Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery

ICR 201706-0970-005

OMB: 0970-0401

Federal Form Document

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Justification for No Material/Nonsubstantive Change
2017-05-31
Supporting Statement A
2015-02-04
Justification for No Material/Nonsubstantive Change
2012-11-19
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229920 New
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229876 New
229784 New
229778 New
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229704 New
229636 New
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218106 Unchanged
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217090 Unchanged
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ICR Details
0970-0401 201706-0970-005
Historical Active 201705-0970-010
HHS/ACF OPRE
Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved with change 07/05/2017
Retrieve Notice of Action (NOA) 06/29/2017
  Inventory as of this Action Requested Previously Approved
05/31/2018 05/31/2018 05/31/2018
44,124 0 14,124
17,062 0 7,062
0 0 0

This is a generic request to seek feedback from the public on service delivery. This is in accordance with the Administrations's commitment to improving service delivery.

PL: Pub.L. 110 - 134 125 Name of Law: Head Start Act of 2007
  
None

Not associated with rulemaking

  79 FR 69492 11/21/2014
80 FR 3606 01/23/2015
No

76
IC Title Form No. Form Name
Feedback from Child Care and Early Education Policy Research Consortium (CCEEPRC) Members on the CCEEPRC 2018 Annual Meeting
Regugee Health Coordinator Survey 1 Survey of Refugee Health Coordinators
Customer feedback focus group with Healthy Marriage and Relationship Education (HMRE) program staff
Center for States 1 Center for States Intensive Capacity Building Project
Center for States Media Consumption Survey 1 Media Consumption Survey Instrument
Father Involvement Communication Checks 1 Fatherhood Screener Comm Check
Tribal MIECHV Data System Planning
Virtual Conference Session Evaluation 1 Generic Request
Feedback from Child Care and Early Education Policy Research Consortium (CCEEPRC) Members on the CCEEPRC 2017 Annual Meeting
Follow-Up Needs Assessment Feedback Form 1 Follow-up Needsw Assessment Feedback Form
ANA Language Summit Survey
FEI Focus Group 1 Focus Group
Feedback from participants at the Enhancing the Cultural Responsiveness of Social Services Webinars 3&4
CWIG Virtual Conference Exit Survey 1 Exit Survey
ANA 2016 Communication Survey 1 ANA Comms Survey Questions Survey Monkey
Child Welfare Capacity Building Collaborative Focus Group 1 VirtualConference FocusGroupGuide
CWCB CapLEARN 1 CapLearn registration fields
Institute Feedback Form 1 Institute Feedback Form
OAS-TA State Systems Specialist Network Feedback 1 TA State Systems Network Feedback
OAS-On-Site Meeting Facilitation State Feedback Collection 1 Meeting Facilitation
Rigorous Evaluation Technical Assistance (RETA) Feedback Form
Feedback on the "Looking forward to the 2019 National Survey of Early Care and Education" webinar
FEI Website Survey 1 FEI Website Survey
OCS CED Focus Group 1 CED Grantee Needs Assessmenr
Constituency Group Survey 1 Fast Track Instrument
Investigation and Analysis of AFI 1 AFI Outreach Instruments
SOAR End of Course Evaluation 1 Justification
OHS-Conference Feedback Survey 1 PMFO Conference Survey
OCS-AFI Application Readiness Assessment Questions for Cohert Participants 1 AFI Instruction and Instruments.
Feedback on Mother and Infant Home Visiting Program Evaluation (MIHOPE) Long-term Follow-up study design options
Human Trafficking Data Collection Pilot 1, 1 OTIP DCP Survey Questionnaire ,   DCP Stakeholder Interview Guide
Comment Form: 2015 OPRE Innovative Methods Meeting
Collaborative Customer Feedback 1 Capacity Building Collaborative Customer Feedback Instrument
Center for States - 2015 1 Center for States Needs Assessment Survey 2016
OHS-Event Session Survey 1 Event Session Survey
PMFO Fiscal Consulting Inititative Feedback Survey 1 PMFO Fiscal Consulting Survey
PMFO New Director Mentor Iniative 1 NDMI Live Learning Event Survey
Input on Agenda for 2017 Annual Meeting of Child Care and Early Education Policy Research Consortium
HS-ECLKC Tree Testing 1 ECLKC Tree Testing Script
ACF Office of Regional Operations Customer Feedback for Learning Experiences
OAS-Specialized Resources TA Feedback Collection 1 SCBC Task 2
Maternal, Infant, and Early Childhood Home Visiting (MIECHV) TA Satisfaction Survey
Center for Urban Families (CFUF) 1 National Responsible Fatherhood Clearinghouse (NRFC)
Capacity Building Collaborative Customer Feedback for Learning Experiences 1 Capacity Building Collaborative Customer Feedback Instrument
Feedback from participants at the Enhancing the Cultural Responsiveness of Social Services Webinar
Child Welfare Information Gateways's Special Inititative Survey 1 CWIG Special Inititiative Survey for OMB 1-20-16
BICS Vermont Grant Resolution Meeting Customer Satisfaction 1 VT BICS Draft Questionaire 2-8-16
OTIP 1 OTIP Fast Track Request
National Foster Care and Adoption Directory Survey 1 NFCAD Survey
AFI Capacity Building Toolkit Usability Test 1 Fast Track Toolkit Survey Instrument
MIECHV Grantee Feedback on Data and Evaluation Technical Assistance
ANA Sustainablility Servicers Survey 1 3 Year Posst Project Survey
Soliciatation of Opinions for 2017 ACF Native American Grantee Meeting 1 IC for 2017 ACF Grantee Meeting
Course Participant Knowledge Gain Assessment 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1 EBPAS-36 ,   Instructor Experience Survey Final ,   Instructor Unit Survey ,   Instructor Unit Survey Final ,   Participant Experience Survey Final ,   Unit Post Test Final ,   Unit 2 Post Test Final ,   Unit 2Pre Test Final ,   Unit 3 Post-Test Final ,   Unit 3 Pre Test Final ,   Unit 4 Post-Test Final ,   Unit 4 Pre Test Final ,   Unit 5 Post Test Final ,   Unit 5 Pre Test Final ,   Unit 6 Post-Test Final ,   Unit 6 Pre Test Final
Meeting Evaluation Form - CCDBG Implementation Research and Evaluation Planning Grantees
Input from Child Care Policy Research Consortium Members for CCPRC 2015 Annual Meeting
OHS-Fiscal Consulting Survey 1 Fiscal Consulting Survey
AFI Grantee Workshop Evaluation Survey 1 Grantee Workshop Survey Instrument
ANA Training and Technical Assistance Services Survey 1 ANA TTA Survey Questions
OAS-TA Feedback Collection for Infant Toddler 1 SCBC Task 3
Center for States Needs Assessment 2017
Comment Form: Fatherhood Research and Practice Network Learning Community
AFI Capacity Building Visit 1 AFI Capacity Building Visit Feedback Form
AFI Outreach Survey 1 AFI Outreach Assessment
Special Initiative Survey 1 Special Initiative Survey
Input from Child Care Policy Research Consortium Members for CCPRC 2015 Annual Meeting
SOAR Human Trafficking Training End-of-Course Evaluation 1 SOAR End-of-Course Evaluation
Participant Feedback Form for the CCDBG Implementation Research and Evaluation Planning Grantee Community of Practice Meeting
OAS-Administrator Feedback Collection 1 Administrator Feedback Collection
ANA Post Peer Panel Review Survey 1 ANA Survey
OHS TTA Network Training Feedback Form 1 Feedback Form
National Human Trafficking Training and Technical Assistance Center Scholarship Application Forms 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1 Consultant ,   Coordination ,   FG Demographic Survey ,   FocusGroupGuide ,   Followup ,   GeneralTraining ,   Interview Guide ,   Pilot ,   RequesterFeedback ,   ResourceTool ,   SOAR Blended Learning Participant Form ,   SOAR Conference ,   SOAR Online Participant Form ,   SOAR Organizational Feedback ,   SOAR SpcializedTTA ,   WebinarParticipant
Region XII Migrant and Seasonal Head Start T/TA Service Delivery Feedback 1 Service Delivery Feedback Form
Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Continuous Quality Improvement (CQI) Practicum Feedback Questions
Adoption Triad Survey 1 Adoption Triad
OTIP NHTTAC General Fast Track 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1 Advisory Committee Feedback ,   Call Center Feedback ,   Conference Session Feedback ,   General Conference Feeback ,   HTFellowship POST Program ,   HT Fellowship PREP Program ,   OTIP Grantee Feedback ,   Scholarship Applicant Org ,   ScholarshipAoplicant ,   Short Term TTA Feedback ,   Specialized TTA Feedback ,   Survivor Fellow Feedback ,   Survivor Fellow Feedback ,   Website Feedback

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 44,124 14,124 0 0 30,000 0
Annual Time Burden (Hours) 17,062 7,062 0 0 10,000 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$1,000
No
No
No
No
No
Uncollected
Robert Sargis 2026907275

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/29/2017


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