Information Collection

Blue Star Museums Participant Survey Summer 2017

IC 228216 under ICR 201410-3135-001 · OMB 3135-0130.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Blue Star Museums Participant Survey Summer 2017	Form and Instruction
1 Blue Star Museums Participant Survey Summer 2017 Blue Star Museums Survey 2017.docx	Form and Instruction
Generic Clearance Submission Form_Blue Star Museums 2017.docx Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” - Blue Star Museums 2017	IC Document

IC Title:

Blue Star Museums Participant Survey Summer 2017

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 and Instruction	1	Blue Star Museums Participant Survey Summer 2017	Blue Star Museums Survey 2017.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 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval under the âGeneric Clearance for the Collection of Routine Customer Feedbackâ - Blue Star Museums 2017	Generic Clearance Submission Form_Blue Star Museums 2017.docx	09/07/2017

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