Information Collection Request

Survey on Core Competencies for the Direct Service Workforce (CMS-10512)

ICR 201405-0938-001 · OMB 0938-1229 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10512 Survey on Core Competencies for the Direct Service Workforce Form Modified Available
Form CMS-10512 Survey on Core Competencies for the Direct Service Workforce Form Modified Available
Form CMS-10512 Survey on Core Competencies for the Direct Service Workforce Form Modified Available
Form CMS-10512 Survey on Core Competencies for the Direct Service Workforce Form Modified Available
Justification - Nonsubstantial Changes.docx Justification for No Material/Nonsubstantive Change Uploaded 2014-05-08 Available
Statement-B in Word 112213.DOCX Supporting Statement B Uploaded 2014-02-07 Available
CMS-10512 - Supporting Statement A [rev 2-7-2014 by OSORA PRA].docx Supporting Statement A Uploaded 2014-02-07 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
210302 Self-Advocates and Guardians - Survey on Core Competencies for the Direct Service Workforce Form ModifiedSurvey on Core Competencies for the Direct Service Workforce
210301 Front Line Supervisors and Managers - Survey on Core Competencies for the Direct Service Workforce Form ModifiedSurvey on Core Competencies for the Direct Service Workforce
210300 Direct Service Workers - Survey on Core Competencies for the Direct Service Workforce Form ModifiedSurvey on Core Competencies for the Direct Service Workforce
210299 Agency Administrators and Directors - Survey on Core Competencies for the Direct Service Workforce Form ModifiedSurvey on Core Competencies for the Direct Service Workforce

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2015 04/30/2015 04/30/2015
4,800 0 4,800
2,400 0 2,400
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
Agency Administrators and Directors - Survey on Core Competencies for the Direct Service Workforce CMS-10512
Direct Service Workers - Survey on Core Competencies for the Direct Service Workforce CMS-10512
Front Line Supervisors and Managers - Survey on Core Competencies for the Direct Service Workforce CMS-10512
Self-Advocates and Guardians - Survey on Core Competencies for the Direct Service Workforce CMS-10512

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 4,800 4,800 0 0 0 0
Annual Time Burden (Hours) 2,400 2,400 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No