Blue Star Museums Participant Survey Summer 2015

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3135-0130 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Blue Star Museums Participant Survey Summer 2015 Form and Instruction
1 Blue Star Museums Survey Instrument Attachment 1 Survey Summer 2015 9.15.15.docx Form and Instruction
Generic Clearance Submission Form_Blue Star Museums 2015 8 20 15.docx BSM Generic Clearance Submission Form IC Document

Information Collection (IC) Details

IC Title:	Blue Star Museums Participant Survey Summer 2015	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
Form and Instruction	1	Blue Star Museums Survey Instrument	Attachment 1 Survey Summer 2015 9.15.15.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 760	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	760	760
Annual IC Time Burden (Hours)	253	253
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
BSM Generic Clearance Submission Form	Generic Clearance Submission Form_Blue Star Museums 2015 8 20 15.docx	09/16/2015

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