GRR Submission Form - OCC GRR

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

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