CB Centennial Meeting Webinar Feedback Survey

Voluntary Survey of Program Partners to Implement Executive Order 12862 within the Administration for Children Families

Documents and Forms

Document Name Document Type
Form 1 CB Centennial Meeting Webinar Feedback Survey Form and Instruction
1 Meeting/Webinar Feedback Form MeetingWebinar survey_submitted to ACF.DOCX Form and Instruction
OMB Justification_MeetingWebinar survey 12-1-01.doc Justification IC Document

Information Collection (IC) Details

IC Title:	CB Centennial Meeting Webinar Feedback Survey	Agency IC Tracking Number:

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
Form and Instruction	1	Meeting/Webinar Feedback Form	MeetingWebinar survey_submitted to ACF.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: 225	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	225	0	0	0	0	0
Annual IC Time Burden (Hours)	11	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Justification	OMB Justification_MeetingWebinar survey 12-1-01.doc	12/01/2011

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