Our Town Study Interview Protocol

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

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form 1 Our Town Study Interview Protocol Form and Instruction
1 Round 1 Interview Protocol OTI Task 4_Round 1_Interview Protocol_omb_submit.docx Form and Instruction
Clearance Submission interview protocol - private.docx Template - private sector IC Document

Information Collection (IC) Details

IC Title:	Our Town Study Interview Protocol	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Round 1 Interview Protocol	OTI Task 4_Round 1_Interview Protocol_omb_submit.docx		No		Printable Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 18	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	18	18
Annual IC Time Burden (Hours)	14	14
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Template - private sector	Clearance Submission interview protocol - private.docx	01/11/2012

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