Instrument 1: Staff data entry on participant baseline information

Procedural Justice-Informed Alternatives to Contempt Demonstration (PJAC)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0505 can be found here:

Documents and Forms

Document Name Document Type
Instrument 1_Staff Data Entry on Participant Baseline Information_20200206.docx Other-Baseline Data Entry

Information Collection (IC) Details

IC Title:	Instrument 1: Staff data entry on participant baseline information	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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-Baseline Data Entry			Instrument 1_Staff Data Entry on Participant Baseline Information_20200206.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	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	Previously Approved
Annual Number of Responses for this IC	1,700	-4,300	6,000
Annual IC Time Burden (Hours)	85	-215	300
Annual IC Cost Burden (Dollars)	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.