2018 CUPS/Ferguson Summer Showcase

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⚠️ Notice: This information collection may be referencing outdated material.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 0920-1050 can be found here:

Documents and Forms

Document Name Document Type
2018 CUPS/Ferguson Summer Showcase Form
Session 2 survey 2018 CUPS SCC -Session 2 post FINAL post clearance_ GenIC July_16.docx Form
Session 1 survey 2018 CUPS SCC - Session 1 FINAL post Clearance_GenIC_July 16.docx Form
Session 3 survey 2018 CUPS SCC - Session 3 FINAL post clearance_GenIC_July_16.docx Form
CUPS GenIC_2018_ Rev docx.docx Request for Approval IC Document

Information Collection (IC) Details

IC Title:	2018 CUPS/Ferguson Summer Showcase	Agency IC Tracking Number:	0920-1050-18ASJ

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	none	Session 2 survey	2018 CUPS SCC -Session 2 post FINAL post clearance_ GenIC July_16.docx	No	Paper Only
Form	none	Session 1 survey	2018 CUPS SCC - Session 1 FINAL post Clearance_GenIC_July 16.docx	No	Paper Only
Form	none	Session 3 survey	2018 CUPS SCC - Session 3 FINAL post clearance_GenIC_July_16.docx	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 744	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	744	744
Annual IC Time Burden (Hours)	99	99
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval	CUPS GenIC_2018_ Rev docx.docx	07/17/2018

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