Neighborhood Networks Management and Tracking Data Collection Instruments

Documents and Forms

Document Name Document Type
Collection Forms_Screenshots.pdf Other-Screenshots
Appendix E_Electronic Postcard Telephone Follow-up Script a.doc Electronic postcard IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Neighborhood Networks Management and Tracking Data Collection Instruments	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screenshots			Collection Forms_Screenshots.pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 369	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	669	-1,208	1,877
Annual IC Time Burden (Hours)	535	-916	1,451
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Electronic postcard	Appendix E_Electronic Postcard Telephone Follow-up Script a.doc	11/23/2009

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