Information Collection

AFI Outreach Survey

IC 218317 under ICR 201502-0970-004 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 AFI Outreach Survey	Form and Instruction
1 AFI Outreach Assessment AFI Outreach Assessment_Instruments and Instructions_9-22-15.docx	Form and Instruction
PRA-submission_2015 AFI Outreach Assessment_9-22-15.docx PRA - Submission 2015	IC Document

IC Title:

AFI Outreach Survey

Agency IC Tracking Number:

OCS

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
Form and Instruction	1	AFI Outreach Assessment	AFI Outreach Assessment_Instruments and Instructions_9-22-15.docx		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 345

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	345	345
Annual IC Time Burden (Hours)	86	86
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
PRA - Submission 2015	PRA-submission_2015 AFI Outreach Assessment_9-22-15.docx	09/22/2015

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