Rural Fraud Research: Screening for Consumer 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⚠️ Notice: This information collection may be referencing outdated material.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 3084-0159 can be found here:

Documents and Forms

Document Name Document Type
Rural Screener Script - Survey.pdf Other-Screener Script
FTC Clearance Request for Rural Fraud Research - Respondent Screening.pdf FTC Clearance Request for Rural Fraud Rsch - Screening IC Document

Information Collection (IC) Details

IC Title:	Rural Fraud Research: Screening for Consumer 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-Screener Script			Rural Screener Script - Survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
FTC Clearance Request for Rural Fraud Rsch - Screening	FTC Clearance Request for Rural Fraud Research - Respondent Screening.pdf	08/23/2017

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