Technology Partnerships OMBudsmen Reporting Requirements

Technology Partnerships Ombudsmen Reporting Requirements

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1910-5118 can be found here:

Documents and Forms

Document Name Document Type
Ombuds_QTR_Report_Form.pdf Other-Application

Information Collection (IC) Details

IC Title:	Technology Partnerships Ombudsmen Reporting Requirements	Agency IC Tracking Number:	Pamela Pontillo (HG)

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Application			Ombuds_QTR_Report_Form.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 22	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	88	88
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	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.