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2016 NSSP Annual Grantee Meeting
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0920-0974
IC ID: 221323
OMB.report
HHS/CDC
OMB 0920-0974
ICR 201305-0920-009
IC 221323
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0974 can be found here:
2016-06-15 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Attachment2_FeedbackSurvey_EpiInfoScreenShots_040816.docx
Other-Screenshots
Attachment1_FeedbackSurvey_FINAL_040516 (003).docx
Other-WORD
Attachment3_NSSP_Cust Serv_Fdbk_Survey_Invitation_Email_FINAL_040816.docx
Att 3 NSSP Invitation Email
IC Document
Attachment4_NSSP_Cust Serv_Fdbk_Survey_Reminder_Email_FINAL_040816.docx
Att 4_ Reminder Email
IC Document
GenIC Req_0920-0974_2016_NSSPAnnualGranteeMtg_Cust Serv_Fdbk_Survey_FINAL.docx
Request for Approval
IC Document
New _Requirements_0920-0974_2016_NSSPAnnualGranteeMeetingFeedbackSurvey_FINAL.docx
New Requirements
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
2016 NSSP Annual Grantee Meeting
Agency IC Tracking Number:
16ACX
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-Screenshots
Attachment2_FeedbackSurvey_EpiInfoScreenShots_040816.docx
Yes
Yes
Fillable Fileable
Other-WORD
Attachment1_FeedbackSurvey_FINAL_040516 (003).docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Training and Employment
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
60
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
60
0
60
0
0
0
Annual IC Time Burden (Hours)
10
0
10
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Att 3 NSSP Invitation Email
Attachment3_NSSP_Cust Serv_Fdbk_Survey_Invitation_Email_FINAL_040816.docx
05/02/2016
Att 4_ Reminder Email
Attachment4_NSSP_Cust Serv_Fdbk_Survey_Reminder_Email_FINAL_040816.docx
05/02/2016
Request for Approval
GenIC Req_0920-0974_2016_NSSPAnnualGranteeMtg_Cust Serv_Fdbk_Survey_FINAL.docx
05/02/2016
New Requirements
New _Requirements_0920-0974_2016_NSSPAnnualGranteeMeetingFeedbackSurvey_FINAL.docx
05/02/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.