Voluntary Survey of Program Partners to Implement Executive Order 12862 within the Administration for Children Families

ICR 200412-0980-001

OMB: 0980-0266

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0980-0266 200412-0980-001
Historical Active 200106-0980-001
HHS/HDSO
Voluntary Survey of Program Partners to Implement Executive Order 12862 within the Administration for Children Families
Extension without change of a currently approved collection   No
Regular
Approved with change 02/16/2005
Retrieve Notice of Action (NOA) 12/02/2004
  Inventory as of this Action Requested Previously Approved
02/29/2008 02/29/2008 02/28/2005
1,028 0 1,505
616 0 496
0 0 0

The purpose of this request is to provide a vehicle to monitor and evaluate perceptions of ACF's services under E.O. 12862. The respondents will be grantees of ACF programs.

None
None


No

1
IC Title Form No. Form Name
Voluntary Survey of Program Partners to Implement Executive Order 12862 within the Administration for Children Families

  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 1,028 1,505 0 0 -477 0
Annual Time Burden (Hours) 616 496 0 0 120 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.
12/02/2004


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