Information Collection

OAA Title III-C Elderly Nutrition Services Program Evaluation - SUA

IC 207134 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 1 OAA Title III-C Elderly Nutrition Services Program Evaluation - SUA Form and Instruction
1 ENSP Evaluation State Unit on Aging collection ENSP_Eval_DataCollection_PartB_AppendixC.pdf Form and Instruction
PartB-AppB-11-27-12.pdf PartB-AppB-11-27-12 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	OAA Title III-C Elderly Nutrition Services Program Evaluation - SUA	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	1	ENSP Evaluation State Unit on Aging collection	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: 56	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	56	56
Annual IC Time Burden (Hours)	94	94
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.