Information Collection

CURE MDI Mentoring Cohort Survey

IC 245182 under ICR 202308-3133-006 · OMB 3133-0188.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3133-0188 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
MDI Mentoring Cohort Evaluation Questions_010121.docx	Other-Survey Questions
MDI Mentoring Cohort Evaluation Questions_010121.docx	Other-Survey Questions
Final_2020 CURE Fast-Track-MDI Cohort Survey_010521.pdf Generic Fast-Track Template	IC Document
Final_2020 CURE Fast-Track-MDI Cohort Survey_010521.pdf Generic Fast-Track Template	IC Document

IC Title:

CURE MDI Mentoring Cohort Survey

Agency IC Tracking Number:

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-Survey Questions			MDI Mentoring Cohort Evaluation Questions_010121.docx		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 10

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Fast-Track Template	Final_2020 CURE Fast-Track-MDI Cohort Survey_010521.pdf	01/05/2021

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