ANA Language Summit Survey

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Document Name Document Type
2017 ANA Native Language Summit Surveyclean_mjaccept.docx Other-Survey
fast-track-PRA-submission-short-form ANA 2017 LangSummit_mjaccept.docx ANA Language Summit Survey - Fast Track Submission Form IC Document

Information Collection (IC) Details

IC Title:	ANA Language Summit Survey	Agency IC Tracking Number:

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
Other-Survey			2017 ANA Native Language Summit Surveyclean_mjaccept.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
ANA Language Summit Survey - Fast Track Submission Form	fast-track-PRA-submission-short-form ANA 2017 LangSummit_mjaccept.docx	10/18/2017

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