Information Collection

Research Data Archive Use Tracking

IC 182565 under ICR 201101-0596-003 · OMB 0596-0210.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FS-4000-5 Research Data Archive Use Tracking	Form and Instruction
FS-4000-5 General Data Use Agreement fs_4000_5.djr.docx www.fs.fed.us/research/	Form and Instruction
Case_scenarios.doc Case Scenarios	IC Document
anonymous_request_form.doc Anonymous Request Form	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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 and Instruction	FS-4000-5	General Data Use Agreement	fs_4000_5.djr.docx	http://www.fs.fed.us/research/	Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Case Scenarios	Case_scenarios.doc	10/31/2007
Anonymous Request Form	anonymous_request_form.doc	10/31/2007

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.