Information Collection

Tracking Survey

IC 196068 under ICR 201302-0970-006 · OMB 0970-0388.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ATTACHMENT B Tracking Survey Mail Version REV.doc	Other-Survey
ATTACHMENT C Tracking Survey Telephone Version REV2.doc	Other-Survey
ATTACHMENT D Tracking Survey Internet Version REV.doc	Other-Survey

IC Title:

Tracking Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	ATTACHMENT B Tracking Survey Mail Version REV.doc	Yes	Yes	Fillable Fileable
Other-Survey	ATTACHMENT C Tracking Survey Telephone Version REV2.doc	Yes	Yes	Fillable Fileable
Other-Survey	ATTACHMENT D Tracking Survey Internet Version REV.doc	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: 2,533

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	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	2,533	2,533
Annual IC Time Burden (Hours)	633	633
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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