Information Collection

REIS - Respondents to pilot study

IC 205045 under ICR 201311-0536-001 · OMB 0536-0071.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0536-0071 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A Draft Rural Establishment Innovation Survey_cover.pdf	Other-Questionnaire - print version
Attachment B Final Cati Script.rtf	Other-Questionnaire - CATI version
Attachment C Screen shots of the Rural Establishment Innovation Survey Internet Application.doc	Other-Questionnaire - Web version
ERSR10 ALL CHANGES 10-24-13.docx	Other-Revised questionnaire-print ve
ERSR10 cati script for OMB 10-25-13.docx	Other-Revised Questionnaire-CATI ver
ERSR10 Final Web screenshots for OMB 10-24-13.doc	Other-Revised questionnaire-Web vers

IC Title:

REIS - Respondents to pilot study

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	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Questionnaire - print version	Attachment A Draft Rural Establishment Innovation Survey_cover.pdf	No		Paper Only
Other-Questionnaire - CATI version	Attachment B Final Cati Script.rtf	Yes	No	Printable Only
Other-Questionnaire - Web version	Attachment C Screen shots of the Rural Establishment Innovation Survey Internet Application.doc	Yes	Yes	Fillable Fileable
Other-Revised questionnaire-print version	ERSR10 ALL CHANGES 10-24-13.docx	No		Paper Only
Other-Revised Questionnaire-CATI version	ERSR10 cati script for OMB 10-25-13.docx	Yes	Yes	Fillable Printable
Other-Revised questionnaire-Web version	ERSR10 Final Web screenshots for OMB 10-24-13.doc	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,208

Number of Respondents for Small Entity: 2,054

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 78 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	2,208	2,208
Annual IC Time Burden (Hours)	1,104	1,104
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.