Post Meeting Survey of State, Local, and Tribal Government Attendees at the NACP Grantee Meeting 2018

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0923-0047 can be found here:

Documents and Forms

Document Name Document Type
Post Meeting Survey of State, Local, and Tribal Government Attendees at the NACP Grantee Meeting 2018 Form and Instruction
Attachment C - NACP Grantee Post Meeting Survey_text.docx Other-Paper version of survey (for r
National Asthma Control Program Grantees Meeting Evaluat Attachment B - NACP Grantee Post Meeting Survey_screenshot.docx Form and Instruction
GenIC Request for Approval_2018 Asthma Grantee Meeting_SLT.docx GENIC Template Justification IC Document
Attachment A - Email Invite for asthma grantee meeting feedback_NACP2018.docx Email Invitation IC Document

Information Collection (IC) Details

IC Title:	Post Meeting Survey of State, Local, and Tribal Government Attendees at the NACP Grantee Meeting 2018	Agency IC Tracking Number:	0923-18PT

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	n/a	National Asthma Control Program Grantees Meeting Evaluation	Attachment B - NACP Grantee Post Meeting Survey_screenshot.docx		Yes	Yes	Fillable Fileable
Other-Paper version of survey (for reference only)			Attachment C - NACP Grantee Post Meeting Survey_text.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 70	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	70	70
Annual IC Time Burden (Hours)	12	12
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
GENIC Template Justification	GenIC Request for Approval_2018 Asthma Grantee Meeting_SLT.docx	02/12/2018
Email Invitation	Attachment A - Email Invite for asthma grantee meeting feedback_NACP2018.docx	02/12/2018

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