Information Collection

Human Resource Manager

IC 198932 under ICR 201108-0990-003 · OMB 0990-0387.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
RAND Survey Instrument final 7-29-11_OMB.DOCX	Other-survey
RAND Survey Instrument final 12-20-2011 clean.docx	Other-Survey

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

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-survey			RAND Survey Instrument final 7-29-11_OMB.DOCX		No	No	Fillable Printable
Other-Survey			RAND Survey Instrument final 12-20-2011 clean.docx		No		Fillable Printable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,000

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

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	3,000	3,000
Annual IC Time Burden (Hours)	1,500	1,500
Annual IC Cost Burden (Dollars)	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.