View Information Collection Request (ICR) Package

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View Generic ICR - OIRA Conclusion

OMB Control No: 3225-0002	ICR Reference No: 202011-3225-001
Status: Historical Active	Previous ICR Reference No: 201708-3225-001
Agency/Subagency: CSOSA	Agency Tracking No: 07-181
Title: Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/27/2021
	Date Received in OIRA: 11/20/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2024	36 Months From Approved
Responses	540	0	0
Time Burden (Hours)	75	0	0
Cost Burden (Dollars)	0	0	0

Annual Cost to Federal Government: $19,160

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Diane Bradley 202 220-5364 diane.bradley@csosa.gov

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