Information Collection

REIS - Respondents to pilot study Screener

IC 205041 under ICR 201212-0536-001 · OMB 0536-0071.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0536-0071 can be found here:

Documents and Forms

Document Name Document Type
Attachment J Pre-screening Telephone Script.docx Other-Phone script for screening

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	REIS - Respondents to pilot study Screener	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Other-Phone script for screening			Attachment J Pre-screening Telephone Script.docx		No		Printable Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,200	Number of Respondents for Small Entity: 2,976

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,200	3,200
Annual IC Time Burden (Hours)	224	224
Annual IC Cost Burden (Dollars)	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.