Regional Office Visitor Survey

Clearance for the Collection of Qualitative Feedback

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0080 can be found here:

Documents and Forms

Document Name Document Type
G298 Regional Office Visitor Survey.docx www.surveymonkey.com/r/RO_Visitor_SurveyDraft Other-Survey
G298 Regional Office Visitor_Survey Submission Request.docx G298 Regional Office Visitor Survey Submission Request IC Document

Information Collection (IC) Details

IC Title:	Regional Office Visitor Survey	Agency IC Tracking Number:	G298

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-Survey			G298 Regional Office Visitor Survey.docx	https://www.surveymonkey.com/r/RO_Visitor_SurveyDraft	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 360	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	360	360
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
G298 Regional Office Visitor Survey Submission Request	G298 Regional Office Visitor_Survey Submission Request.docx	11/20/2018

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