Baseline Survey

The Community Choice Demonstration

OMB: 2528-0337

IC ID: 249814

Documents and Forms
Document Name
Document Type
Other- Revised - Instrument 2 HCV Mo
Other- Revised - Instrument 2 HCV Mo
Information Collection (IC) Details

View Information Collection (IC)

BASELINE SURVEY
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other- Revised - Instrument 2 HCV Mobility Evaluation Baseline Survey Revised - Instrument 2 HCV Mobility Evaluation Baseline Survey.docx No   Paper Only

Community and Social Services Community and Regional Development

 

10,100 0
   
Individuals or Households
 
   0 %

  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 0 0 -10,100 0 0 10,100
Annual IC Time Burden (Hours) 0 0 -7,575 0 0 7,575
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.

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