View Information Collection (IC)

View Information Collection (IC)

IC Title:	The Experiences, Needs, and Voices of Workers in Low-Income Households During the COVID-19 Public Health Emergency	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-Discussion Guide			Instrument 1. In-depth discussion guide.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: 44	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	44	0	44	0	0	0
Annual IC Time Burden (Hours)	88	0	88	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement A	Next Gen Covid IDI Generic SSA.docx	07/29/2020
Supporting Statement B	Next Gen Covid IDI Generic SSB.docx	07/29/2020
Appendix A - Study Flyer	Appendix A. Study flyer.pdf	07/29/2020

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