Information Collection

Product Use Survey

IC 232559 under ICR 201804-1405-001 · OMB 1405-0193.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0193 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SV-2017-0002 Product Use Survey	Form
SV-2017-0002 Product Use Survey Additional Questions_Product Use Survey.docx	Form
Additional Questions_ Generic Clearance Submission_Product Use Survey.doc Generic Clearance - Supporting Statement	IC Document

IC Title:

Product Use Survey

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	SV-2017-0002	Product Use Survey	Additional Questions_Product Use Survey.docx		Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Clearance - Supporting Statement	Additional Questions_ Generic Clearance Submission_Product Use Survey.doc	08/07/2018

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