Participant Feedback Form for the CCDBG Implementation Research and Evaluation Planning Grantee Community of Practice Meeting

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

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Meeting Evaluation Form_mj_MB.docx Other-Feedback From
Fast Track Generic-- Grantee Meeting Evaluation Form_mj_MB.doc CCDBG Fast Track Generic Submission Form IC Document

Information Collection (IC) Details

IC Title:	Participant Feedback Form for the CCDBG Implementation Research and Evaluation Planning Grantee Community of Practice Meeting	Agency IC Tracking Number:	CCDBG Meeting Feedback

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-Feedback From			Meeting Evaluation Form_mj_MB.docx		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 23	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	23	23
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
CCDBG Fast Track Generic Submission Form	Fast Track Generic-- Grantee Meeting Evaluation Form_mj_MB.doc	02/21/2017

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