Information Collection

18-Month Survey

IC 221648 under ICR 201605-1291-001 · OMB 1291-0010.

Documents and Forms

Document Name Document Type
RTW_OMB_18 Month Survey_FINAL 10 20.docx Other-18-Month Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	18-Month Survey	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-18-Month Survey			RTW_OMB_18 Month Survey_FINAL 10 20.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: 1,339	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	1,339	1,339
Annual IC Time Burden (Hours)	897	897
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.