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Work Plan Request/Intensive TA Participant Feedback form
OVC TTAC Feedback form package
OMB: 1121-0341
IC ID: 205703
OMB.report
DOJ/OJP
OMB 1121-0341
ICR 201510-1121-002
IC 205703
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0341 can be found here:
2022-10-28 - Revision of a currently approved collection
2019-07-25 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Work Plan Request/Intensive TA Participant Feedback form
Form
Work Plan participant Feedback form
WPR&IntensiveTAParticipant_toOMB.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Work Plan Request/Intensive TA Participant Feedback form
Agency IC Tracking Number:
OVC
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
none
Work Plan participant Feedback form
WPR&IntensiveTAParticipant_toOMB.docx
n/a
Yes
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Education
Subfunction:
Higher Education
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
600
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
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
600
0
-900
0
0
1,500
Annual IC Time Burden (Hours)
100
0
-150
0
0
250
Annual IC Cost Burden (Dollars)
2,082
0
-3,123
0
0
5,205
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.