Information Collection

AJC partner network survey

IC 217241 under ICR 201506-1225-001 · OMB 1225-0090.

Documents and Forms

Document Name Document Type
Form not applicable AJC partner network survey Form and Instruction
not applicable PARTNER NETWORK SURVEY INSTRUMENT 6.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	AJC partner network survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	not applicable	PARTNER NETWORK SURVEY	INSTRUMENT 6.docx		Yes	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 %

	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

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.