Federal Statistical System Public Opinion Survey

Documents and Forms

Document Name Document Type
Form FSS POS Federal Statistical System Public Opinion Survey Form
Attachment A.docx Other-Core Questions
Attachment B.docx Other-Example Questions for Gallup S
FSS POS FSS POS Attachment C.xlsx Form
Attachment D.pdf Attachment D IC Document
Attachment E.pdf Attachment E IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Federal Statistical System Public Opinion Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 13 CFR Chapter 5 Sections 141 and 193 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FSS POS	FSS POS	Attachment C.xlsx	Yes	Yes	Paper Only
Other-Core Questions			Attachment A.docx	Yes	Yes	Fillable Fileable
Other-Example Questions for Gallup Survey			Attachment B.docx	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 44,200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	44,200	44,200
Annual IC Time Burden (Hours)	7,367	7,367
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment D	Attachment D.pdf	08/27/2015
Attachment E	Attachment E.pdf	08/27/2015

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