Level 1 Evaluation of Programs

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1103-0117 can be found here:

Documents and Forms

Document Name Document Type
Form 1103-0117 Level 1 Evaluation of Programs Form and Instruction
1103-0117 Training Evaluation CRS OMB Clearance Submission 1- Training Eval.doc Form and Instruction
1. Training Eval Form-Draft 12.11.2019.jpg Fast Track Template Training Evaluation IC Document

Information Collection (IC) Details

IC Title:	Level 1 Evaluation of Programs	Agency IC Tracking Number:	1103-0117

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	1103-0117	Training Evaluation	CRS OMB Clearance Submission 1- Training Eval.doc		No		Paper Only

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track Template Training Evaluation	1. Training Eval Form-Draft 12.11.2019.jpg	12/19/2019

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