Information Collection

Reviewing records with local representatives

IC 200012 under ICR 201111-2528-001 · OMB 2528-0282.

Documents and Forms

Document Name Document Type
FINAL NSP2 OMB_120711_Appendix B.docx Other-justification for intrerview q
Appendix B.docx Other-Baseline Site Visit Topic Guid

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Reviewing records with local representatives	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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-justification for intrerview questions			FINAL NSP2 OMB_120711_Appendix B.docx		No		Paper Only
Other-Baseline Site Visit Topic Guides			Appendix B.docx		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25	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
Annual Number of Responses for this IC	25	25
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	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.