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Service Receipt Questionnaire
Office of Community Services Affordable Housing and Supportive Services Demonstration Data Collection
OMB: 0970-0628
IC ID: 264801
OMB.report
HHS/ACF
OMB 0970-0628
ICR 202401-0970-016
IC 264801
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0628 can be found here:
2024-05-21 - No material or nonsubstantive change to a currently approved collection
2024-03-05 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Instrument 2 - Service Receipt Questionnaire.docx
Other-Questionnaire
Information Collection (IC) Details
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