Information Collection

Enhanced Services for the Hard-to-Employ Demonstration and Evaluation: Kansas and Missouri 36-Month Data Collection -- Parent Survey

IC 181682 under ICR 200708-0970-004 · OMB 0970-0332.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
OMB-HtE KS-MO-36mo Part 2 - PARENT-052207.doc	Other-Survey Instrument
OMB HtE KS-MO_App A-1_36M Parent Consent Form.doc Parental Consent Form	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? Yes

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey Instrument			OMB-HtE KS-MO-36mo Part 2 - PARENT-052207.doc		No	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 488

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	488	488
Annual IC Time Burden (Hours)	366	366
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Parental Consent Form	OMB HtE KS-MO_App A-1_36M Parent Consent Form.doc	07/16/2007

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