Social and Human Service Assistants

Resources and Services Database of the National Prevention Information Network

OMB: 0920-0255

IC ID: 178810

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Social and Human Service Assistants
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0255 Att3C_tele_verification_script Att3C_tele_verification_script.docx Yes Yes Fillable Fileable

Health Health Care Services

 

4,800 0
   
Federal Government
 
   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 4,800 0 0 -800 0 5,600
Annual IC Time Burden (Hours) 720 0 0 -120 0 840
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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