Site visit and key informant data collection: Sustainability survey (Appendix E)

Regional Partnership Grants (RPG) National Cross-Site Evaluation and Evaluation Technical Assistance

Documents and Forms

Document Name Document Type
Appendix E_Sustainability Survey.docx Other-Survey

Information Collection (IC) Details

IC Title:	Site visit and key informant data collection: Sustainability survey (Appendix E)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Other-Survey			Appendix E_Sustainability Survey.docx		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 126	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	42	-64	106
Annual IC Time Burden (Hours)	14	-21	35
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.