Information Collection

National Study of OAA Title III Service Recipients

IC 182321 under ICR 201404-0985-002 · OMB 0985-0023.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0985-0023 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 National Study of OAA Title III Service Recipients	Form and Instruction
1 Ninth National Survey FINAL_Appendix_9th_National_Survey_Older_Americans_Participants_OMB_PRA_July_11_2014.docx	Form and Instruction

IC Title:

National Study of OAA Title III Service Recipients

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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	1	Ninth National Survey	FINAL_Appendix_9th_National_Survey_Older_Americans_Participants_OMB_PRA_July_11_2014.docx		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,250

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 4 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	6,250	6,250	0
Annual IC Time Burden (Hours)	5,000	4,000	1,000
Annual IC Cost Burden (Dollars)	0	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.