Information Collection

Our Town Indicators Study

IC 200746 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⚠️ Notice: This information collection may be referencing outdated material.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 1 Our Town Indicators Study	Form and Instruction
1 OTI Task 4_Round 1_Interview Protocol_omb_submit OTI Task 4_Round 1_Interview Protocol_omb_submit.docx	Form and Instruction
Clearance Submission interview protocol - govt.docx Clearance template - govt	IC Document

IC Title:

Our Town Indicators Study

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	OTI Task 4_Round 1_Interview Protocol_omb_submit	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: 10

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	10	10
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Clearance template - govt	Clearance Submission interview protocol - govt.docx	01/11/2012

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