Information Collection

Employer Qualitative Study on New Product Receptivity

IC 199658 under ICR 201103-1535-001 · OMB 1535-0143.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1535-0143 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Employer Study Screener Draft 9_20_11.doc	Other-Screener
Employer survey discussion guide DRAFT 9_20_11.doc	Other-Discussion Guide
1535-0143 Employer Stdy.pdf Fast Track Submission Form	IC Document

IC Title:

Employer Qualitative Study on New Product Receptivity

Agency IC Tracking Number:

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Discussion Guide			Employer survey discussion guide DRAFT 9_20_11.doc		No		Paper Only
Other-Screener			Employer Study Screener Draft 9_20_11.doc		No		Paper Only

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 361

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	361	361
Annual IC Time Burden (Hours)	144	144
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Submission Form	1535-0143 Employer Stdy.pdf	10/04/2011

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