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Executive Director questionnaire for ADD Assessment
Developmental Disabilities Program Independent Evaluation Project
OMB: 0970-0372
IC ID: 195747
OMB.report
HHS/ACF
OMB 0970-0372
ICR 201012-0970-004
IC 195747
( )
Documents and Forms
Document Name
Document Type
ADD Assessment - Executive Director Questionnaire - 10-20-2010.docx
Other-Executive Director questionnai
ADD - web-based survey of Executive Directors.mht
Other-(Executive Director questionna
Appendix A. Email to Executive Directors.docx
Other-Appendix A. Email to Executive
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Executive Director questionnaire for ADD Assessment
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Executive Director questionnaire for ADD Assessment
ADD Assessment - Executive Director Questionnaire - 10-20-2010.docx
Yes
No
Fillable Printable
Other-(Executive Director questionnaire for ADD Assessment)
ADD - web-based survey of Executive Directors.mht
Yes
No
Fillable Printable
Other-Appendix A. Email to Executive Directors
Appendix A. Email to Executive Directors.docx
Yes
No
Fillable Printable
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:
180
Number of Respondents for Small Entity:
20
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
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
180
0
180
0
0
0
Annual IC Time Burden (Hours)
180
0
180
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.