Information Collection

Site visit semi-structured discussions (2-3 respondents per group) – program staff and community partner organization staff

IC 218179 under ICR 201509-0970-008 · OMB 0970-0472.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment B - GOALS Site Visit Master Interview Guide and Topics by Respondent_9-10-15.docx	Other-Interview Guide

IC Title:

Site visit semi-structured discussions (2-3 respondents per group) â program staff and community partner organization staff

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-Interview Guide			Attachment B - GOALS Site Visit Master Interview Guide and Topics by Respondent_9-10-15.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: 90

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

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	90	90
Annual IC Time Burden (Hours)	113	113
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.