Information Collection

Q-CCIIT measure-group activity and follow-up

IC 197848 under ICR 201111-0970-007 · OMB 0970-0392.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2_QCCIIT measure small group activity and followup.docx	Other-Q-CCIIT measure-group activity

IC Title:

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-Q-CCIIT measure-group activity and follow-up			2_QCCIIT measure small group activity and followup.docx		No	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 260

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	260	-30	290
Annual IC Time Burden (Hours)	44	-29	73
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.