Minority and Women-Owned Business Needs Assessment Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.