View Information Collection (IC)

View Information Collection (IC)

IC Title:	Standard Evaluation Survey for the National Center for Health, Behavioral Health, and Safety's Training and Technical Assistance Offerings	Agency IC Tracking Number:	OHS

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			TTA standard feedback survey_revised for OMB review_4-22-21.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: 1,875	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	1,875	0	1,875	0	0	0
Annual IC Time Burden (Hours)	156	0	156	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track GenIC Submission Form - Standard Evaluation Survey for the National Center for Health, Behavioral Health, and Safety’s Training and Technical Assistance Offerings	OMB form for revised standard feedback survey_4-22-21.docx	05/05/2021

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