Information Collection

Client Interview Guide

IC 278661 under ICR 202601-0970-002 · OMB unassigned.

Documents and Forms

Document Name Document Type
Instrument04_Client_InterviewGuide_07.30.25_CLEAN.docx Other-Interview Guide
Instrument04_Client_InterviewGuide_07.30.25_CLEAN.docx Other-Interview Guide

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Client Interview Guide	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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-Interview Guide			Instrument04_Client_InterviewGuide_07.30.25_CLEAN.docx		Yes	Yes	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	15	15
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.

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