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G417: Pre-Application Assessment Program Registration and Survey
Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0651-0080
IC ID: 270959
OMB.report
DOC/PTO
OMB 0651-0080
ICR 202408-0651-003
IC 270959
( )
Documents and Forms
Document Name
Document Type
G417: Pre-Application Assessment Program Registration and Survey
Form
G417 Pre-Application Assessment Program Survey Questions.docx
Other-Survey
G417 Pre-Application Assessment Program Survey Questions.docx
Other-Survey
Pre-Application Assessment Program Interest Form
G417 Pre_Application Assessment Program Interest Form.docx
Form
Pre-Application Assessment Program Interest Form
G417 Pre_Application Assessment Program Interest Form.docx
Form
G417 Pre-Application Assessment Program Registration & Survey Submission Request 2024.docx
G417 Pre-Application Assessment Program Registration &Survey Submission Request
IC Document
G417 Pre-Application Assessment Program Registration & Survey Submission Request 2024.docx
G417 Pre-Application Assessment Program Registration &Survey Submission Request
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
G417: Pre-Application Assessment Program Registration and Survey
Agency IC Tracking Number:
G417
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
Form
N/A
Pre-Application Assessment Program Interest Form
G417 Pre_Application Assessment Program Interest Form.docx
Yes
Yes
Fillable Fileable
Other-Survey
G417 Pre-Application Assessment Program Survey Questions.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Intellectual Property Protection
Privacy Act System of Records
Title:
PAT-TM-19: Dissemination Events and Registrations
FR Citation:
71 FR 77739
Number of Respondents:
660
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
660
0
660
0
0
0
Annual IC Time Burden (Hours)
58
0
58
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
G417 Pre-Application Assessment Program Registration &Survey Submission Request
G417 Pre-Application Assessment Program Registration & Survey Submission Request 2024.docx
09/13/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.