Information Collection

FY16 FGP Pretesting

IC 219069 under ICR 201408-1220-002 · OMB 1220-0141.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0141 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Attachment A FY16 FGP Pretesting	Form and Instruction
Attachment A Establishment Protocol Attachment A - Establishment Protocol.docx	Form and Instruction
Attachment B Establishment Screening form Attachment B Establishment Screening form.docx	Form and Instruction
Attachment D Industry Protocol Attachment D - Industry Protocol.docx	Form and Instruction
Attachment G FGP Form Attachment G - FGP Form.docx	Form
Note to Reviewer - FGP Westat.docx Note to Reviewer - FGP Pretesting	IC Document

IC Title:

FY16 FGP Pretesting

Agency IC Tracking Number:

21602

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Attachment A	Establishment Protocol	Attachment A - Establishment Protocol.docx	Yes	No	Printable Only
Form and Instruction	Attachment B	Establishment Screening form	Attachment B Establishment Screening form.docx	Yes	No	Printable Only
Form and Instruction	Attachment D	Industry Protocol	Attachment D - Industry Protocol.docx	Yes	No	Printable Only
Form	Attachment G	FGP Form	Attachment G - FGP Form.docx	Yes	No	Printable Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 140

Number of Respondents for Small Entity: 0

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	140	140
Annual IC Time Burden (Hours)	116	116
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Note to Reviewer - FGP Pretesting	Note to Reviewer - FGP Westat.docx	11/24/2015

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