Information Collection

Development Outcomes Survey

IC 244432 under ICR 202301-3015-001 · OMB 3015-0015.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3015-0015 can be found here:

Documents and Forms

Document Name Document Type
Form DFC-008 Development Outcomes Survey Form and Instruction
DFC-008 Development Outcomes Survey FY22 DFC-008 DOS Word Document.docx Form and Instruction
DFC-008 Development Outcomes Survey FY22 DFC-008 DOS Word Document.docx Form and Instruction
FY22 DFC-008 DOS Word Document Annotated (002).docx DFC-008 FInal IC Document
FY22 DFC-008 DOS Word Document Annotated (002).docx DFC-008 FInal IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Development Outcomes Survey	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
Form and Instruction	DFC-008	Development Outcomes Survey	FY22 DFC-008 DOS Word Document.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: International Affairs and Commerce

Subfunction: International Development and Humanitarian Aid

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 650	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	650	-150	800
Annual IC Time Burden (Hours)	1,300	-300	1,600
Annual IC Cost Burden (Dollars)	97,500	-22,500	120,000

Documents for IC

Title	Document	Date Uploaded
DFC-008 FInal	FY22 DFC-008 DOS Word Document Annotated (002).docx	01/18/2023

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