Information Collection

USAID Venezuela Survey

IC 226813 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⚠️ Notice: This information collection may be referencing outdated material.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 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

IC Title:

USAID Venezuela Survey

Agency IC Tracking Number:

04120586

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-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 %

table that charts list of burden
	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

table that charts IC Documents
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.