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Information Collection

C5: Weekly Casework Activity Log

IC 211056 under ICR 201511-0970-001 · OMB 0970-0408.

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Document Type
Other-Logs
Information Collection (IC) Details

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C5: Weekly Casework Activity Log
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Logs Attachment C5 Case Worker Activity Log.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

123 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   0 %

  Requested 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 6,396 0 0 0 0 6,396
Annual IC Time Burden (Hours) 2,558 0 0 0 0 2,558
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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