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Administration for Native Americans Technical Assistance Feedback
Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0970-0401
IC ID: 277712
OMB.report
HHS/ACF
OMB 0970-0401
ICR 202509-0970-013
IC 277712
( )
Documents and Forms
Document Name
Document Type
ANA Electronic Technical Assistance EvaluationFINAL.docx
Other-Survey
Fast Track GenIC Submission Form_ANATechAssistFINAL.docx
FastTrack GenIC - ANA TA Feedback
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Administration for Native Americans Technical Assistance Feedback
Agency IC Tracking Number:
ANA
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
ANA Electronic Technical Assistance EvaluationFINAL.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:
30
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 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
30
0
0
0
0
30
Annual IC Time Burden (Hours)
2
0
0
0
0
2
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
FastTrack GenIC - ANA TA Feedback
Fast Track GenIC Submission Form_ANATechAssistFINAL.docx
09/24/2025
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.