View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	ACF Behavioral Interventions to Advance Self-Sufficiency (BIAS) Project	Agency IC Tracking Number:

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-Interview			Appendix A.1_Protocol for Administrators.docx		Yes	Yes	Fillable Fileable
Other-Interview			Appendix A.2_Protocol for Staff.docx		Yes	Yes	Fillable Fileable
Other-Interview			Appendix A.3_Protocol for Clients.docx		Yes	Yes	Fillable Fileable

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: 156	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	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	156	0	0	0	0	0
Annual IC Time Burden (Hours)	156	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
BIAS Generic Supporting Statement A	BIAS Generic Supporting Statement A.docx	10/10/2012
BIAS Generic Supporting Statement B	BIAS Generic Supporting Statement B.docx	10/10/2012
Appendix B_Consent Forms	Appendix B_Consent Forms.docx	10/10/2012

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.