Information Collection

TIES Baseline Survey

IC 262662 under ICR 202502-0970-053 · OMB 0970-0622.

Documents and Forms

Document Name Document Type
Instrument 1_TIES_BaselineSurvey_VersioninIR.docx Other-Survey
Instrument 1_TIES_BaselineSurvey_VersioninIR.docx Other-Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	TIES Baseline Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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-Survey			Instrument 1_TIES_BaselineSurvey_VersioninIR.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title: OPRE Research and Evaluation Project Records	FR Citation: 87 FR 57198

Number of Respondents: 3,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,200	1,200
Annual IC Time Burden (Hours)	440	440
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.