Information Collection

Study MIS to track program participation

IC 227872 under ICR 201708-0970-002 · OMB 0970-0505.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0505 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Study MIS to track program participation Form and Instruction
1 Study MIS IC 2 Study MIS.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Study MIS to track program participation	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 and Instruction	1	Study MIS	IC 2 Study MIS.docx		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 120	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6,000	6,000
Annual IC Time Burden (Hours)	6,000	6,000
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.