G258-Dallas and San Jose Recruitment Outreach

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⚠️ Notice: This information collection may be referencing outdated material.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 G258-1 G258-Dallas and San Jose Recruitment Outreach Form
G258-1 Survey Questions G258 Survey Questions.docx Form
G258 Dallas and SJ Recruitment Outreach Submission Request.docx G258 Dallas and San Jose Recruitment Outreach IC Document

Information Collection (IC) Details

IC Title:	G258-Dallas and San Jose Recruitment Outreach	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	G258-1	Survey Questions	G258 Survey Questions.docx		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 90	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	90	90
Annual IC Time Burden (Hours)	18	18
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
G258 Dallas and San Jose Recruitment Outreach	G258 Dallas and SJ Recruitment Outreach Submission Request.docx	06/13/2016

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