SHIP-SMP Survey of One-on-One Assistance

SHIP-SMP Survey of One-on-One Assistance

OMB: 0985-0057

IC ID: 225703

Information Collection (IC) Details

View Information Collection (IC)

SHIP-SMP Survey of One-on-One Assistance
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA 1-on-1 Assistance Survey 0057 1 on 1 Assistance Survey SOGI R_E.pdf Yes Yes Fillable Fileable

Community and Social Services Social Services

 

800 0
   
Individuals or Households
 
   100 %

  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 800 0 0 0 0 800
Annual IC Time Burden (Hours) 80 0 0 0 0 80
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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