Information Collection

Visit or call with agency staff explaining the sample file process

IC 221806 under ICR 202006-0970-007 · OMB 0970-0202.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0202 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix G_Visit with agency explaining sample file process_Specs for Monthly Sample Submissions_final.docx	Other-Specifications Monthly Submiss
Appendix H_Visit with agency explaining sample file process_Discussion Guide and Talking Points_final.docx	Other-Discussion Guide/Talking Point

IC Title:

Visit or call with agency staff explaining the sample file process

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

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-Specifications Monthly Submissions			Appendix G_Visit with agency explaining sample file process_Specs for Monthly Sample Submissions_final.docx		Yes	Yes	Fillable Fileable
Other-Discussion Guide/Talking Points			Appendix H_Visit with agency explaining sample file process_Discussion Guide and Talking Points_final.docx		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 42

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
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-42	42
Annual IC Time Burden (Hours)	-84	84
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.