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National Family Caregiver Support Program Outcome Evaluation (Baseline)

IC 218477 under ICR 201705-0985-002 · OMB 0985-0052.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

National Family Caregiver Support Program Outcome Evaluation (Baseline)
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 National Family Caregiver Support Program - Baseline ALR_Appendix_G_NFCSP_CaregiverParticipantGroupSurvey_Baseline.docx Yes Yes Fillable Printable

Community and Social Services Social Services

 

1,250 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 1,250 0 0 0 0 1,250
Annual IC Time Burden (Hours) 838 0 0 0 0 838
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.