Information Collection

Project Impact Survey

IC 192493 under ICR 201004-0970-002 · OMB 0970-0379.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0379 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Project Impact Survey	Form
1 ACF-ANA-Project-Impact-Assessment SF-PPR ACF-ANA-Project-Impact-Assessment SF-PPR.doc	Form
Project Impact Assessment Survey Notification Letter.doc Project Impact Assessment Survey Notification Letter	IC Document
Chapter 2 - Project Impact Assessment Survey Manual.doc Chapter 2 - Project Impact Assessment Survey Manual	IC Document

IC Title:

Project Impact Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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
Form	1	ACF-ANA-Project-Impact-Assessment SF-PPR	ACF-ANA-Project-Impact-Assessment SF-PPR.doc		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 85

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	85	85
Annual IC Time Burden (Hours)	510	510
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Project Impact Assessment Survey Notification Letter	Project Impact Assessment Survey Notification Letter.doc	03/30/2010
Chapter 2 - Project Impact Assessment Survey Manual	Chapter 2 - Project Impact Assessment Survey Manual.doc	03/30/2010

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.