Information Collection

Project Outcome Assesment Survey (POAS)

IC 192493 under ICR 201905-0970-002 · OMB 0970-0379.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0379 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment B - Project Outcome Assessment Survey OPRE FINAL - Updated 5.28.19.docx	Other-Survey
Attachment C - Project Outcome Assessment Survey Instructions2019.docx	Instruction

IC Title:

Project Outcome Assesment Survey (POAS)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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
Other-Survey			Attachment B - Project Outcome Assessment Survey OPRE FINAL - Updated 5.28.19.docx		Yes	Yes	Fillable Fileable
Instruction			Attachment C - Project Outcome Assessment Survey Instructions2019.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 85

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	Previously Approved
Annual Number of Responses for this IC	85	85
Annual IC Time Burden (Hours)	510	510
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.