Information Collection

Technology Partnerships OMBudsmen Reporting Requirements

IC 23444 under ICR 201904-1910-002 · OMB 1910-5118.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1910-5118 can be found here:

Documents and Forms

Document Name Document Type
Collection Instrument - Technology Transfer.docx Other-Questionnaire

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Technology Partnerships Ombudsmen Reporting Requirements	Agency IC Tracking Number:	Harmonick, Phillip

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Questionnaire			Collection Instrument - Technology Transfer.docx		Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 17	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	68	-20	88
Annual IC Time Burden (Hours)	17	-33	50
Annual IC Cost Burden (Dollars)	850	850	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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