Information Collection

Administration for Native Americans Technical Assistance Feedback

IC 277712 under ICR 202509-0970-013 · 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⚠️ Notice: This information collection may be referencing outdated material.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
ANA Electronic Technical Assistance EvaluationFINAL.docx	Other-Survey
Fast Track GenIC Submission Form_ANATechAssistFINAL.docx FastTrack GenIC - ANA TA Feedback	IC Document

IC Title:

Administration for Native Americans Technical Assistance Feedback

Agency IC Tracking Number:

ANA

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: 30

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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)	2	2
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FastTrack GenIC - ANA TA Feedback		09/24/2025

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

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