Small Business Outreach 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⚠️ Notice: This information collection may be referencing outdated material.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 1651-0136 can be found here:

Documents and Forms

Document Name Document Type
Small Business Outreach Survey Template.docx Other-Web Survey
SB Outreach Fast Track Submission Form.doc Small Business Fast Track Request IC Document

Information Collection (IC) Details

IC Title:	Small Business Outreach 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-Web Survey			Small Business Outreach Survey Template.docx		Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: Global Trade

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	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 Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Small Business Fast Track Request	SB Outreach Fast Track Submission Form.doc	05/13/2019

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