OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

3. Follow-up home-based provider and assistant survey

IC 261154 under ICR 202408-0970-001 · OMB 0970-0615.

Documents and Forms
Document Name
Document Type
Other-survey - assistant subset
Other-survey - assistant subset
Other-survey - provider subset
Other-survey - provider subset
Other-Survey (Spanish)
Other-Survey (Spanish)
Information Collection (IC) Details

View Information Collection (IC)

3. Follow-up home-based provider and assistant survey
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey - assistant subset Instrument 3_Follow-up home-based provider and assistant survey_BASE_asst subset revised 12.21 clean.docx Yes Yes Fillable Fileable
Other-survey - provider subset Instrument 3_Follow-up home-based provider and assistant survey_BASE_provider subset_revised 12.21 clean.docx Yes Yes Fillable Fileable
Other-Survey (Spanish) Instrument 3S Follow-up Home-Based Provider and Assistant Survey (Spanish version) FINAL.pdf Yes Yes Fillable Fileable

Community and Social Services Social Services

OPRE Research and Evaluation Project Records, 09-80-0361  87 FR 57198

95 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   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 127 0 0 0 0 127
Annual IC Time Burden (Hours) 53 0 0 0 0 53
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.