Information Collection

Appendix D: Informed Consent and Discussion Guide for program partners and stakeholders

IC 222585 under ICR 201811-0970-010 · OMB 0970-0489.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0489 can be found here:

Documents and Forms

Document Name Document Type
Appendix D - Informed Consent and Disc Guide for Prog Partners and Stakeholders.docx Other-Consent and Discussion Guide

Information Collection (IC) Details

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IC Title:	Appendix D: Informed Consent and Discussion Guide for program partners and stakeholders	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Other-Consent and Discussion Guide			Appendix D - Informed Consent and Disc Guide for Prog Partners and Stakeholders.docx		Yes	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	60	-20	80
Annual IC Time Burden (Hours)	60	-20	80
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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