Information Collection

Technology Partnerships Submission Form

IC 261132 under ICR 202309-1103-001 · OMB 1103-0117.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1103-0117 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Technology Partnerships Submission Form Survey Instrument.docx forms.fbi.gov/doing-business-with-the-fbi-submit-your-idea/	Other-submission form
Technology Partnerships Submission Form Survey Instrument.docx forms.fbi.gov/doing-business-with-the-fbi-submit-your-idea/	Other-submission form
1103-0117 Job Aid - Generic IC Template Technology Partnerships.docx Technology Partnerships Submission Form Generic IC	IC Document
1103-0117 Job Aid - Generic IC Template Technology Partnerships.docx Technology Partnerships Submission Form Generic IC	IC Document
ICR-PA (1103-0117).pdf Privacy Assessment	IC Document
ICR-PA (1103-0117).pdf Privacy Assessment	IC Document

IC Title:

Technology Partnerships Submission Form

Agency IC Tracking Number:

IC Status: Unchanged

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-submission form			Technology Partnerships Submission Form Survey Instrument.docx	https://forms.fbi.gov/doing-business-with-the-fbi-submit-your-idea/	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title: FBI Central Records System

FR Citation: 82 FR 24147

Number of Respondents: 35

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
	Requested	Previously Approved
Annual Number of Responses for this IC	35	35
Annual IC Time Burden (Hours)	6	6
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Technology Partnerships Submission Form Generic IC	1103-0117 Job Aid - Generic IC Template Technology Partnerships.docx	07/19/2023
Privacy Assessment	ICR-PA (1103-0117).pdf	07/19/2023

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