Information Collection

Early Head Start Conference Satisfaction Survey

IC 227063 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⚠️ Notice: This information collection may be referencing outdated material.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 Early Head Start Conference Satisfaction Survey	Form and Instruction
1 Conference Satisfaction Survey Region1-Conf-Satisfaction-Survey-INSTRUMENT-5-30-17.docx	Form and Instruction
Region1-Conf-Satisfaction-Survey-fast-track-PRA-submission-short-form-5-....pdf Justification	IC Document

IC Title:

Early Head Start Conference Satisfaction 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	Conference Satisfaction Survey	Region1-Conf-Satisfaction-Survey-INSTRUMENT-5-30-17.docx		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

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	200	200
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification	Region1-Conf-Satisfaction-Survey-fast-track-PRA-submission-short-form-5-....pdf	06/01/2017

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