Information Collection

Staff Interview Protocol

IC 43727 under ICR 200904-0970-003 · OMB 0970-0304.

Documents and Forms

Document Name Document Type
1-Staff Interview Protocol.pdf Other-Staff Interview Protocol

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Staff Interview Protocol	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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-Staff Interview Protocol			1-Staff Interview Protocol.pdf		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: 126	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	Previously Approved
Annual Number of Responses for this IC	126	-3,022	3,148
Annual IC Time Burden (Hours)	189	-2,614	2,803
Annual IC Cost Burden (Dollars)	0	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.