EXPERIENCE QUESTIONNAIRE

ICR 198206-0596-004

OMB: 0596-0013

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
103615 Migrated
ICR Details
0596-0013 198206-0596-004
Historical Active 197704-0596-001
USDA/FS
EXPERIENCE QUESTIONNAIRE
Revision of a currently approved collection   No
Regular
Approved without change 07/14/1982
Retrieve Notice of Action (NOA) 06/15/1982
Approved on condition that items 9(c) and 9(d) of the proposed form be deleted.
  Inventory as of this Action Requested Previously Approved
07/31/1984 07/31/1984 06/30/1982
4,000 0 4,000
3,000 0 2,000
0 0 0

FORM IS USED TO DETERMINE RESPONSIBILITY OF POTENTIAL CONTRACTORS.

None
None


No

1
IC Title Form No. Form Name
EXPERIENCE QUESTIONNAIRE FS-6300-27

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 4,000 4,000 0 0 0 0
Annual Time Burden (Hours) 3,000 2,000 0 0 1,000 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/15/1982


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