Information Collection

Grantee Process Evaluation Online Survey Year 1

IC 254747 under ICR 202411-2528-002 · OMB 2528-0335.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix I. Grantee Process Evaluation Online Survey Form_OAHM_Final.docx	Other-Grantee Process Evaluation Onl
Appendix I. Grantee Process Evaluation Online Survey Form_OAHM_Final.docx	Other-Grantee Process Evaluation Onl
Appendix I. Grantee Process Evaluation Survey_EOAHMP-C2.DRAFT(clean).docx	Other-Appendix I. Grantee Process Ev
Appendix I. Grantee Process Evaluation Survey_EOAHMP-C2.DRAFT(clean).docx	Other-Appendix I. Grantee Process Ev
REV.Annual Grantee Process Evaluation Survey_EOAHMP-C2.(CLEAN).docx	Other-Revised Annual Grantee Process
REV.Annual Grantee Process Evaluation Survey_EOAHMP-C2.(CLEAN).docx	Other-Revised Annual Grantee Process

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Grantee Process Evaluation Online Survey Year 1	Appendix I. Grantee Process Evaluation Online Survey Form_OAHM_Final.docx	No	Paper Only
Other-Appendix I. Grantee Process Evaluation Survey_EOAHMP-C2.DRAFT(clean)	Appendix I. Grantee Process Evaluation Survey_EOAHMP-C2.DRAFT(clean).docx	No	Paper Only
Other-Revised Annual Grantee Process Evaluation Survey	REV.Annual Grantee Process Evaluation Survey_EOAHMP-C2.(CLEAN).docx	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 32

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	32	32
Annual IC Time Burden (Hours)	128	128
Annual IC Cost Burden (Dollars)	0	0

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.