Information Collection

Administration for Native Americans (ANA) Panel Reviewer Profile Questionnaire

IC 257505 under ICR 202302-0970-008 · OMB 0970-0477.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0477 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ANA RRM Form 2023_12.21.22.docx	Other-Questionairre
ANA RRM Form 2023_12.21.22.docx	Other-Questionairre
ANA RRM Questionnaire 2023_12.21.22.docx Reviewer Recruitment GenIC - ANA Panel Reviewer Profile Questionnaire	IC Document
ANA RRM Questionnaire 2023_12.21.22.docx Reviewer Recruitment GenIC - ANA Panel Reviewer Profile Questionnaire	IC Document

IC Title:

Administration for Native Americans (ANA) Panel Reviewer Profile Questionnaire

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-Questionairre			ANA RRM Form 2023_12.21.22.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: 300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	120	120
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Reviewer Recruitment GenIC - ANA Panel Reviewer Profile Questionnaire	ANA RRM Questionnaire 2023_12.21.22.docx	12/21/2022

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