Data Portal Web Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3135-0130 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Data Portal Web Survey Form and Instruction
1 Data Portal Web Survey NASAA_NEA_Web_Survey_V4.pdf Form and Instruction
OMB Generic Clearance Submission Web Survey.pdf Data Portal Web Survey Clearance IC Document

Information Collection (IC) Details

IC Title:	Data Portal Web Survey	Agency IC Tracking Number:

IC Status: Unchanged

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	Data Portal Web Survey	NASAA_NEA_Web_Survey_V4.pdf		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: 75	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	75	75
Annual IC Time Burden (Hours)	19	19
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Data Portal Web Survey Clearance	OMB Generic Clearance Submission Web Survey.pdf	09/11/2012

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