Information Collection

Technical Evaluation Surveys

IC 11403 under ICR 201101-1029-002 · OMB 1029-0114.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1029-0114 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Technical Evaluation Surveys	Form and Instruction
Technical Assistance Evaluation Technical Assistance Evaluation.pdf www.osmre.gov/forms/Forms.aspx	Form and Instruction
Meeting/Forum Evaluation Meeting-Forum Evaluation.pdf www.osmre.gov/forms/Forms.aspx	Form and Instruction
AVS Techmnical Assistance Evaluation Form AVSTech form.doc	Form and Instruction
Technical Transfer Evaluation Form Technical Transfer Evaluation.doc www.techtransfer.osmre.gov/NTTMainSite/appliedsciences.shtm	Form and Instruction

IC Title:

Technical Evaluation Surveys

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	N/A	Technical Assistance Evaluation	Technical Assistance Evaluation.pdf	http://www.osmre.gov/forms/Forms.aspx	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Meeting/Forum Evaluation	Meeting-Forum Evaluation.pdf	http://www.osmre.gov/forms/Forms.aspx	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	AVS Techmnical Assistance Evaluation Form	AVSTech form.doc		No		Paper Only
Form and Instruction	N/A	Technical Transfer Evaluation Form	Technical Transfer Evaluation.doc	www.techtransfer.osmre.gov/NTTMainSite/appliedsciences.shtm	Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	500	-250	750
Annual IC Time Burden (Hours)	42	-21	63
Annual IC Cost Burden (Dollars)	0	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.