Information Collection

G258-Dallas and San Jose Recruitment Outreach

IC 221905 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⚠️ Notice: This information collection may be referencing outdated material.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 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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.