New Director Mentor Program (NDMP) Feedback Surveys

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

OMB: 0970-0401

IC ID: 239176

Documents and Forms
Document Name
Document Type
Other-Initial Survey
Other-90 Day Check-in Survey
Other-2/3 Check-In Survey
Other-Final Check-In Survey
IC Document
Information Collection (IC) Details

View Information Collection (IC)

New Director Mentor Program (NDMP) Feedback Surveys OHS
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Initial Survey a. New Director Mentor Program (NDMP) Feedback Survey 1.6.20.docx No   Paper Only
Other-90 Day Check-in Survey b. New Director Mentor Program (NDMP) Feedback Survey - 90 Day Check-In 12.31.2019.docx Yes Yes Fillable Fileable
Other-2/3 Check-In Survey c. New Director Mentor Program (NDMP) Feedback Survey - Two-Thirds Check-In 1.6.20.docx Yes Yes Fillable Fileable
Other-Final Check-In Survey d. New Director Mentor Program (NDMP) Feedback Survey - Final Check-In 12.31.2019.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

63 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 63 0 0 0 0 63
Annual IC Time Burden (Hours) 21 0 0 0 0 21
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
FastTrack Generic Submission Form - PMFO-UCLA NDMP Feedback Surveys OMB Approval Request NDMP 1.6.20.docx 01/06/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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