Information Collection

State Government R&D Survey

IC 45082 under ICR 201708-0607-001 · OMB 0607-0933.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0933 can be found here:

Documents and Forms

Document Name Document Type
Form Survey Frame Revie State Government R&D Survey Form
SGRD_2017.pdf Other-Reference Copy of Electronic I
Attachment D - SGRD Governors Letter.pdf Other-Governors Letter
Attachment E - State Coordinator Email.docx Other-Email to State Coordinators
Attachment F - Agency Email.docx Other-Email to State Agency Responde
Attachment G - Business Help Site.docx Other-Statement of Survey Purpose fr
Survey Frame Revie Survey Frame Review Module Attachment A - Survey Frame Review Module.docx Form
Electronic Instrum Electronic Instrument - State Agency Respondents Attachment B - Centurion Collection Instrument.pdf Form
Attachment I - List of Individual Cognitive and Usability Testing Consultations.docx List of Consultants IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State Government R&D Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Survey Frame Review Module	Survey Frame Review Module	Attachment A - Survey Frame Review Module.docx	Yes	Yes	Fillable Fileable
Form	Electronic Instrument - State Agency Respondents	Electronic Instrument - State Agency Respondents	Attachment B - Centurion Collection Instrument.pdf	Yes	Yes	Fillable Fileable
Other-Reference Copy of Electronic Instrument			SGRD_2017.pdf	Yes	Yes	Fillable Fileable
Other-Governors Letter			Attachment D - SGRD Governors Letter.pdf	Yes	Yes	Fillable Fileable
Other-Email to State Coordinators			Attachment E - State Coordinator Email.docx	Yes	Yes	Fillable Fileable
Other-Email to State Agency Respondents			Attachment F - Agency Email.docx	Yes	Yes	Fillable Fileable
Other-Statement of Survey Purpose from Business Help Site			Attachment G - Business Help Site.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: 604	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	604	604
Annual IC Time Burden (Hours)	1,056	1,056
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
List of Consultants	Attachment I - List of Individual Cognitive and Usability Testing Consultations.docx	02/24/2016

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