Information Collection

Capacity Building Collaborative Customer Feedback for Learning Experiences

IC 218540 under ICR 201502-0970-004 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Capacity Building Collaborative Customer Feedback for Learning Experiences	Form and Instruction
1 Capacity Building Collaborative Customer Feedback Instru Capacity Building Collaborative learning experiences Instrument_for OMB.docx	Form and Instruction
Capacity Building Collaborative fast track application for learning experiences.doc Capacity Building Collaborative Learning	IC Document

IC Title:

Capacity Building Collaborative Customer Feedback for Learning Experiences

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Capacity Building Collaborative Customer Feedback Instrument	Capacity Building Collaborative learning experiences Instrument_for OMB.docx		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,825

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,825	1,825
Annual IC Time Burden (Hours)	183	183
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Capacity Building Collaborative Learning	Capacity Building Collaborative fast track application for learning experiences.doc	10/09/2015

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