Information Collection

National Survey of OAA Participants

IC 182321 under ICR 201706-0985-002 · OMB 0985-0023.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0985-0023 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 12th National Survey of OAA Participants Instrument National Survey of OAA Participants	Form and Instruction
1 12th National Survey of OAA Participants Instrument 12th_NSOAAP_Survey_Instrument_26may2017_website.docx	Form and Instruction

IC Title:

National Survey of OAA Participants

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Form and Instruction	1				Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,250

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 4 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	6,250	6,250
Annual IC Time Burden (Hours)	5,000	5,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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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