Parent Survey Questionnaire (Section A – DA)

Survey on Where Parents Look for and Find Information and How They Use Information When Selecting Child Care

Documents and Forms

Document Name Document Type
CEPC English Parent Questionnaire_toOPRE_030524_CLEAN.docx Other-Survey - English
CEPC English Parent Questionnaire_toOPRE_030524_CLEAN.docx Other-Survey - English
Spanish Parent Questionnaire_toOPRE_030824_CLEAN.docx Other-Survey - Spanish
Spanish Parent Questionnaire_toOPRE_030824_CLEAN.docx Other-Survey - Spanish

Information Collection (IC) Details

IC Title:	Parent Survey Questionnaire (Section A – DA)	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 - English			CEPC English Parent Questionnaire_toOPRE_030524_CLEAN.docx		Yes	Yes	Fillable Fileable
Other-Survey - Spanish			Spanish Parent Questionnaire_toOPRE_030824_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: 2,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,500	1,000	1,500
Annual IC Time Burden (Hours)	625	250	375
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.