Information Collection

National Family Caregiver Support Program Process Evaluation

IC 211922 under ICR 201406-0985-002 · OMB 0985-0038.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0985-0038 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 NFCSP SUA Survey National Family Caregiver Support Program Process Evaluation	Form and Instruction
NFCSP-Process-Evaluation-Activities.pdf	Instruction
1 NFCSP SUA Survey SUA survey_2014_0430.doc	Form and Instruction

IC Title:

National Family Caregiver Support Program Process Evaluation

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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
Instruction					Yes	No	Fillable Fileable
Form and Instruction	1				Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 56

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	56	56
Annual IC Time Burden (Hours)	84	84
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.

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