Information Collection

Quarterly Product Fulfillment Survey FY21

IC 243559 under ICR 201802-1525-002 · OMB 1525-0012.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1525-0012 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1525-0012 - Quarterly Product Fulfillment Survey FY21 Questionnaire.docx	Other-Survey
1525-0012 - Quarterly Product Fulfillment Research FY21 Justification.docx Quarterly Product Fulfillment Research FY21 Justification	IC Document
CY2021 (2QFY21 - 1QFY22) Product Fulfillment Sample Request.docx CY2021 (2QFY21 - 1QFY22) Product Fulfillment Sample Request	IC Document

IC Title:

Quarterly Product Fulfillment Survey FY21

Agency IC Tracking Number:

1525-0012-0236

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			1525-0012 - Quarterly Product Fulfillment Survey FY21 Questionnaire.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: 12,000

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	12,000	12,000
Annual IC Time Burden (Hours)	2,000	2,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Quarterly Product Fulfillment Research FY21 Justification	1525-0012 - Quarterly Product Fulfillment Research FY21 Justification.docx	09/22/2020
CY2021 (2QFY21 - 1QFY22) Product Fulfillment Sample Request	CY2021 (2QFY21 - 1QFY22) Product Fulfillment Sample Request.docx	09/10/2020

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