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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	BEP 2016 Chemistry Week Visitor Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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 %

	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

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.