Compassion Capital Fund Program Evaluation-Baseline and Follow-Up

Documents and Forms

Document Name Document Type
Form 0 Compassion Capital Fund Program Evaluation-Baseline and Follow-Up Form and Instruction
0 a Follow-up Survey REV 9-12-06.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Compassion Capital Fund Program Evaluation-Baseline and Follow-Up	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
Form and Instruction	0	a	Follow-up Survey REV 9-12-06.doc		No	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 455	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 10 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	455	-1,120	1,575
Annual IC Time Burden (Hours)	190	-393	583
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.