Information Collection

Data entry for comparison study sites - Government

IC 209841 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⚠️ Notice: This information collection may be referencing outdated material.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
Form VIIB Household Ros Data entry for comparison study sites - Government	Form and Instruction
VIIB Household Ros VIIB Household Roster VIIB Household Roster.pdf	Form and Instruction
VIIC Administrative Data Elements.pdf VIIC Administrative Data Elements	IC Document
VIIA Standardized Instruments.pdf VIIA Standardized Instruments	IC Document

IC Title:

Data entry for comparison study sites - Government

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
Form and Instruction	VIIB Household Roster	VIIB Household Roster	VIIB Household Roster.pdf		No	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: 4

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	8	8
Annual IC Time Burden (Hours)	289	289
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
VIIC Administrative Data Elements	VIIC Administrative Data Elements.pdf	12/09/2013
VIIA Standardized Instruments	VIIA Standardized Instruments.pdf	12/09/2013

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