Information Collection

Administration for Native Americans (ANA) Panel Reviewer Profile Questionnaire

IC 279596 under ICR 202603-0970-012 · OMB 0970-0477.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
RRPQ Form 2025CLEAN.docx	Other-Recruitment Qs
2025 RRPQ InstructionsCLEAN.docx	Instruction

IC Title:

Agency IC Tracking Number:

ANA

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-Recruitment Qs					Yes	Yes	Fillable Fileable
Instruction					Yes	Yes	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

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	300	300
Annual IC Time Burden (Hours)	120	120
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.

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