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Federal forms, ICRs, and supporting documents

Information Collection

Family Leave and Lower Income Families: Linkages between Mothers' Return to Work, Leave, and Child Care

IC 229485 under ICR 201705-0990-002 · OMB 0990-0421.

Documents and Forms
Document Name
Document Type
Other-screener
Other-Guide
Other-Demographic
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Family Leave and Lower Income Families: Linkages between Mothers' Return to Work, Leave, and Child Care
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-screener 0990-0421Attachment A_Phone_Screen vs2.docx No   Paper Only
Other-Guide 0990-421Attachment B_Focus_Groups_Guide vs2.docx No   Paper Only
Other-Demographic 0990-0421Attachment C_Demographics_rev.docx No   Paper Only

Health Health Care Services

 

135 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 135 0 135 0 0 0
Annual IC Time Burden (Hours) 131 0 131 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SS_A 0990-0421 SupportingStatement A_PFL_rev.docx 01/04/2018
SS-B SupportingStatement B_PFL.docx 12/19/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.