BEP 2017 Science and Technology Week Visitor Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1559-0041 can be found here:

Documents and Forms

Document Name Document Type
2017 BEP Science and Technology Week Participation Survey.docx Other-Survey
Survey Clearance Request - Science and Technology Week Visitor Survey 2017.docx Justification Statement IC Document

Information Collection (IC) Details

IC Title:	BEP 2017 Science and Technology Week Visitor 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
Other-Survey			2017 BEP Science and Technology Week Participation Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification Statement	Survey Clearance Request - Science and Technology Week Visitor Survey 2017.docx	10/20/2017

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