Intelligence Background Questionnaire

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form 611-B Intelligence Background Questionnaire Form
611-B Intelligence Background Questionnaire Intelligence Background Questionnaire.doc Form

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.