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Staff Survey - Private Sector
Regional Partnership Grants National Cross-Site Evaluation and Evaluation Technical Assistance
OMB: 0970-0444
IC ID: 209826
OMB.report
HHS/ACF
OMB 0970-0444
ICR 201312-0970-003
IC 209826
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0444 can be found here:
2016-12-19 - Extension without change of a currently approved collection
2015-02-26 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form IVA Staff Survey
Staff Survey - Private Sector
Form
IVA Staff Survey IVA Staff Survey
IVA Staff Survey.pdf
Form
IVD Staff Survey Email Invitation.pdf
IVD Staff Survey Email Invitation
IC Document
IVB Staff Survey FAQ.pdf
IVB Staff Survey FAQ
IC Document
IVC Staff Survey Advance Email.pdf
IVC Staff Survey Advance Email
IC Document
IVE Staff Survey Reminder Email.pdf
IVE Staff Survey Reminder Email
IC Document
IVF Staff Survey Final Reminder Email.pdf
IVF Staff Survey Final Reminder Email
IC Document
IVG Staff Survey Grantee Reminder Request.pdf
IVG Staff Survey Grantee Reminder Request
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Staff Survey - Private Sector
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
42 CFR B (To search for a specific CFR, visit the
Code of Federal Regulations.
)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
IVA Staff Survey
IVA Staff Survey
IVA Staff Survey.pdf
No
No
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Homeownership Promotion
Privacy Act System of Records
Title:
Records Maintained on Individuals
FR Citation:
5 FR 43
Number of Respondents:
180
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
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
121
0
121
0
0
0
Annual IC Time Burden (Hours)
51
0
51
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
IVD Staff Survey Email Invitation
IVD Staff Survey Email Invitation.pdf
12/09/2013
IVB Staff Survey FAQ
IVB Staff Survey FAQ.pdf
12/09/2013
IVC Staff Survey Advance Email
IVC Staff Survey Advance Email.pdf
12/09/2013
IVE Staff Survey Reminder Email
IVE Staff Survey Reminder Email.pdf
12/09/2013
IVF Staff Survey Final Reminder Email
IVF Staff Survey Final Reminder Email.pdf
12/09/2013
IVG Staff Survey Grantee Reminder Request
IVG Staff Survey Grantee Reminder Request.pdf
12/09/2013
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.