Respondent Debriefings for CCM Independent Listing Book

Generic Clearence for Questionnaire Pretesting Research

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0725 can be found here:

Documents and Forms

Document Name Document Type
Form DX-1302 Respondent Debriefings for CCM Independent Listing Book Form
DX-1302 Listing Page 1 ombilb08obsenc1.pdf Form
DX-1302 Listing Page 2 ombilb08obsenc2.pdf Form
DX-1302 Listing Page 3 ombilb08obsenc3.pdf Form
ombilb08obs.wpd Justification for Debriefings for CCM ILB IC Document

Information Collection (IC) Details

IC Title:	Respondent Debriefings for CCM Independent Listing Book	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	DX-1302	Listing Page 1	ombilb08obsenc1.pdf	No	Paper Only
Form	DX-1302	Listing Page 2	ombilb08obsenc2.pdf	No	Paper Only
Form	DX-1302	Listing Page 3	ombilb08obsenc3.pdf	No	Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 280	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	280	0	0	0	0	0
Annual IC Time Burden (Hours)	9	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Justification for Debriefings for CCM ILB	ombilb08obs.wpd	10/15/2007

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