OAHM Client Impact Evaluation Interview (Post-modification)

Evaluation of the Older Adults Home Modification Grant Program

OMB: 2528-0335

IC ID: 250822

Documents and Forms
Document Name
Document Type
Other-OAHM Client Impact Evaluation
Other-OAHM Client Impact Evaluation
Other-OAHM Client Impact Evaluation
Other-OAHM Client Impact Evaluation
Other-Appendix F. Client Impact Eval
Other-Appendix F. Client Impact Eval
Information Collection (IC) Details

View Information Collection (IC)

OAHM Client Impact Evaluation Interview (Post-modification)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-OAHM Client Impact Evaluation Interview (Post-modification) Appendix F. Client Impact Evaluation Interview Form_OAHM_Final.docx No   Paper Only
Other-OAHM Client Impact Evaluation Interview (Post-modification) Appendix F. Client Impact Evaluation Interview Form_OAHM_FINAL_SPL.docx No   Paper Only
Other-Appendix F. Client Impact Evaluation Interview_EOAHMP-C2.DRAFT (clean) Appendix F. Client Impact Evaluation Interview_EOAHMP-C2.DRAFT (clean).docx No   Paper Only

Community and Social Services Community and Regional Development

 

1,688 0
   
Individuals or Households
 
   0 %

  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 1,688 0 0 0 0 1,688
Annual IC Time Burden (Hours) 557 0 0 0 0 557
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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