OAHM Client Program Questionnaire (Baseline)

Evaluation of the Older Adults Home Modification Grant Program

OMB: 2528-0335

IC ID: 250815

Documents and Forms
Document Name
Document Type
Other-OAHM Client Program Questionna
Other-OAHM Client Program Questionna
Other-Appendix C. Client Program Que
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 %

  Requested 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

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