Information Collection

Marketing Fax Back Response Form

IC 190332 under ICR 200908-3048-012 · OMB 3048-0029.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3048-0029 can be found here:

Documents and Forms

Document Name Document Type
Form EIB 05-01 Marketing Fax Back Response Form Form
EIB 05-01 Marketing Fax Back Response Form EIB05-01.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Marketing Fax Back Response Form	Agency IC Tracking Number:	EIB 05-01

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
Form	EIB 05-01	Marketing Fax Back Response Form	EIB05-01.doc		Yes	Yes	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	Number of Respondents for Small Entity: 300

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	12,500	12,500
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.