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ACF State and County Human Services Commissioner Surveys
Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0970-0401
IC ID: 240262
OMB.report
HHS/ACF
OMB 0970-0401
ICR 202105-0970-001
IC 240262
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:
2024-09-25 - No material or nonsubstantive change to a currently approved collection
2024-09-13 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
ACF State Human Services Commissioner_final.docx
Other-Survey
ACF State Human Services Commissioner_final.docx
Other-Survey
ACF County Human Services Commissioner Survey_final.docx
Other-Survey
ACF County Human Services Commissioner Survey_final.docx
Other-Survey
Fast Track GenIC Submission Form_0970-0401_ACF ORO state county surveys 2020_FINAL.docx
Fast Track GenIC Submission Form - ACF ORO State & County Human Services Commissioner Surveys 2020
IC Document
Fast Track GenIC Submission Form_0970-0401_ACF ORO state county surveys 2020_FINAL.docx
Fast Track GenIC Submission Form - ACF ORO State & County Human Services Commissioner Surveys 2020
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
ACF State and County Human Services Commissioner Surveys
Agency IC Tracking Number:
ORO
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
Other-Survey
ACF State Human Services Commissioner_final.docx
Yes
Yes
Fillable Fileable
Other-Survey
ACF County Human Services Commissioner Survey_final.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
125
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
125
0
0
0
0
125
Annual IC Time Burden (Hours)
63
0
0
0
0
63
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Fast Track GenIC Submission Form - ACF ORO State & County Human Services Commissioner Surveys 2020
Fast Track GenIC Submission Form_0970-0401_ACF ORO state county surveys 2020_FINAL.docx
03/03/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.