Information Collection

General Preference Questionnaire

IC 207522 under ICR 201509-0920-003 · OMB 0920-0981.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
General Preference Questionnaire	Form and Instruction
Reformatted General Preference Questionnaire.docx	Other-WORD
General Preference Questionnaire Appendix G_General Preference Questionnaire.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	General Preference Questionnaire	Appendix G_General Preference Questionnaire.docx		Yes	No	Paper Only
Other-WORD			Reformatted General Preference Questionnaire.docx		No	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 25

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	25	25
Annual IC Time Burden (Hours)	13	13
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.