Time 1 (Baseline) Interview

Domestic Violence Housing First Demonstration Evaluation

OMB: 0990-0458

IC ID: 226031

Documents and Forms
Document Name
Document Type
Other-INTERVIEW
Information Collection (IC) Details

View Information Collection (IC)

Time 1 (Baseline) Interview
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-INTERVIEW Survivor_T1 Interview_Updated_2.24.17.docx No   Paper Only

Health Health Care Services

 

256 0
   
Individuals or Households
 
   0 %

  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 256 0 256 0 0 0
Annual IC Time Burden (Hours) 320 0 320 0 0 0
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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