Information Collection

Instrument 5a: HPOG 2.0 National Evaluation Welcome to the Study Packet

IC 244488 under ICR 202011-0970-004 · OMB 0970-0462.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0462 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument 5a_HPOG 2 0 National Evaluation Welcome Packet and Contact Update_REV_clean.docx	Other-Welcome Packet

IC Title:

Instrument 5a: HPOG 2.0 National Evaluation Welcome to the Study Packet

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-Welcome Packet			Instrument 5a_HPOG 2 0 National Evaluation Welcome Packet and Contact Update_REV_clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,200	3,200
Annual IC Time Burden (Hours)	320	320
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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