Information Collection

2017 Annual Survey of Businesses Cog Testing

IC 227178 under ICR 201606-0607-003 · OMB 0607-0725.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0725 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 2017 Annual Survey of Businesses Cog Testing	Form and Instructi
1 Annual Survey of Businesses Questionnaire Attachment B 2017 ASB Questions.docx	Form and Instruction
ASB OMB Letter.docx OMB Memo	IC Document
Attachement A 2017 ASB protocol.docx Protocol	IC Document
Attachment C_Consent Form.doc Consent Form	IC Document

IC Title:

2017 Annual Survey of Businesses Cog Testing

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
Form and Instruction	1	Annual Survey of Businesses Questionnaire	Attachment B 2017 ASB Questions.docx		No		Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

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
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Memo	ASB OMB Letter.docx	06/14/2017
Protocol	Attachement A 2017 ASB protocol.docx	06/14/2017
Consent Form	Attachment C_Consent Form.doc	06/14/2017

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