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Federal forms, ICRs, and supporting documents

Information Collection

State OMBudsman Interview Protocol and Survey

IC 224903 under ICR 201712-0985-001 · OMB 0985-0055.

Documents and Forms
Document Name
Document Type
Form
Form
Form
Information Collection (IC) Details

View Information Collection (IC)

State Ombudsman Interview Protocol and Survey
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 State Ombudsman Interview State-Ombudsmen-Interview-Protocol.doc Yes Yes Fillable Fileable
Form 2 State Ombudsmen Survey State-Ombudsmen-Survey.doc Yes Yes Fillable Fileable

Community and Social Services Social Services

 

53 0
   
State, Local, and Tribal Governments
 
   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 53 0 0 0 0 53
Annual IC Time Burden (Hours) 98 0 0 0 0 98
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.