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Survey
eFiling Expanded Beta Pilot Test
OMB: 3041-0193
IC ID: 255969
OMB.report
CPSC
OMB 3041-0193
ICR 202409-3041-001
IC 255969
( )
Documents and Forms
Document Name
Document Type
eFiling Alpha Pilot - Participant Questionnaire - Qualitative Burden.pdf
Instruction
eFiling Alpha Pilot - Participant Questionnaire - Qualitative Burden.pdf
Instruction
eFiling Alpha Pilot - Participant Questionnaire - Quantitative Burden.pdf
Instruction
eFiling Alpha Pilot - Participant Questionnaire - Quantitative Burden.pdf
Instruction
Beta Pilot Survey Questions.docx
Other-Electronic survey
Beta Pilot Survey Questions.docx
Other-Electronic survey
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Survey
Agency IC Tracking Number:
Is this a Common Form?
No
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
Instruction
eFiling Alpha Pilot - Participant Questionnaire - Qualitative Burden.pdf
Yes
Yes
Printable Only
Instruction
eFiling Alpha Pilot - Participant Questionnaire - Quantitative Burden.pdf
Yes
Yes
Printable Only
Other-Electronic survey
Beta Pilot Survey Questions.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
50
Number of Respondents for Small Entity:
5
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
50
0
0
0
0
50
Annual IC Time Burden (Hours)
110
0
0
0
0
110
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.