Form 1 AFI Instruction and Instruments.

OMB Control Number: 0970-0401

Expiration Date: 05/31/2018

Application Readiness Assessment Questions for Cohort Participants

Instrument One: Pre-Cohort Survey

Pre-Cohort questions would either be included with registration, or sent to participants that have already registered.

Email Invitation: Thank you for registering for the AFI Applicant Coaching Cohort. In order to focus the discussion on your needs, please help us understand your progress in developing an AFI application by answering the following questions:

THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13)

Public reporting burden for this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information.

An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.

Questions:

1. At this point, how likely are you to apply for AFI?

• Unlikely

• Somewhat likely

• Undecided

• Likely

• Very likely

2. When are you most likely to apply for AFI?

• 6 months or less

• 6-12 months

• A year or more

3. At what stage are you in completing the following steps for your application?

Item/ Action/ Application process	Not started	In process	Complete
Raising non-federal cash match	⃝	⃝	⃝
Securing financial institution partner	⃝	⃝	⃝
Designing project	⃝	⃝	⃝
Completing standard federal forms (including budget)	⃝	⃝	⃝

4. Are there any other application areas you are having challenges with? (open ended)

Instrument Two: Post-Cohort Survey

Post-Cohort questions would sent to participants after the four Cohort sessions were over.

Email Invitation: Thank you for participating in the AFI Applicant Coaching Cohort. Please help us understand your progress in developing an AFI application by answering the following questions.

THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13)

Public reporting burden for this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information.

An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.

Questions:

1. At this point, how likely are you to apply for AFI?

• Unlikely

• Somewhat likely

• Undecided

• Likely

• Very likely

2. When are you most likely to apply for AFI?

• 6 months or less

• 6-12 months

• A year or more

3. At what stage are you in completing the following steps for your application?

Item/ Action/ Application process	Not started	In process	Complete
Raising non-federal cash match	⃝	⃝	⃝
Securing financial institution partner	⃝	⃝	⃝
Designing project	⃝	⃝	⃝
Completing standard federal forms (including budget)	⃝	⃝	⃝

4. Are there any other application areas you are having challenges with? (open ended)

5. What assistance do you need to complete your application? (open ended)