Information Collection

2020 August Grantee Survey on COVID-19 Response Efforts

IC 242895 under ICR 202009-0970-017 · OMB 0970-0531.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument 1_August 2020 ANA Grantee Survey.docx	Other-Web Survey
SSA Template for Formative or Pretesting Generics_August2020_CLEAN.docx Supporting Statement A	IC Document
SSB Template for Formative or Pretesting Generics - 2020AugSurveyCLEAN.docx Supporting Statement B	IC Document
Appendix A_Survey Announcment Email.docx Appendix A: Survey Announcment Email	IC Document

IC Title:

2020 August Grantee Survey on COVID-19 Response Efforts

Agency IC Tracking Number:

ANA

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
Other-Web Survey			Instrument 1_August 2020 ANA Grantee Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 174

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	174	174
Annual IC Time Burden (Hours)	6	6
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement A	SSA Template for Formative or Pretesting Generics_August2020_CLEAN.docx	07/30/2020
Supporting Statement B	SSB Template for Formative or Pretesting Generics - 2020AugSurveyCLEAN.docx	07/30/2020
Appendix A: Survey Announcment Email	Appendix A_Survey Announcment Email.docx	07/30/2020

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