Information Collection

BEP 2016 Chemistry Week Visitor Survey

IC 224810 under ICR 201403-1505-003 · OMB 1505-0231.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0231 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
BEP 2016 National Chemistry Week Evaluation Survey.docx	Other-Survey
BEP 2016 National Chemistry Week Participation Survey_Employees.docx	Other-Survey
Generic Clearance Request - Chemistry Week Survey 11-2-16.docx Survey Justification	IC Document

IC Title:

BEP 2016 Chemistry Week Visitor Survey

Agency IC Tracking Number:

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			BEP 2016 National Chemistry Week Participation Survey_Employees.docx		Yes	Yes	Fillable Fileable
Other-Survey			BEP 2016 National Chemistry Week Evaluation Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 42

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	42	42
Annual IC Time Burden (Hours)	11	11
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Survey Justification	Generic Clearance Request - Chemistry Week Survey 11-2-16.docx	12/13/2016

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