Tribal Home Visiting Evaluation Institute (TEI) Technical Assistance (TA) Satisfaction Survey

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

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
TEI3 TA Evaluation Survey_Final.docx Other-Evaluation Survey
Fast Track Generic - Submission Template_TEI TA Satisfaction_Final.docx Fast Track Generic Form_TEI TA Satisfaction IC Document

Information Collection (IC) Details

IC Title:	Tribal Home Visiting Evaluation Institute (TEI) Technical Assistance (TA) Satisfaction Survey	Agency IC Tracking Number:	OPRE

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Evaluation Survey			TEI3 TA Evaluation Survey_Final.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: 23	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 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	23	23
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track Generic Form_TEI TA Satisfaction	Fast Track Generic - Submission Template_TEI TA Satisfaction_Final.docx	12/10/2020

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