#3 - Adult Survey - Wave 2

Supporting Healthy Marriage (SHM) Demonstration and Evaluation Project - Wave 2 Survey

OMB: 0970-0339

IC ID: 190526

Documents and Forms
Document Name
Document Type
Other-#3 - Adult Survey - Wave 2
Information Collection (IC) Details

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#3 - Adult Survey - Wave 2
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-#3 - Adult Survey - Wave 2 #3 - Adult Survey Wave 2.doc Yes Yes Fillable Printable

Community and Social Services Social Services

 

4,267 0
   
Individuals or Households
 
   0 %

  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 4,267 0 4,267 0 0 0
Annual IC Time Burden (Hours) 3,542 0 3,542 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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