Site Visit Planning Template (Instrument 1a or 1b)

OPRE Study: Human Services Programs in Rural Contexts Study [Descriptive Study]

Documents and Forms

Document Name Document Type
Instrument 1a_In Person Site Visit Planning Template_IOAS apprv.docx Other-Template
Instrument 1a_In Person Site Visit Planning Template_IOAS apprv.docx Other-Template
Instrument 1b_Virtual Site Visit Planning Template_IOAS apprv.docx Other-Template
Instrument 1b_Virtual Site Visit Planning Template_IOAS apprv.docx Other-Template

Information Collection (IC) Details

IC Title:	Site Visit Planning Template (Instrument 1a or 1b)	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-Template			Instrument 1a_In Person Site Visit Planning Template_IOAS apprv.docx		Yes	Yes	Fillable Fileable
Other-Template			Instrument 1b_Virtual Site Visit Planning Template_IOAS apprv.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: 12	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6	6
Annual IC Time Burden (Hours)	12	12
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.