Infant Toddler Spcialist Infividualized Technical Assistance

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⚠️ Notice: This information collection may be referencing outdated material.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 Infant Toddler Spcialist Infividualized Technical Assistance Form and Instruction
1 Infant Toddler Specialist Individualized Technical Assis OCC OMB GC - INSTRUMENT - IT Tailored TA - Task 4 - Jan 2018.docx Form and Instruction
OCC OMB GC - REQUEST - IT Tailored TA - Task 4 - Jan 2018.docx Infant Toddler Specialist Individualized Technical Assistance IC Document

Information Collection (IC) Details

IC Title:	Infant Toddler Spcialist Infividualized Technical Assistance	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	Infant Toddler Specialist Individualized Technical Assistance	OCC OMB GC - INSTRUMENT - IT Tailored TA - 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: 9	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	9	9
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Infant Toddler Specialist Individualized Technical Assistance	OCC OMB GC - REQUEST - IT Tailored TA - 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.