Information Collection

Round 1 Testing

IC 200072 under ICR 201111-3170-001 · OMB 3170-0003.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Call 003 Confidentiality Statement and Consent Form 11-4-11 FINAL.docx	Other-Confidentiality Statement
Call 003 Recruiting_Script_11-04-11 FINAL.docx	Other-Recruiting Script
Call 003 Questionnaire_11-04-11 FINAL.docx	Other-Questionnaire
FINAL Round 6 Moderators Guide_Consumer_1104.docx	Other-Moderator's Guide
FINAL Round 6 Moderators Guide_Industry_11-4-11 .docx	Other-Moderator's Guide
Summary of Closing Disclosure Testing Round 1 (to OMB 11-4-2011) (2).docx Supporting Document	IC Document

IC Title:

Round 1 Testing

Agency IC Tracking Number:

IC Status: New

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
Other-Confidentiality Statement	Call 003 Confidentiality Statement and Consent Form 11-4-11 FINAL.docx	Yes	No	Printable Only
Other-Recruiting Script	Call 003 Recruiting_Script_11-04-11 FINAL.docx	Yes	No	Printable Only
Other-Questionnaire	Call 003 Questionnaire_11-04-11 FINAL.docx	Yes	No	Printable Only
Other-Moderator's Guide	FINAL Round 6 Moderators Guide_Consumer_1104.docx	Yes	No	Printable Only
Other-Moderator's Guide	FINAL Round 6 Moderators Guide_Industry_11-4-11 .docx	Yes	No	Printable Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

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
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Document	Summary of Closing Disclosure Testing Round 1 (to OMB 11-4-2011) (2).docx	11/08/2011

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