Google Community Hangout Survey

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

Community Google Hangout Survey

Google Community Hangout Survey

OMB: 1880-0542

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White House Initiative on Asian Americans and Pacific Islanders Community Google Hangout Survey

* Required

Top of Form

1. What topics would you have liked to go further into detail? *

Shape1  Regional Interagency Working Groups

Shape2  Regional Summits

Shape3  Proposal Challenge

Shape4  "I Am Beyond" Project Contest

Shape5  Agency Plans

Shape6  AANAPISIs

Shape7  Affordable Care Act "Champions of Change" Contest

Shape8  All of the topics were comprehensively covered. 



2. How could the delivery of the Hangout be further improved? *

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________




3. What White House Initiative newsletters would you like to subscribe to? *

Shape9  Weekly Highlights

Shape10  AANAPISI Newsletter

Shape11  Economic Zone Newsletter

Shape12  IWG Newsletter

Shape13  Youth Engagement Newsletter

Shape14  I do not want to sign up for any newsletters.

4. What is your name?

You are only required to answer this question if you want to subscribe to a newsletter.

__________________________________________



5. What is your email address?

You are only required to answer this question if you want to subscribe to a newsletter.

__________________________________________





6. What organization are you part of?

You are only required to answer this question if you want to subscribe to a newsletter.

__________________________________________



Public Burden Statement

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number.  Public reporting burden for this collection of information is estimated to average 10 minutes per response under 1880-0542, expiring on 7/31/2014, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.  The obligation to respond to this collection is voluntary.  If you have comments or concerns regarding the status of your individual submission of this survey, please contact the White House Initiative on Asian Americans and Pacific Islanders directly.



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorWency Chu
File Modified0000-00-00
File Created2021-01-31

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