Information Collection

Center for States Needs Assessment 2017

IC 227797 under ICR 201706-0970-005 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Needs Assessment Focus Group Guide for Grantee Meeting (008)_for OMB_8-2-17.docx	Instruction
Center for States Focus Group Guide 2017 Fast Track OMB application_ for OMB_8-2-17.doc Center for States Focus Group	IC Document

IC Title:

Center for States Needs Assessment 2017

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Needs Assessment Focus Group Guide for Grantee Meeting (008)_for OMB_8-2-17.docx		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Center for States Focus Group	Center for States Focus Group Guide 2017 Fast Track OMB application_ for OMB_8-2-17.doc	08/03/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.