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Instrument 5b: HPOG 2.0 National Evaluation letter and participant contact update form

IC 229938 under ICR 202212-0970-005 · OMB 0970-0462.

Documents and Forms
Document Name
Document Type
Other-Update Form
Other-Update Form
Other-Update Form - Phone Version
Other-Update Form - Phone Version
Information Collection (IC) Details

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Instrument 5b: HPOG 2.0 National Evaluation letter and participant contact update form
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Update Form Instrument 5b_ HPOG 2 0 National Evaluation Contact Update Letter and Form_Rev07112017_clean.docx Yes Yes Fillable Fileable
Other-Update Form - Phone Version Instrument 5b_ HPOG2 Contact Update Form Phone Version.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

2,244 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 5,236 0 0 0 0 5,236
Annual IC Time Burden (Hours) 524 0 0 0 0 524
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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