OMB
.report
Search
Center for States Internal Evaluation: Interviews with Jurisdictions
Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0970-0401
IC ID: 244239
OMB.report
HHS/ACF
OMB 0970-0401
ICR 202105-0970-001
IC 244239
( )
⚠️ Notice: This information collection may be referencing outdated material.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
Jurisdiction Interview Protocol_interviewer and note taker_revised 10.12.20.docx
Other-Interview Guide
Jurisdiction Interview Protocol_interviewer and note taker_revised 10.12.20.docx
Other-Interview Guide
Center.for.States_Interview_Protocol_OMB.FastTrackApplication_10.13.20.docx
Fast Track Form: Center for States Internal Evaluation Interviews_2020
IC Document
Center.for.States_Interview_Protocol_OMB.FastTrackApplication_10.13.20.docx
Fast Track Form: Center for States Internal Evaluation Interviews_2020
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Center for States Internal Evaluation: Interviews with Jurisdictions
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-Interview Guide
Jurisdiction Interview Protocol_interviewer and note taker_revised 10.12.20.docx
No
Paper Only
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:
30
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
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
30
0
0
0
0
30
Annual IC Time Burden (Hours)
30
0
0
0
0
30
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Fast Track Form: Center for States Internal Evaluation Interviews_2020
Center.for.States_Interview_Protocol_OMB.FastTrackApplication_10.13.20.docx
10/26/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.