Interviewing

Evaluation of the Community Healthy Marriage Initiatives (CHMI) - Baseline survey

OMB: 0970-0322

IC ID: 179582

Documents and Forms
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Interviewing
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Interviewing CHMI baseline survey - Instrument 2- part (a) Questionaire sections A-C.03.22.07.doc No No Paper Only

Community and Social Services Social Services

 

4,200 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 4,200 0 4,200 0 0 0
Annual IC Time Burden (Hours) 2,772 0 2,772 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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