Information Collection

National Survey of OAA Participants

IC 182321 under ICR 202103-0985-004 · OMB 0985-0023.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0985-0023 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
National Survey of OAA Participants	Form and Instruction
15th NSOAAP Survey 0023 Appendix J_Survey_Instrument _15th_NSOAAP - Final.pdf	Form and Instruction
15th NSOAAP Survey 0023 Appendix J_Survey_Instrument _15th_NSOAAP - Final.pdf	Form and Instruction
15th NSOAAP COVID Module 0023 Appendix K_Covid Module_15th_NSOAAP - Final.pdf	Form and Instruction
15th NSOAAP COVID Module 0023 Appendix K_Covid Module_15th_NSOAAP - Final.pdf	Form and Instruction

IC Title:

National Survey of OAA Participants

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	15th NSOAAP Survey	0023 Appendix J_Survey_Instrument _15th_NSOAAP - Final.pdf		Yes	Yes	Fillable Fileable Signable
Form and Instruction	NA	15th NSOAAP COVID Module	0023 Appendix K_Covid Module_15th_NSOAAP - Final.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,950

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	6,950	-12,200	19,150
Annual IC Time Burden (Hours)	6,350	-7,250	13,600
Annual IC Cost Burden (Dollars)	0	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.