Instrument C: Community-Based Organizations Guide (Interviews)

Racial and Ethnic Disparities in Human Services Analysis Execution Project

Documents and Forms

Document Name Document Type
Instrument C_ Interview Guide for Community_based Organizations.docx Other-Interview Guide
Instrument C_ Interview Guide for Community_based Organizations.docx Other-Interview Guide

Information Collection (IC) Details

IC Title:	Instrument C: Community-Based Organizations Guide (Interviews)	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-Interview Guide			Instrument C_ Interview Guide for Community_based Organizations.docx		Yes	Yes	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 30 %

	Approved	Previously Approved
Annual Number of Responses for this IC	3	3
Annual IC Time Burden (Hours)	3	3
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.