Information Collection

Project LAUNCH Multi-Site Evaluation Technical Assistance Grantee Satisfaction Form

IC 214972 under ICR 201211-0970-002 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Evaluation TA Satisfaction Survey_01-16-15_Final.docx	Other-Satisfaction Survey
TA Satisfaction Survey OMB Package_01-26-15_Final.docx LAUNCH TA Customer Satisfaction Justification	IC Document

IC Title:

Project LAUNCH Multi-Site Evaluation Technical Assistance Grantee Satisfaction Form

Agency IC Tracking Number:

OPRE 1

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Satisfaction Survey			Evaluation TA Satisfaction Survey_01-16-15_Final.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 37

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	148	148
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
LAUNCH TA Customer Satisfaction Justification	TA Satisfaction Survey OMB Package_01-26-15_Final.docx	02/11/2015

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