Email Request For Feedback From Industry Partners (3DEP)

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0011 can be found here:

Documents and Forms

Document Name Document Type
NGPEmailQuestonsBroadbandIndustry.docx Other-Questionnaire Email
DI-4011 FT NGP BroadbandIndustry (1).pdf Request for Approval IC Document

Information Collection (IC) Details

IC Title:	Email Request For Feedback From Industry Partners (3DEP)	Agency IC Tracking Number:	2020-USGS-FT103

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-Questionnaire Email			NGPEmailQuestonsBroadbandIndustry.docx		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 9	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	27	27
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval	DI-4011 FT NGP BroadbandIndustry (1).pdf	06/24/2020

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