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Staff Survey - Full length, Michigan
Job Search Assistance Strategies (JSA) Evaluation - Contact updates, Interim Surveys and Six-Month Follow-up Survey
OMB: 0970-0440
IC ID: 226248
OMB.report
HHS/ACF
OMB 0970-0440
ICR 201703-0970-006
IC 226248
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0440 can be found here:
2018-01-23 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
JSA Staff Survey_MI_Edits_clean.docx
Other-Survey
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Staff Survey - Full length, Michigan
Agency IC Tracking Number:
Is this a Common Form?
No
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
JSA Staff Survey_MI_Edits_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:
13
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
13
0
13
0
0
0
Annual IC Time Burden (Hours)
5
0
5
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.