Information Collection

Interviews with PHA staff

IC 195765 under ICR 201108-2528-002 · OMB 2528-0267.

Documents and Forms

Document Name Document Type
HCV Pretest_Draft Appendix A_12-2-11.doc Other-Topic Guide for Interviews
HCV Pretest_Draft Appendix A1_1-17-12 guide.doc Other-Topic Guide for Interviews

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Interviews with PHA staff	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Topic Guide for Interviews			HCV Pretest_Draft Appendix A_12-2-11.doc		No		Paper Only
Other-Topic Guide for Interviews			HCV Pretest_Draft Appendix A1_1-17-12 guide.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: 8	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	8	-52,867	52,875
Annual IC Time Burden (Hours)	192	-758	950
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.