Instrument 1: Review Panelist Survey

ArtsHERE Monitoring, Evaluation, and Learning Plan Data Collection: NEA Pilot Equity Initiative

Documents and Forms

Document Name Document Type
Form Instrument 1 Instrument 1: Review Panelist Survey Form and Instruction
Instrument 1 Instrument 1. Review Panelist Survey Instrument 1. Review Panelist Survey.pdf Form and Instruction
Instrument 1 Instrument 1. Review Panelist Survey Instrument 1. Review Panelist Survey.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Instrument 1: Review Panelist Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

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	Instrument 1	Instrument 1. Review Panelist Survey	Instrument 1. Review Panelist Survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 100

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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