6 Month Followup

Cross-Site Evaluation for the Benefit of Homeless Individuals (GBHI)

OMB: 0930-0320

IC ID: 195855

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

6 Month Followup
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Client 6-Month Interview Client 6-Month Interview Att 02_Client 6Month Interview.docx Yes Yes Fillable Printable

Health Public Health Monitoring

 

4,708 0
   
State, Local, and Tribal Governments
 
   100 %

  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 4,708 0 0 0 0 4,708
Annual IC Time Burden (Hours) 1,883 0 0 0 0 1,883
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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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