Information Collection

Program Manager/Supervisor Group Interview - Private Sector

IC 209814 under ICR 201312-0970-003 · OMB 0970-0444.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0444 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
IA Interview Topic Guide.pdf	Other-Interview Topic Guide
IB Site Visit Info IB Site Visit Informant Form IB Site Visit Informant Form.pdf	Form and Instruction

IC Title:

Program Manager/Supervisor Group Interview - Private Sector

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 42 CFR B (To search for a specific CFR, visit the Code of Federal Regulations.)

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
Other-Interview Topic Guide			IA Interview Topic Guide.pdf		Yes	No	Paper Only
Form and Instruction	IB Site Visit Informant Form	IB Site Visit Informant Form	IB Site Visit Informant Form.pdf		Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title: Records Maintained on Individuals

FR Citation: 5 FR 43

Number of Respondents: 81

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	54	54
Annual IC Time Burden (Hours)	108	108
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.