Information Collection

Utalization Records

IC 253867 under ICR 202107-0693-002 · OMB 0693-0090.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0693-0090 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Utilization Report Collection.pdf	Other-Information Collection
i Edison Privacy Act Statement .pdf Privacy Act Statement	IC Document
DOC Dept 23 SORN.pdf SORN	IC Document

IC Title:

Utalization Records

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 35 CFR 200-212 (To search for a specific CFR, visit the Code of Federal Regulations.)

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
Other-Information Collection			Utilization Report Collection.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Space Exploration and Innovation

Privacy Act System of Records

Title: DEPT-23, Information Collected Electronically in Connection with Department of Commerce Activities, Events, and Programs

FR Citation: 78 FR 42038

Number of Respondents: 3,063

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	67,386	67,386
Annual IC Time Burden (Hours)	16,847	16,847
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Privacy Act Statement	i Edison Privacy Act Statement .pdf	05/31/2022
SORN	DOC Dept 23 SORN.pdf	05/31/2022

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