Information Collection

Business (for and not-for-profit)

IC 195453 under ICR 201011-0584-003 · OMB 0584-0547.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix B.3-Partner Interview Protocol.doc	Other-Business Interview Guide
Appendix G.3-Partner (CBO) Introduction Letter.doc Advance Letter (CBO)	IC Document
Appendix G.4-Partner (Business) Introduction Letter.doc Advance Letter (Business)	IC Document

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-Business Interview Guide			Appendix B.3-Partner Interview Protocol.doc		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 74

Number of Respondents for Small Entity: 74

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

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	74	74
Annual IC Time Burden (Hours)	111	111
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Advance Letter (CBO)	Appendix G.3-Partner (CBO) Introduction Letter.doc	12/06/2010
Advance Letter (Business)	Appendix G.4-Partner (Business) Introduction Letter.doc	12/06/2010

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