№ lp_1_2_17754
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This document provides sample forms for regulated dealers to document customer due diligence (CDD) measures in accordance with relevant regulations.
Note:
Year
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The product description is provided for reference. Actual content and formatting may differ slightly.
Note:
Year
Year:
2023
Note:
Region / City
Note:
Year
Contextual description:
Forms related to customer due diligence procedures used by regulated dealers for documenting the verification of customer identity and business ownership.
Year:
2023
Region / City:
Ohio
Theme:
Environmental Protection, Waste Management
Document Type:
Application Form
Organization / Institution:
Ohio Environmental Protection Agency (Ohio EPA)
Author:
Ohio Environmental Protection Agency
Target Audience:
Construction and Demolition Debris Processing Facility Operators, Permitting Authorities
Period of Action:
Ongoing
Approval Date:
N/A
Amendment Date:
N/A
Note:
Year
Topic:
Construction & Demolition Debris (C&DD) Processing
Document Type:
Form
Authority:
Ohio EPA
Author:
Ohio EPA
Target Audience:
Certified Operators, Processing Facility Personnel
Valid Period:
Annual
Year:
2020
Jurisdiction:
Jersey
Subject:
Anti-Money Laundering and Countering the Financing of Terrorism (AML/CFT) supervision
Document type:
Thematic supervisory questionnaire
Issuing authority:
Jersey Financial Services Commission (JFSC)
Legal basis:
Financial Services (Jersey) Law 1998; Proceeds of Crime (Supervisory Bodies) (Jersey) Law 2008
Addressees:
Registered and supervised persons
Scope:
Enhanced Customer Due Diligence (ECDD), Simplified Customer Due Diligence (SCDD), Exemptions
Reference date for responses:
31 December 2020
Regulatory framework:
Applicable Laws, Orders and Codes of Practice
Year:
2024
Region / City:
Madison
Theme:
Affordable Housing, Housing Development, Government Funding
Document Type:
Application Form
Organ / Institution:
City of Madison Community Development Division
Author:
City of Madison
Target Audience:
Applicants for AHF-TC funding
Period of Validity:
Until August 1, 2024
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2023
Region / City:
United States
Subject:
Job Duties Development
Document Type:
Instructional Guide
Organization / Institution:
Department for Children and Families (DCF)
Author:
Not specified
Target Audience:
Supervisors, HR personnel, Staff evaluators
Effective Period:
Ongoing
Approval Date:
Not specified
Date of Changes:
Not specified
Context:
Instructional document providing guidelines on developing Major Job Duties (MJDs) for staff members within the Department for Children and Families, focusing on creating performance expectations and evaluating job responsibilities.
Year:
2025
Document Type:
Grant Application Form
Program:
Targeted Disparity Small Grant
Administering Organization:
CDD
Submission Platform:
Qualtrics
Application Deadline:
December 5, 2025
Geographic Focus:
Bronx County, New York; Chautauqua County, New York
Eligible Applicants:
Organizations serving communities in Bronx or Chautauqua Counties
Funding Amount:
Minimum $5,000; Maximum $10,000
Funding Areas:
Community supports, independent living, housing options, social opportunities, transportation access, aging in place
Target Population:
People with developmental disabilities (DD), their families and caregivers
Project Duration:
One year
Budget Requirements:
Minimum 34% match for Chautauqua County; minimum 12% match for Bronx County
Vendor Requirement:
Registration in NYS Statewide Financial System (SFS)
Reporting Requirement:
Final report including impact and satisfaction data
Required Documentation:
Budget form, expense documentation such as invoices, timesheets, or receipts
Year:
2026
Region / City:
New York State
Topic:
Advocacy for People with Developmental Disabilities
Document Type:
Application Form
Organization:
Not specified
Author:
Not specified
Target Audience:
Non-profit organizations and advocacy groups
Period of Activity:
One-year project period
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2025
Region / City:
Salt Lake City, Utah
Subject:
Jazz Dance
Document Type:
Course Syllabus
Institution:
University of Utah
Instructor:
Ruger Memmott
Target Audience:
Students enrolled in DANC 1210 and BALLE 2380
Period of Action:
Fall Semester 2025
Approval Date:
Not specified
Modification Date:
Not specified
Year:
2021
Region / City:
National
Field:
Medical
Document Type:
Assessment Forms
Organization:
National Accreditation Board for Testing and Calibration Laboratories (NABL)
Author:
NA
Target Audience:
Laboratories, Assessor Teams, Medical Imaging
Period of Validity:
Not specified
Date of Approval:
16-Feb-2021
Amendment Date:
13-Jul-2023
The document outlines assessment forms and checklists used by the NABL for the accreditation of laboratories in accordance with ISO 15189:
2012 standards, including various schedules and witness reports for medical testing.
Year:
2025
Agency:
United States Social Security Administration
Form Numbers:
SSA-7161-OCR-SM, SSA-7162-OCR-SM
Type:
Report / Information Collection
Legal Basis:
Social Security Act Sections 203(c), 203(g), 205(a), 205(j), 1631(e)(1)(A); Strengthening Protections for Social Security Beneficiaries Act of 2018
Target Audience:
U.S. citizens and noncitizens receiving benefits abroad; representative payees
Collection Frequency:
Annual or biennial depending on circumstances
Purpose:
Verification of eligibility, reporting events affecting benefits, annual accounting for representative payees
OMB Control Number:
0960-0049
Psychological Considerations:
Potential respondent perception of intrusiveness
Delivery Method:
Mail, telephone verification
End of Reporting Period:
December 31 annually
Estimated Population:
Approximately 841,600 beneficiaries living abroad, 25,550 with representative payees
Annual Payments:
$677 million monthly ($8.1 billion annually)
Year:
2013
Region / City:
United States
Topic:
Lease Proposal Evaluation
Document Type:
Administrative Statement
Agency / Organization:
General Services Administration (GSA)
Author:
General Services Administration
Target Audience:
Federal Agencies, Lessors
Period of Validity:
Ongoing
Approval Date:
January 3, 2013
Amendment Date:
N/A
Note:
Year
Topic:
Navy Child and Youth Programs, Registration, Medical Requirements
Document Type:
Supporting Statement
Organization / Institution:
U.S. Navy
Target Audience:
Eligible patrons (active duty military, Coast Guard, DoD employees, retirees, contractors, etc.)
Year:
2025
Region / City:
Alexandria, Virginia
Subject:
Accreditation in Physical Therapy Education
Document Type:
Instructional Guide
Organization / Institution:
Commission on Accreditation in Physical Therapy Education, American Physical Therapy Association
Author:
Unknown
Target Audience:
Physical Therapy Programs
Period of Action:
2024-2025
Approval Date:
October 2025
Date of Changes:
September 2025
Year:
2013
Region / City:
United States
Subject:
Veterans Affairs, Apprenticeship and Job Training Programs
Document Type:
Supporting Statement
Author:
U.S. Department of Veterans Affairs
Target Audience:
Employers, Apprentices, Veterans, and Government Agencies
Period of Validity:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2023
Note:
Region / City
Theme:
Accreditation, Laboratory Assessment
Document Type:
Assessment Forms and Checklists
Organization / Institution:
National Accreditation Board for Testing and Calibration Laboratories (NABL)
Target Audience:
Laboratories seeking accreditation
Description:
A set of forms and checklists used for assessing laboratories based on the ISO 15189:2022 standard.
Year:
2023
Region / City:
United States
Topic:
Health Data Collection, Public Health Research, Survey Design
Document Type:
Federal Notice
Agency:
Centers for Disease Control and Prevention (CDC)
Author:
Centers for Disease Control and Prevention (CDC)
Target Audience:
Public, Federal Agencies, Health Researchers
Period of Effect:
Ongoing, with quarterly surveys
Approval Date:
06/30/2022
Modification Date:
Not specified
Year:
2023
Region / City:
N/A
Topic:
Forms Design, Printer Settings
Document Type:
Technical Manual
Organization:
Sage Software
Author:
N/A
Target Audience:
Users of Sage 50
Period of Validity:
N/A
Approval Date:
N/A
Date of Changes:
N/A