View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Children's Bureau's Capacity Building Collaborative, Center for States Website Intercept Feedback Survey	Agency IC Tracking Number:	CB

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			Website Intercept Feedback Survey_FINAL_mj CLEAN.docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 700	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	700	0	700	0	0	0
Annual IC Time Burden (Hours)	35	0	35	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
FastTrack GenIC Submission Form - Center for States Website Intercept Feedback Survey	OMB Application Website Intercept Feedback Survey 08.17.22_mj CLEAN.docx	08/19/2022
Website Intercept Survey Recruitment Message	Website Intercept Survey Recruitment Message, 08.16.22.docx	08/19/2022

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