Information Collection

Evaluation of the Aging and Disability Resource Center Program

IC 203776 under ICR 201208-0985-003 · OMB 0985-0035.

Documents and Forms

Document Name Document Type
Form 0985-NEW Evaluation of the Aging and Disability Resource Center Program Form and Instruction
0985-NEW Final ADRC Evaluation FINAL ADRC Evaluation Data Collection Instruments for 30-day notice 5-14-12.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Evaluation of the Aging and Disability Resource Center Program	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
Form and Instruction	0985-NEW	Final ADRC Evaluation	FINAL ADRC Evaluation Data Collection Instruments for 30-day notice 5-14-12.pdf		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: 9,562	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	9,562	9,562
Annual IC Time Burden (Hours)	2,060	2,060
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.