OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Caregiver Interview - 18-month follow-up

IC 225755 under ICR 202307-0970-005 · OMB 0970-0202.

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

View Information Collection (IC)

Caregiver Interview - 18-month follow-up
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Interviews/survey Appx C_NSCAW III_Caregiver Interview_Revised_May2022_Clean.docx Yes Yes Fillable Fileable
Other-Interview/survey Appx C-1_NSCAW Caregiver Remote Interview_March 2023.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

409 0
   
Individuals or Households
 
   50 %

  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 136 0 0 -924 0 1,060
Annual IC Time Burden (Hours) 102 0 0 -693 0 795
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.