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4. MUSE Rapid Reflect Caregiver 7.9.18 CLEAN

IC 232419 under ICR 202007-0970-011 · OMB 0970-0521.

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

View Information Collection (IC)

4. MUSE Rapid Reflect Caregiver 7.9.18 CLEAN
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Questionnaire 4. MUSE Rapid Reflect Caregiver FINAL_1.17.2019.pdf No   Paper Only

Community and Social Services Social Services

 

568 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 3,408 0 0 0 0 3,408
Annual IC Time Burden (Hours) 273 0 0 0 0 273
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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