Focus Groups with Residents

Evaluation of the Supportive Services Demonstration

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2528-0321 can be found here:

Documents and Forms

Document Name Document Type
SSDE Supporting Statement Appendix H 06-20-18.docx Other-Moderator Guide for Focus Grou
SSDE Supporting Statement Appendix I 06-20-18.docx Other-Moderator Guide for Focus Grou
SSDE Supporting Statement Appendix K 06-20-18.docx Other-Moderator Guide for Focus Grou

Information Collection (IC) Details

IC Title:	Focus Groups with Residents	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Moderator Guide for Focus Groups with IWISH Participants	SSDE Supporting Statement Appendix H 06-20-18.docx	No	Paper Only
Other-Moderator Guide for Focus Groups with IWISH Non-enrollees	SSDE Supporting Statement Appendix I 06-20-18.docx	No	Paper Only
Other-Moderator Guide for Focus Groups with Residents of Active Control Properties	SSDE Supporting Statement Appendix K 06-20-18.docx	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 210	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	210	210
Annual IC Time Burden (Hours)	368	368
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.