Information Collection

Turnaways

IC 181169 under ICR 201311-0970-001 · OMB 0970-0123.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0123 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Turnaways Form and Instruction
1 Turnaways and Watch List TLP Turnaway and Waitlist.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Turnaways	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	Turnaways and Watch List	TLP Turnaway and Waitlist.doc		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: 526	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	17,358	9,922	7,436
Annual IC Time Burden (Hours)	868	124	744
Annual IC Cost Burden (Dollars)	0	-18,590	18,590

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.