GRR Submission Form - OCC GRR

GRR Submission Form - 0970-0477_ (002)_final.docx

Generic Reviewer Recruitment Form

GRR Submission Form - OCC GRR

OMB: 0970-0477

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Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0970-0477)

Shape1 TITLE OF INFORMATION COLLECTION: American Indian or Native Hawaiian Private Non-profit Organizations Child Care Grants



PURPOSE:

Collect eligibility information from applicants to become Office of Child Care (OCC) grant reviewers.



DESCRIPTION OF RESPONDENTS:


Applicants to become OCC grant reviewers.



CERTIFICATION:


I certify the following to be true:

  1. The collection is voluntary.

  2. The collection is low-burden for respondents and low-cost for the Federal Government.

  3. The collection is non-controversial and does not raise issues of concern to other federal agencies.

  4. The results are not intended to be disseminated to the public.

  5. Information gathered will not be used for the purpose of substantially informing influential policy decisions.

  6. The collection is targeted to the solicitation of opinions from respondents who have experience with the program or may have experience with the program in the future.


Name:_Abdihakin Abdi________________________________________


To assist review, please provide answers to the following question:



BURDEN HOURS


Category of Respondent

No. of Respondents

Participation Time

Burden

Reviewers Generally Interested (Generic Reviewer Information Collection)

30

10 minutes

5 hours

Totals

30

10 minutes

5 hours


FEDERAL COST: The estimated annual cost to the Federal government is $500___________



Administration of the Instrument

  1. How will you collect the information? (Check all that apply)

[X] Web-based or other forms of Social Media

[ ] Telephone

[ ] In-person

[ ] Mail

[ ] Other, Explain



Please make sure that all instruments, instructions, and scripts are submitted with the request.


2

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleFast Track PRA Submission Short Form
AuthorOMB
File Modified0000-00-00
File Created2023-08-31

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