Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
36-month Adult Follow-up Survey New 1712 2140 0 Other-Adult Survey
Form N/A Adult Consent Form
Form N/A Release of Information
Form N/A Parental Permission form
Administrative Data UI Wage records New 24 480 0 Other-laceholder for future MOU
Cost Data Collection Removed 0 0 0 Other-Interview guide
Direct Child Assessments New 811 676 0 Other-placeholder for future MOU
Impact of Housing and Services Interventions for Homeless Families Removed 0 0 0 Other-Follow up survey
Older Child Assent Form New 883 515 0 Other-Child survey
Form N/A Child Assent form
Total burden requested under this ICR: 3430 3811 0  
To view an IC, click on IC Title