Information Collection

Case Institution Trainees (focus groups and survey)

IC 194613 under ICR 201009-0925-001 · OMB 0925-0622.

Documents and Forms

Document Name Document Type
Form 4 Case Institution Trainees (focus groups and survey) Form and Instruction
4 survey Attachment 4.docx Form and Instruction
5 survey Attachment 5.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Case Institution Trainees (focus groups and survey)	Agency IC Tracking Number:

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 and Instruction	4	survey	Attachment 4.docx		Yes	Yes	Paper Only
Form and Instruction	5	survey	Attachment 5.docx		Yes	Yes	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: 80	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	160	160
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.