Information Collection

18-Month Survey

IC 221648 under ICR 201605-1291-001 · OMB 1291-0010.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
RTW_OMB_18 Month Survey_FINAL 10 20.docx	Other-18-Month Survey

IC Title:

18-Month Survey

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-18-Month Survey			RTW_OMB_18 Month Survey_FINAL 10 20.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: 1,339

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	1,339	1,339
Annual IC Time Burden (Hours)	897	897
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.