Information Collection

Researching Women Entrepreneurs, Self-Limiting Perceptions, and Segmentation

IC 205858 under ICR 201302-3245-007 · OMB 3245-0381.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NWBC-0001 Researching Women Entrepreneurs, Self-Limiting Perceptions, and Segmentation	Form and Instruction
NWBC Sreener Script for outgoing Calls 2-20-13.docx	Other-Screener
NWBC Confirmation 2-20-13.docx	Instruction
NWBC Focus Group Moderator Guide 2-20-13.docx	Other-Focus Group Guide
NWBC-0001 Research Consent Form NWBC-0001Research Consent Form 2-20-13.docx	Form and Instruction
NWBC-0002 Pre-Focus Group Participant Profile NWBC-0002 Pre-Focus Group Participant Profile 2-20-13.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NWBC-0001	Research Consent Form	NWBC-0001Research Consent Form 2-20-13.docx	Yes	No	Paper Only
Form and Instruction	NWBC-0002	Pre-Focus Group Participant Profile	NWBC-0002 Pre-Focus Group Participant Profile 2-20-13.docx	Yes	No	Paper Only
Other-Screener			NWBC Sreener Script for outgoing Calls 2-20-13.docx	No		Paper Only
Instruction			NWBC Confirmation 2-20-13.docx	No		Paper Only
Other-Focus Group Guide			NWBC Focus Group Moderator Guide 2-20-13.docx	No		Paper Only

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 144

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	144	144
Annual IC Time Burden (Hours)	443	443
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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