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⚠️ Notice: This information collection may be referencing outdated material.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 Fast Track Venezuela Survey in English.pdf Other-survey-english version
2017 Fast Track Venezuela Survey in Spanish.pdf Other-survey spanish version
2017 Fast Track Venezuela Tenplate.pdf Generic Aprroval Form IC Document

Information Collection (IC) Details

IC Title:	USAID Venezuela Survey	Agency IC Tracking Number:	04120586

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-english version			2017 Fast Track Venezuela Survey in English.pdf		Yes	Yes	Fillable Fileable
Other-survey spanish version			2017 Fast Track Venezuela Survey in Spanish.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	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	250,000	250,000
Annual IC Time Burden (Hours)	2,083	2,083
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Aprroval Form	2017 Fast Track Venezuela Tenplate.pdf	05/12/2017

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