Information Collection

Partnership Survey

IC 229185 under ICR 202101-2528-004 · OMB 2528-0319.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2528-0319 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Clean Partnership Survey- Appendix C.docx	Other-Partnership Survey

IC Title:

Partnership Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

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-Partnership Survey			Clean Partnership Survey- Appendix C.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: 168

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-168	168
Annual IC Time Burden (Hours)	-42	42
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.