PERSPECTIVES QUESTIONNAIRE - IV-A

ICR 199106-0990-004

OMB: 0990-0191

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
167069
Migrated
ICR Details
0990-0191 199106-0990-004
Historical Active 199009-0990-001
HHS/HHSDM
PERSPECTIVES QUESTIONNAIRE - IV-A
No material or nonsubstantive change to a currently approved collection   No
Emergency 06/21/1991
Approved with change 06/21/1991
Retrieve Notice of Action (NOA) 06/21/1991
  Inventory as of this Action Requested Previously Approved
10/31/1991 10/31/1991 10/31/1991
3,000 0 3,000
1,400 0 1,400
0 0 0

A NATIONAL SURVEY OF LOCAL WELFARE OFFICE ELIGIBILITY WORKERS WILL BE CONDUCTED TO MEASURE THE LEVEL OF UNDERSTANDING OF THE PROVISIONS OF THE FAMILY SUPPORT ACT OF 1988. THE INFORMATION WILL BE USED IN THE DEVELOPMENT OF TRAINING AND TECHNICAL ASSISTANCE MATERIALS.

None
None


No

1
IC Title Form No. Form Name
PERSPECTIVES QUESTIONNAIRE - IV-A

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 3,000 3,000 0 0 0 0
Annual Time Burden (Hours) 1,400 1,400 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/21/1991


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