Information Collection

Panel maintenance with NSCAW cohort members

IC 255471 under ICR 202307-0970-005 · OMB 0970-0202.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appx_K_Panel Maintenance Contact Card - NEW.pdf	Other-Contact Card
Appx_K_Panel Maintenance Contact Card - NEW.pdf	Other-Contact Card
Appx J_Panel Maintenance Letter_Clean.docx Appendix J: Panel Maintenance Letter	IC Document
Appx J_Panel Maintenance Letter_Clean.docx Appendix J: Panel Maintenance Letter	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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-Contact Card			Appx_K_Panel Maintenance Contact Card - NEW.pdf		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: 4,723

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,574	-2,553	4,127
Annual IC Time Burden (Hours)	126	-218	344
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix J: Panel Maintenance Letter	Appx J_Panel Maintenance Letter_Clean.docx	08/22/2022

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