MHA Public Service Advertising (PSA) Campaign Refresh

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0231 can be found here:

Documents and Forms

Document Name Document Type
Moderator Guide.docx Other-Moderator Guide
MarComAdCouncilExploratoryClearance_04142014.docx Fast-Track Clearance IC Document

Information Collection (IC) Details

IC Title:	MHA Public Service Advertising (PSA) Campaign Refresh	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
Other-Moderator Guide			Moderator Guide.docx		No		Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 24	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	24	24
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast-Track Clearance	MarComAdCouncilExploratoryClearance_04142014.docx	04/14/2014

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