Information Collection

Emerging Technology Fellowship Application

IC 267776 under ICR 202405-0690-001 · OMB 0690-0038.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Updated-xd-application-form-04-24-24_1.pdf	Other-Application
Updated-xd-application-form-04-24-24_1.pdf	Other-Application
0690-0038 Generic Clearance Emerging Technology Fellowship Application Submission.docx 0690-0038 Generic Clearance Emerging Technology Fellowship Application Submission	IC Document
0690-0038 Generic Clearance Emerging Technology Fellowship Application Submission.docx 0690-0038 Generic Clearance Emerging Technology Fellowship Application Submission	IC Document
Census Privacy Act Statement - ETF Form_1_05162024.docx Census Privacy Act Statement - ETF Form 1 05162024	IC Document
Census Privacy Act Statement - ETF Form_1_05162024.docx Census Privacy Act Statement - ETF Form 1 05162024	IC Document

IC Title:

Agency IC Tracking Number:

Census

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-Application			Updated-xd-application-form-04-24-24_1.pdf		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: 700

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	Previously Approved
Annual Number of Responses for this IC	700	700
Annual IC Time Burden (Hours)	58	58
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
0690-0038 Generic Clearance Emerging Technology Fellowship Application Submission	0690-0038 Generic Clearance Emerging Technology Fellowship Application Submission.docx	05/20/2024
Census Privacy Act Statement - ETF Form 1 05162024	Census Privacy Act Statement - ETF Form_1_05162024.docx	05/20/2024

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