Information Collection

Jurisdiction Lead Interview

IC 259980 under ICR 202403-0970-001 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Jurisdiction Lead Interview_5.1.23.docx	Other-Interview
Jurisdiction Lead Interview_5.1.23.docx	Other-Interview
Application - Jurisdiction Lead Interview 5.1.23.docx FastTrack Submission Form - Jurisdiction Lead Interview	IC Document
Application - Jurisdiction Lead Interview 5.1.23.docx FastTrack Submission Form - Jurisdiction Lead Interview	IC Document
Recruitment Messages - Jurisdiction Lead Interview.docx Jurisdiction Lead Interview Recruitment Materials	IC Document
Recruitment Messages - Jurisdiction Lead Interview.docx Jurisdiction Lead Interview Recruitment Materials	IC Document

IC Title:

Jurisdiction Lead Interview

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

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-Interview			Jurisdiction Lead Interview_5.1.23.docx		Yes	Yes	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FastTrack Submission Form - Jurisdiction Lead Interview	Application - Jurisdiction Lead Interview 5.1.23.docx	05/01/2023
Jurisdiction Lead Interview Recruitment Materials	Recruitment Messages - Jurisdiction Lead Interview.docx	05/01/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.