Information Collection

Individual Affected Party

IC 256473 under ICR 202210-1845-005 · OMB 1845-0159.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
1845-0159 Individual Affected Party 60D 2022.docx Other-Individual Affected Party
1845-0159 Individual Affected Party 60D 2022.docx Other-Individual Affected Party
Screener Pool Questions 2 rev.docx Other-Screener Pool Questions 2 rev
Screener Pool Questions 2 rev.docx Other-Screener Pool Questions 2 rev
FSA Research Participant Recruiting Questionnaire w burden statement.docx Other-FSA Research Participant Recru
FSA Research Participant Recruiting Questionnaire w burden statement.docx Other-FSA Research Participant Recru
Ongoing and Past Projects for FSA User Experience Design Research Gen IC 2022.docx Other-Ongoing and Past Projects for
Ongoing and Past Projects for FSA User Experience Design Research Gen IC 2022.docx Other-Ongoing and Past Projects for

Information Collection (IC) Details

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layout table

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-Individual Affected Party 1845-0159 Individual Affected Party 60D 2022.docx No   Paper Only
Other-Screener Pool Questions 2 rev Screener Pool Questions 2 rev.docx Email Yes Yes Fillable Fileable
Other-FSA Research Participant Recruiting Questionnaire FSA Research Participant Recruiting Questionnaire w burden statement.docx Email Yes Yes Fillable Fileable
Other-Ongoing and Past Projects for FSA User Exp Design Research Ongoing and Past Projects for FSA User Experience Design Research Gen IC 2022.docx No   Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 262,400 0 262,400 0 0 0
Annual IC Time Burden (Hours) 74,975 0 74,975 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.