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Information Collection

Instrument 7: Participant Characteristics Form

IC 270765 under ICR 202506-0970-022 · OMB 0970-0638.

Documents and Forms
Document Name
Document Type
Other-Characteristics Form
Other-Characteristics Form
Information Collection (IC) Details

View Information Collection (IC)

Instrument 7: Participant Characteristics Form
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Characteristics Form Instrument 7_Participant Characteristics Form_Rev 31JAN25.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

154 0
   
Individuals or Households
 
   100 %

  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 154 0 0 0 0 154
Annual IC Time Burden (Hours) 12 0 0 0 0 12
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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