Information Collection

AFI Outreach Survey

IC 218317 under ICR 201706-0970-005 · 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⚠️ Notice: This information collection may be referencing outdated material.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: Unchanged

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
	Requested	Previously Approved
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.