Children's Bureau Express Survey

Voluntary Survey of Program Partners to Implement Executive Order 12862 within the Administration for Children Families

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

IC Title:	Children's Bureau Express Survey	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
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 %

	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

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.