Information Collection

CWIG Virtual Conference Exit Survey

IC 222294 under ICR 201705-0970-010 · 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⚠️ Notice: This information collection may be referencing outdated material.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 CWIG Virtual Conference Exit Survey	Form and Instruction
1 Exit Survey VirtualConference_ExitSurvey_06-27-16_ForOMBReview.docx	Form and Instruction
OMBFastTrackApplication_VirtualConferenceExitSurvey_06-27-16_for CB.doc Fast Track Request	IC Document

IC Title:

CWIG Virtual Conference Exit Survey

Agency IC Tracking Number:

IC Status: Unchanged

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	Exit Survey	VirtualConference_ExitSurvey_06-27-16_ForOMBReview.docx		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 175

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	175	175
Annual IC Time Burden (Hours)	29	29
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Request	OMBFastTrackApplication_VirtualConferenceExitSurvey_06-27-16_for CB.doc	07/01/2016

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