View Information Collection (IC)
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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Screening/Participation Instruments
Agency IC Tracking Number:
Is this a Common Form?
No
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-Acknowledgement Letter
PRA tool Acknowledgement Letter to Participants 0511.doc
No
Paper Only
Other-Consent Form
PRA tool consent forms 051111.doc
No
Paper Only
Other-Recruitment Script
PRA tool consumer recruitment phone script.doc
No
Paper Only
Other-Recruitment Script
PRA tool industry recruitment phone script.doc
No
Paper Only
Other-Moderator's Guide
PRA tool moderators guide consumer 0511.docx
No
Paper Only
Other-Moderator's Guide
PRA tool moderators guide industry 0511.docx
No
Paper Only
Other-Participant Questionaire
PRA tool participant questionaire 051111.doc
No
Paper Only
Other-Participant Reminder
PRA tool Participant Reminder Telephone Script 0511.doc
No
Paper Only
Other-Scenario Cards
PRA tool scenario cards 051111.doc
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Industry Sector Income Stabilization
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
230
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
230
0
230
0
0
0
Annual IC Time Burden (Hours)
315
0
315
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Description of Study/Overview
Description of Study-Overview.doc
04/05/2011
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.