View Information Collection (IC)

View Information Collection (IC)

IC Title:	Pandemic Emergency Assistance Fund (PEAF) Recipients Feedback Survey	Agency IC Tracking Number:	OFA

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-Discussion Qs			PEAF Instrument Questions_OMB Submission_3-11-22.docx		Yes	Yes	Printable Only

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: 135	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	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	135	0	135	0	0	0
Annual IC Time Burden (Hours)	101	0	101	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
SSA - Prog Supp GenIC - Pandemic Emergency Assistance Fund (PEAF) Recipients Feedback Survey	SSA - Formative for ACF Program Support_PEAF Qs.docx	03/21/2022

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