Information Collection

Evaluation Older Americans Act Title VI Programs Other Program Staff Focus

IC 229429 under ICR 201707-0985-002 · OMB 0985-0059.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0985-0059 can be found here:

Documents and Forms

Document Name Document Type
Form 8 Evaluation Older Americans Act Title VI Programs Other Program Staff Focus Form
8 Title VI Other Program Staff Focus Group Title VI Program Staff Focus Group Moderator Guide.docx Form and Instruction
8 Program Staff Focus Group Consent Form L. Title VI Program Staff Focus Group Consent Form.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Evaluation Older Americans Act Title VI Programs Other Program Staff Focus	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	8	Program Staff Focus Group Consent Form	L. Title VI Program Staff Focus Group Consent Form.docx		No		Printable Only
Form and Instruction	8	Title VI Other Program Staff Focus Group	Title VI Program Staff Focus Group Moderator Guide.docx		No		Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.