Information Collection Request

Family Self Sufficiency (FSS) Evaluation – Long-Term Follow-Up Survey

ICR 202012-2528-001 · OMB 2528-0329 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Final-Appendix C - Informed Consent Form.docx Supplementary Document Uploaded 2020-12-15 Repair queued
Final-Appendix A - FSS 2020 Survey.docx Supplementary Document Uploaded 2020-12-15 Repair queued
30-day Notice.pdf Supplementary Document Uploaded 2020-12-14 Repair queued
60-day Notice.pdf Supplementary Document Uploaded 2020-12-11 Repair queued
Final-FSS Supporting Statement Part B.docx Supporting Statement B Uploaded 2020-12-11 Repair queued
Final -FSS Supporting Statement Part A_ 2020_11_20.docx Supporting Statement A Uploaded 2020-12-11 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
244872 FSS long-term follow-up Other-FSS long-term follow-up New

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
1,300 0
429 0
0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
FSS long-term follow-up

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,300 0 0 1,300 0 0
Annual Time Burden (Hours) 429 0 0 429 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No