Information Collection

Instrument 3- Site Visit 1 Interview Guide for Administrators

IC 247980 under ICR 202211-0970-003 · OMB 0970-0577.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument 3A- Site Visit 1 Interview Guide for Administrators- Child Welfare Agency Administrators.docx	Other-Interview Guide
Instrument 3A- Site Visit 1 Interview Guide for Administrators- Child Welfare Agency Administrators.docx	Other-Interview Guide
Instrument 3B- Site Visit 1 Interview Guide for Administrators- Licensed LifeSet Experts.docx	Other-Interview Guide
Instrument 3B- Site Visit 1 Interview Guide for Administrators- Licensed LifeSet Experts.docx	Other-Interview Guide
Instrument 3C- Site Visit 1 Interview Guide for Administrators- LifeSet Developer Administrators.docx	Other-Interview Guide
Instrument 3C- Site Visit 1 Interview Guide for Administrators- LifeSet Developer Administrators.docx	Other-Interview Guide
Instrument 3D- Site Visit 1 Interview Guide for Administrators- Provider Agency Administrators.docx	Other-Interview Guide
Instrument 3D- Site Visit 1 Interview Guide for Administrators- Provider Agency Administrators.docx	Other-Interview Guide

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Interview Guide	Instrument 3A- Site Visit 1 Interview Guide for Administrators- Child Welfare Agency Administrators.docx	Yes	No	Paper Only
Other-Interview Guide	Instrument 3B- Site Visit 1 Interview Guide for Administrators- Licensed LifeSet Experts.docx	Yes	No	Paper Only
Other-Interview Guide	Instrument 3C- Site Visit 1 Interview Guide for Administrators- LifeSet Developer Administrators.docx	Yes	No	Paper Only
Other-Interview Guide	Instrument 3D- Site Visit 1 Interview Guide for Administrators- Provider Agency Administrators.docx	Yes	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 22

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
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-7	7
Annual IC Time Burden (Hours)	-7	7
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.