Information Collection

Service Delivery and Tracking and Adjustment Observation-Group Debrief

IC 226793 under ICR 202008-0970-004 · OMB 0970-0501.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0501 can be found here:

Documents and Forms

Document Name Document Type
TAB J_Service Delivery and Tracking and Adjustment Observation - Group Debrief.docx Other-Group Debrief

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Service Delivery and Tracking and Adjustment Observation-Group Debrief	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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-Group Debrief			TAB J_Service Delivery and Tracking and Adjustment Observation - Group Debrief.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: 80	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	80	-80	160
Annual IC Time Burden (Hours)	20	-20	40
Annual IC Cost Burden (Dollars)	0	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.