Information Collection

Organizational Assessment Surveys

IC 229874 under ICR 201712-3206-005 · OMB 3206-0252.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0252 can be found here:

Documents and Forms

Document Name Document Type
Form OA1 Organizational Assessment Surveys Form
OA1 Organizational Assessment Survey 3206-0252_Organizational Assessment Survey_v2.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Organizational Assessment Surveys	Agency IC Tracking Number:

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
Form	OA1	Organizational Assessment Survey	3206-0252_Organizational Assessment Survey_v2.docx		Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	4,640	4,640

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.