Information Collection

State Government R&D Survey

IC 45082 under ICR 201903-0607-003 · OMB 0607-0933.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0933 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SRD-1 (State Agency Form) State Government R&D Survey	Form
Attachment A - Governors Letter.pdf	Other-Governors Letter
Attachment B1 - State Coordinator Email.docx	Other-State Coordinator Email
Attachment B2 - Survey Frame Review Module (State Coordinator).docx	Other-Survey Frame Review Module (St
Attachment C1 - Agency Email.docx	Other-Agency Email
SRD-1 (State Agency Form) Attachment C2 - SRD-1 (State Agency Form).pdf	Form
Attachment I - List of Individual Cognitive and Usability Testing Consultations.docx List of Consultants	IC Document

IC Title:

State Government R&D Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Governors Letter		Yes	Yes	Fillable Fileable
Other-State Coordinator Email		Yes	Yes	Fillable Fileable
Other-Survey Frame Review Module (State Coordinator)		Yes	Yes	Fillable Fileable
Other-Agency Email		Yes	Yes	Fillable Fileable
Form	SRD-1	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: 604

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	604	604
Annual IC Time Burden (Hours)	1,056	1,056
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
List of Consultants		02/24/2016

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

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