Project LAUNCH Multi-Site Evaluation Technical Assistance Grantee Satisfaction Form

Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.