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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0906-0084 can be found here:

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
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
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

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.