Baseline survey for adults (Instrument 10)

OPRE Evaluation: Strengthening Relationship Education and Marriage Services (STREAMS) Evaluation [Impact and Process Studies]

OMB: 0970-0481

IC ID: 220539

Documents and Forms
Document Name
Document Type
Other-Baseline Survey
Information Collection (IC) Details

View Information Collection (IC)

Baseline survey for adults (Instrument 10)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Baseline Survey Instrument 10_STREAMS_Adult baseline survey_2-26-16.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

200 0
   
Individuals or Households
 
   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 200 0 -1,133 0 0 1,333
Annual IC Time Burden (Hours) 100 0 -567 0 0 667
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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