Information Collection

Primary Family Caregiver Financial and Legal Services Survey (CSP)

IC 264018 under ICR 202307-2900-013 · OMB 2900-0770.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Primary Family Caregiver Financial and Legal Services Survey (CSP)_2900-0770_updated Nov 2023.docx	Other-Survey
Generic Supporting Statement_2900-0770_Primary Family Caregiver Financial and Legal Services Survey_updated Nov 2023.docx Generic Supp Statement - Primary Family Caregiver Financial and Legal Services Survey (CSP) - updated Nov 2023	IC Document

IC Title:

Agency IC Tracking Number:

VHA-2900-0770

IC Status: New

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-Survey					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: 2,030

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,030	2,030
Annual IC Time Burden (Hours)	169	169
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Supp Statement - Primary Family Caregiver Financial and Legal Services Survey (CSP) - updated Nov 2023		12/20/2023

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

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