Information Collection

USAID Venezuela Survey

IC 226076 under ICR 201304-0412-001 · OMB 0412-0586.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0412-0586 can be found here:

Documents and Forms

Documents and forms in this information collection
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

IC Title:

USAID Venezuela Survey

Agency IC Tracking Number:

0412 0586

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
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 %

table that charts list of burden
	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

table that charts IC Documents
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.