Information Collection

OCS Survey

IC 212578 under ICR 201211-0970-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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 OCS Survey	Form and Instruction
1 instrument 1 Instrument 1_Feedback Survey for Pilot Sites final.docx	Form and Instruction
2 instrument 2 Instrument 2_Feedback Survey for Reviewers final.docx	Form and Instruction
Fast Track clearance form FCI Toolkit Feedback Surveys final.docx OCS Survey	IC Document

IC Title:

OCS Survey

Agency IC Tracking Number:

OCS

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	instrument 1	Instrument 1_Feedback Survey for Pilot Sites final.docx		Yes	Yes	Fillable Printable
Form and Instruction	2	instrument 2	Instrument 2_Feedback Survey for Reviewers final.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: 41

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 Agency Discretion
Annual Number of Responses for this IC	41	41
Annual IC Time Burden (Hours)	21	21
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OCS Survey	Fast Track clearance form FCI Toolkit Feedback Surveys final.docx	08/07/2014

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