OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Feedback on Mixed-Delivery System and Service Coordination to Inform Appropriate, Tailored and Timely Technical Assistance

IC 235518 under ICR 202007-0970-006 · OMB 0970-0401.

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

View Information Collection (IC)

Feedback on Mixed-Delivery System and Service Coordination to Inform Appropriate, Tailored and Timely Technical Assistance
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey PDG Feedback Questions 3.28.19.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

46 0
   
Individuals or Households
 
   0 %

  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 46 0 0 0 0 46
Annual IC Time Burden (Hours) 4 0 0 0 0 4
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Fast Track Generic - Submission Template PDG B-5 Grantees Fast Track Generic - Submission Template Draft 3.28.19.doc 03/29/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.