Information Collection

Panelist Profile Form

IC 44192 under ICR 200904-3135-001 · OMB 3135-0098.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3135-0098 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3135-0098 Panelist Profile Form Panelist Profile Form	Form
Panelist Profile Form Instructions '09.doc	Instruction
3135-0098 Panelist Profile Form Panelist Profile Form '09_REV.doc	Form

IC Title:

Panelist Profile Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Instruction					Yes	Yes	Fillable Fileable
Form	3135-0098				Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	42	42
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.

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