Service, Room 6129, 1111 Constitution Avenue NW., Washington, DC 20224. FOR FURTHER...

  3. 76 FR 34810 - Proposed Collection; Comment Request for Form 8810

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-14

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 8810 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... comments to Yvette B. Lawrence, Internal Revenue Service, Room 6129, 1111 Constitution Avenue, NW...

  4. 75 FR 51879 - Proposed Collection; Comment Request for Form 1023

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-23

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 1023 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY.... ADDRESSES: Direct all written comments to Gerald Shields, Internal Revenue Service, room 6129, 1111...

  5. 77 FR 71036 - Proposed Collection; Comment Request for Form 2439

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-28

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 2439 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... comments to R. Joseph Durbala, Internal Revenue Service, Room 6129, 1111 Constitution Avenue NW...

  6. 75 FR 27861 - Proposed Collection; Comment Request for Form 970

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-18

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 970 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... Internal Revenue Service, room 6129, 1111 Constitution Avenue, NW., Washington, DC 20224. FOR FURTHER...

  7. 78 FR 27965 - Agency Information Collection Activities: Submission for OMB Review; Comment Request Re Forms...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-13

    ... FEDERAL DEPOSIT INSURANCE CORPORATION Agency Information Collection Activities: Submission for OMB Review; Comment Request Re Forms Relating To Processing Deposit Insurance Claims AGENCY: Federal Deposit Insurance Corporation (FDIC). ACTION: Notice of proposed information collection renewal and comment request...

  8. 78 FR 19573 - Proposed Collection; Comment Request for Form 8879-B

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-01

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 8879-B AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... to Yvette Lawrence, Internal Revenue Service, Room 6129, 1111 Constitution Avenue NW., Washington, DC...

  9. 76 FR 55741 - Proposed Collection; Comment Request for Form 5305-SEP

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-08

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 5305-SEP AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments.... ADDRESSES: Direct all written comments to Yvette B. Lawrence, Internal Revenue Service, room 6129, 1111...

  10. 76 FR 12416 - Proposed Collection; Comment Request for Form 8834

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-07

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 8834 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... Ralph Terry at Internal Revenue Service, room 6129, 1111 Constitution Avenue, NW., Washington, DC 20224...

  11. 78 FR 29205 - Proposed Collection; Comment Request for Form 926

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-17

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 926 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... consideration. ADDRESSES: Direct all written comments to R. Joseph Durbala, Internal Revenue Service, Room 6129...

  12. 78 FR 35361 - Proposed Collection; Comment Request for Form 1099-DIV

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-12

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 1099-DIV AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Durbala. Internal Revenue Service, Room 6129, 1111 Constitution Avenue NW., Washington, DC 20224. FOR...

  13. 78 FR 12154 - Proposed Collection; Comment Request for Form 8453-S

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-21

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 8453-S AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... written comments to Yvette Lawrence, Internal Revenue Service, Room 6129, 1111 Constitution Avenue NW...

  14. 75 FR 33388 - Proposed Collection; Comment Request for Form 1099-B

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-11

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 1099-B AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... comments to Gerald Shields, Internal Revenue Service, Room 6129, 1111 Constitution Avenue, NW., Washington...

  15. 78 FR 19578 - Proposed Collection; Comment Request for Form 4506-T

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-01

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 4506-T AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... to Yvette Lawrence, Internal Revenue Service, Room 6129, 1111 Constitution Avenue NW., Washington, DC...

  16. 78 FR 53008 - Proposed Collection; Comment Request for Form 13094

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-27

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 13094 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... the Internal Revenue Service. DATES: Written comments should be received on or before October 28, 2013...

  17. 76 FR 10670 - Proposed Collection; Comment Request for Form 720-CF

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-25

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 720-CF AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments..., Internal Revenue Service, room 6129, 1111 Constitution Avenue, NW., Washington, DC 20224. FOR FURTHER...

  18. 78 FR 3498 - Proposed Collection; Comment Request for Form 14417-A

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-16

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 14417-A AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments..., Internal Revenue Service, room 6129, 1111 Constitution Avenue NW., Washington, DC 20224. FOR FURTHER...

  19. 44 CFR 6.30 - Form of requests.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Form of requests. 6.30 Section 6.30 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF... manager, at his discretion, may accept oral requests for access subject to verification of identity. ...

  20. 78 FR 70069 - Agency Information Collection Activities; Proposed New Collection; Comments Requested: Drug...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-22

    ... Collection; Comments Requested: Drug Endangered Children Tracking System User Survey ACTION: 60-day notice... technological collection techniques or other forms of information technology, e.g., permitting electronic... new collection; comments requested. (2) Title of the Form/Collection: Drug Endangered Children...

  1. 75 FR 15489 - Proposed Collection; Comment Request for Form 12815

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-29

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 12815 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY: The Department of the Treasury, as part of its continuing effort to reduce paperwork and respondent...

  2. 77 FR 16586 - Proposed Collection; Comment Request for Form 8569

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-21

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 8569 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY: The Department of the Treasury, as part of its continuing effort to reduce paperwork and respondent...

  3. 75 FR 22637 - Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-29

    ... the form prescribed for use by registered investment companies in certain circumstances to request orders of the Commission declaring that the registration of that investment company cease to be in effect. The form requests, from investment companies seeking a deregistration order, information about (i) the...

  4. 75 FR 21623 - Commission Information Collection Activities (FERC Form Nos. 6 and 6-Q); Comment Request...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-26

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket Nos. IC10-6-001 and IC10-6Q-001] Commission Information Collection Activities (FERC Form Nos. 6 and 6-Q); Comment Request; Submitted for OMB... (75FR5061, 2/1/ 2010) requesting public comments. FERC received one comment on the FERC Form No. 6 and FERC...

  5. 76 FR 49538 - Proposed Collection; Comment Request for Forms 8027 and 8027-T

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-10

    ... 8027 and 8027-T AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for... Form 8027, Employer's Annual Information Return of Tip Income and Allocated Tips, and Form 8027-T... Income and Allocated Tips (Form 8027-T). OMB Number: 1545-0714. Form Number: Forms 8027 and 8027-T...

  6. 77 FR 6094 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-07

    ... Acquisition Regulation Supplement (DFARS) part 245, Government Property; DD Form 1149, Requisition and Invoice/Shipping Document; DD Form 1348-1A, DoD Single Line item Release/Receipt Document; DD Form 1637, Notice of Acceptance of Inventory Schedules; DD Form 1639, Scrap Warranty; DD Form 1640, Request for Plant Clearance...

  7. 77 FR 37098 - Proposed Collection; Comment Request for Form 8038-CP

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-20

    ... 8038-CP AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 8038-CP, Return for Credit Payments to Issuers of Qualified Bonds. DATES: Written comments should... Issuers of Qualified Bonds. OMB Number: 1545-2142. Form Number: Form 8038-CP. Abstract: Form 8038-CP...

  8. 78 FR 8225 - Proposed Collection; Comment Request for Form 1099-H

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-05

    ... 1099-H AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1099-H, Health Coverage Tax Credit (HCTC) Advance Payments. DATES: Written comments should be...: 1545-1813. Form Number: Form 1099-H. Abstract: Form 1099-H is used to report advance payments of health...

  9. 75 FR 2931 - Proposed Collection; Comment Request for Form 1099-H

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-19

    ... 1099-H AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1099-H, Health Coverage Tax Credit (HCTC) Advance Payments. DATES: Written comments should be.... OMB Number: 1545-1813. Form Number: Form 1099-H. Abstract: Form 1099-H is used to report advance...

  10. 77 FR 4880 - Revision of Form FHWA-1273

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-31

    ...] Revision of Form FHWA-1273 AGENCY: Federal Highway Administration (FHWA), DOT. ACTION: Notice; request for comments. SUMMARY: The FHWA is requesting comments on a proposed revision of form FHWA-1273--``Required Contract Provisions Federal-Aid Construction Contracts.'' This form includes certain contract provisions...

  11. 12 CFR Appendix B to Part 707 - Model Clauses and Sample Forms

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Disclosures (§ 707.4(b)) (a) Rate Information (Sec. 707.4(b)(1)) (i) Fixed-Rate Accounts (§ 707.4(b)(1)(i)(A-B... members requesting account information before opening an account, and members opening new accounts... may call the credit union to obtain up-to-date information. When opening a new account, of course, a...

  12. 76 FR 28825 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-18

    ... likely to use the form each year. Most of the information requested on the form should be readily..., Copies Available From: Securities and Exchange Commission, Office of Investor Education and Advocacy... request for extension of the previously approved collection of information discussed below. Section 17(d...

  13. 77 FR 38145 - Proposed Collection; Comment Request for Form 1099-U.

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-26

    ... by foreign financial institutions (FFI) and non-foreign financial entities (NFFE) with respect to U.S... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 1099-U. AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments...

  14. 76 FR 63992 - Proposed Collection; Comment Request for Form 8894

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-14

    ..., Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8894, Request to Revoke Partnership Level Tax Treatment Election. DATES: Written comments should [email protected] . SUPPLEMENTARY INFORMATION: Title: Request to Revoke Partnership Level Tax...

  15. 77 FR 57190 - Proposed Collection; Comment Request for Schedule H (Form 1040)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-17

    ... Schedule H (Form 1040) AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for... Schedule H (Form 1040), Household Employment Taxes. DATES: Written comments should be received on or before...

  16. 7 CFR 4290.1220 - Requirement for RBIC to file financial statements at the time of request for a draw.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 15 2010-01-01 2010-01-01 false Requirement for RBIC to file financial statements at... financial statements at the time of request for a draw. (a) If you submit a request for a draw against your... (Short Form), you must: (1) Give the Secretary a financial statement on Form 468 (Short Form), and (2...

  17. 76 FR 52956 - Proposed Information Collection Activity; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-24

    ... (HPBS) Transmission File Layouts for HPBS Work Measures OMB No.: 0970-0230 Description: There is no... provide us less precise information on States' performance. The Transmission File Layouts form provides... requested to transmit similar files. We are not requesting any changes to the Transmission File Layouts form...

  18. 76 FR 18301 - Proposed Collection; Comment Request for HCTC Program Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-01

    ... requests of; changes to their account information, waivers from the Federal requirement that mandates all... on proposed and/or continuing information collections, as required by the Paperwork Reduction Act of... INFORMATION CONTACT: Requests for additional information or copies of the form and instructions should be...

  19. 77 FR 36574 - Agency Information Collection Activities; Proposed collection, comments requested: Leased/Charter...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-19

    ... collection, comments requested: Leased/Charter Flight Personnel Expedited Clearance Request ACTION: 30-day... collection: New collection. 2. The title of the form/collection: Leased/Charter Flight Personnel Expedited.... This form is to be completed by people applying to become contract flight crew members. It is required...

  20. 76 FR 6813 - Agency Information Collection Activities: Comment Request for the Consolidated Consumers' Report...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-08

    ... Collection Activities: Comment Request for the Consolidated Consumers' Report (1 Form) AGENCY: U.S... Consolidated Consumers' Report. This collection consists of one form. This notice provides the public and other...: 9-4117-MA. Title: Consolidated Consumers' Report. Type of Request: Extension of a currently approved...

  1. 78 FR 32276 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Notice of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-29

    ... information collection request (ICR) revision titled, ``Notice of Issuance of Insurance Policy,'' Form CM-921...)(D). SUPPLEMENTARY INFORMATION: The Notice of Issuance of Insurance Policy, Form CM-921, provides... for OMB Review; Comment Request; Notice of Issuance of Insurance Policy ACTION: Notice. SUMMARY: The...

  2. 78 FR 52168 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-22

    ... Review; Comment Request ACTION: Notice. The Department of Defense has submitted to OMB for clearance, the.... Title, Associated Form and OMB Number: Request for Armed Forces Participation in Public Events; DD Form... evaluate the eligibility of events to receive Armed Forces community relations support and to determine...

  3. 78 FR 70070 - Agency Information Collection Activities; Proposed Collection; Comments Requested: Request for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-22

    ... Background Investigation Information ACTION: 30-Day notice. The Department of Justice (DOJ), Bureau of... the burden of the proposed collection of information, including the validity of the methodology and... Form/Collection: Request for ATF Background Investigation Information. (3) Agency form number, if any...

  4. 77 FR 60022 - Proposed Collection; Comment Request for Information Collection Tools

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-01

    ... Information Collection Tools AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for... C (Form 1040), Profit or Loss From Business; Form 8907, Nonconventional Source Fuel Credit; and REG... CONTACT: Requests for additional information or copies of the collection tools should be directed to R...

  5. 76 FR 58086 - Proposed Collections; Comment Requests

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-19

    ... Treasury is soliciting comments concerning Treasury International Capital (TIC) Form BQ-3, Report of... proposed forms and instructions are available on the Treasury's TIC Forms Web page, http://www.treasury.gov/resource-center/data-chart-center/tic/Pages/forms.aspx . Requests for additional information should be...

  6. 76 FR 58083 - Proposed Collections; Comment Requests

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-19

    ... Treasury is soliciting comments concerning Treasury International Capital (TIC) Form BL-2, Report by... proposed forms and instructions are available on the Treasury's TIC Forms webpage, http://www.treasury.gov/resource-center/data-chart-center/tic/Pages/forms.aspx . Requests for additional information should be...

  7. 77 FR 59667 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Respirable...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-28

    ... for OMB Review; Comment Request; Respirable Coal Mine Dust Sampling ACTION: Notice. SUMMARY: The... information collection request (ICR) titled, ``Respirable Coal Mine Dust Sampling,'' to the Office of... operator to protect miners from exposure to excessive dust levels. The respirable coal mine dust sampling...

  8. 78 FR 11171 - Proposed Information Collection Request; Comment Request; RadNet (Renewal)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-15

    ...) Evaluate whether the proposed collection of information is necessary for the proper performance of the functions of the Agency, including whether the information will have practical utility; (ii) evaluate the... request descriptive information pertaining to sample location, e.g., sample type, sample location, length...

  9. 77 FR 8298 - Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-14

    ... registration statements (see the separate PRA submissions for Form N-3 (3235-0316), Form N-4 (3235-0318) and Form N-6 (3235-0503). The Commission is requesting a burden of one hour for Rule 11a-2 for... submissions for Form N-3, Form N-4 and Form N-6). The information collection requirements imposed by Rule 11a...

  10. 75 FR 11993 - Proposed Collection; Comment Request for Forms 8282 and 8283

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-12

    ... 8282 and 8283 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8282... Property) (Form 8282) and Noncash Charitable Contributions (Form 8283). OMB Number: 1545-0908. Form Numbers...

  11. 78 FR 35279 - Agency Information Collection Activities; Proposed Collection; Comment Request; Electronic Products

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-12

    ... Lasers and Products Containing Lasers'' FDA Form 3633 ``General Variance Request'' FDA Form 3634 ``Television Products Annual Report'' FDA Form 3635 ``Laser Light Show Notification'' FDA Form 3636 ``Guide for Preparing Annual Reports on Radiation Safety Testing of Laser and Laser Light Show Products'' FDA Form 3637...

  12. 75 FR 10025 - Proposed Collection; Comment Request for Forms 8038, 8038-G, and 8038-GC

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-04

    ... 8038, 8038-G, and 8038-GC AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request... comments concerning Form 8038, Information Return for Tax-Exempt Private Activity Bond Issues, Form 8038-G... Bond Issues (Form 8038), Information Return for Tax-Exempt Governmental Obligation (Form 8038-G), and...

  13. 78 FR 66382 - Agency Information Collection Activities; Proposed Collection; Comments Requested: Request by...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-05

    ... Information Collection Activities; Proposed Collection; Comments Requested: Request by Organization for... Information Collection: New Voluntary Collection. (2) Title of the Form/Collection: Request by Organization... information collection request to the Office of Management and Budget (OMB) for review and approval in...

  14. 78 FR 75575 - Agency Information Collection Activities: Submission for OMB Review; Comment Request; Request for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-12

    ... Request; Request for the Site Inspection, Landowners Authorization/Ingress/Egress Agreement. AGENCY... . SUPPLEMENTARY INFORMATION: Collection of Information Title: Request for the Site Inspection, Landowners...-09, Request for the Site Inspection; FEMA Form 010-0-10, Landowner's Authorization Ingress- Egress...

  15. 78 FR 40832 - Proposed Collection; Comment Request for Form 1098-T

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-08

    ... 1098-T AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1098-T, Tuition Payment Statement. DATES: Written comments should be received on or before... INFORMATION: Title: Tuition Payments Statement. OMB Number: 1545-1574. Form Number: Form 1098-T. Abstract...

  16. 76 FR 77591 - Proposed Collection; Comment Request for Form 1099-MA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-13

    ... 1099-MA AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1098-MA, Mortgage Assistance Payments. DATES: Written comments should be received on or before... INFORMATION: Title: Mortgage Assistance Payments. OMB Number: 1545-2221. Form Number: Form 1099-MA. Abstract...

  17. 32 CFR Appendix A to Part 504 - Request For Basic Identifying Account Data-Sample Format

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ..., you are requested to provide the following account information: (name, address, account number, and... complied with as to this request for account information. (Official Signature Block) ___ Under section 3417... 32 National Defense 3 2010-07-01 2010-07-01 true Request For Basic Identifying Account Data-Sample...

  18. Clinical biochemistry laboratory rejection rates due to various types of preanalytical errors.

    PubMed

    Atay, Aysenur; Demir, Leyla; Cuhadar, Serap; Saglam, Gulcan; Unal, Hulya; Aksun, Saliha; Arslan, Banu; Ozkan, Asuman; Sutcu, Recep

    2014-01-01

    Preanalytical errors, along the process from the beginning of test requests to the admissions of the specimens to the laboratory, cause the rejection of samples. The aim of this study was to better explain the reasons of rejected samples, regarding to their rates in certain test groups in our laboratory. This preliminary study was designed on the rejected samples in one-year period, based on the rates and types of inappropriateness. Test requests and blood samples of clinical chemistry, immunoassay, hematology, glycated hemoglobin, coagulation and erythrocyte sedimentation rate test units were evaluated. Types of inappropriateness were evaluated as follows: improperly labelled samples, hemolysed, clotted specimen, insufficient volume of specimen and total request errors. A total of 5,183,582 test requests from 1,035,743 blood collection tubes were considered. The total rejection rate was 0.65 %. The rejection rate of coagulation group was significantly higher (2.28%) than the other test groups (P < 0.001) including insufficient volume of specimen error rate as 1.38%. Rejection rates of hemolysis, clotted specimen and insufficient volume of sample error were found to be 8%, 24% and 34%, respectively. Total request errors, particularly, for unintelligible requests were 32% of the total for inpatients. The errors were especially attributable to unintelligible requests of inappropriate test requests, improperly labelled samples for inpatients and blood drawing errors especially due to insufficient volume of specimens in a coagulation test group. Further studies should be performed after corrective and preventive actions to detect a possible decrease in rejecting samples.

  19. 75 FR 6002 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-05

    ... Unit, DA Form 3126-1, OMB Control Number 0702-0110. Type of Request: Extension. Number of Respondents... Cadet Corps Unit (NDCC) may apply by using a DA Form 3126-1. The DA Form 3126-1 documents the agreement...

  20. 78 FR 27472 - Agency Information Collection Activities: Requests for Comments; Clearance of New Approval of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-10

    ... Display to Industry (ASDI) Block Requests AGENCY: Federal Aviation Administration (FAA), DOT. ACTION... information will be used by the National Air Space Data Release Office to block aircraft flight data as... Display to Industry (ASDI) Block Requests. Form Numbers: There are no FAA forms associated with this...

  1. 76 FR 67558 - Proposed Information Collection (Request for Change of Program or Place of Training) Activity...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-01

    ... information needed to determine a claimant's eligibility for continued educational assistance when he or she... use of other forms of information technology. Title: Request for Change of Program or Place of... collection. Abstract: Claimants receiving educational benefits complete VA Form 22-1995 to request a change...

  2. 75 FR 6213 - Agency Information Collection Activities: Submission for OMB Review; Comment Request, OMB No...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-08

    ... benefit costs for the project. The request for appeals, both first and second, and well as the arbitration...; Public Assistance Program AGENCY: Federal Emergency Management Agency, DHS. ACTION: Notice; 30-day notice...; Public Assistance Program; FEMA Form 90-49, Request for Public Assistance; FEMA Form 90-91, Project...

  3. 12 CFR 261.15 - Request for confidential treatment.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... case of documents filed with a Federal Reserve Bank, with that Federal Reserve Bank) at the time the information is submitted or a reasonable time after submission. (b) Form of request. Each request for... Board shall so indicate on the face of the form or in its instructions. The data may, however, be...

  4. 78 FR 7763 - Information Collection; Submission for OMB Review, Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-04

    ... (ICR) entitled National Service Trust Voucher & Payment Request Form for review and approval in accordance with the Paperwork Reduction Act of 1995, Public Law 104-13, (44 U.S.C. Chapter 35). Copies of...: CNCS is seeking approval of the National Service Trust Voucher & Payment Request Form, which is used by...

  5. 77 FR 67792 - Proposed Information Collection; Comment Request; Northeast Region Permit Family of Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-14

    ... Collection; Comment Request; Northeast Region Permit Family of Forms AGENCY: National Oceanic and Atmospheric... offered in the Northeast region. Exemption programs may allow a vessel to fish in an area that is limited.... Vessels are also required to request gillnet and lobster tags through the Northeast region permit office...

  6. 48 CFR 2953.100 - Request for Recommendation by Procurement Review Board DL 1-490.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Request for Recommendation by Procurement Review Board DL 1-490. 2953.100 Section 2953.100 Federal Acquisition Regulations System DEPARTMENT OF LABOR CLAUSE AND FORMS FORMS General 2953.100 Request for Recommendation by...

  7. 78 FR 59720 - Agency Information Collection Activities: Proposed Collection; Comments Requested; Training...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-27

    ... Request for Non-ATF Employees ACTION: 30-Day notice. The Department of Justice (DOJ), Bureau of Alcohol... information is necessary for the proper performance of the functions of the agency, including whether the... Form/Collection: Training Registration Request for Non-ATF Employees. (3) Agency form number, if any...

  8. 75 FR 5856 - Proposed Collection; Comment Request for Form 1098-T

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-04

    ... 1098-T AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1098-T, Tuition Payment Statement. DATES: Written comments should be received on or before April 5... INFORMATION: Title: Tuition Payments Statement. OMB Number: 1545-1574. Form Number: Form 1098-T. Abstract...

  9. 77 FR 65204 - Agency Information Collection Activities; Proposed Collection; Comment Request: Equal Employment...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-25

    ... Collection; Comment Request: Equal Employment Opportunity Plan Certification of Compliance and Short Form... collection. (2) Title of the Form/Collection: Certification Form: Compliance with the Equal Employment... grant of $500,000 or more four hours to complete the Equal Employment Opportunity Plan Short Form and...

  10. 77 FR 38582 - Proposed Information Collection; Comment Request; Domestic Client Life-Cycle Multi-Purpose Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-28

    ... Request; Domestic Client Life-Cycle Multi-Purpose Forms AGENCY: International Trade Administration. ACTION... life-cycle with CS. CS is mandated by Congress to help U.S. organizations, particularly small and... Client Life-cycle Multi-Purpose Forms, previously titled Export Information Services Order Forms, are...

  11. 78 FR 58607 - Proposed Collection; Comment Request for Form 1041-ES

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-24

    ... 1041-ES AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1041-ES, Estimated Income Tax for Estates and Trusts. DATES: Written comments should be received... INFORMATION: Title: Estimated Income Tax for Estates and Trusts. OMB Number: 1545-0971. Form Number: Form 1041...

  12. 76 FR 39473 - Proposed Collection; Comment Request for Form 1120-PC

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-06

    ... 1120-PC AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... comments concerning Form 1120-PC, U.S. Property and Casualty Insurance Company Income Tax Return. DATES... Casualty Insurance Company Income Tax Return. OMB Number: 1545-1027. Form Number: Form 1120-PC. Abstract...

  13. 78 FR 59098 - Proposed Collection; Comment Request for Form 5300 and Schedule Q (Form 5300)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-25

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 5300 and Schedule Q (Form 5300) AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and.... Lawrence, Internal Revenue Service, room 6129, 1111 Constitution Avenue NW., Washington, DC 20224. FOR...

  14. 78 FR 77494 - Agency Information Collection Activities; Proposed Collection; Comments Requested: ATF Adjunct...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-23

    ... collection. (2) Title of the Form/Collection: ATF Adjunct Instructor Data Form. (3) Agency form number, if...] Agency Information Collection Activities; Proposed Collection; Comments Requested: ATF Adjunct Instructor Data Form ACTION: 60-Day Notice. The Department of Justice (DOJ), Bureau of Alcohol, Tobacco, Firearms...

  15. 78 FR 76892 - Proposed Collection; Comment Request for Form W-12

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-19

    ... W-12 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form W-12 IRS Paid Preparer Tax Identification Number (PTIN). DATES: Written comments should be.... Form Number: Form W-12. Abstract: Paid tax return preparers are required to get a preparer tax...

  16. 75 FR 11192 - Agency Information Collection Activities: Form I-730, Revision of an Existing Information...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-10

    ...-0037] Agency Information Collection Activities: Form I-730, Revision of an Existing Information Collection Request; Comment Request ACTION: 60-Day Notice of Information Collection under Review: Form I- 730..., mechanical, or other technological collection techniques, or other forms of information technology, e.g...

  17. 75 FR 5099 - Agency Information Collection Activities: Form N-648, Revision of an Existing Information...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-01

    ... Collection Activities: Form N-648, Revision of an Existing Information Collection Request; Comment Request ACTION: 60-day notice of information collection under review: Form N- 648, Medical Certification for..., and the applicable component of the Department of Homeland Security sponsoring the collection: Form N...

  18. 77 FR 40703 - Proposed Collection; Comment Request for Form 1097-BTC

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-10

    ... 1097-BTC AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1097-BTC, Bond Tax Credit. DATES: Written comments should be received on or before September 10... INFORMATION: Title: Bond Tax Credit. OMB Number: 1545-2197. Form Number: Form 1097-BTC. Abstract: Bond tax...

  19. 78 FR 69938 - Proposed Collection; Comment Request for Form 8453-R

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-21

    ... 8453-R AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 8453-R, Declaration and Signature for Electronic Filing of Forms 8947 and 8963. DATES: Written... copies of the form and instructions should be directed to R. Joseph Durbala, (202) 622-3634, at Internal...

  20. 76 FR 37194 - Proposed Collection; Comment Request for Form 1099-R.

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-24

    ... 1099-R. AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1099-R, Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs..., Insurance Contracts, etc. OMB Number: 1545-0119. Form Number: 1099-R. Abstract: Form 1099-R is used to...

  1. 77 FR 2306 - Agency Information Collection Activities: Submission for OMB Review; Comment Request, Federal...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-17

    ... Request, Federal Hotel and Motel Fire Safety Declaration Form AGENCY: Federal Emergency Management Agency... Title: Federal Hotel and Motel Fire Safety Declaration Form. Type of information collection: Extension... Numbers: FEMA Form 516-0-1, Federal Hotel and Motel Fire Safety Declaration Form. Abstract: FEMA collects...

  2. 75 FR 5855 - Proposed Collection; Comment Request for Form 8038-TC

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-04

    ... 8038-TC AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... comments concerning Form 8038-TC, Information Return for Tax Credit Bonds. DATES: Written comments should...: Form 8038-TC. Abstract: Form 8038-TC will be used by issuers of qualified tax- exempt credit bonds...

  3. 76 FR 53168 - Proposed Collection; Comment Request for Form 1120-H

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-25

    ... 1120-H AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1120-H, U.S. Income Tax Return for Homeowners Associations. DATES: Written comments should be... Associations. OMB Number: 1545-0127. Form Number: 1120-H. Abstract: Homeowners associations file Form 1120-H to...

  4. 76 FR 48807 - Public Key Infrastructure (PKI) Certificate Action Form

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-09

    ...) Certificate Action Form ACTION: Proposed collection; comment request. SUMMARY: The United States Patent and... Certificate Action Form (PTO-2042), which is used by the public to request a new digital certificate, the... applicant. The Certificate Action Form has an accompanying subscriber agreement to ensure that customers...

  5. 37 CFR 202.17 - Renewals

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... http://www.copyright.gov. Copies of Form RE are also available free upon Request. Requests should be... copyright for the original term of the work. The Form RE/Addendum is used to provide this information. (3... by submission of a Form RE/Addendum. The Addendum, an adjunct to the renewal form, concerns the facts...

  6. 75 FR 71794 - Proposed Collection; Comment Request for Form 1099-Q

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-24

    ... 1099-Q AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1099-Q, Payments From Qualified Education Programs (Under Sections 529 and 530). DATES: Written... Programs (Under Sections 529 and 530). OMB Number: 1545-1760. Form Number: 1099-Q. Abstract: Form 1099-Q is...

  7. 76 FR 27078 - Agency Information Collection Activities: Form N-426, Extension of a Currently Approved...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-10

    ... Collection Activities: Form N-426, Extension of a Currently Approved Information Collection; Comment Request ACTION: 60-Day Notice of Information Collection Under Review: Form N- 426, Request for Certification of... whether to revise the Form N-426. Should USCIS decide to revise Form N-426 we will advise the public when...

  8. 77 FR 3289 - Agency Forms Submitted for OMB Review, Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-23

    ... uses Form AA-6, Employee Application for Medicare; Form AA-7, Spouse/Divorced Spouse Application for Medicare; and Form AA-8, Widow/Widower Application for Medicare; to obtain the information needed to.... Forms submitted: AA-6, AA-7, AA-8, RL-311-F. Type of request: Extension without change of a currently...

  9. [Examination of factors for promoting cooperation using documents between occupational health physicians and psychiatrists].

    PubMed

    Okawara, Makoto; Kajiki, Shigeyuki; Kusumoto, Akira; Fujino, Yoshihisa; Shinkai, Takahiro; Morimoto, Hideki; Hino, Yoshiyuki; Yamashita, Satoshi; Hattori, Michihiro; Mori, Koji

    2018-02-01

    There is little specific information concerning the method and the efficacy of sharing information between occupational health physicians and psychiatrists regarding the employment status and medical history of their patients with mental illnesses. To promote cooperation between occupational health physicians and psychiatrists, we examined the points necessary to be included on medical information request forms exchanged between them. We conducted focused group discussion (FGD) to identify the points that need to be described on the request form and the concerns in cooperation between occupational health physicians and psychiatrists. We conducted FGDs twice, with two different groups of nine psychiatrists participating in each round. We extracted and organized FGD results and determined the necessary request form points. Next, we assumed two different cases of workers with mental illnesses and created three request form templates with differing item descriptions and lengths. We also conducted a questionnaire survey among clinical psychiatrists to determine their impression of the templates. We performed logistic regression analysis on the obtained results. On the basis of the FGD results we extracted the situation in the workplace, clarification of points to be confirmed, representation of the occupational health physician's position, and handling of information provided by the doctor as points required for the request form. On the basis of these results and the opinions of occupational health specialists, we created a new request form using these points. Additionally, the results from the questionnaire survey about the prescribed items revealed the proportion of favorable answers regarding sufficient information written on the request form and a feeling of security for information provision increased (p < 0.01). Conversely, the proportion of favorable responses for readability decreased. Psychiatrists are concerned about the possibility that their patient may be at a disadvantageous situation by providing their personal medical information and believe the clinical information required by the occupational health physicians is unclear. This suggests that there are factors impeding the cooperation between the occupational health physicians and psychiatrists. When an occupational health physician writes a request form, cooperation with psychiatrists may be promoted by enriching the request form contents and by including the representation of the occupational health physician's position and the intended purpose of the provided information by paying attention to the volume of sentences.

  10. 7 CFR 3430.12 - Requests for applications.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... applicable. (13) Directions for obtaining additional requests for applications and application forms. (14) Information about how to obtain application forms and the instructions for completing such forms. (15... of the application evaluation Process. (17) Specific evaluation criteria used in the review Process...

  11. 31 CFR 14.4 - Contents of request.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... § 14.4 Contents of request. The formal written request shall be in the form of a letter or memorandum... forth that official's name, title, business address and business phone number. The request shall also... order shall be attached to the formal written request. ...

  12. Clinical application of 'Justification' and 'Optimization' principle of ALARA in pediatric CT imaging: "How many children can be protected from unnecessary radiation?".

    PubMed

    Sodhi, Kushaljit S; Krishna, Satheesh; Saxena, Akshay K; Sinha, Anindita; Khandelwal, Niranjan; Lee, Edward Y

    2015-09-01

    Practice of ALARA (as low as reasonably achievable) principle in the developed world is currently well established. However, there is striking lack of published data regarding such experience in the developing countries. Therefore, the goal of this study is to prospectively evaluate CT request forms to assess how many children could be protected from harmful radiation exposure if 'Justification' and 'Optimization' principles of ALARA are applied before obtaining CT imaging in a developing country. This can save children from potential radiation risks including development of brain cancer and leukemia. Consecutive CT request forms over a six month study period (May 16, 2013 to November 15, 2013) in a tertiary pediatric children's hospital in India were prospectively reviewed by two pediatric radiologists before obtaining CT imaging. First, 'Justification' of CT was evaluated and then 'Optimization' was applied for evaluation of appropriateness of the requested CT studies. The number (and percentage) of CT studies avoided by applying 'Justification' and 'Optimization' principle of ALARA were calculated. The difference in number of declined and optimized CT requests between CT requests from inpatient and outpatient departments was compared using Chi-Square test. A total of 1302 consecutive CT request forms were received during the study period. Some of the request forms (n=86; 6.61%) had requests for more than one (multiple) anatomical regions, hence, a total of 1392 different anatomical CT requests were received. Based on evaluation of the CT request forms for 'Justification' and 'Optimization' principle of ALARA by pediatric radiology reviewers, 111 individual anatomic part CT requests from 105 pediatric patients were avoided. Therefore, 8.06% (105 out of 1302 pediatric patients) were protected from unnecessary or additional radiation exposure.The rates of declined or optimized CT requests from inpatient department was significantly higher than that from outpatient departments (p<0.05). A substantial number of pediatric patients, particularly coming from outpatient departments, can be protected from unnecessary or additional radiation exposure from CT imaging when 'Justification' and 'Optimization' principle of ALARA are applied before obtaining CT imaging in a developing country. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  13. 42 CFR 110.44 - Legal or personal representatives of requesters.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... jurisdiction, does not need a legal or personal representative to file a Request Form or Request Package on his... 42 Public Health 1 2011-10-01 2011-10-01 false Legal or personal representatives of requesters... or personal representatives of requesters. (a) Generally. Persons other than a requester (e.g., a...

  14. REQUEST A COLOR GUARD

    Science.gov Websites

    EMERGENCY PREPAREDNESS CONTACT REQUEST A SPEAKER REQUEST A COLOR GUARD OPERATIONAL CONTRACT SUPPORT HomeCONTACTREQUEST A COLOR GUARD Request a Color Guard Please take a moment to fill out the document at the link one month to process your request, but no more than three. Color Guard Request Form For Community

  15. 77 FR 18849 - Notice of Proposed Information Collection: Comment Request: Insurance Termination Request for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-28

    ... Information Collection: Comment Request: Insurance Termination Request for Multifamily Mortgage AGENCY: Office... also lists the following information: Title of Proposal: Insurance Termination Request for Multifamily... mortgagee mutually agree to terminate the HUD multifamily mortgage insurance. Agency form numbers, if...

  16. 76 FR 60133 - Proposed Information Collection (Request for Supplies (Chapter 31-Vocational Rehabilitation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-28

    ... (Request for Supplies (Chapter 31--Vocational Rehabilitation)); Comment Request AGENCY: Veterans Benefits... to determine whether supplies requested for a veteran's rehabilitation program are necessary. DATES.... Title: Request for Supplies (Chapter 31--Vocational Rehabilitation), VA Form 28-1905m. OMB Control...

  17. 75 FR 75696 - Criminal Division; Agency Information Collection Activities: Proposed Collection; Comments Requested

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-06

    ... Review: Request for Registration Under the Gambling Devices Act of 1962. The Department of Justice (DOJ.../Collection: Request for Registration Under the Gambling Devices Act of 1962. (3) Agency form number, if any... Government. The form can be used by any entity required to register under the Gambling Devices Act of 1962...

  18. 32 CFR Appendix B to Part 154 - Request Procedures

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 1 2011-07-01 2011-07-01 false Request Procedures B Appendix B to Part 154 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE SECURITY DEPARTMENT OF DEFENSE... request is for an ENTNANC, an original only of the DD Form 398-2 and a completed DD Form 2280 (Armed...

  19. 32 CFR Appendix B to Part 154 - Request Procedures

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 1 2010-07-01 2010-07-01 false Request Procedures B Appendix B to Part 154 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE SECURITY DEPARTMENT OF DEFENSE... request is for an ENTNANC, an original only of the DD Form 398-2 and a completed DD Form 2280 (Armed...

  20. 77 FR 60129 - 60-Day Proposed Information Collection: Indian Health Service Forms To Implement the Privacy Rule...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-02

    ... request that the covered entity provide an accounting of disclosures of protected health information made by the covered entity. The form IHS-913 ``Request for an Accounting of Disclosures'' is used to document an individual's request for an accounting of disclosures of their protected health information and...

  1. 75 FR 9026 - Proposed Collection; Comment Request for Form 8038-T

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-26

    ... 8038-T AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 8038-T, Arbitrage Rebate and Penalty in Lieu of Arbitrage Rebate. DATES: Written comments should... Arbitrage Rebate. OMB Number: 1545-1219. Form Number: 8038-T. Abstract: Form 8038-T is used by issuers of...

  2. 77 FR 41981 - Agency Information Collection Activities: Final Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-17

    ... review and comments request. Form Title: EIB 99-14 Export-Import Bank Trade Reference form. SUMMARY: The... Reference form provides essential credit information used by Ex-Im Bank credit officers when analyzing... (longer than 360 days), for the export of their U.S. goods and services. Additionally, this form is an...

  3. 76 FR 45844 - Agency Information Collection Activities: Form N-426, Extension of a Currently Approved...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-01

    ... Collection Activities: Form N-426, Extension of a Currently Approved Information Collection; Comment Request ACTION: 30-Day Notice of Information Collection Under Review: Form N- 426, Request for Certification of... Department of Homeland Security sponsoring the collection: Form N-426. U.S. Citizenship and Immigration...

  4. 75 FR 30050 - Agency Information Collection Activities: Form N-648, Revision of an Existing Information...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-28

    ... Collection Activities: Form N-648, Revision of an Existing Information Collection Request; Comment Request ACTION: 30[dash]Day Notice of Information Collection Under Review: Form N-648, Medical Certification for..., and the applicable component of the Department of Homeland Security sponsoring the collection: Form N...

  5. 76 FR 53144 - Agency Information Collection Activities: Form N-336; Revision of a Currently Approved...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-25

    ... Collection Activities: Form N-336; Revision of a Currently Approved Information Collection; Comment Request ACTION: 60-Day Notice of Information Collection Under Review: Form N- 336, Request for Hearing on a... Homeland Security sponsoring the collection: Form N-336; U.S. Citizenship and Immigration Services (USCIS...

  6. 75 FR 70277 - Agency Information Collection Activities: Form N-336, Extension of a Currently Approved...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-17

    ... Collection Activities: Form N-336, Extension of a Currently Approved Information Collection; Comment Request ACTION: 30-Day Notice of Information Collection Under Review: Form N- 336, Request for Hearing on a... Security sponsoring the collection: Form N-336; U.S. Citizenship and Immigration Services (USCIS). (4...

  7. 77 FR 50210 - Proposed Collection; Comment Request for Form 1099-K

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-20

    ... 1099-K AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1099-K, Merchant Card and Third Party Payments. DATES: Written comments should be received on or...: Form 1099-K. Abstract: This is a new form is in response to section 102 of Public Law 111-147, the...

  8. 75 FR 30907 - Proposed Collection; Comment Request for Form 990-N

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-02

    ... 990-N AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 990-N, Electronic Notice (e-Postcard) for Tax-Exempt Organizations not Required To file Form 990... Number: 1545-2085. Form Number: 990-N. Abstract: Section 1223 of the Pension Protection Act of 2006 (PPA...

  9. 76 FR 33325 - Agency Information Collection Activities: Submission for OMB Review; Comment Request, OMB No...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-08

    ... Management Sub-grant; FEMA Form 078-0-2 (previously FEMA Form 90-32), Principal Advisor's Report. SUMMARY...), Request for Fire Management Sub-grant; FEMA Form 078-0-2 (previously FEMA Form 90-32), Principal Advisor's... DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency [Docket ID: FEMA-2011-0003...

  10. Online requests for sexual pictures from youth: risk factors and incident characteristics.

    PubMed

    Mitchell, Kimberly J; Finkelhor, David; Wolak, Janis

    2007-08-01

    The aim of this study was to explore the prevalence and characteristics of youth who receive requests to make and send sexual pictures of themselves over the Internet. Data were collected as part of the Second Youth Internet Safety Survey, a nationally representative telephone survey of 1,500 youth Internet users, ages 10-17 years, in the United States. Among Internet-using youth 4% reported an online request to send a sexual picture of themselves during the previous year. Only one youth of 65 sample case subjects actually complied. Being female, being of Black ethnicity, having a close online relationship, engaging in sexual behavior online, and experiencing physical or sexual abuse offline were risk factors for receiving a request for a sexual picture. Incidents that involved requests for sexual pictures were more likely to occur when youth were in the presence of friends, communicating with an adult, someone they met online, who had sent a sexual picture to the youth, and who attempted or made some form of offline contact with the youth. The findings from this study provide support for including requests for sexual pictures in the spectrum of online experiences about which pediatric and adolescent health professionals need to be knowledgeable. These findings also provide information about populations that need targeted prevention education about online dangers, namely vulnerable (e.g., abused boys and girls) and female Black youth.

  11. INDIPAY Financial Data Request Forms

    EPA Pesticide Factsheets

    The INDIPAY financial data request form requires the individual to provide financial information to support its claim of inability to pay the civil penalty. Both an English and Spanish version are provided.

  12. 78 FR 75342 - Information Collection Request Submitted to OMB for Review and Approval; Comment Request; NESHAP...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-11

    ... Request Submitted to OMB for Review and Approval; Comment Request; NESHAP for Lime Manufacturing (Renewal... Agency has submitted an information collection request (ICR), ``NESHAP for Lime Manufacturing (40 CFR... required semiannually. Form Numbers: None. Respondents/affected entities: Lime manufacturing plants...

  13. A content analysis of parents' written communication of needs and expectations for emergency care of their children.

    PubMed

    Hoppa, Eric Christopher; Porter, Stephen C

    2011-06-01

    We investigated the potential value of information shared by parents on a written form designed to capture needs and expectations for care to an emergency department (ED) system that values patient-centeredness. We conducted a retrospective content analysis of parent-completed written forms collected during an improvement project focused on parent-provider communication in a pediatric ED. The primary outcome was potential value of the completed forms to a patient-centered ED system, defined as a form that was legible, included observations that mapped to medical problems, and included reasonable parental requests. We analyzed variation in potential value and other form attributes across a priori-defined visit type and acuity. Visit type was validated by a separate, blinded medical record review. A random stratified sample of 1008 forms was established from 6937 parent-completed forms collected during the 6-month improvement project; 995 of 1008 forms had matching medical records; 922 (92.7%) of 995 forms demonstrated potential value; 990 (99.5%) of 995 forms were legible; 948 (95.3%) of 995 forms included observations that mapped to a medical problem, and 599 (93.3%) of 642 forms contained reasonable parental requests. There was good agreement between the form and medical record for visit type (κ = 0.62). The potential value of forms did not vary significantly across visit type (88.2%-92.8%) or acuity (88.9%-93.4%). Information shared by parents on written forms designed to capture needs and expectations provides potential value to a patient-centered ED system. The high level of informational value is consistent across patient type and acuity level.

  14. 77 FR 470 - Specialty Crop Block Grant Program-Farm Bill Request for Extension and Revision of a Currently...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-05

    ... number 0348-0044) is required to show each project's budget breakdown. (c) Form SF-424B, ``Assurances-Non... Total Annual Burden on Respondents: 112 hours. (b) Form SF-270, ``Request for Advance and Reimbursement'' (approved under OMB collection number 0348-0004) is required whenever the grantees request an advance or...

  15. 7 CFR 1944.417 - Servicing actions after grant closing.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... with a request for additional funds on Form SF-270, “Request for Advance or Reimbursement.” This... so that delivery of the check will be possible on the first of the next month. (2) If the request... reasonable for the next 30 days on Form FmHA or its successor agency under Public Law 103-354 440-57, so that...

  16. 78 FR 2412 - Request for Public Comment: 30-Day Proposed Information Collection: Indian Health Service Forms...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-11

    ... Accounting of Disclosures,'' is used to document an individual's request for an accounting of disclosures of...-2) Request for Accounting of Disclosures (OMB Form 15,000 1 10/60 2,500 No. 0917-0030, IHS-913... receive a valid authorization for its use or disclosure of protected health information for other than for...

  17. 75 FR 67164 - Proposed Collection; Comment Request for Form 8886-T

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-01

    ... 8886-T AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... comments concerning Form 8886-T, Disclosure by Tax-Exempt Entity Regarding Prohibited Tax Shelter...-T. Abstract: Certain tax-exempt entities are required to file Form 8886-T to disclose information...

  18. NOAA Workforce Management Office

    Science.gov Websites

    Request Forms Military Service Deposit Information NOAA Forms OPM Forms Performance Management Request Home Careers at NOAA Search Criteria Click to Search WORKFORCE MANAGEMENT OFFICE NATIONAL OCEANIC Federal Employees Health (FEHB) Life (FEGLI) Life Insurance and Active Duty Information Long Term Care

  19. 77 FR 37699 - Notice of Proposed Information Collection: Comment Request OSHC Financial Reporting Form

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-22

    ... Information Collection: Comment Request OSHC Financial Reporting Form AGENCY: Office of Sustainable Housing... Challenge Planning Grant Program, require the financial reporting by grantees. This tracking of grantee... also lists the following information: Title of Proposal: OSHC Financial Reporting Form. OMB Control...

  20. 77 FR 4372 - Submission for OMB Review; Comments Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-27

    ... (30) calendar-days of publication of this Notice. OPIC plans to implement this form in Fall 2012... Request: Revised form. Title: Application for Political Risk Insurance. Form Number: OPIC-52. [[Page 4373... for political risk insurance and collect information for underwriting analysis. Dated: January 20...

  1. 77 FR 57197 - Proposed Collection; Comment Request for Form 1099-CAP

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-17

    ... 1099-CAP AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1099-CAP, Changes in Corporate Control and Capital Structure. DATES: Written comments should be... Structure. OMB Number: 1545-1814. Form Number: 1099-CAP. Abstract: Any corporation that undergoes...

  2. 76 FR 35509 - Proposed Collection; Comment Request for Form 1099-G

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-17

    ... 1099-G AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1099-G, Certain Government Payments. DATES: Written comments should be received on or before... . SUPPLEMENTARY INFORMATION: Title: Certain Government Payments. OMB Number: 1545-0120. Form Number: 1099-G...

  3. 36 CFR 60.11 - Requests for nominations.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... and appears to meet the National Register criteria for evaluation in § 60.4. If the nomination form is... any person or organization submitting a completed National Register nomination form or requesting consideration for any previously prepared nomination form on record with the State or Federal agency. The...

  4. 76 FR 24568 - Proposed Information Collection (Supplemental Physical Examination Report); Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-02

    ... (Supplemental Physical Examination Report); Comment Request AGENCY: Veterans Benefits Administration, Department... techniques or the use of other forms of information technology. Titles: a. Supplemental Physical Examination Report, VA Form 29-8146. b. Attending Physician's Statement, VA Form 29-8158. c. Supplemental Physical...

  5. 77 FR 16588 - Proposed Collection; Comment Request for Form 8023

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-21

    ... 8023 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... 8023, Elections Under Section 338 for Corporations Making Qualified Stock Purchases. DATES: Written... Qualified Stock Purchases. OMB Number: 1545-1428. Form Number: 8023. Abstract: Form 8023 is used by a...

  6. 77 FR 64379 - Proposed Collection; Comment Request for Form 1000

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-19

    ... 1000 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... 1000, Ownership Certificate. DATES: Written comments should be received on or before December 18, 2012...: Ownership Certificate. OMB Number: 1545-0054. Form Number: 1000. Abstract: Form 1000 is used by citizens...

  7. 76 FR 56875 - Proposed Collections; Comment Requests

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-14

    ... and instructions are available on the Treasury's TIC Forms webpage, http://www.treasury.gov/resource-center/data-chart-center/tic/Pages/forms.aspx . Requests for additional information should be directed to... Number: 1505-0199. Abstract: Form D is part of the Treasury International Capital (TIC) reporting system...

  8. 76 FR 58087 - Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-19

    ... and instructions are available on the Treasury's TIC Forms Web page, http://www.treasury.gov/resource-center/data-chart-center/tic/Pages/forms.aspx . Requests for additional information should be directed to... Number: 1505-0016. Abstract: Form BQ-1 is part of the Treasury International Capital (TIC) reporting...

  9. 78 FR 58608 - Proposed Collection; Comment Request for the EFTPS Primary Contact Information Change Form

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-24

    ... EFTPS Primary Contact Information Change Form AGENCY: Internal Revenue Service (IRS), Treasury. ACTION..., the IRS is soliciting comments concerning the EFTPS Primary Contact Information Change Form. DATES... Constitution Avenue NW., Washington, DC 20224. FOR FURTHER INFORMATION CONTACT: Requests for additional...

  10. 75 FR 61245 - Proposed Collection; Comment Request for the EFTPS Primary Contact Information Change Form

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-04

    ... EFTPS Primary Contact Information Change Form AGENCY: Internal Revenue Service (IRS), Treasury. ACTION..., the IRS is soliciting comments concerning the EFTPS Primary Contact Information Change Form. DATES... Constitution Avenue, NW., Washington, DC 20224. FOR FURTHER INFORMATION CONTACT: Requests for additional...

  11. 75 FR 28326 - Proposed Collection; Comment Request for Form 1040EZ-T

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-20

    ... 1040EZ-T AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1040EZ-T, Claim for Refund of Federal Telephone Excise Tax. DATES: Written comments should be...: 1545-2039. Form Number: 1040EZ-T. Abstract: Form 1040EZ-T was developed as a result of Notice 2006- 50...

  12. 75 FR 5079 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-01

    ... ``Forms Related to Processing Deposit Insurance Claims'' information (OMB No. 3064-0143). No comments were... the proposed revised Forms 7200/05 and 7200/09, and proposed new Form 7200/18 can be obtained at the... is requesting OMB approval to make minor revisions to simplify and clarify three of the forms, and...

  13. 76 FR 69276 - Agency Information Collection Activities: Form N-336, Revision of a Currently Approved...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-08

    ... Activities: Form N-336, Revision of a Currently Approved Information Collection; Comment Request ACTION: 30-Day Notice of Information Collection Under Review: Form N- 336, Request for Hearing on a Decision in... collection: Form N-336. U.S. Citizenship and Immigration Services. (4) Affected public who will be asked or...

  14. 76 FR 77536 - Agency Information Collection Request. 60-Day Public Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-13

    ... required data elements from applicants. The SF-424 Project/Performance Site Location(s) form is a part of Grants.gov 's mission to reduce duplication of similar or identical forms and data sets, establish... Project/Performance Site Location(s) form and data set that will serve as a common form for various grant...

  15. 77 FR 37045 - Agency Information Collection Request; 60-Day Public Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-20

    ... alternative to the Standard Form 424 data set and form. Agencies may use the SF-424 (Short) for grant programs not required to collect all the data that is required on the SF-424 core data set and form. This... documents. Agencies will also maintain and store application forms and data in accordance with their...

  16. 76 FR 36621 - Proposed Collection; Comment Request for Forms 1042, 1042-S, and 1042-T

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-22

    ... 1042, 1042-S, and 1042-T AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request... comments concerning Form 1042, Annual Withholding Tax Return for U.S. Source Income of Foreign Persons, Form 1042-S, Foreign Person's U.S. Source Income Subject to Withholding, and Form 1042-T, Annual...

  17. 75 FR 4901 - 60-Day Notice of Proposed Information Collection: DS-5501, Electronic Diversity Visa Entry Form...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-29

    ...-5501, Electronic Diversity Visa Entry Form, OMB Control Number 1405-0153 ACTION: Notice of request for... Visa Entry Form. OMB Control Number: 1405-0153. Type of Request: Extension of currently approved collection. Originating Office: Bureau of Consular Affairs, Office of Visa Services (CA/VO). Form Number: DS...

  18. 49 CFR 195.62 - Supplies of accident report DOT Form 7000-1.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Department will, upon request, furnish specimen copies of the form. Requests should be addressed to the... 49 Transportation 3 2010-10-01 2010-10-01 false Supplies of accident report DOT Form 7000-1. 195... Reporting § 195.62 Supplies of accident report DOT Form 7000-1. Each operator shall maintain an adequate...

  19. 16 CFR Appendix D to Part 698 - Standardized form for requesting annual file disclosures.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Standardized form for requesting annual file disclosures. D Appendix D to Part 698 Commercial Practices FEDERAL TRADE COMMISSION THE FAIR CREDIT REPORTING ACT MODEL FORMS AND DISCLOSURES Pt. 698, App. D Appendix D to Part 698—Standardized form for...

  20. 26 CFR 31.3402(o)-2 - Extension of withholding to annuity payments if requested by payee.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... shall be made on Form W-4P (annuitant's withholding exemption certificate and request) in accordance... for. In lieu of Form W-4P, payors may prepare and use a form the provisions of which are identical with those of Form W-4P. For the requirements relating to Form W-4P with respect to qualified State...

  1. Sample RFP for Architectural Services, 2000.

    ERIC Educational Resources Information Center

    Arizona State School Facilities Board, Phoenix.

    This document presents a sample request for proposal that Arizona school districts can use when requesting architectural services, from the general request requirements to response information and signature sheet. General proposal requirements cover such areas as information on special terms and conditions, the scope of architectural services…

  2. 77 FR 10544 - Agency Information Collection Activities: Comment Request for the Nonferrous Metals Surveys (30...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-22

    ... Activities: Comment Request for the Nonferrous Metals Surveys (30 Forms) AGENCY: U.S. Geological Survey (USGS... revision of the currently approved paperwork requirements for the Nonferrous Metals Surveys. This... Control Number: 1028-0053. Form Number: Various (30 forms). Title: Nonferrous Metals Surveys. Type of...

  3. 77 FR 64378 - Proposed Collection; Comment Request for Form 1041-QFT

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-19

    ... 1041-QFT AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1041-QT, U.S. Income Tax Return for Qualified Funeral Trusts. DATES: Written comments should be.... OMB Number: 1545-1593. Form Number: 1041-QFT. Abstract: Internal Revenue Code section 685 allows the...

  4. 78 FR 62942 - Agency Information Collection Activities; Proposed Collection; Comment Request; Company-Run...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-22

    ... Activities; Proposed Collection; Comment Request; Company-Run Annual Stress Test Reporting Template and... Federal savings associations titled, ``Company-Run Annual Stress Test Reporting Template and Documentation... Web site under Tools and Forms ( http://www.occ.gov/tools-forms/forms/bank-operations/stress-test...

  5. 76 FR 57744 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-16

    ... of forms necessary to conduct ongoing business with State partners in the implementation of Medicaid... reporting templates. The development of streamlined submission forms is critical for States to implement... requests for State plan amendments, waivers, and demonstration, as well as ongoing reporting.; Form Number...

  6. 77 FR 5581 - Submission for Review: Information Collection; Interview Survey Form (INV 10)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-03

    ... OFFICE OF PERSONNEL MANAGEMENT Submission for Review: Information Collection; Interview Survey Form (INV 10) AGENCY: U.S. Office of Personnel Management. ACTION: 60-Day Notice and request for... request (ICR), Office of Management and Budget (OMB) Control No. 3206-0106, Interview Survey Form (INV 10...

  7. 75 FR 70971 - Proposed Collection; Comment Request for Form W-12

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-19

    ... W-12 AGENCY: Internal Revenue Service, Treasury. ACTION: Notice and request for comments. SUMMARY...-12 IRS Paid Preparer Tax Identification Number (PTIN). DATES: Written comments should be received on...: 1545-2190. Form Number: Form W-12. Abstract: Paid tax return preparers will be required to get a...

  8. 78 FR 39065 - Proposed Collection; Comment Request for Form 8655

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-28

    ... tax deposits. This form allows IRS to disclose tax account information and to provide duplicate copies... proposed and/or continuing information collections, as required by the Paperwork Reduction Act of 1995... INFORMATION CONTACT: Requests for additional information or copies of the form and instructions should be...

  9. 77 FR 16818 - Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-22

    ... forms of information technology. DATES: Consideration will be given to all comments received by May 21... Number: 0704-TBD. Needs and Uses: The Application of Child Care Services Form, DLA Form 1854, is used to request child care services provided by DLA managed facilities. Enrollee records are provided to the Child...

  10. 77 FR 35478 - Proposed Collection; Comment Request for Form 911

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-13

    ... 911 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... 911, Application for Taxpayer Assistance Order (ATAO). DATES: Written comments should be received on...: 1545-1504. Form Number: 911. Abstract: This form is used by taxpayers to apply for relief from a...

  11. 31 CFR 256.11 - How do agencies request payments?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... request forms or by using other approved methods as provided for on the Judgment Fund Web site at http://www.fiscal.treasury.gov/judgefund. Fiscal Service provides forms and detailed information about... Judgment Fund Web site. The submitting agency must complete and sign all required Judgment Fund forms and...

  12. 78 FR 40824 - Proposed Collection; Comment Request for Form 8038-TC

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-08

    ... 8038-TC AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 8038-TC, Information Return for Tax Credit Bonds. DATES: Written comments should be received on or...-TC. Abstract: Form 8038-TC will be used by issuers of qualified tax- exempt credit bonds, including...

  13. 76 FR 24057 - Agency Information Collection Activities; Proposed Collection; Comments Requested; ARCOS...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-29

    ... Collection; Comments Requested; ARCOS Transaction Reporting DEA Form 333 ACTION: 30-Day Notice of Information Collection Under Review. The Department of Justice (DOJ), Drug Enforcement Administration (DEA) will be... applicable component of the Department of Justice sponsoring the collection: Form Number: DEA Form 333...

  14. 77 FR 22068 - Proposed Information Collection (Financial Status Report) Activity: Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-12

    ... (Financial Status Report) Activity: Comment Request AGENCY: Office of Management, Department of Veterans... techniques or the use of other forms of information technology. Title: Financial Status Report, VA Form 5655...: Claimants complete VA Form 5655 to report their financial status. VA uses the data collected to determine...

  15. 43 CFR 3453.2-2 - Forms and statements.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... MANAGEMENT, DEPARTMENT OF THE INTERIOR MINERALS MANAGEMENT (3000) MANAGEMENT OF EXISTING LEASES Transfers by Assignment, Sublease or Otherwise § 3453.2-2 Forms and statements. (a) Transfers of any record title interest...) No specific form need be used for requests for approval of transfers. The request for approval shall...

  16. 43 CFR 3453.2-2 - Forms and statements.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... MANAGEMENT, DEPARTMENT OF THE INTERIOR MINERALS MANAGEMENT (3000) MANAGEMENT OF EXISTING LEASES Transfers by Assignment, Sublease or Otherwise § 3453.2-2 Forms and statements. (a) Transfers of any record title interest...) No specific form need be used for requests for approval of transfers. The request for approval shall...

  17. 78 FR 22252 - Agency Information Collection Activities; Comment Request; FFEL/Direct Loan/Perkins Military...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-15

    ...; Comment Request; FFEL/ Direct Loan/Perkins Military Service Deferment/Post-Active Duty Student Deferment... Deferment/Post-Active Duty Student Deferment Request & SCRA Request. OMB Control Number: 1845-0080. Type of...: 9,177. Abstract: The Military Service/Post-Active Duty Student Deferment request form serves as the...

  18. Practices associated with serum antiepileptic drug level monitoring at a pediatric neurology clinic: a Malaysian experience.

    PubMed

    Salih, Muhannad R M; Bahari, Mohd Baidi; Hassali, Mohamed Azmi Ahmad; Shafie, Asrul Akmal; Al-Lela, Omer Qutaiba B; Abd, Arwa Y; Ganesan, Vigneswari

    2013-06-01

    To assess the practices associated with the application of therapeutic drug monitoring (TDM) for antiepileptic drugs (AEDs) in the management of children with structural-metabolic epilepsy. It was a retrospective chart review and included children aged ≥2 years old with structural-metabolic epilepsy, treated with AEDs, and received TDM. The data were extracted from the medical records. Thirty-two patients were identified with 50 TDM assays. In two thirds of the assays, "check level" and "recheck level" were the reasons behind the requesting of serum level monitoring of AEDs. Knowledge of serum AED levels led to alterations in the management in 60% of the assays. Thirty-two (76%) pediatrician's actions were consistent with the recommendation of TDM pharmacist. Forty-nine (98%) levels were appropriately indicated. In relation to the appropriateness of sampling time, 9 (18%) levels were not assessed due to missing data. Twenty-seven (54%) levels were appropriately sampled. More studies should be designed to improve the component of the current TDM request form, especially in the reason section. By the same token, the number of pointless assays and the costs to the health care system can be reduced both by enhancing and improving the educational standards of the requesting neurologists.

  19. 77 FR 32137 - Agency Information Collection Activities: Proposed Collection; Comments Requested; Strategic...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-31

    ...] Agency Information Collection Activities: Proposed Collection; Comments Requested; Strategic Planning... Form/Collection: Strategic Planning Environmental Assessment Outreach. (3) Agency form number, if any... Strategic Planning Office at ATF will [[Page 32138

  20. 76 FR 14034 - Proposed Collection; Comment Request; NCI Cancer Genetics Services Directory Web-Based...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-15

    ... Request; NCI Cancer Genetics Services Directory Web-Based Application Form and Update Mailer Summary: In... Cancer Genetics Services Directory Web-based Application Form and Update Mailer. [[Page 14035

  1. 77 FR 44641 - Critical Infrastructure Private Sector Clearance Program Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-30

    .... DHS Sector Specialists or Protective Security Advisors email the form to the individual who then... clearance request form is signed by both the Federal official who nominated the applicant and the Assistant...

  2. Written Computer-Mediated Requests for Help by French-Speaking Students: An Analysis of Their Forms and Functions

    ERIC Educational Resources Information Center

    Puustinen, Minna; Bernicot, Josie; Bert-Erboul, Alain

    2011-01-01

    The present study regarded the self-regulated vs. not-self-regulated function and the indirect vs. direct (i.e., polite vs. impolite) linguistic form of middle school students' requests for help. Natural data (149 requests were sent via an online homework-help forum by French-speaking seventh to ninth graders) was used. Nearly 60% of the requests…

  3. 76 FR 13273 - Request for Service Corporation Activity

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-10

    ... DEPARTMENT OF THE TREASURY Office of Thrift Supervision Request for Service Corporation Activity AGENCY: Office of Thrift Supervision (OTS), Treasury. ACTION: Notice and request for comment. SUMMARY... collection. Title of Proposal: Request for Service Corporation Activity. OMB Number: 1550-0013. Form Numbers...

  4. 75 FR 51876 - Proposed Collection; Comment Request for Form 1041-ES

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-23

    ... 1041-ES AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1041-ES, Estimated Income Tax for Estates and Trusts. DATES: Written comments should be received...-0971. [[Page 51877

  5. 76 FR 31674 - Agency Information Collection Activities: Requests for Comments; Clearance of Renewed Approval of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-01

    ... Satisfaction Survey AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Notice and request for comments...: SWIFT Customer Satisfaction Survey. Form Numbers: There are no FAA Forms associated with this collection...

  6. 76 FR 17181 - Agency Information Collection Activities: Requests for Comments; Clearance of Renewed Approval of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-28

    ... Satisfaction Survey AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Notice and request for comments... Control Number: 2120-0699. Title: SWIFT Customer Satisfaction Survey. Form Numbers: There are no FAA forms...

  7. 76 FR 24055 - Agency Information Collection Activities: Proposed Collection; Comments Requested: Report of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-29

    ... Collection; Comments Requested: Report of Theft or Loss of Controlled Substances; DEA Form 106 AGENCY...) Title of the Form/Collection: Report of Theft or Loss of Controlled Substances (DEA Form 106). (3... DEA-106 upon discovery of a theft or significant loss of controlled substances. This provides accurate...

  8. 78 FR 11264 - Agency Information Collection Activities: Requests for Comments; Clearance of Renewed Approval of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-15

    ... Data Center Web Portal AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Notice and request... information collection. NFDC Web Portal forms are used to collect aeronautical information, detailing the...: National Flight Data Center Web Portal. Form Numbers: FAA Forms 7900-5, 7900-6, 7900-XX. Type of Review...

  9. 78 FR 25133 - Agency Information Collection Activities: Requests for Comments; Clearance of Renewed Approval of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-29

    ... Data Center Web Portal AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Notice and request.... NFDC Web Portal forms are used to collect aeronautical information, detailing the physical description.... Title: National Flight Data Center Web Portal. Form Numbers: FAA Forms 7900-5, 7900-6, 7900-XX. Type of...

  10. 75 FR 15435 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-29

    ... Collection: Business Proposal Forms for Quality Improvement Organizations (QIOs); Use: The submission of... request is used by CMS to negotiate QIO contracts. The revised business proposal forms will be useful in a... cost reports to the proposed costs noted on the business proposal forms. Subsequent contract and...

  11. 78 FR 22557 - Notice of Proposed Information Collection; Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-16

    ... to request approval for the collection of information for the Abandoned Mine Land Problem Area... collection of information found in the form OSM-76, Abandoned Mine Land Problem Area Description form. OSM is... activity: Title: OSM-76--Abandoned Mine Land Problem Area Description Form. OMB Control Number: 1029-0087...

  12. 76 FR 48874 - Agency Information Collection Activities: Form G-884, Extension of an Existing Information...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-09

    ... Activities: Form G-884, Extension of an Existing Information Collection; Comment Request ACTION: 30-Day Notice of Information Collection Under Review: Form G- 884, Request for the Return of Original Document(s... information technology, e.g., permitting electronic submission of responses. Overview of This Information...

  13. 75 FR 55849 - Proposed Collection; Comment Request for Form 1097-BTC, Bond Tax Credit

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-14

    ... 1097-BTC, Bond Tax Credit AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request... comments concerning Form 1097-BTC, Bond Tax Credit. DATES: Written comments should be received on or before... INFORMATION: Title: Form 1097-BTC, Bond Tax Credit. Abstract: This is an information return for reporting tax...

  14. 76 FR 7907 - Proposed Collection; Comment Request for Form 1099-K; Correction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-11

    ... 1099-K; Correction AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Correction to notice and... by the Department of the Treasury. Currently, the IRS is soliciting comments concerning Form 1099-K... comments for Proposed Collection; Comment Request for Form 1099-K contains an error that may prove to be...

  15. 17 CFR 145.7 - Requests for Commission records and copies thereof.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... form or format (including electronic formats) of the response. The Commission will accommodate... not specify the form or format of the response, the Commission will respond in the form or format in... response will be given to requests for records that are directed to the Commission other than in the manner...

  16. 76 FR 62494 - 30-Day Notice of Proposed Information Collection: DS-157, Supplemental Nonimmigrant Visa Form...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-07

    ..., Supplemental Nonimmigrant Visa Form, OMB Control Number 1405-0134 ACTION: Notice of request for public comment...: Supplemental Nonimmigrant Visa Application. OMB Control Number: 1405-0134. Type of Request: Extension of a...). Form Number: DS-157. Respondents: Nonimmigrant visa applicants legally required to provide additional...

  17. 75 FR 25024 - 30-Day Notice of Proposed Information Collection: DS-5501, Electronic Diversity Visa Entry Form...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-06

    ...-5501, Electronic Diversity Visa Entry Form, OMB Control Number 1405-0153 ACTION: Notice of request for... Collection: Electronic Diversity Visa Entry Form. OMB Control Number: 1405-0153. Type of Request: Extension of Currently Approved Collection. Originating Office: Bureau of Consular Affairs, Office of Visa...

  18. 78 FR 46692 - Proposed Collection; Comment Request for Form 990-N

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-01

    ... 990-N AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 990-N, Electronic Notice (e-Postcard) for Tax-Exempt Organizations not Required To file Form 990... Number: 990-N. Abstract: Section 1223 of the Pension Protection Act of 2006 (PPA '06), enacted on August...

  19. 77 FR 74481 - Agency Information Collection Activities: Final Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-14

    ... comments request. Form Title: EIB 99-17 Enhanced Assignment of Policy Proceeds. SUMMARY: The Export-Import... the policy proceeds. The form is typically part of the documentation required by financial institution... require Ex-Im Bank insurance policies to support lender financing. The form can be viewed at www.exim.gov...

  20. 77 FR 52717 - Agency Information Collection Activities: Final Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-30

    ... OMB Review and Comments Request. Form Title: EIB 09-01 Payment Default Report OMB 3048-0028. SUMMARY... guarantor. Ex-Im Bank customers will submit this form electronically through Ex-Im Online, replacing paper... Form Number: EIB 09-01 Payment Default Report. OMB Number: 3048-0028. Type of Review: Regular. Need and...

  1. 75 FR 39620 - Proposed Information Collection (Dependents' Educational Assistance (DEA) Election Request...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-09

    ... (Dependents' Educational Assistance (DEA) Election Request) Activity: Comment Request AGENCY: Veterans... veterans beginning date to start their DEA benefits. DATES: Written comments and recommendations on the.... Title: Dependents' Educational Assistance (DEA) Election Request, VA Form Letter 22-909. OMB Control...

  2. 78 FR 17778 - Proposed Information Collection (Dependents' Educational Assistance (DEA) Election Request...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-22

    ... (Dependents' Educational Assistance (DEA) Election Request) Activity: Comment Request AGENCY: Veterans... veterans beginning date to start their DEA benefits. DATES: Written comments and recommendations on the.... Title: Dependents' Educational Assistance (DEA) Election Request, VA Form Letter 22-909. OMB Control...

  3. 76 FR 44658 - Proposed Collection; Comment Request for Form 1041-A

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-26

    ... 1041-A AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1041-A, U.S. Information Return-Trust Accumulation of Charitable Amounts. DATES: Written comments... Accumulation of Charitable Amounts. [[Page 44659

  4. 75 FR 31437 - Notice of Public Information Collection(s) Being Reviewed by the Federal Communications...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-03

    ... auctions for spectrum, and maintain license information. In this mission, WTB has a ``help desk'' that... INFORMATION: OMB Control Number: 3060-1042. Title: Request for Technical Support - Help Request Form. Form No...

  5. 76 FR 47196 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-04

    ... OMB Review; Comment Request Title: Request for Assistance for Child Victims of Human Trafficking OMB... through the completion of a Request for Assistance for Child Victims of Human Trafficking form will enable... Human Trafficking Estimated Total Annual Burden Hours: 200. Additional Information: Copies of the...

  6. 78 FR 63183 - Information Collection Request Submitted to OMB for Review and Approval; Comment Request; Mobile...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-23

    ... of air conditioning systems and recovery/recycling equipment. Form Numbers: None. Respondents... automotive repair shops, automotive repair shops not elsewhere classified, including air conditioning and... Request Submitted to OMB for Review and Approval; Comment Request; Mobile Air Conditioner Retrofitting...

  7. 42 CFR 102.46 - Amending a request package.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES SMALLPOX...) Requesters who are survivors. If a smallpox vaccine recipient or vaccinia contact submitted a Request Form...) Requests in which benefits are sought by the estate of a deceased smallpox vaccine recipient or vaccinia...

  8. 42 CFR 102.46 - Amending a request package.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES SMALLPOX...) Requesters who are survivors. If a smallpox vaccine recipient or vaccinia contact submitted a Request Form...) Requests in which benefits are sought by the estate of a deceased smallpox vaccine recipient or vaccinia...

  9. 42 CFR 102.46 - Amending a request package.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES SMALLPOX...) Requesters who are survivors. If a smallpox vaccine recipient or vaccinia contact submitted a Request Form...) Requests in which benefits are sought by the estate of a deceased smallpox vaccine recipient or vaccinia...

  10. 42 CFR 102.46 - Amending a request package.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES SMALLPOX...) Requesters who are survivors. If a smallpox vaccine recipient or vaccinia contact submitted a Request Form...) Requests in which benefits are sought by the estate of a deceased smallpox vaccine recipient or vaccinia...

  11. 75 FR 10017 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-04

    ... DEPARTMENT OF THE TREASURY Submission for OMB Review; Comment Request March 1, 2010. The Department of the Treasury will submit the following public information collection requirement(s) to OMB for..., Transition Request, and Transfer Request. Form: 5354, 5367, PD F 5366. Description: Used to establish account...

  12. 42 CFR 102.46 - Amending a request package.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES SMALLPOX...) Requesters who are survivors. If a smallpox vaccine recipient or vaccinia contact submitted a Request Form...) Requests in which benefits are sought by the estate of a deceased smallpox vaccine recipient or vaccinia...

  13. 78 FR 45566 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Coal Mine...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-29

    ... for OMB Review; Comment Request; Coal Mine Dust Sampling Devices ACTION: Notice. SUMMARY: The... information collection request (ICR) titled, ``Coal Mine Dust Sampling Devices,'' to the Office of Management...) determine the concentration of respirable dust in coal mines. CPDMs must be designed and constructed for...

  14. 78 FR 59341 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-26

    ...: Title, Associated Form and OMB Number: TRICARE Plus Enrollment Application (DD 2853) and TRICARE Plus Disenrollment Request (DD 2854); OMB Control Number 0720-0028. Type of Request: Reinstatement with Change Number...

  15. 75 FR 47029 - Agency Information Collection Activities: Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-04

    ... currently approved information collection used by customers/researchers for ordering reproductions of NARA's... bodies of records. NARA uses the Item Approval Request List form to track reproduction requests and to...

  16. 76 FR 59185 - Agency Information Collection Activities: Requests for Comments; Clearance of Renewed Approval of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-23

    ... Activities: Requests for Comments; Clearance of Renewed Approval of Information Collection: Notice of Landing... information collection. FAA Form 7480-1 (Notice of Landing Area Proposal) is used to collect information about.... Title: Notice of Landing Area Proposal. Form Numbers: FAA Form 7480-1. Type of Review: Renewal of an...

  17. 77 FR 71473 - Agency Information Collection Activities: Requests for Comments; Clearance of Renewed Approval of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-30

    ... Activities: Requests for Comments; Clearance of Renewed Approval of Information Collection: Notice of Landing... information collection. FAA Form 7480-1 (Notice of Landing Area Proposal) is used to collect information about.... Title: Notice of Landing Area Proposal. Form Numbers: FAA Form 7480-1. Type of Review: Renewal of an...

  18. 32 CFR 807.3 - Requests for classified material, For Official Use Only material, accountable forms, storage...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 6 2010-07-01 2010-07-01 false Requests for classified material, For Official Use Only material, accountable forms, storage safeguard forms, Limited (L) distribution items, and items with restrictive distribution caveats. 807.3 Section 807.3 National Defense Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE...

  19. 76 FR 64377 - Agency Information Collection Activities: Proposed Collection; Comments Requested: Alien's Change...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-18

    ... Collection; Comments Requested: Alien's Change of Address Forms: 33/BIA Board of Immigration Appeals and 33... approved collection. (2) Title of the Form/Collection: Alien's Change of Address Forms: 33/BIA Board of... determine where to send notices of the next administrative action or of any decisions in an alien's case. (5...

  20. 76 FR 80403 - Agency Information Collection Activities; Proposed collection; Comments Request: Alien's Change...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-23

    ... collection; Comments Request: Alien's Change of Address Form: 33/BIA Board of Immigration Appeal; 33/IC... Collection. (2) Title of the Form/Collection: Alien's Change of Address Forms 33/BIA Board of Immigration... send notices of the next administrative action or of any decisions in an alien's case. (5) An estimate...

  1. 75 FR 80565 - 60-Day Notice of Proposed Renewal of Information Collection: Form DS-0064, Statement Regarding a...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-22

    ... Collection: Form DS-0064, Statement Regarding a Lost or Stolen Passport, 1405-0014. ACTION: Notice of request... Regarding a Lost or Stolen Passport. OMB Control Number: 1405-0014. Type of Request: Extension of a... methods: E-mail: [email protected] . Mail (paper, disk, or CD-ROM submissions): Passport Forms...

  2. 76 FR 20451 - Proposed Collection; Comment Request; Renewal Without Change of the Registration of Money...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-12

    ... Request; Renewal Without Change of the Registration of Money Services Business, FinCEN Form 107 AGENCY... Money Services Business, FinCEN Form 107. The form will be used by currency dealers or exchangers; check cashers; issuers of traveler's checks, money orders or stored value; sellers of traveler's checks, money...

  3. 76 FR 27373 - 30-Day Notice of Proposed Information Collection: Medical Examination Forms for Immigrant or...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-11

    ...: Medical Examination Forms for Immigrant or Refugee Applicants ACTION: Notice of request for public comment... Examination for Immigrant or Refugee Applicant. OMB Control Number: 1405-0113. Type of Request: Revision of a.../VO). Form Number: DS-2053, DS-2054, DS-3030, DS-3024, DS-3025, DS-3026. Respondents: Immigrant visa...

  4. 77 FR 64187 - Proposed Collection; Comment Request for Form 637 Questionnaires

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-18

    ... 637 Questionnaires AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for... Questionnaires A, B, C, D, E, F, H, I, J, K, M, Q, R, S, T, UP, UV, V, W, X, and Y, Form 637 Questionnaires... information or copies of Form 637 Questionnaires should be directed to Allan Hopkins, (202)-622-6665, at...

  5. Joint Chiefs of Staff > About > Joint Staff Inspector General

    Science.gov Websites

    DD Form 2949, Joint Inspector General Action Request (available at the link below). However, if you action if you intentionally make false statements. When you sign a DD Form 2949, you are signing a . DD Form 2949, Joint Inspector General Action Request Click here to expand content Click here to

  6. 76 FR 24038 - Agency Information Collection Activities: Proposed Collection; Comment Request, 1660-NEW; Level 1...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-29

    ...] Agency Information Collection Activities: Proposed Collection; Comment Request, 1660-NEW; Level 1 Assessment and Level III Evaluations for the Center for Domestic Preparedness (CDP) AGENCY: Federal Emergency...; OMB No. 1660-NEW; FEMA Form 092-0-2, Level 1 Assessment Form; FEMA Form 092-0-2A, Level 3 Evaluation...

  7. 77 FR 36018 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-15

    ..., Washington, DC 20549-0213. Extension: Form TH; OMB Control No. 3235-0425; SEC File No. 270-377. Notice is... request for extension of the previously approved collection of information discussed below. Form TH (17... prescribed by Rule 201(a) of Regulation S-T. (17 CFR 232.201(a)). Form TH is a public document and is filed...

  8. 75 FR 49023 - Proposed Collection; Comment Request for Form TD F 90-22.1

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-12

    ... TD F 90-22.1 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for... Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts. DATES: Written comments should be.... OMB Number: 1545-2038. Form Number: TD F 90-22.1. Abstract: This information is collected because of...

  9. 75 FR 1090 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-08

    ....C. 80a-8(b)). Form N-8B-2 requires disclosure about the organization of a UIT, its securities, the..., Washington, DC 20549-0213. Extension: Form N-8B-2; SEC File No. 270-186; OMB Control No. 3235-0186. Notice is... a request for extension of the previously approved collection of information discussed below. Form N...

  10. 77 FR 71460 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-30

    ... Form N-5, under Section 30(b) of the Investment Company Act of 1940 (15 U.S.C. 80a-1 et seq..., Washington, DC 20549-0213. Extension: Form N-Q. OMB Control No. 3235-0578, SEC File No. 270-519. Notice is... a request for extension of the previously approved collection of information discussed below. Form N...

  11. 75 FR 9453 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-02

    ... Form N-5, under Section 30(b) of the Investment Company Act of 1940 (15 U.S.C. 80a-1 et seq..., Washington, DC 20549-0213. Extension: Form N-Q; SEC File No. 270-519; OMB Control No. 3235-0578. Notice is... a request for extension of the previously approved collection of information discussed below. Form N...

  12. 75 FR 54653 - Agency Information Collection Activities: Proposed Collection; Comments Requested; Application...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-08

    ... Substances for Domestic and/or Scientific Purposes Pursuant to 21 U.S.C. 952; DEA Form 357 ACTION: 30-Day... Administration (DEA) will be submitting the following information collection request to the Office of Management... U.S.C. 952 (DEA Form 357). (3) Agency form number, if any, and the applicable component of the...

  13. 40 CFR 305.5 - Filing, service, and form of pleadings and documents.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 27 2010-07-01 2010-07-01 false Filing, service, and form of pleadings... SUPERFUND General § 305.5 Filing, service, and form of pleadings and documents. (a) Filing of pleadings and... Request for a Hearing and shall provide him a copy of such request. The original of all other pleadings...

  14. 77 FR 34462 - Proposed Collection; Comment Request for Schedule C-EZ (Form 1040)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-11

    ... Schedule C-EZ (Form 1040) AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for... 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Schedule C-EZ (Form 1040), Net Profit From Business. DATES: Written comments should be received on or...

  15. 78 FR 9049 - Agency Information Collection Activities: Proposed Collection Renewal; Comment Request Re Forms...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-07

    ... FEDERAL DEPOSIT INSURANCE CORPORATION Agency Information Collection Activities: Proposed Collection Renewal; Comment Request Re Forms Relating to Processing Deposit Insurance Claims AGENCY: Federal Deposit Insurance Corporation (FDIC). ACTION: Notice of proposed information collection renewal and...

  16. 77 FR 13070 - Notice of Request for Approval of a New Information Collection for Export/Health Certificate Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-05

    ... as negotiations continue with more countries. DATES: Comments on this notice must be received by May... 16 different export certificate request forms with ongoing negotiations with at least 5 more...

  17. 78 FR 69175 - Proposed Information Collection (Financial Statement); Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-18

    ... DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900-0047] Proposed Information Collection (Financial Statement); Comment Request AGENCY: Veterans Benefits Administration, Department of Veterans... use of other forms of information technology. Title: Financial Statement, VA Form 26-6807. OMB Control...

  18. 78 FR 73819 - Information Collection; Financial Information Security Request Form

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-09

    ... DEPARTMENT OF AGRICULTURE Forest Service Information Collection; Financial Information Security... individuals and organizations on the extension with revision of a currently approved information collection, Financial Information Security Request Form. DATES: Comments must be received in writing on or before...

  19. 77 FR 9952 - Agency Information Collection Activities: Proposed Collection; Comment Request, Emergency...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-21

    ... Course Evaluation Form. Type of Information Collection: Revision of a currently approved information...; OMB No. 1660-0034] Agency Information Collection Activities: Proposed Collection; Comment Request, Emergency Management Institute Course Evaluation Form AGENCY: Federal Emergency Management Agency, DHS...

  20. 76 FR 47648 - Proposed Collection; Comment Request for Form 8850

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-05

    ... 8850, Pre-Screening Notice and Certification Request for the Work Opportunity and Welfare-to-Work...: Pre-Screening Notice and Certification Request for the Work Opportunity and Welfare-to-Work Credits... request to a state employment security agency to certify an employee as a member of a targeted group for...

  1. 78 FR 52190 - Information Collection Request Submitted to OMB for Review and Approval; Comment Request; NESHAP...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-22

    ... Submitted to OMB for Review and Approval; Comment Request; NESHAP for Gasoline Distribution Facilities... Protection Agency has submitted an information collection request (ICR), ``NESHAP for Gasoline Distribution... semiannually at a minimum. Form Numbers: None. Respondents/affected entities: Owners or operators of gasoline...

  2. 12 CFR 404.4 - Request requirements.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Request requirements. 404.4 Section 404.4 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED STATES INFORMATION DISCLOSURE Procedures for Disclosure of Records Under the Freedom of Information Act. § 404.4 Request requirements. (a) Form. Requests...

  3. 78 FR 341 - Proposed Information Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-03

    ..., Parkersburg, WV 26106-1328, (304) 480-8150. SUPPLEMENTARY INFORMATION: Form Numbers and Title: PD F 5354--FHA Transaction Request; PD F 5366--FHA New Account Request; PD F 5367--FHA Debenture Transfer Request. OMB Number: 1535-0102. Abstract: The information is used to (1) Establish a book-entry account; (2) change...

  4. 77 FR 22346 - Agency Information Collection Activities: Proposed Collection; Comments Requested: Leased/Charter...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-13

    ... Collection; Comments Requested: Leased/Charter Flight Personnel Expedited Clearance Request ACTION: 60-day.../Collection: Leased/Charter Flight Personnel Expedited Clearance Request. (3) Agency form number, if any, and... become contract flight crew members. It is required so that USMS can perform an expedited background...

  5. 78 FR 39282 - Proposed Information Collection Request; Comment Request; Willingness to Pay Survey for Salmon...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-01

    ... the survey, a choice experiment framework is used with statistically designed tradeoff questions... reason for the survey is public value research. All survey responses will be kept confidential. Form... Collection Request; Comment Request; Willingness to Pay Survey for Salmon Recovery in the Willamette...

  6. 29 CFR 19.4 - Contents of request.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Secretary of Labor RIGHT TO FINANCIAL PRIVACY ACT § 19.4 Contents of request. The formal written request shall be in the form of a letter or memorandum to an appropriate official of the financial institution..., business address and business phone number. The request shall also contain the following: (a) The identity...

  7. 28 CFR 47.4 - Written request.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Written request. 47.4 Section 47.4 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) RIGHT TO FINANCIAL PRIVACY ACT § 47.4 Written request. (a) The formal written request shall be in the form of a letter or memorandum to an appropriate...

  8. 78 FR 69322 - Modification of Regulations Regarding Time Limits for Submission of Information Pertaining to...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-19

    ... Pertaining to Requests for Sampling in Antidumping Duty Administrative Reviews AGENCY: International Trade... sampling, and comments on sampling in antidumping (AD) administrative reviews. The modifications to the time limits, if adopted, will more clearly prescribe the time for filing requests for sampling in AD...

  9. 40 CFR 205.57-2 - Test vehicle sample selection.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 25 2011-07-01 2011-07-01 false Test vehicle sample selection. 205.57... vehicle sample selection. (a) Vehicles comprising the batch sample which are required to be tested... test request from a batch of vehicles of the category or configuration specified in the test request...

  10. Caught in the Act? Prevalence, Predictors, and Consequences of Physician Detection of Unannounced Standardized Patients

    PubMed Central

    Franz, Carol E; Epstein, Ron; Miller, Katherine N; Brown, Arthur; Song, Jun; Feldman, Mitchell; Franks, Peter; Kelly-Reif, Steven; Kravitz, Richard L

    2006-01-01

    Objective To examine the prevalence, predictors, and consequences of physician detection of unannounced standardized patients (SPs) in a study of the impact of direct-to-consumer advertising on treatment for depression. Data Sources Eighteen trained SPs were randomly assigned to conduct 298 unannounced audio-recorded visits with 152 primary care physicians in three U.S. cities between May 2003 and May 2004. Study Design Randomized controlled trial using SPs. SPs portrayed six roles, created by crossing two clinical conditions (major depression or adjustment disorder) with three medication request scripts (brand-specific request, general request for an antidepressant, or no request). Data Collection Within 2 weeks following the visit, physicians completed a form asking whether they “suspected” conducting an office visit with an SP during the past 2 weeks; 296 (99 percent) detection forms were returned. Physicians provided contextual data, a Clinician Background Questionnaire. SPs filled in a Standardized Patient Reporting Form for each visit and returned all written prescriptions and medication samples to the laboratory. Principal Findings Depending on the definition, detection rates ranged from 5 percent (unambiguous detection) to 23.6 percent (any degree of suspicion) of SP visits. In 12.8 percent of encounters, physicians accurately detected the SP before or during the visit but they only rarely believed their suspicions affected their clinical behavior. In random effects logistic regression analyses controlling for role, actor, physician, and practice factors, suspected visits occurred less frequently in HMO settings than in solo practice settings (p<.05). Physicians more frequently referred SPs to mental health professionals when visits aroused high suspicion (p<.05). Conclusions Trained actors portrayed patient roles conveying mood disorders at low levels of detection. There was some evidence for differential treatment of detected standardized patients by physicians with regard to referrals but not antidepressant prescribing or follow-up recommendations. Systematic assessment of detection is recommended when SPs are used in studies of clinical process and quality of care. PMID:17116121

  11. Caught in the act? Prevalence, predictors, and consequences of physician detection of unannounced standardized patients.

    PubMed

    Franz, Carol E; Epstein, Ron; Miller, Katherine N; Brown, Arthur; Song, Jun; Feldman, Mitchell; Franks, Peter; Kelly-Reif, Steven; Kravitz, Richard L

    2006-12-01

    Objective. To examine the prevalence, predictors, and consequences of physician detection of unannounced standardized patients (SPs) in a study of the impact of direct-to-consumer advertising on treatment for depression. Data Sources. Eighteen trained SPs were randomly assigned to conduct 298 unannounced audio-recorded visits with 152 primary care physicians in three U.S. cities between May 2003 and May 2004. Study Design. Randomized controlled trial using SPs. SPs portrayed six roles, created by crossing two clinical conditions (major depression or adjustment disorder) with three medication request scripts (brand-specific request, general request for an antidepressant, or no request). Data Collection. Within 2 weeks following the visit, physicians completed a form asking whether they "suspected" conducting an office visit with an SP during the past 2 weeks; 296 (99 percent) detection forms were returned. Physicians provided contextual data, a Clinician Background Questionnaire. SPs filled in a Standardized Patient Reporting Form for each visit and returned all written prescriptions and medication samples to the laboratory. Principal Findings. Depending on the definition, detection rates ranged from 5 percent (unambiguous detection) to 23.6 percent (any degree of suspicion) of SP visits. In 12.8 percent of encounters, physicians accurately detected the SP before or during the visit but they only rarely believed their suspicions affected their clinical behavior. In random effects logistic regression analyses controlling for role, actor, physician, and practice factors, suspected visits occurred less frequently in HMO settings than in solo practice settings (p<.05). Physicians more frequently referred SPs to mental health professionals when visits aroused high suspicion (p<.05). Conclusions. Trained actors portrayed patient roles conveying mood disorders at low levels of detection. There was some evidence for differential treatment of detected standardized patients by physicians with regard to referrals but not antidepressant prescribing or follow-up recommendations. Systematic assessment of detection is recommended when SPs are used in studies of clinical process and quality of care.

  12. 76 FR 73741 - Submission for OMB Review; Comments Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-29

    ... for project financing and collect information for financial underwriting analysis. Dated: November 21... Request: Revised form. Title: Application for Project Finance. Form Number: OPIC-115. Frequency of Use: Once per investor per project. Type of Respondents: Business or other institution (except farms...

  13. 77 FR 4373 - Submission for OMB Review; Comments Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-27

    ... for project financing and collect information for financial underwriting analysis. Dated: January 20... Request: Revised form. Title: Application for Project Finance. Form Number: OPIC-115. Frequency of Use: Once per investor per project. Type of Respondents: Business or other institution (except farms...

  14. 76 FR 30421 - Agency Information Collection Activities: Requests for Comments; Clearance of Renewed Approval of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-25

    ... and Flight Rules AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Notice and request for...: 2120-0005. Title: General Operating and Flight Rules. Form Numbers: There are no FAA forms associated... Flight Rules, are [[Page 30422

  15. 77 FR 71005 - Proposed Information Collection Activity; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-28

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Proposed Information Collection Activity; Comment Request Proposed Projects Title: Child Support Enforcement Program Expenditure Report (Form OCSE-396A) and the Child Support Enforcement Program Collection Report (Form OCSE-34A...

  16. 75 FR 10805 - Proposed Information Collection Activity; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-09

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Proposed Information Collection Activity; Comment Request Proposed Projects: Title: Child Support Enforcement Program Expenditure Report (Form OCSE-396A) and the Child Support Enforcement Program Collection Report (Form OCSE-34A...

  17. 78 FR 10600 - Proposed Information Collection; Comment Request; Southeast Region Logbook Family of Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-14

    ... DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration Proposed Information Collection; Comment Request; Southeast Region Logbook Family of Forms AGENCY: National Oceanic and Atmospheric Administration (NOAA). ACTION: Notice. SUMMARY: The Department of Commerce, as part of its...

  18. 76 FR 27386 - Proposed Information Collection (Employment Questionnaire) Activity; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-11

    ... DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900-0079] Proposed Information Collection (Employment Questionnaire) Activity; Comment Request AGENCY: Veterans Benefits Administration, Department of... use of other forms of information technology. Title: Employment Questionnaire, VA Forms 21-4140 and 21...

  19. 78 FR 46422 - Proposed Information Collection (Status of Dependents Questionnaire) Activity: Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-31

    ... DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900-0500] Proposed Information Collection (Status of Dependents Questionnaire) Activity: Comment Request AGENCY: Veterans Benefits Administration... use of other forms of information technology. Title: Status of Dependents Questionnaire, VA Form 21...

  20. 75 FR 62636 - Proposed Information Collection (Status of Dependents Questionnaire) Activity: Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-12

    ... DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900-0500] Proposed Information Collection (Status of Dependents Questionnaire) Activity: Comment Request AGENCY: Veterans Benefits Administration... use of other forms of information technology. Title: Status of Dependents Questionnaire, VA Form 21...

  1. 77 FR 64385 - Proposed Information Collection (Loan Analysis) Activity: Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-19

    ... forms of information technology. Title: Loan Analysis, VA Form 26-6393. OMB Control Number: 2900-0523... DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900-0523] Proposed Information Collection (Loan Analysis) Activity: Comment Request AGENCY: Veterans Benefits Administration, Department of Veterans...

  2. 78 FR 45275 - Agency Information Collection Activities; Proposed collection; Comments Requested: Notification...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-26

    ...] Agency Information Collection Activities; Proposed collection; Comments Requested: Notification of Change... technological collection techniques or other forms of information technology, e.g., permitting electronic... currently approved collection. (2) Title of the Form/Collection: Notification of Change of Mailing or...

  3. Static renewal tests using Anodonta imbecillis (freshwater mussels). Anodonta imbecillis QA test 3, Clinch River-Environmental Restoration Program (CR-ERP)

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Simbeck, D.J.

    1994-12-31

    Toxicity testing of split whole sediment samples using juvenile freshwater mussels (Anodonta imbecillis) was conducted by TVA to provide a quality assurance mechanism for test organism quality and overall performance of the test being conducted by CR-ERP personnel as part of the CR-ERP biomonitoring study of Clinch River sediments. Testing of sediment samples collected May 5 from Poplar Creek Miles 6.0 and 2.9 was conducted from May 10--19, 1994. Results from this test showed no toxicity (survival effects) to fresh-water mussels during a 9-day exposure to the sediments. Attachments to this report include: Chain of custody form -- original; Toxicitymore » test bench sheets; Ammonia analysis request and results; Meter calibration log sheets; and Training documentation forms.« less

  4. 78 FR 25091 - Submission for OMB Review; 30-Day Comment Request: Request for Human Embryonic Stem Cell Line To...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-29

    ...; 30-Day Comment Request: Request for Human Embryonic Stem Cell Line To Be Approved for Use in NIH... Embryonic Stem Cell Line to be Approved for Use in NIH-Funded Research, 0925-0601, Expiration Date 04/30... Information Collection: The form is used by applicants to request that human embryonic stem cell lines be...

  5. 75 FR 7522 - Peer Review, Conflict of Interest and Disclosure Form; Request for the Office of Management and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-19

    ... Review, Conflict of Interest and Disclosure Form; Request for the Office of Management and Budget's (OMB... proposal to extend the Office of Management and Budget's (OMB) approval of the Conflict of Interest (COI) and Disclosure Form which is used to determine whether or not a conflict of interest exists for a...

  6. 26 CFR 301.6227(c)-1 - Administrative adjustment request by the tax matters partner on behalf of the partnership.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... tax matters partner on behalf of the partnership shall be filed on the form prescribed by the Internal Revenue Service for that purpose in accordance with that form's instructions. Except as otherwise provided in that form's instructions, the request shall be— (1) Filed with the service center where the...

  7. 26 CFR 301.6227(c)-1 - Administrative adjustment request by the tax matters partner on behalf of the partnership.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... tax matters partner on behalf of the partnership shall be filed on the form prescribed by the Internal Revenue Service for that purpose in accordance with that form's instructions. Except as otherwise provided in that form's instructions, the request shall be— (1) Filed with the service center where the...

  8. 26 CFR 301.6227(c)-1 - Administrative adjustment request by the tax matters partner on behalf of the partnership.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... tax matters partner on behalf of the partnership shall be filed on the form prescribed by the Internal Revenue Service for that purpose in accordance with that form's instructions. Except as otherwise provided in that form's instructions, the request shall be— (1) Filed with the service center where the...

  9. 26 CFR 301.6227(c)-1 - Administrative adjustment request by the tax matters partner on behalf of the partnership.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... tax matters partner on behalf of the partnership shall be filed on the form prescribed by the Internal Revenue Service for that purpose in accordance with that form's instructions. Except as otherwise provided in that form's instructions, the request shall be— (1) Filed with the service center where the...

  10. 26 CFR 301.6227(c)-1 - Administrative adjustment request by the tax matters partner on behalf of the partnership.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... tax matters partner on behalf of the partnership shall be filed on the form prescribed by the Internal Revenue Service for that purpose in accordance with that form's instructions. Except as otherwise provided in that form's instructions, the request shall be— (1) Filed with the service center where the...

  11. Children's Requests to Unfamiliar Adults: Form, Social Function, Age Variation.

    ERIC Educational Resources Information Center

    Gordon, David Paul; And Others

    Elementary school students were required to obtain objects from two adults engaged in conversation with each other. Results differed markedly between older and younger children. For the younger children, (1) there were three times as many statement requests (SRs) as interrogative requests (IRs); (2) almost 50% of requests were need statements; (3)…

  12. 75 FR 22870 - Submission for OMB Review; Comment Request for Review of a Revised Information Collection: (OMB...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-30

    ... OFFICE OF PERSONNEL MANAGEMENT Submission for OMB Review; Comment Request for Review of a Revised... of Management and Budget (OMB) a request for review of a revised information collection. ``Request to Disability Annuitant for Information on Physical Condition and Employment'' (OMB Control No. 3206-0143; Form...

  13. 32 CFR 705.21 - Requests for Navy participation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... REGULATIONS AND OFFICIAL RECORDS PUBLIC AFFAIRS REGULATIONS § 705.21 Requests for Navy participation. (a... public events are to be submitted on official request forms (§§ 705.33, 705.34 and 705.36) by the... requests referred to the Chief of Information and to the Office of Assistant Secretary of Defense (Public...

  14. 78 FR 45923 - Information Collection Request Submitted to OMB for Review and Approval; Comment Request; NESHAP...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-30

    ... Submitted to OMB for Review and Approval; Comment Request; NESHAP for Automobile and Light-duty Truck... Environmental Protection Agency has submitted an information collection request (ICR), ``NESHAP for Automobile... semiannually at a minimum. Form Numbers: None. Respondents/affected entities: Owners or operators of automobile...

  15. 75 FR 61249 - Proposed Information Collection (VA Request for Determination of Reasonable Value) Activity...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-04

    ... Request for Determination of Reasonable Value) Activity: Comment Request AGENCY: Veterans Benefits... information needed to determine the reasonable value of properties for guaranteed or direct home loans. DATES... Request for Determination of Reasonable Value, VA Form 26-1805 and 26-1805-1. OMB Control Number: 2900...

  16. 77 FR 52315 - September 15, 2012 Deadline to File Requests for Inter Partes Reexamination Proceedings and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-29

    ... Notice of Failure to Comply Form AGENCY: United States Patent and Trademark Office, Commerce. ACTION... any deficiencies in the request via a Notice of Failure to Comply with Inter Partes Reexamination Request Filing Requirements (Notice of Failure to Comply) while providing sufficient time for requester to...

  17. 78 FR 21617 - Notice of Proposed Information Collection: Comment Request; Final Endorsement of Credit Instrument

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-11

    ... Information Collection: Comment Request; Final Endorsement of Credit Instrument AGENCY: Office of the... Proposal: Final Endorsement of Credit Instrument. OMB Control Number, if applicable: 2502-0016. Description... Endorsement of Credit Instrument'' form is used to request to request final endorsement by HUD of the credit...

  18. 78 FR 12322 - Agency Information Collection Activities: OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-22

    ... Interchange (EDI) Registration and Electronic Data Interchange (EDI) Enrollment Form; Use: The purpose of this... identification of Medicare providers/suppliers and authorization of requested Electronic Data Interface (EDI) functions. The EDI Enrollment and the Medicare Registration Forms are completed by Medicare providers...

  19. 76 FR 24571 - Proposed Information Collection (Veterans Mortgage Life Insurance Inquiry); Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-02

    ... (Veterans Mortgage Life Insurance Inquiry); Comment Request AGENCY: Veterans Benefits Administration... maintain Veterans Mortgage Life Insurance accounts. DATES: Written comments and recommendations on the... use of other forms of information technology. Title: Veterans Mortgage Life Insurance Inquiry, VA Form...

  20. 78 FR 15403 - Agency Information Collection Activities; Proposed Collection; Comment Request; Company-Run...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-11

    ... Activities; Proposed Collection; Comment Request; Company-Run Annual Stress Test Reporting Template and... Federal savings associations titled, ``Company-Run Annual Stress Test Reporting Template and Documentation....occ.gov/tools-forms/forms/bank-operations/stress-test-reporting.html ). SUPPLEMENTARY INFORMATION: The...

  1. 48 CFR 750.7109-2 - Form of requests by contractors.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Form of requests by contractors. 750.7109-2 Section 750.7109-2 Federal Acquisition Regulations System AGENCY FOR INTERNATIONAL DEVELOPMENT CONTRACT MANAGEMENT EXTRAORDINARY CONTRACTUAL ACTIONS Extraordinary Contractual Actions To Protect...

  2. 76 FR 45906 - Proposed Collection; Comment Request for Form W-10

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-01

    ... written comments to Yvette B. Lawrence, Internal Revenue Service, room 6129, 1111 Constitution Avenue, NW... W-10 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form W-10, Dependent Care Provider's Identification and Certification. DATES: Written comments should...

  3. 78 FR 45919 - Commission Information Collection Activities (FERC Form 80); Comment Request; Extension

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-30

    ... Information Collection Activities (FERC Form 80); Comment Request; Extension AGENCY: Federal Energy Regulatory... Office of Information and Regulatory Affairs: [email protected] . Attention: Federal Energy... receiving automatic notification of activity in this docket or in viewing/downloading comments and issuances...

  4. 76 FR 8848 - Proposed Information Collection (Financial Statement); Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-15

    ... (Financial Statement); Comment Request AGENCY: Veterans Benefits Administration, Department of Veterans... use of other forms of information technology. Title: Financial Statement, VA Form 26-6807. OMB Control... creditworthiness requirements. The data is also used to determine a borrower's financial condition in connection...

  5. 76 FR 65500 - Proposed Information Collection; Comment Request; Highly Migratory Species Permit Family of Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-21

    ... DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration Proposed Information Collection; Comment Request; Highly Migratory Species Permit Family of Forms AGENCY: National Oceanic and Atmospheric Administration (NOAA). ACTION: Notice. SUMMARY: The Department of Commerce, as part of its...

  6. 78 FR 21912 - Proposed Information Collection; Comment Request; Processed Products Family of Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-12

    ... Collection; Comment Request; Processed Products Family of Forms AGENCY: National Oceanic and Atmospheric... NOAA in the economic and social analyses developed when proposing and evaluating fishery management... collection). Affected Public: Business or other for-profit organizations. Estimated Number of Respondents...

  7. 76 FR 36617 - Executive Office for Asset Forfeiture; Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-22

    ... concerning the Request for Transfer of Property Seized/Forfeited by a Treasury Agency, TD F 92-22.46. DATES... Agency, TD F 92-22.46. OMB Number: 1505-0152. Form Number: TD F 92-22.46. Abstract: The form was...

  8. 75 FR 77906 - Agency Information Collection Activities: Proposed Collection; Comments Requested: Drug...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-14

    ..., Human Resources Division, Drug Enforcement Administration, 8701 Morrissette Drive, Springfield, VA 22152... collection: Form number: DEA Form 341. Component: Human Resources Division, Drug Enforcement Administration... Administration (DEA), will be submitting the following information collection request to the Office of Management...

  9. 77 FR 44270 - Agency Information Collection Activities; Proposed Collection; Comments Requested: Notification...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-27

    ...] Agency Information Collection Activities; Proposed Collection; Comments Requested: Notification of Change... automated, electronic, mechanical, or other technological collection techniques or other forms of...: Notification of Change of Mailing or Premise Address. (3) Agency form number, if any, and the applicable...

  10. 78 FR 59722 - Agency Information Collection Activities: Proposed Collection; Comments Requested; Notification...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-27

    ...] Agency Information Collection Activities: Proposed Collection; Comments Requested; Notification of Change... automated, electronic, mechanical, or other technological collection techniques or other forms of...: Notification of Change of Mailing or Premise Address. (3) Agency form number, if any, and the applicable...

  11. 76 FR 15054 - Proposed Information Collection (Supporting Statement Regarding Marriage); Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-18

    ... (Supporting Statement Regarding Marriage); Comment Request AGENCY: Veterans Benefits Administration... eligibility for benefits based on a common law marriage. DATES: Written comments and recommendations on the... use of other forms of information technology. Title: Supporting Statement Regarding Marriage, VA Form...

  12. Evaluation of hospital staff’s perceived quality of librarian-mediated literature searching services*,†

    PubMed Central

    McKeown, Sandra; Konrad, Shauna-Lee; McTavish, Jill; Boyce, Erin

    2017-01-01

    Objective The research evaluated the perceived quality of librarian-mediated literature searching services at one of Canada’s largest acute care teaching hospitals for the purpose of continuous quality improvement and investigation of relationships between variables that can impact user satisfaction. Methods An online survey was constructed using evidence-based methodologies. A systematic sample of staff and physicians requesting literature searches at London Health Sciences Centre were invited to participate in the study over a one-year period. Data analyses included descriptive statistics of closed-ended questions and coding of open-ended questions. Results A range of staff including clinicians, researchers, educators, leaders, and analysts submitted a total of 137 surveys, representing a response rate of 71%. Staff requested literature searches for the following “primary” purposes: research or publication (34%), teaching or training (20%), informing a policy or standard practice (16%), patient care (15%), and “other” purposes (15%). While the majority of staff (76%) submitted search requests using methods of written communication, including email and search request forms, staff using methods of verbal communication, including face-to-face and telephone conversations, were significantly more likely to be extremely satisfied with the librarian’s interpretation of the search request (p=0.004) and to rate the perceived quality of the search results as excellent (p=0.005). In most cases, librarians followed up with staff to clarify the details of their search requests (72%), and these staff were significantly more likely to be extremely satisfied with the librarian’s interpretation of the search request (p=0.002). Conclusions Our results demonstrate the limitations of written communication in the context of librarian-mediated literature searching and suggest a multifaceted approach to quality improvement efforts. PMID:28377674

  13. Evaluation of hospital staff's perceived quality of librarian-mediated literature searching services.

    PubMed

    McKeown, Sandra; Konrad, Shauna-Lee; McTavish, Jill; Boyce, Erin

    2017-04-01

    The research evaluated the perceived quality of librarian-mediated literature searching services at one of Canada's largest acute care teaching hospitals for the purpose of continuous quality improvement and investigation of relationships between variables that can impact user satisfaction. An online survey was constructed using evidence-based methodologies. A systematic sample of staff and physicians requesting literature searches at London Health Sciences Centre were invited to participate in the study over a one-year period. Data analyses included descriptive statistics of closed-ended questions and coding of open-ended questions. A range of staff including clinicians, researchers, educators, leaders, and analysts submitted a total of 137 surveys, representing a response rate of 71%. Staff requested literature searches for the following "primary" purposes: research or publication (34%), teaching or training (20%), informing a policy or standard practice (16%), patient care (15%), and "other" purposes (15%). While the majority of staff (76%) submitted search requests using methods of written communication, including email and search request forms, staff using methods of verbal communication, including face-to-face and telephone conversations, were significantly more likely to be extremely satisfied with the librarian's interpretation of the search request ( p =0.004) and to rate the perceived quality of the search results as excellent ( p =0.005). In most cases, librarians followed up with staff to clarify the details of their search requests (72%), and these staff were significantly more likely to be extremely satisfied with the librarian's interpretation of the search request ( p =0.002). Our results demonstrate the limitations of written communication in the context of librarian-mediated literature searching and suggest a multifaceted approach to quality improvement efforts.

  14. 32 CFR Appendix A to Part 504 - Request For Basic Identifying Account Data-Sample Format

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 3 2014-07-01 2014-07-01 false Request For Basic Identifying Account Data... INSTITUTIONS Pt. 504, App. A Appendix A to Part 504—Request For Basic Identifying Account Data—Sample Format... to section 3414 of the Right to Financial Privacy Act of 1978, section 3401 et seq., Title 12, United...

  15. 36 CFR 1120.25 - Form of requests.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Request.” The envelope in which the request is sent should be prominently marked with the letters “FOIA.... Under § 1120.33(d), the failure to state willingness to pay fees as high as are anticipated by the A...

  16. 36 CFR § 1120.25 - Form of requests.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... requests. A request must be in writing, must reasonably describe the records sought in a way that will... letters “FOIA.” It is helpful, but not necessary, for the requestor to include his or her phone number and...

  17. 21 CFR 203.35 - Standing requests.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... PRESCRIPTION DRUG MARKETING Samples § 203.35 Standing requests. Manufacturers or authorized distributors of... subsequent oral communication or electronic transmission, is not considered to be a standing request. ...

  18. 76 FR 68194 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-03

    ... Layouts for HPBS Work Measures. OMB No.: 0970-0230. Description: There is no longer a High Performance... information on States' performance. The Transmission File Layouts form provides the format that States will... are not requesting any changes to the Transmission File Layouts form. Respondents: Respondents may...

  19. 77 FR 74647 - Agency Information Collection Activities: Proposed Collection, Comment Request: Form TO, Annual...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-17

    ...). Note that the swap definition excludes options on futures (which must be traded on a designated... COMMODITY FUTURES TRADING COMMISSION Agency Information Collection Activities: Proposed Collection, Comment Request: Form TO, Annual Notice Filing for Counterparties to Unreported Trade Options AGENCY...

  20. 77 FR 22069 - Proposed Information Collection (Notice of Lapse-Government Life Insurance); Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-12

    ... of Lapse--Government Life Insurance); Comment Request AGENCY: Veterans Benefits Administration... determine claimants' eligibility to reinstate lapsed Government Life Insurance policy. DATES: Written.... Notice of Lapse--Government Life Insurance, VA Form 29-389. b. Application for Reinstatement, VA Form 29...

  1. 77 FR 66634 - Agency Information Collection Activities: Proposed Collection; Comments Requested: Appeals of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-06

    ...] Agency Information Collection Activities: Proposed Collection; Comments Requested: Appeals of Background... Information Collection (1) Type of Information Collection: Extension of a currently approved collection. (2) Title of the Form/Collection: Appeals of Background Checks. (3) Agency form number, if any, and the...

  2. 76 FR 30972 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Housing...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-27

    ... technological collection techniques or other forms of information technology, e.g., permitting electronic... for OMB Review; Comment Request; Housing Occupancy Certificate--Migrant and Seasonal Agricultural... Certificate--Migrant and Seasonal Agricultural Worker Protection Act,'' (including Form WH-520) to the Office...

  3. 77 FR 64187 - Proposed Collection; Comment Request for Form 990-W

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-18

    ... 990-W AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 990-W, Estimated Tax on Unrelated Business Taxable Income for Tax- Exempt Organizations. DATES.... ADDRESSES: Direct all written comments to Yvette Lawrence, Internal Revenue Service, Room 6129, 1111...

  4. 75 FR 1083 - Agency Information Collection Activities: Proposed Collection; Comments Requested; Reporting and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-08

    ... Collection Activities: Proposed Collection; Comments Requested; Reporting and Recordkeeping for Digital...: Reporting and recordkeeping for digital certificates. (3) Agency form number, if any, and the applicable..., State and local government. Abstract: Persons use these forms to apply for DEA-issued digital...

  5. 78 FR 2442 - Agency Information Collection Activities; Proposed Collection; Comments Requested: Reporting and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-11

    ... Collection Activities; Proposed Collection; Comments Requested: Reporting and Recordkeeping for Digital... approved collection. (2) Title of the Form/Collection: Reporting and recordkeeping for digital certificates... forms to apply for DEA-issued digital certificates to order Schedule I and II controlled substances...

  6. 76 FR 55744 - Currently Approved Information Collection: Comment Request for Application for Intellectual...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-08

    ... Request for Application for Intellectual Property Use Forms AGENCY: United States Mint. ACTION: Notice and... United States Mint Application for Intellectual Property Use forms. DATES: Written comments should be....treas.gov . SUPPLEMENTARY INFORMATION: Title: Applications for Intellectual Property Use. OMB Number...

  7. 78 FR 35661 - Proposed Information Collection (Disability Benefits Questionnaires) Activity: Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-13

    ... (Disability Benefits Questionnaires) Activity: Comment Request AGENCY: Veterans Benefits Administration.... Ischemic Heart Disease (IHD) Disability Benefits Questionnaire, VA Form 21-0960a-1. b. Hairy Cell and Other B-Cell Leukemias Disability Benefits Questionnaire, VA Form 21-0960b-1. c. Parkinson's Disease...

  8. 77 FR 47370 - Proposed Information Collection; Comment Request; Northeast Region Logbook Family of Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-08

    ... Collection; Comment Request; Northeast Region Logbook Family of Forms AGENCY: National Oceanic and... the Northeast are required to submit logbooks containing catch and effort information about their... requirement for Northeast multispecies permit holders participating in the special access programs (SAPs), the...

  9. 76 FR 17839 - Proposed Information Collection; Comment Request; Northeast Region Permit Family of Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-31

    ... DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration Proposed Information Collection; Comment Request; Northeast Region Permit Family of Forms AGENCY: National Oceanic and Atmospheric Administration (NOAA). ACTION: Notice. SUMMARY: The Department of Commerce, as part of its continuing effort to...

  10. 77 FR 41798 - Agency Information Collection Activities; Proposed Collection, Comments Requested: CRS Customer...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-16

    ... Collection, Comments Requested: CRS Customer Satisfaction Survey ACTION: 30-Day Notice of Information.... (2) Title of the Form/Collection: CRS--Customer Satisfaction Survey. (3) Agency form number, if any... and informal community leaders. Abstract: The CRS `Customer Satisfaction Survey' will help CRS...

  11. Software solutions alone cannot guarantee useful radiology requests.

    PubMed

    Van Borsel, Mathias D; Devolder, Pieter Jd; Bosmans, Jan Ml

    2016-11-01

    Background The availability of clinical information and a pertinent clinical question can improve the diagnostic accuracy of the imaging process. Purpose To examine if an electronic request form forcing referring clinicians to provide separate input of both clinical information and a clinical question can improve the quality of the request. Material and Methods A total of 607 request forms in the clinical worklists for a computed tomography (CT) scan of the thorax, the abdomen or their combination, were examined. Using software of our own making, we examined the presence of clinical information and a clinical question before and after the introduction of a new, more compelling order method. We scored and compared the quality of the clinical information and the clinical question between the two systems and we examined the effect on productivity. Results Both clinical information and a clinical question were present in 76.7% of cases under the old system and in 95.3% under the new system ( P < 0.001). Individual characteristics of the clinical information and the clinical question however, with the exception of incompleteness, showed little improvement under the new system. There was also no significant difference between the two systems in the number of requests requiring further search. Conclusion The introduction of electronic radiology request forms compelling referring clinicians to provide separate input of clinical information and a clinical question provides only limited benefit to the quality of the request. Raising awareness among clinicians of the importance of a well-written request remains essential.

  12. System Resource Allocation Requests | High-Performance Computing | NREL

    Science.gov Websites

    Account to utilize the online allocation request system. If you need a HPC User Account, please request one online: Visit User Accounts. Click the green "Request Account" Button - this will direct . Follow the online instructions provided in the DocuSign form. Write "Need HPC User Account to use

  13. 32 CFR 1801.21 - Processing requests for access to or amendment of records.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... NATIONAL COUNTERINTELLIGENCE CENTER PUBLIC RIGHTS UNDER THE PRIVACY ACT OF 1974 Action On Privacy Act... whether the requester cites one Act in the request, both, or neither. This action is taken in order to..., in the form of a final written response, shall so inform the requester and advise of his or her right...

  14. 12 CFR 404.18 - Requests for correction of records.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Requests for correction of records. 404.18 Section 404.18 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED STATES INFORMATION DISCLOSURE Access to Records Under the Privacy Act of 1974 § 404.18 Requests for correction of records. (a) Form. Requests for...

  15. 77 FR 38062 - Proposed Agency Information Collection Activities; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-26

    ... FEDERAL MEDIATION AND CONCILIATION SERVICE Proposed Agency Information Collection Activities; Comment Request AGENCY: Federal Mediation and Conciliation Service. ACTION: Notice of request for renewal of previously approved collection form FMCS F-7. SUMMARY: The Federal Mediation and Conciliation...

  16. 48 CFR 832.7002 - Electronic payment requests.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 5 2014-10-01 2014-10-01 false Electronic payment... GENERAL CONTRACTING REQUIREMENTS CONTRACT FINANCING Electronic Invoicing Requirements 832.7002 Electronic payment requests. (a) The contractor shall submit payment requests in electronic form unless directed by...

  17. 48 CFR 832.7002 - Electronic payment requests.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 5 2013-10-01 2013-10-01 false Electronic payment... GENERAL CONTRACTING REQUIREMENTS CONTRACT FINANCING Electronic Invoicing Requirements 832.7002 Electronic payment requests. (a) The contractor shall submit payment requests in electronic form unless directed by...

  18. 21 CFR 710.4 - Information requested.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) COSMETICS VOLUNTARY REGISTRATION OF COSMETIC PRODUCT ESTABLISHMENTS § 710.4 Information requested. Form FD-2511 requests information on the name and address of the cosmetic product establishment, including post office...

  19. 21 CFR 710.4 - Information requested.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) COSMETICS VOLUNTARY REGISTRATION OF COSMETIC PRODUCT ESTABLISHMENTS § 710.4 Information requested. Form FD-2511 requests information on the name and address of the cosmetic product establishment, including post office...

  20. 21 CFR 710.4 - Information requested.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) COSMETICS VOLUNTARY REGISTRATION OF COSMETIC PRODUCT ESTABLISHMENTS § 710.4 Information requested. Form FD-2511 requests information on the name and address of the cosmetic product establishment, including post office...

  1. 21 CFR 710.4 - Information requested.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) COSMETICS VOLUNTARY REGISTRATION OF COSMETIC PRODUCT ESTABLISHMENTS § 710.4 Information requested. Form FD-2511 requests information on the name and address of the cosmetic product establishment, including post office...

  2. 21 CFR 710.4 - Information requested.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) COSMETICS VOLUNTARY REGISTRATION OF COSMETIC PRODUCT ESTABLISHMENTS § 710.4 Information requested. Form FD-2511 requests information on the name and address of the cosmetic product establishment, including post office...

  3. 77 FR 74280 - Proposed Information Collection (Learner's Perception (LP) Survey); Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-13

    ... (Learner's Perception (LP) Survey); Comment Request AGENCY: Veterans Health Administration, Department of... techniques or the use of other forms of information technology. Title: Learner's Perception (LP) Survey, VA... collection. Abstract: VA Form 10-0439 will be use to obtain health care trainees perception of their clinical...

  4. 77 FR 29748 - Agency Information Collection Activities: Requests for Comments; Clearance of Renewed Approval of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-18

    ... Activities: Requests for Comments; Clearance of Renewed Approval of Information Collection: Flight Simulation... obtained and maintained by those who conduct flight simulation training. DATES: Written comments should be... Simulation Device Initial and Continuing Qualification and Use. Form Numbers: There are no FAA forms...

  5. 78 FR 36642 - Proposed Information Collection (Statement of Dependency of Parent(s)) Activity: Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-18

    ... (Statement of Dependency of Parent(s)) Activity: Comment Request AGENCY: Veterans Benefits Administration... claimant's parents' dependency. DATES: Written comments and recommendations on the proposed collection of... use of other forms of information technology. Title: Statement of Dependency of Parent(s), VA Form 21...

  6. 75 FR 61251 - Proposed Information Collection (Statement of Dependency of Parent(s)) Activity: Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-04

    ... (Statement of Dependency of Parent(s)) Activity: Comment Request AGENCY: Veterans Benefits Administration... claimant's parents' dependency. DATES: Written comments and recommendations on the proposed collection of... use of other forms of information technology. Title: Statement of Dependency of Parent(s), VA Form 21...

  7. 75 FR 46945 - Proposed Collection; Comment Request; the Drug Accountability Record (Form NIH 2564) (NCI)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-04

    ... Request; the Drug Accountability Record (Form NIH 2564) (NCI) SUMMARY: In compliance with the requirement... Management and Budget (OMB) for review and approval. Proposed Collection Title: The Drug Accountability... agent accountability. In order to fulfill these requirements, a standard Investigational Drug...

  8. 75 FR 61763 - Submission of OMB Review; Comment Request; Drug Accountability Record (Form NIH 2564) (NCI)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-06

    ...; Comment Request; Drug Accountability Record (Form NIH 2564) (NCI) SUMMARY: In compliance with the..., 2011, unless it displays a valid OMB control number. Proposed Collection: Title: Drug Accountability... accountability. In order to fulfill these requirements, a standard Investigational Drug Accountability Report...

  9. 77 FR 38766 - Proposed Information Collection; Comment Request; International Client Life-Cycle Multi-Purpose...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-29

    ... Request; International Client Life-Cycle Multi-Purpose Forms AGENCY: International Trade Administration... aspects of an international organization's life-cycle with CS. CS is mandated by Congress to help U.S... trade events to U.S. organizations. The International Client Life-cycle Multi-Purpose Forms, previously...

  10. 77 FR 2302 - Agency Information Collection Activities; Proposed Collection; Comment Request; Antimicrobial...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-17

    ... and quantities exported; and (3) a listing of the target animals, indications, and production classes... Number Firm Name Dosage Form(s) Production Class(es) Animal Species--Food Animal or Food and Non-Food...] Agency Information Collection Activities; Proposed Collection; Comment Request; Antimicrobial Animal Drug...

  11. 76 FR 67558 - Proposed Information Collection (Application for Work-Study Allowance) Activity: Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-01

    ... (Application for Work-Study Allowance) Activity: Comment Request AGENCY: Veterans Benefits Administration... claimant's eligibility for work-study benefits. DATES: Written comments and recommendations on the proposed... use of other forms of information technology. Titles: a. Application for Work-Study Allowance, VA Form...

  12. 75 FR 35843 - Proposed Extension of Information Collection Request Submitted for Public Comment; Form 5500...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-23

    ... welfare plans (collectively referred to as employee benefit plans) to file returns or reports annually... DEPARTMENT OF LABOR Employee Benefits Security Administration Proposed Extension of Information Collection Request Submitted for Public Comment; Form 5500, Annual Return/Report of Employee Benefit Plan...

  13. 76 FR 34091 - Notice of Proposed Information Collection: Comment Request; Form HUD-9834 Management Review for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-10

    ... Information Collection: Comment Request; Form HUD-9834 Management Review for Multifamily Housing Projects... (CAs) to evaluate the quality of project management; determine the causes of project problems; devise... Management Review for Multifamily Housing Projects. Estimation of the total numbers of hours needed to...

  14. 75 FR 24959 - Proposed Information Collection Activity: Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-06

    ... create or save millions of jobs. The ACF-196-477 TANF ARRA Financial Reporting form will Collect... Information Collection Activity: Comment Request Proposed Projects: Title: TANF ARRA Tribal Financial Reporting ACF-196T-477 form under Public Law 102-477 OMB No.: New Collection. Description: The ACF-196T-477...

  15. 78 FR 32681 - Notice of Proposed Information Collection: Comment Request; Condominium Project Approval Document...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-31

    ... techniques or other forms of information technology, e.g., permitting electronic submission of responses... information collected will be used for performance, risk, trend and other analyses. Agency form numbers, if... Information Collection: Comment Request; Condominium Project Approval Document Collection AGENCY: Office of...

  16. 78 FR 13872 - Proposed Information Collection Request; Comment Request; EPA's WaterSense Program (Renewal); EPA...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-01

    ... profanity, threats, information claimed to be Confidential Business Information (CBI) or other information...-efficient products and use water-efficient practices. As part of strategic planning efforts, EPA encourages... Reporting Form Promotional partners 6100-09 Manufacturers (separate forms for plumbing and non- plumbing...

  17. 77 FR 47665 - Agency Information Collection Activities: Collection; Comments Requested. Application for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-09

    ...; Comments Requested. Application for Approval as a Nonprofit Budget and Credit Counseling Agency ACTION: 30... Counseling Agency. The agency form number, if any, No form number. and the applicable component of Executive... credit counseling services. as a brief abstract. Other: None. Congress passed a bankruptcy law that...

  18. 77 FR 38144 - Proposed Collection; Comment Request for Form 8594

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-26

    ... information technology; and (e) estimates of capital or start-up costs and costs of operation, maintenance... proposed and/or continuing information collections, as required by the Paperwork Reduction Act of 1995... INFORMATION CONTACT: Requests for additional information or copies of the form and instructions should be...

  19. 75 FR 39092 - Proposed Collection; Comment Request for Form 8655

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-07

    ... deposits. This form allows IRS to disclose tax account information and to provide duplicate copies of... proposed and/or continuing information collections, as required by the Paperwork Reduction Act of 1995...., Washington, DC 20224. FOR FURTHER INFORMATION CONTACT: Requests for additional information or copies of the...

  20. 78 FR 16538 - Agency Information Collection Activities; Proposed Collection; Comments Requested: Reporting and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-15

    ... Collection Activities; Proposed Collection; Comments Requested: Reporting and Recordkeeping for Digital... for digital certificates. (3) Agency form number, if any, and the applicable component of the.... Abstract: Persons use these forms to apply for DEA-issued digital certificates to order Schedule I and II...

  1. 76 FR 49433 - Notice To Request an Extension and Revision of Currently Approved Information Collection and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-10

    ... Previously Approved Information Collection'' for volunteer workers (73 FR 62949). In accordance with the... request an extension for currently approved information collection, Volunteer Program-Earth Team. This..., for the Volunteer Interest and Placement Summary form and the Time Sheet form. The collected...

  2. 78 FR 31523 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-24

    ... the student, school the student is attending, type of education benefits being used, branch of the..., Associated Form and OMB Number: Web-based DoD Postsecondary Education Complaint System, 0704-TBD; DoD Postsecondary Education Complaint Intake--DD Form 2961 (electronic-only). Type of Request: New Collection...

  3. 10 CFR 1004.2 - Definitions.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... copy of a document necessary to respond to a FOIA request. Such copies can take the form of, but are...., magnetic tape or disk). The copy provided must be in a form that can be reasonably used by requesters. (g... Environmental Management; Assistant Secretary for Fossil Energy; Assistant Secretary for Policy and...

  4. 10 CFR 1004.2 - Definitions.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... copy of a document necessary to respond to a FOIA request. Such copies can take the form of, but are...., magnetic tape or disk). The copy provided must be in a form that can be reasonably used by requesters. (g... Environmental Management; Assistant Secretary for Fossil Energy; Assistant Secretary for Policy and...

  5. 10 CFR 1004.2 - Definitions.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... copy of a document necessary to respond to a FOIA request. Such copies can take the form of, but are...., magnetic tape or disk). The copy provided must be in a form that can be reasonably used by requesters. (g... Environmental Management; Assistant Secretary for Fossil Energy; Assistant Secretary for Policy and...

  6. 10 CFR 1004.2 - Definitions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... copy of a document necessary to respond to a FOIA request. Such copies can take the form of, but are...., magnetic tape or disk). The copy provided must be in a form that can be reasonably used by requesters. (g... Environmental Management; Assistant Secretary for Fossil Energy; Assistant Secretary for Policy and...

  7. 10 CFR 1004.2 - Definitions.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... copy of a document necessary to respond to a FOIA request. Such copies can take the form of, but are...., magnetic tape or disk). The copy provided must be in a form that can be reasonably used by requesters. (g... Environmental Management; Assistant Secretary for Fossil Energy; Assistant Secretary for Policy and...

  8. 78 FR 24749 - Agency Information Collection Activities; Submission for OMB Review; Proposed Collection; Comment...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-26

    ... OFFICE OF GOVERNMENT ETHICS Agency Information Collection Activities; Submission for OMB Review; Proposed Collection; Comment Request for a Modified OGE Form 201 Ethics in Government Act Access Form AGENCY: Office of Government Ethics (OGE). ACTION: Notice of request for agency and public comments...

  9. 75 FR 9490 - Proposed Information Collection (Ethics Consultation Feedback Tool (ECFT)) Activity: Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-02

    ... Collection (Ethics Consultation Feedback Tool (ECFT)) Activity: Comment Request AGENCY: Veterans Health... notice. This notice solicits comments for information needed to improve the process of ethics.... Title: Ethics Consultation Feedback Tool (ECFT), VA Form 10-0502. OMB Control Number: 2900-New (VA Form...

  10. 75 FR 5324 - Agency Information Collection Activities; Submission for OMB Review; Proposed Collection; Comment...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-02

    ... OFFICE OF GOVERNMENT ETHICS Agency Information Collection Activities; Submission for OMB Review; Proposed Collection; Comment Request for an Unmodified OGE Form 201 Ethics Act Access Form AGENCY: Office of Government Ethics (OGE). ACTION: Notice of request for agency and public comments. SUMMARY: After...

  11. 75 FR 9992 - Agency Information Collection Activities: Proposed Request and Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-04

    ... determination to complete Form SSA-3441-BK. This form allows claimants to disclose any changes to their disability or resources that might influence SSA's unfavorable determination. SSA may use the information to: (1) Reconsider and review an initial disability determination; (2) review a continuing disability...

  12. 78 FR 22020 - Agency Information Collection Activities: Requests for Comments; Clearance of New Approval of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-12

    ... Control Number: 2120-XXXX. Title: Safety Awareness, Feedback, and Evaluation (SAFE) Program. Form Numbers: No FAA forms are associated with this collection. Type of Review: Clearance of a new information... Activities: Requests for Comments; Clearance of New Approval of Information Collection: Safety Awareness...

  13. 77 FR 19303 - Agency Information Collection Activities: Submission for OMB Review; Comment Request, Application...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-30

    ...--Collateral Security, FEMA Form 085-0-1, 10 hours; Application for Community Disaster Loan, FEMA Form 090-0-2... Request, Application for Community Disaster Loan (CDL) Program AGENCY: Federal Emergency Management Agency... Title: Application for Community Disaster Loan (CDL) Program. Type of information collection: Extension...

  14. 42 CFR 102.42 - Deadlines for filing request forms.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 102.42 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES SMALLPOX...) General. Filing deadlines vary depending on whether the injured individual is a smallpox vaccine recipient... this Program. (c) Smallpox vaccine recipients. All Request Forms filed by, or on behalf of, a smallpox...

  15. 76 FR 49539 - Proposed Collection; Comment Request for Forms 3921 and 3922

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-10

    ... 3921 and 3922 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Acquired Through an Employee Stock Purchase Plan Under Section 423(c). DATES: Written comments should be... Section 422(b). Form 3922, Transfer of Stock Acquired Through an Employee Stock Purchase Plan Under...

  16. 78 FR 41082 - Agency Information Collection Activities; Collection; Comments Requested: Application for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-09

    ...; Comments Requested: Application for Approval as a Provider of a Personal Financial Management Instructional... Financial Management Instructional Course. The agency form number, if any, and the No form number... financial management. Other: None. Congress passed a bankruptcy law that requires individuals who file for...

  17. 76 FR 65180 - Proposed Information Collection; Comment Request; Deep Seabed Mining Exploration Licenses

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-20

    ... Collection; Comment Request; Deep Seabed Mining Exploration Licenses AGENCY: National Oceanic and Atmospheric... documentation electronically when feasible. III. Data OMB Control Number: 0648-0145. Form Number: None. Type of... information on respondents, including through the use of automated collection techniques or other forms of...

  18. 42 CFR 102.42 - Deadlines for filing request forms.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 102.42 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES SMALLPOX...) General. Filing deadlines vary depending on whether the injured individual is a smallpox vaccine recipient... this Program. (c) Smallpox vaccine recipients. All Request Forms filed by, or on behalf of, a smallpox...

  19. 42 CFR 102.42 - Deadlines for filing request forms.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 102.42 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES SMALLPOX...) General. Filing deadlines vary depending on whether the injured individual is a smallpox vaccine recipient... this Program. (c) Smallpox vaccine recipients. All Request Forms filed by, or on behalf of, a smallpox...

  20. 42 CFR 102.42 - Deadlines for filing request forms.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 102.42 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES SMALLPOX...) General. Filing deadlines vary depending on whether the injured individual is a smallpox vaccine recipient... this Program. (c) Smallpox vaccine recipients. All Request Forms filed by, or on behalf of, a smallpox...

  1. 42 CFR 102.42 - Deadlines for filing request forms.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 102.42 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES SMALLPOX...) General. Filing deadlines vary depending on whether the injured individual is a smallpox vaccine recipient... this Program. (c) Smallpox vaccine recipients. All Request Forms filed by, or on behalf of, a smallpox...

  2. 77 FR 60166 - Agency Information Collection Activities: Requests for Comments; Clearance of Renewed Approval of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-02

    ...: 2120-0018. Title: Certification Procedures for Products and Parts. Form Numbers: FAA Forms 8110-12... Activities: Requests for Comments; Clearance of Renewed Approval of Information Collection: Certification Procedures for Products and Parts AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Notice and...

  3. 78 FR 5856 - Agency Information Collection Activities: Requests for Comments; Clearance of Renewed Approval of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-28

    ... Title: Certification Procedures for Products and Parts Form Numbers: FAA Forms 8110-12, 8130-1, 8130-6... Activities: Requests for Comments; Clearance of Renewed Approval of Information Collection: Certification Procedures for Products and Parts AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Notice and...

  4. 75 FR 59320 - Agency Information Collection Activities: Requests for Comments; Clearance of Renewed Approval of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-27

    ... Number: 2120-0018. Title: Certification Procedures for Products and Parts. Form Numbers: FAA Forms 8110... Activities: Requests for Comments; Clearance of Renewed Approval of Information Collection(s): Certification Procedures for Products and Parts AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Notice and...

  5. 76 FR 31013 - Proposed Collection; Comment Request for Form 1041-N

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-27

    ... 1041-N AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments...-N U.S. Income Tax Return for Electing Alaska Native Settlement Trusts. DATES: Written comments... Alaska Native Settlement Trusts. OMB Number: 1545-1776. Form Number: 1041-N. Abstract: An Alaska Native...

  6. 77 FR 26554 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-04

    ... OMB Review; Comment Request Title: ACF-OGM-PPR-Form B--Program Indicators. OMB No.: New Collection. Description: The Office of Grants Management (OGM), in the Administration for Children and Families (ACF) is... OGM has developed a form from the basic template of the OMB-approved reporting format of the Program...

  7. 76 FR 72934 - Proposed Information Collection Activity; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-28

    ... Information Collection Activity; Comment Request Title: ACF-OGM-SF-PPR-Form B--Program Indicators. OMB No. New Collection. Description The Office of Grants Management (OGM), in the Administration for Children and... collect this data OGM has developed a form from the basic template of the OMB-approved reporting format of...

  8. 77 FR 58207 - Agency Information Collection Activities: Requests for Comments; Clearance of Renewed Approval of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-19

    ... Management System (FAAAMS) AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Notice and request for... Acquisition Management System establishes policies and internal procedures for FAA acquisition. The... Acquisition Management System (FAAAMS). Form Numbers: 85 forms available at http://fast.faa.gov/Procurement...

  9. 78 FR 23898 - Notice of Request for a New Information Collection (Accredited Laboratory Contact Update Form)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-23

    ... Request for a New Information Collection (Accredited Laboratory Contact Update Form) AGENCY: Food Safety... compilation of updated contact information for Accredited Laboratories. DATES: Comments on this notice must be... FURTHER INFORMATION CONTACT: Contact John O'Connell, Paperwork Reduction Act Coordinator, Food Safety and...

  10. 78 FR 52824 - Proposed Information Collection (Bowel and Bladder Care Billing Form) Activity: Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-26

    ... and Bladder Care Billing Form) Activity: Comment Request AGENCY: Veterans Health Administration.... This notice solicits comments on the information needed to evaluate the Bowel and Bladder Care Billing... specifically to bowel and bladder care. DATES: Written comments and recommendations on the proposed collection...

  11. 78 FR 26622 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-07

    ... DEPARTMENT OF DEFENSE Office of the Secretary [Docket No. DoD-2013-OS-0018] Submission for OMB Review; Comment Request ACTION: Notice. The Department of Defense has submitted to OMB for clearance, the..., Associated Forms and OMB Number: Vietnam War Commemoration Planned Commemorative Events; DD Form 2956; OMB...

  12. 78 FR 26621 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-07

    ... DEPARTMENT OF DEFENSE Office of the Secretary [Docket No. DoD-2013-OS-0017] Submission for OMB Review; Comment Request ACTION: Notice. The Department of Defense has submitted to OMB for clearance, the..., Associated Forms and OMB Number: Vietnam War Commemoration After-Action Report; DD Form 2957; OMB Number 0704...

  13. 76 FR 78012 - Agency Information Collection Request. 30-Day Public Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-15

    ... 15/60 50 Hypertension and Diabetes. First Home Visit Forms: Individual...... 200 1 40/60 133 Hypertension, Diabetes, or Hypertension and Diabetes. Telephone Follow-up: Being Individual...... 180 1 20/60.... Post Intervention Follow-up Individual...... 180 1 20/60 60 Form: Hypertension, Diabetes, or...

  14. 78 FR 46423 - Proposed Information Collection (Application for Reimbursement of National Test Fee) Activity...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-31

    ... (Application for Reimbursement of National Test Fee) Activity; Comment Request AGENCY: Veterans Benefits.... Title: Application for Reimbursement of National Test Fee, VA Form 22-0810. OMB Control Number: 2900..., and eligible dependents complete VA Form 22-0810 to request reimbursement of national test fees. VA...

  15. 75 FR 62187 - Proposed Information Collection (Application for Reimbursement of National Test Fee) Activity...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-07

    ... (Application for Reimbursement of National Test Fee) Activity: Comment Request AGENCY: Veterans Benefits.... Title: Application for Reimbursement of National Test Fee, VA Form 22-0810. OMB Control Number: 2900..., and eligible dependents complete VA Form 22-0810 to request reimbursement of national test fees. VA...

  16. 78 FR 5802 - Agency Information Collection Activities: Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-28

    ... Review and Comments Request. Form Title: EIB 92-31 Notification by Insured of Amounts Payable Under Multi-Buyer Export Credit Insurance policy (Standard Assignment). SUMMARY: The Export-Import Bank of the..., as required by the Paperwork Reduction Act of 1995. This form represents the exporter's directive to...

  17. 75 FR 38798 - Commission Information Collection Activities (FERC Form No. 580) Request; Submitted for OMB...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-06

    ..., Office of the Deputy Chief Information Officer, Federal Energy Regulatory Commission, 888 First Street... Information Collection Activities (FERC Form No. 580) Request; Submitted for OMB Review; Correction June 29... submission of information collection to the Office of Management and Budget for review of information...

  18. 76 FR 38608 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-01

    ....S. Census Bureau. Title: Census Employment Inquiry. OMB Control Number: 0607-0139. Form Number(s... Employment Inquiry. We are also requesting minor modifications to the data collected. The BC-170 is used to... review the information shown on the form to evaluate an applicant's eligibility for employment and to...

  19. 76 FR 12371 - Agency Information Collection Activities: Proposed Collection; Comments Requested: Application...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-07

    ... Controlled Substances/Export Controlled Substances for Re-Export--DEA Forms 161 and 161r ACTION: 60-Day... Administration (DEA), will submit the following information collection request to the Office of Management and...: Application for Permit to Export Controlled Substances/Export Controlled Substances for Reexport--DEA Forms...

  20. 18 CFR 401.73 - Form of request.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 18 Conservation of Power and Water Resources 2 2011-04-01 2011-04-01 false Form of request. 401.73 Section 401.73 Conservation of Power and Water Resources DELAWARE RIVER BASIN COMMISSION ADMINISTRATIVE MANUAL RULES OF PRACTICE AND PROCEDURE Appeals or Objections to Decisions of the Executive Director in...

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