Information Collection

Solicitation of Grantee Feedback for the Audience Affected Survey Pilot Study

IC 202000 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⚠️ Notice: This information collection may be referencing outdated material.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 Solicitation of Grantee Feedback for the Audience Affected Survey Pilot Study	Form and Instruction
1 Request for Grantee Feedback GC Submission_Grantee Feedback-Questions.pdf Not yet available	Form and Instruction
GC Submission Template_Pilot Study Audience Affected Survey_Grantee Feedback.pdf Generic Clearance Submission Template_Solicitation of Grantee Feedback	IC Document

IC Title:

Solicitation of Grantee Feedback for the Audience Affected Survey Pilot 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	Request for Grantee Feedback	GC Submission_Grantee Feedback-Questions.pdf	Not yet available	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 27

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	27	27
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Clearance Submission Template_Solicitation of Grantee Feedback	GC Submission Template_Pilot Study Audience Affected Survey_Grantee Feedback.pdf	04/18/2012

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