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Assessment Evaluation - Private Sector Respondents
Program Evaluation Instruments - Environmental Conflict Resolution Services Participant Questionnaires (Five Instruments)
OMB: 3320-0003
IC ID: 185867
OMB.report
MKU-SLUF
OMB 3320-0003
ICR 202403-3320-002
IC 185867
( )
Documents and Forms
Document Name
Document Type
Form 3320-0003 (A)
Assessment Evaluation - Private Sector Respondents
Form and Instruction
3320-0003 (A) Assessment Evaluation
Assessment Evaluation - Requester Questionnaire - 0003A.pdf
Form and Instruction
3320-0003 (A) Assessment Evaluation
Assessment Evaluation - Requester Questionnaire - 0003A.pdf
Form and Instruction
Assessment Evaluation - Requester Questionnaire - 0003A - Electronic Screen Print.pdf
Screen Print of Electronic Version
IC Document
Assessment Evaluation - Requester Questionnaire - 0003A - Electronic Screen Print.pdf
Screen Print of Electronic Version
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Assessment Evaluation - Private Sector Respondents
Agency IC Tracking Number:
0003A
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
Form and Instruction
3320-0003 (A)
Assessment Evaluation
Assessment Evaluation - Requester Questionnaire - 0003A.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Litigation and Judicial Activities
Subfunction:
Resolution Facilitation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
10
Number of Respondents for Small Entity:
10
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Farms, Not-for-profit institutions
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
10
0
0
-90
100
0
Annual IC Time Burden (Hours)
1
0
0
-7
8
0
Annual IC Cost Burden (Dollars)
53
0
0
53
0
0
Documents for IC
Title
Document
Date Uploaded
Screen Print of Electronic Version
Assessment Evaluation - Requester Questionnaire - 0003A - Electronic Screen Print.pdf
03/13/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.