Information Collection

Blue Star Museum Survey 2012

IC 203891 under ICR 201112-3135-002 · OMB 3135-0130.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3135-0130 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Blue Star Museum Survey 2012	Form and Instruction
1 Blue Star Museum Participant Survey Blue Star Survey 2012.pdf www.surveymonkey.com/s/WQYLJCF	Form and Instruction
Generic Clearance Submission Form_Blue Star Museums.pdf Generic Clearance Submission Form - Blue Star 2012	IC Document

IC Title:

Blue Star Museum Survey 2012

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

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
Form and Instruction	1	Blue Star Museum Participant Survey	Blue Star Survey 2012.pdf	http://www.surveymonkey.com/s/WQYLJCF	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,881

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,881	1,881
Annual IC Time Burden (Hours)	470	470
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Clearance Submission Form - Blue Star 2012	Generic Clearance Submission Form_Blue Star Museums.pdf	08/29/2012

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