G412: Join the List Survey

Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Documents and Forms

Document Name Document Type
G412 Join the List Survey 2024 Questions.pdf Other-Survey
G412 Join the List Survey 2024 Questions.pdf Other-Survey
G412 Join the List Survey 2024 Submission Request.docx G412 Join the List Survey Submission Request IC Document
G412 Join the List Survey 2024 Submission Request.docx G412 Join the List Survey Submission Request IC Document

Information Collection (IC) Details

IC Title:	G412: Join the List Survey	Agency IC Tracking Number:	G412

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			G412 Join the List Survey 2024 Questions.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records
Title: COMMERCE/PAT-TM-19 Dissemination Events and Registrations	FR Citation: 71 FR 77739

Number of Respondents: 400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
G412 Join the List Survey Submission Request	G412 Join the List Survey 2024 Submission Request.docx	09/09/2024

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