Information Collection

Reviewer Recruitment Form

IC 215507 under ICR 201503-0970-001 · OMB 0970-0455.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0455 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Reviewer Recruitment Form Form and Instruction
1 RRM Profile Questions RRM Profile Questions final 3-3-15.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Reviewer Recruitment Form	Agency IC Tracking Number:	CB

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	RRM Profile Questions	RRM Profile Questions final 3-3-15.docx		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	125	125
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.