Information Collection

CBO and AIP Interviews - Private Sector Respondents

IC 193962 under ICR 201010-0503-001 · OMB 0503-0018.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix 4 CBO Interview Questions.doc	Other-Interview Questions
Appendix 6 AIP Interview Questions.doc	Other-Interview Questions
Appendix 9 Westat Confidentiality.doc Westat Assurance of Confidentiality	IC Document
Appendix 10 JL Confidentiality.doc Jackson Lewis Assurance of Confidentiality	IC Document
Appendix 5 - CBO Participant Communications 9-23.doc CBO Participant Advance Letter/Phone Script	IC Document
Appendix 7 - AIP Participant Communications 9-23.doc AIP Participant Advance Letter/Phone Script	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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-Interview Questions			Appendix 4 CBO Interview Questions.doc		No		Paper Only
Other-Interview Questions			Appendix 6 AIP Interview Questions.doc		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 156

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	156	156
Annual IC Time Burden (Hours)	338	338
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Westat Assurance of Confidentiality	Appendix 9 Westat Confidentiality.doc	09/24/2010
Jackson Lewis Assurance of Confidentiality	Appendix 10 JL Confidentiality.doc	09/24/2010
CBO Participant Advance Letter/Phone Script	Appendix 5 - CBO Participant Communications 9-23.doc	09/24/2010
AIP Participant Advance Letter/Phone Script	Appendix 7 - AIP Participant Communications 9-23.doc	09/24/2010

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