Information Collection

USA.gov Beta Site Survey (Req-19)

IC 216153 under ICR 201211-3090-001 · OMB 3090-0297.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3090-0297 can be found here:

Documents and Forms

Document Name Document Type
Instrument-3090-0297 USA.gov Beta Site Survey (Req-19).docx Other-Survey
Template-3090-0297 USA.gov Beta Site Survey (Req-19).docx Template USA.gov Beta Site Survey (Req-19) IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	USA.gov Beta Site Survey (Req-19)	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
Other-Survey			Instrument-3090-0297 USA.gov Beta Site Survey (Req-19).docx		Yes	Yes	Fillable Fileable

Line of Business: Supply Chain Management

Subfunction: Services Acquisition

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Template USA.gov Beta Site Survey (Req-19)	Template-3090-0297 USA.gov Beta Site Survey (Req-19).docx	04/16/2015

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