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Study on the impact of COVID-19 on Adult Protective Service (APS) Programs
Study on the impact of COVID-19 on Adult Protective Service (APS) Programs
OMB: 0985-0067
IC ID: 242584
OMB.report
HHS/ACL
OMB 0985-0067
ICR 202101-0985-001
IC 242584
( )
Documents and Forms
Document Name
Document Type
Form Phase I
Study on the impact of COVID-19 on Adult Protective Service (APS) Programs
Form and Instruction
Phase I Phase I State Administrator Interview
0067 Phase I State Administrator Interview.pdf
Form and Instruction
Phase I Phase I State Administrator Interview
0067 Phase I State Administrator Interview.pdf
Form and Instruction
Phase II Local Field Staff Interview
0067 Phase II Local Field Staff Interview.pdf
Form and Instruction
Phase II Local Field Staff Interview
0067 Phase II Local Field Staff Interview.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Study on the impact of COVID-19 on Adult Protective Service (APS) Programs
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
Form and Instruction
Phase I
Phase I State Administrator Interview
0067 Phase I State Administrator Interview.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
Phase II
Local Field Staff Interview
0067 Phase II Local Field Staff Interview.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
72
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
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
72
0
22
0
0
50
Annual IC Time Burden (Hours)
54
0
38
0
0
16
Annual IC Cost Burden (Dollars)
0
0
0
0
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.