ADA Webinar Feedback Survey

Renewal of Generic Clearance for Collection of Qualitative Feedback on Agency Services and Programs

Documents and Forms

Document Name Document Type
ADA Webinar Feedback Survey Form
ADA Webinar Feedback Survey Section 508 Webinar Feedback Survey_Screenshots_May 2021.pdf www.surveymonkey.com/r/AccessibilityOnline-Template Form
ADA Webinar Feedback Survey Section 508 Webinar Feedback Survey_Screenshots_May 2021.pdf www.surveymonkey.com/r/AccessibilityOnline-Template Form

Information Collection (IC) Details

IC Title:	ADA Webinar Feedback Survey	Agency IC Tracking Number:	0011-2021-02

IC Status: Modified

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
Form	N/A	ADA Webinar Feedback Survey	Section 508 Webinar Feedback Survey_Screenshots_May 2021.pdf	https://www.surveymonkey.com/r/AccessibilityOnline-Template	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: 2,592	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,592	0	2,592
Annual IC Time Burden (Hours)	173	-86	259
Annual IC Cost Burden (Dollars)	0	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.