Information Collection

HPOG-NIE Stakeholder/Network survey

IC 206797 under ICR 201408-0970-008 · OMB 0970-0394.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0394 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
HPOG Appendix G StakeholderNetwork Survey revised 7 5 13.docx	Other-Survey

IC Title:

HPOG-NIE Stakeholder/Network survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

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
Other-Survey			HPOG Appendix G StakeholderNetwork Survey revised 7 5 13.docx		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: 250

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-250	250
Annual IC Time Burden (Hours)	-125	125
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.