OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

State & Local Agencies

IC 182700 under ICR 201011-0584-003 · OMB 0584-0547.

Documents and Forms
Document Name
Document Type
Other-Interview - State Staff
Other-Interview - County Staff
Other-Request for Data from Records
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

State & Local Agencies
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Interview - State Staff Appendix B.1-State Staff Interview Protocol.doc No   Paper Only
Other-Interview - County Staff Appendix B.2-County Local Interview Protocol.doc No   Paper Only
Other-Request for Data from Records Appendix D-Extant Data Request.doc No   Paper Only

Community and Social Services Social Services

 

319 0
   
State, Local, and Tribal Governments
 
   0 %

  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 331 0 -641 0 0 972
Annual IC Time Burden (Hours) 1,231 0 -118 0 0 1,349
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Advance Letter (State Staff) Appendix G.1-State Introduction Letter.doc 12/06/2010
Advance Letter (County/Local Staff) Appendix G.2-County & Local Introduction Letter.doc 12/06/2010
Intro Telephone Script Appendix J-Introduction Call Scripts.doc 06/28/2011
Reminder Telephone Appendix K-Reminder Call Scripts.doc 06/28/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.