Information Collection

Instrument 7 - Site Visit 3 Focus Group Guide for Staff

IC 256894 under ICR 202211-0970-003 · OMB 0970-0577.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument 7A – Site Visit 3 Focus Group Guide for Staff_ LifeSet Specialists.docx	Other-Focus Group Guide
Instrument 7A – Site Visit 3 Focus Group Guide for Staff_ LifeSet Specialists.docx	Other-Focus Group Guide
Instrument 7B – Site Visit 3 Focus Group Guide for Staff_ LifeSet Team Supervisors.docx	Other-Focus Group Guide
Instrument 7B – Site Visit 3 Focus Group Guide for Staff_ LifeSet Team Supervisors.docx	Other-Focus Group Guide
Instrument 7C – Site Visit 3 Focus Group Guide for Staff_ Child Welfare Agency Caseworkers.docx	Other-Focus Group Guide
Instrument 7C – Site Visit 3 Focus Group Guide for Staff_ Child Welfare Agency Caseworkers.docx	Other-Focus Group 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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Focus Group Guide	Yes	Yes	Printable Only
Other-Focus Group Guide	Yes	Yes	Printable Only
Other-Focus Group Guide	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: 28

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	14	14
Annual IC Time Burden (Hours)	21	21
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.

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