G256: eMod Text Pilot Program Questionnaire

Clearance for the Collection of Qualitative Feedback

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

IC Title:	G256: eMod Text Pilot Program Questionnaire	Agency IC Tracking Number:

IC Status: New

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
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 %

	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

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.