Document Name Document Type
Form 1 Pilot Study Audience Affected Survey_Live Performances Form and Instruction
1 Dance_Online_Questionnaire_Pilot-Audience Affected Surve Dance_Online_Questionnaire_Pilot-Audience Affected Survey.pdf Form and Instruction
2 Dance_Paper_Questionnaire_Pilot-Audience Affected Survey Dance_Paper_Questionnaire_Pilot-Audience Affected Survey.pdf Form and Instruction
3 Literary Program_Online_Questionnaire_Pilot-Audience Aff Literary Program_Online_Questionnaire_Pilot-Audience Affected Survey.pdf Form and Instruction
4 Literary Program_Paper_Questionnaire_Pilot-Audience Affe Literary Program_Paper_Questionnaire_Pilot-Audience Affected Survey.pdf Form and Instruction
5 Music_Online_Questionnaire_Pilot-Audience Affected Surve Music_Online_Questionnaire_Pilot-Audience Affected Survey.pdf Form and Instruction
6 Music_Paper_Questionnaire_Pilot-Audience Affected Survey Music_Paper_Questionnaire_Pilot-Audience Affected Survey.pdf Form and Instruction
7 Opera_Online_Questionnaire_Pilot-Audience Affected Surve Opera_Online_Questionnaire_Pilot-Audience Affected Survey.pdf Form and Instruction
8 Opera_Paper_Questionnaire_Pilot-Audience Affected Survey Opera_Paper_Questionnaire_Pilot-Audience Affected Survey.pdf Form and Instruction
9 Theater_Online_Questionnaire_Pilot-Audience Affected Sur Theater_Online_Questionnaire_Pilot-Audience Affected Survey.pdf Form and Instruction
10 Theater_Paper_Questionnaire_Pilot-Audience Affected Surv Theater_Paper_Questionnaire_Pilot-Audience Affected Survey.pdf Form and Instruction
GC Submission_Pilot Study Audience Affected Survey_Live Performances.pdf Generic Submission Form - Pilot Study Audience Affect Survey - Live Performances IC Document
NEA_Audience Affect Study_Survey Administration Guidelines for Grantees_Hand-Out, Mail-Back.pdf NEA_Audience Affect Study_Survey Administration Guidelines for Grantees_Hand-Out, Mail-Back IC Document
NEA_Audience Affect Study_Survey Administration Guidelines for Grantees_Intercept, OnSite Administration.docx NEA_Audience Affect Study_Survey Administration Guidelines for Grantees_Intercept, OnSite Administration IC Document
NEA_Audience Affect Study_Survey Administration Guidelines for Grantees_Online Administration.pdf NEA_Audience Affect Study_Survey Administration Guidelines for Grantees_Online Administration IC Document
NEA_Audience Affect Study_Survey Administration Guidelines for Grantees_Pre-Set, Mail-Back.pdf NEA_Audience Affect Study_Survey Administration Guidelines for Grantees_Pre-Set, Mail-Back IC Document
NEA_Audience Affect Study_Survey Administration Guidelines for Grantees_Intercept OnlineAdministration.pdf NEA_Audience Affect Study_Survey Administration Guidelines for Grantees_Intercept OnlineAdministration IC Document
GC_Audience Affected Survey_Live Performances_Justification for NonSubstantive Change.docx Justification for NonSubstantive Change IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Pilot Study Audience Affected Survey_Live Performances	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Dance_Online_Questionnaire_Pilot-Audience Affected Survey	Dance_Online_Questionnaire_Pilot-Audience Affected Survey.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	2	Dance_Paper_Questionnaire_Pilot-Audience Affected Survey	Dance_Paper_Questionnaire_Pilot-Audience Affected Survey.pdf	No		Fillable Fileable
Form and Instruction	3	Literary Program_Online_Questionnaire_Pilot-Audience Affected Survey	Literary Program_Online_Questionnaire_Pilot-Audience Affected Survey.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	4	Literary Program_Paper_Questionnaire_Pilot-Audience Affected Survey	Literary Program_Paper_Questionnaire_Pilot-Audience Affected Survey.pdf	No		Fillable Fileable
Form and Instruction	5	Music_Online_Questionnaire_Pilot-Audience Affected Survey	Music_Online_Questionnaire_Pilot-Audience Affected Survey.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	6	Music_Paper_Questionnaire_Pilot-Audience Affected Survey	Music_Paper_Questionnaire_Pilot-Audience Affected Survey.pdf	No		Fillable Fileable
Form and Instruction	7	Opera_Online_Questionnaire_Pilot-Audience Affected Survey	Opera_Online_Questionnaire_Pilot-Audience Affected Survey.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	8	Opera_Paper_Questionnaire_Pilot-Audience Affected Survey	Opera_Paper_Questionnaire_Pilot-Audience Affected Survey.pdf	No		Fillable Fileable
Form and Instruction	9	Theater_Online_Questionnaire_Pilot-Audience Affected Survey	Theater_Online_Questionnaire_Pilot-Audience Affected Survey.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	10	Theater_Paper_Questionnaire_Pilot-Audience Affected Survey	Theater_Paper_Questionnaire_Pilot-Audience Affected Survey.pdf	No		Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 60 %

	Requested	Previously Approved
Annual Number of Responses for this IC	4,200	4,200
Annual IC Time Burden (Hours)	700	700
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Submission Form - Pilot Study Audience Affect Survey - Live Performances	GC Submission_Pilot Study Audience Affected Survey_Live Performances.pdf	12/09/2011
NEA_Audience Affect Study_Survey Administration Guidelines for Grantees_Hand-Out, Mail-Back	NEA_Audience Affect Study_Survey Administration Guidelines for Grantees_Hand-Out, Mail-Back.pdf	12/09/2011
NEA_Audience Affect Study_Survey Administration Guidelines for Grantees_Intercept, OnSite Administration	NEA_Audience Affect Study_Survey Administration Guidelines for Grantees_Intercept, OnSite Administration.docx	12/09/2011
NEA_Audience Affect Study_Survey Administration Guidelines for Grantees_Online Administration	NEA_Audience Affect Study_Survey Administration Guidelines for Grantees_Online Administration.pdf	12/09/2011
NEA_Audience Affect Study_Survey Administration Guidelines for Grantees_Pre-Set, Mail-Back	NEA_Audience Affect Study_Survey Administration Guidelines for Grantees_Pre-Set, Mail-Back.pdf	12/09/2011
NEA_Audience Affect Study_Survey Administration Guidelines for Grantees_Intercept OnlineAdministration	NEA_Audience Affect Study_Survey Administration Guidelines for Grantees_Intercept OnlineAdministration.pdf	12/09/2011
Justification for NonSubstantive Change	GC_Audience Affected Survey_Live Performances_Justification for NonSubstantive Change.docx	12/21/2011

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

Pilot Study Audience Affected Survey_Live Performances

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

OMB: 3135-0130

IC ID: 200404

View Information Collection (IC)