Information Collection

Script to Schedule Client Process Evaluation Interview

IC 250823 under ICR 202411-2528-002 · OMB 2528-0335.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix K. Script to Schedule Client Process Evaluation Interview Form OAHM_Final.docx	Other-Script to Schedule Client Proc
Appendix K. Script to Schedule Client Process Evaluation Interview Form OAHM_Final.docx	Other-Script to Schedule Client Proc
Appendix K. Script to Schedule Client Process Evaluation Interview Form_OAHM_FINAL.SPL.docx	Other-Script to Schedule Client Proc
Appendix K. Script to Schedule Client Process Evaluation Interview Form_OAHM_FINAL.SPL.docx	Other-Script to Schedule Client Proc

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Script to Schedule Client Process Evaluation Interview			Appendix K. Script to Schedule Client Process Evaluation Interview Form OAHM_Final.docx		No		Paper Only
Other-Script to Schedule Client Process Evaluation Interview			Appendix K. Script to Schedule Client Process Evaluation Interview Form_OAHM_FINAL.SPL.docx		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 188

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	188	188
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.