№ files_lp_3_process_7_018920
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Federal personnel security questionnaire form issued by the Tennessee Valley Authority to collect personal data for evaluating eligibility for employment, security clearance, or access authorization under applicable federal statutes and executive orders.
Year:
2016
Issuing Organization:
Tennessee Valley Authority
Document Type:
Personnel Security Questionnaire (Short Form)
Form Number:
OMB No. 3316-0063
Expiration Date:
12/31/2016
Related Form:
Form TVA 1 – Application For Employment
Purpose:
Determination of eligibility for security clearance or access authorization
Legal Authority:
TVA Act (16 U.S.C. 831-831ee); Executive Order No. 10450; Atomic Energy Act of 1954, as amended; 5 U.S.C. 552a
Estimated Public Reporting Burden:
15 minutes per response
Location Referenced:
Chattanooga, TN; Washington, DC
Administering Office:
Agency Clearance Officer, Tennessee Valley Authority
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Issuing body:
National Center for Chronic Disease Prevention & Health Promotion
Form type:
Data Management Plan (DMP)
OMB Control Number:
0920-1301
Expiration Date:
10/31/2026
Applicable to:
NOFO or Contract applications and awards
Project phases:
New Application; New Award; Evaluation Plan; Continuation; Final
Estimated Public Reporting Burden:
60 minutes per response
Subject:
Management, access, documentation, and preservation of public health data
Geographic reference:
Atlanta, GA
Responsible agency contact:
CDC Reports Clearance Officer
Year:
2025
Region / City:
Ahmedabad, Gujarat
Industry:
Product Management, Business Analysis, Agile
Document Type:
Resume
Organization:
Netskope Inc., De Soto Technologies, Cygnet Infotech Pvt. Ltd., Tech Ancubate Pvt. Ltd., Samyak Bazaar Pvt. Ltd.
Author:
Arpit Shah
Target Audience:
Employers, Recruiters, Industry Professionals
Period of Activity:
2015 - 2025
Date Approved:
2025
Date of Updates:
2025
Year:
2018
Country:
United States
Federal Agency:
U.S. Department of Housing and Urban Development
Office:
Office of Residential Care Facilities
Program:
National Housing Act Section 232 Healthcare Facility Insurance Program
OMB Control Number:
2502-0605
OMB Expiration Date:
03/31/2018
Legal Authority:
National Housing Act (12 USC 1701 et seq.); 24 CFR 5.212; 24 CFR 200.6; Housing and Community Development Act of 1987 (42 USC 3543(a))
Type of Document:
Personal financial disclosure form
Purpose:
Submission of financial information to obtain HUD mortgage insurance approval
Required Information:
Assets, liabilities, net worth, real property, stocks and bonds, insurance, legal proceedings, references
Confidentiality:
No confidentiality is assured
Certification Requirement:
Signature under penalty of criminal, civil, and administrative sanctions
Intended Applicants:
Individuals seeking HUD-insured mortgage financing under Section 232
Validity Condition:
Form valid only with currently valid OMB control number
Year:
2022
Country:
United States
Issuing agency:
U.S. Department of Agriculture, Food and Nutrition Service, Office of Policy Support
OMB control number:
0584-0524
Expiration date:
12/31/2022
Legal framework:
Paperwork Reduction Act of 1995; Privacy Act of 1974
Document type:
Training evaluation survey form
Program:
Farm to School Producer Training
Subject:
Assessment of knowledge, perceptions, and intended implementation of farm to school sales strategies
Target audience:
Agricultural producers participating in farm to school training
Estimated completion time:
5 minutes per response
Data collection nature:
Voluntary information collection without personally identifiable information
Contact address:
1320 Braddock Place, Alexandria, VA 22306
Year:
2015
Region / City:
United States
Topic:
National Youth Tobacco Survey
Document Type:
Request for correction
Organization:
Centers for Disease Control and Prevention (CDC)
Author:
René A. Arrazola, MPH
Target Audience:
Public health officials, researchers, and policymakers
Effective Period:
2015
Approval Date:
January 16, 2015
Amendment Date:
N/A
Note:
This document is a request to update and correct a publicly posted version of the 2015 National Youth Tobacco Survey instrument on the www.Reginfo.gov
Organization:
RTI International
Headquarters:
Research Triangle Park, NC
Project Name:
Insiders Online Community
Related Campaign:
We Think Twice
Type of Document:
Youth Assent Form
Legal Framework:
Paperwork Reduction Act of 1995 (Pub. L. 104-13)
OMB Control Number:
0970-0401
OMB Expiration Date:
5/31/2027
Purpose:
Permission for youth participation in online marketing campaign activities
Target Audience:
Youth ages 13–21
Funding Source:
Public funds
Activities:
Online discussions, questionnaires, voting, content review, media feedback
Incentives:
Points redeemable for Amazon, Starbucks, or iTunes gift cards ($15 per 75 points)
Estimated Time per Activity:
15–20 minutes
Voluntary Participation:
Yes
Confidentiality:
Anonymous responses; username visible within platform
Contact Email:
[email protected]
Project Director:
Dr. Barri Burrus
Project Director Phone:
1-800-334-8571 ext. 25109
Office of Research Protection Phone:
1-866-214-2043
Year:
2026
Organization:
National Center for Health Statistics, Centers for Disease Control and Prevention
Document Type:
Questionnaire
Topic:
Public Health / Health Survey
Target Audience:
General U.S. population
Purpose:
Health research and statistical data collection
Estimated Completion Time:
20 minutes
Participation:
Voluntary
Confidentiality:
Responses kept confidential under CIPSEA and Public Health Service Act
OMB Control Number:
0920-0222
Expiration Date:
01/31/2026
Contact Information:
Ethics Review Board, NCHS, 1-800-223-8118
Survey Mode:
CAWI (web) and CATI (phone)
Year:
2023
Region / City:
United States
Topic:
Citizen Science, Crowdsourcing, Public Health Research
Document Type:
Official Agency Statement
Organization:
National Institutes of Health (NIH)
Author:
Mikia Currie, Chief, Project Clearance Branch
Target Audience:
Researchers, Program Staff, Federal Agencies, Public Participants
Effective Period:
July 26, 2023
Approval Date:
July 26, 2023
Amendment Date:
Not specified
Year:
2026
Country:
United States
Program:
National Flood Insurance Program (NFIP)
Subject:
Flood insurance claims process and customer experience
Document Type:
Survey questionnaire
Government Agency:
Federal Emergency Management Agency (FEMA)
Parent Department:
U.S. Department of Homeland Security
Regulatory Reference:
Paperwork Reduction Act information collection
OMB Control Number:
1601-0029
OMB Expiration Date:
December 30, 2026
Estimated Response Time:
5 minutes per response
Response Requirement:
Voluntary
Survey Sections:
Claim Start; Claim Adjustment
Contact Person:
Kelli Johnson
Contact Email:
[email protected]
Target Respondents:
NFIP flood insurance claimants
Data Collection Purpose:
Assessment of claimant satisfaction, expectations, communication channels, and claim adjustment experience
Year:
2026
Organization:
eXp South Africa
Document Type:
Consent Form
Subject:
Credit Rating Check and Personal Information Sharing
Required Documents:
Company registration documents, company resolution, proof of company address, ID documents, proof of address for all members
Signatory:
Authorized company representative
Target Audience:
Business owners and company representatives
Purpose:
To authorize credit rating checks and information sharing with service providers and regulatory bodies
Date of Signing:
_____/___________________-20
Country:
South Africa
Organization:
eXp South Africa
Company:
eXp Realty
Document Type:
Consent Form
Purpose:
Authorization to conduct a credit rating check and share personal information with relevant service providers
Related Procedure:
ITC Credit Check
Personal Information Collected:
Title, First Name, Surname, Address, Email, Gross Income, Nett Income, Monthly Rent
Required Attachments:
ID document, Payslip, Proof of residence not older than 3 months
Consent Requested:
Permission to share personal information and perform a credit rating check
Involved Entities:
Credit bureaus, Law enforcement, Fraud prevention bodies, Regulatory bodies
Signature Requirement:
Applicant signature and date
Applicable Context:
Credit assessment for an application process
Year:
2019
Country:
United States
Agency:
Transportation Security Administration
Department:
U.S. Department of Homeland Security
Subject:
Aviation security program amendments
Document Type:
Information collection notice
OMB Control Number:
1652-0003
Regulatory Reference:
49 CFR § 1544.105
Target Audience:
Aircraft Operators, Private Charter Operators, Twelve-Five Charter Operators
Submission Requirement:
Request for changes to an approved security program
Submission Deadline:
30–45 days before the intended effective date of an amendment
Compliance Oversight:
Routine onsite inspections, assessments, and tests by TSA
Contact Point:
Designated TSA official
Year:
2021
Region / City:
United States
Topic:
Public health survey
Document Type:
Data collection form
Agency:
Centers for Disease Control and Prevention
Department:
National Center for Health Statistics
Approval Number:
OMB 0920-0222
Confidentiality:
Responses used only for statistical purposes
Target Population:
Study participants
Data Collected:
Demographics, education, employment, income
Expiration Date:
08/31/2021
Instructions Included:
Yes
Form Sections:
Source of awareness, Gender, Age, Marital status, Ethnicity, Race, Education, Employment, Household income
Statutory Basis:
Public Health Service Act, CIPSEA 2002
Year:
2020
Country:
United States
Organization:
National Library of Medicine (NLM)
Program / System:
ClinicalTrials.gov Protocol Registration and Results System (PRS)
Type of Document:
Customer Satisfaction Survey Request for Approval
Information Collection Authority:
OMB Generic Clearance for the Collection of Routine Customer Feedback (OMB#: 0925-0648)
Expiration Date:
05/31/2021
Author / Responsible Official:
Anna Fine, PharmD
Respondent Category:
Individuals or Households
Target Respondents:
Users of the ClinicalTrials.gov PRS Guided Tutorials
Mode of Collection:
Web-based survey
Voluntary Participation:
Yes
Personally Identifiable Information Collected:
No
Incentives or Payments to Participants:
No
Estimated Number of Respondents:
3550
Estimated Time per Response:
4 minutes
Total Estimated Burden Hours:
237
Estimated Respondent Cost:
$6095.64
Estimated Federal Cost:
$1060.85
Federal Staff Role:
Customer Outreach Service Specialist (GS 13-2)
Data Dissemination:
Results not intended for public dissemination