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Federal forms, ICRs, and supporting documents

Information Collection

Instrument 6 - Provider interview #2

IC 260161 under ICR 202312-0970-009 · OMB 0970-0612.

Documents and Forms
Document Name
Document Type
Other-Interview
Other-Interview
Other-Interview - Spanish
Other-Interview - Spanish
Information Collection (IC) Details

View Information Collection (IC)

Instrument 6 - Provider interview #2
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Interview Instrument 6. Provider interview 2.docx Yes Yes Printable Only
Other-Interview - Spanish Instrument 6. Provider interview 2_Spanish.docx Yes Yes Printable Only

Community and Social Services Social Services

 

60 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 60 0 0 0 0 60
Annual IC Time Burden (Hours) 90 0 0 0 0 90
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.