Document Name Document Type
Form 1a Pilot Study Audience Affected Survey_Exhibitions and Film Events Form and Instruction
1a Exhibition_Online_Questionnaire_Pilot-Audience Affected Exhibition_Online_Questionnaire_Pilot-Audience Affected Survey.pdf Form and Instruction
1b Exhibition_Paper_Questionnaire_Pilot-Audience Affected S Exhibition_Paper_Questionnaire_Pilot-Audience Affected Survey.pdf Form and Instruction
2a Film_Online_Questionnaire_Pilot-Audience Affected Survey Film_Online_Questionnaire_Pilot-Audience Affected Survey.pdf Form and Instruction
2b Film_Paper_Questionnaire_Pilot-Audience Affected Survey Film_Paper_Questionnaire_Pilot-Audience Affected Survey.pdf Form and Instruction
GC Submission Template_Pilot Study Audience Affected Survey_Exhibition Events.pdf GC Submission Template_Pilot Study Audience Affected Survey_Exhibition Events IC Document
GC Submission Template_Pilot Study Audience Affected Survey_Film Event.pdf GC Submission Template_Pilot Study Audience Affected Survey_Film Events IC Document
NEA_Audience Affect Study_Survey Administration Guidelines for Grantees_Hand-Out, Mail-Back.pdf Survey Administration Guidelines for Grantees_Hand-Out, Mail-Back IC Document
NEA_Audience Affect Study_Survey Administration Guidelines for Grantees_Intercept OnlineAdministration.pdf Survey Administration Guidelines for Grantees_Intercept OnlineAdministration IC Document
NEA_Audience Affect Study_Survey Administration Guidelines for Grantees_Intercept, OnSite Administration.pdf Survey Administration Guidelines for Grantees_Intercept, OnSite Administration IC Document
NEA_Audience Affect Study_Survey Administration Guidelines for Grantees_Online Administration.pdf Survey Administration Guidelines for Grantees_Online Administration IC Document
NEA_Audience Affect Study_Survey Administration Guidelines for Grantees_Pre-Set, Mail-Back.pdf Survey Administration Guidelines for Grantees_Pre-Set, Mail-Back IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Pilot Study Audience Affected Survey_Exhibitions and Film Events	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1a	Exhibition_Online_Questionnaire_Pilot-Audience Affected Survey	Exhibition_Online_Questionnaire_Pilot-Audience Affected Survey.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	1b	Exhibition_Paper_Questionnaire_Pilot-Audience Affected Survey	Exhibition_Paper_Questionnaire_Pilot-Audience Affected Survey.pdf	No		Fillable Fileable
Form and Instruction	2a	Film_Online_Questionnaire_Pilot-Audience Affected Survey	Film_Online_Questionnaire_Pilot-Audience Affected Survey.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	2b	Film_Paper_Questionnaire_Pilot-Audience Affected Survey	Film_Paper_Questionnaire_Pilot-Audience Affected Survey.pdf	No		Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 58 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,400	2,400
Annual IC Time Burden (Hours)	400	400
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
GC Submission Template_Pilot Study Audience Affected Survey_Exhibition Events	GC Submission Template_Pilot Study Audience Affected Survey_Exhibition Events.pdf	12/22/2011
GC Submission Template_Pilot Study Audience Affected Survey_Film Events	GC Submission Template_Pilot Study Audience Affected Survey_Film Event.pdf	12/22/2011
Survey Administration Guidelines for Grantees_Hand-Out, Mail-Back	NEA_Audience Affect Study_Survey Administration Guidelines for Grantees_Hand-Out, Mail-Back.pdf	12/22/2011
Survey Administration Guidelines for Grantees_Intercept OnlineAdministration	NEA_Audience Affect Study_Survey Administration Guidelines for Grantees_Intercept OnlineAdministration.pdf	12/22/2011
Survey Administration Guidelines for Grantees_Intercept, OnSite Administration	NEA_Audience Affect Study_Survey Administration Guidelines for Grantees_Intercept, OnSite Administration.pdf	12/22/2011
Survey Administration Guidelines for Grantees_Online Administration	NEA_Audience Affect Study_Survey Administration Guidelines for Grantees_Online Administration.pdf	12/22/2011
Survey Administration Guidelines for Grantees_Pre-Set, Mail-Back	NEA_Audience Affect Study_Survey Administration Guidelines for Grantees_Pre-Set, Mail-Back.pdf	12/22/2011

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

Pilot Study Audience Affected Survey_Exhibitions and Film Events

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

OMB: 3135-0130

IC ID: 200573

View Information Collection (IC)