Information Collection

#2 - Saq

IC 198588 under ICR 201408-0970-009 · OMB 0970-0397.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0397 can be found here:

Documents and Forms

Document Name Document Type
#2 - SAQ.doc Other-#2 - SAQ
SAQ 11-1-11_clean.docx Other-#2 - SAQ

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	#2 - SAQ	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Other-#2 - SAQ			#2 - SAQ.doc		Yes	Yes	Fillable Fileable
Other-#2 - SAQ			SAQ 11-1-11_clean.docx		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: 8	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	Previously Approved
Annual Number of Responses for this IC	8	-2,642	2,650
Annual IC Time Burden (Hours)	3	-872	875
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.