IC Data Part II Addendum

Instrument 

Filename

Document Type

(Select One)

Form Name and 

No.

Available

Electronically?

Electronic 

Capability

(Select One)

Obligation to Respond

(select one)

Affected Public

(check all that apply)

IC 4 February focus 

group.pdf

Other

If other is 

chosen, please 

provide type of 

document in the 

field provided 

below.

Focus Group 

Protocol

Yes No Paper Only Voluntary Federal Government

Individuals or 

Households

Private Sector

Business or other forprofit

Not-for-profit 

Institutions

Farms

State, Local or Tribal 

Gov’t

Can Be Submitted 

Electronically?

URL: none

Yes No Electronic 

Repository:

Percent Reporting 

Electronically

0%

IC 5 Extant document 

request.pdf

Other

If other is 

chosen, please 

provide type of 

document in the 

field provided 

below.

Archival Records 

Instructions

Yes No Fillable Fileable Voluntary Federal Government

Individuals or 

Households

Private Sector

Business or other forprofit

Not-for-profit 

Institutions

Farms

State, Local or Tribal 

Gov’t

Can Be Submitted

Electronically?

URL:

Yes No

Percent Reporting 

Electronically

Electronic 

Repository:

100%

IC 6 Instructional 

log.pdf

Other

If other is 

chosen, please 

provide type of 

document in the 

field provided 

below.

Survey

Yes No Fillable Fileable Voluntary Federal Government

Individuals or 

Households

Private Sector

Business or other forprofit

Not-for-profit 

Institutions

Farms

State, Local or Tribal 

Gov’t

Can Be Submitted

Electronically?

URL: 

Yes No Electronic 

Repository:

Percent Reporting 

Electronically

100%

IC 7 May focus 

group.pdf

Other

If other is 

chosen, please 

provide type of 

document in the 

field provided 

below.

Focus Group 

Protocol

Yes No Paper Only Voluntary Federal Government

Individuals or 

Households

Private Sector

Business or other forprofit

Not-for-profit 

Institutions

Farms

State, Local or Tribal 

Gov’t

Can Be Submitted 

Electronically?

URL: 

Yes No Electronic 

Repository:

Percent Reporting 

Electronically

0%

IC 8 Staff survey.pdf Other

If other is 

chosen, please 

provide type of 

document in the 

field provided 

Yes No Fillable Fileable Voluntary Federal Government

Individuals or 

Households

Private Sector

Business or other forprofit

Can Be Submitted

Electronically? URL: 

Yes No

Percent Reporting 

Electronically

Electronic 
Instrument 

Filename

Document Type

(Select One)

Form Name and 

No.

Available

Electronically?

Electronic 

Capability

(Select One)

Obligation to Respond

(select one)

Affected Public

(check all that apply)

below.

Survey

100% Repository

: Not-for-profit 

Institutions

Farms

State, Local or Tribal 

Gov’t

IC 9 Student 

survey.pdf

Other

If other is 

chosen, please 

provide type of 

document in the 

field provided 

below.

Survey

Yes No Fillable Fileable Voluntary Federal Government

Individuals or 

Households

Private Sector

Business or other for-

profit

Not-for-profit 

Institutions

Farms

State, Local or Tribal 

Gov’t

Can Be Submitted

Electronically?

URL: 

Yes No Electronic 

Repository:

Percent Reporting 

Electronically

100%