Interview Guide for Non-MTW PHAs

Evaluation of Cohort 1 of the Moving to Work Demonstration Program Expansion

Documents and Forms

Document Name Document Type
Appendix D_Interview Guide for non-MTW PHAs.docx Other-Interview Guide for Non-MTW PH

Information Collection (IC) Details

IC Title:	Interview Guide for Non-MTW PHAs	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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-Interview Guide for Non-MTW PHAs			Appendix D_Interview Guide for non-MTW PHAs.docx		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 24	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	24	24
Annual IC Time Burden (Hours)	24	24
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.