Information Collection

Examiner Application

IC 179276 under ICR 201509-0693-001 · OMB 0693-0006.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0693-0006 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form None. Examiner Application	Form and Instruction
None. Baldrige Examiner Application Baldrige Examiner Application.042613.pdf	Form and Instruction

IC Title:

Examiner Application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

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 and Instruction	None.	Baldrige Examiner Application	Baldrige Examiner Application.042613.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 800

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-800	800
Annual IC Time Burden (Hours)	-800	800
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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