State Government R&D Survey

Survey of State Government Research & Development

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
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

Information Collection (IC) Details

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:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Governors Letter			Attachment A - Governors Letter.pdf	Yes	Yes	Fillable Fileable
Other-State Coordinator Email			Attachment B1 - State Coordinator Email.docx	Yes	Yes	Fillable Fileable
Other-Survey Frame Review Module (State Coordinator)			Attachment B2 - Survey Frame Review Module (State Coordinator).docx	Yes	Yes	Fillable Fileable
Other-Agency Email			Attachment C1 - Agency Email.docx	Yes	Yes	Fillable Fileable
Form	SRD-1	(State Agency Form)	Attachment C2 - SRD-1 (State Agency Form).pdf	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 %

	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

Title	Document	Date Uploaded
List of Consultants	Attachment I - List of Individual Cognitive and Usability Testing Consultations.docx	02/24/2016

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