Information Collection

Fourth National Study of OAA Title III Service Recipients

IC 182321 under ICR 200710-0985-001 · OMB 0985-0023.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0985-0023 can be found here:

Documents and Forms

Document Name Document Type
Appendix H Service Recipient Survey 5-17-07 FINAL.doc Other-Survey with instructions

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Fourth National Study of OAA Title III Service Recipients	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 with instructions			Appendix H Service Recipient Survey 5-17-07 FINAL.doc		No	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,250	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 2 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6,250	6,250
Annual IC Time Burden (Hours)	4,000	4,000
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.