Information Collection

Instrument 6: Parent/Guardian interview

IC 238031 under ICR 202007-0970-010 · OMB 0970-0538.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0538 can be found here:

Documents and Forms

Document Name Document Type
Instrument 6 COVID edits - Parent-Guardian Interview_final 070620 clean.docx Other-Interview
NonSub Change Request_HS Connects.docx Memo - NonSub Change_COVID-19 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Instrument 6: Parent/Guardian interview	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-Interview			Instrument 6 COVID edits - Parent-Guardian Interview_final 070620 clean.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: 24	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	24	24
Annual IC Time Burden (Hours)	48	48
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Memo - NonSub Change_COVID-19	NonSub Change Request_HS Connects.docx	07/23/2020

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