OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Follow-up survey for adults (Instrument 11)

IC 220540 under ICR 202005-0970-006 · OMB 0970-0481.

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

View Information Collection (IC)

Follow-up survey for adults (Instrument 11)
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Follow up Survey Instrument 11_STREAMS Adult FUP survey (3-2-17)_edited_6-21-17 _clean.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

767 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 767 0 0 0 0 767
Annual IC Time Burden (Hours) 575 0 0 0 0 575
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.