Information Collection

Program Fidelity Checklist (PFC)

IC 269230 under ICR 202407-0704-007 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0704_GSFE_Program Fidelity Checklist_22May24TC.docx	Other-Survey

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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			0704_GSFE_Program Fidelity Checklist_22May24TC.docx		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 31

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,860	1,860
Annual IC Time Burden (Hours)	155	155
Annual IC Cost Burden (Dollars)	4,799	4,799

Documents for IC

table that charts IC Documents
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.