Design for Accessibility Survey 2 11-30-12 - private

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3135-0130 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Design for Accessibility Survey 2 11-30-12 - private Form and Instruction
1 1 Design for Accessibility Survey 2 with revision comments 12-10-12.pdf Form and Instruction
OMB form Design for Accessibility Survey 2 with revision comments 12-10-12.pdf OMB form Design for Accessibility Survey IC Document
DFA Existing Guidance Resources Database 12-4-12.pdf DFA Existing Guidance Resources Database 12-4-12 IC Document
DFA Existing Training Resources Database 12-4-12.pdf DFA Existing Training Resources Database 12-4-12 IC Document

Information Collection (IC) Details

IC Title:	Design for Accessibility Survey 2 11-30-12 - private	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	1	Design for Accessibility Survey 2 with revision comments 12-10-12.pdf		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: 48	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	48	48
Annual IC Time Burden (Hours)	24	24
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB form Design for Accessibility Survey	OMB form Design for Accessibility Survey 2 with revision comments 12-10-12.pdf	12/10/2012
DFA Existing Guidance Resources Database 12-4-12	DFA Existing Guidance Resources Database 12-4-12.pdf	12/10/2012
DFA Existing Training Resources Database 12-4-12	DFA Existing Training Resources Database 12-4-12.pdf	12/10/2012

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