Information Collection

Tipping Survey

IC 215049 under ICR 201601-1545-010 · OMB 1545-2261.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2261 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2016 Tipping Annotated Questionnaire 10-23-15.docx	Other-Survey
sample i-Say Survey Reminder .msg	Other-Follow-up Email
sample generic invite.msg	Other-Survey Invite

IC Title:

Tipping Survey

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	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	2016 Tipping Annotated Questionnaire 10-23-15.docx	Yes	Yes	Fillable Fileable
Other-Follow-up Email	sample i-Say Survey Reminder .msg	Yes	No	Printable Only
Other-Survey Invite	sample generic invite.msg	Yes	No	Printable Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 461,540

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	60,000	-94,000	154,000
Annual IC Time Burden (Hours)	11,144	6,427	4,717
Annual IC Cost Burden (Dollars)	0	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.