Postcard & telephone collection

CHOICE NEIGHBORHOODS DEMONSTRATIONSTUDIES – TASK ORDER #2

Documents and Forms

Document Name Document Type
Appendix II Call Script with Privacy.doc Other-call script
Appendix III Field Script with Privacy.doc Other-field script
Choice TO2 Appendices A B.docx Other-postcard & flyer text

Information Collection (IC) Details

IC Title:	Postcard & telephone collection	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-call script	Appendix II Call Script with Privacy.doc	No	Paper Only
Other-field script	Appendix III Field Script with Privacy.doc	No	Paper Only
Other-postcard & flyer text	Choice TO2 Appendices A B.docx	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,121	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
Annual Number of Responses for this IC	2,121	2,121
Annual IC Time Burden (Hours)	238	238
Annual IC Cost Burden (Dollars)	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.