Information Collection

Custom Work Survey

IC 235165 under ICR 201908-0535-005 · OMB 0535-0266.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0535-0266 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form QID Custom Work Survey	Form and Instruction
QID Custom Rates Survey NEW - Custom Work Questionnaire Master 2019Mar04.docx	Form and Instruction
QID Custom Rates -Master NEW - Custom Work Questionnaire Master 2019 Rev Aug 19.docx	Form and Instruction

IC Title:

Custom Work 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.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	QID	Custom Rates Survey	NEW - Custom Work Questionnaire Master 2019Mar04.docx		Yes	Yes	Fillable Fileable
Form and Instruction	QID	Custom Rates -Master	NEW - Custom Work Questionnaire Master 2019 Rev Aug 19.docx		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records

Title: SORN

FR Citation: 74 FR 79

Number of Respondents: 33,205

Number of Respondents for Small Entity: 30,881

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	33,205	33,205
Annual IC Time Burden (Hours)	12,277	12,277
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.