Information Collection

Pathways to Work Evidence Clearinghouse Website - Customer Service Feedback Survey

IC 267673 under ICR 202607-0970-013 · OMB 0970-0401.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Pathways to Work - Customer feedback survey - Clean.docx	Other-Survey
Pathways to Work website - Fast-track PRA short form - Final for submission.docx FastTrack GenIC - Pathways to Work Evidence Clearinghouse Website - Customer Service Feedback Survey	IC Document
Change Request - Customer service feedback survey.docx NonSub Change - Minor update Pathways to Work Evidence Clearinghouse Website- Customer Service Feedback Survey	IC Document

IC Title:

Agency IC Tracking Number:

OPRE

IC Status: Modified

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					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: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	21	21
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FastTrack GenIC - Pathways to Work Evidence Clearinghouse Website - Customer Service Feedback Survey		05/15/2024
NonSub Change - Minor update Pathways to Work Evidence Clearinghouse Website- Customer Service Feedback Survey		09/13/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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