Information Collection

Quality Samples Program

IC 227658 under ICR 202011-0551-001 · OMB 0551-0047.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0551-0047 can be found here:

Documents and Forms

Document Name Document Type
QSP Proposal Submission 11-24-20.pdf Instruction
QSP Proposal Submission 11-24-20.pdf Instruction
Submitting Reports via UES.pdf.pdf Instruction
Submitting Reports via UES.pdf.pdf Instruction
UES Upgrade User Manual_Claims Only.pdf Instruction
UES Upgrade User Manual_Claims Only.pdf Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Quality Samples Program	Agency IC Tracking Number:	QSP-2017

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction	QSP Proposal Submission 11-24-20.pdf	Yes	Yes	Fillable Fileable
Instruction	Submitting Reports via UES.pdf.pdf	Yes	Yes	Fillable Fileable
Instruction	UES Upgrade User Manual_Claims Only.pdf	Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: Global Trade

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	250	0	250
Annual IC Time Burden (Hours)	1,200	100	1,100
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.