Information Collection

CTSU Multi-Group Audit (MGA) Feedback Surveys

IC 230057 under ICR 201702-0925-001 · OMB 0925-0642.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0642 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 CTSU Multi-Group Audit (MGA) Feedback Surveys	Form
1 MGA Feedback Survey AUDIT Staff screenshots MGA Feedback Survey AUDIT STAFF ScreenShots.pdf	Form
2 MGA Feedback Survey SITE Staff screenshots MGA Feedback Survey SITE STAFF ScreenShots.pdf	Form
MGA Fast Track (2).docx MGA Fast Track	IC Document

IC Title:

CTSU Multi-Group Audit (MGA) Feedback Surveys

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	1	MGA Feedback Survey AUDIT Staff screenshots	MGA Feedback Survey AUDIT STAFF ScreenShots.pdf		Yes	Yes	Fillable Fileable
Form	2	MGA Feedback Survey SITE Staff screenshots	MGA Feedback Survey SITE STAFF ScreenShots.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	2,500	2,500
Annual IC Time Burden (Hours)	417	417
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
MGA Fast Track	MGA Fast Track (2).docx	02/12/2018

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