Information Collection

National Survey of Public Attitudes towards People with Disabilities

IC 192324 under ICR 201003-1230-001 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Survey CS DOLU089428183 OMB Package 4-19-2010.docx	Other-Survey
Confidentialiy Agreement CS DOLU089428183 OMB Package 4-19-2010.docx Contractor Confidentiality Agreement	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

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			Survey CS DOLU089428183 OMB Package 4-19-2010.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,456

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,456	4,456
Annual IC Time Burden (Hours)	640	640
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Contractor Confidentiality Agreement	Confidentialiy Agreement CS DOLU089428183 OMB Package 4-19-2010.docx	04/19/2010

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