Information Collection

2018 ANA Grantee Meeting Survey

IC 234089 under ICR 202105-0970-001 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 2018 ANA Grantee Meeting Survey	Form and Instruction
1 ANA GM - Blank Survey Form 2018 ANA GM - Blank Survey FormPRA.docx	Form and Instruction
1 ANA GM - Blank Survey Form 2018 ANA GM - Blank Survey FormPRA.docx	Form and Instruction
fast-track-PRA-submission-short-form ANA 2018 Grantee Meeting.docx Justification	IC Document
fast-track-PRA-submission-short-form ANA 2018 Grantee Meeting.docx Justification	IC Document

IC Title:

2018 ANA Grantee Meeting Survey

Agency IC Tracking Number:

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
Form and Instruction	1	ANA GM - Blank Survey Form	2018 ANA GM - Blank Survey FormPRA.docx		No		Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 940

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
	Requested	Previously Approved
Annual Number of Responses for this IC	940	940
Annual IC Time Burden (Hours)	47	47
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification	fast-track-PRA-submission-short-form ANA 2018 Grantee Meeting.docx	11/20/2018

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