Information Collection

G255 STEPP Pilot Program Surveys

IC 221214 under ICR 201506-0651-003 · OMB 0651-0080.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0080 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form G255-1 G255 STEPP Pilot Program Surveys	Form
G255-1 STEPP Evaluation STEPP Eval1.pdf	Form
G255-2 STEPP Needs Assessment Survey STEPP Needs1.pdf	Form
G255-3 STEPP PIlot Interest Form STEPP Pilot Interest Form 4-21-16.pdf	Form
G255 STEPP Program Survey.docx G255 STEPP Pilot Program Survey Submission Request	IC Document

IC Title:

G255 STEPP Pilot Program Surveys

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	G255-1	STEPP Evaluation	STEPP Eval1.pdf	Yes	Yes	Fillable Fileable
Form	G255-2	STEPP Needs Assessment Survey	STEPP Needs1.pdf	Yes	Yes	Fillable Fileable
Form	G255-3	STEPP PIlot Interest Form	STEPP Pilot Interest Form 4-21-16.pdf	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 536

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

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	536	536
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
G255 STEPP Pilot Program Survey Submission Request	G255 STEPP Program Survey.docx	04/22/2016

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