Information Collection

EBHV grantee and key staff-partner interview guide

IC 191203 under ICR 200911-0970-002 · OMB 0970-0375.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1.Grantee and Key Staff-Partner Interview Guide (Final 9-15-09).xlsx	Other-EBHV grantee and key staff-par

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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-EBHV grantee and key staff-partner interview guide			1.Grantee and Key Staff-Partner Interview Guide (Final 9-15-09).xlsx		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: 249

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	498	498
Annual IC Time Burden (Hours)	797	797
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.