Instrument 3: LIA Interview Protocol

Family Level Assessment and State of Home Visiting (FLASH-V) Outreach and Recruitment Study

OMB: 0970-0559

IC ID: 243696

Documents and Forms
Document Name
Document Type
Other-LIA Interview Protocol
Other-LIA Interview Protocol
Information Collection (IC) Details

View Information Collection (IC)

Instrument 3: LIA Interview Protocol
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-LIA Interview Protocol Instrument 3_LIA Interview Protocol_REVISED_1.15.21_CLEAN.docx No   Paper Only

Community and Social Services Social Services

 

120 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 60 0 60 0 0 0
Annual IC Time Burden (Hours) 45 0 45 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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