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Feedback Questions on Technical Assistance Support Provided to Community Services Block Grant (CSBG) Project Impact Grant Recipients
Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0970-0401
IC ID: 250723
OMB.report
HHS/ACF
OMB 0970-0401
ICR 202303-0970-007
IC 250723
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:
2024-09-25 - No material or nonsubstantive change to a currently approved collection
2024-09-13 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
PITAS_Recipient feedback ques_v2_clean.docx
Other-Survey
PITAS_Recipient feedback ques_v2_clean.docx
Other-Survey
2021_12_1 PITAS_Fast Track Generic for Feedback Questions on TA_OMB Submission_v2_clean.docx
FastTrack GenIC Submission form: Feedback Questions on Technical Assistance Support Provided to CSBG Project Impact Grant Recipi
IC Document
2021_12_1 PITAS_Fast Track Generic for Feedback Questions on TA_OMB Submission_v2_clean.docx
FastTrack GenIC Submission form: Feedback Questions on Technical Assistance Support Provided to CSBG Project Impact Grant Recipi
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Feedback Questions on Technical Assistance Support Provided to Community Services Block Grant (CSBG) Project Impact Grant Recipients
Agency IC Tracking Number:
OPRE/OCS
IC Status:
Unchanged
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-Survey
PITAS_Recipient feedback ques_v2_clean.docx
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:
FR Citation:
Number of Respondents:
480
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 %
Requested
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
480
0
0
0
0
480
Annual IC Time Burden (Hours)
40
0
0
0
0
40
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
FastTrack GenIC Submission form: Feedback Questions on Technical Assistance Support Provided to CSBG Project Impact Grant Recipients
2021_12_1 PITAS_Fast Track Generic for Feedback Questions on TA_OMB Submission_v2_clean.docx
12/08/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.