Blue Star Museums Participant Survey Summer 2016

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⚠️ Notice: This information collection may be referencing outdated material.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 2016 Form and Instruction
1 Blue Star Museums Participant Survey Instrument Summer 2 Survey Summer 2016_8 26 16.docx Form and Instruction
Generic Clearance Submission Form_Blue Star Museums 2016.docx Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” - Blue Star Museums 2016 IC Document

Information Collection (IC) Details

IC Title:	Blue Star Museums Participant Survey Summer 2016	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 Participant Survey Instrument Summer 2016	Survey Summer 2016_8 26 16.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 800	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	800	800
Annual IC Time Burden (Hours)	267	267
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” - Blue Star Museums 2016	Generic Clearance Submission Form_Blue Star Museums 2016.docx	08/29/2016

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