Instrument 2: Grantee Baseline Survey

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

Documents and Forms

Document Name Document Type
Form Instrument 2 Instrument 2: Grantee Baseline Survey Form and Instruction
Instrument 2 Instrument 2: Grantee Baseline Survey Instrument 2. Grantee Baseline Survey.pdf Form and Instruction
Instrument 2 Instrument 2: Grantee Baseline Survey Instrument 2. Grantee Baseline Survey.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Instrument 2: Grantee Baseline Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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 2	Instrument 2: Grantee Baseline Survey	Instrument 2. Grantee Baseline 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: 95	Number of Respondents for Small Entity: 95

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	95	95
Annual IC Time Burden (Hours)	48	48
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.