Administration for Native Americans (ANA) Payment Management System User Survey

Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery

ANAPMS2022Survey

Administration for Native Americans (ANA) Payment Management System User Survey

OMB: 0970-0401

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PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is to provide feedback to the Administration for Children and Families (ACF) regarding any problems the Administration for Native Americans (ANA) grant recipients are experiencing in working with the Payment Management System and COVID challenges. Public reporting burden for this collection of information is estimated to average 2 minutes per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. The OMB # is 0970-0401 and the expiration date is 06/30/2024. If you have any comments on this collection of information, please contact [email protected].





The ACF Office of Grants Management has asked ANA to identify any recipients that are experiencing issues with the Payment Management System (PMS).  They would like to help alleviate any issues and have asked us for a list of recipients that are experiencing PMS issues and the type of challenge that you’re having that ACF can assist you with. 



  1. Respondent Name


  1. Organization


  1. Grant number


  1. Are you facing any of the following issues with the Payment Management System:

  • Account Set up

  • PMS Access

  • Unable to find/submit the SF-425 Report

  • Haven’t started the project, so I haven’t accessed the PMS

  • Need to return funds

  • Don’t know who is the PMS liaison

  • Haven’t received a response from PMS liaison

  • Other issues:

  1. Please provide name, job title, and contact information (email and phone number) for the person responsible for accessing and filing financial reports in the PMS, so ANA can offer support to address your concerns/issues.

  • Name

  • Job Title

  • Email

  • Phone Number


  1. Is there any way that ANA can provide assistance to address any current COVID-related issues?


  1. Other project challenges?



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorZukowski, Amy (ACF)
File Modified0000-00-00
File Created2023-08-21

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