Information Collection

Emerging Leaders Initiatives

IC 221533 under ICR 201605-3245-002 · OMB 3245-0394.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3245-0394 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ELI Appendix A-1 Project Schedule 5-12-16.docx [email protected]	Other-Project Schedule
ELI Appendix B-1 Intake Survey Introduction 5-12-16.docx [email protected]	Other-Survey Introduction
ELI Appendix B-2 Survey Consent Form 5-12-16.docx [email protected]	Other-Consent Form
ELI Appendix B-3 Intake Survey 5-12-16.docx [email protected]	Other-Intake Survey
ELI Appendix B-4 Intake Survey Reminder 5-12-16.docx [email protected]	Other-Intake Survey Reminder
ELI Appendix B-5 Intake Survey Thank You 5-12-16.docx [email protected]	Other-Survey Thank you
ELI Appendix C-1 Feedback Survey Introduction 5-12-16.docx [email protected]	Other-Survey Feedback Introduction
ELI Appendix C-2 Feedback Survey 5-12-16.docx [email protected]	Other-Feedback Survey
ELI Appendix C-3 Feedback Survey Thank You_norev.docx [email protected]	Other-Feedback Survey Thank You
ELI Appendix D-1 Follow-up Survey Invitation 5-12-16.docx [email protected]	Other-Survey Invitation
ELI Appendix D-2 Follow-up Survey Introduction 5-12-16.docx [email protected]	Other-Follow-up Survey Introduction
ELI Appendix D-4 Follow-up Survey Thank You 5-12-16.docx [email protected]	Other-Survey Thank you

IC Title:

Emerging Leaders Initiatives

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Project Schedule	ELI Appendix A-1 Project Schedule 5-12-16.docx	[email protected]	Yes	No	Paper Only
Other-Survey Introduction	ELI Appendix B-1 Intake Survey Introduction 5-12-16.docx	[email protected]	Yes	No	Paper Only
Other-Consent Form	ELI Appendix B-2 Survey Consent Form 5-12-16.docx	[email protected]	Yes	Yes	Fillable Printable
Other-Intake Survey	ELI Appendix B-3 Intake Survey 5-12-16.docx	[email protected]	Yes	Yes	Fillable Printable
Other-Intake Survey Reminder	ELI Appendix B-4 Intake Survey Reminder 5-12-16.docx	[email protected]	Yes	No	Paper Only
Other-Survey Thank you	ELI Appendix B-5 Intake Survey Thank You 5-12-16.docx	[email protected]	Yes	No	Paper Only
Other-Survey Feedback Introduction	ELI Appendix C-1 Feedback Survey Introduction 5-12-16.docx	[email protected]	Yes	No	Paper Only
Other-Feedback Survey	ELI Appendix C-2 Feedback Survey 5-12-16.docx	[email protected]	Yes	Yes	Fillable Printable
Other-Feedback Survey Thank You	ELI Appendix C-3 Feedback Survey Thank You_norev.docx	[email protected]	Yes	No	Paper Only
Other-Survey Invitation	ELI Appendix D-1 Follow-up Survey Invitation 5-12-16.docx	[email protected]	Yes	No	Paper Only
Other-Follow-up Survey Introduction	ELI Appendix D-2 Follow-up Survey Introduction 5-12-16.docx	[email protected]	Yes	No	Paper Only
Other-Survey Thank you	ELI Appendix D-4 Follow-up Survey Thank You 5-12-16.docx	[email protected]	Yes	No	Paper Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,434

Number of Respondents for Small Entity: 4,434

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

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	4,434	4,434
Annual IC Time Burden (Hours)	1,340	1,340
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.