Information Collection

TA Survey for TA Provider

IC 263961 under ICR 202310-2528-005 · OMB 2528-0325.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Final - 8472 - TTA Provider Survey.docx	Other-TA Survey for TA Provider
Final - 8472 - TTA Provider Survey.docx	Other-TA Survey for TA Provider

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-TA Survey for TA Provider			Final - 8472 - TTA Provider Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,140

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,254	1,254
Annual IC Time Burden (Hours)	314	314
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.