Information Collection

Individuals and Households

IC 265408 under ICR 202402-0584-002 · OMB 0584-0696.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
21_U. State Director Web Survey.docx Other-21_U. State Director Web Surve
21_U. State Director Web Survey.docx Other-21_U. State Director Web Surve
23_W. Interview Guide Risk Assessment.docx Other-23_W. Interview Guide Risk Ass
23_W. Interview Guide Risk Assessment.docx Other-23_W. Interview Guide Risk Ass
22_V. Interview Guide State Level Data Analysis Staff.docx Other-22_V. Interview Guide State Le
22_V. Interview Guide State Level Data Analysis Staff.docx Other-22_V. Interview Guide State Le
24_X. Interview Guide State-Level IT Systems Staff.docx Other-24_X. Interview Guide State-Le
24_X. Interview Guide State-Level IT Systems Staff.docx Other-24_X. Interview Guide State-Le
25_Y. Interview Guide Local Office Staff.docx Other-25_Y. Interview Guide Local Of
25_Y. Interview Guide Local Office Staff.docx Other-25_Y. Interview Guide Local Of

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-21_U. State Director Web Survey 21_U. State Director Web Survey.docx Yes Yes Fillable Fileable
Other-23_W. Interview Guide Risk Assessment 23_W. Interview Guide Risk Assessment.docx Yes Yes Fillable Fileable
Other-22_V. Interview Guide State Level Data Analysis Staff 22_V. Interview Guide State Level Data Analysis Staff.docx No   Paper Only
Other-24_X. Interview Guide State-Level IT Systems Staff 24_X. Interview Guide State-Level IT Systems Staff.docx No   Paper Only
Other-25_Y. Interview Guide Local Office Staff 25_Y. Interview Guide Local Office Staff.docx No   Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 11 0 11 0 0 0
Annual IC Time Burden (Hours) 9 0 9 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
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.