Project Outcome Assesment Survey (POAS)

Project Outcomes Assessment Survey

Documents and Forms

Document Name Document Type
2022 Project Outcome Assessment Survey_Jan 2022.docx Other-Survey
2022 Project Outcome Assessment Survey_Jan 2022.docx Other-Survey
Project Outcome Assessment Survey Instructions2022.docx Instruction
Project Outcome Assessment Survey Instructions2022.docx Instruction

Information Collection (IC) Details

IC Title:	Project Outcome Assesment Survey (POAS)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			2022 Project Outcome Assessment Survey_Jan 2022.docx		Yes	Yes	Fillable Fileable
Instruction			Project Outcome Assessment Survey Instructions2022.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: 85	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	28	-57	85
Annual IC Time Burden (Hours)	170	-340	510
Annual IC Cost Burden (Dollars)	0	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.