Information Collection

Product Use Survey

IC 232559 under ICR 201804-1405-001 · OMB 1405-0193.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0193 can be found here:

Documents and Forms

Document Name Document Type
Form SV-2017-0002 Product Use Survey Form
SV-2017-0002 Product Use Survey Additional Questions_Product Use Survey.docx Form
Additional Questions_ Generic Clearance Submission_Product Use Survey.doc Generic Clearance - Supporting Statement IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Product Use Survey	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	SV-2017-0002	Product Use Survey	Additional Questions_Product Use Survey.docx		Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Clearance - Supporting Statement	Additional Questions_ Generic Clearance Submission_Product Use Survey.doc	08/07/2018

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