Information Collection

Screener

IC 188158 under ICR 200902-3084-005 · OMB 3084-0151.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3084-0151 can be found here:

Documents and Forms

Document Name Document Type
Lamp Labeling Study Draft Screener.pdf Other-Screener
Lamp Study Screener Rev'd DRFT 4-24-09.pdf Other-Screener, rev'd

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Screener	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Other-Screener			Lamp Labeling Study Draft Screener.pdf		Yes	Yes	Fillable Fileable
Other-Screener, rev'd			Lamp Study Screener Rev'd DRFT 4-24-09.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15,000	15,000
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	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.