Information Collection

Instrument 17c. Other Center Staff Surveys

IC 257340 under ICR 202505-0970-013 · OMB 0970-0605.

Documents and Forms

Document Name Document Type
Instruments 17a-dii All Pre-Post Surveys_nonsub5clean 2.docx Other-Survey
Instruments 17a-dii All Pre-Post Surveys_nonsub5clean 2.docx Other-Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Instrument 17c. Other Center Staff Surveys	Agency IC Tracking Number:

Is this a Common Form? No		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
Other-Survey			Instruments 17a-dii All Pre-Post Surveys_nonsub5clean 2.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: 96	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	96	96
Annual IC Time Burden (Hours)	48	48
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.