Information Collection

Manufacturing Extension Partnership (MEP) Client Impact Surveys

IC 4855 under ICR 201109-0693-002 · OMB 0693-0021.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0693-0021 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0693-0021-MEPClientImpactSurvey-V1-8-29-11.docx	Other-Survey
0693-0021-ExampleSurveyInviteLetter.doc Survey Invitation-Notice	IC Document
0693-0021-DescriptionOfChangesToSurvey-10-28-11.docx Description of Changes to Survey	IC Document

IC Title:

Manufacturing Extension Partnership (MEP) Client Impact Surveys

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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			0693-0021-MEPClientImpactSurvey-V1-8-29-11.docx		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	10,000	2,000	8,000
Annual IC Time Burden (Hours)	2,500	1,433	1,067
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Survey Invitation-Notice	0693-0021-ExampleSurveyInviteLetter.doc	10/28/2011
Description of Changes to Survey	0693-0021-DescriptionOfChangesToSurvey-10-28-11.docx	10/28/2011

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