Information Collection

Cross-Center Evaluation: Leadership Interview – States and Territories

IC 247561 under ICR 202205-0970-010 · OMB 0970-0576.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0576 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
03 - XCenter - Leadership Interview - States and Territories_rev CLEAN-9.1.21.docx	Other-Interview
03 - XCenter - Leadership Interview - States and Territories_rev CLEAN-9.1.21.docx	Other-Interview

IC Title:

Cross-Center Evaluation: Leadership Interview â States and Territories

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Interview			03 - XCenter - Leadership Interview - States and Territories_rev CLEAN-9.1.21.docx		Yes	Yes	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 43

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	29	29
Annual IC Time Burden (Hours)	19	19
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.