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Program Evalution Instruments - Mediation and Facilities Services (ECR Services) (three questionnaires)
Program Evalution Instruments - Mediation and Facilities Services (ECR Services) (three questionnaires)
OMB: 3320-0004
IC ID: 35885
OMB.report
MKU-SLUF
OMB 3320-0004
ICR 200504-3320-006
IC 35885
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3320-0004 can be found here:
2011-11-15 - Revision of a currently approved collection
2008-07-31 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Program Evalution Instruments - Mediation and Facilities Services (ECR Services) (three questionnaires)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,000
Number of Respondents for Small Entity:
0
Affected Public:
Federal Government
Percentage of Respondents Reporting Electronically:
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
3,800
0
-1,645
0
0
5,445
Annual IC Time Burden (Hours)
1,000
0
225
0
0
775
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.