Information Collection

Organizational Assessment Surveys

IC 229874 under ICR 201712-3206-005 · OMB 3206-0252.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0252 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OA1 Organizational Assessment Surveys	Form
OA1 Organizational Assessment Survey 3206-0252_Organizational Assessment Survey_v2.docx	Form

IC Title:

Organizational Assessment Surveys

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
Form	OA1	Organizational Assessment Survey	3206-0252_Organizational Assessment Survey_v2.docx		Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	4,640	4,640

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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