Staff Survey - Government

Regional Partnership Grants National Cross-Site Evaluation and Evaluation Technical Assistance

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0444 can be found here:

Documents and Forms

Document Name Document Type
Form IVA Staff Survey Staff Survey - Government Form
IVA Staff Survey IVA Staff Survey IVA Staff Survey.pdf Form
IVD Staff Survey Email Invitation.pdf IVD Staff Survey Email Invitation IC Document
IVB Staff Survey FAQ.pdf IVB Staff Survey FAQ IC Document
IVC Staff Survey Advance Email.pdf IVC Staff Survey Advance Email IC Document
IVE Staff Survey Reminder Email.pdf IVE Staff Survey Reminder Email IC Document
IVF Staff Survey Final Reminder Email.pdf IVF Staff Survey Final Reminder Email IC Document
IVG Staff Survey Grantee Reminder Request.pdf IVG Staff Survey Grantee Reminder Request IC Document

Information Collection (IC) Details

IC Title:	Staff Survey - Government	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 42 CFR B (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	IVA Staff Survey	IVA Staff Survey	IVA Staff Survey.pdf		No	No	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records
Title: Records Maintained on Individuals	FR Citation: 5 FR 43

Number of Respondents: 160	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	107	107
Annual IC Time Burden (Hours)	45	45
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
IVD Staff Survey Email Invitation	IVD Staff Survey Email Invitation.pdf	12/09/2013
IVB Staff Survey FAQ	IVB Staff Survey FAQ.pdf	12/09/2013
IVC Staff Survey Advance Email	IVC Staff Survey Advance Email.pdf	12/09/2013
IVE Staff Survey Reminder Email	IVE Staff Survey Reminder Email.pdf	12/09/2013
IVF Staff Survey Final Reminder Email	IVF Staff Survey Final Reminder Email.pdf	12/09/2013
IVG Staff Survey Grantee Reminder Request	IVG Staff Survey Grantee Reminder Request.pdf	12/09/2013

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