OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Contact Information Update Request - 2 responses per respondent

IC 257428 under ICR 202502-0970-048 · OMB 0970-0574.

Documents and Forms
Document Name
Document Type
Other-Contact Information Request
Other-Contact Information Request
Information Collection (IC) Details

View Information Collection (IC)

Contact Information Update Request - 2 responses per respondent
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Contact Information Request Instrument 5_Contact Information Update Request_extension_CLEAN.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

120 0
   
Individuals or Households
 
   100 %

  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 80 0 0 0 0 80
Annual IC Time Burden (Hours) 6 0 0 0 0 6
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.