OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

#4 - Mentor-Coach Telephone Interview Protocol Table

IC 198050 under ICR 201201-0970-003 · OMB 0970-0399.

Documents and Forms
Document Name
Document Type
Other-Attachment 4. Staff Telephone
Information Collection (IC) Details

View Information Collection (IC)

#4 - Mentor-Coach Telephone Interview Protocol Table
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Attachment 4. Staff Telephone Interview Protocol_110411_FINAL Attachment 4. Staff Telephone Interview Protocol_110411_FINAL.doc Yes Yes Fillable Printable

Community and Social Services Social Services

 

130 0
   
Individuals or Households
 
   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 130 0 0 0 0 130
Annual IC Time Burden (Hours) 130 0 0 0 0 130
Annual IC Cost Burden (Dollars) 2,159 0 0 0 0 2,159

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.