Information Collection

AFI 36-Month Follow-up Questionnaire: AFI-eligible participants

IC 218072 under ICR 201509-0970-001 · OMB 0970-0414.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
AFI Follow-Up Questionnaire - Final.docx	Other-Questionnaire
AFI Follow-Up Questionnaire - Final w. changes highlighted.docx UPDATES HIGHLIGHTED: AFI 36-Month Follow-up Questionnaire	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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-Questionnaire			AFI Follow-Up Questionnaire - Final.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: 271

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	271	271
Annual IC Time Burden (Hours)	271	271
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
UPDATES HIGHLIGHTED: AFI 36-Month Follow-up Questionnaire	AFI Follow-Up Questionnaire - Final w. changes highlighted.docx	09/01/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.