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Bullet Black Box Participant Background Survey
Generic Clearance for Program Evaluation Data Collections
OMB: 0693-0033
IC ID: 254768
OMB.report
DOC/NIST
OMB 0693-0033
ICR 202405-0693-003
IC 254768
( )
Documents and Forms
Document Name
Document Type
Background survey.pdf
Other-Survey
0693-0033_BulletBB_SuppStatement.final.docx
Supporting Statement
IC Document
0693-0033_BulletBB Participant Background Questionnaire_WordDoc.docx
Word version of survey
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Bullet Black Box Participant Background Survey
Agency IC Tracking Number:
MO
IC Status:
Unchanged
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
Background survey.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 %
Requested
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
0
0
0
1,500
Annual IC Time Burden (Hours)
250
0
0
0
0
250
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Supporting Statement
0693-0033_BulletBB_SuppStatement.final.docx
07/27/2022
Word version of survey
0693-0033_BulletBB Participant Background Questionnaire_WordDoc.docx
07/27/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.