Information Collection

Feedback Related to PDG B-5 Technical Assistance Center Communities of Practice and Workgroups

IC 244795 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⚠️ Notice: This information collection may be referencing outdated material.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
CoPWorkgroup SurveyFINAL pbs.docx	Other-Survey
CoPWorkgroup Fast Track Generic_final.docx Fast Track Generic Form_PDG TA Center Comm Practice and Wkgrps	IC Document

IC Title:

Feedback Related to PDG B-5 Technical Assistance Center Communities of Practice and Workgroups

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			CoPWorkgroup SurveyFINAL pbs.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 325

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	325	325
Annual IC Time Burden (Hours)	27	27
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Generic Form_PDG TA Center Comm Practice and Wkgrps	CoPWorkgroup Fast Track Generic_final.docx	12/08/2020

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