Information Collection

G421: Public Engagement Partnership (PEP) Survey

IC 271000 under ICR 202408-0651-003 · OMB 0651-0080.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
G421 PEP Survey.pdf	Other-Survey
G421 PEP Survey.pdf	Other-Survey
G421 PEP Survey Submission Request.docx G421 PEP Survey Submission Request	IC Document
G421 PEP Survey Submission Request.docx G421 PEP Survey Submission Request	IC Document

IC Title:

Agency IC Tracking Number:

G421

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-Survey			G421 PEP Survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 100

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	83	83
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
G421 PEP Survey Submission Request	G421 PEP Survey Submission Request.docx	09/17/2024

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