2017 CDFI and NACA Program Application Customer Service Survey - Tribal Respondents

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1559-0041 can be found here:

Documents and Forms

Document Name Document Type
Form 20170802-2 2017 CDFI and NACA Program Application Customer Service Survey - Tribal Respondents Form and Instruction
20170802-2 2017 CDFI and NACA Program Application Customer Service 2017 CDFI Program Application Customer Service Survey.docx Form and Instruction
Generic Clearance Submission Template - 2017 CDFI Program Applicant Survey.doc Generic Clearance Submission Template IC Document

Information Collection (IC) Details

IC Title:	2017 CDFI and NACA Program Application Customer Service Survey - Tribal Respondents	Agency IC Tracking Number:

IC Status: New

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	20170802-2	2017 CDFI and NACA Program Application Customer Service Survey - Tribal Respondents	2017 CDFI Program Application Customer Service Survey.docx		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: 50	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Clearance Submission Template	Generic Clearance Submission Template - 2017 CDFI Program Applicant Survey.doc	08/02/2017

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