Information Collection

CWIG Follow-up Survey, State, Local, or Tribal Goverments

IC 204657 under ICR 201210-0970-005 · OMB 0970-0431.

Documents and Forms

Document Name Document Type
Form 1 CWIG Follow-up Survey, State, Local, or Tribal Goverments Form and Instruction
1 Survey Follow-on Survey_10 11 12 final version for OMB_rev 2.4.13.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CWIG Follow-up Survey, State, Local, or Tribal Goverments	Agency IC Tracking Number:

Is this a Common Form? No		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	Survey	Follow-on Survey_10 11 12 final version for OMB_rev 2.4.13.docx		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	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.