OMB
.report
Search
ANA Panel Reviewer Profile Questionnaire (Previously approved, ongoing collection)
Generic Reviewer Recruitment Form
OMB: 0970-0477
IC ID: 241667
OMB.report
HHS/ACF
OMB 0970-0477
ICR 202302-0970-008
IC 241667
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0477 can be found here:
2023-04-25 - Extension without change of a currently approved collection
2023-03-16 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Panel Reviewer Questionnaire-2017.pdf
Other-
Panel Reviewer Questionnaire-2017.pdf
Other-
GRR Request Form-ANA Reviewer Profile.pdf
GRR Submission Form - ANA Reviewer Profile
IC Document
GRR Request Form-ANA Reviewer Profile.pdf
GRR Submission Form - ANA Reviewer Profile
IC Document
NOA - All Previously Approved ICs 0970-0477_April 2020.pdf
NOA - All Previously Approved ICs 0970-0477_April 2020
IC Document
NOA - All Previously Approved ICs 0970-0477_April 2020.pdf
NOA - All Previously Approved ICs 0970-0477_April 2020
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
ANA Panel Reviewer Profile Questionnaire (Previously approved, ongoing collection)
Agency IC Tracking Number:
ANA
IC Status:
Unchanged
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-
Panel Reviewer Questionnaire-2017.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
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:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
300
0
0
0
0
300
Annual IC Time Burden (Hours)
94
0
0
0
0
94
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
GRR Submission Form - ANA Reviewer Profile
GRR Request Form-ANA Reviewer Profile.pdf
05/01/2020
NOA - All Previously Approved ICs 0970-0477_April 2020
NOA - All Previously Approved ICs 0970-0477_April 2020.pdf
05/01/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.