Information Collection

BEP 2017 Science and Technology Week Visitor Survey

IC 228735 under ICR 201802-1559-003 · OMB 1559-0041.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1559-0041 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2017 BEP Science and Technology Week Participation Survey.docx	Other-Survey
Survey Clearance Request - Science and Technology Week Visitor Survey 2017.docx Justification Statement	IC Document

IC Title:

BEP 2017 Science and Technology Week Visitor Survey

Agency IC Tracking Number:

IC Status: Unchanged

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			2017 BEP Science and Technology Week Participation Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification Statement	Survey Clearance Request - Science and Technology Week Visitor Survey 2017.docx	10/20/2017

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