BIS Public Health Industrial Base Survey (PHIB).

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0690-0030 can be found here:

Documents and Forms

Document Name Document Type
BIS Public Health Industrial Base Survey (PHIB). Form
BIS Public Health Industrial Base Survey (PHIB) BIS Public Health Industrial Base Survey (PHIB) Questions.docx Form
BIS Public Health Survey Fast Track Request.docx BIS Public Health Industrial Base Survey (PHIB) Generic Request Form IC Document

Information Collection (IC) Details

IC Title:	BIS Public Health Industrial Base Survey (PHIB).	Agency IC Tracking Number:	BIS

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NA	BIS Public Health Industrial Base Survey (PHIB)	BIS Public Health Industrial Base Survey (PHIB) Questions.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 110	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	110	110
Annual IC Time Burden (Hours)	220	220
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
BIS Public Health Industrial Base Survey (PHIB) Generic Request Form	BIS Public Health Survey Fast Track Request.docx	10/23/2020

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