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Partner Survey - Government
Regional Partnership Grants National Cross-Site Evaluation and Evaluation Technical Assistance
OMB: 0970-0444
IC ID: 209829
OMB.report
HHS/ACF
OMB 0970-0444
ICR 201612-0970-002
IC 209829
( )
Documents and Forms
Document Name
Document Type
Form VA Partner Survey
Partner Survey - Government
Form and Instruction
VA Partner Survey VA Partner Survey
VA Partner Survey.pdf
Form and Instruction
VB Partner Survey FAQ.pdf
VB Partner Survey FAQ
IC Document
VC Partner Survey Advance Email.pdf
VC Partner Survey Advance Email
IC Document
VD Partner Survey Email Invitation.pdf
VD Partner Survey Email Invitation
IC Document
VE Partner Survey Reminder Email.pdf
VE Partner Survey Reminder Email
IC Document
VF Partner Survey Final Reminder Email.pdf
VF Partner Survey Final Reminder Email
IC Document
VG Partner Survey Grantee Reminder Request.pdf
VG Partner Survey Grantee Reminder Request
IC Document
VH Partner Survey Thank-You Email.pdf
VH Partner Survey Thank-You Email
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Partner Survey - Government
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Removed
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 and Instruction
VA Partner Survey
VA Partner Survey
VA Partner Survey.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:
Records maintained on individuals
FR Citation:
5 FR 43
Number of Respondents:
180
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
0
0
0
-59
0
59
Annual IC Time Burden (Hours)
0
0
0
-19
0
19
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
VB Partner Survey FAQ
VB Partner Survey FAQ.pdf
12/09/2013
VC Partner Survey Advance Email
VC Partner Survey Advance Email.pdf
12/09/2013
VD Partner Survey Email Invitation
VD Partner Survey Email Invitation.pdf
12/09/2013
VE Partner Survey Reminder Email
VE Partner Survey Reminder Email.pdf
12/09/2013
VF Partner Survey Final Reminder Email
VF Partner Survey Final Reminder Email.pdf
12/09/2013
VG Partner Survey Grantee Reminder Request
VG Partner Survey Grantee Reminder Request.pdf
12/09/2013
VH Partner Survey Thank-You Email
VH Partner Survey Thank-You Email.pdf
12/09/2013
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.