Information Collection

Pilot Study Audience Affected Survey_Exhibitions and Film Events

IC 200573 under ICR 201112-3135-002 · OMB 3135-0130.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3135-0130 can be found here:

Documents and Forms

Documents and forms in this information collection
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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.