State Repatriation Coordinator Feedback

Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Document Name Document Type
State Repatriation Coordinator Feedback_Clean.docx Other-Feedback Survey
State Repatriation Coordinator Feedback_Clean.docx Other-Feedback Survey
Fast Track Generic - Submission Form Repatriation Program_Clean.docx Fast Track GenIC Submission Form - State Repatriation Coordinator Feedback IC Document
Fast Track Generic - Submission Form Repatriation Program_Clean.docx Fast Track GenIC Submission Form - State Repatriation Coordinator Feedback IC Document

Information Collection (IC) Details

IC Title:	State Repatriation Coordinator Feedback	Agency IC Tracking Number:	OHSEPR

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-Feedback Survey			State Repatriation Coordinator Feedback_Clean.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: 100	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track GenIC Submission Form - State Repatriation Coordinator Feedback	Fast Track Generic - Submission Form Repatriation Program_Clean.docx	04/07/2021

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