Information Collection

Key Influencer Survey Instrument - Time 1

IC 191221 under ICR 200911-0925-002 · OMB 0925-0611.

Documents and Forms

Document Name Document Type
Form 1 Key Influencer Survey Instrument - Time 1 Form and Instruction
1 Survey Attachment C InfluencerSurvey_1-20-10.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Key Influencer Survey Instrument - Time 1	Agency IC Tracking Number:

Is this a Common Form?		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 and Instruction	1	Survey	Attachment C InfluencerSurvey_1-20-10.doc		No		Paper Only

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 656	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	656	656
Annual IC Time Burden (Hours)	216	216
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.