Information Collection

Aging Network Partnerships and Effectiveness Survey

IC 251697 under ICR 202202-0985-001 · OMB 0985-0074.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Aging Network Partnerships and Effectiveness Survey	Form and Instruction
Appendix C. Study Endorsement Example.pdf	Other-Study Endorsement Letter
Appendix C. Study Endorsement Example.pdf	Other-Study Endorsement Letter
Appendix D. Advance Letter-Email.pdf	Other-Study Email
Appendix D. Advance Letter-Email.pdf	Other-Study Email
Appendix E. Invitation Emails.pdf	Other-Study Invitation Email
Appendix E. Invitation Emails.pdf	Other-Study Invitation Email
Appendix F. Reminder Emails.pdf	Other-Study Email Reminders
Appendix F. Reminder Emails.pdf	Other-Study Email Reminders
Appendix G. SUA_AAA_Tribal organization Reminder Letters.pdf	Other-SUA and AAA Tribal Org Reminde
Appendix G. SUA_AAA_Tribal organization Reminder Letters.pdf	Other-SUA and AAA Tribal Org Reminde
Appendix H. Reminder Call Script.pdf	Other-Study Reminder Call Script
Appendix H. Reminder Call Script.pdf	Other-Study Reminder Call Script
Appendix I. KI Interview Protocol.pdf	Other-Key Informant Interview Protoc
Appendix I. KI Interview Protocol.pdf	Other-Key Informant Interview Protoc
Aging Network Effectiveness Survey Appendix B. Aging Network Partnerships Effectiveness Survey.pdf	Form and Instruction
Aging Network Effectiveness Survey Appendix B. Aging Network Partnerships Effectiveness Survey.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	Aging Network Effectiveness Survey	Appendix B. Aging Network Partnerships Effectiveness Survey.pdf	Yes	Yes	Fillable Fileable
Other-Study Endorsement Letter			Appendix C. Study Endorsement Example.pdf	Yes	Yes	Fillable Fileable
Other-Study Email			Appendix D. Advance Letter-Email.pdf	Yes	Yes	Fillable Fileable
Other-Study Invitation Email			Appendix E. Invitation Emails.pdf	Yes	Yes	Fillable Fileable
Other-Study Email Reminders			Appendix F. Reminder Emails.pdf	Yes	Yes	Fillable Fileable
Other-SUA and AAA Tribal Org Reminders			Appendix G. SUA_AAA_Tribal organization Reminder Letters.pdf	Yes	Yes	Fillable Fileable
Other-Study Reminder Call Script			Appendix H. Reminder Call Script.pdf	Yes	Yes	Fillable Fileable
Other-Key Informant Interview Protocol			Appendix I. KI Interview Protocol.pdf	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: 874

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	874	874
Annual IC Time Burden (Hours)	226	226
Annual IC Cost Burden (Dollars)	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.