Information Collection

RRH Study Participant One-Time Interview Protocol

IC 227619 under ICR 201702-2528-003 · OMB 2528-0314.

Documents and Forms

Document Name Document Type
1.2 One-time IDI 06.26.17.docx Other-RRH Study Participant One-Time

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	RRH Study Participant One-Time Interview Protocol	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Other-RRH Study Participant One-Time Interview Protocol			1.2 One-time IDI 06.26.17.docx		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 28	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
Annual Number of Responses for this IC	28	28
Annual IC Time Burden (Hours)	64	64
Annual IC Cost Burden (Dollars)	654	654

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.