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Instrument D: Tablet Providers and Program Partners Guide (Interviews)
Racial and Ethnic Disparities in Human Services Analysis Execution Project
OMB: 0970-0597
IC ID: 256025
OMB.report
HHS/ACF
OMB 0970-0597
ICR 202303-0970-011
IC 256025
( )
Documents and Forms
Document Name
Document Type
Instrument D_Interview Guide for Tablet Providers and Program Partners.docx
Other-Interview Guide
Instrument D_Interview Guide for Tablet Providers and Program Partners.docx
Other-Interview Guide
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Instrument D: Tablet Providers and Program Partners 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 D_Interview Guide for Tablet Providers and Program Partners.docx
Yes
Yes
Printable Only
Federal Enterprise Architecture Business Reference Module
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:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
30 %
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
3
0
0
0
0
3
Annual IC Time Burden (Hours)
3
0
0
0
0
3
Annual IC Cost Burden (Dollars)
0
0
0
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.