L3 Evaluations

Program Impact Evaluations (Level 3 Evaluations)

Documents and Forms

Document Name Document Type
CRS-City-SPIRIT Form 1190-0021.docx Other-case study template
1190-0021_City-SPIRIT Case Study Template 1190-0021.docx Generic IC Template IC Document

Information Collection (IC) Details

IC Title:	L3 Evaluations	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-case study template			CRS-City-SPIRIT Form 1190-0021.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: 89	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	89	89
Annual IC Time Burden (Hours)	22	22
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic IC Template	1190-0021_City-SPIRIT Case Study Template 1190-0021.docx	02/28/2024

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