Information Collection

Program Evaluation

IC 222291 under ICR 201604-0694-008 · OMB 0694-0125.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0694-0125 can be found here:

Documents and Forms

Document Name Document Type
Form 0694-0125 Program Evaluation Form
0694-0125 Program Evaluation Conference Survey.docx Form
0694.0125.SuppStmt.doc Supporting Statement IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Program Evaluation	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
Form	0694-0125	Program Evaluation	Conference Survey.docx		No		Paper Only

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement	0694.0125.SuppStmt.doc	07/01/2016

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