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Our Town Indicators Study
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 3135-0130
IC ID: 200746
OMB.report
NEA
OMB 3135-0130
ICR 201301-3135-001
IC 200746
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3135-0130 can be found here:
2023-12-13 - Extension without change of a currently approved collection
2020-10-28 - Extension without change of a currently approved collection
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
View Information Collection (IC)
IC Title:
Our Town Indicators Study
Agency IC Tracking Number:
IC Status:
Unchanged
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
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:
10
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
10
0
0
0
0
10
Annual IC Time Burden (Hours)
8
0
0
0
0
8
Annual IC Cost Burden (Dollars)
0
0
0
0
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.