Information Collection

REIS - Respondents to short form in pilot study

IC 205047 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⚠️ Notice: This information collection may be referencing outdated material.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 K Mail Short Form for Telephone Refusals.docx Other-Shrot Form Questionnaire

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	REIS - Respondents to short form in pilot study	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-Shrot Form Questionnaire			Attachment K Mail Short Form for Telephone Refusals.docx		Yes	Yes	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 64	Number of Respondents for Small Entity: 60

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	64	64
Annual IC Time Burden (Hours)	6	6
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.