OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

NAC Survey

IC 243839 under ICR 202110-0970-002 · OMB 0970-0560.

Documents and Forms
Document Name
Document Type
Other-NAC Survey
Other-NAC Survey
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

NAC Survey
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-NAC Survey Revised NAC Survey_Clean_1.29.21.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

250 0
   
State, Local, and Tribal Governments
 
   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 250 0 0 0 0 250
Annual IC Time Burden (Hours) 3,713 0 0 0 0 3,713
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
NAC Sample State Response NAC Sample State Response_1.29.21.docx 02/02/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.