Information Collection

Web-based Agency Survey – PCWA

IC 241621 under ICR 201912-2528-002 · OMB 2528-0327.

Documents and Forms

Document Name Document Type
6-15-20 final - 5a Attachment A.9.docx Other-Web-based Agency Survey – PCWA

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Web-based Agency Survey â PCWA	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Web-based Agency Survey â PCWA			6-15-20 final - 5a Attachment A.9.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: 51	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	51	51
Annual IC Time Burden (Hours)	26	26
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.