Information Collection

Omnibus Survey

IC 211957 under ICR 201105-0420-002 · OMB 0420-0545.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0420-0545 can be found here:

Documents and Forms

Document Name Document Type
Form Omnibus Survey I Omnibus Survey Form
Omnibus Survey I Candidate Omnibus Survey Questions Candidate Omnibus Questions FINAL.doc Form
OMB Clearance Submission for Omnibus FINAL.docx Omnibus Survey Supporting Statement IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Omnibus Survey	Agency IC Tracking Number:

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	Omnibus Survey I	Candidate Omnibus Survey Questions	Candidate Omnibus Questions FINAL.doc		Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: International Development and Humanitarian Aid

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	67	67
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Omnibus Survey Supporting Statement	OMB Clearance Submission for Omnibus FINAL.docx	06/18/2014

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