Information Collection

REIS - Respondents to full study

IC 205050 under ICR 201405-0536-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 A Draft Rural Establishment Innovation Survey_cover.pdf Other-Questionnaire - Print version
Attachment B Final Cati Script.rtf Other-Questionnaire - CATI version
Attachment C Screen shots of the Rural Establishment Innovation Survey Internet Application.doc Other-Questionnaire - web version
ERSR10 ALL CHANGES 10-24-13.docx Other-Revised questionnaire-print ve
ERSR10 cati script for OMB 10-25-13.docx Other-Revised questionnaire-CATI ver
ERSR10 Final Web screenshots for OMB 10-24-13.doc Other-Revised questionnaire-web vers
Attachment A - Rural Establishment Innovation Survey Questionnaire-mail version (Revised).pdf Other-Questionnaire - print version
Attachment B - Rural Establishment Innovation Survey Questionnaire-CATI version (Revised).docx Other-Questionnaire - CATI version (
Attachment C - Rural Establishment Innovation Survey Questionnaire-Web version (Revised).docx Other-Questionnaire - Web version (R

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	REIS - Respondents to full study	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Questionnaire - Print version	Attachment A Draft Rural Establishment Innovation Survey_cover.pdf	No		Paper Only
Other-Questionnaire - CATI version	Attachment B Final Cati Script.rtf	Yes	Yes	Paper Only
Other-Questionnaire - web version	Attachment C Screen shots of the Rural Establishment Innovation Survey Internet Application.doc	Yes	Yes	Fillable Fileable
Other-Revised questionnaire-print version	ERSR10 ALL CHANGES 10-24-13.docx	No		Paper Only
Other-Revised questionnaire-CATI version	ERSR10 cati script for OMB 10-25-13.docx	Yes	Yes	Fillable Fileable
Other-Revised questionnaire-web version	ERSR10 Final Web screenshots for OMB 10-24-13.doc	Yes	Yes	Fillable Fileable
Other-Questionnaire - print version (Revised)_05072014	Attachment A - Rural Establishment Innovation Survey Questionnaire-mail version (Revised).pdf	No		Paper Only
Other-Questionnaire - CATI version (Revised)_05072014	Attachment B - Rural Establishment Innovation Survey Questionnaire-CATI version (Revised).docx	Yes	Yes	Fillable Fileable
Other-Questionnaire - Web version (Revised)_05072014	Attachment C - Rural Establishment Innovation Survey Questionnaire-Web version (Revised).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: 15,588	Number of Respondents for Small Entity: 10,392

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 67 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	15,588	-972	16,560
Annual IC Time Burden (Hours)	5,860	-2,420	8,280
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.