Early Childhood Systems Technical Assistance and Coordinating Center Customer Satisfaction Surveys

Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration

Documents and Forms

Document Name Document Type
Form A Early Childhood Systems Technical Assistance and Coordinating Center Customer Satisfaction Surveys Form and Instruction
A Attachment A_ECS TACC Community of Practice Surve Attachment A_ECS TACC Community of Practice Surve.docx Form and Instruction
A Attachment A_ECS TACC Community of Practice Surve Attachment A_ECS TACC Community of Practice Surve.docx Form and Instruction
B Attachment B_ECS TACC Webinar Survey Attachment B_ECS TACC Webinar Survey.docx Form and Instruction
B Attachment B_ECS TACC Webinar Survey Attachment B_ECS TACC Webinar Survey.docx Form and Instruction
C Attachment C_ECS TACC TA Resources Products Survey Attachment C_ECS TACC TA Resources Products Survey.docx Form and Instruction
C Attachment C_ECS TACC TA Resources Products Survey Attachment C_ECS TACC TA Resources Products Survey.docx Form and Instruction
Attachment D Attachment D_ECS TACC Semi-Annual Interview Protocol Attachment D_ECS TACC Semi-Annual Interview Protocol.docx Form and Instruction
Attachment D Attachment D_ECS TACC Semi-Annual Interview Protocol Attachment D_ECS TACC Semi-Annual Interview Protocol.docx Form and Instruction
ECS TACC Satisfaction Surveys_Supporting Statement.docx Original Generic Request IC Document
ECS TACC Satisfaction Surveys_Supporting Statement.docx Original Generic Request IC Document

Information Collection (IC) Details

IC Title:	Early Childhood Systems Technical Assistance and Coordinating Center Customer Satisfaction Surveys	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	A	Attachment A_ECS TACC Community of Practice Surve	Attachment A_ECS TACC Community of Practice Surve.docx	Yes	Yes	Fillable Fileable
Form and Instruction	B	Attachment B_ECS TACC Webinar Survey	Attachment B_ECS TACC Webinar Survey.docx	Yes	Yes	Fillable Fileable
Form and Instruction	C	Attachment C_ECS TACC TA Resources Products Survey	Attachment C_ECS TACC TA Resources Products Survey.docx	Yes	Yes	Fillable Fileable
Form and Instruction	Attachment D	Attachment D_ECS TACC Semi-Annual Interview Protocol	Attachment D_ECS TACC Semi-Annual Interview Protocol.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 160	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	320	320
Annual IC Time Burden (Hours)	79	79
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Original Generic Request	ECS TACC Satisfaction Surveys_Supporting Statement.docx	01/09/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.