Naational Adoption Month

Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form 1 Naational Adoption Month Form and Instruction
1 National Adoption Month National_Adoption_Month_8.20.14_for OMB.docx Form and Instruction
fast-track-PRA-submission-short-form_2014 NAM survey.doc National Adoption Month IC Document

Information Collection (IC) Details

IC Title:	Naational Adoption Month	Agency IC Tracking Number:	ACYF

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	National Adoption Month	National_Adoption_Month_8.20.14_for OMB.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: 400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
National Adoption Month	fast-track-PRA-submission-short-form_2014 NAM survey.doc	08/20/2014

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