Information Collection

2015 COOL Survey

IC 214992 under ICR 201405-0581-003 · OMB 0581-0269.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0581-0269 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2015 COOL Survey	Form
2015 COOL Survey 2015 COOL Survey Monkey 02252015 OMB No 0581-0269.pdf www.surveymonkey.com/s/8S2VT7K	Form
Survey COOL Certificate 02 12 15.pdf Certification Statement	IC Document

IC Title:

2015 COOL 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
Form	None	2015 COOL Survey	2015 COOL Survey Monkey 02252015 OMB No 0581-0269.pdf	https://www.surveymonkey.com/s/8S2VT7K	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 328

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	328	328
Annual IC Time Burden (Hours)	164	164
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Certification Statement	Survey COOL Certificate 02 12 15.pdf	02/12/2015

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