Information Collection Request

Community Context Matters Study

ICR 201605-0920-006 · OMB 0920-1038 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Key Stakeholder Interview Form Modified Repair queued
Neighborhood Interview Form Modified Available
SS_Part B. doc.doc Supporting Statement B Uploaded 2016-05-12 Available
CHANGE_REQUEST_201408-0920-1038_May2016.docx Justification for No Material/Nonsubstantive Change Uploaded 2016-05-12 Available
SS_PartA.docx Supporting Statement A Uploaded 2016-05-12 Available
Philly_IRB_ContxtMatters_2014.pdf Supplementary Document Uploaded 2014-08-13 Available
6531 New Site Restricted Approval.docx Supplementary Document Uploaded 2014-08-13 Available
Full Board Approval -- #14.03.01 (Michaels) Initial Submission.pdf Supplementary Document Uploaded 2014-08-13 Available
Att 2 60Day FRN.pdf Supplementary Document Uploaded 2014-08-11 Available
Att 1_Auth Legislation.docx Supplementary Document Uploaded 2014-08-11 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
212650 Key Stakeholder Interview Form Modified
212624 Neighborhood Interview Form Modified
212623 Key Stakeholder Recruitment and Consent Instruction Unchanged
212621 Neighborhood Interview Recruitment and Consent Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2017 12/31/2017 12/31/2017
600 0 500
110 0 91
0 0 0





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 600 500 0 100 0 0
Annual Time Burden (Hours) 110 91 0 19 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No