Information Collection

Survey on DOL Grassroots Grantees

IC 45895 under ICR 200611-1290-001 · OMB 1290-0005.

Documents and Forms

Document Name Document Type
Survey on DOL Grassroots Grantees Form and Instruction
Survey on DOL Grassroots Grantees Collection- Survey for Grassroots.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Survey on DOL Grassroots Grantees	Agency IC Tracking Number:

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	None	Survey on DOL Grassroots Grantees	Collection- Survey for Grassroots.doc		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 128	Number of Respondents for Small Entity: 0

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	128	128
Annual IC Time Burden (Hours)	64	64
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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