Information Collection

Pandemic Emergency Assistance Fund (PEAF) Recipients Feedback Survey

IC 254583 under ICR 202508-0970-003 · OMB 0970-0531.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
PEAF Instrument Questions_OMB Submission_3-11-22.docx	Other-Interview Qs
PEAF Instrument Questions_OMB Submission_3-11-22.docx SSA - PEAF Recipients Feedback Survey	IC Document
NOA_OFA PEAF Feedback_Prog Supp GenIC_0970-0531_3.30.22.pdf NOA - PEAF Recipients Feedback Survey	IC Document

IC Title:

Pandemic Emergency Assistance Fund (PEAF) Recipients Feedback Survey

Agency IC Tracking Number:

OFA

IC Status: Unchanged

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-Interview Qs					Yes	Yes	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 135

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 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	135	135
Annual IC Time Burden (Hours)	101	101
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA - PEAF Recipients Feedback Survey		07/11/2022
NOA - PEAF Recipients Feedback Survey		07/11/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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