OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

FSS Evaluation

IC 205698 under ICR 201707-2528-005 · OMB 2528-0296.

Documents and Forms
Document Name
Document Type
Form
Other-Draft mini-survey questionnair
Form
Form
Form
Form
Information Collection (IC) Details

View Information Collection (IC)

FSS Evaluation
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form XX-XXXX Informed Consent FSS EVALUATION OMB PACKET PART A - APPENDIX INFORMED CONSENT FORM.doc No   Paper Only
Other-Draft mini-survey questionnaire Draft mini-survey questionnaire 2014-02-04_Updated.docx No   Paper Only
Form XX-XXXX Baseline Information Form-Head of Household FSS_A_4a_BIF_Household.docx No   Paper Only
Form Baseline Information Form Adult XX-XXXX FSS_A_4b_BIF_Adult.docx No   Paper Only
Form XX-XXXX 36 Month Follow-up Survey FSS NATIONAL EVALUATION 36 month survey draft_CLEAN_7.2016.docx No   Paper Only

Community and Social Services Social Services

 

2,551 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 0 0 -2,551 0 0 2,551
Annual IC Time Burden (Hours) 0 0 -1,913 0 0 1,913
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.