Standard Feedback Survey for the National Center for Health, Behavioral Health, and Safety's Training and Technical Assistance Offerings

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

OMB: 0970-0401

IC ID: 251141

Information Collection (IC) Details

View Information Collection (IC)

Standard Feedback Survey for the National Center for Health, Behavioral Health, and Safety's Training and Technical Assistance Offerings OHS
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey TTA standard feedback survey_revised for OMB review_1.12.22-clean.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

63,000 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 63,000 0 0 0 0 63,000
Annual IC Time Burden (Hours) 5,250 0 0 0 0 5,250
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Updated Submission Form - Standard Feedback Survey for the NCHBHS TTA Offerings OMB form_revised Standard Survey_1.12.22-clean.docx 01/13/2022
NonSub Change Request - Standard Feedback Survey for the NCHBHS TTA Offerings NonSub Change Request Memo-IECMHC Office Hours Feedback Form-1.12.22.docx 01/13/2022
NOA for previous approval of Standard Feedback Survey for the NCHBHS TTA Offerings NOA - NC HBHS TTA_FastTrack GenIC_0970-0401_2.12.21.pdf 01/13/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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