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Federal forms, ICRs, and supporting documents

Information Collection

OAHM Client Program Questionnaire (Baseline)

IC 250815 under ICR 202411-2528-002 · OMB 2528-0335.

Documents and Forms
Document Name
Document Type
Other-OAHM Client Program Questionna
Other-OAHM Client Program Questionna
Other-OAHM Client Program Questionna
Other-OAHM Client Program Questionna
Other-Appendix C. Client Program Que
Other-Appendix C. Client Program Que
Other-REV Client Program Questionnai
Other-REV Client Program Questionnai
Information Collection (IC) Details

View Information Collection (IC)

OAHM Client Program Questionnaire (Baseline)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-OAHM Client Program Questionnaire (Baseline) Appendix C. Client Program Questionnaire_OAHM_Final.docx No   Paper Only
Other-OAHM Client Program Questionnaire (Baseline) Appendix C. Client Program Questionnaire_OAHM_FINAL_SPL.docx No   Paper Only
Other-Appendix C. Client Program Questionnaire_EOAHMP-C2.DRAFT (clean) Appendix C. Client Program Questionnaire_EOAHMP-C2.DRAFT (clean).docx No   Paper Only
Other-REV Client Program Questionnaire REV.Client Program Questionnaire_EOAHMP-C2(Baseline and Post) (CLEAN).docx No   Paper Only

Community and Social Services Community and Regional Development

 

3,000 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 3,000 0 0 0 0 3,000
Annual IC Time Burden (Hours) 300 0 0 0 0 300
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.