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Post-Meeting Questionnaire of Attendees at the 2020 Climate Ready States and Cities Initiative (CRSCI) Recipients Meeting
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0923-0047
IC ID: 240134
OMB.report
HHS/TSDR
OMB 0923-0047
ICR 201810-0923-002
IC 240134
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0923-0047 can be found here:
2021-11-16 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 0923-20KT
Post-Meeting Questionnaire of Attendees at the 2020 Climate Ready States and Cities Initiative (CRSCI) Recipients Meeting
Form
0923-20KT 2020 CRSCI Recipients Meeting Evaluation (text)
Attachment B - 2020 CRSCI Recipients Meeting Evaluation (text).docx
Form
Attachment A - 2020 CRSCI Recipients Meeting Evaluation (screenshot).docx
2020 CRSCI Recipients Meeting Evaluation (screenshot)
IC Document
Attachment C - STARS Research-PRA Determination.pdf
Research Determination
IC Document
GenIC 0923-0047_CRSCI signed OS.pdf
Request for Approval
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Post-Meeting Questionnaire of Attendees at the 2020 Climate Ready States and Cities Initiative (CRSCI) Recipients Meeting
Agency IC Tracking Number:
0923-20KT
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
0923-20KT
2020 CRSCI Recipients Meeting Evaluation (text)
Attachment B - 2020 CRSCI Recipients Meeting Evaluation (text).docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
47
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 New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
47
0
47
0
0
0
Annual IC Time Burden (Hours)
8
0
8
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
2020 CRSCI Recipients Meeting Evaluation (screenshot)
Attachment A - 2020 CRSCI Recipients Meeting Evaluation (screenshot).docx
02/28/2020
Research Determination
Attachment C - STARS Research-PRA Determination.pdf
02/28/2020
Request for Approval
GenIC 0923-0047_CRSCI signed OS.pdf
02/28/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.