Information Collection

Respondent Burden Study

IC 236208 under ICR 201708-1220-004 · OMB 1220-0141.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0141 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
OMB Package_Respondent Burden_190612.docx	Other-Survey Protocols
OMB Package_Respondent Burden_190612.docx Note to Reviewer - Reducing Respondent Burden	IC Document

IC Title:

Respondent Burden Study

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-Survey Protocols			OMB Package_Respondent Burden_190612.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: 1,035

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,035	1,035
Annual IC Time Burden (Hours)	253	253
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Note to Reviewer - Reducing Respondent Burden	OMB Package_Respondent Burden_190612.docx	06/28/2019

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