Information Collection

Head Start Safe Families-Safe Homes Training Curriculum Survey

IC 198175 under ICR 201106-0970-004 · OMB 0970-0400.

Documents and Forms

Document Name Document Type
Participant Survey - Survey Monkey Version 11-14-11.pdf Other-Participant Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Head Start Safe Families-Safe Homes Training Curriculum Survey	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
Other-Participant Survey			Participant Survey - Survey Monkey Version 11-14-11.pdf		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: 250	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	63	63
Annual IC Cost Burden (Dollars)	993	993

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.