Information Collection

Pre-/Post- Online Survey

IC 228863 under ICR 201905-0970-015 · OMB 0970-0507.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment L. Pre and Post Survey_passback_03072018_clean.docx	Other-Pre Survey
Post Survey V2_clean.docx	Other-Post Survey

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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-Pre Survey			Attachment L. Pre and Post Survey_passback_03072018_clean.docx		Yes	Yes	Fillable Fileable
Other-Post Survey			Post Survey V2_clean.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: 36

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	72	72
Annual IC Time Burden (Hours)	49	49
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.