View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Network of Support Pilot Survey PL 116-214	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
Other-survey			Network of Support Pilot Survey.docx	TBD	Yes	Yes	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title: 58VA 21,22,28, Compensation, Pension, Education, Vocational Readiness and Employment Records - VA	FR Citation: 84 FR 4138

Number of Respondents: 128	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	128	0	128	0	0	0
Annual IC Time Burden (Hours)	11	0	11	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
NoS Pilot Fast-Track Clearance Request 03212022	NoS Pilot Fast-Track Clearance Request 03212022.docx	04/04/2022

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