OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Jurisdiction Lead Interview

IC 259980 under ICR 202305-0970-012 · OMB 0970-0401.

Documents and Forms
Document Name
Document Type
Other-Interview
Other-Interview
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Jurisdiction Lead Interview CB
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Interview Jurisdiction Lead Interview_5.1.23.docx Yes Yes Printable Only

Community and Social Services Social Services

 

40 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested 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 40 0 0 0 0 40
Annual IC Time Burden (Hours) 40 0 0 0 0 40
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
FastTrack Submission Form - Jurisdiction Lead Interview Application - Jurisdiction Lead Interview 5.1.23.docx 05/01/2023
Jurisdiction Lead Interview Recruitment Materials Recruitment Messages - Jurisdiction Lead Interview.docx 05/01/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.