Adolescent Pregnancy Prevention Training & Technical Assistance 2019 Conference Feedback Surveys

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⚠️ Notice: This information collection may be referencing outdated material.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
Attachment A-Overall Conference Satisfaction Survey Final for OMB Submission 4-1-2019.docx Other-survey
Attachment A-Overall Conference Satisfaction Survey Final for OMB Submission 4-1-2019.docx Other-survey
Attachment B -Session Specific Satisfaction Survey FINAL for OMB Submission 4-1-2019.docx Other-survey
Attachment B -Session Specific Satisfaction Survey FINAL for OMB Submission 4-1-2019.docx Other-survey
APP Conference Evaluation OMB submission form Final 4-1-2019.doc Fast Track Generic Submission Form - APP Conference Eval IC Document
APP Conference Evaluation OMB submission form Final 4-1-2019.doc Fast Track Generic Submission Form - APP Conference Eval IC Document

Information Collection (IC) Details

IC Title:	Adolescent Pregnancy Prevention Training & Technical Assistance 2019 Conference Feedback Surveys	Agency IC Tracking Number:

IC Status: Unchanged

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-survey			Attachment A-Overall Conference Satisfaction Survey Final for OMB Submission 4-1-2019.docx		Yes	Yes	Fillable Fileable
Other-survey			Attachment B -Session Specific Satisfaction Survey FINAL for OMB Submission 4-1-2019.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: 275	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	1,925	1,925
Annual IC Time Burden (Hours)	201	201
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track Generic Submission Form - APP Conference Eval	APP Conference Evaluation OMB submission form Final 4-1-2019.doc	04/01/2019

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