G255 STEPP Pilot Program Surveys

Clearance for the Collection of Qualitative Feedback

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

IC Title:	G255 STEPP Pilot Program Surveys	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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 %

	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

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.