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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

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.