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Federal forms, ICRs, and supporting documents

Information Collection

Head Of Household Family Interview Consent Form

IC 266056 under ICR 202410-2528-002 · OMB 2528-0337.

Documents and Forms
Document Name
Document Type
Other-Revised - Attachment H Head of
Other-Revised - Attachment H Head of
Other-Revised – Attachment H Head of
Other-Revised – Attachment H Head of
Information Collection (IC) Details

View Information Collection (IC)

HEAD OF HOUSEHOLD FAMILY INTERVIEW CONSENT FORM
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Revised - Attachment H Head of Household Family Interview Consent Form Revised - Attachment H Head of Household Family Interview Consent Form.docx Yes Yes Fillable Fileable
Other-Revised – Attachment H Head of Household Family Interview Consent Form Revised - Attachment H Head of Household Family Interview Consent Form_CLEAN.docx Yes Yes Fillable Fileable

Community and Social Services Community and Regional Development

 

180 0
   
Individuals or Households
 
   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 180 0 0 0 0 180
Annual IC Time Burden (Hours) 45 0 0 0 0 45
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.