Information Collection

Children's Bureau Express Survey

IC 196227 under ICR 200903-0980-001 · OMB 0980-0266.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0980-0266 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Children's Bureau Express Survey	Form and Instruction
1 CBX Online Survey CBX Survey_1-31-11.docx	Form and Instruction
OMB Justification_CBX Survey.doc Justification	IC Document

IC Title:

Children's Bureau Express Survey

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
Form and Instruction	1	CBX Online Survey	CBX Survey_1-31-11.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,880

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	2,880	0	0	0	0	0
Annual IC Time Burden (Hours)	150	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification	OMB Justification_CBX Survey.doc	02/09/2011

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