2016 SPORE Administrators Workshop Evaluation

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⚠️ Notice: This information collection may be referencing outdated material.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 0925-0642 can be found here:

Documents and Forms

Document Name Document Type
Form 1 2016 SPORE Administrators Workshop Evaluation Form and Instruction
1 2016 SPORE Administrators Workshop Evaluation-Paper onli 2016 SPORE Administrators workshop evaluation-paper_online_combined.pdf Form and Instruction
SPORE Fast Track Request.docx SPORE Fast Track IC Document

Information Collection (IC) Details

IC Title:	2016 SPORE Administrators Workshop Evaluation	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	1	2016 SPORE Administrators Workshop Evaluation-Paper online combined	2016 SPORE Administrators workshop evaluation-paper_online_combined.pdf		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SPORE Fast Track	SPORE Fast Track Request.docx	09/14/2016

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