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Federal forms, ICRs, and supporting documents

Information Collection

Evaluation of Facilitation Services (Participant) - IC for Individual or Household Respondents

IC 185879 under ICR 201012-3320-002 · OMB 3320-0010.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Evaluation of Facilitation Services (Participant) - IC for Individual or Household Respondents 000Nd
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 3320-000N(1) Facilitation Services - Participant Questionnaire (Rev 2011) Facilitation Services Participant Questionnaire (Rev2011).pdf Yes Yes Fillable Fileable
Form and Instruction 3320 000N(1) Facilitation Services Participant Questionnaire Rev 2012 Facilitation Services Participant Questionnaire _Rev2012_.pdf Note: Electronic versions currently being finalized Yes Yes Fillable Fileable

Litigation and Judicial Activities Resolution Facilitation

 

310 0
   
Individuals or Households
 
   50 %

  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 310 0 -75 0 0 385
Annual IC Time Burden (Hours) 62 0 -66 0 0 128
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.