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Federal forms, ICRs, and supporting documents

Information Collection

3. MUSE Caregiver 6 12 Month Follow-Up Survey

IC 232418 under ICR 202007-0970-011 · OMB 0970-0521.

Documents and Forms
Document Name
Document Type
Other-Follow Up Survey
Other-Caregiver FollowUp Survey - PH
Information Collection (IC) Details

View Information Collection (IC)

3. MUSE Caregiver 6 12 Month Follow-Up Survey
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Follow Up Survey 3. MUSE Caregiver 6 12 Month Follow-Up Survey FINAL_1.17.2019.pdf No   Paper Only
Other-Caregiver FollowUp Survey - PHONE 3. MUSE Caregiver 6 12 Month Follow-Up Survey by phone version 12.19.19_clean.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

127 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 254 0 0 0 0 254
Annual IC Time Burden (Hours) 127 0 0 0 0 127
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.