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Take Your Child to Work Day Survey
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 1405-0193
IC ID: 265930
OMB.report
STATE/AFA
OMB 1405-0193
ICR 202402-1405-001
IC 265930
( )
Documents and Forms
Document Name
Document Type
Form Survey
Take Your Child to Work Day Survey
Form and Instruction
Survey Take Your Child to Work Day Survey
Screenshot for Survey for Take Your Child to Work Day.pdf
Form and Instruction
Survey Take Your Child to Work Day Survey
Additional Screenshot for Take Your Child to Work Day 2024 survey.pdf
Form and Instruction
ds4183 - Take Your Child to Work Day 2024 survey (signed).pdf
DS-4183
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Take Your Child to Work Day 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
Survey
Take Your Child to Work Day Survey
Screenshot for Survey for Take Your Child to Work Day.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
Survey
Take Your Child to Work Day Survey
Additional Screenshot for Take Your Child to Work Day 2024 survey.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Training and Employment
Privacy Act System of Records
Title:
Take Your Child to Work Day Survey
FR Citation:
89 FR 12316
Number of Respondents:
315
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
315
0
315
0
0
0
Annual IC Time Burden (Hours)
1
0
1
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
DS-4183
ds4183 - Take Your Child to Work Day 2024 survey (signed).pdf
03/12/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.