Client-Level

Transformation Accountability (TRAC) Reporting System

OMB: 0930-0285

IC ID: 46632

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Client-Level
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Child Measures Child Measures SVCS_ChildCombinedTool_11.19.13.docx Yes Yes Paper Only
Form and Instruction Adult Measures Adult Measures SVCS_AdultTool_11.19.13.docx Yes Yes Paper Only

Health Illness Prevention

 

35,845 0
   
State, Local, and Tribal Governments
 
   100 %

  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 98,148 0 0 82,467 0 15,681
Annual IC Time Burden (Hours) 33,959 0 0 19,733 0 14,226
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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