Information Collection

Instrument 3: Staff survey

IC 248792 under ICR 202112-0970-008 · OMB 0970-0579.

Documents and Forms

Document Name Document Type
Instrument 3_FCL Child welfare and partner staff survey_clean_postIRB.docx Other-Survey
Instrument 3_FCL Child welfare and partner staff survey_clean_postIRB.docx Other-Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Instrument 3: Staff survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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			Instrument 3_FCL Child welfare and partner staff survey_clean_postIRB.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: 480	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 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	480	120	360
Annual IC Time Burden (Hours)	160	40	120
Annual IC Cost Burden (Dollars)	0	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.