Information Collection

FY16 Generic Screeners

IC 218731 under ICR 201312-0607-004 · OMB 0607-0725.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0725 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Internet Screener FY16 Generic Screeners	Form
Internet Screener Internet Screener FY16_Recruitment_Screener_Internet_Participate (updated 10-7) Spanish additions in red OMB submission version.docx	Form
Telephone Screener Telephone Screener FY16_Recruitment_Screener_Telephone (updated 10-7) Spanish additions in red OMB submission version.docx	Form
OMB0607-0725_FY16_Recruitment_Screener.docx Memo	IC Document

IC Title:

FY16 Generic Screeners

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 13 CFR Sections 191, 143 (To search for a specific CFR, visit the Code of Federal Regulations.)

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
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

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,000	4,000
Annual IC Time Burden (Hours)	334	334
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.