Information Collection

Instrument 6 - Site Visit 3 Interview Guide for Administrators

IC 256893 under ICR 202211-0970-003 · OMB 0970-0577.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument 6A – Site Visit 3 Interview Guide for Administrators_ Child Welfare Agency Administrators.docx	Other-Interview Guide
Instrument 6A – Site Visit 3 Interview Guide for Administrators_ Child Welfare Agency Administrators.docx	Other-Interview Guide
Instrument 6B – Site Visit 3 Interview Guide for Administrators_ Licensed LifeSet Experts.docx	Other-Interview Guide
Instrument 6B – Site Visit 3 Interview Guide for Administrators_ Licensed LifeSet Experts.docx	Other-Interview Guide
Instrument 6C – Site Visit 3 Interview Guide for Administrators_ Provider Agency Administrators.docx	Other-Interview Guide
Instrument 6C – Site Visit 3 Interview Guide for Administrators_ Provider Agency Administrators.docx	Other-Interview Guide
Instrument 6D – Site Visit 3 Interview Guide for Administrators_ LifeSet Developer Administrators.docx	Other-Interview Guide
Instrument 6D – Site Visit 3 Interview Guide for Administrators_ LifeSet Developer Administrators.docx	Other-Interview Guide

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	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Interview Guide	Instrument 6A â Site Visit 3 Interview Guide for Administrators_ Child Welfare Agency Administrators.docx	Yes	Yes	Printable Only
Other-Interview Guide	Instrument 6B â Site Visit 3 Interview Guide for Administrators_ Licensed LifeSet Experts.docx	Yes	Yes	Printable Only
Other-Interview Guide	Instrument 6C â Site Visit 3 Interview Guide for Administrators_ Provider Agency Administrators.docx	Yes	Yes	Printable Only
Other-Interview Guide	Instrument 6D â Site Visit 3 Interview Guide for Administrators_ LifeSet Developer Administrators.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: 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: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	11	11
Annual IC Time Burden (Hours)	11	11
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.