View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Baseline information form for participants (Attachment D)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Standard BIF Yes Yes Fillable Fileable
Other-Tailored BIF - ARC Site Yes Yes Fillable Fileable
Other-Tailored BIF - CCC Site Yes Yes Fillable Fileable
Other-Tailored BIF - Franklin-Stark Site Yes Yes Fillable Fileable
Other-Tailored BIF - 2Gen-Chicago Site Yes Yes Fillable Fileable
Other-Tailored BIF - IPS FQHC site Yes Yes Fillable Fileable
Other-Tailored BIF - IPS SUD Yes Yes Fillable Fileable
Other-Tailored BIF - TANF-SNAP study Yes Yes Fillable Fileable

Community and Social Services Social Services

 

4,133 0
   
Individuals or Households
 
   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 4,133 0 0 0 0 4,133
Annual IC Time Burden (Hours) 1,034 0 0 0 0 1,034
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.
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