FACES 2009 Pre-Test of Survey Instruments

Pre-testing of Evaluation Surveys

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0355 can be found here:

Documents and Forms

Document Name Document Type
Instruments.doc Other-survey
Appendix A - Confidentiality Pledge.doc Appendix A - Confidentiality Pledge IC Document
0970-0355 Supporting Statement A.DOC Revised Supporting Statement Part A IC Document
0970-0355 Supporting Statement B.DOC Revised Supporting Statement Part B IC Document
Pretesting Supporting Statement A Passback Final (5-1-09).doc Final Supporting Statement A IC Document
Prestesting Supporting Statement B Passback Final (5-1-09).doc Final Supporting Statement B IC Document
ProgramDirectorCall_script_02032009_modified_043009 omb (2)(final).doc Call Script IC Document
FACES-204 E-mem-let to HS Program Director_02032009_modified_043009 omb (2)(final).doc Advance Letter IC Document

Information Collection (IC) Details

IC Title:	FACES 2009 Pre-Test of Survey Instruments	Agency IC Tracking Number:

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
Other-survey			Instruments.doc		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 105	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	105	105
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix A - Confidentiality Pledge	Appendix A - Confidentiality Pledge.doc	03/22/2009
Revised Supporting Statement Part A	0970-0355 Supporting Statement A.DOC	04/28/2009
Revised Supporting Statement Part B	0970-0355 Supporting Statement B.DOC	04/28/2009
Final Supporting Statement A	Pretesting Supporting Statement A Passback Final (5-1-09).doc	05/01/2009
Final Supporting Statement B	Prestesting Supporting Statement B Passback Final (5-1-09).doc	05/01/2009
Call Script	ProgramDirectorCall_script_02032009_modified_043009 omb (2)(final).doc	05/01/2009
Advance Letter	FACES-204 E-mem-let to HS Program Director_02032009_modified_043009 omb (2)(final).doc	05/01/2009

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