CCDF Administrator Feedback Collection

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⚠️ Notice: This information collection may be referencing outdated material.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
Form 1 CCDF Administrator Feedback Collection Form and Instruction
1 CCDF Administrators OCC OMB GC - INSTRUMENT - CCDF Administrators - Task 4 - Jan 2018.docx Form and Instruction
OCC OMB GC - REQUEST - CCDF Administrators -Task 4. - Jan 2018.docx Justification IC Document

Information Collection (IC) Details

IC Title:	CCDF Administrator Feedback Collection	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	CCDF Administrators	OCC OMB GC - INSTRUMENT - CCDF Administrators - Task 4 - Jan 2018.docx		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 65	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	65	65
Annual IC Time Burden (Hours)	11	11
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification	OCC OMB GC - REQUEST - CCDF Administrators -Task 4. - Jan 2018.docx	06/05/2018

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