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Evaluation of Roster Program (Referral Searcher) - IC for Private Sector Respondents
Program Evaluation Instruments - Roster Program Services (Two Instruments)
OMB: 3320-0005
IC ID: 185855
OMB.report
MKU-SLUF
OMB 3320-0005
ICR 201012-3320-007
IC 185855
( )
Documents and Forms
Document Name
Document Type
Form 3320-0005(1)
Evaluation of Roster Program (Referral Searcher) - IC for Private Sector Respondents
Form and Instruction
3320-0005(1) Roster Services - Searcher Questionnaire (Rev 2011)
Roster Services Searcher Questionnaire _Rev 2012.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Evaluation of Roster Program (Referral Searcher) - IC for Private Sector Respondents
Agency IC Tracking Number:
0005c Referrals
Is this a Common Form?
No
IC Status:
Modified
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
3320-0005(1)
Roster Services - Searcher Questionnaire (Rev 2011)
Roster Services Searcher Questionnaire _Rev 2012.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Litigation and Judicial Activities
Subfunction:
Resolution Facilitation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
60
Number of Respondents for Small Entity:
6
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
90 %
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
60
0
0
0
0
60
Annual IC Time Burden (Hours)
4
0
0
-2
0
6
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.