View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

State and Local Human Services Customer Feedback
 
Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey App B Revised ACF State Customer Feedback Survey 11-16-17_clean.docx Yes Yes Fillable Fileable
Other-Survey App C Revised ACF County Customer Feedback Survey 11-16-17_clean.docx Yes Yes Fillable Fileable
Other-Listening Session Protocol App D Draft State and Local Customer Feedback Listening Sessions 10-24-17.docx No   Paper Only

Community and Social Services Social Services

 

193 0
   
State, Local, and Tribal Governments
 
   0 %

  Requested 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 193 0 0 0 0 193
Annual IC Time Burden (Hours) 187 0 0 0 0 187
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A: State and Local Human Services Customer Feedback SSA Template State and Local Customer Feedback final 10-25-17.doc 10/25/2017
Supporting Statement B: State and Local Human Services Customer Feedback SSB Template State and Local Customer Feedback Draft 10-24-17.doc 10/25/2017
Appendix A Email Invitation Customer Feedback Survey App A Email Invitation Customer Feedback Survey 10-25-17.docx 10/25/2017
Memo - NonSub Change State and Local Human Services OMB Cover Memo for revisions 11-16-17.docx 11/16/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.