OMH Minority Leadership Development Program Post-Program Questionnaire

Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

OMB: 0990-0379

IC ID: 263695

Documents and Forms
Document Name
Document Type
Other-Evaluation
Other-Questionnaire
Other-Questionnaire
IC Document
Information Collection (IC) Details

View Information Collection (IC)

OMH Minority Leadership Development Program Post-Program Questionnaire
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Evaluation MLDP Host Site Agency Evaluation_Updated 5.3 (OMB).docx Yes Yes Fillable Printable
Other-Questionnaire OMH Awardee Post-Program Questionnaire (OMB).docx Yes Yes Fillable Printable
Other-Questionnaire OMH MLDP Fellow Post Program Questionaire_5.23(OMB).docx Yes Yes Fillable Printable

Health Consumer Health and Safety

 

49 0
   
Federal Government
 
   100 %

  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 49 0 0 0 0 49
Annual IC Time Burden (Hours) 273 0 0 0 0 273
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Clearance for the Collection of Routine Customer Feedback” HHS Online Customer Surveys track changes 0990-0379 MEMO_FastTrack Generic Clearance Submission Template_MLDP_060723 - Revised 021224.docx 02/12/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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