View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Feedback Questions on Technical Assistance Support Provided to Community Services Block Grant (CSBG) Project Impact Grant Recipients	Agency IC Tracking Number:	OPRE/OCS

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			PITAS_Recipient feedback ques_v2_clean.docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 480	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: 0 %

	Approved	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	480	0	480	0	0	0
Annual IC Time Burden (Hours)	40	0	40	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
FastTrack GenIC Submission form: Feedback Questions on Technical Assistance Support Provided to CSBG Project Impact Grant Recipients	2021_12_1 PITAS_Fast Track Generic for Feedback Questions on TA_OMB Submission_v2_clean.docx	12/08/2021

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