Information Collection

Resident Focus Group

IC 264802 under ICR 202408-0970-011 · OMB 0970-0628.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0628 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument 3 Resident Focus Group REVISED.docx	Other-Focus Group
Instrument 3 Resident Focus Group REVISED.docx	Other-Focus Group

IC Title:

Resident Focus Group

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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-Focus Group					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: 105

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	35	10	25
Annual IC Time Burden (Hours)	53	15	38
Annual IC Cost Burden (Dollars)	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.

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