Impact Assessment Questionnaire

OMB 3015-0009

The DFC Impact Assessment Questionnaire is the principal document used by the agency to initiate the assessment of the project’s development impact, as well as the project’s ability to comply with environmental and social policies, including labor and human rights, as consistent with the agency’s authorizing legislation.

The latest form for Impact Assessment Questionnaire expires 2022-08-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form DFC-007a Impact Assessment Questionnaire: COVID-19 Response Version Form and Instruction
Form DFC-007 Impact Assessment Questionnaire Form and Instruction
221104 DFC-007 SSB.docx Supporting Statement B
DFC-007 83-I Questionnaire for OMB.pdf Supplementary Document
221104 DFC-007 Supporting Statement.docx Supporting Statement A
Impact Assessment Questionnaire: COVID-19 Response Version Form and Instruction
Impact Assessment Questionnaire Form and Instruction

All Historical Document Collections

202211-3015-001 Approved without change	Revision of a currently approved collection	2022-12-15
202202-3015-006 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-02-18
202011-3015-001	Revision of a currently approved collection	2020-11-10
202004-3015-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2020-04-28
201906-3015-008 Approved without change	New collection (Request for a new OMB Control Number)	2019-07-02

OMB Details

Impact Assessment Questionnaire

Federal Enterprise Architecture: International Affairs and Commerce - International Development and Humanitarian Aid

Form DFC‐007

Impact Assessment Questionnaire

N/A

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.