Information Collection

Instrument 5a: HPOG 2.0 National Evaluation Welcome to the Study Packet

IC 244488 under ICR 202105-0970-010 · OMB 0970-0462.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0462 can be found here:

Documents and Forms

Document Name Document Type
Instrument 5a_HPOG 2 0 National Evaluation Welcome Packet and Contact Update_REV_clean.docx Other-Welcome Packet
Instrument 5a_HPOG 2 0 National Evaluation Welcome Packet and Contact Update_REV_clean.docx Other-Welcome Packet

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Instrument 5a: HPOG 2.0 National Evaluation Welcome to the Study Packet	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
Other-Welcome Packet			Instrument 5a_HPOG 2 0 National Evaluation Welcome Packet and Contact Update_REV_clean.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: 7,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,500	-700	3,200
Annual IC Time Burden (Hours)	250	-70	320
Annual IC Cost Burden (Dollars)	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.