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Bullet Black Box Participant Background Survey
NIST Generic Clearance for Program Evaluation Data Collections
OMB: 0693-0033
IC ID: 235820
OMB.report
DOC/NIST
OMB 0693-0033
ICR 201804-0693-002
IC 235820
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0693-0033 can be found here:
2024-05-23 - No material or nonsubstantive change to a currently approved collection
2022-07-29 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
0693-0033_BulletBB Participant Background Questionnaire SCREENSHOTS_.pdf
Other-Survey
0693-0033_BulletBB Participant Background Questionnaire_WordDoc.docx
Word version of survey
IC Document
0693-0033_BulletBB_SuppStatement.final.doc
Supporting Statement
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Bullet Black Box Participant Background Survey
Agency IC Tracking Number:
ER
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
0693-0033_BulletBB Participant Background Questionnaire SCREENSHOTS_.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
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:
1,500
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
100 %
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
1,500
0
1,500
0
0
0
Annual IC Time Burden (Hours)
250
0
250
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Word version of survey
0693-0033_BulletBB Participant Background Questionnaire_WordDoc.docx
04/24/2019
Supporting Statement
0693-0033_BulletBB_SuppStatement.final.doc
04/29/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.