Information Collection

Parent Experience Survey

IC 261930 under ICR 202308-0970-010 · OMB 0970-0621.

Documents and Forms

Document Name Document Type
Instrument 2_Parent Experience Survey 060223 clean.docx Other-Survey
Instrument 2_Parent Experience Survey_Cln update Oct23.docx Other-Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Parent Experience Survey	Agency IC Tracking Number:

Is this a Common Form? No		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			Instrument 2_Parent Experience Survey_Cln update Oct23.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: 250	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	43	43
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.