Discussion Guide for Other Program/Data Staff

Hispanic Healthy Marriage Initiative Grantee Implementation Evaluation

Documents and Forms

Document Name Document Type
#4 DisGuide for Other Program-Data Staff.doc Other-Hispanic Healthy Marriage Init

Information Collection (IC) Details

IC Title:	Discussion Guide for Other Program/Data Staff	Agency IC Tracking Number:

Is this a Common Form? No		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-Hispanic Healthy Marriage Initiative Grantee Implementation Evaluation (Discussion Guide for Other Program/Data Staff)			#4 DisGuide for Other Program-Data Staff.doc		No	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 45	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	45	45
Annual IC Time Burden (Hours)	81	81
Annual IC Cost Burden (Dollars)	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.