SURVEY INSTRUMENTS FOR EXPLORATORY STUDY OF SENIOR CENTERS

ICR 198006-0990-001

OMB: 0990-0049

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0990-0049 198006-0990-001
Historical Active
HHS/HHSDM
SURVEY INSTRUMENTS FOR EXPLORATORY STUDY OF SENIOR CENTERS
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 08/26/1980
Retrieve Notice of Action (NOA) 06/10/1980
  Inventory as of this Action Requested Previously Approved
03/31/1981 03/31/1981
645 0 0
264 0 0
0 0 0

THE PURPOSE OF THIS STUDY IS TO OBTAIN A DETAILED PICTURE OF CHARACTERISTICS AND PRACTICES OF A RANGE OF SENIOR CENTER PROGRAMS, THE POPULATIONS THEY SERVE, AND THE WAYS IN WHICH SERVICES ARE PROVIDED, AND TO DOCUMENT THE EFFECTS OF CENTERS OR THE USERS AND THE COMMUNITY. INTERVIEWERS WILL SURVEY CENTER DIRECTORS, STAFF, USERS, AND COMMUNITY LEADERS.

None
None


No

1
IC Title Form No. Form Name
SURVEY INSTRUMENTS FOR EXPLORATORY STUDY OF SENIOR CENTERS OS-10-80

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 645 0 0 0 645 0
Annual Time Burden (Hours) 264 0 0 0 264 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/10/1980


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