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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
2025 Area Screening Survey, a pilot study for the June Area Survey
Agency IC Tracking Number:
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 and Instruction
SurveyID
2025 Area Screener NY IL TX Version
0264 - June Area Screener Pilot Questionnaire to OMB NY IL TX _v2.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
SurveyID
2025 Area Screener CO, OR Version
0264- June Area Screener Pilot Questionnaire to OMB CO OR_v2.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Industry Sector Income Stabilization
Privacy Act System of Records
Title:
SORN
FR Citation:
74 FR 79
Number of Respondents:
12,000
Number of Respondents for Small Entity:
10,200
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Farms
Percentage of Respondents Reporting Electronically:
5 %
Approved
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
19,850
0
19,850
0
0
0
Annual IC Time Burden (Hours)
3,540
0
3,540
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
0264 - Sample Reminder Text Message Sent to Respondents
0264 - 20XX Sample Reminder Text Message Sent to Respondents - July 08, 2025.docx
08/28/2025
0264 - 2025 Area Sample Reminder E-Mail
0264 - 2025 Area Sample Reminder E-Mail.docx
08/28/2025
0264 - Area Map example - 1
0264 - Area Map example - 1.pdf
08/28/2025
0264 - Area Map example - 2
0264 - Area Map example - 2.pdf
08/28/2025
0264 - Area Map example - 3
0264 - Area Map example - 3.pdf
08/28/2025
0264 - 2025 Area Screening Survey, a pilot study for the June Area Survey - SSB - 2025
0264 - 2025 Area Screening Survey, a pilot study for the June Area Survey - SSB - 2025.docx
08/28/2025
0264 - 2025 Area Screening Survey, a pilot study for the June Area Survey - SSA - 2025
0264 - 2025 Area Screening Survey, a pilot study for the June Area Survey - SSA - 2025.docx
08/28/2025
0264 - 2025 Area Screener Survey Cover Letter
0264 - 2025_Area_Screening_Survey_Cover_Letter_.docx
08/28/2025
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.