OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Baseline survey & Identifying and contact information – participants

IC 240714 under ICR 202604-0970-008 · OMB 0970-0545.

Documents and Forms
Document Name
Document Type
Other-Survey
Other-Identifying and contact inform
Information Collection (IC) Details

View Information Collection (IC)

Baseline survey & Identifying and contact information – participants
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey Instrument 1. NextGen baseline survey-revised.docx Yes Yes Fillable Fileable
Other-Identifying and contact information Instrument 2. Identifying and contact information-revised.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

3,000 0
   
Individuals or Households
 
   0 %

  Requested 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 0 0 -1,000 0 0 1,000
Annual IC Time Burden (Hours) 0 0 -420 0 0 420
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.
Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].