C

Attachment C Online Survey Presentation_Jun24_2020.pdf

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

C

OMB: 1651-0136

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1651-0136 can be found here:

Document [pdf]

Download: pdf | pdf

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

1

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

2

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

3

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

4

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

5

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

6

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

7

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

8

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

9

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

10

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

11

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

12

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

13

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

14

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

15

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

16

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

17

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

18

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

19

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

20

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

21

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

22

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

23

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

24

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

25

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

26

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

27

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

28

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

29

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

30

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

31

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

32

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

33

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

34

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

35

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

36

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

37

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

38

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

39

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

40

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

41

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

42

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

43

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

44

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

45

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

46

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

47

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

48

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

49

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

50

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

51

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

52

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

53

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

54

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

55

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

56

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

57

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

58

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

59

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

60

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

61

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

62

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

63

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

64

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

65

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

66

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

67

OMB Control Number: 1651-0136
Expiration Date: xx/xx/xxxx
OMB BURDEN STATEMENT: According to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1651-0136. The time
to complete this information collection is estimated at 25 minutes including the time for reviewing instructions and completing the information.

68

File Type	application/pdf
File Title	PowerPoint Presentation
Author	Gayle Vogel
File Modified	2020-06-30
File Created	2020-06-25

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