Blue Star Museum Survey 2012

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

IC Title:	Blue Star Museum Survey 2012	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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 %

	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

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.