Information Collection

Telephone Interview Guide for Local State Agency Directors

IC 202339 under ICR 201205-0970-006 · OMB 0970-0418.

Documents and Forms

Document Name Document Type
APPENDIX F Interview Guide for non American Indian Alaska Native Service Providers.docx Other-Guide
Appendix F Telephone Interview Guide for Local State Agency Directors.docx Other-Interview Guide

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Telephone Interview Guide for Local State Agency Directors	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-Interview Guide			Appendix F Telephone Interview Guide for Local State Agency Directors.docx		Yes	Yes	Fillable Fileable
Other-Guide			APPENDIX F Interview Guide for non American Indian Alaska Native Service Providers.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 35	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	35	35
Annual IC Time Burden (Hours)	35	35
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.