Head Of Household Waitlist Family Informed Consent For Study Participation

The Community Choice Demonstration

OMB: 2528-0337

IC ID: 249822

Documents and Forms
Document Name
Document Type
Other-Revised - Attachment C Head of
Other-Revised - Attachment C Head of
Information Collection (IC) Details

View Information Collection (IC)

HEAD OF HOUSEHOLD WAITLIST FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Revised - Attachment C Head of Household Waitlist Family Informed Consent Revised - Attachment C Head of Household Waitlist Family Informed Consent.docx Yes Yes Fillable Fileable

Community and Social Services Community and Regional Development

 

3,166 0
   
Individuals or Households
 
   100 %

  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 -3,166 0 0 3,166
Annual IC Time Burden (Hours) 0 0 -792 0 0 792
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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