Information Collection

Panel maintenance with NSCAW cohort members

IC 255471 under ICR 202208-0970-003 · OMB 0970-0202.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0202 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appx_K_Panel Maintenance Contact Card - NEW.pdf	Other-Contact Card
Appx_K_Panel Maintenance Contact Card - NEW.pdf	Other-Contact Card
Appx J_Panel Maintenance Letter_Clean.docx Appendix J: Panel Maintenance Letter	IC Document
Appx J_Panel Maintenance Letter_Clean.docx Appendix J: Panel Maintenance Letter	IC Document

IC Title:

Panel maintenance with NSCAW cohort members

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Contact Card			Appx_K_Panel Maintenance Contact Card - NEW.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: 4,127

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	4,127	4,127
Annual IC Time Burden (Hours)	344	344
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix J: Panel Maintenance Letter	Appx J_Panel Maintenance Letter_Clean.docx	08/22/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.