Information Collection

National Security and Critical Technology Assessments of the U.S. Industrial Base

IC 217073 under ICR 201212-0694-001 · OMB 0694-0119.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0694-0119 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
The Copy of OMB-0694-0119-PRA-Package-DSS-Excel-Survey-2015 (3).xls	Other-Survey
The OMB-0694-0119-PRA-Package-DSS-Supporting-Statement-2015 (3).docx DSS Survey Supporting Statement	IC Document
The 83-I OMB-0694-0119-PRA-Package-DSS-Summary-Page-2015.doc DSS Survey 83-I	IC Document
The OMB-0694-0119-PRA-Package-DSS-Distribution-Letter-2015 (3).docx DSS Survey Distribution Letter	IC Document

IC Title:

National Security and Critical Technology Assessments of the U.S. Industrial Base

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Mandatory

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-Survey			The Copy of OMB-0694-0119-PRA-Package-DSS-Excel-Survey-2015 (3).xls		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10,400

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10,400	10,400
Annual IC Time Burden (Hours)	10,400	10,400
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
DSS Survey Supporting Statement	The OMB-0694-0119-PRA-Package-DSS-Supporting-Statement-2015 (3).docx	06/17/2015
DSS Survey 83-I	The 83-I OMB-0694-0119-PRA-Package-DSS-Summary-Page-2015.doc	06/17/2015
DSS Survey Distribution Letter	The OMB-0694-0119-PRA-Package-DSS-Distribution-Letter-2015 (3).docx	06/17/2015

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