OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

PAIVED interview and site visit screener - REVISED 9.27.18

IC 231459 under ICR 201810-0970-006 · OMB 0970-0516.

Documents and Forms
Document Name
Document Type
Other-screener
Other-Interview Site Visit Screener
Information Collection (IC) Details

View Information Collection (IC)

PAIVED interview and site visit screener - REVISED 9.27.18
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-screener Attachment 1 PAIVED Interview Site Visit Screener_5.10.18.docx Yes Yes Fillable Fileable
Other-Interview Site Visit Screener PAIVED Interview Site Visit Screener_revised 9.27.18_CLEAN.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

50 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   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 50 0 0 0 0 50
Annual IC Time Burden (Hours) 50 0 0 0 0 50
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.