Document
Fast Track PRA Submission Short Form
ICR 202304-0970-005 · OMB 0970-0477 · Object 131266001.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Fast Track PRA Submission Short Form |
| Author | OMB |
| Last Modified By | Writer |
| File Modified | 2023-04-20 |
| File Created | 2026-11-01 |
| Conversion State | complete |
Extracted Text
Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0970-0477
TITLE OF INFORMATION COLLECTION: Community Economic Development Reviewer Registration Form
PURPOSE: This form is used to recruit and screen potential reviewers for the annual CED program application review. The form collects information about a potential reviewer’s interest and qualifications to serve as an application reviewer for the CED program. The form is being updated to gather additional information to inform whether the potential reviewer has the requisite knowledge and experience to effectively and objectively evaluate and score CED grant applications.
DESCRIPTION OF RESPONDENTS:
Applicants to become OCS grant reviewers.
CERTIFICATION:
I certify the following to be true:
1. The collection is voluntary.
2. The collection is low-burden for respondents and low-cost for the Federal Government.
3. The collection is non-controversial and does not raise issues of concern to other federal agencies.
4. The results are not intended to be disseminated to the public.
5. Information gathered will not be used for the purpose of substantially informing influential policy decisions.
6. The collection is targeted to the solicitation of opinions from respondents who have experience with the program or may have experience with the program in the future.
Name:____Lynda Perez____________________________________________
To assist review, please provide answers to the following question:
BURDEN HOURS
Category of Respondent
No. of Respondents
Participation Time
Burden
Individuals
100
10 minutes
17 hours
FEDERAL COST: The estimated annual cost to the Federal government is ____________
Administration of the Instrument
1. How will you collect the information? (Check all that apply)
[ x ] Web-based or other forms of Social Media
[ ] Telephone
[ ] In-person
[ ] Mail
[ ] Other, Explain
Please make sure that all instruments, instructions, and scripts are submitted with the request.