Information Collection

Records Protocol Feasiblity Study

IC 214698 under ICR 201608-1220-001 · OMB 1220-0141.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0141 can be found here:

Documents and Forms

Document Name Document Type
Form CE Records Protocol Feasiblity Study Form
CE CE Records Protocol Feasibility Instrument Records Protocol Feasibility Test Instrument Screenshots.pdf Form
Note to Reviewere - CE Records Feasiblity Study 2-12-15.docx Note to Reviewer - Records Feasiblity Study IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Records Protocol Feasiblity Study	Agency IC Tracking Number:	21508

IC Status: Unchanged

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	CE	CE Records Protocol Feasibility Instrument	Records Protocol Feasibility Test Instrument Screenshots.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	133	133
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Note to Reviewer - Records Feasiblity Study	Note to Reviewere - CE Records Feasiblity Study 2-12-15.docx	02/17/2015

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