Information Collection

Intelligence Background Questionnaire

IC 200459 under ICR 201112-0420-001 · OMB 0420-0551.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0420-0551 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 611-B Intelligence Background Questionnaire	Form
611-B Intelligence Background Questionnaire Intelligence Background Questionnaire.doc	Form

IC Title:

Intelligence Background Questionnaire

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 22 CFR 305.2(e)

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
Form	611-B	Intelligence Background Questionnaire	Intelligence Background Questionnaire.doc		Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: International Development and Humanitarian Aid

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	17	17
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.