Information Collection

2015 National Child Abuse Prevention Month Customer Satisfaction Assessment

IC 213604 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⚠️ Notice: This information collection may be referencing outdated material.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 2015 National Child Abuse Prevention Month Customer Satisfaction Assessment	Form and Instruction
1 Customer Satisfaction Sruvey 2015 NCAPM customer satisfaction assessment_sent to OMB.docx	Form and Instruction
fast-track-PRA-submission-short-form_2015 NCAPM survey.doc 2015 National Child Abuse Prevention Month Customer Satisfaction Survey	IC Document

IC Title:

2015 National Child Abuse Prevention Month Customer Satisfaction Assessment

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	Customer Satisfaction Sruvey	2015 NCAPM customer satisfaction assessment_sent to 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: 500

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	500	500
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2015 National Child Abuse Prevention Month Customer Satisfaction Survey	fast-track-PRA-submission-short-form_2015 NCAPM survey.doc	10/23/2014

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