Information Collection

2024 NSECE Household Screener

IC 259970 under ICR 202407-0970-001 · OMB 0970-0391.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0391 can be found here:

Documents and Forms

Document Name Document Type
Instrument 1 2024 NSECE Household Q Eng_toOPRE_070224.docx Other-Screener (English)
Instrument 1 2024 NSECE Household Q Eng_toOPRE_070224.docx Other-Screener (English)
Instrument 1S 2024 NSECE Household Q Span_toOPRE_070224.docx Other-Screener (Spanish)
Instrument 1S 2024 NSECE Household Q Span_toOPRE_070224.docx Other-Screener (Spanish)

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	2024 NSECE Household Screener	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screener (English)			Instrument 1 2024 NSECE Household Q Eng_toOPRE_070224.docx		Yes	Yes	Fillable Fileable
Other-Screener (Spanish)			Instrument 1S 2024 NSECE Household Q Span_toOPRE_070224.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 62,758	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Previously Approved
Annual Number of Responses for this IC	62,758	62,758
Annual IC Time Burden (Hours)	6,276	6,276
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.