Information Collection

Administration for Native Americans (ANA) Panel Reviewer Profile Questionnaire

IC 259807 under ICR 202304-0970-005 · OMB 0970-0477.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0477 can be found here:

Documents and Forms

Document Name Document Type
ANA RRM Questionnaire 2023_12.21.22.docx Other-
ANA RRM Questionnaire 2023_12.21.22.docx Other-
ACF Reviewer Recruitment Submission Form - 0970-0477_ANA RRM_12.21.22.docx Reviewer Recruitment GenIC - ANA Panel Reviewer Profile Questionnaire IC Document
ACF Reviewer Recruitment Submission Form - 0970-0477_ANA RRM_12.21.22.docx Reviewer Recruitment GenIC - ANA Panel Reviewer Profile Questionnaire IC Document
NOA_GenICReviewer_0970-0477_ANA RRN_3.3.23pdf.pdf NOA - ANA Panel Reviewer Profile Questionnaire IC Document
NOA_GenICReviewer_0970-0477_ANA RRN_3.3.23pdf.pdf NOA - ANA Panel Reviewer Profile Questionnaire IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Administration for Native Americans (ANA) Panel Reviewer Profile Questionnaire	Agency IC Tracking Number:	ANA

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-			ANA RRM Questionnaire 2023_12.21.22.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	120	120
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Reviewer Recruitment GenIC - ANA Panel Reviewer Profile Questionnaire	ACF Reviewer Recruitment Submission Form - 0970-0477_ANA RRM_12.21.22.docx	04/20/2023
NOA - ANA Panel Reviewer Profile Questionnaire	NOA_GenICReviewer_0970-0477_ANA RRN_3.3.23pdf.pdf	04/20/2023

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