Information Collection

G256: eMod Text Pilot Program Questionnaire

IC 227317 under ICR 201705-0651-002 · OMB 0651-0080.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0080 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
G256 eMod Text Pilot Program Questionnaire.pdf	Other-Questionnaire
G256- eMod Text Pilot Program Submission Request.docx G256 eMod Text Pilot Program Questionnaire	IC Document

IC Title:

G256: eMod Text Pilot Program Questionnaire

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
Other-Questionnaire			G256 eMod Text Pilot Program Questionnaire.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

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	100	100
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
G256 eMod Text Pilot Program Questionnaire	G256- eMod Text Pilot Program Submission Request.docx	06/29/2017

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