Screenings 2 Services Challenge: Feedback Survey

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

OMB: 0970-0401

IC ID: 246934

Documents and Forms
Document Name
Document Type
Other-Survey
Other-Survey
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Screenings 2 Services Challenge: Feedback Survey OHS
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey GX Prize Challenge Public Input Survey_04-20-21.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

300 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 300 0 0 0 0 300
Annual IC Time Burden (Hours) 25 0 0 0 0 25
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Fast Track GenIC Submission Form - Screenings 2 Services Challenge: Feedback Survey Screenings 2 Services Challenge Feedback Survey -4-21-21.docx 04/21/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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