Information Collection

Survey of EHS/HS DSCs (Phase 2) - Phone

IC 249537 under ICR 202211-0970-004 · OMB 0970-0585.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument 2 Phase 2_DSC Survey The Study of Disability Servcies Coordinators_revised_02-02-22_clean.docx	Other-Survey
Instrument 2 Phase 2_DSC Survey The Study of Disability Servcies Coordinators_revised_02-02-22_clean.docx	Other-Survey

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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-Survey					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: 5

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
	Requested	Previously Approved
Annual Number of Responses for this IC	3	3
Annual IC Time Burden (Hours)	4	4
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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