Information Collection

Program manger/supervisor individual interview - Private Sector

IC 209816 under ICR 201612-0970-002 · OMB 0970-0444.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
IA Interview Topic Guide.pdf	Other-Interview Topic Guide
IB Site Visit Info IB Site Visit Informant Form IB Site Visit Informant Form.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation: 42 CFR B (To search for a specific CFR, visit the Code of Federal Regulations.)

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-Interview Topic Guide			IA Interview Topic Guide.pdf		No	No	Paper Only
Form and Instruction	IB Site Visit Informant Form	IB Site Visit Informant Form	IB Site Visit Informant Form.pdf		Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title: Records maintained on individuals

FR Citation: 5 FR 43

Number of Respondents: 72

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-24	24
Annual IC Time Burden (Hours)	-24	24
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.