Information Collection

Polling Questions for CWIG

IC 204008 under ICR 201207-0970-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Polling Questions for CWIG	Form and Instruction
1 Polling Questions Polling questions for OMB_9.5.12.docx	Form and Instruction
Fast Track submission_Polling Questions_9.5.12.doc Request	IC Document

IC Title:

Polling Questions for CWIG

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Polling Questions	Polling questions for OMB_9.5.12.docx		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: 15,230

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	15,230	0	0	0	0	0
Annual IC Time Burden (Hours)	254	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request	Fast Track submission_Polling Questions_9.5.12.doc	09/06/2012

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