Information Collection

NCA State_Tribal_Next of Kin and Funeral Director Satisfaction Survey_2023

IC 261356 under ICR 202305-2900-002 · OMB 2900-0571.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0571 can be found here:

Documents and Forms

Document Name Document Type
NCA NOK State Tribal Survey Eng22_PROOF3.pdf URL Option on paper form Other-Survey
NCA NOK State Tribal Survey Eng22_PROOF3.pdf URL Option on paper form Other-Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NCA State_Tribal_Next of Kin and Funeral Director Satisfaction Survey_2023	Agency IC Tracking Number:

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
Other-Survey			NCA NOK State Tribal Survey Eng22_PROOF3.pdf	URL Option on paper form	Yes	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15,000	15,000
Annual IC Time Burden (Hours)	7,500	7,500
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.