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Client Interview (A-7)
Evaluation of Domestic Human Trafficking Demonstration Projects
OMB: 0970-0487
IC ID: 232682
OMB.report
HHS/ACF
OMB 0970-0487
ICR 201808-0970-001
IC 232682
( )
Documents and Forms
Document Name
Document Type
Eval_DVHT_SSA_App_A-7_Client_Interview.docx
Other-Client Interview Guide
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Client Interview (A-7)
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-Client Interview Guide
Eval_DVHT_SSA_App_A-7_Client_Interview.docx
No
Paper Only
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:
20
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
20
0
20
0
0
0
Annual IC Time Burden (Hours)
20
0
20
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.