OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Adult Program Pilot

IC 200242 under ICR 201301-1505-001 · OMB 1505-0242.

Documents and Forms
Document Name
Document Type
Other-Post Card
Other-Survey
Other-Release
Other-Consent
Other-Consent Script
Other-Cover Letter
Other-Survey
Other-Survey Guidance
Other-Post Card REV
Other-Cover Letter REV
Other-Survey REV
Information Collection (IC) Details

View Information Collection (IC)

Adult Program Pilot
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Post Card adult pilot_ post card 01.05.11.docx Yes No Printable Only
Other-Survey adult pilot_Baseline Survey_01.16.11 .docx Yes No Printable Only
Other-Release adult pilot_BP data release form.doc Yes No Printable Only
Other-Consent adult pilot_consent form_12.15.12.doc Yes No Printable Only
Other-Consent Script adult pilot_consent script 01.15.12.docx Yes No Printable Only
Other-Cover Letter adult pilot_cover letters_POP 01.15.12 .docx Yes No Printable Only
Other-Survey adult pilot_FUsurvey_01.15.12 .docx Yes No Printable Only
Other-Survey Guidance adult pilot_onsite survey guidance 01.15.12.docx Yes No Printable Only
Other-Post Card REV Adult Survey Reminders_MAY2012.pdf Yes No Printable Only
Other-Cover Letter REV Adult Survey Cover Letters_MAY2012.pdf Yes No Printable Only
Other-Survey REV Adult Follow-up Survey_MAY2012.pdf Yes No Printable Only

General Government Central Records & Statistical Mgt

 

1,031 0
   
Individuals or Households
 
   0 %

  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 1,031 0 31 0 0 1,000
Annual IC Time Burden (Hours) 452 0 -548 0 0 1,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.