View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Child Care Needs Survey (NCI)	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	1	Childcare study survey	Childcare study survey.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	2	listening session guiding questions	Listening Session Guiding Questions (002).docx		No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,200	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	6,200	0	6,200	0	0	0
Annual IC Time Burden (Hours)	1,200	0	1,200	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Fast track request for Child Care	Fast Track Request - Child Care FINAL (3).docx	01/24/2019
email invite childcare survey	Email invite Childcare Survey FINAL_Rev.pdf	01/24/2019

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.