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Parent Survey about FSWs
Measurement Development: Family-Provider Relationship Quality (FPRQ)
OMB: 0970-0420
IC ID: 204037
OMB.report
HHS/ACF
OMB 0970-0420
ICR 201401-0970-004
IC 204037
( )
Documents and Forms
Document Name
Document Type
Appendix A-5-2.Parent Survey about Family Service Workers (FSWs).pdf
Other-Survey
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Parent Survey about FSWs
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
Appendix A-5-2.Parent Survey about Family Service Workers (FSWs).pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
76
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
76
0
0
0
0
76
Annual IC Time Burden (Hours)
13
0
0
0
0
13
Annual IC Cost Burden (Dollars)
0
0
0
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.