USAID Venezuela Survey

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⚠️ Notice: This information collection may be referencing outdated material.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 0412-0586 can be found here:

Documents and Forms

Document Name Document Type
2017 Venezuela Survey.pdf Other-survey
2017 Template for Venezulea.pdf Approval Template fro Venezuela Survey IC Document
2017 Venezuelz Diasporia.pdf USAID Venezuela Focus Group IC Document

Information Collection (IC) Details

IC Title:	USAID Venezuela Survey	Agency IC Tracking Number:	0412 0586

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
Other-survey			2017 Venezuela Survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	360	360
Annual IC Time Burden (Hours)	900	900
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Approval Template fro Venezuela Survey	2017 Template for Venezulea.pdf	03/15/2017
USAID Venezuela Focus Group	2017 Venezuelz Diasporia.pdf	03/15/2017

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