Information Collection

Facilitated Process Evaluation - Private Sector Respondents

IC 265986 under ICR 202505-3320-002 · OMB 3320-0003.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3320-0003 (E) Facilitated Process Evaluation Facilitated Process Evaluation - Private Sector Respondents	Form and Instruction
3320-0003 (E) Facilitated Process Evaluation Facilitated Process Evaluation - Participant Questionnaire - 0003E.pdf	Form and Instruction
FACILI~4.PDF Screen Print of Electronic Version	IC Document

IC Title:

Agency IC Tracking Number:

0003E

Is this a Common Form? No

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
Form and Instruction	3320-0003 (E)				Yes	Yes	Fillable Fileable

Line of Business: Litigation and Judicial Activities

Subfunction: Resolution Facilitation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

Number of Respondents for Small Entity: 20

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	635	635

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Screen Print of Electronic Version		03/13/2024

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

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