Information Collection

Office of Family Assistance PeerTA website Evaluation and Satisfaction Survey

IC 242565 under ICR 201801-0970-013 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Survey_PeerTA_final.docx	Other-Survey
Fast Track Generic - Submission Form Template (2020)_PeerTA_v2_(Revisions)_clean.docx FastTrack GenIC Submission Form - PeerTA website Evaluation and Satisfaction Survey	IC Document

IC Title:

Office of Family Assistance PeerTA website Evaluation and Satisfaction Survey

Agency IC Tracking Number:

OFA

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
Other-Survey			Survey_PeerTA_final.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	500	500
Annual IC Time Burden (Hours)	83	83
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FastTrack GenIC Submission Form - PeerTA website Evaluation and Satisfaction Survey	Fast Track Generic - Submission Form Template (2020)_PeerTA_v2_(Revisions)_clean.docx	07/02/2020

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