Anonymous Donor Needs Assessment 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⚠️ Notice: This information collection may be referencing outdated material.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 3095-0070 can be found here:

Documents and Forms

Document Name Document Type
AnonymousDonorNeedsAssessment.pdf Other-telephone script
na-form2023_anonymousdonorneeds.docx OMB Template for Anonymous Donor Needs Assessment IC Document

Information Collection (IC) Details

IC Title:	Anonymous Donor Needs Assessment Survey	Agency IC Tracking Number:

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-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 %

	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

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.