Annual Assessment Update (8 systematic questions)

Center for States Evaluation Ancillary Data Collection

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0501 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Annual Assessment Update (8 systematic questions) Form and Instruction
TAB L_Annual Assessment Update - 8 systematic questions _07-27-20.docx Other-Systematic Quesitons
1 Annual Assessment Update Annual Assessment Update - 8 systematic questions_2-10-17.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Annual Assessment Update (8 systematic questions)	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
Form and Instruction	1	Annual Assessment Update	Annual Assessment Update - 8 systematic questions_2-10-17.docx		Yes	Yes	Fillable Printable
Other-Systematic Quesitons			TAB L_Annual Assessment Update - 8 systematic questions _07-27-20.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: 54	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	54	-3	57
Annual IC Time Burden (Hours)	4	-1	5
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.