Information Collection

QBS-2021-1 - Business Response to the Coronavirus Pandemic

IC 246933 under ICR 202108-1220-002 · OMB 1220-0198.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0198 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form QBS-2021-1 QBS-2021-1 - Business Response to the Coronavirus Pandemic	Form
QBS-2021-1 QCEW Business Supplement-2021-1 QBS_Web_Screenshots_2021.pdf	Form
QBS-2021-1 QCEW Business Supplement-2021-1 QBS_Web_Screenshots_2021.pdf	Form
QBS-2021-1.1 QCEW Business Supplement-2021-1 Follow-up QBS_Q3_Follow-up_Screenshot.pdf	Form and Instruction
QBS-2021-1.1 QCEW Business Supplement-2021-1 Follow-up QBS_Q3_Follow-up_Screenshot.pdf	Form and Instruction
QBS_Q3_Follow-up_Email.docx Question 3 Follow-up Email	IC Document
QBS_Q3_Follow-up_Email.docx Question 3 Follow-up Email	IC Document

IC Title:

QBS-2021-1 - Business Response to the Coronavirus Pandemic

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	QBS-2021-1	QCEW Business Supplement-2021-1	QBS_Web_Screenshots_2021.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	QBS-2021-1.1	QCEW Business Supplement-2021-1 Follow-up	QBS_Q3_Follow-up_Screenshot.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 149,250

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Farms, Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	149,367	117	149,250
Annual IC Time Burden (Hours)	12,447	9	12,438
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Question 3 Follow-up Email	QBS_Q3_Follow-up_Email.docx	08/31/2021

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