ConnectHome Baseline Survey

ConnectHome Baseline Survey Data Collection

OMB: 2528-0308

IC ID: 218649

Documents and Forms
Document Name
Document Type
Other-Baseline Survey
Information Collection (IC) Details

View Information Collection (IC)

ConnectHome Baseline Survey
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Baseline Survey Formatted ConnectHome Baseline Survey 11-16-15.docx No   Paper Only

Community and Social Services Social Services

 

2,800 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 2,800 0 2,800 0 0 0
Annual IC Time Burden (Hours) 233 0 233 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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