2015 ASM-RO Worksheet Prototype Debriefings

Generic Clearance for Questionnaire Pretesting Research

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form ASM-RO Debriefing 2015 ASM-RO Worksheet Prototype Debriefings Form and Instruction
ASM-RO Debriefing ASM-RO Debriefing 2015 ASM-RO debriefing protocol - draft 1-13-16.docx Form and Instruction
OMB pretesting request - 2015 ASM-RO debriefings - Reporting Guides - Draft 1-12-16.docx Memo IC Document
2015 ASM-RO worksheet - testing prototype.docx Prototype IC Document
2015 ASM-RO Production Worksheet.pdf Worksheet IC Document

Information Collection (IC) Details

IC Title:	2015 ASM-RO Worksheet Prototype Debriefings	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 13 CFR 91

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ASM-RO Debriefing	ASM-RO Debriefing	2015 ASM-RO debriefing protocol - draft 1-13-16.docx		Yes	Yes	Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	Number of Respondents for Small Entity: 20

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	27	27
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Memo	OMB pretesting request - 2015 ASM-RO debriefings - Reporting Guides - Draft 1-12-16.docx	01/15/2016
Prototype	2015 ASM-RO worksheet - testing prototype.docx	01/15/2016
Worksheet	2015 ASM-RO Production Worksheet.pdf	01/15/2016

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