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Florida Prototype Project Pilot Feedback
Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0970-0401
IC ID: 244377
OMB.report
HHS/ACF
OMB 0970-0401
ICR 202105-0970-001
IC 244377
( )
⚠️ Notice: This information collection may be referencing outdated material.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
FloridaPrototypeProjectSurvey.docx
Other-Survey
FloridaPrototypeProjectSurvey.docx
Other-Survey
FloridaPrototypeProjectFocusGroupGuide.docx
Other-Focus Group
FloridaPrototypeProjectFocusGroupGuide.docx
Other-Focus Group
FloridaPrototypeProjectFeedback_OMBFastTrack_11-4-20.docx
FastTrack Submission Form - FL Prototype Feedback
IC Document
FloridaPrototypeProjectFeedback_OMBFastTrack_11-4-20.docx
FastTrack Submission Form - FL Prototype Feedback
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Florida Prototype Project Pilot Feedback
Agency IC Tracking Number:
CB
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
FloridaPrototypeProjectSurvey.docx
Yes
Yes
Fillable Fileable
Other-Focus Group
FloridaPrototypeProjectFocusGroupGuide.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:
76
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
76
0
0
0
0
76
Annual IC Time Burden (Hours)
38
0
0
0
0
38
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
FastTrack Submission Form - FL Prototype Feedback
FloridaPrototypeProjectFeedback_OMBFastTrack_11-4-20.docx
11/04/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.