Information Collection

2013 Microbusiness Innovation Science and Technology Survey

IC 210303 under ICR 201407-3145-002 · OMB 3145-0237.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A - MIST Questionnaire.pdf	Other-Survey
Attachment B - One-page MIST questionnaire.pdf	Other-Survey
MIST survey 10-10-14.docx	Other-Survey
Attachment C - MIST Brochure.pdf MIST Brochure	IC Document
Attachment D - MIST Correspondence.pdf MIST Survey Correspondence	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	Attachment A - MIST Questionnaire.pdf	Yes	Yes	Fillable Fileable
Other-Survey	Attachment B - One-page MIST questionnaire.pdf	Yes	Yes	Fillable Fileable
Other-Survey	MIST survey 10-10-14.docx	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: 3,200

Number of Respondents for Small Entity: 3,200

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,200	3,200
Annual IC Time Burden (Hours)	1,600	1,600
Annual IC Cost Burden (Dollars)	112,320	112,320

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
MIST Brochure	Attachment C - MIST Brochure.pdf	07/30/2014
MIST Survey Correspondence	Attachment D - MIST Correspondence.pdf	07/30/2014

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