Interview Protocol for LEND DBP Programs

Autism CARES Act Initiative Evaluation

Documents and Forms

Document Name Document Type
Attachment G. LEND_DBP Interview Guide.docx Other-Interview Guide with Instructi
Attachment G. LEND_DBP Interview Guide.docx Other-Interview Guide with Instructi

Information Collection (IC) Details

IC Title:	Interview Protocol for LEND DBP Programs	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 with Instructions and Questions			Attachment G. LEND_DBP Interview Guide.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 72	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	72	70	2
Annual IC Time Burden (Hours)	108	106	2
Annual IC Cost Burden (Dollars)	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.