Information Collection

Research Participation Interest Form

IC 260151 under ICR 202010-1530-001 · OMB 1530-0023.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1530-0023 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
FDG Screener Survey Research Participation Interest Form	Form
FDG Screener Survey Research Participation Screening Survey.pdf	Form
Generic_Clearance_Submission_Research Interest Form.docx Request for Approval	IC Document

IC Title:

Research Participation Interest Form

Agency IC Tracking Number:

IC Status: New

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	NA				Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval		05/11/2023

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

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