CURE MDI Mentoring Cohort Survey

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⚠️ Notice: This information collection may be referencing outdated material.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 3133-0188 can be found here:

Documents and Forms

Document Name Document Type
MDI Mentoring Cohort Evaluation Questions_010121.docx Other-Survey Questions
Final_2020 CURE Fast-Track-MDI Cohort Survey_010521.pdf Generic Fast-Track Template IC Document

Information Collection (IC) Details

IC Title:	CURE MDI Mentoring Cohort Survey	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
Other-Survey Questions			MDI Mentoring Cohort Evaluation Questions_010121.docx		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 10

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Fast-Track Template	Final_2020 CURE Fast-Track-MDI Cohort Survey_010521.pdf	01/05/2021

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