Information Collection

CFTC SmartCheck Annual Campaign Impact Tracking Survey

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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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:

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.