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Feedback Survey of 2017 NSSP Annual Grantee Meeting
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0920-0974
IC ID: 224854
OMB.report
HHS/CDC
OMB 0920-0974
ICR 201606-0920-007
IC 224854
( )
Documents and Forms
Document Name
Document Type
Feedback Survey of 2017 NSSP Annual Grantee Meeting
Form
Survey of 2017 NSSP Grantee Meeting
Attachment2_FeedbackSurvey_EpiInfoScreenShots_120916.docx
Form
GenIC Req_0920-0974_2016_2017NSSPGranteeMtg_Cust Serv_Fdbk_Survey_FINAL.docx
Request for Approval
IC Document
Attachment1_FeedbackSurvey_FINAL_Cleared_120716.docx
Survey - word
IC Document
Attachment3_NSSP_Cust Serv_Fdbk_Survey_Invitation_Email_FINAL_120716.docx
Invitation Email
IC Document
Attachment4_NSSP_Cust Serv_Fdbk_Survey_Reminder_Email_FINAL_120716.docx
Reminder Email
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Feedback Survey of 2017 NSSP Annual Grantee Meeting
Agency IC Tracking Number:
17HZ
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
none
Survey of 2017 NSSP Grantee Meeting
Attachment2_FeedbackSurvey_EpiInfoScreenShots_120916.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Training and Employment
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
60
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 New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
60
0
60
0
0
0
Annual IC Time Burden (Hours)
10
0
10
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Request for Approval
GenIC Req_0920-0974_2016_2017NSSPGranteeMtg_Cust Serv_Fdbk_Survey_FINAL.docx
12/15/2016
Survey - word
Attachment1_FeedbackSurvey_FINAL_Cleared_120716.docx
12/15/2016
Invitation Email
Attachment3_NSSP_Cust Serv_Fdbk_Survey_Invitation_Email_FINAL_120716.docx
12/15/2016
Reminder Email
Attachment4_NSSP_Cust Serv_Fdbk_Survey_Reminder_Email_FINAL_120716.docx
12/15/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.