ADA Webinar Feedback Survey

Renewal of Generic Clearance for Collection of Qualitative Feedback on Agency Services and Programs

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3014-0011 can be found here:

Documents and Forms

Document Name Document Type
ADA Webinar Feedback Survey Form
ADA Webinar Feedback Survey Section 508 Webinar Feedback Survey_Screenshots_May 2021.pdf www.surveymonkey.com/r/AccessibilityOnline-Template Form

Information Collection (IC) Details

IC Title:	ADA Webinar Feedback Survey	Agency IC Tracking Number:	0011-2021-02

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	N/A	ADA Webinar Feedback Survey	Section 508 Webinar Feedback Survey_Screenshots_May 2021.pdf	https://www.surveymonkey.com/r/AccessibilityOnline-Template	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: 2,592	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,592	2,592
Annual IC Time Burden (Hours)	259	259
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.