Information Collection

Preschool Development Grant Birth through Five (PDG B-5) Technical Assistance (TA) Feedback Form

IC 267738 under ICR 202409-0970-012 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Overall Feedback PDG-5 TA QUESTIONS 5.16.24.docx	Other-Survey
Overall Feedback PDG-5 TA QUESTIONS 5.16.24.docx	Other-Survey
Fast Track GenIC Submission Form_PDG-5TA Feedback of GenIC 5.16.24.docx FastTrack GenIC - PDG-5 TA Feedback Survey	IC Document
Fast Track GenIC Submission Form_PDG-5TA Feedback of GenIC 5.16.24.docx FastTrack GenIC - PDG-5 TA Feedback Survey	IC Document

IC Title:

Preschool Development Grant Birth through Five (PDG B-5) Technical Assistance (TA) Feedback Form

Agency IC Tracking Number:

ECD

IC Status: Unchanged

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-Survey			Overall Feedback PDG-5 TA QUESTIONS 5.16.24.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FastTrack GenIC - PDG-5 TA Feedback Survey	Fast Track GenIC Submission Form_PDG-5TA Feedback of GenIC 5.16.24.docx	05/16/2024

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