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Evidence-Building Academy Daily Feedback Forms and Final Evaluation Form
Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0970-0401
IC ID: 244083
OMB.report
HHS/ACF
OMB 0970-0401
ICR 202105-0970-001
IC 244083
( )
⚠️ Notice: This information collection may be referencing outdated material.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
Daily Feedback Form_10.01.2020.docx
Other-Daily Feedback Form
Daily Feedback Form_10.01.2020.docx
Other-Daily Feedback Form
Final Evaluation Form_10.01.2020.docx
Other-Final Evaluation Form
Final Evaluation Form_10.01.2020.docx
Other-Final Evaluation Form
Fast Track Generic - EBA Final Evaluations_10.01.2020.docx
Fast Track Generic Form_EBA Daily Feedback and Final Evaluation Forms
IC Document
Fast Track Generic - EBA Final Evaluations_10.01.2020.docx
Fast Track Generic Form_EBA Daily Feedback and Final Evaluation Forms
IC Document
Final Evaluation Email_EBA_10.01.2020.docx
Email Template: Final Evaluation Form
IC Document
Final Evaluation Email_EBA_10.01.2020.docx
Email Template: Final Evaluation Form
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Evidence-Building Academy Daily Feedback Forms and Final Evaluation Form
Agency IC Tracking Number:
OPRE
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-Daily Feedback Form
Daily Feedback Form_10.01.2020.docx
Yes
Yes
Fillable Fileable
Other-Final Evaluation Form
Final Evaluation Form_10.01.2020.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:
174
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
174
0
0
0
0
174
Annual IC Time Burden (Hours)
87
0
0
0
0
87
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Fast Track Generic Form_EBA Daily Feedback and Final Evaluation Forms
Fast Track Generic - EBA Final Evaluations_10.01.2020.docx
10/14/2020
Email Template: Final Evaluation Form
Final Evaluation Email_EBA_10.01.2020.docx
10/14/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.