Implementation Drivers Web Survey

Permanency Innovations Initiative (PII) Evaluation

OMB: 0970-0408

IC ID: 202188

Information Collection (IC) Details

View Information Collection (IC)

Implementation Drivers Web Survey
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey Implementation Drivers Web Survey 7-19-12.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

144 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 288 0 -12 0 0 300
Annual IC Time Burden (Hours) 230 0 -10 0 0 240
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Sample screen shot for web based surveys Sample screen shot for web based surveys.JPG 05/08/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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