Information Collection

Questionnaires

IC 180759 under ICR 200706-0596-001 · OMB 0596-0207.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0596-0207 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FS-NRS-1700-1 Questionnaires	Form
FS-NRS-1700-1 NRS Outreach Opportunity Questionnaire NRS_Outreach_Opportunity_Questionnaire.doc	Form
FS-1700-5 Optional Ethnicity Questionnaire optional_ethnicity_questionnaire.doc	Form

IC Title:

Questionnaires

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 7 CFR 15

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FS-NRS-1700-1	NRS Outreach Opportunity Questionnaire	NRS_Outreach_Opportunity_Questionnaire.doc		No		Paper Only
Form	FS-1700-5	Optional Ethnicity Questionnaire	optional_ethnicity_questionnaire.doc		No		Paper Only

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 77,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	77,500	77,500
Annual IC Time Burden (Hours)	6,458	6,458
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.