Information Collection

Instrument 7. 12-month post-TANF-exit survey

IC 280869 under ICR 202606-0970-006 · OMB unassigned.

Documents and Forms

Document Name Document Type
SUPPORTT_Instrument 7_12-month post-TANF-exit survey_Final.docx Other-Survey (English Version)
SUPPORTT_Instrument 7_12-month post-TANF-exit survey_Spanish_Final.docx Other-Survey (Spanish Version)

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Instrument 7. 12-month post-TANF-exit survey	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-Survey (English Version)			SUPPORTT_Instrument 7_12-month post-TANF-exit survey_Final.docx		Yes	Yes	Fillable Fileable
Other-Survey (Spanish Version)			SUPPORTT_Instrument 7_12-month post-TANF-exit survey_Spanish_Final.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, 09-80-0361	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 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	450	450
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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