Child Welfare Information Gateway 9-14

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⚠️ Notice: This information collection may be referencing outdated material.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 Child Welfare Information Gateway 9-14 Form and Instruction
1 General Customer Survey General Customer Survey_sent to OMB 9.16.14.docx Form and Instruction
Fast Track submission_FY15 CUSTOMER SURVEY_sent to OMB 9.16.14.doc CWIG Satisfaction Survey 9-14 IC Document

Information Collection (IC) Details

IC Title:	Child Welfare Information Gateway 9-14	Agency IC Tracking Number:	CB

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	General Customer Survey	General Customer Survey_sent to OMB 9.16.14.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: 2,267	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,267	2,267
Annual IC Time Burden (Hours)	145	145
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
CWIG Satisfaction Survey 9-14	Fast Track submission_FY15 CUSTOMER SURVEY_sent to OMB 9.16.14.doc	09/16/2014

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