Office of Adolescent Health Annual Grantee Satisfaction Survey

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0379 can be found here:

Documents and Forms

Document Name Document Type
2-Office of Adolescent Health Annual Grantee Satisfaction Survey__Scripts_Instructions_OMBCont_No._0990-0379.docx Other-survey with instructions
1-Office of Adolescent Health Annual Grantee Satisfaction Survey_Fast Track_Memo_OMB Control No. 0990-0379.docx Office of Adolescent Health Annual Grantee Satisfaction Survey Fast track memo template IC Document

Information Collection (IC) Details

IC Title:	Office of Adolescent Health Annual Grantee Satisfaction 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 with instructions			2-Office of Adolescent Health Annual Grantee Satisfaction Survey__Scripts_Instructions_OMBCont_No._0990-0379.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 228	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 Agency Discretion
Annual Number of Responses for this IC	228	228
Annual IC Time Burden (Hours)	76	76
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Office of Adolescent Health Annual Grantee Satisfaction Survey Fast track memo template	1-Office of Adolescent Health Annual Grantee Satisfaction Survey_Fast Track_Memo_OMB Control No. 0990-0379.docx	04/26/2019

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