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Region XII Migrant and Seasonal Head Start T/TA Service Delivery Feedback
Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0970-0401
IC ID: 229704
OMB.report
HHS/ACF
OMB 0970-0401
ICR 201706-0970-005
IC 229704
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:
2024-09-25 - No material or nonsubstantive change to a currently approved collection
2024-09-13 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Region XII Migrant and Seasonal Head Start T/TA Service Delivery Feedback
Form and Instruction
1 Service Delivery Feedback Form
Service Delivery Feedback Form OHS Region 7.pdf
Form and Instruction
OHS_TTA_Region_XII_Service_Feedback.docx
Service Delivery Feedback Form
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Region XII Migrant and Seasonal Head Start T/TA Service Delivery Feedback
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
Form and Instruction
1
Service Delivery Feedback Form
Service Delivery Feedback Form OHS Region 7.pdf
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
40
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
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
40
0
40
0
0
0
Annual IC Time Burden (Hours)
10
0
10
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Service Delivery Feedback Form
OHS_TTA_Region_XII_Service_Feedback.docx
01/10/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.