Building Strong Families Second (36-month) follow-up Instrument #1: Survey

Building Strong Families (BSF) Demonstration and Evaluation - Impact Study Second Follow-up

Documents and Forms

Document Name Document Type
BSF 36 Month Followup Survey - Revised - 6-9-08.doc Other-Telephone Survey

Information Collection (IC) Details

IC Title:	Building Strong Families Second (36-month) follow-up Instrument #1: Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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-Telephone Survey			BSF 36 Month Followup Survey - Revised - 6-9-08.doc		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,801	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,801	2,801
Annual IC Time Burden (Hours)	2,474	2,474
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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