Information Collection

Immediate follow up survey

IC 204671 under ICR 201210-2528-001 · OMB 2528-0292.

Documents and Forms

Document Name Document Type
IPI_Electronic_Stakeholder_Survey_immediate_follow_up_8.2.12[1].docx Other-Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Immediate follow up 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-Survey			IPI_Electronic_Stakeholder_Survey_immediate_follow_up_8.2.12[1].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: 300	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	50	50
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.