OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Baseline data collection – study participants

IC 227914 under ICR 202204-0970-008 · OMB 0970-0506.

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

View Information Collection (IC)

Baseline data collection – study participants
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey Attachment B Coaching Baseline Questionnaire_PUBLIC_v8_clean.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

1,977 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 0 0 -1,977 0 0 1,977
Annual IC Time Burden (Hours) 0 0 -653 0 0 653
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment J - Question-by-Question Justification - Baseline Attachment J Baseline Survey QxQ_PUBLIC_v7_clean.docx 03/14/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.