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

Program Evaluation Instruments - Collaborative Problem Solving Facilitation Services (Two Instruments)

OMB: 3320-0010

IC ID: 185879

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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