Information Collection

Satisfaction Survey for Child Welfare Information Gateway

IC 202699 under ICR 201206-0970-007 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Individuals/Households Satisfaction Survey for Child Welfare Information Gateway	Form
Form 1 Questions for Students Satisfaction Survey for Child Welfare Information Gateway	Form
Form 1 Questions for Professionals Satisfaction Survey for Child Welfare Information Gateway	Form
1 Individuals/Households General Customer Survey_5.31.12_Personal.docx	Form
1 Questions for Students General Customer Survey_questions for students.docx	Form
1 Questions for Professionals General Customer Survey_questions for professionals.docx	Form
Fast Track submission_CUSTOMER SURVEY_5.31.12_rev.doc Request	IC Document

IC Title:

Satisfaction Survey for Child Welfare Information Gateway

Agency IC Tracking Number:

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Individuals/Households	General Customer Survey_5.31.12_Personal.docx	Yes	Yes	Fillable Fileable
Form	1	Questions for Students	General Customer Survey_questions for students.docx	Yes	Yes	Fillable Printable
Form	1	Questions for Professionals	General Customer Survey_questions for professionals.docx	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: 2,434

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,434	2,434
Annual IC Time Burden (Hours)	159	159
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request	Fast Track submission_CUSTOMER SURVEY_5.31.12_rev.doc	06/13/2012

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