OAA Title III-C Elderly Nutrition Services Program Evaluation

OAA Title III-C Evaluation of the Elderly Nutrition Services Program

Documents and Forms

Document Name Document Type
Form 1 OAA Title III-C Elderly Nutrition Services Program Evaluation Form and Instruction
1 ENSP Evaluation ENSP_Eval_DataCollection_PartB_AppendixC.pdf Form and Instruction
PartB-AppB-11-27-12.pdf PartB-AppB-11-27-12 IC Document

Information Collection (IC) Details

IC Title:	OAA Title III-C Elderly Nutrition Services Program Evaluation	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
Form and Instruction	1	ENSP Evaluation	ENSP_Eval_DataCollection_PartB_AppendixC.pdf		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 900	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 65 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,099	1,099
Annual IC Time Burden (Hours)	1,672	1,672
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
PartB-AppB-11-27-12	PartB-AppB-11-27-12.pdf	05/17/2013

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