Information Collection

Outcomes and impacts data - Administrative data: Obtain access to administrative data (Appendix G)

IC 234665 under ICR 202105-0970-009 · OMB 0970-0527.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0527 can be found here:

Documents and Forms

Document Name Document Type
Appendix G_Administrative Data Elements_for Outcome and Impact Analysis.docx Other-Admin Data
Appendix G_Administrative Data Elements_for Outcome and Impact Analysis.docx Other-Admin Data

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Outcomes and impacts data - Administrative data: Obtain access to administrative data (Appendix G)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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-Admin Data			Appendix G_Administrative Data Elements_for Outcome and Impact Analysis.docx		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: 35	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	35	35
Annual IC Time Burden (Hours)	1,493	1,493
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.