GPRA Client Outcome

Government Performance and Results Act Client/Participant Outcome Measures

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0208 can be found here:

Documents and Forms

Document Name Document Type
Form Client Outcome Ins GPRA Client Outcome Form and Instruction
Client Outcome Ins Client Outcome Instrument Attachment 1 CSAT GPRA Client Outcome Instrument OMB 12-3-12.doc Form and Instruction

Information Collection (IC) Details

IC Title:	GPRA Client Outcome	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	Client Outcome Instrument	Client Outcome Instrument	Attachment 1 CSAT GPRA Client Outcome Instrument OMB 12-3-12.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 887,756	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	Previously Approved
Annual Number of Responses for this IC	1,257,647	195,691	1,061,956
Annual IC Time Burden (Hours)	321,085	235,587	85,498
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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