Project Outcome Assesment Survey (POAS)

Project Outcomes Assessment Survey

Documents and Forms

Document Name Document Type
Project Outcome Assessment SurveyINTERNAL2025_CLEAN.docx Other-Survey
Project Outcome Assessment Survey Instructions2025.docx Instruction

Information Collection (IC) Details

IC Title:	Project Outcome Assesment Survey (POAS)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Other-Survey			Project Outcome Assessment SurveyINTERNAL2025_CLEAN.docx		Yes	Yes	Fillable Fileable
Instruction			Project Outcome Assessment Survey Instructions2025.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 85	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	85	57	28
Annual IC Time Burden (Hours)	510	340	170
Annual IC Cost Burden (Dollars)	0	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.