Customer Satisfaction - Ind / Households

National Clearinghouse on Child Abuse and Neglect Information (CAN) and NAIC

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0303 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Customer Satisfaction - Ind / Households Form and Instruction
1 Cust Individuals Appendix B_IC1 Customer Satisfaction Survey_Individuals.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Customer Satisfaction - Ind / Households	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	Cust Individuals	Appendix B_IC1 Customer Satisfaction Survey_Individuals.doc		No	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,208	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 76 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,208	-290	1,498
Annual IC Time Burden (Hours)	94	-83	177
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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