OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Immediate Survey

IC 238583 under ICR 202007-0970-012 · OMB 0970-0539.

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

View Information Collection (IC)

Immediate Survey
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey Instrument 1. NHTH Immediate Survey_Final_NonSubChange_clean.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

2,000 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 2,000 0 0 0 0 2,000
Annual IC Time Burden (Hours) 240 0 0 0 0 240
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Memo - NonSub Change - July 2020 NHTH_NonSub Change Request.docx 07/24/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.