Information Collection

Play/back 2016 Symposium Survey

IC 224193 under ICR 201509-3136-003 · OMB 3136-0140.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3136-0140 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Playback 2016 Symposium Survey.pdf www.surveymonkey.com/r/playbacksurvey	Other-Customer Satisfaction Survey
Generic Clearance Submission NEH Playback 2016 Symposium Survey.docx Generic Clearance Submission NEH Playback 2016 Symposium Survey	IC Document

IC Title:

Play/back 2016 Symposium Survey

Agency IC Tracking Number:

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-Customer Satisfaction Survey			Playback 2016 Symposium Survey.pdf	https://www.surveymonkey.com/r/playbacksurvey	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	200	200
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Clearance Submission NEH Playback 2016 Symposium Survey	Generic Clearance Submission NEH Playback 2016 Symposium Survey.docx	10/27/2016

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