Information Collection

Medical Legal Partnership Plus (MLP+) Grant Recipient Training and Technical Assistance Feedback Survey

IC 272512 under ICR 202507-0970-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Qualtrics Survey_Medical_Legal_Partnership_Training_and_Technical_Assistance_TTA_Needs_Follow_Up.docx	Other-Survey
Qualtrics Survey_Medical_Legal_Partnership_Training_and_Technical_Assistance_TTA_Needs_Follow_Up.docx	Other-Survey
OCS-0970-0401_PRA ShortForm TA Feedback_FY 2024_11.5.24 - CLEAN.docx FastTrack GenIC - MLP TTA Feedback	IC Document
OCS-0970-0401_PRA ShortForm TA Feedback_FY 2024_11.5.24 - CLEAN.docx FastTrack GenIC - MLP TTA Feedback	IC Document

IC Title:

Medical Legal Partnership Plus (MLP+) Grant Recipient Training and Technical Assistance Feedback Survey

Agency IC Tracking Number:

OCS

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					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: 16

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	16	16
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FastTrack GenIC - MLP TTA Feedback		11/21/2024

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

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