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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.