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Federal forms, ICRs, and supporting documents

Information Collection Request

Sports & Culture Evaluation: Kennedy Center (KC) Mentor Survey

ICR 201106-1405-011 · OMB 1405-0198 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form SV2011-0014 Sports & Culture Evaluation: Kennedy Center (KC) Mentor Survey Form and Instruction New Repair queued
KC Mentor Legal Authorities (2011).doc Supplementary Document Uploaded 2011-06-09 Available
Supporting Statement Part B for KC Mentor (2011).doc Supporting Statement B Uploaded 2011-06-09 Repair queued
Supporting Statement for KC Mentor (2011).doc Supporting Statement A Uploaded 2011-06-09 Available
IC Document Collections
IC IDCollectionTypeStatusForm
198032 Sports & Culture Evaluation: Kennedy Center (KC) Mentor Survey Form and Instruction New
ICR Details
1405-0198 201106-1405-011
Historical Active
STATE/AFA
Sports & Culture Evaluation: Kennedy Center (KC) Mentor Survey
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 09/05/2011
Retrieve Notice of Action (NOA) 06/09/2011
  Inventory as of this Action Requested Previously Approved
09/30/2013 36 Months From Approved
30 0 0
18 0 0
0 0 0
This information collection will allow ECA/P/V to conduct a survey of exchange participants in the Kennedy Center Cultural Fellows Mentoring Program between the years of 2005 and 2009 as part of the larger Sports and Culture Evaluation. Collecting this data will help ECA/P/V assess and measure the program's effectiveness and impact, as well as provide valuable feedback on the program from the participants' perspective. Data collections efforts will be conducted entirely via an electronic survey.
US Code: 22 USC 2451 Name of Law: Mutual Educational and Cultural Exchange Act of 1961
   PL: Pub.L. 103 - 62 306 Name of Law: Government Performance and Results Act of 1993 (GPRA)
  
None
Not associated with rulemaking
  76 FR 55 03/22/2011
76 FR 110 06/08/2011
Yes
1
IC Title Form No. Form Name
Sports & Culture Evaluation: Kennedy Center (KC) Mentor Survey SV2011-0014 Sports & Culture Evaluation: Kennedy Center (KC) Mentor Survey
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 30 0 0 30 0 0
Annual Time Burden (Hours) 18 0 0 18 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Burden change due to submission as new collection
$7,075
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Michelle Hale 202 632-6312 [email protected]
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/09/2011