Information Collection

State Administrator Interview 12 Month

IC 201648 under ICR 201210-0970-003 · OMB 0970-0402.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0402 can be found here:

Documents and Forms

Document Name Document Type
08_MIHOPE State Administrator Interview 12 Month.docx Other-Interview
MIHOPE_2nd_FRN_08_State_Administrator_Interview_12_Month_with_track_changes 091712.docx Other-Interview

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State Administrator Interview 12 Month	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-Interview			08_MIHOPE State Administrator Interview 12 Month.docx		Yes	Yes	Fillable Fileable
Other-Interview			MIHOPE_2nd_FRN_08_State_Administrator_Interview_12_Month_with_track_changes 091712.docx		Yes	Yes	Fillable Fileable

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	Previously Approved
Annual Number of Responses for this IC	8	8
Annual IC Time Burden (Hours)	16	16
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.