OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

8 & 9 - Baseline surveys

IC 220979 under ICR 201710-0970-002 · OMB 0970-0485.

Documents and Forms
Document Name
Document Type
Other-Baseline Survey
Other-Survey
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

8 & 9 - Baseline surveys
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Baseline Survey 9 - Baseline Survey for Sites Testing Employment Intervention.docx Yes Yes Fillable Fileable
Other-Survey 8 - Baseline Survey for Sites Testing Parenting Intervention Revised 9-16-16_clean.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

947 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 947 0 0 0 0 947
Annual IC Time Burden (Hours) 608 0 0 0 0 608
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Baseline survey screen shots 9 - Baseline Survey for Sites Testing Employment Intervention - screen shots.docx 09/08/2016
Baseline survey Parent Intervention - Spanish Version 8 - Baseline Survey for Sites Testing Parenting Intervention Spanish 9-16-16.docx 09/30/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.