Region XII MSHS T/TA Network Technical Assistance Services Delivery Feedback

Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery

OMB: 0970-0401

IC ID: 233090

Information Collection (IC) Details

View Information Collection (IC)

Region XII MSHS T/TA Network Technical Assistance Services Delivery Feedback
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Region-XII-TTA Feedback Form Region-XII-TTA-Feedback Form.pdf Yes Yes Fillable Printable

Community and Social Services Social Services

 

300 0
   
Private Sector Not-for-profit institutions
 
   50 %

  Requested 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 300 0 0 0 0 300
Annual IC Time Burden (Hours) 50 0 0 0 0 50
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Justification Fast-Track-Submission-Form-OHS-Region-XII-TTA-Feedback.docx 09/20/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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