FSS long-term follow-up

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

Documents and Forms

Document Name Document Type
Final-Appendix A - FSS 2020 Survey.docx Other-FSS long-term follow-up
Final-Appendix A - FSS 2020 Survey.docx Other-FSS long-term follow-up

Information Collection (IC) Details

IC Title:	FSS long-term follow-up	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Other-FSS long-term follow-up			Final-Appendix A - FSS 2020 Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,300	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
Annual Number of Responses for this IC	1,300	1,300
Annual IC Time Burden (Hours)	429	429
Annual IC Cost Burden (Dollars)	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.