OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Stakeholders/ State Unit on Aging (SUA) Directors/Former OMBudsmen

IC 242981 under ICR 202008-0985-001 · OMB 0985-0069.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Stakeholders/ State Unit on Aging (SUA) Directors/Former Ombudsmen Form and Instruction
Interview-Stakeholders
0985-New Draft Interview Protocol_Stakeholders (2).pdf 		Form and Instruction
SUA Director Survey
0985-New Draft Survey_SUA Director (5).pdf 		Form and Instruction
Survey-Former Ombudsmen
0985-New Draft Survey_Former Ombudsman (4).pdf 		Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA Interview-Stakeholders 0985-New Draft Interview Protocol_Stakeholders (2).pdf Yes Yes Fillable Fileable
Form and Instruction NA SUA Director Survey 0985-New Draft Survey_SUA Director (5).pdf Yes Yes Fillable Fileable
Form and Instruction NA Survey-Former Ombudsmen 0985-New Draft Survey_Former Ombudsman (4).pdf Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 105 0 105 0 0 0
Annual IC Time Burden (Hours) 79 0 79 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
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.