OAHM Client Impact Evaluation Interview (Baseline)

Evaluation of the Older Adults Home Modification Grant Program

OMB: 2528-0335

IC ID: 250821

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OAHM Client Impact Evaluation Interview (Baseline)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-OAHM Client Impact Evaluation Interview (Baseline) Appendix F. Client Impact Evaluation Interview Form_OAHM_Final.docx No   Paper Only
Other-OAHM Client Impact Evaluation Interview (Baseline) Appendix F. Client Impact Evaluation Interview Form_OAHM_FINAL_SPL.docx No   Paper Only

Community and Social Services Community and Regional Development

 

2,250 0
   
Individuals or Households
 
   0 %

  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 2,250 0 2,250 0 0 0
Annual IC Time Burden (Hours) 743 0 743 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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