Information Collection

Feedback Questions on Technical Assistance Support Provided to Community Services Block Grant (CSBG) Project Impact Grant Recipients

IC 250723 under ICR 202201-0970-004 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
PITAS_Recipient feedback ques_v2_clean.docx	Other-Survey
PITAS_Recipient feedback ques_v2_clean.docx	Other-Survey
2021_12_1 PITAS_Fast Track Generic for Feedback Questions on TA_OMB Submission_v2_clean.docx FastTrack GenIC Submission form: Feedback Questions on Technical Assistance Support Provided to CSBG Project Impact Grant Recipi	IC Document
2021_12_1 PITAS_Fast Track Generic for Feedback Questions on TA_OMB Submission_v2_clean.docx FastTrack GenIC Submission form: Feedback Questions on Technical Assistance Support Provided to CSBG Project Impact Grant Recipi	IC Document

IC Title:

Feedback Questions on Technical Assistance Support Provided to Community Services Block Grant (CSBG) Project Impact Grant Recipients

Agency IC Tracking Number:

OPRE/OCS

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey					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: 480

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 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	480	480
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FastTrack GenIC Submission form: Feedback Questions on Technical Assistance Support Provided to CSBG Project Impact Grant Recipients		12/08/2021

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

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