Information Collection

New Instrument #2 15 Month Follow-up Survey: ALL versions

IC 206401 under ICR 201408-0970-009 · OMB 0970-0397.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0397 can be found here:

Documents and Forms

Document Name Document Type
ISIS Follow-Up 7-23-2013 ACT Illustrative for OMB clean.docx Other-Survey
ISIS 15 month Follow-Up with child roster.docx Other-Survey
ISIS 15 month Follow-Up with HPOG questions.docx Other-Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	New Instrument #2 15 Month Follow-up Survey: ALL versions	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	ISIS Follow-Up 7-23-2013 ACT Illustrative for OMB clean.docx	Yes	Yes	Fillable Fileable
Other-Survey	ISIS 15 month Follow-Up with child roster.docx	Yes	Yes	Fillable Fileable
Other-Survey	ISIS 15 month Follow-Up with HPOG questions.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: 967	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	967	-1,886	2,853
Annual IC Time Burden (Hours)	806	-1,571	2,377
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.