Information Collection

2017 Economic Census for Island Areas Pretesting

IC 223122 under ICR 201607-0607-003 · OMB 0607-0978.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0978 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2017 Economic Cens 2017 Economic Census for Island Areas Pretesting	Form and Instruction
2017 Economic Cens 2017 Economic Census for Island Areas New Questions 2017 Island Areas draft questions.docx	Form and Instruction
Pretesting Request - 2017 Island Areas Content Testing.docx Memo	IC Document
2017 Island Areas Protocol v2.docx Protocol	IC Document

IC Title:

2017 Economic Census for Island Areas Pretesting

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	2017 Economic Census for Island Areas New Question	2017 Economic Census for Island Areas New Questions	2017 Island Areas draft questions.docx		Yes	Yes	Fillable Printable

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)	14	14
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Memo	Pretesting Request - 2017 Island Areas Content Testing.docx	08/19/2016
Protocol	2017 Island Areas Protocol v2.docx	08/19/2016

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