Information Collection

Individuals or Households

IC 259784 under ICR 202304-3060-011 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Demographic Survey Screenshots (v10)_final.pdf	Other-Demographic Survey Screenshot
Demographic Survey Screenshots (v10)_final.pdf	Other-Demographic Survey Screenshot

IC Title:

Agency IC Tracking Number:

OWD

Is this a Common Form? No

IC Status: New

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-Demographic Survey Screenshot			Demographic Survey Screenshots (v10)_final.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 675

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	675	675
Annual IC Time Burden (Hours)	57	57
Annual IC Cost Burden (Dollars)	0	0

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.