Quarterly Services Survey

OMB: 0607-0907

IC ID: 37228

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0907 can be found here:

Documents and Forms

Document Name Document Type
Form QSS-1(A) Quarterly Services Survey Form and Instruction
Attachment 1___QSS_Questionnaire_Matrix.wpd.wpd Other-Form Matrix Showing Potential
Attachment_2 Cover Letter.pdf Other-Cover Letter
QSS-1(A) Quarterly Services Survey Attachment 2-QSS-1(A).pdf www.census.gov/services/qss/get_forms.html Form and Instruction
QSS-1(E) Quarterly Services Survey Attachment 2-QSS-1(E).pdf www.census.gov/services/qss/get_forms.html Form and Instruction
QSS-2(A) Quarterly Services Survey Attachment 2-QSS-2(A).pdf www.census.gov/services/qss/get_forms.html Form and Instruction
QSS-2(E) Quarterly Services Survey Attachment 2-QSS-2(E).pdf www.census.gov/services/qss/get_forms.html Form and Instruction
QSS-3(A) Quarterly Services Survey Attachment 2-QSS-3(A).pdf www.census.gov/services/qss/get_forms.html Form and Instruction
QSS-3(E) Quarterly Services Survey Attachment 2-QSS-3(E).pdf www.census.gov/services/qss/get_forms.html Form and Instruction
Qss-4(A) Quarterly Services Survey Attachment 2-QSS-4(A).pdf www.census.gov/services/qss/get_forms.html Form and Instruction
QSS-4(E) Quarterly Services Survey Attachment 2-QSS-4(E).pdf www.census.gov/services/qss/get_forms.html Form and Instruction
QSS-5(A) Quarterly Services Survey Attachment 2-QSS-5(A).pdf www.census.gov/services/qss/get_forms.html Form and Instruction
QSS-5(E) Quarterly Services Survey Attachment 2-QSS-5(E).pdf www.census.gov/services/qss/get_forms.html Form and Instruction
QSS-1A-PEO Quarterly Services Survey Attachment 2-QSS-1A-PEO.pdf www.census.gov/services/qss/get_forms.html Form and Instruction
QSS-1E-PEO Quarterly Services Survey Attachment 2-QSS-1E-PEO.pdf www.census.gov/services/qss/get_forms.html Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Quarterly Services Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	QSS-1(A)	Quarterly Services Survey	Attachment 2-QSS-1(A).pdf	http://www.census.gov/services/qss/get_forms.html	Yes	Yes	Fillable Fileable
Form and Instruction	QSS-1(E)	Quarterly Services Survey	Attachment 2-QSS-1(E).pdf	http://www.census.gov/services/qss/get_forms.html	Yes	Yes	Fillable Fileable
Form and Instruction	QSS-2(A)	Quarterly Services Survey	Attachment 2-QSS-2(A).pdf	http://www.census.gov/services/qss/get_forms.html	Yes	Yes	Fillable Fileable
Form and Instruction	QSS-2(E)	Quarterly Services Survey	Attachment 2-QSS-2(E).pdf	http://www.census.gov/services/qss/get_forms.html	Yes	Yes	Fillable Fileable
Form and Instruction	QSS-3(A)	Quarterly Services Survey	Attachment 2-QSS-3(A).pdf	http://www.census.gov/services/qss/get_forms.html	Yes	Yes	Fillable Fileable
Form and Instruction	QSS-3(E)	Quarterly Services Survey	Attachment 2-QSS-3(E).pdf	http://www.census.gov/services/qss/get_forms.html	Yes	Yes	Fillable Fileable
Form and Instruction	Qss-4(A)	Quarterly Services Survey	Attachment 2-QSS-4(A).pdf	http://www.census.gov/services/qss/get_forms.html	Yes	Yes	Fillable Fileable
Form and Instruction	QSS-4(E)	Quarterly Services Survey	Attachment 2-QSS-4(E).pdf	http://www.census.gov/services/qss/get_forms.html	Yes	Yes	Fillable Fileable
Form and Instruction	QSS-5(A)	Quarterly Services Survey	Attachment 2-QSS-5(A).pdf	http://www.census.gov/services/qss/get_forms.html	Yes	Yes	Fillable Fileable
Form and Instruction	QSS-5(E)	Quarterly Services Survey	Attachment 2-QSS-5(E).pdf	http://www.census.gov/services/qss/get_forms.html	Yes	Yes	Fillable Fileable
Form and Instruction	QSS-1A-PEO	Quarterly Services Survey	Attachment 2-QSS-1A-PEO.pdf	http://www.census.gov/services/qss/get_forms.html	Yes	Yes	Fillable Fileable
Form and Instruction	QSS-1E-PEO	Quarterly Services Survey	Attachment 2-QSS-1E-PEO.pdf	http://www.census.gov/services/qss/get_forms.html	Yes	Yes	Fillable Fileable
Other-Form Matrix Showing Potential Variable Content			Attachment 1___QSS_Questionnaire_Matrix.wpd.wpd		No		Paper Only
Other-Cover Letter			Attachment_2 Cover Letter.pdf		No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15,400	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	61,600	9,600	52,000
Annual IC Time Burden (Hours)	13,500	1,578	11,922
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.