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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

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			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 %

table that charts list of burden
	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

table that charts IC Documents
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.