Recipient Meeting Participant's Feedback - Division of Violence Prevention

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

OMB: 0920-1009

IC ID: 237691

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Recipient Meeting Participant's Feedback - Division of Violence Prevention 0920-1009-19BQQ
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1009 Feedback Survey Att 1a_Post Recipient Meeting Feedback Survey 9.5.19.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

42 0
   
State, Local, and Tribal Governments
 
   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 42 0 42 0 0 0
Annual IC Time Burden (Hours) 8 0 8 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Survey Screenshot Att 1b_1605 Recipient Meeting Survey.png 09/09/2019
Initial Email Att 2a_ Initial Email_9.3 Edits.docx 09/09/2019
Reminder Email Att 2b_ Reminder Email 9.3 Edits.docx 09/09/2019
Privacy Assessment Att 3_PIA Email.pdf 09/09/2019
Generic Request Template OMB# 1009 - Generic Clearance Request - Recipient Meeting 9.5.19 final.docx 09/09/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
© 2024 OMB.report | Privacy Policy