Information Collection

ODEP Equitable Transition Models (ETM) Grant Direct Service Provider Customer Satisfaction Survey

IC 265111 under ICR 202506-1225-001 · OMB 1225-0088.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
ODEP Equitable Transition Models (ETM) Grant Direct Service Provider Customer Satisfaction Survey Form and Instruction
Administration 1 ODEP Equitable Transition Models (ETM) Grant Direct Service Provider Customer Satisfaction Survey Form and Instruction
Administration 2 ODEP Equitable Transition Models (ETM) Grant Direct Service Provider Customer Satisfaction Survey Form and Instruction
Administration 1
ODEP ETM Generic PRA Form Feb 2024_Admin1.docx

www.surveymonkey.com/r/Preview/?sm=fUQvIxyYwafZapKxm89QktW0JLD5xG_2BklmSg7gotwUR8oZ3TtIbWdCVshoWV5A4y
Form and Instruction
Administration 1
ODEP ETM Generic PRA Form Feb 2024_Admin1.docx

www.surveymonkey.com/r/Preview/?sm=fUQvIxyYwafZapKxm89QktW0JLD5xG_2BklmSg7gotwUR8oZ3TtIbWdCVshoWV5A4y
Form and Instruction
Administration 2
ODEP ETM Generic PRA Form Feb 2024_Admin2.docx

www.surveymonkey.com/r/Preview/?sm=nTcNqV_2B47bRiLYtUB7oBG6dYBfxz_2BT0QXkYkgjGcdtZa8XwTN5jHv8qYWNI0W2Kz
Form and Instruction
Administration 2
ODEP ETM Generic PRA Form Feb 2024_Admin2.docx

www.surveymonkey.com/r/Preview/?sm=nTcNqV_2B47bRiLYtUB7oBG6dYBfxz_2BT0QXkYkgjGcdtZa8XwTN5jHv8qYWNI0W2Kz
Form and Instruction
ODEP ETM Generic PRA Form Feb 2024_SS.docx
Supporting Statement
IC Document
ODEP ETM Generic PRA Form Feb 2024_SS.docx
Supporting Statement
IC Document
ODEP ETM Generic PRA Form Feb 2024_email invitation.docx
email invitation to survey
IC Document
ODEP ETM Generic PRA Form Feb 2024_email invitation.docx
email invitation to survey
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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
Form and Instruction N/A https://www.surveymonkey.com/r/Preview/?sm=fUQvIxyYwafZapKxm89QktW0JLD5xG_2BklmSg7gotwUR8oZ3TtIbWdCVshoWV5A4y Yes Yes Fillable Fileable
Form and Instruction N/A https://www.surveymonkey.com/r/Preview/?sm=nTcNqV_2B47bRiLYtUB7oBG6dYBfxz_2BT0QXkYkgjGcdtZa8XwTN5jHv8qYWNI0W2Kz Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 80 0 0 0 0 80
Annual IC Time Burden (Hours) 4 0 0 0 0 4
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
Supporting Statement 02/09/2024
email invitation to survey 02/09/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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