Jurisdiction Lead Observation Debrief

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

OMB: 0970-0401

IC ID: 260178

Documents and Forms
Document Name
Document Type
Other-Debrief
Other-Debrief
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Jurisdiction Lead Observation Debrief CB
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Debrief Jurisdiction Lead Observation Debrief.docx Yes Yes Printable Only

Community and Social Services Social Services

 

25 0
   
State, Local, and Tribal Governments
 
   50 %

  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 25 0 0 0 0 25
Annual IC Time Burden (Hours) 6 0 0 0 0 6
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Fast Track GenIC - Jurisdiction Lead Observation Debrief Application - Jurisdiction Lead Observation Debrief_mj - Clean.docx 05/12/2023
Recruitment Material - Jurisdiction Lead Observation Debrief Recruitment Messages - Jurisdiction Lead Observation Debrief.docx 05/12/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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