Phase 2- Head Of Household Waitlist Family Informed Consent For Study Participation

The Community Choice Demonstration

OMB: 2528-0337

IC ID: 249835

Documents and Forms
Information Collection (IC) Details

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PHASE 2- 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 O Phase 2 Head of Household Waitlist Families Informed Consent Revised - Attachment O Phase 2 Head of Household Waitlist Families Informed Consent.docx Yes Yes Fillable Fileable

Community and Social Services Community and Regional Development

 

200 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 -200 0 0 200
Annual IC Time Burden (Hours) 0 0 -50 0 0 50
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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