Information Collection

Adult Protective Services Outcomes Study

IC 238797 under ICR 201912-0985-001 · OMB 0985-0065.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0985-0065 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Adult Protective Services Outcomes Study	Form and Instruction
APS Client Data Form APS_Client_Outcomes_Study_Client_Data_Form (1).docx	Form and Instruction
APS Caseworker Focus Group Guide APS_Client_Outcomes_Study_Focus_Group_Guide_APS_Caseworkers (3).docx	Form and Instruction
APS Leaders Interview Guide APS_Client_Outcomes_Study_Interview_Guide_APS Leaders (4).docx	Form and Instruction

IC Title:

Adult Protective Services Outcomes Study

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	APS Client Data Form	APS_Client_Outcomes_Study_Client_Data_Form (1).docx	Yes	Yes	Fillable Fileable
Form and Instruction	NA	APS Caseworker Focus Group Guide	APS_Client_Outcomes_Study_Focus_Group_Guide_APS_Caseworkers (3).docx	Yes	Yes	Fillable Fileable
Form and Instruction	NA	APS Leaders Interview Guide	APS_Client_Outcomes_Study_Interview_Guide_APS Leaders (4).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: 6,100

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6,100	6,100
Annual IC Time Burden (Hours)	1,144	1,144
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.