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Referral Partner Interview Guides
Subsidized and Transitional Employment Demonstration (STED) and Enhanced Transitional Jobs Demonstration (ETJD)
OMB: 0970-0413
IC ID: 202239
OMB.report
HHS/ACF
OMB 0970-0413
ICR 201405-0970-001
IC 202239
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0413 can be found here:
2015-07-09 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Appendix J Referral Partners Interview Guides.docx
Other-Referral Partners Interview Gu
Appendix_J_Interview Guides_26APR12.doc
Appendix_J_Interview Guides_26APR12
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Referral Partner Interview Guides
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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-Referral Partners Interview Guides
Appendix J Referral Partners Interview Guides.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
8
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
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
16
0
0
0
0
16
Annual IC Time Burden (Hours)
16
0
0
0
0
16
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Appendix_J_Interview Guides_26APR12
Appendix_J_Interview Guides_26APR12.doc
05/03/2012
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.