Information Collection

PR CASH NAP - Business IC

IC 212746 under ICR 201408-0584-001 · OMB 0584-0597.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
A 3 1 Retailer Interview Protocol_Certified.docx Other-A 3 1 Retailer Interview Proto
A 3 2 Retailer Interview Protocol_Uncertified.docx Other-A 3 2 Retailer Interview Proto
A 4 CBO Interview Protocol.docx Other-A 4 CBO Interview Protocol
A 5 Group Residential Facility_Interview Guide Revised_July31.docx Other-A 5 Group Residential Facility
A 8 1 Telephone Script_CBO.docx Other-A 8 1 Telephone Script_CBO
A 8 2 Telephone Script_Retailer.docx Other-A 8 2 Telephone Script_Retaile
A 8 3 Telephone Script_Group Residential Facility.docx Other-A 8 3 Telephone Script_Group R
A.3.1 Retailer Interview Protocol_Certified_SPANISH.docx Other-A.3.1 Retailer Interview Proto
A.3.2 Retailer Interview Protocol_Uncertified_SPANISH.docx Other-A.3.2 Retailer Interview Proto
A.4 CBO Interview Protocol_SPANISH.docx Other-A.4 CBO Interview Protocol_SPA
A.5 Group Residential Facility Interview Protocol_SPANISH.docx Other-A.5 Group Residential Facility
A.8.1 Telephone Script_CBO_SPANISH.docx Other-A.8.1 Telephone Script_CBO_SPA
A.8.2 Telephone Script_Retailer_SPANISH.docx Other-A.8.2 Telephone Script_Retaile
A.8.3 Telephone Script_Group Residential Facility_SPANISH.docx Other-A.8.3 Telephone Script_Group R
A 6 2 Puerto Rico Study FAQs.pdf
A 6 2 Puerto Rico Study FAQs
IC Document
A 6 3 Retailer Advance Letter.docx
A 6 3 Retailer Advance Letter
IC Document
A 7 2 Consent Form_Retailer.docx
A 7 2 Consent Form_Retailer
IC Document
A 7 3 Consent Form_CBO.docx
A 7 3 Consent Form_CBO
IC Document
A 7 4 Consent Form_Group Residential Facility.docx
A 7 4 Consent Form_Group Residential Facility
IC Document
A.6.2 Puerto Rico Study FAQs_Spanish.pdf
A.6.2 Puerto Rico Study FAQs_Spanish
IC Document
A.6.3 Retailer Advance Letter_SPANISH.docx
A.6.3 Retailer Advance Letter_SPANISH
IC Document
A.7.2 Consent Form_Retailer_SPANISH.docx
A.7.2 Consent Form_Retailer_SPANISH
IC Document
A.7.3 Consent Form_CBO_SPANISH.docx
A.7.3 Consent Form_CBO_SPANISH
IC Document
A.7.4 Consent Form_Group Residential Facility_SPANISH.docx
A.7.4 Consent Form_Group Residential Facility_SPANISH
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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
Other-A 3 1 Retailer Interview Protocol_Certified A 3 1 Retailer Interview Protocol_Certified.docx No   Paper Only
Other-A 3 2 Retailer Interview Protocol_Uncertified A 3 2 Retailer Interview Protocol_Uncertified.docx No   Paper Only
Other-A 4 CBO Interview Protocol A 4 CBO Interview Protocol.docx No   Paper Only
Other-A 5 Group Residential Facility_Interview Guide Revised_July31 A 5 Group Residential Facility_Interview Guide Revised_July31.docx No   Paper Only
Other-A 8 1 Telephone Script_CBO A 8 1 Telephone Script_CBO.docx No   Paper Only
Other-A 8 2 Telephone Script_Retailer A 8 2 Telephone Script_Retailer.docx No   Paper Only
Other-A 8 3 Telephone Script_Group Residential Facility A 8 3 Telephone Script_Group Residential Facility.docx No   Paper Only
Other-A.4 CBO Interview Protocol_SPANISH A.4 CBO Interview Protocol_SPANISH.docx No   Paper Only
Other-A.3.2 Retailer Interview Protocol_Uncertified_SPANISH A.3.2 Retailer Interview Protocol_Uncertified_SPANISH.docx No   Paper Only
Other-A.5 Group Residential Facility Interview Protocol_SPANISH A.5 Group Residential Facility Interview Protocol_SPANISH.docx No   Paper Only
Other-A.8.2 Telephone Script_Retailer_SPANISH A.8.2 Telephone Script_Retailer_SPANISH.docx No   Paper Only
Other-A.8.3 Telephone Script_Group Residential Facility_SPANISH A.8.3 Telephone Script_Group Residential Facility_SPANISH.docx No   Paper Only
Other-A.3.1 Retailer Interview Protocol_Certified_SPANISH A.3.1 Retailer Interview Protocol_Certified_SPANISH.docx No   Paper Only
Other-A.8.1 Telephone Script_CBO_SPANISH A.8.1 Telephone Script_CBO_SPANISH.docx No   Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 153 153 0 0 0 0
Annual IC Time Burden (Hours) 37 37 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
A 6 2 Puerto Rico Study FAQs A 6 2 Puerto Rico Study FAQs.pdf 08/20/2014
A 6 3 Retailer Advance Letter A 6 3 Retailer Advance Letter.docx 08/20/2014
A 7 2 Consent Form_Retailer A 7 2 Consent Form_Retailer.docx 08/20/2014
A 7 3 Consent Form_CBO A 7 3 Consent Form_CBO.docx 08/20/2014
A 7 4 Consent Form_Group Residential Facility A 7 4 Consent Form_Group Residential Facility.docx 08/20/2014
A.6.2 Puerto Rico Study FAQs_Spanish A.6.2 Puerto Rico Study FAQs_Spanish.pdf 09/22/2014
A.6.3 Retailer Advance Letter_SPANISH A.6.3 Retailer Advance Letter_SPANISH.docx 09/22/2014
A.7.2 Consent Form_Retailer_SPANISH A.7.2 Consent Form_Retailer_SPANISH.docx 09/22/2014
A.7.3 Consent Form_CBO_SPANISH A.7.3 Consent Form_CBO_SPANISH.docx 09/22/2014
A.7.4 Consent Form_Group Residential Facility_SPANISH A.7.4 Consent Form_Group Residential Facility_SPANISH.docx 09/22/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.