Information Collection

Supporting Healthy Marriage (SHM) Project - 12 month follow up data collection. Instrument #3: Implementation Study Protocol

IC 183233 under ICR 200908-0970-007 · OMB 0970-0339.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SHM PROJECT-instrument #3 - 12 month implementation study.doc	Other-Implementation Study Protocol

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

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-Implementation Study Protocol					Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 504

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-504	504
Annual IC Time Burden (Hours)	-504	504
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

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