Information Collection

SPARS TTA Survey

IC 225848 under ICR 201610-0930-005 · OMB 0930-0197.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0197 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SPARS Satisfaction SPARS TTA Survey	Form and Instruction
SPARS Satisfaction SPARS Satisfaction Survey SPARS Satisfaction Attachment A 2.28.17.docx	Form and Instruction
SPARS Satisfaction Attachment B 2.28.17.docx Email Invitation	IC Document
SPARS Satisfaction Attachment C 2.28.17.docx Screenshots	IC Document
SPARS Satisfaction EXPEDITED Supporting Statement 2.28.17.docx Justification	IC Document
Trans.Let-2-2017.doc Transmittal Letter	IC Document

IC Title:

SPARS TTA Survey

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SPARS Satisfaction Survey	SPARS Satisfaction Survey	SPARS Satisfaction Attachment A 2.28.17.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,106

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,212	2,212
Annual IC Time Burden (Hours)	221	221
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Email Invitation	SPARS Satisfaction Attachment B 2.28.17.docx	02/28/2017
Screenshots	SPARS Satisfaction Attachment C 2.28.17.docx	02/28/2017
Justification	SPARS Satisfaction EXPEDITED Supporting Statement 2.28.17.docx	02/28/2017
Transmittal Letter	Trans.Let-2-2017.doc	02/28/2017

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