Information Collection

Go Direct Campaign Baby Boomer Survey

IC 190787 under ICR 200709-1510-001 · OMB 1510-0074.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1510-0074 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Boomer Poll 92109.doc	Other-survey
Signed Memo.pdf Signed Memo	IC Document
Boomer Just 09.doc Boomer Justification Summary	IC Document

IC Title:

Go Direct Campaign Baby Boomer Survey

Agency IC Tracking Number:

200709-1510-001

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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
Other-survey			Boomer Poll 92109.doc		No		Printable Only

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 1,000

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	1,000	1,000
Annual IC Time Burden (Hours)	218	218
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Signed Memo	Signed Memo.pdf	09/29/2009
Boomer Justification Summary	Boomer Just 09.doc	09/29/2009

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