Survivor Fellowship Fellow Feedback Form

NHTTAC Consultant and Evaluation Package

OMB: 0970-0519

IC ID: 238422

Documents and Forms
Document Name
Document Type
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Information Collection (IC) Details

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Survivor Fellowship Fellow Feedback Form
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-null 12- Survivor Fellowship Feedback.pdf Yes Yes Fillable Fileable

Community and Social Services Social Services

 

10 1
   
Individuals or Households
 
   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 10 0 0 0 0 10
Annual IC Time Burden (Hours) 3 0 0 0 0 3
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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