Information Collection

Technology Partnerships OMBudsmen Reporting Requirements

IC 23444 under ICR 202205-1910-001 · OMB 1910-5118.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1910-5118 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Collection Instrument - Technology Transfer -Final.docx	Other-Email Questionnaire
Collection Instrument - Technology Transfer -Final.docx	Other-Email Questionnaire

IC Title:

Technology Partnerships Ombudsmen Reporting Requirements

Agency IC Tracking Number:

Harmonick, Phillip

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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-Email Questionnaire			Collection Instrument - Technology Transfer -Final.docx		Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 17

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	68	0	68
Annual IC Time Burden (Hours)	17	0	17
Annual IC Cost Burden (Dollars)	1,230	380	850

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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