Information Collection

Examination Survey

IC 32785 under ICR 200609-3133-004 · OMB 3133-0144.

Documents and Forms

Document Name Document Type
Form 3133-0144 Examination Survey Form and Instruction
3133-0144 Examination Survey 0144, Cover Letter& Survey2006.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Examination Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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 and Instruction	3133-0144	Examination Survey	0144, Cover Letter& Survey2006.pdf		Yes	Yes	Fillable Fileable

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,391	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,391	-632	6,023
Annual IC Time Burden (Hours)	449	-53	502
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.