Child Welfare Information Gateway's Customer Satisfaction Assessment

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⚠️ Notice: This information collection may be referencing outdated material.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 Child Welfare Information Gateway's Customer Satisfaction Assessment Form and Instruction
1 CWIG Customer Satisfaction Assessment Data Collection In CWIG Customer Satisfaction Assessment_Data Collection Instruments_for CB....doc Form and Instruction
fast-track-PRA-submission-short-form_CWIG Customer Satisfaction_for CB.DOC Justification IC Document

Information Collection (IC) Details

IC Title:	Child Welfare Information Gateway's Customer Satisfaction Assessment	Agency IC Tracking Number:

IC Status: New

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	CWIG Customer Satisfaction Assessment Data Collection Instruments	CWIG Customer Satisfaction Assessment_Data Collection Instruments_for CB....doc		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: 8,150	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	8,150	8,150
Annual IC Time Burden (Hours)	423	423
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification	fast-track-PRA-submission-short-form_CWIG Customer Satisfaction_for CB.DOC	02/13/2018

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