Information Collection

SRAENE Substudy

IC 259351 under ICR 202310-0970-008 · OMB 0970-0356.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0356 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument 1. NWS special populations interview protocol.docx	Other-Interview Protocol
Appendix A. Special Populations_Study Notification and Reminder Materials.docx Appendix A	IC Document
Supporting Statement A - NWS Substudy 04.05.23.docx Supporting Statement A - NWS Substudy 04.05.023	IC Document
Supporting Statement B - NWS Substudy 04.05.23.docx Supporting Statement B - NWS Substudy 04.05.23	IC Document

IC Title:

SRAENE Substudy

Agency IC Tracking Number:

OPRE

IC Status: Unchanged

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-Interview Protocol			Instrument 1. NWS special populations interview protocol.docx		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: 50

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix A	Appendix A. Special Populations_Study Notification and Reminder Materials.docx	03/28/2023
Supporting Statement A - NWS Substudy 04.05.023	Supporting Statement A - NWS Substudy 04.05.23.docx	04/05/2023
Supporting Statement B - NWS Substudy 04.05.23	Supporting Statement B - NWS Substudy 04.05.23.docx	04/05/2023

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