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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

IC Title:

Omnibus Survey

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
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 %

table that charts list of burden
	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

table that charts IC Documents
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.