Information Collection

Adult Protective Services Practices and Service Innovations: APS Practice Survey

IC 246205 under ICR 202103-0985-003 · OMB 0985-0071.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Adult Protective Services Practices and Service Innovations: APS Practice Survey	Form and Instruction
APS Practice Survey 0985-New APS Appendix_A_APSPractSurv_508.pdf	Form and Instruction
APS Practice Survey 0985-New APS Appendix_A_APSPractSurv_508.pdf	Form and Instruction

IC Title:

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
Form and Instruction	NA	APS Practice Survey	0985-New APS Appendix_A_APSPractSurv_508.pdf		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: 56

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	56	56
Annual IC Time Burden (Hours)	181	181
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.