Information Collection

2010 Study of the Older Americans Act Provider Network

IC 194145 under ICR 201008-0985-001 · OMB 0985-0025.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Provider study Moderator's Guide for Provider Focus Groups.doc	Instruction
Provider study AAA Interview Guide.doc	Instruction
Pre-site_visit_questionnaire_for_AAA_Directors final OMB 2010-15-2010 (2)[1].doc	Other-Survey

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	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction	Provider study Moderator's Guide for Provider Focus Groups.doc	Yes	Yes	Fillable Printable
Instruction	Provider study AAA Interview Guide.doc	Yes	Yes	Fillable Printable
Other-Survey	Pre-site_visit_questionnaire_for_AAA_Directors final OMB 2010-15-2010 (2)[1].doc	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: 370

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	370	370
Annual IC Time Burden (Hours)	350	350
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.