Information Collection

2015 927 FTC Questionnaire_Feedback - 2015 929 PalmettoGBA JM

IC 217331 under ICR 201412-1090-002 · OMB 1090-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0008 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 927 2015 927 FTC Questionnaire_Feedback - 2015 929 PalmettoGBA JM	Form and Instruction
927 2015 927 FTC Questionnaire_Feedback 2015 927 FTC Questionnaire_Feedback.xlsx	Form and Instruction
928 2015 928 HRSA VA 2015 928 HRSA V3 June 29 2015.xlsx	Form and Instruction
929 2015 929 PalmettoGBA JM 2015 929 PalmettoGBA JM.xlsx	Form and Instruction

IC Title:

2015 927 FTC Questionnaire_Feedback - 2015 929 PalmettoGBA JM

Agency IC Tracking Number:

927 - 929

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	927	2015 927 FTC Questionnaire_Feedback	2015 927 FTC Questionnaire_Feedback.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	928	2015 928 HRSA VA	2015 928 HRSA V3 June 29 2015.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	929	2015 929 PalmettoGBA JM	2015 929 PalmettoGBA JM.xlsx	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10,800

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	10,800	10,800
Annual IC Time Burden (Hours)	450	450
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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