PHA Staff Interviews (on-site)

Family Self-Sufficiency Program Evaluation

Documents and Forms

Document Name Document Type
Protocol 3_PHA Staff Interviews_On-Site_Case Managers_CLEAN - 03-01-2018.docx Other-PHA Staff Interviews On Site C
Protocol 1_PHA Staff Interviews_On-Site_Supervisors_CLEAN - 03-01-2018.docx Other-PHA Staff Interviews On-Site
Protocol 5_PHA Staff Interviews_Pre-Interview Tables_FINAL_with burden statement 03-02-2018.docx Other-PHA Staff Interviews Pre-Inter

Information Collection (IC) Details

IC Title:	PHA Staff Interviews (on-site)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-PHA Staff Interviews On Site Case Managers	Protocol 3_PHA Staff Interviews_On-Site_Case Managers_CLEAN - 03-01-2018.docx	No	Paper Only
Other-PHA Staff Interviews On-Site	Protocol 1_PHA Staff Interviews_On-Site_Supervisors_CLEAN - 03-01-2018.docx	No	Paper Only
Other-PHA Staff Interviews Pre-Interview Tables	Protocol 5_PHA Staff Interviews_Pre-Interview Tables_FINAL_with burden statement 03-02-2018.docx	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 27	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	27	27
Annual IC Time Burden (Hours)	41	41
Annual IC Cost Burden (Dollars)	1,050	1,050

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.