Information Collection

Interview Survey Form

IC 33582 under ICR 201909-0705-004 · OMB 0705-0004.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0705-0004 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form INV 10 Interview Survey Form	Form and Instruction
INV 10 Interview Survey Form INV 10-Sample Front--5-2019 DMS FINAL.DOC	Form and Instruction
INV 10 Interview Survey Form INV 10-Doublesided_Letterhead_Sample-4-2019.pdf	Form and Instruction

IC Title:

Interview Survey Form

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	INV 10	Interview Survey Form	INV 10-Sample Front--5-2019 DMS FINAL.DOC		No		Paper Only
Form and Instruction	INV 10	Interview Survey Form	INV 10-Doublesided_Letterhead_Sample-4-2019.pdf		No		Paper Only

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 67,391

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	67,391	5,418	61,973
Annual IC Time Burden (Hours)	6,739	542	6,197
Annual IC Cost Burden (Dollars)	119,031	119,031	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.