Information Collection

National FACT Act Study - Registration

IC 191029 under ICR 200910-3084-002 · OMB 3084-0133.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Not applicable National FACT Act Study - Registration	Form and Instruction
follow-up letter from contractor-2nd Pilot Study.PDF	Instruction
Not applicable Invitation Letters to Participate sent to Consumers FTC letter & consent form-2nd Pilot Study.PDF	Form and Instruction
Not applicable Screnning Interview screening interview-2nd Pilot Study.PDF	Form

IC Title:

Agency IC Tracking Number:

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Not applicable	Invitation Letters to Participate sent to Consumers	FTC letter & consent form-2nd Pilot Study.PDF	Yes	Yes	Fillable Fileable Signable
Instruction			follow-up letter from contractor-2nd Pilot Study.PDF	Yes	Yes	Fillable Fileable Signable
Form	Not applicable	Screnning Interview	screening interview-2nd Pilot Study.PDF	No		Paper Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

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)	250	250
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.