Information Collection

Add-on to nFORM to conduct random assignment (Instrument 7)

IC 220536 under ICR 202005-0970-006 · OMB 0970-0481.

Documents and Forms

Document Name Document Type
Instrument 7_STREAMS_Random assignment form_2-26-16.pdf Other-RA items - nFORM

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Add-on to nFORM to conduct random assignment (Instrument 7)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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-RA items - nFORM			Instrument 7_STREAMS_Random assignment form_2-26-16.pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	16	16
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.