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Federal forms, ICRs, and supporting documents

Information Collection

Telephone Interview Discussion Guide

IC 204007 under ICR 201209-0990-002 · OMB 0990-0404.

Documents and Forms
Document Name
Document Type
Other-Fact Sheet
Other-Discussion Guide
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Telephone Interview Discussion Guide
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Fact Sheet Attachment B2_Fact Sheet Template.docx No No Paper Only
Other-Discussion Guide Attachment B1_Discussion Guide.docx No   Paper Only

Community and Social Services Social Services

 

77 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 77 0 77 0 0 0
Annual IC Time Burden (Hours) 77 0 77 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
State Letter Attachment D1_State Letter.docx 08/08/2012
Design Report Attachment E_Design Report.pdf 08/08/2012
Attachment D2_Consent Form_Nov 12 2012 Attachment D2_Consent Form_Nov 12 2012.docx 11/15/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.