Information Collection

FACES 2009 Pre-Test of Survey Instruments

IC 188547 under ICR 200807-0970-012 · OMB 0970-0355.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.