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Federal forms, ICRs, and supporting documents

Information Collection

Home visitor-participant relationship questionnaire

IC 191208 under ICR 200911-0970-002 · OMB 0970-0375.

Documents and Forms
Document Name
Document Type
Other-Home visitor-participant relat
Information Collection (IC) Details

View Information Collection (IC)

Home visitor-participant relationship questionnaire
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Home visitor-participant relationship questionnaire 6.Home Visitor-Participant Relationship Questionnaire.doc Yes Yes Fillable Printable

Community and Social Services Social Services

 

4,716 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 9,432 0 9,432 0 0 0
Annual IC Time Burden (Hours) 2,358 0 2,358 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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