Mail Survey

Identifying Promising Temporary Assistance for Needy Families (TANF) Diversion Practices

Documents and Forms

Document Name Document Type
Form 1 Mail Survey Form and Instruction
1 Mail Survey Mail survey.instrument.AppA.pdf Form and Instruction
Mail survey.instrument.AppA.pdf Mail Survey Instrument IC Document

Information Collection (IC) Details

IC Title:	Mail Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Form and Instruction	1	Mail Survey	Mail survey.instrument.AppA.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: Survivor Compensation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 51	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	51	51
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Mail Survey Instrument	Mail survey.instrument.AppA.pdf	11/08/2007

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