View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Supporting Family Economic Well-Being through Home Visiting (HomeEc)	Agency IC Tracking Number:	OPRE

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-Screener, Interviews, Focus Group			HomeEc_OMB package instruments_to OPRE_3rd revision Nov 2022_clean.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: 120	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	120	0	120	0	0	0
Annual IC Time Burden (Hours)	136	0	136	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
HomeEc SSA - Formative GenIC Research	HomeEc_SSA_clean_Mar31.docx	03/31/2023
HomeEc SSB - Formative GenIC Research	HomeEc_SSB_clean__Mar31.docx	03/31/2023
HomeEc Appendices	HomeEc_OMB package appendices_to OPRE_revised Nov 2022_clean.docx	11/18/2022

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