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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Respondent Burden Study	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-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 %

	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

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.