ASM Robotics

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⚠️ Notice: This information collection may be referencing outdated material.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 ASM Robotics Form and Instructi
1 Version A Questions Appendix A - ASM robotics draft A.docx Form and Instruction
2 Version B Questions Appendix B - ASM robotics draft B.docx Form and Instruction
3 Version C Questions Appendix C - ASM robotics draft C.docx Form and Instruction
4 Version D Questions Appendix D - ASM robotics draft D.docx Form and Instruction
2017 ASM Robotics OMB Letter 092217.docx OMB Memo IC Document
Appendix E - 2017 ASM Robotics Protocol Versions A and B.docx Protocol for A and B Versions IC Document
Appendix F - 2017 ASM Robotics Protocol Versions C and D.docx Protocol for C and D Versions IC Document
Appendix G - ASM robotics Recruiting Script.docx Recruitment Screener IC Document

Information Collection (IC) Details

IC Title:	ASM Robotics	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	1	Version A Questions	Appendix A - ASM robotics draft A.docx	No	Fillable Fileable
Form and Instruction	2	Version B Questions	Appendix B - ASM robotics draft B.docx	No	Fillable Fileable
Form and Instruction	3	Version C Questions	Appendix C - ASM robotics draft C.docx	No	Fillable Fileable
Form and Instruction	4	Version D Questions	Appendix D - ASM robotics draft D.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: 40	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	40	40
Annual IC Time Burden (Hours)	81	81
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Memo	2017 ASM Robotics OMB Letter 092217.docx	09/22/2017
Protocol for A and B Versions	Appendix E - 2017 ASM Robotics Protocol Versions A and B.docx	09/22/2017
Protocol for C and D Versions	Appendix F - 2017 ASM Robotics Protocol Versions C and D.docx	09/22/2017
Recruitment Screener	Appendix G - ASM robotics Recruiting Script.docx	09/22/2017

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