Information Collection

State Requests For Hhs Approval Of Federal Financial Participation In The Cost Of Adp Systems, Equipment, And Services

IC 116540 under ICR 198208-0990-004 · OMB 0990-0058.

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Information Collection (IC) Details

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IC Title:	STATE REQUESTS FOR HHS APPROVAL OF FEDERAL FINANCIAL PARTICIPATION IN THE COST OF ADP SYSTEMS, EQUIPMENT, AND SERVICES	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 54	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	204	204
Annual IC Time Burden (Hours)	6,580	6,580
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

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