Information Collection

Site visit group discussion – program participants

IC 218180 under ICR 201509-0970-008 · OMB 0970-0472.

Documents and Forms

Document Name Document Type
Attachment C - GOALS Site Visit Participant Interview Guide_1-5-16.docx Other-Interview Guide

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Site visit group discussion â program participants	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			Attachment C - GOALS Site Visit Participant Interview Guide_1-5-16.docx		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 42	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	42	42
Annual IC Time Burden (Hours)	53	53
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.