Information Collection

Site Visit and Telephone Interview Guide

IC 191013 under ICR 201105-0970-001 · OMB 0970-0373.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0373 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Project LAUNCH - Instrument #1 - Site Visit and Telephone Interview Guide.doc	Other-Interview Protocol

IC Title:

Site Visit and Telephone Interview Guide

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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-Interview Protocol			Project LAUNCH - Instrument #1 - Site Visit and Telephone Interview Guide.doc		Yes	Yes	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 240

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	240	24	216
Annual IC Time Burden (Hours)	300	30	270
Annual IC Cost Burden (Dollars)	0	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.