Pollinator State of the Science Workshop Participant Evaluation Form.

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery - Department

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0503-0021 can be found here:

Documents and Forms

Document Name Document Type
OCE Generic Clearance Submission Template.docx Other-Evaluation
OCE Generic Clearance Submission Template.docx Pollinator State of the Science Workshop Participant Evaluation Form. IC Document

Information Collection (IC) Details

IC Title:	Pollinator State of the Science Workshop Participant Evaluation Form.	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-Evaluation			OCE Generic Clearance Submission Template.docx		Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 27	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	27	27
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Pollinator State of the Science Workshop Participant Evaluation Form.	OCE Generic Clearance Submission Template.docx	08/06/2020

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