Information Collection

Instrument 6: Staff survey (Teacher survey and Home Visitor survey)

IC 227601 under ICR 202009-0970-003 · OMB 0970-0354.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0354 can be found here:

Documents and Forms

Document Name Document Type
A6a. BF2020 Staff Survey_Home Visitor OMB_02-21-20CLEAN.pdf Other-Survey (2020)
A6b. Baby FACES 2020 Staff Survey_Teacher OMB_02-21-20CLEAN.pdf Other-Survey (2020)
A6a. BF2020 Staff Survey_Home Visitor OMB_June2020-clean.docx Other-Survey (2021)
A6b. Baby FACES 2020 Staff Survey_Teacher OMB_June2020-clean.docx Other-Survey (2021)

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Instrument 6: Staff survey (Teacher survey and Home Visitor survey)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey (2020)	A6a. BF2020 Staff Survey_Home Visitor OMB_02-21-20CLEAN.pdf	Yes	Yes	Fillable Fileable
Other-Survey (2020)	A6b. Baby FACES 2020 Staff Survey_Teacher OMB_02-21-20CLEAN.pdf	Yes	Yes	Fillable Fileable
Other-Survey (2021)	A6a. BF2020 Staff Survey_Home Visitor OMB_June2020-clean.docx	Yes	Yes	Fillable Fileable
Other-Survey (2021)	A6b. Baby FACES 2020 Staff Survey_Teacher OMB_June2020-clean.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: 1,521	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	Previously Approved
Annual Number of Responses for this IC	761	102	659
Annual IC Time Burden (Hours)	381	51	330
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.