Interview and Intake Sheet

Interview and Intake Sheet

OMB: 1545-1985

IC ID: 19730

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Interview and Intake Sheet
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 13614SP No No


    

85,540 0
   
Individuals or Households
 
   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 85,540 0 85,540 0 0 0
Annual IC Time Burden (Hours) 17,108 0 17,108 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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