Information Collection

National Family Caregiver Support Program Process Evaluation

IC 211922 under ICR 201506-0985-001 · OMB 0985-0038.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 NFCSP SUA Survey National Family Caregiver Support Program Process Evaluation	Form and Instruction
NFCSP-Process-Evaluation-Activities.pdf	Instruction
1 NFCSP SUA Survey SUA survey_2014_0430.doc	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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
Instruction			NFCSP-Process-Evaluation-Activities.pdf		Yes	No	Fillable Fileable
Form and Instruction	1	NFCSP SUA Survey	SUA survey_2014_0430.doc		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: 56

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	56	56
Annual IC Time Burden (Hours)	84	84
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.