Information Collection

Online tool / Web section survey - Ind / households

IC 194049 under ICR 201008-0970-001 · OMB 0970-0303.

Documents and Forms

Document Name Document Type
Form 0970-0303 Online tool / Web section survey - Ind / households Form
0970-0303 Appendix K_Online Tool / Web Section Survey Appendix K_Online tool Web section survey.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Online tool / Web section survey - Ind / households	Agency IC Tracking Number:

Is this a Common Form? No		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	0970-0303	Appendix K_Online Tool / Web Section Survey	Appendix K_Online tool Web section survey.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: 229	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	229	229
Annual IC Time Burden (Hours)	12	12
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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