Information Collection

OHS-Conference Feedback Survey

IC 223166 under ICR 201502-0970-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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 OHS-Conference Feedback Survey	Form and Instruction
1 PMFO Conference Survey 1 PMFO Conference Survey_Final.pdf	Form and Instruction
Fast Track App_PMFO Conference Feedback Survey 08.23.16.doc Request	IC Document

IC Title:

OHS-Conference Feedback Survey

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	PMFO Conference Survey	1 PMFO Conference Survey_Final.pdf		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 450

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	450	450
Annual IC Time Burden (Hours)	76	76
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request	Fast Track App_PMFO Conference Feedback Survey 08.23.16.doc	08/24/2016

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