Information Collection

Florida Prototype Project Pilot Feedback

IC 244377 under ICR 202007-0970-006 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
FloridaPrototypeProjectSurvey.docx	Other-Survey
FloridaPrototypeProjectFocusGroupGuide.docx	Other-Focus Group
FloridaPrototypeProjectFeedback_OMBFastTrack_11-4-20.docx FastTrack Submission Form - FL Prototype Feedback	IC Document

IC Title:

Florida Prototype Project Pilot Feedback

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			FloridaPrototypeProjectSurvey.docx		Yes	Yes	Fillable Fileable
Other-Focus Group			FloridaPrototypeProjectFocusGroupGuide.docx		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 76

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	76	76
Annual IC Time Burden (Hours)	38	38
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FastTrack Submission Form - FL Prototype Feedback	FloridaPrototypeProjectFeedback_OMBFastTrack_11-4-20.docx	11/04/2020

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