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

ICR 201801-0970-013

OMB: 0970-0401

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Supporting Statement A
2018-02-20
Justification for No Material/Nonsubstantive Change
2017-05-31
Justification for No Material/Nonsubstantive Change
2012-11-19
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ICR Details
0970-0401 201801-0970-013
Historical Active 201706-0970-005
HHS/ACF OPRE
Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery
Revision of a currently approved collection   No
Regular
Approved without change 05/11/2018
Retrieve Notice of Action (NOA) 02/22/2018
  Inventory as of this Action Requested Previously Approved
05/31/2021 36 Months From Approved 05/31/2018
44,124 0 44,124
17,062 0 17,062
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

  82 FR 54345 11/17/2017
83 FR 6025 02/12/2018
No

115
IC Title Form No. Form Name
Feedback from Child Care and Early Education Policy Research Consortium (CCEEPRC) Members on the CCEEPRC 2020 Annual Meeting
Sexual Risk Avoidance (SRA) Social Media Marketing Campaign 1, 1, 1, 1, 1 Attachment 1 Discussion Prompts ,   CTK Parent Consent Form ,   CTK Youth Assent Form ,   Display ,   Youth Assent Form The Hive
Personal Responsibility Education Program (PREP) Grantee Training and Technical Assistance Satisfaction and Needs Assessment
In-Person Convening Child Care Policy Research Partnership - Participant Feedback
Feedback Survey for capacity building, grantee, training, online sessions hosted by the Family and Youth Services Bureau
Peer-Based Technical Training and Technical Assistance Feedback Collection Activities
ACF State and County Human Services Commissioner Surveys
Leadership Initiative Feedback Surveys
ECTTAS Coordination Survey 1 ECTTAS Coordination Survey
State Capacity Building Center Tailored TA Feedback Collection for Impact Project 1 OCC OMB SCBC Task 4 Impact Instrument
2018 ANA Grantee Meeting Survey 1 ANA GM - Blank Survey Form
Listening Session Questions on OHS Training and Technical Assistance System
Sexual Risk Avoidance (SRA) Social Media Marketing Campaign 1 Social Norms Quiz
Child Welfare Program Improvement Plan Pilot Evaluation 1, 1, 1, 1 PIPPilot ,   PIPPilot ,   PIPPilot Onsite Feedback Survey ,   PIPPilot PreonsiteFeedbackSurvey
Adolescent Pregnancy Prevention Training & Technical Assistance 2019 Conference Feedback Surveys
2019 Low Income Home Energy Assistance Program (LIHEAP) Grantee Conference Feedback
Sexual Risk Avoidance Education (SRAE) Grantee Training and Technical Assistance Satisfaction Survey
Children's Bureau Grantee Feedback Survey
Program Management and Fiscal Operations (PMFO) Feedback Surveys
Tribal Home Visiting Technical Assistance Evaluation Feedback and Immediate Feedback Forms
National Center on Early Childhood Health and Wellness (NCECHW) Infoline Feedback Form
Children's Bureau Grantee Connection Survey
Child Welfare Capacity Building Collaborative Customer Feedback for Webinars and Events
Program Management and Fiscal Operations (PMFO) Feedback Survey about the General Business Studies Certificate.
Child Care and Development Fund (CCDF) Policies Database Pop-Up Survey of Website Users
Feedback on National Center on Parent, Family and Community Engagement (NCPFCE) Resources
Child Welfare Information Gateway Prevention Resource Guide Tip Sheet Feedback Form
Child Care and Development Block Grant (CCDBG) Implementation Research and Evaluation Grantees - Meeting Evaluation Form
Focus Group with Healthy Marriage and Relationship Education (HMRE) 1 SARHM generic OMB
Comment Form: Fatherhood Research and Practice Netrwork Learning Community FRPN Feedback Instrument FRPN Feedback Instrument
Infant Toddler Spcialist Infividualized Technical Assistance 1 Infant Toddler Specialist Individualized Technical Assistance
Comment Form: 2018 OPRE Innovative Methods Meeting.
Information Architecture Testing of the Early Childhood Learning and Knowledge Center 1 ECLKC-tree-jack survey instrument
Audience Research for Sexual Risk Avoidance (SRA) Social Media Marketing Campaign 1, 1, 1 Attachment 1 ,   CTK Parent Consent Form ,   CTK Youth Assent Form
Course Participant Knowledge Gain Assessment and Instructior and Course Participant Experimental Feedback 36, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1 Participant Experience Survey Final ,   Unit 1 Post Test Final ,   Unit 2 Post-Test Final ,   Unit 2 Pre-Test Final ,   Unit 3 Post-Test Final ,   Unit 3 Pre-Test Final ,   Unit 4 Post-Test Final ,   Unit 6 Post-Test Final ,   Unit 6 Pre-Test Final ,   Unit 4 Pre--Test Final ,   Unit 5 Post-Test Final ,   Unit 5 Pre-Test Final ,   EBPAS-36 ,   Instructior Experience Survey Final ,   Instructor Unit Survey Final
Input on Key Functions of Early Care and Education Research Connections Website
Region XII MSHS T/TA Network Technical Assistance Services Delivery Feedback 1 Region-XII-TTA Feedback Form
Feedback on Mixed-Delivery System and Service Coordination to Inform Appropriate, Tailored and Timely Technical Assistance
Runaway and Homeless Youth (RHY) Regional Meeting Evaluation
Community Economic Development (CED) Grantee Training Needs Assessment
Child Care Development Block Grant (CCDBG) Implementation Research Webinar Feedback Poll
2019 Reader Feedback: Brush Up on Oral Health
Program Management and Fiscal Operations (PMFO) Consulting Initiative (FCI) Feedback Surveys
Family Violence Prevention and Services (FVPSA) 2020 Tribal Grantee Meeting
Maternal, Infant, and Early Childhood Home Visiting All Grantee & Tribal Regional Meetings Feedback Tools
Office of Family Assistance PeerTA website Evaluation and Satisfaction Survey
2020 ACF Tribal Peer-to-Peer Grantee Meeting Survey
Center for States Needs Assessment Focus Group
CCDF Administrator Feedback Collection 1 CCDF Administrators
2018 ANA Grantee Meeting Pre-Survey 1 Grantee Meeting Pre-Survey
Region XII Migrant and Seasonal Head Start T/TA Service Deloivery Feedback 1 Service Delivery Feedback Form OHS Region 12
2019 Youth Summit Committe Planning Survey 1 ILIAD 2019 Youth Summit Planning Committee Survey
Maternal, Infant, and Early Childhood Home Visiting (MIECHV) AGM 2019 – Peer Sharing Feedback Survey
Usability testing for the "Pathways to Work Evidence Clearinghouse" website
2019 National Runaway and Homeless Youth (RHY) Grantees Training Evaluations
FY2019 New Capacity Building Center for States Community of Practice: County Administered State Support Interest Survey
Family Violence Prevention and Services (FVPSA) 2019 Tribal Grantee Meeting
Community Economic Development (CED) or Rural Community Development (RCD) Grantee Discussion Groups
Office of Refugee Resettlement (ORR) Refugee Programs Training and Technical Assistance Evaluation
Runaway and Homeless Youth (RHY) Program Virtual Town Halls (Interactive Polling Questions)
Head Start Management Fellows (HSMF) Program Feedback Surveys
2020 ACF Native American Grantee Meeting Survey
Child Care Development Block Grant (CCDBG) National Webinar Feedback Poll
Maternal, Infant, and Early Childhood Home Visiting (MEICHV) Continuous Quality Improvement 1 MIECHV
Child Welfare Information Gateway's Customer Satisfaction Assessment 1 CWIG Customer Satisfaction Assessment Data Collection Instruments
Regorous Evaluation Technical Assistance (RETA) Feedback Form 1 RETA-Feedback Form
OFA TANF TA Convening Individual Session Assessment 1 OFA Convening Individual Assessment
OFA TANF TA Convening Overall Evaluation Assessment 1 OFA Convening Overall Assessment
Feedback Survey for Technical and Training Assistance Activities for Family and Youth Services Bureau/ Runaway and Homeless Youth grantees
Administration for Native Americans (ANA) Application Submission Process Feedback Survey
New Director Mentor Program (NDMP) Feedback Surveys
Building Evidence Training (BET) Project Usability Testing
Grantee Exchange Platform Survey
Adolescent Pregnancy Prevention Training & Technical Assistance 2020 Conference Feedback Surveys
Administration for Native Americans (ANA) 2020 Initiative for Leadership, Empowerment and Development (I-LEAD) Youth Webinar Series Surveys
Center for States 2020 Needs Assessment Survey
National Youth in Transition Database (NYTD) Technical Assistance Utilization and Needs Survey
Communities of Practice 1 Communities of Practice
nFORM Help Desk Customer Service Feedback Surveys
TA Assistance Feedback Collection for Webinars 1 Task 3 Webinars
Feedback Colection for Peer Leaning 1 Peer Learning
Feedback on Strategies Related to Opioid Misuse 1 Feedback Form on Strategies Related to Opioid Misuse
Feedback from Child Care and Early Education Policy Research Consortium (CCEEPRC) Members on the CCEEPRC 2019 Annual Meeting
Administration for Native Americans (ANA) Post Peer Panel Review Survey
Comment Form: 2019 OPRE Innovative Methods Meeting.
Child Welfare Information Gateway Needs Assessment Focus Group Guide
Poll questions for a National Runaway Safeline (NRS) webinar for grantees
Runaway and Homeless Youth (RHY) Regional Meeting Evaluation
Feedback on Child Care and Development Fund Plan for States/Territories for FFY 2019–2021 (ACF–118)
Sexual Risk Avoidance Education (SRAE) Grantee Needs Assessment
Maternal, Infant, and Early Childhood Home Visiting (MIECHV) TA Satisfaction Survey 1 DOHVE 2
ACF Office of Regional Operations Curstomers Feedback for Learning Experiences 1 ORO Webinar or Meeting Feedback Survey
OHS TTA Network Training Feedback Form 1 TTA Network Training Feedback
Infant Toddler Specialist Network Training for Trainers (TFT) 1 Traininging for Training
Adolescent Pregnancy Preventing Training & Technical Assistance 1 Attachment 1-Survey
Center for States Subscription Form
Evaluation of Family Violence Prevention and Services Act (FVPSA) Regional Meeting
In-Person Convening Child Care Policy Research Partnership – Participant Feedback
National Responsible Fatherhood Clearinghouse User Feedback and Content
Administration for Native Americans (ANA) 2020 Discretionary Application Process and Peer Panel Review Surveys
Infant Toddler Specialist Presentation 1 Infant Toddler Specialist Presentations
ANA Youth Summit Survey 1 2018 I-LEAD Youth Summiot Survey
HSICC Post Phone Call Survey 1 Post Phone Calll Survey
Maternal, Infant, and Early Childhood Home Visiting (MIECHV) AGM 2019 – Peer Sharing Feedback Survey
Sexual Risk Avoidance Education (SRAE) Grantee Webinar Satisfaction Survey
Feedback on Webinars for Data Use and General Info for the National Survey of Early Care and Education (NSECE)
Child Welfare Information Gateway Subscription Form
Child Care Development Block Grant (CCDBG) Implementation Research and Evaluation Grantees - Meeting Evaluation Form
Coaching Companion Questionnaire
Feedback Survey for Human Trafficking webinars, online training, online sessions hosted by the Family and Youth Services Bureau
Program Management and Fiscal Operations (PMFO) Hurricane Response and Recovery (HRR) Feedback Survey.
Evidence-Building Academy Participant Project Introduction
Public Assistance Reporting Information System (PARIS) Training Conference Post Event Survey
Grantee Feedback for the FVPSA Formula Grantee Meeting Planning
Grant Review Panel Chair Development Training

  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 44,124 0 0 0 0
Annual Time Burden (Hours) 17,062 17,062 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$1,000
No
    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.
02/22/2018


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