Information Collection

Instrument 10. In-depth participant interview guide

IC 244462 under ICR 202011-0970-003 · OMB 0970-0545.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0545 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument 10. In-depth participant interview guide-revised.docx	Other-Interview Guide

IC Title:

Instrument 10. In-depth participant interview guide

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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
Other-Interview Guide			Instrument 10. In-depth participant interview guide-revised.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: 67

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	67	67
Annual IC Time Burden (Hours)	134	134
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.