Information Collection

Quarterly Product Fulfillment Survey FY21

IC 243559 under ICR 202110-1525-003 · OMB 1525-0012.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1525-0012 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1525-0012 - Quarterly Product Fulfillment Survey FY21 Questionnaire.docx	Other-Survey
1525-0012 - Quarterly Product Fulfillment Survey FY21 Questionnaire.docx	Other-Survey
1525-0012 - Quarterly Product Fulfillment Research FY21 Justification.docx Quarterly Product Fulfillment Research FY21 Justification	IC Document
1525-0012 - Quarterly Product Fulfillment Research FY21 Justification.docx Quarterly Product Fulfillment Research FY21 Justification	IC Document
CY2021 (2QFY21 - 1QFY22) Product Fulfillment Sample Request.docx CY2021 (2QFY21 - 1QFY22) Product Fulfillment Sample Request	IC Document
CY2021 (2QFY21 - 1QFY22) Product Fulfillment Sample Request.docx CY2021 (2QFY21 - 1QFY22) Product Fulfillment Sample Request	IC Document

IC Title:

Quarterly Product Fulfillment Survey FY21

Agency IC Tracking Number:

1525-0012-0236

IC Status: Removed

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
Other-Survey					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: 12,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-12,000	12,000
Annual IC Time Burden (Hours)	-2,000	2,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Quarterly Product Fulfillment Research FY21 Justification		09/22/2020
CY2021 (2QFY21 - 1QFY22) Product Fulfillment Sample Request		09/10/2020

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

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