Information Collection

CFTC SmartCheck Annual Campaign Impact Tracking Survey

IC 222844 under ICR 201610-3038-003 · OMB 3038-0114.

Documents and Forms

Document Name Document Type
Form 3038-0114 CFTC SmartCheck Annual Campaign Impact Tracking Survey Form and Instruction
3038-0114 SmartCheck Tracking Survey Questionnaire 0114- SmartCheck Tracking Survey Questionnaire_OCEO_Revised.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CFTC SmartCheck Annual Campaign Impact Tracking Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 17 CFR 165.12

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3038-0114	SmartCheck Tracking Survey Questionnaire	0114- SmartCheck Tracking Survey Questionnaire_OCEO_Revised.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,000	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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