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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Assessing Models of Coordinated Services for Low-Income Children and Their Families (AMCS)
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-
INSTRUMENT 1. State Model Profile v2.docx
Yes
Yes
Fillable Fileable
Other-
INSTRUMENT 2. Local Model Profile v2.docx
Yes
Yes
Fillable Fileable
Other-
INSTRUMENT 3. Request for Staffing Information.docx
Yes
Yes
Fillable Fileable
Other-
INSTRUMENT 4. State Telephone Interview Protocol.docx
No
Paper Only
Other-
INSTRUMENT 5. Local Telephone Interview Protocol.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:
226
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
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
226
0
226
0
0
0
Annual IC Time Burden (Hours)
277
0
277
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Supporting Statement A - AMCS Study - Formative generic
Supporting Statement A - AMCS Study for OPRE Pilot with OIRA_July 2019 v6.docx
08/09/2019
Supporting Statement B - AMCS Study - Formative generic
Supporting Statement B - AMCS Study for OPRE Pilot with OIRA_July 2019 v3.docx
08/09/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.