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

ICR 201502-0970-004

OMB: 0970-0401

Federal Form Document

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Supporting Statement A
2015-02-04
Justification for No Material/Nonsubstantive Change
2012-11-19
IC Document Collections
IC ID
Document
Title
Status
227063 New
227009 New
226904 New
226903 New
226902 New
226898 New
226784 New
226782 New
226773 New
226527 New
226463 New
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219984 New
219933 New
219265 New
219240 New
219077 New
218714 New
218540 New
218317 New
218119 New
218106 New
217606 New
217090 New
216671 New
216659 New
216644 New
216642 New
ICR Details
0970-0401 201502-0970-004
Historical Active 201211-0970-002
HHS/ACF
Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery
Extension without change of a currently approved collection   No
Regular
Approved without change 05/12/2015
Retrieve Notice of Action (NOA) 02/24/2015
  Inventory as of this Action Requested Previously Approved
05/31/2018 36 Months From Approved 05/31/2015
14,124 0 32,090
7,062 0 7,062
0 0 0

This is a generic request to seek feedback from the public on service delivery. This is in accordance with the Administrations's commitment to improving service delivery.

PL: Pub.L. 110 - 134 125 Name of Law: Head Start Act of 2007
  
None

Not associated with rulemaking

  79 FR 69492 11/21/2014
80 FR 3606 01/23/2015
No

60
IC Title Form No. Form Name
FEI Focus Group 1 Focus Group
Special Initiative Survey 1 Special Initiative Survey
OCS CED Focus Group 1 CED Grantee Needs Assessmenr
Child Welfare Information Gateways's Special Inititative Survey 1 CWIG Special Inititiative Survey for OMB 1-20-16
CWCB CapLEARN 1 CapLearn registration fields
AFI Capacity Building Toolkit Usability Test 1 Fast Track Toolkit Survey Instrument
ANA Sustainablility Servicers Survey 1 3 Year Posst Project Survey
FEI Website Survey 1 FEI Website Survey
Feedback from participants at the Enhancing the Cultural Responsiveness of Social Services Webinar
PMFO New Director Mentor Iniative 1 NDMI Live Learning Event Survey
ANA Training and Technical Assistance Services Survey 1 ANA TTA Survey Questions
Institute Feedback Form 1 Institute Feedback Form
OAS-TA State Systems Specialist Network Feedback 1 TA State Systems Network Feedback
MIECHV CQI Practicum, Mid-Practicum Feedback Questions
Input from Child Care Policy Research Consortium Members for CCPRC 2015 Annual Meeting
Input from Child Care Policy Research Consortium Members for CCPRC 2015 Annual Meeting
MIECHV Grantee Feedback on Data and Evaluation Technical Assistance
Human Trafficking Data Collection Pilot 1, 1 OTIP DCP Survey Questionnaire ,   DCP Stakeholder Interview Guide
AFI Outreach Survey 1 AFI Outreach Assessment
Collaborative Customer Feedback 1 Capacity Building Collaborative Customer Feedback Instrument
Capacity Building Collaborative Customer Feedback for Learning Experiences 1 Capacity Building Collaborative Customer Feedback Instrument
Father Involvement Communication Checks 1 Fatherhood Screener Comm Check
SOAR End of Course Evaluation 1 Justification
ACF Office of Regional Operations Customer Feedback for Learning Experiences
Soliciatation of Opinions for 2017 ACF Native American Grantee Meeting 1 IC for 2017 ACF Grantee Meeting
OAS-On-Site Meeting Facilitation State Feedback Collection 1 Meeting Facilitation
Follow-Up Needs Assessment Feedback Form 1 Follow-up Needsw Assessment Feedback Form
Center for Urban Families (CFUF) 1 National Responsible Fatherhood Clearinghouse (NRFC)
Center for States Media Consumption Survey 1 Media Consumption Survey Instrument
CWIG Virtual Conference Exit Survey 1 Exit Survey
PMFO Fiscal Consulting Inititative Feedback Survey 1 PMFO Fiscal Consulting Survey
AFI Grantee Workshop Evaluation Survey 1 Grantee Workshop Survey Instrument
Participant Feedback Form for the CCDBG Implementation Research and Evaluation Planning Grantee Community of Practice Meeting
AFI Capacity Building Visit 1 AFI Capacity Building Visit Feedback Form
Comment Form: 2015 OPRE Innovative Methods Meeting
National Foster Care and Adoption Directory Survey 1 NFCAD Survey
OHS-Conference Feedback Survey 1 PMFO Conference Survey
OHS-Event Session Survey 1 Event Session Survey
HS-ECLKC Tree Testing 1 ECLKC Tree Testing Script
OAS-TA Feedback Collection for Infant Toddler 1 SCBC Task 3
OAS-Specialized Resources TA Feedback Collection 1 SCBC Task 2
Center for States 1 Center for States Intensive Capacity Building Project
BICS Vermont Grant Resolution Meeting Customer Satisfaction 1 VT BICS Draft Questionaire 2-8-16
Tribal MIECHV Data System Planning
Constituency Group Survey 1 Fast Track Instrument
SOAR Human Trafficking Training End-of-Course Evaluation 1 SOAR End-of-Course Evaluation
Child Welfare Capacity Building Collaborative Focus Group 1 VirtualConference FocusGroupGuide
OHS-Fiscal Consulting Survey 1 Fiscal Consulting Survey
OCS-AFI Application Readiness Assessment Questions for Cohert Participants 1 AFI Instruction and Instruments.
Feedback from Child Care and Early Education Policy Research Consortium (CCEEPRC) Members on the CCEEPRC 2017 Annual Meeting
Early Head Start Conference Satisfaction Survey 1 Conference Satisfaction Survey
Feedback from participants at the Enhancing the Cultural Responsiveness of Social Services Webinars 3&4
Virtual Conference Session Evaluation 1 Generic Request
OTIP 1 OTIP Fast Track Request
Investigation and Analysis of AFI 1 AFI Outreach Instruments
Center for States - 2015 1 Center for States Needs Assessment Survey 2016
ANA 2016 Communication Survey 1 ANA Comms Survey Questions Survey Monkey
Input on Agenda for 2017 Annual Meeting of Child Care and Early Education Policy Research Consortium
Feedback on Mother and Infant Home Visiting Program Evaluation (MIHOPE) Long-term Follow-up study design options
OAS-Administrator Feedback Collection 1 Administrator Feedback Collection

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 14,124 32,090 0 0 -17,966 0
Annual Time Burden (Hours) 7,062 7,062 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$1,000
No
No
No
No
No
Uncollected
Robert Sargis 2026907275

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
02/24/2015


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