Information Collection

Formative - Developmental

IC 193580 under ICR 201105-0925-001 · OMB 0925-0593.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0593 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Burden 19 HiLo Household Inventory Questionnaire 20110420 - LOIx-QUEX-01-B-1.DOCX	Instruction
Burden 20 Participant Internet Usage and Contact Preference Survey 20110420 - LOI2-INF-17.docx	Instruction
Note to File - Formative Research (updated 20110526).docx	Instruction

IC Title:

Formative - Developmental

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	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction	Burden 20 Participant Internet Usage and Contact Preference Survey 20110420 - LOI2-INF-17.docx	Yes	Yes	Paper Only
Instruction	Burden 19 HiLo Household Inventory Questionnaire 20110420 - LOIx-QUEX-01-B-1.DOCX	Yes	Yes	Paper Only
Instruction	Note to File - Formative Research (updated 20110526).docx	Yes	Yes	Paper Only

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 14,542

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	14,542	14,541	1
Annual IC Time Burden (Hours)	14,542	0	14,542
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.