Information Collection

May 2016 Mail Test

IC 221078 under ICR 201601-0607-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Enclosure 2 Survey Screen Shots.docx	Other-Screen Shots from Survey
OMB_May 2016.docx Memo	IC Document
Enclosure 1 Mail Materials.docx Mail Materials	IC Document

IC Title:

May 2016 Mail Test

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 13 CFR 141, 193 (To search for a specific CFR, visit the Code of Federal Regulations.)

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-Screen Shots from Survey			Enclosure 2 Survey Screen Shots.docx		Yes	Yes	Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 8,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	8,000	8,000
Annual IC Time Burden (Hours)	2,000	2,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Memo	OMB_May 2016.docx	04/14/2016
Mail Materials	Enclosure 1 Mail Materials.docx	04/14/2016

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