Information Collection

14 & 15 - Staff surveys

IC 220983 under ICR 201604-0970-003 · OMB 0970-0485.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0485 can be found here:

Documents and Forms

Document Name Document Type
14 - B3 Staff Survey for Sites Testing Parenting Intervention.docx Other-Survey
15 - B3 Staff Surveys for Sites Testing Employment Intervention.docx Other-Survey
14 - Staff Survey for Sites Testing Parenting Intervention Screenshots.docx Staff Survey Screen Shots IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	14 & 15 - Staff surveys	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			14 - B3 Staff Survey for Sites Testing Parenting Intervention.docx		Yes	Yes	Fillable Fileable
Other-Survey			15 - B3 Staff Surveys for Sites Testing Employment Intervention.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: 80	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: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	53	53
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Staff Survey Screen Shots	14 - Staff Survey for Sites Testing Parenting Intervention Screenshots.docx	09/07/2016

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