View Information Collection (IC)

View Information Collection (IC)

IC Title:	18 & 19 - Mobile device surveys	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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			18 - Mobile Device Employment Survey.docx		Yes	Yes	Fillable Fileable
Other-Survey			19 - Mobile device parenting and co-parenting survey.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: 450	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	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	2,250	0	0	0	0	2,250
Annual IC Time Burden (Hours)	263	0	0	0	0	263
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
19 - Mobile Device Parenting and Co-Parenting Survey_Screenshots	19 - Mobile Device Parenting and Co-Parenting Survey_Screenshots.pdf	09/01/2016

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