Information Collection

Site visit and key informant data collection: Partner survey (Appendix C)

IC 234654 under ICR 202506-0970-007 · OMB 0970-0527.

Documents and Forms

Document Name Document Type
Appendix C_Partner Survey_CLEAN.docx Other-Survey
Appendix C_Partner Survey_CLEAN.docx Other-Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Site visit and key informant data collection: Partner survey (Appendix C)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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			Appendix C_Partner Survey_CLEAN.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: 130	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	-44	44
Annual IC Time Burden (Hours)	-18	18
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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