Information Collection

Request for Grantee Feedback from the Audience Affected Survey (Pilot Study)

IC 203386 under ICR 201212-3135-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Request for Grantee Feedback from the Audience Affected Survey (Pilot Study)	Form and Instruction
1 NEA Affect Study_2nd Wave of Feedback from Grantees GC Submission_Instrument_NEA Affect Study_2nd Wave of Feedback from Study Orgs.pdf Not available at this time	Form and Instruction
GC Submission Template_Pilot Study Audience Affected Survey_Grantee Feedback2.pdf GC Submission Template_Pilot Study Audience Affected Survey_Grantee Feedback2	IC Document

IC Title:

Request for Grantee Feedback from the Audience Affected Survey (Pilot Study)

Agency IC Tracking Number:

IC Status: Unchanged

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	NEA Affect Study_2nd Wave of Feedback from Grantees	GC Submission_Instrument_NEA Affect Study_2nd Wave of Feedback from Study Orgs.pdf	Not available at this time	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
	Requested	Previously Approved
Annual Number of Responses for this IC	27	27
Annual IC Time Burden (Hours)	7	7
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_Grantee Feedback2	GC Submission Template_Pilot Study Audience Affected Survey_Grantee Feedback2.pdf	07/19/2012

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