Information Collection

Compassion Capital Fund Program Evaluation-Baseline and Follow-Up

IC 10151 under ICR 200610-0970-006 · OMB 0970-0293.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0293 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0 Compassion Capital Fund Program Evaluation-Baseline and Follow-Up	Form and Instruction
0 a Baseline survey - CHANGE version per OMB 12-06.doc	Form and Instruction
0 a Follow-up Survey - CHANGE version per OMB 12-06 (2).doc	Form
0 a Baseline survey - REV 9-06.doc	Form and Instruction
0 a Follow-up Survey REV 9-12-06.doc	Form and Instruction
0 a OMB Change table baseline survey 8-8-06.doc	Form and Instruction
0 a OMB change table follow up survey9-13-06.doc	Form and Instruction

IC Title:

Compassion Capital Fund Program Evaluation-Baseline and Follow-Up

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	a	Baseline survey - REV 9-06.doc	No	No	Printable Only
Form and Instruction	a	Follow-up Survey REV 9-12-06.doc	No	No	Fillable Printable
Form and Instruction	a	OMB Change table baseline survey 8-8-06.doc	No	No	Fillable Fileable
Form and Instruction	a	OMB change table follow up survey9-13-06.doc	No	No	Fillable Printable
Form and Instruction	a	Baseline survey - CHANGE version per OMB 12-06.doc	No		Printable Only
Form	a	Follow-up Survey - CHANGE version per OMB 12-06 (2).doc	No		Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,575

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,575	1,575
Annual IC Time Burden (Hours)	583	583
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.