Information Collection

Minority and Women-Owned Business Needs Assessment Survey

IC 228471 under ICR 201507-3133-001 · OMB 3133-0188.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3133-0188 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
MWOB Survey Questions_Final_Draft_092817.docx	Other-Survey
Fast-Track_GEN_IC_Template_MWOB Bus Needs Assessment 0928617.doc Fast-Track Gen IC Template, MWOB Needs Assessment	IC Document

IC Title:

Minority and Women-Owned Business Needs Assessment Survey

Agency IC Tracking Number:

OMWI

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
Other-Survey			MWOB Survey Questions_Final_Draft_092817.docx		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	60	60
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast-Track Gen IC Template, MWOB Needs Assessment	Fast-Track_GEN_IC_Template_MWOB Bus Needs Assessment 0928617.doc	09/28/2017

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