Decision and Implementation Support of The Community Guide Website

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⚠️ Notice: This information collection may be referencing outdated material.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 0920-0974 can be found here:

Documents and Forms

Document Name Document Type
Decision and Implementation Support of The Community Guide Website Form and Instruction
Survey 0920-0974 Attachment B Decision Support- Needs Assessment Script Questions 7-17.docx Form and Instruction
0920-0974 Fast-track-PRA-submission 7-16-2013.doc Request for Approval Application IC Document
0920-0974 Attachment A 7-17.docx Email Invitation IC Document

Information Collection (IC) Details

IC Title:	Decision and Implementation Support of The Community Guide Website	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
Form and Instruction	none	Survey	0920-0974 Attachment B Decision Support- Needs Assessment Script Questions 7-17.docx		No	No	Paper Only

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	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	25	0	0	0	0	0
Annual IC Time Burden (Hours)	25	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval Application	0920-0974 Fast-track-PRA-submission 7-16-2013.doc	07/17/2013
Email Invitation	0920-0974 Attachment A 7-17.docx	07/17/2013

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