Evaluation of Roster Program (Referral Searcher) - IC for Individual or Household Respondents

Program Evaluation Instruments - Roster Program Services (Two Instruments)

OMB: 3320-0005

IC ID: 185856

Information Collection (IC) Details

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Evaluation of Roster Program (Referral Searcher) - IC for Individual or Household Respondents 0005d Referrals
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 3320-0005(1) Roster Services - Searcher Questionnaire (Paper) Roster Services - Searcher Questionnaire (Paper).pdf Yes Yes Fillable Fileable

Litigation and Judicial Activities Resolution Facilitation

 

60 0
   
Individuals or Households
 
   90 %

  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 60 0 60 0 0 0
Annual IC Time Burden (Hours) 6 0 6 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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