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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Aging Network Partnerships and Effectiveness Survey
Agency IC Tracking Number:
Is this a Common Form?
No
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
Form and Instruction
NA
Aging Network Effectiveness Survey
Appendix B. Aging Network Partnerships Effectiveness Survey.pdf
Yes
Yes
Fillable Fileable
Other-Study Endorsement Letter
Appendix C. Study Endorsement Example.pdf
Yes
Yes
Fillable Fileable
Other-Study Email
Appendix D. Advance Letter-Email.pdf
Yes
Yes
Fillable Fileable
Other-Study Invitation Email
Appendix E. Invitation Emails.pdf
Yes
Yes
Fillable Fileable
Other-Study Email Reminders
Appendix F. Reminder Emails.pdf
Yes
Yes
Fillable Fileable
Other-SUA and AAA Tribal Org Reminders
Appendix G. SUA_AAA_Tribal organization Reminder Letters.pdf
Yes
Yes
Fillable Fileable
Other-Study Reminder Call Script
Appendix H. Reminder Call Script.pdf
Yes
Yes
Fillable Fileable
Other-Key Informant Interview Protocol
Appendix I. KI Interview Protocol.pdf
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:
874
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
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
874
0
874
0
0
0
Annual IC Time Burden (Hours)
226
0
226
0
0
0
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.