Information Collection

OAA Title III-C Elderly Nutrition Services Program Evaluation

IC 207133 under ICR 201305-0985-002 · OMB 0985-0037.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0985-0037 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 OAA Title III-C Elderly Nutrition Services Program Evaluation	Form and Instruction
1 ENSP Evaluation ENSP_Eval_DataCollection_PartB_AppendixC.pdf	Form and Instruction
PartB-AppB-11-27-12.pdf PartB-AppB-11-27-12	IC Document

IC Title:

OAA Title III-C Elderly Nutrition Services Program Evaluation

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	ENSP Evaluation	ENSP_Eval_DataCollection_PartB_AppendixC.pdf		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 900

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 65 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	900	900
Annual IC Time Burden (Hours)	1,372	1,372
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
PartB-AppB-11-27-12	PartB-AppB-11-27-12.pdf	05/17/2013

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.