Early Head Start Conference Satisfaction Survey

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⚠️ Notice: This information collection may be referencing outdated material.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
Form 1 Early Head Start Conference Satisfaction Survey Form and Instruction
1 Conference Satisfaction Survey Region1-Conf-Satisfaction-Survey-INSTRUMENT-5-30-17.docx Form and Instruction
Region1-Conf-Satisfaction-Survey-fast-track-PRA-submission-short-form-5-....pdf Justification IC Document

Information Collection (IC) Details

IC Title:	Early Head Start Conference Satisfaction Survey	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	Conference Satisfaction Survey	Region1-Conf-Satisfaction-Survey-INSTRUMENT-5-30-17.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: 200	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification	Region1-Conf-Satisfaction-Survey-fast-track-PRA-submission-short-form-5-....pdf	06/01/2017

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