Information Collection

Monitoring Data for ECA (MODE) Framework

IC 243398 under ICR 202008-1405-003 · OMB 1405-0240.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Alumni Survey_V5 05.22.2020_w. OMB Block.docx	Other-Survey
Screenshot MODE Alumni Survey.pdf	Other-Screenshot
Host_Community_Survey_V5 08.11.2020.docx	Other-Survey
Screenshot MODE Host Community Survey.pdf	Other-Screenshot
Post-Program Participant Survey Questions 08.11.2020.docx	Other-Survey
Screenshot MODE Post-Program Participant Survey.pdf	Other-Screenshot

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	Alumni Survey_V5 05.22.2020_w. OMB Block.docx	Yes	Yes	Fillable Fileable
Other-Screenshot	Screenshot MODE Alumni Survey.pdf	Yes	Yes	Fillable Fileable
Other-Survey	Host_Community_Survey_V5 08.11.2020.docx	Yes	Yes	Fillable Fileable
Other-Screenshot	Screenshot MODE Host Community Survey.pdf	Yes	Yes	Fillable Fileable
Other-Survey	Post-Program Participant Survey Questions 08.11.2020.docx	Yes	Yes	Fillable Fileable
Other-Screenshot	Screenshot MODE Post-Program Participant Survey.pdf	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 85,282

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	57,095	57,095
Annual IC Time Burden (Hours)	9,937	9,937
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.