Information Collection

Outcomes and impacts data - Standardized instruments: Data entry for comparison study sites (Appendix F)

IC 234670 under ICR 201901-0970-001 · OMB 0970-0527.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0527 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix F_Standardized Instruments_for Outcome and Impact Data.docx	Other-Data Elements

IC Title:

Outcomes and impacts data - Standardized instruments: Data entry for comparison study sites (Appendix F)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Data Elements			Appendix F_Standardized Instruments_for Outcome and Impact Data.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 22

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	2,860	2,851	9
Annual IC Time Burden (Hours)	3,575	3,503	72
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.