Information Collection

Children's Bureau's Capacity Building Collaborative, Center for States Website Intercept Feedback Survey

IC 255426 under ICR 202303-0970-007 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Website Intercept Feedback Survey_FINAL_mj CLEAN.docx	Other-Survey
Website Intercept Feedback Survey_FINAL_mj CLEAN.docx	Other-Survey
OMB Application Website Intercept Feedback Survey 08.17.22_mj CLEAN.docx FastTrack GenIC Submission Form - Center for States Website Intercept Feedback Survey	IC Document
OMB Application Website Intercept Feedback Survey 08.17.22_mj CLEAN.docx FastTrack GenIC Submission Form - Center for States Website Intercept Feedback Survey	IC Document
Website Intercept Survey Recruitment Message, 08.16.22.docx Website Intercept Survey Recruitment Message	IC Document
Website Intercept Survey Recruitment Message, 08.16.22.docx Website Intercept Survey Recruitment Message	IC Document

IC Title:

Children's Bureau's Capacity Building Collaborative, Center for States Website Intercept Feedback Survey

Agency IC Tracking Number:

IC Status: Unchanged

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-Survey			Website Intercept Feedback Survey_FINAL_mj 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: 700

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	700	700
Annual IC Time Burden (Hours)	35	35
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FastTrack GenIC Submission Form - Center for States Website Intercept Feedback Survey	OMB Application Website Intercept Feedback Survey 08.17.22_mj CLEAN.docx	08/19/2022
Website Intercept Survey Recruitment Message	Website Intercept Survey Recruitment Message, 08.16.22.docx	08/19/2022

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