Information Collection

Small Scale Mail-out Test

IC 216877 under ICR 201508-0607-008 · OMB 0607-0971.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0971 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
OMB enclosure 1.docx	Other-Various - letters and post car
OMB enclosure 2.docx	Other-Survey Screens
OMB06070971_July15.doc OMB Justification Statement	IC Document

IC Title:

Small Scale Mail-out Test

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Mandatory

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-Various - letters and post cards			OMB enclosure 1.docx		Yes	Yes	Fillable Fileable
Other-Survey Screens			OMB enclosure 2.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	6,000	6,000
Annual IC Time Burden (Hours)	1,300	1,300
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Justification Statement	OMB06070971_July15.doc	06/05/2015

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