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Feedback from CLASS Video Pilot
Formative Data Collections for ACF Program Support
OMB: 0970-0531
IC ID: 258669
OMB.report
HHS/ACF
OMB 0970-0531
ICR 202411-0970-002
IC 258669
( )
Documents and Forms
Document Name
Document Type
Video Recorder Feedback Forms_12-22-22.docx
Other-Survey
Feedback Forms for AdminDirectors-12-22-22.docx
Other-Feedback Form
SSA Template - Formative for ACF Program Support OHS CLASS Video Pilot 12.22.22_clean_submit.docx
Supporting Statement A
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Feedback from CLASS Video Pilot
Agency IC Tracking Number:
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
Video Recorder Feedback Forms_12-22-22.docx
Yes
Yes
Fillable Fileable
Other-Feedback Form
Feedback Forms for AdminDirectors-12-22-22.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:
1,262
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
1,262
0
0
0
0
1,262
Annual IC Time Burden (Hours)
122
0
0
0
0
122
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Supporting Statement A
SSA Template - Formative for ACF Program Support OHS CLASS Video Pilot 12.22.22_clean_submit.docx
02/22/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.