Information Collection

Leadership Initiative Feedback Surveys

IC 239129 under ICR 202105-0970-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Regional Leadership Initiative - Midpoint Meeting Survey 12.26.19-C.docx	Other-Midpoint Survey
Regional Leadership Initiative - Midpoint Meeting Survey 12.26.19-C.docx	Other-Midpoint Survey
Regional Leadership Initiative - Final Event Survey 12.26.19-C.docx	Other-Final Event Survey
Regional Leadership Initiative - Final Event Survey 12.26.19-C.docx	Other-Final Event Survey
OMB Approval Request - PMFO Leadership Surveys 12.26.19.docx FastTrack Generic Submission Form - OHS Leadership Initiative	IC Document
OMB Approval Request - PMFO Leadership Surveys 12.26.19.docx FastTrack Generic Submission Form - OHS Leadership Initiative	IC Document

IC Title:

Leadership Initiative Feedback Surveys

Agency IC Tracking Number:

IC Status: Unchanged

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-Midpoint Survey			Regional Leadership Initiative - Midpoint Meeting Survey 12.26.19-C.docx		Yes	Yes	Fillable Fileable
Other-Final Event Survey			Regional Leadership Initiative - Final Event Survey 12.26.19-C.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: 70

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
	Requested	Previously Approved
Annual Number of Responses for this IC	70	70
Annual IC Time Burden (Hours)	14	14
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FastTrack Generic Submission Form - OHS Leadership Initiative	OMB Approval Request - PMFO Leadership Surveys 12.26.19.docx	12/31/2019

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