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Data entry for comparison study sites - Private sector
Regional Partnership Grants National Cross-Site Evaluation and Evaluation Technical Assistance
OMB: 0970-0444
IC ID: 209840
OMB.report
HHS/ACF
OMB 0970-0444
ICR 201312-0970-003
IC 209840
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0444 can be found here:
2016-12-19 - Extension without change of a currently approved collection
2015-02-26 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form VIIB Household Ros
Data entry for comparison study sites - Private sector
Form and Instruction
VIIB Household Ros VIIB Household Roster
VIIB Household Roster.pdf
Form and Instruction
VIIC Administrative Data Elements.pdf
VIIC Administrative Data Elements
IC Document
VIIA Standardized Instruments.pdf
VIIA Standardized Instruments
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Data entry for comparison study sites - Private sector
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
42 CFR B (To search for a specific CFR, visit the
Code of Federal Regulations.
)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
VIIB Household Roster
VIIB Household Roster
VIIB Household Roster.pdf
No
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
Records maintained on individuals
FR Citation:
5 FR 43
Number of Respondents:
3
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 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
6
0
6
0
0
0
Annual IC Time Burden (Hours)
217
0
217
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
VIIC Administrative Data Elements
VIIC Administrative Data Elements.pdf
12/09/2013
VIIA Standardized Instruments
VIIA Standardized Instruments.pdf
12/09/2013
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.