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OLIPA Survey Forms
Collection of Qualitative Feedback on Agency Service Delivery
OMB: 3225-0002
IC ID: 228474
OMB.report
CSOSA
OMB 3225-0002
ICR 201708-3225-001
IC 228474
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3225-0002 can be found here:
2020-11-20 - Reinstatement with change of a previously approved collection
Documents and Forms
Document Name
Document Type
Form CSOSA - 2
OLIPA Survey Forms
Form and Instruction
CSOSA - 2 Community Resource Day Program Presenter Feedback Survey
community resource day presenter feedback - omb version 9-21-17.docx
Form and Instruction
CSOSA - 5 Community Service Program Participant Feedback Survey
OLIPA survey - community service participant feedback - omb version 9-21-17.docx
Form and Instruction
CSOSA - 4 MPD Partnership Training Session Survey
OLIPA survey - mpd partnership training - omb version 9-21-17.docx
Form and Instruction
CSOSA - 1 Community Resource Day Program Participant Feedback Surv
OLIPA survey- community resource day PARTICIPANT - omb version 9-21-17.docx
Form and Instruction
CSOSA - 3 Community Justice Advisory Network (CJAN) Meeting Partic
OLIPA survey- CJAN participant feed back - omb version 9-21-17.docx
Form and Instruction
CSOSA - 6 Electronic CJAN Participant Feedback Form
OLIPA CJAN ELECTRONIC snapshot document 9 -2017.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
OLIPA Survey Forms
Agency IC Tracking Number:
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
Form and Instruction
CSOSA - 2
Community Resource Day Program Presenter Feedback Survey
community resource day presenter feedback - omb version 9-21-17.docx
No
Paper Only
Form and Instruction
CSOSA - 5
Community Service Program Participant Feedback Survey
OLIPA survey - community service participant feedback - omb version 9-21-17.docx
No
Paper Only
Form and Instruction
CSOSA - 4
MPD Partnership Training Session Survey
OLIPA survey - mpd partnership training - omb version 9-21-17.docx
No
Paper Only
Form and Instruction
CSOSA - 1
Community Resource Day Program Participant Feedback Survey
OLIPA survey- community resource day PARTICIPANT - omb version 9-21-17.docx
No
Paper Only
Form and Instruction
CSOSA - 3
Community Justice Advisory Network (CJAN) Meeting Participant Form
OLIPA survey- CJAN participant feed back - omb version 9-21-17.docx
No
Paper Only
Form
CSOSA - 6
Electronic CJAN Participant Feedback Form
OLIPA CJAN ELECTRONIC snapshot document 9 -2017.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Law Enforcement
Subfunction:
Crime Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
450
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
20 %
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
450
0
450
0
0
0
Annual IC Time Burden (Hours)
75
0
75
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
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.