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Family and Youth Services Bureau (FYSB) Grantee COVID Survey
Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0970-0401
IC ID: 243722
OMB.report
HHS/ACF
OMB 0970-0401
ICR 202105-0970-001
IC 243722
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:
2024-09-25 - No material or nonsubstantive change to a currently approved collection
2024-09-13 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
COVID Survey.docx
Other-Survey
COVID Survey.docx
Other-Survey
Fast Track Generic - Submission Template_FYSB COVID survey 09.18.2020.docx
Fast Track Form - FYSB COVID Survey
IC Document
Fast Track Generic - Submission Template_FYSB COVID survey 09.18.2020.docx
Fast Track Form - FYSB COVID Survey
IC Document
EMAIL 1_Advance email (FYSB COVID Survey).docx
Email 1: Advance email
IC Document
EMAIL 1_Advance email (FYSB COVID Survey).docx
Email 1: Advance email
IC Document
EMAIL 2_Invitation email (FYSB COVID Survey).docx
Email 2: Invitation email
IC Document
EMAIL 2_Invitation email (FYSB COVID Survey).docx
Email 2: Invitation email
IC Document
EMAIL 3_Reminder email (FYSB COVID Survey).docx
Email 3: Reminder email
IC Document
EMAIL 3_Reminder email (FYSB COVID Survey).docx
Email 3: Reminder email
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Family and Youth Services Bureau (FYSB) Grantee COVID Survey
Agency IC Tracking Number:
FYSB
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
COVID Survey.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
284
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 %
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
284
0
0
0
0
284
Annual IC Time Burden (Hours)
71
0
0
0
0
71
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Fast Track Form - FYSB COVID Survey
Fast Track Generic - Submission Template_FYSB COVID survey 09.18.2020.docx
09/21/2020
Email 1: Advance email
EMAIL 1_Advance email (FYSB COVID Survey).docx
09/21/2020
Email 2: Invitation email
EMAIL 2_Invitation email (FYSB COVID Survey).docx
09/21/2020
Email 3: Reminder email
EMAIL 3_Reminder email (FYSB COVID Survey).docx
09/21/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.