Our Town Indicators Study

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⚠️ Notice: This information collection may be referencing outdated material.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 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

Information Collection (IC) Details

IC Title:	Our Town Indicators Study	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	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 %

	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

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.