Fidelity Assessment Family Member Interview

Supported Employment Demonstration (SED) Project

OMB: 0960-0806

IC ID: 226130

Documents and Forms
Document Name
Document Type
Other-Fidelity Assessement Family Me
Information Collection (IC) Details

View Information Collection (IC)

Fidelity Assessment Family Member Interview
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Fidelity Assessement Family Member Interview SED Attachments L-S (05-03-2017).pdf No   Paper Only

Income Security General Retirement and Disability

 

90 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 360 0 360 0 0 0
Annual IC Time Burden (Hours) 360 0 360 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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