Enhanced Services for the Hard-to-Employ Demonstration and Evaluation: Kansas and Missouri 36-Month Data Collection -- Child Survey

Enhanced Services for the Hard-to-Employ (HtE) Demonstration and Evaluation: Kansas and Missouri 36-Month Data Collection

Documents and Forms

Document Name Document Type
OMB HtE KS-MO_App C_36M Direct Asmnt Draft.doc Other-Child Instrument
HtE KS-MO 36M_App A_Videotape Consent Form FINAL.doc Direct Assessment Consent Form IC Document

Information Collection (IC) Details

IC Title:	Enhanced Services for the Hard-to-Employ Demonstration and Evaluation: Kansas and Missouri 36-Month Data Collection -- Child Survey	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: New

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-Child Instrument			OMB HtE KS-MO_App C_36M Direct Asmnt Draft.doc		No	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 488	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	488	488
Annual IC Time Burden (Hours)	244	244
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Direct Assessment Consent Form	HtE KS-MO 36M_App A_Videotape Consent Form FINAL.doc	11/08/2007

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.