Facilitated Process Evaluation - State Local Tribal Respondents

Program Evaluation Instruments - Environmental Conflict Resolution Services Participant Questionnaires (Five Instruments)

Documents and Forms

Document Name Document Type
Form 3320-0003 (E) Facilitated Process Evaluation - State Local Tribal Respondents Form and Instruction
3320-0003 (E) Facilitated Process Evaluation Facilitated Process Evaluation - Participant Questionnaire - 0003E.pdf Form and Instruction
3320-0003 (E) Facilitated Process Evaluation Facilitated Process Evaluation - Participant Questionnaire - 0003E.pdf Form and Instruction
FACILI~4.PDF Screen Print of Electronic Version IC Document
FACILI~4.PDF Screen Print of Electronic Version IC Document

Information Collection (IC) Details

IC Title:	Facilitated Process Evaluation - State Local Tribal Respondents	Agency IC Tracking Number:	0003E

Is this a Common Form? No		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	3320-0003 (E)	Facilitated Process Evaluation	Facilitated Process Evaluation - Participant Questionnaire - 0003E.pdf		Yes	Yes	Fillable Fileable

Line of Business: Litigation and Judicial Activities

Subfunction: Resolution Facilitation

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: 50 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	635	635

Documents for IC

Title	Document	Date Uploaded
Screen Print of Electronic Version	FACILI~4.PDF	03/13/2024

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