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Federal forms, ICRs, and supporting documents

Information Collection

Region XII MSHS T/TA Network Technical Assistance Services Delivery Feedback

IC 233090 under ICR 202105-0970-001 · OMB 0970-0401.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Region XII MSHS T/TA Network Technical Assistance Services Delivery Feedback
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Region-XII-TTA Feedback Form Region-XII-TTA-Feedback Form.pdf Yes Yes Fillable Printable

Community and Social Services Social Services

 

300 0
   
Private Sector Not-for-profit institutions
 
   50 %

  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 300 0 0 0 0 300
Annual IC Time Burden (Hours) 50 0 0 0 0 50
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Justification Fast-Track-Submission-Form-OHS-Region-XII-TTA-Feedback.docx 09/20/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.