View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Life Experience: Financial Hardship CX	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-Conversation Guide			Financial Hardship-Conversation Guide.pdf		No		Paper Only
Other-Notes Template			Financial Hardship-Notes Template.pdf		No		Paper Only
Other-Consent Form			Financial Hardship-Consent Form.pdf		No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	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	50	0	50	0	0	0
Annual IC Time Burden (Hours)	50	0	50	0	0	0
Annual IC Cost Burden (Dollars)	1,286	0	1,286	0	0	0

Documents for IC

Title	Document	Date Uploaded
Project Overview	Financial Hardship-Project Overview.pdf	04/21/2022
Research Methods	Financial Hardship-Research Methods.pdf	04/21/2022
Information Collection Request	Financial Hardship-ICR.pdf	04/21/2022
Research Plan	Financial Hardship-Research Plan.pdf	04/21/2022

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