Information Collection

Staff survey

IC 227919 under ICR 202204-0970-008 · OMB 0970-0506.

Documents and Forms

Document Name Document Type
Attachment E Staff Survey.docx Other-Survey
Attachment E Staff Survey.docx Other-Survey
Attachment L Staff Survey QxQ.DOCX Attachment L - Question by Question Justification - Staff Survey IC Document
Attachment L Staff Survey QxQ.DOCX Attachment L - Question by Question Justification - Staff Survey IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Staff survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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			Attachment E Staff Survey.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: 32	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 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-32	32
Annual IC Time Burden (Hours)	-24	24
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment L - Question by Question Justification - Staff Survey	Attachment L Staff Survey QxQ.DOCX	08/15/2017

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