View Information Collection (IC)

View Information Collection (IC)

IC Title:	ACF Behavioral Interventions to Advance Self-Sufficiency Next Generation (BIAS-NG) 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 Guide			Appendix A Staff Interviews Monroe County_CLEAN_10.23.docx		No		Paper Only
Other-Interview Guide			Appendix B Client Interviews Monroe County_CLEAN_10.23.docx		No		Paper Only
Other-Staff Survey			Appendix C Staff Survey Monroe County_CLEAN_10.23.docx		No		Paper Only

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: 110	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	110	0	110	0	0	0
Annual IC Time Burden (Hours)	70	0	70	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
BIAS-NG Generic SSA_ Monroe County_CLEAN_10.23	BIAS-NG Generic SSA_ Monroe County_CLEAN_10.23.docx	10/24/2018
BIAS-NG Generic SSB_Monroe_CLEAN_10.23	BIAS-NG Generic SSB_Monroe_CLEAN_10.23.docx	10/24/2018

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