Information Collection

Ecosystem Questionnaire for States and Territories to Inform CHIPS R&D Facility Site Selection Process

IC 269198 under ICR 202407-0693-001 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Natcast_Ecosystem Questionnaire 07-05-24.pdf	Other-Questionnaire
Natcast_Ecosystem Questionnaire_Updated post FRN_07.15.24 - CLEAN-508C.pdf	Other-Questionnaire
Supporting Statement_Emergency Clearance Ecosystem Questionnaire 07.05.24 FINAL.docx Supporting Statement	IC Document
Supporting Statement_Emergency Clearance Ecosystem Questionnaire 07.05.24 FINAL.docx Supporting Statement	IC Document
FINAL USLL Letter to OIRA 07.03.24.pdf Emergency Justification Letter	IC Document
FINAL USLL Letter to OIRA 07.03.24.pdf Emergency Justification Letter	IC Document
Published FRN.pdf Published FRN	IC Document
Published FRN.pdf Published FRN	IC Document
Supporting Statement_Emergency Clearance Ecosystem Questionnaire_Post FRN_7.15.24 - CLEAN.docx Supporting Statement	IC Document

IC Title:

Agency IC Tracking Number:

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-Questionnaire			Natcast_Ecosystem Questionnaire_Updated post FRN_07.15.24 - CLEAN-508C.pdf		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: 56

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	56	56
Annual IC Time Burden (Hours)	560	560
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Emergency Justification Letter	FINAL USLL Letter to OIRA 07.03.24.pdf	07/05/2024
Published FRN	Published FRN.pdf	07/05/2024
Supporting Statement	Supporting Statement_Emergency Clearance Ecosystem Questionnaire_Post FRN_7.15.24 - CLEAN.docx	07/16/2024

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