Medical Legal Partnership Plus (MLP+) Grant Recipient Training and Technical Assistance Feedback Survey

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

Documents and Forms

Document Name Document Type
Qualtrics Survey_Medical_Legal_Partnership_Training_and_Technical_Assistance_TTA_Needs_Follow_Up.docx Other-Survey
OCS-0970-0401_PRA ShortForm TA Feedback_FY 2024_11.5.24 - CLEAN.docx FastTrack GenIC - MLP TTA Feedback IC Document

Information Collection (IC) Details

IC Title:	Medical Legal Partnership Plus (MLP+) Grant Recipient Training and Technical Assistance Feedback Survey	Agency IC Tracking Number:	OCS

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			Qualtrics Survey_Medical_Legal_Partnership_Training_and_Technical_Assistance_TTA_Needs_Follow_Up.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 16	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: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	16	16
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
FastTrack GenIC - MLP TTA Feedback	OCS-0970-0401_PRA ShortForm TA Feedback_FY 2024_11.5.24 - CLEAN.docx	11/21/2024

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