Information Collection

2018 ANA Grantee Meeting Survey

IC 234089 under ICR 201801-0970-013 · 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⚠️ Notice: This information collection may be referencing outdated material.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 2018 ANA Grantee Meeting Survey	Form and Instruction
1 ANA GM - Blank Survey Form 2018 ANA GM - Blank Survey FormPRA.docx	Form and Instruction
fast-track-PRA-submission-short-form ANA 2018 Grantee Meeting.docx Justification	IC Document

IC Title:

2018 ANA Grantee Meeting Survey

Agency IC Tracking Number:

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	ANA GM - Blank Survey Form	2018 ANA GM - Blank Survey FormPRA.docx		No		Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 940

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	940	940
Annual IC Time Burden (Hours)	47	47
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification	fast-track-PRA-submission-short-form ANA 2018 Grantee Meeting.docx	11/20/2018

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