CWIG Virtual Conference Exit Survey

Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

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

Information Collection (IC) Details

IC Title:	CWIG Virtual Conference Exit Survey	Agency IC Tracking Number:

IC Status: Unchanged

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
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 %

	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

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.