Information Collection

Interview Assessment Form

IC 214707 under ICR 201501-0420-001 · OMB 0420-0556.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0420-0556 can be found here:

Documents and Forms

Document Name Document Type
Interview Assessment Form_PCR_FINAL.docx Other-Questions

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Interview Assessment Form	Agency IC Tracking Number:

Is this a Common Form? No		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-Questions			Interview Assessment Form_PCR_FINAL.docx		No		Paper Only

Line of Business: International Affairs and Commerce

Subfunction: International Development and Humanitarian Aid

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 700	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	700	700
Annual IC Time Burden (Hours)	700	700
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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