Information Collection

Anonymous Donor Needs Assessment Survey

IC 212743 under ICR 201406-3095-002 · OMB 3095-0070.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3095-0070 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
AnonymousDonorNeedsAssessment.pdf	Other-telephone script
na-form2023_anonymousdonorneeds.docx OMB Template for Anonymous Donor Needs Assessment	IC Document

IC Title:

Anonymous Donor Needs Assessment Survey

Agency IC Tracking Number:

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-telephone script			AnonymousDonorNeedsAssessment.pdf		No		Printable Only

Line of Business: Education

Subfunction: Cultural and Historic Preservation

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	30	30
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Template for Anonymous Donor Needs Assessment	na-form2023_anonymousdonorneeds.docx	08/20/2014

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