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Agenda
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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
State Capacity Building Center Feedback Collection for Individualized Technical Assistance
Agency IC Tracking Number:
OCC
IC Status:
Unchanged
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
OCC OMB GC - INSTRUMENT - Individualized Technical Assistance - 2021.4.22.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:
72
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
72
0
0
0
0
72
Annual IC Time Burden (Hours)
18
0
0
0
0
18
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Fast Track Submission Form - State Capacity Building Center Feedback Collection for Individualized Technical Assistance
Individualized TA Request 2021.4.22.docx
04/22/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.