Information Collection

OAA Title III-C Evaluation of the Elderly Nutrition Services Program Outcome

IC 211372 under ICR 201612-0985-002 · OMB 0985-0037.

Documents and Forms

Document Name Document Type
Form 1 OAA Title III-C Evaluation of the Elderly Nutrition Services Program Outcome Form
1 ENSP Client Outcomes CAPI Specs ENSP Client Outcomes CAPI Specs (6-9-15)-FINAL clean version.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	OAA Title III-C Evaluation of the Elderly Nutrition Services Program Outcome	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	ENSP Client Outcomes CAPI Specs	ENSP Client Outcomes CAPI Specs (6-9-15)-FINAL clean version.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,400	-7,800	10,200
Annual IC Time Burden (Hours)	192	-3,564	3,756
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.