Information Collection

Compassion Capital Fund Evaluation-Initial Outcome Study

IC 10155 under ICR 200610-0970-007 · OMB 0970-0297.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
change chart - proposed changes to retrospective survey 8-28-06.doc	Other-Other
0 mini grantee mini grantee survey instrument -REVISED 8-29-06.doc	Form and Instruction

IC Title:

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 No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Other			change chart - proposed changes to retrospective survey 8-28-06.doc		No	No	Printable Only
Form and Instruction	0	mini grantee	mini grantee survey instrument -REVISED 8-29-06.doc		No	No	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	250	70	180
Annual IC Time Burden (Hours)	83	23	60
Annual IC Cost Burden (Dollars)	0	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.