Information Collection

New Instrument #3 - Study MIS

IC 202913 under ICR 201206-0970-012 · OMB 0970-0403.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0403 can be found here:

Documents and Forms

Document Name Document Type
PACT - ICR - Baseline+MIS - Instrument #3 Study MIS Text and Wireframes - 6-13-12.pdf Other-MIS

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	New Instrument #3 - Study MIS	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-MIS			PACT - ICR - Baseline+MIS - Instrument #3 Study MIS Text and Wireframes - 6-13-12.pdf		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: 30	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	75,990	75,990
Annual IC Time Burden (Hours)	2,533	2,533
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.