Sustainability Assessment Sites

Title X Substainability Assessment Tool For Grantees and Service Sites

OMB: 0990-0442

IC ID: 217085

Documents and Forms
Document Name
Document Type
Other-SURVEY
Information Collection (IC) Details

View Information Collection (IC)

Sustainability Assessment Sites
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-SURVEY 0990-TITLE X C_Client Survey May 2015.pdf Yes Yes Fillable Printable

Health Consumer Health and Safety

 

4,168 0
   
Individuals or Households
 
   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 4,168 0 4,168 0 0 0
Annual IC Time Burden (Hours) 2,751 0 2,751 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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