Information Collection

Usage of Elevators for Occupant Evacuation Questionnaire

IC 198381 under ICR 201210-0693-002 · OMB 0693-0061.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0693-0031-Elevator Questionnaire-10-4-12.docx	Other-Questionnaire
ElevEvac-CoverEmail.OMB-Approved-8-9-11.doc Cover Email to Participants	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Other-Questionnaire			0693-0031-Elevator Questionnaire-10-4-12.docx		Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

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	1,500	1,500
Annual IC Time Burden (Hours)	375	375
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Cover Email to Participants	ElevEvac-CoverEmail.OMB-Approved-8-9-11.doc	11/01/2012

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