MBNQA Examiner Application & Checklist

Malcolm Baldrige National Quality Award and Examiner Applications

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0693-0006 can be found here:

Documents and Forms

Document Name Document Type
Baldrige Examiner Application 2022.docx Other-Collection Instrument
Baldrige Examiner Application 2022.docx Other-Collection Instrument
SORN Dept. 18.docx SORN Commerce/Dept-18 IC Document
SORN Dept. 18.docx SORN Commerce/Dept-18 IC Document
SORN Dept. 23.docx SORN Commerce/Dept-23 IC Document
SORN Dept. 23.docx SORN Commerce/Dept-23 IC Document
Privacy Act Statement.docx Privacy Act Statement IC Document
Privacy Act Statement.docx Privacy Act Statement IC Document

Information Collection (IC) Details

IC Title:	MBNQA Examiner Application & Checklist	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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-Collection Instrument			Baldrige Examiner Application 2022.docx		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title: SORN Commerce/Dept-18 and Dept-23	FR Citation: 72 FR 6200

Number of Respondents: 550	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	550	550
Annual IC Time Burden (Hours)	275	275
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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