OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Participant 12-month survey (Adult sites)

IC 202230 under ICR 201506-0970-017 · OMB 0970-0413.

Documents and Forms
Document Name
Document Type
Other-12 Month Follow-Up
Information Collection (IC) Details

View Information Collection (IC)

Participant 12-month survey (Adult sites)
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-12 Month Follow-Up Appendix_P_ETJD STED 12-month OMB 10-3-12.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

3,147 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 3,147 0 0 0 0 3,147
Annual IC Time Burden (Hours) 2,360 0 0 0 0 2,360
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.