2017 Annual Survey of Businesses Cog Testing

Generic Clearance for Questionnaire Pretesting Research

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.