FY16 Generic Screeners

Generic Clearance for Questionnaire Pretesting Research

OMB: 0607-0725

IC ID: 218731

Information Collection (IC) Details

View Information Collection (IC)

FY16 Generic Screeners
 
New
 
Voluntary
 
13 CFR Sections 191, 143  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form Internet Screener Internet Screener FY16_Recruitment_Screener_Internet_Participate (updated 10-7) Spanish additions in red OMB submission version.docx Yes Yes Paper Only
Form Telephone Screener Telephone Screener FY16_Recruitment_Screener_Telephone (updated 10-7) Spanish additions in red OMB submission version.docx Yes Yes Printable Only

General Government Central Records & Statistical Mgt

 

4,000 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 4,000 0 4,000 0 0 0
Annual IC Time Burden (Hours) 334 0 334 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Memo OMB0607-0725_FY16_Recruitment_Screener.docx 10/26/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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