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TPP20 Tier 1 and Tier 2 Grantee Informational Form
Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0990-0379
IC ID: 254087
OMB.report
HHS/HHSDM
OMB 0990-0379
ICR 202206-0990-003
IC 254087
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0379 can be found here:
2024-07-08 - No material or nonsubstantive change to a currently approved collection
2024-02-28 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
TPP Tiers 1 and 2 Pre-Interview Form_6.8.20221.docx
Other-Survey
TPP Tiers 1 and 2 Pre-Interview Form_6.8.20221.docx
Other-Survey
Pre-Interview-Form_Intro email_6.1.2022.docx
Email Script
IC Document
Pre-Interview-Form_Intro email_6.1.2022.docx
Email Script
IC Document
OPA info collection TPP20 Imp Study_Fast Track_Clearance_Submission_Finalv2.docx
Fast Track Memo
IC Document
OPA info collection TPP20 Imp Study_Fast Track_Clearance_Submission_Finalv2.docx
Fast Track Memo
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
TPP20 Tier 1 and Tier 2 Grantee Informational Form
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-Survey
TPP Tiers 1 and 2 Pre-Interview Form_6.8.20221.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
75
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
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
75
0
0
0
0
75
Annual IC Time Burden (Hours)
19
0
0
0
0
19
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Email Script
Pre-Interview-Form_Intro email_6.1.2022.docx
06/07/2022
Fast Track Memo
OPA info collection TPP20 Imp Study_Fast Track_Clearance_Submission_Finalv2.docx
06/10/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.